Search

Your search keyword '"Jose Martinez Raga"' showing total 105 results
Start Over Author "Jose Martinez Raga"
105 results on '"Jose Martinez Raga"'

1. Clinical decision-making before discharge in hospitalized persons with schizophrenia: a Spanish Delphi expert consensus

Author

José Manuel Montes, Luis Agüera-Ortiz, Anna Mané, Jose Martinez-Raga, and Luis Gutiérrez-Rojas

Subjects
schizophrenia, inpatient, hospitalization, discharge, expert consensus, Delphi method, Psychiatry, RC435-571
Abstract

IntroductionThe care of people with schizophrenia (PWS) is usually provided in an outpatient setting by community mental health teams. However, PWS frequently require inpatient treatment because of a wide array of clinical, personal and/or social situations. Unfortunately, to our knowledge, there are no guidelines available to help psychiatrists in the decision-making process on hospital discharge for PWS. The aim of this project was to develop an expert consensus on discharge criteria for PWS after their stay in an acute inpatient psychiatric unit.MethodsUsing a modified Delphi method a group of 42 psychiatrists throughout Spain evaluated four areas of interest regarding this issue: clinical symptomatology, treatment-related factors, follow-up health care units after discharge, and physical health and monitoring.ResultsAfter two rounds, among the 64 statements, a consensus was reached for 59 (92.2%) statements. In three (17.7%) of the 17 statements on ‘clinical symptomatology’ and 2 (13.3%) of the 15 statements on ‘follow-up health care units after discharge’, a consensus was not reached; in contrast, a consensus was reached for all statements concerning ‘treatment-related factors’ and those concerning ‘physical health and monitoring’. The consensus results highlight the importance for discharge of the control of symptoms rather than their suppression during admission and of tolerability in the selection of anantipsychotic.DiscussionAlthough there is a lack of relevant data for guiding the discharge of PWS after hospitalization in an acute inpatient psychiatric unit, we expect that this consensus based on expert opinion may help clinicians to take appropriate decisions.

Published
2024
Full Text
View/download PDF

2. The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990–2019: Findings from the Global Burden of Disease Study 2019

Author

Giulio Castelpietra, Ann Kristin Skrindo Knudsen, Emilie E. Agardh, Benedetta Armocida, Massimiliano Beghi, Kim Moesgaard Iburg, Giancarlo Logroscino, Rui Ma, Fabrizio Starace, Nicholas Steel, Giovanni Addolorato, Catalina Liliana Andrei, Tudorel Andrei, Jose L Ayuso-Mateos, Maciej Banach, Till Winfried Bärnighausen, Francesco Barone-Adesi, Akshaya Srikanth Bhagavathula, Felix Carvalho, Márcia Carvalho, Joht Singh Chandan, Vijay Kumar Chattu, Rosa A.S. Couto, Natália Cruz-Martins, Paul I. Dargan, Keshab Deuba, Diana Dias da Silva, Adeniyi Francis Fagbamigbe, Eduarda Fernandes, Pietro Ferrara, Florian Fischer, Peter Andras Gaal, Alessandro Gialluisi, Juanita A. Haagsma, Josep Maria Haro, M. Tasdik Hasan, Syed Shahzad Hasan, Sorin Hostiuc, Licia Iacoviello, Ivo Iavicoli, Elham Jamshidi, Jost B. Jonas, Tamas Joo, Jacek Jerzy Jozwiak, Srinivasa Vittal Katikireddi, Joonas H. Kauppila, Moien A.B. Khan, Adnan Kisa, Sezer Kisa, Mika Kivimäki, Kamrun Nahar Koly, Ai Koyanagi, Manasi Kumar, Tea Lallukka, Berthold Langguth, Caterina Ledda, Paul H. Lee, Ilaria Lega, Christine Linehan, Joana A. Loureiro, Áurea M Madureira-Carvalho, Jose Martinez-Raga, Manu Raj Mathur, John J. McGrath, Enkeleint A. Mechili, Alexios-Fotios A. Mentis, Tomislav Mestrovic, Bartosz Miazgowski, Andreea Mirica, Antonio Mirijello, Babak Moazen, Shafiu Mohammed, Francesk Mulita, Gabriele Nagel, Ionut Negoi, Ruxandra Irina Negoi, Vincent Ebuka Nwatah, Alicia Padron-Monedero, Songhomitra Panda-Jonas, Shahina Pardhan, Maja Pasovic, Jay Patel, Ionela-Roxana Petcu, Marina Pinheiro, Richard Charles G. Pollok, Maarten J. Postma, David Laith Rawaf, Salman Rawaf, Esperanza Romero-Rodríguez, Luca Ronfani, Dominic Sagoe, Francesco Sanmarchi, Michael P Schaub, Nigussie Tadesse Sharew, Rahman Shiri, Farhad Shokraneh, Inga Dora Sigfusdottir, João Pedro Silva, Renata Silva, Bogdan Socea, Miklós Szócska, Rafael Tabarés-Seisdedos, Marco Torrado, Marcos Roberto Tovani-Palone, Tommi Juhani Vasankari, Massimiliano Veroux, Russell M. Viner, Andrea Werdecker, Andrea Sylvia Winkler, Simon I. Hay, Alize J. Ferrari, Mohsen Naghavi, Peter Allebeck, and Lorenzo Monasta

Subjects
Young people, Mental health, Mental disorders, Self-harm, Substance use, Europe, Public aspects of medicine, RA1-1270
Abstract

Summary: Background: Mental health is a public health issue for European young people, with great heterogeneity in resource allocation. Representative population-based studies are needed. The Global Burden of Disease (GBD) Study 2019 provides internationally comparable information on trends in the health status of populations and changes in the leading causes of disease burden over time. Methods: Prevalence, incidence, Years Lived with Disability (YLDs) and Years of Life Lost (YLLs) from mental disorders (MDs), substance use disorders (SUDs) and self-harm were estimated for young people aged 10-24 years in 31 European countries. Rates per 100,000 population, percentage changes in 1990-2019, 95% Uncertainty Intervals (UIs), and correlations with Sociodemographic Index (SDI), were estimated. Findings: In 2019, rates per 100,000 population were 16,983 (95% UI 12,823 – 21,630) for MDs, 3,891 (3,020 - 4,905) for SUDs, and 89·1 (63·8 - 123·1) for self-harm. In terms of disability, anxiety contributed to 647·3 (432–912·3) YLDs, while in terms of premature death, self-harm contributed to 319·6 (248·9–412·8) YLLs, per 100,000 population. Over the 30 years studied, YLDs increased in eating disorders (14·9%;9·4-20·1) and drug use disorders (16·9%;8·9-26·3), and decreased in idiopathic developmental intellectual disability (–29·1%;23·8-38·5). YLLs decreased in self-harm (–27·9%;38·3-18·7). Variations were found by sex, age-group and country. The burden of SUDs and self-harm was higher in countries with lower SDI, MDs were associated with SUDs. Interpretation: Mental health conditions represent an important burden among young people living in Europe. National policies should strengthen mental health, with a specific focus on young people. Funding: The Bill and Melinda Gates Foundation

Published
2022
Full Text
View/download PDF

3. Empirical examination of executive functioning, ADHD associated behaviors, and functional impairments in adults with persistent ADHD, remittent ADHD, and without ADHD

Author

Belén Roselló, Carmen Berenguer, Inmaculada Baixauli, Álvaro Mira, Jose Martinez-Raga, and Ana Miranda

Subjects
Attention deficit hyperactivity disorder, Persistence, Remission, Functional impairments, Executive functioning, Psychiatry, RC435-571
Abstract

Abstract Background Previous studies suggest that childhood attention deficit hyperactivity disorder (ADHD) may continue in adulthood, producing adverse effects. Therefore, identifying factors that help to differentiate characteristics of ADHD persistence and remission has practical implications for evaluation and treatment. The first aim of this study was to analyze differences in executive functions (shift, working memory, inhibition, and plan/organize), symptoms associated with ADHD (inattention, hyperactivity, emotional lability, and self-concept), and functional impairments in adults with persistent ADHD (ADHD-P), with remittent ADHD (ADHD-R), and without ADHD (N-ADHD). The second aim was to study the contribution of functional impairments in these three groups based on executive functions and associated ADHD behaviors. Methods Participants were 115 adults, 61 with a childhood ADHD diagnosis (40 persisters and 21 remitters) and 54 individuals with typical development. Self-reports were collected on executive functions, symptoms associated with ADHD, and functional impairments. Multivariate Analyses of Variance were conducted to test differences between the ADHD-P, ADHD-R, and N-ADHD groups on the evaluated variables. In addition, analyses were performed using two structural equation models with observed variables (path analyses). Results The results indicated that significant executive and behavioral impairments and adverse functional outcomes in different life domains are related to the diagnostic persistence of ADHD. Recovery from the disorder is associated with better results, although hyperactivity/restlessness behaviors and plan/organize deficits continue to be present in remitter individuals. Conclusions The ADHD-P and ADHD-R groups showed some differences in their executive, behavioral, and functional impairments. Furthermore, the impairments in each group can be predicted by different executive functions and other symptoms associated with the disorder. These results should be taken into account in order to improve clinical practice.

Published
2020
Full Text
View/download PDF

4. Once-Monthly Long-Acting Injectable Aripiprazole for the Treatment of Patients with Schizophrenia and Co-occurring Substance Use Disorders: A Multicentre, Observational Study

Author

Nestor Szerman, Ignacio Basurte-Villamor, Pablo Vega, Jose Martinez-Raga, Carlos Parro-Torres, Julia Cambra Almerge, Lara Grau-López, Mario De Matteis, and Francisco Arias

Subjects
Therapeutics. Pharmacology, RM1-950, Pharmacy and materia medica, RS1-441
Abstract

Abstract Aim To evaluate the efficacy and impact of long-acting injectable (LAI) aripiprazole in patients with schizophrenia with a coexisting substance use disorder (SUD). Patients and methods A multicenter, observational, descriptive and retrospective study was conducted in patients with a DSM-5 diagnosis of schizophrenia who had a coexisting SUD and were treated with LAI-aripiprazole. Disease severity was evaluated with the Clinical Global Impression (CGI) severity scale for schizophrenia, daily functioning and disability were evaluated with the World Health Organisation Disability Assessment Scale (WHODAS-2.0), and the severity of the addiction was evaluated with the Severity of Dependence Scale (SDS). Results The sample included 40 patients. Overall, after 6 months of treatment with LAI-aripiprazole at a dose of 400 mg/4 weeks in 77.5% of the patients, we observed significant improvement in the psychopathological symptoms, with a reduction of over 30% in the scores of the five CGI-severity scales. The WHODAS-2.0 mean (standard deviation) score was also significantly reduced from 57.6 (8.2) to 42.3 (4.3) points (p

Published
2020
Full Text
View/download PDF

5. Correction to: Once‑Monthly Long‑Acting Injectable Aripiprazole for the Treatment of Patients with Schizophrenia and Co‑occurring Substance Use Disorders: A Multicentre, Observational Study

Author

Nestor Szerman, Ignacio Basurte-Villamor, Pablo Vega, Jose Martinez-Raga, Carlos Parro-Torres, Julia Cambra Almerge, Lara Grau-López, Mario De Matteis, and Francisco Arias

Subjects
Therapeutics. Pharmacology, RM1-950, Pharmacy and materia medica, RS1-441
Abstract

A randomized, 1-year follow-up study comparing LAI aripiprazole with LAI paliperidone in patients with psychosis, mostly schizophrenia, and SUD reported a large effect of the change from baseline in the CGI severity score, from 5.9 to 2.4 for LAI aripiprazole and from 5.7 to 2.6 for LAI risperidone [29].

Published
2020
Full Text
View/download PDF

6. Developmental outcomes in adolescence of children with autism spectrum disorder without intellectual disability: A systematic review of prospective studies

Author

Braulio Girela, Jose Martinez-Raga, Samuele Cortese, Rocio Rosello, and Álvaro Mira

Subjects
Adolescent, Autism Spectrum Disorder, Cognitive Neuroscience, Population, Comorbidity, Executive Function, Behavioral Neuroscience, Social skills, Intellectual Disability, Theory of mind, mental disorders, Intellectual disability, medicine, Humans, Prospective Studies, Child, education, education.field_of_study, Intelligence quotient, medicine.disease, Executive functions, Neuropsychology and Physiological Psychology, Autism spectrum disorder, Autism, Psychology, Clinical psychology
Abstract

Individuals with Autism Spectrum Disorder (ASD) without intellectual disability (ID) represent approximately two-thirds of the ASD population. Here we focused on prospective research assessing different areas of functioning of children with ASD, without ID, until adolescence. Based on a pre-registered protocol (PROSPERO CRD42020189029), a systematic review of prospective studies (published between 01.01.2010 and 01.01.2020) was conducted. Twenty-eight studies met eligibility criteria. Findings indicated that ASD diagnosis and the Intelligence Quotient were highly stable over time across studies. Executive Functioning, Theory of Mind and Central Coherence processes tended to improve, although deficits remained when compared to typically developed controls. Adaptive difficulties and psychiatric comorbidity were relatively stable over time. We discuss potential implications of the findings for clinicians and educators and suggest recommendations for future research.

Published
2021

7. Treatment Needs and Service Delivery for Patients with Dual Disorders During the COVID-19 Pandemic: Findings From the WADD Survey

Author

Swarndeep Singh, Jose Martinez Raga, Ragul Ganesh, Caroline Salom, Nestor Szerman, Yatan Pal Singh Balhara, and Lola Peris

Subjects
Mental Health Services, Coronavirus disease 2019 (COVID-19), Substance-Related Disorders, Service delivery framework, Health Personnel, 030508 substance abuse, 03 medical and health sciences, 0302 clinical medicine, Nursing, Health care, Pandemic, Humans, Medicine, Pandemics, Personal protective equipment, Health Services Needs and Demand, business.industry, Mental Disorders, COVID-19, Mental health, 030227 psychiatry, Health care delivery, Psychiatry and Mental health, Diagnosis, Dual (Psychiatry), 0305 other medical science, business, Delivery of Health Care, Healthcare system
Abstract

Objective: The COVID-19 pandemic has posed a great challenge for the existing health systems. The restrictions imposed across countries on the movement of people and the realignment of health care services in response to the pandemic are likely to negatively affect the health status and delivery of mental health services to persons with dual disorders (PWDD). Methods: An online survey was conducted among mental health professionals involved in providing care to PWDD to better understand the problems encountered and identify potential solutions in providing continued treatment for PWDD during the COVID-19 pandemic. Results: The findings confirmed significant disruption in the delivery of treatment services for PWDD during the COVID-19 pandemic. Dissatisfaction with personal protective equipment, inadequate COVID-19 testing services at treatment facility, and lack of guidelines on providing continued treatment services to PWDD by national authorities or professional bodies were identified as the likely reasons for this disruption. Conclusions: These concerns in turn need to be addressed by the policy-makers, hospital management staff, and other stakeholders. Specifically, there should be a focus on developing and disseminating guidelines to assist mental health professionals in setting-up and providing continued treatment services to PWDD via tele-psychiatry and other novel digital strategies.

Published
2021

8. Exploring developmental trajectories throughout adolescence of children with autism spectrum disorder without intellectual disability

Author

Rocio Rosello, Jose Martinez-Raga, Jose Manuel Tomas, Belen Rosello, Carmen Berenguer, and Samuele Cortese

Subjects
Psychiatry and Mental health, Neurology, Neurology (clinical), Biological Psychiatry
Abstract

Characterizing the developmental trajectories of children with autism spectrum disorder (ASD) throughout adolescence and across different domains of functioning offers opportunities to improve long-term outcomes. This prospective study explored, for the first time, the evolution of children with ASD-without intellectual disability (ID) in terms of socio-adaptative skills, learning behaviors, executive functioning (EF), and internalizing/externalizing problems, compared to typically developing (TD) peers. Forty-five children with ASD-without ID and 37 matched TD children (aged 7-11) were assessed at baseline and after 5 years. Parents and teachers completed measures on theory of mind (ToM), socialization, daily living skills, learning style, EF, and emotional/behavioural difficulties at both time points. On all the domains assessed, the ASD group performed significantly worse than the TD group, both in childhood and adolescence. Specific changes were noted between baseline and follow-up assessment on adaptive skills, prosocial behavior, emotional control, inhibit, working memory and monitoring. Group membership (ASD/TD) was influenced by peer relationships and inhibit EF variables. These findings have implications for clinical and school settings.

Published
2022

9. Population-level risks of alcohol consumption by amount, geography, age, sex, and year: a systematic analysis for the Global Burden of Disease Study 2020

Author

Dana Bryazka, Marissa B Reitsma, Max G Griswold, Kalkidan Hassen Abate, Cristiana Abbafati, Mohsen Abbasi-Kangevari, Zeinab Abbasi-Kangevari, Amir Abdoli, Mohammad Abdollahi, Abu Yousuf Md Abdullah, E S Abhilash, Eman Abu-Gharbieh, Juan Manuel Acuna, Giovanni Addolorato, Oladimeji M Adebayo, Victor Adekanmbi, Kishor Adhikari, Sangeet Adhikari, Qorinah Estiningtyas Sakilah Adnani, Saira Afzal, Wubetu Yimam Agegnehu, Manik Aggarwal, Bright Opoku Ahinkorah, Araz Ramazan Ahmad, Sajjad Ahmad, Tauseef Ahmad, Ali Ahmadi, Sepideh Ahmadi, Haroon Ahmed, Tarik Ahmed Rashid, Chisom Joyqueenet Akunna, Hanadi Al Hamad, Md Zakiul Alam, Dejene Tsegaye Alem, Kefyalew Addis Alene, Yousef Alimohamadi, Atiyeh Alizadeh, Kasim Allel, Jordi Alonso, Saba Alvand, Nelson Alvis-Guzman, Firehiwot Amare, Edward Kwabena Ameyaw, Sohrab Amiri, Robert Ancuceanu, Jason A Anderson, Catalina Liliana Andrei, Tudorel Andrei, Jalal Arabloo, Muhammad Arshad, Anton A Artamonov, Zahra Aryan, Malke Asaad, Mulusew A Asemahagn, Thomas Astell-Burt, Seyyed Shamsadin Athari, Desta Debalkie Atnafu, Prince Atorkey, Alok Atreya, Floriane Ausloos, Marcel Ausloos, Getinet Ayano, Martin Amogre ayanore Ayanore, Olatunde O Ayinde, Jose L Ayuso-Mateos, Sina Azadnajafabad, Melkalem Mamuye Azanaw, Mohammadreza Azangou-Khyavy, Amirhossein Azari Jafari, Ahmed Y Azzam, Ashish D Badiye, Nasser Bagheri, Sara Bagherieh, Mohan Bairwa, Shankar M Bakkannavar, Ravleen Kaur Bakshi, Awraris Hailu Balchut/Bilchut, Till Winfried Bärnighausen, Fabio Barra, Amadou Barrow, Pritish Baskaran, Luis Belo, Derrick A Bennett, Isabela M Benseñor, Akshaya Srikanth Bhagavathula, Neeraj Bhala, Ashish Bhalla, Nikha Bhardwaj, Pankaj Bhardwaj, Sonu Bhaskar, Krittika Bhattacharyya, Vijayalakshmi S Bhojaraja, Bagas Suryo Bintoro, Elena A Elena Blokhina, Belay Boda Abule Bodicha, Archith Boloor, Cristina Bosetti, Dejana Braithwaite, Hermann Brenner, Nikolay Ivanovich Briko, Andre R Brunoni, Zahid A Butt, Chao Cao, Yin Cao, Rosario Cárdenas, Andre F Carvalho, Márcia Carvalho, Joao Mauricio Castaldelli-Maia, Giulio Castelpietra, Luis F S Castro-de-Araujo, Maria Sofia Cattaruzza, Promit Ananyo Chakraborty, Jaykaran Charan, Vijay Kumar Chattu, Akhilanand Chaurasia, Nicolas Cherbuin, Dinh-Toi Chu, Nandita Chudal, Sheng-Chia Chung, Chuchu Churko, Liliana G Ciobanu, Massimo Cirillo, Rafael M Claro, Simona Costanzo, Richard G Cowden, Michael H Criqui, Natália Cruz-Martins, Garland T Culbreth, Berihun Assefa Dachew, Omid Dadras, Xiaochen Dai, Giovanni Damiani, Lalit Dandona, Rakhi Dandona, Beniam Darge Daniel, Anna Danielewicz, Jiregna Darega Gela, Kairat Davletov, Jacyra Azevedo Paiva de Araujo, Antonio Reis de Sá-Junior, Sisay Abebe Debela, Azizallah Dehghan, Andreas K Demetriades, Meseret Derbew Molla, Rupak Desai, Abebaw Alemayehu Desta, Diana Dias da Silva, Daniel Diaz, Lankamo Ena Digesa, Mengistie Diress, Milad Dodangeh, Deepa Dongarwar, Fariba Dorostkar, Haneil Larson Dsouza, Bereket Duko, Bruce B Duncan, Kristina Edvardsson, Michael Ekholuenetale, Frank J Elgar, Muhammed Elhadi, Mohamed A Elmonem, Aman Yesuf Endries, Sharareh Eskandarieh, Azin Etemadimanesh, Adeniyi Francis Fagbamigbe, Ildar Ravisovich Fakhradiyev, Fatemeh Farahmand, Carla Sofia e Sá Farinha, Andre Faro, Farshad Farzadfar, Ali Fatehizadeh, Nelsensius Klau Fauk, Valery L Feigin, Rachel Feldman, Xiaoqi Feng, Zinabu Fentaw, Simone Ferrero, Lorenzo Ferro Desideri, Irina Filip, Florian Fischer, Joel Msafiri Francis, Richard Charles Franklin, Peter Andras Gaal, Mohamed M Gad, Silvano Gallus, Fabio Galvano, Balasankar Ganesan, Tushar Garg, Mesfin Gebrehiwot Damtew Gebrehiwot, Teferi Gebru Gebremeskel, Mathewos Alemu Gebremichael, Tadele Regasa Gemechu, Lemma Getacher, Motuma Erena Getachew, Abera Getachew Obsa, Asmare Getie, Amir Ghaderi, Mansour Ghafourifard, Alireza Ghajar, Seyyed-Hadi Ghamari, Lilian A Ghandour, Mohammad Ghasemi Nour, Ahmad Ghashghaee, Sherief Ghozy, Franklin N Glozah, Ekaterina Vladimirovna Glushkova, Justyna Godos, Amit Goel, Salime Goharinezhad, Mahaveer Golechha, Pouya Goleij, Mohamad Golitaleb, Felix Greaves, Michal Grivna, Giuseppe Grosso, Temesgen Worku Gudayu, Bhawna Gupta, Rajeev Gupta, Sapna Gupta, Veer Bala Gupta, Vivek Kumar Gupta, Nima Hafezi-Nejad, Arvin Haj-Mirzaian, Brian J Hall, Rabih Halwani, Tiilahun Beyene Handiso, Graeme J Hankey, Sanam Hariri, Josep Maria Haro, Ahmed I Hasaballah, Hossein Hassanian-Moghaddam, Simon I Hay, Khezar Hayat, Golnaz Heidari, Mohammad Heidari, Delia Hendrie, Claudiu Herteliu, Demisu Zenbaba Heyi, Kamal Hezam, Mbuzeleni Mbuzeleni Hlongwa, Ramesh Holla, Md Mahbub Hossain, Sahadat Hossain, Seyed Kianoosh Hosseini, Mehdi hosseinzadeh, Mihaela Hostiuc, Sorin Hostiuc, Guoqing Hu, Junjie Huang, Salman Hussain, Segun Emmanuel Ibitoye, Irena M Ilic, Milena D Ilic, Mustapha Immurana, Lalu Muhammad Irham, M Mofizul Islam, Rakibul M Islam, Sheikh Mohammed Shariful Islam, Hiroyasu Iso, Ramaiah Itumalla, Masao Iwagami, Roxana Jabbarinejad, Louis Jacob, Mihajlo Jakovljevic, Zahra Jamalpoor, Elham Jamshidi, Sathish Kumar Jayapal, Umesh Umesh Jayarajah, Ranil Jayawardena, Rime Jebai, Seyed Ali Jeddi, Alelign Tasew Jema, Ravi Prakash Jha, Har Ashish Jindal, Jost B Jonas, Tamas Joo, Nitin Joseph, Farahnaz Joukar, Jacek Jerzy Jozwiak, Mikk Jürisson, Ali Kabir, Robel Hussen Kabthymer, Bhushan Dattatray Kamble, Himal Kandel, Girum Gebremeskel Kanno, Neeti Kapoor, Ibraheem M Karaye, Salah Eddin Karimi, Bekalu Getnet Kassa, Rimple Jeet Kaur, Gbenga A Kayode, Mohammad Keykhaei, Himanshu Khajuria, Rovshan Khalilov, Imteyaz A Khan, Moien AB Khan, Hanna Kim, Jihee Kim, Min Seo Kim, Ruth W Kimokoti, Mika Kivimäki, Vitalii Klymchuk, Ann Kristin Skrindo Knudsen, Ali-Asghar Kolahi, Vladimir Andreevich Korshunov, Ai Koyanagi, Kewal Krishan, Yuvaraj Krishnamoorthy, G Anil Kumar, Narinder Kumar, Nithin Kumar, Ben Lacey, Tea Lallukka, Savita Lasrado, Jerrald Lau, Sang-woong Lee, Wei-Chen Lee, Yo Han Lee, Lee-Ling Lim, Stephen S Lim, Stany W Lobo, Platon D Lopukhov, Stefan Lorkowski, Rafael Lozano, Giancarlo Lucchetti, Farzan Madadizadeh, Áurea M Madureira-Carvalho, Soleiman Mahjoub, Ata Mahmoodpoor, Rashidul Alam Mahumud, Alaa Makki, Mohammad-Reza Malekpour, Narayana Manjunatha, Borhan Mansouri, Mohammad Ali Mansournia, Jose Martinez-Raga, Francisco A Martinez-Villa, Richard Matzopoulos, Pallab K Maulik, Mahsa Mayeli, John J McGrath, Jitendra Kumar Meena, Entezar Mehrabi Nasab, Ritesh G Menezes, Gert B M Mensink, Alexios-Fotios A Mentis, Atte Meretoja, Bedasa Taye Merga, Tomislav Mestrovic, Junmei Miao Jonasson, Bartosz Miazgowski, Ana Carolina Micheletti Gomide Nogueira de Sá, Ted R Miller, GK Mini, Andreea Mirica, Antonio Mirijello, Seyyedmohammadsadeq Mirmoeeni, Erkin M Mirrakhimov, Sanjeev Misra, Babak Moazen, Maryam Mobarakabadi, Marcello Moccia, Yousef Mohammad, Esmaeil Mohammadi, Abdollah Mohammadian-Hafshejani, Teroj Abdulrahman Mohammed, Nagabhishek Moka, Ali H Mokdad, Sara Momtazmanesh, Yousef Moradi, Ebrahim Mostafavi, Sumaira Mubarik, Erin C Mullany, Beemnet Tekabe Mulugeta, Efrén Murillo-Zamora, Christopher J L Murray, Julius C Mwita, Mohsen Naghavi, Mukhammad David Naimzada, Vinay Nangia, Biswa Prakash Nayak, Ionut Negoi, Ruxandra Irina Negoi, Seyed Aria Nejadghaderi, Samata Nepal, Sudan Prasad Prasad Neupane, Sandhya Neupane Kandel, Yeshambel T Nigatu, Ali Nowroozi, Khan M Nuruzzaman, Chimezie Igwegbe Nzoputam, Kehinde O Obamiro, Felix Akpojene Ogbo, Ayodipupo Sikiru Oguntade, Hassan Okati-Aliabad, Babayemi Oluwaseun Olakunde, Gláucia Maria Moraes Oliveira, Ahmed Omar Bali, Emad Omer, Doris V Ortega-Altamirano, Adrian Otoiu, Stanislav S Otstavnov, Bilcha Oumer, Mahesh P A, Alicia Padron-Monedero, Raffaele Palladino, Adrian Pana, Songhomitra Panda-Jonas, Anamika Pandey, Ashok Pandey, Shahina Pardhan, Tarang Parekh, Eun-Kee Park, Charles D H Parry, Fatemeh Pashazadeh Kan, Jay Patel, Siddhartha Pati, George C Patton, Uttam Paudel, Shrikant Pawar, Amy E Peden, Ionela-Roxana Petcu, Michael R Phillips, Marina Pinheiro, Evgenii Plotnikov, Pranil Man Singh Pradhan, Akila Prashant, Jianchao Quan, Amir Radfar, Alireza Rafiei, Pankaja Raghav Raghav, Vafa Rahimi-Movaghar, Azizur Rahman, Md Mosfequr Rahman, Mosiur Rahman, Amir Masoud Rahmani, Shayan Rahmani, Chhabi Lal Ranabhat, Priyanga Ranasinghe, Chythra R Rao, Drona Prakash Rasali, Mohammad-Mahdi Rashidi, Zubair Ahmed Ratan, David Laith Rawaf, Salman Rawaf, Lal Rawal, Andre M N Renzaho, Negar Rezaei, Saeid Rezaei, Mohsen Rezaeian, Seyed Mohammad Riahi, Esperanza Romero-Rodríguez, Gregory A Roth, Godfrey M Rwegerera, Basema Saddik, Erfan Sadeghi, Reihaneh Sadeghian, Umar Saeed, Farhad Saeedi, Rajesh Sagar, Amirhossein Sahebkar, Harihar Sahoo, Mohammad Ali Sahraian, KM Saif-Ur-Rahman, Sarvenaz Salahi, Hamideh Salimzadeh, Abdallah M Samy, Francesco Sanmarchi, Milena M Santric-Milicevic, Yaser Sarikhani, Brijesh Sathian, Ganesh Kumar Saya, Mehdi Sayyah, Maria Inês Schmidt, Aletta Elisabeth Schutte, Michaël Schwarzinger, David C Schwebel, Abdul-Aziz Seidu, Nachimuthu Senthil Kumar, SeyedAhmad SeyedAlinaghi, Allen Seylani, Feng Sha, Sarvenaz Shahin, Fariba Shahraki-Sanavi, Shayan Shahrokhi, Masood Ali Shaikh, Elaheh Shaker, Murad Ziyaudinovich Shakhmardanov, Mehran Shams-Beyranvand, Sara Sheikhbahaei, Rahim Ali Sheikhi, Adithi Shetty, Jeevan K Shetty, Damtew Solomon Shiferaw, Mika Shigematsu, Rahman Shiri, Reza Shirkoohi, K M Shivakumar, Velizar Shivarov, Parnian Shobeiri, Roman Shrestha, Negussie Boti Sidemo, Inga Dora Sigfusdottir, Diego Augusto Santos Silva, Natacha Torres da Silva, Jasvinder A Singh, Surjit Singh, Valentin Yurievich Skryabin, Anna Aleksandrovna Skryabina, David A Sleet, Marco Solmi, YONATAN SOLOMON, Suhang Song, Yimeng Song, Reed J D Sorensen, Sergey Soshnikov, Ireneous N Soyiri, Dan J Stein, Sonu Hangma Subba, Miklós Szócska, Rafael Tabarés-Seisdedos, Takahiro Tabuchi, Majid Taheri, Ker-Kan Tan, Minale Tareke, Elvis Enowbeyang Tarkang, Gebremaryam Temesgen, Worku Animaw Temesgen, Mohamad-Hani Temsah, Kavumpurathu Raman Thankappan, Rekha Thapar, Nikhil Kenny Thomas, Chalachew Tiruneh, Jovana Todorovic, Marco Torrado, Mathilde Touvier, Marcos Roberto Tovani-Palone, Mai Thi Ngoc Tran, Sergi Trias-Llimós, Jaya Prasad Tripathy, Alireza Vakilian, Rohollah Valizadeh, Mehdi Varmaghani, Shoban Babu Varthya, Tommi Juhani Vasankari, Theo Vos, Birhanu Wagaye, Yasir Waheed, Mandaras Tariku Walde, Cong Wang, Yanzhong Wang, Yuan-Pang Wang, Ronny Westerman, Nuwan Darshana Wickramasinghe, Abate Dargie Wubetu, Suowen Xu, Kazumasa Yamagishi, Lin Yang, Gesila Endashaw E Yesera, Arzu Yigit, Vahit Yiğit, Ayenew Engida Ayenew Engida Yimaw, Dong Keon Yon, Naohiro Yonemoto, Chuanhua Yu, Siddhesh Zadey, Mazyar Zahir, Iman Zare, Mikhail Sergeevich Zastrozhin, Anasthasia Zastrozhina, Zhi-Jiang Zhang, Chenwen Zhong, Mohammad Zmaili, Yves Miel H Zuniga, Emmanuela Gakidou, University of St Andrews. School of Medicine, University of St Andrews. Population and Behavioural Science Division, Department of Public Health, University of Helsinki, Hjelt Institute (-2014), Helsinki Inequality Initiative (INEQ), Clinicum, Helsinki University Hospital Area, Bill & Melinda Gates Foundation, King Edward Medical University (Pakistán), Alexander von Humboldt Foundation, University of Oxford (Reino Unido), Medical Research Council (Reino Unido), NIH - National Institute of Mental Health (NIMH) (Estados Unidos), Canada Research Chairs, National Health and Medical Research Council (Australia), National Heart Foundation of Australia, Ministry of Education, Science and Technological Development (Serbia), Wellcome Trust, NIH - National Institute on Aging (NIA) (Estados Unidos), Finlands Akademi (Finlandia), Panjab University (India), Federal Ministry of Education & Research (Alemania), National Council for Scientific and Technological Development (Brasil), Danish National Research Foundation, Queensland Centre for Mental Health Research (Australia), South African Medical Research Council, National Natural Science Foundation of China, Charles Sturt University (Australia), Ain Shams University (Egipto), Mizoram University (India), Kasturba Medical College (India), Manipal Academy of Higher Education (India), Coordenação de Aperfeicoamento de Pessoal de Nível Superior (Brasil), Ministerio de Ciencia e Innovación (España), Collaborators, GBD 2020 Alcohol, Bryazka, Dana, Reitsma, Marissa B, Griswold, Max G, Abate, Kalkidan Hassen, Abbafati, Cristiana, Abbasi-Kangevari, Mohsen, Abbasi-Kangevari, Zeinab, Abdoli, Amir, Abdollahi, Mohammad, Abdullah, Abu Yousuf Md, Abhilash, E S, Abu-Gharbieh, Eman, Acuna, Juan Manuel, Addolorato, Giovanni, Adebayo, Oladimeji M, Adekanmbi, Victor, Adhikari, Kishor, Adhikari, Sangeet, Adnani, Qorinah Estiningtyas Sakilah, Afzal, Saira, Agegnehu, Wubetu Yimam, Aggarwal, Manik, Ahinkorah, Bright Opoku, Ahmad, Araz Ramazan, Ahmad, Sajjad, Ahmad, Tauseef, Ahmadi, Ali, Ahmadi, Sepideh, Ahmed, Haroon, Ahmed Rashid, Tarik, Akunna, Chisom Joyqueenet, Al Hamad, Hanadi, Alam, Md Zakiul, Alem, Dejene Tsegaye, Alene, Kefyalew Addi, Alimohamadi, Yousef, Alizadeh, Atiyeh, Allel, Kasim, Alonso, Jordi, Alvand, Saba, Alvis-Guzman, Nelson, Amare, Firehiwot, Ameyaw, Edward Kwabena, Amiri, Sohrab, Ancuceanu, Robert, Anderson, Jason A, Andrei, Catalina Liliana, Andrei, Tudorel, Arabloo, Jalal, Arshad, Muhammad, Artamonov, Anton A, Aryan, Zahra, Asaad, Malke, Asemahagn, Mulusew A, Astell-Burt, Thoma, Athari, Seyyed Shamsadin, Atnafu, Desta Debalkie, Atorkey, Prince, Atreya, Alok, Ausloos, Floriane, Ausloos, Marcel, Ayano, Getinet, Ayanore, Martin Amogre ayanore, Ayinde, Olatunde O, Ayuso-Mateos, Jose L, Azadnajafabad, Sina, Azanaw, Melkalem Mamuye, Azangou-Khyavy, Mohammadreza, Azari Jafari, Amirhossein, Azzam, Ahmed Y, Badiye, Ashish D, Bagheri, Nasser, Bagherieh, Sara, Bairwa, Mohan, Bakkannavar, Shankar M, Bakshi, Ravleen Kaur, Balchut/bilchut, Awraris Hailu, Bärnighausen, Till Winfried, Barra, Fabio, Barrow, Amadou, Baskaran, Pritish, Belo, Lui, Bennett, Derrick A, Benseñor, Isabela M, Bhagavathula, Akshaya Srikanth, Bhala, Neeraj, Bhalla, Ashish, Bhardwaj, Nikha, Bhardwaj, Pankaj, Bhaskar, Sonu, Bhattacharyya, Krittika, Bhojaraja, Vijayalakshmi S, Bintoro, Bagas Suryo, Blokhina, Elena A Elena, Bodicha, Belay Boda Abule, Boloor, Archith, Bosetti, Cristina, Braithwaite, Dejana, Brenner, Hermann, Briko, Nikolay Ivanovich, Brunoni, Andre R, Butt, Zahid A, Cao, Chao, Cao, Yin, Cárdenas, Rosario, Carvalho, Andre F, Carvalho, Márcia, Castaldelli-Maia, Joao Mauricio, Castelpietra, Giulio, Castro-de-Araujo, Luis F S, Cattaruzza, Maria Sofia, Chakraborty, Promit Ananyo, Charan, Jaykaran, Chattu, Vijay Kumar, Chaurasia, Akhilanand, Cherbuin, Nicola, Chu, Dinh-Toi, Chudal, Nandita, Chung, Sheng-Chia, Churko, Chuchu, Ciobanu, Liliana G, Cirillo, Massimo, Claro, Rafael M, Costanzo, Simona, Cowden, Richard G, Criqui, Michael H, Cruz-Martins, Natália, Culbreth, Garland T, Dachew, Berihun Assefa, Dadras, Omid, Dai, Xiaochen, Damiani, Giovanni, Dandona, Lalit, Dandona, Rakhi, Daniel, Beniam Darge, Danielewicz, Anna, Darega Gela, Jiregna, Davletov, Kairat, de Araujo, Jacyra Azevedo Paiva, de Sá-Junior, Antonio Rei, Debela, Sisay Abebe, Dehghan, Azizallah, Demetriades, Andreas K, Derbew Molla, Meseret, Desai, Rupak, Desta, Abebaw Alemayehu, Dias da Silva, Diana, Diaz, Daniel, Digesa, Lankamo Ena, Diress, Mengistie, Dodangeh, Milad, Dongarwar, Deepa, Dorostkar, Fariba, Dsouza, Haneil Larson, Duko, Bereket, Duncan, Bruce B, Edvardsson, Kristina, Ekholuenetale, Michael, Elgar, Frank J, Elhadi, Muhammed, Elmonem, Mohamed A, Endries, Aman Yesuf, Eskandarieh, Sharareh, Etemadimanesh, Azin, Fagbamigbe, Adeniyi Franci, Fakhradiyev, Ildar Ravisovich, Farahmand, Fatemeh, Farinha, Carla Sofia e Sá, Faro, Andre, Farzadfar, Farshad, Fatehizadeh, Ali, Fauk, Nelsensius Klau, Feigin, Valery L, Feldman, Rachel, Feng, Xiaoqi, Fentaw, Zinabu, Ferrero, Simone, Ferro Desideri, Lorenzo, Filip, Irina, Fischer, Florian, Francis, Joel Msafiri, Franklin, Richard Charle, Gaal, Peter Andra, Gad, Mohamed M, Gallus, Silvano, Galvano, Fabio, Ganesan, Balasankar, Garg, Tushar, Gebrehiwot, Mesfin Gebrehiwot Damtew, Gebremeskel, Teferi Gebru, Gebremichael, Mathewos Alemu, Gemechu, Tadele Regasa, Getacher, Lemma, Getachew, Motuma Erena, Getachew Obsa, Abera, Getie, Asmare, Ghaderi, Amir, Ghafourifard, Mansour, Ghajar, Alireza, Ghamari, Seyyed-Hadi, Ghandour, Lilian A, Ghasemi Nour, Mohammad, Ghashghaee, Ahmad, Ghozy, Sherief, Glozah, Franklin N, Glushkova, Ekaterina Vladimirovna, Godos, Justyna, Goel, Amit, Goharinezhad, Salime, Golechha, Mahaveer, Goleij, Pouya, Golitaleb, Mohamad, Greaves, Felix, Grivna, Michal, Grosso, Giuseppe, Gudayu, Temesgen Worku, Gupta, Bhawna, Gupta, Rajeev, Gupta, Sapna, Gupta, Veer Bala, Gupta, Vivek Kumar, Hafezi-Nejad, Nima, Haj-Mirzaian, Arvin, Hall, Brian J, Halwani, Rabih, Handiso, Tiilahun Beyene, Hankey, Graeme J, Hariri, Sanam, Haro, Josep Maria, Hasaballah, Ahmed I, Hassanian-Moghaddam, Hossein, Hay, Simon I, Hayat, Khezar, Heidari, Golnaz, Heidari, Mohammad, Hendrie, Delia, Herteliu, Claudiu, Heyi, Demisu Zenbaba, Hezam, Kamal, Hlongwa, Mbuzeleni Mbuzeleni, Holla, Ramesh, Hossain, Md Mahbub, Hossain, Sahadat, Hosseini, Seyed Kianoosh, Hosseinzadeh, Mehdi, Hostiuc, Mihaela, Hostiuc, Sorin, Hu, Guoqing, Huang, Junjie, Hussain, Salman, Ibitoye, Segun Emmanuel, Ilic, Irena M, Ilic, Milena D, Immurana, Mustapha, Irham, Lalu Muhammad, Islam, M Mofizul, Islam, Rakibul M, Islam, Sheikh Mohammed Shariful, Iso, Hiroyasu, Itumalla, Ramaiah, Iwagami, Masao, Jabbarinejad, Roxana, Jacob, Loui, Jakovljevic, Mihajlo, Jamalpoor, Zahra, Jamshidi, Elham, Jayapal, Sathish Kumar, Jayarajah, Umesh Umesh, Jayawardena, Ranil, Jebai, Rime, Jeddi, Seyed Ali, Jema, Alelign Tasew, Jha, Ravi Prakash, Jindal, Har Ashish, Jonas, Jost B, Joo, Tama, Joseph, Nitin, Joukar, Farahnaz, Jozwiak, Jacek Jerzy, Jürisson, Mikk, Kabir, Ali, Kabthymer, Robel Hussen, Kamble, Bhushan Dattatray, Kandel, Himal, Kanno, Girum Gebremeskel, Kapoor, Neeti, Karaye, Ibraheem M, Karimi, Salah Eddin, Kassa, Bekalu Getnet, Kaur, Rimple Jeet, Kayode, Gbenga A, Keykhaei, Mohammad, Khajuria, Himanshu, Khalilov, Rovshan, Khan, Imteyaz A, Khan, Moien AB, Kim, Hanna, Kim, Jihee, Kim, Min Seo, Kimokoti, Ruth W, Kivimäki, Mika, Klymchuk, Vitalii, Knudsen, Ann Kristin Skrindo, Kolahi, Ali-Asghar, Korshunov, Vladimir Andreevich, Koyanagi, Ai, Krishan, Kewal, Krishnamoorthy, Yuvaraj, Kumar, G Anil, Kumar, Narinder, Kumar, Nithin, Lacey, Ben, Lallukka, Tea, Lasrado, Savita, Lau, Jerrald, Lee, Sang-woong, Lee, Wei-Chen, Lee, Yo Han, Lim, Lee-Ling, Lim, Stephen S, Lobo, Stany W, Lopukhov, Platon D, Lorkowski, Stefan, Lozano, Rafael, Lucchetti, Giancarlo, Madadizadeh, Farzan, Madureira-Carvalho, Áurea M, Mahjoub, Soleiman, Mahmoodpoor, Ata, Mahumud, Rashidul Alam, Makki, Alaa, Malekpour, Mohammad-Reza, Manjunatha, Narayana, Mansouri, Borhan, Mansournia, Mohammad Ali, Martinez-Raga, Jose, Martinez-Villa, Francisco A, Matzopoulos, Richard, Maulik, Pallab K, Mayeli, Mahsa, Mcgrath, John J, Meena, Jitendra Kumar, Mehrabi Nasab, Entezar, Menezes, Ritesh G, Mensink, Gert B M, Mentis, Alexios-Fotios A, Meretoja, Atte, Merga, Bedasa Taye, Mestrovic, Tomislav, Miao Jonasson, Junmei, Miazgowski, Bartosz, Micheletti Gomide Nogueira de Sá, Ana Carolina, Miller, Ted R, Mini, Gk, Mirica, Andreea, Mirijello, Antonio, Mirmoeeni, Seyyedmohammadsadeq, Mirrakhimov, Erkin M, Misra, Sanjeev, Moazen, Babak, Mobarakabadi, Maryam, Moccia, Marcello, Mohammad, Yousef, Mohammadi, Esmaeil, Mohammadian-Hafshejani, Abdollah, Mohammed, Teroj Abdulrahman, Moka, Nagabhishek, Mokdad, Ali H, Momtazmanesh, Sara, Moradi, Yousef, Mostafavi, Ebrahim, Mubarik, Sumaira, Mullany, Erin C, Mulugeta, Beemnet Tekabe, Murillo-Zamora, Efrén, Murray, Christopher J L, Mwita, Julius C, Naghavi, Mohsen, Naimzada, Mukhammad David, Nangia, Vinay, Nayak, Biswa Prakash, Negoi, Ionut, Negoi, Ruxandra Irina, Nejadghaderi, Seyed Aria, Nepal, Samata, Neupane, Sudan Prasad Prasad, Neupane Kandel, Sandhya, Nigatu, Yeshambel T, Nowroozi, Ali, Nuruzzaman, Khan M, Nzoputam, Chimezie Igwegbe, Obamiro, Kehinde O, Ogbo, Felix Akpojene, Oguntade, Ayodipupo Sikiru, Okati-Aliabad, Hassan, Olakunde, Babayemi Oluwaseun, Oliveira, Gláucia Maria Morae, Omar Bali, Ahmed, Omer, Emad, Ortega-Altamirano, Doris V, Otoiu, Adrian, Otstavnov, Stanislav S, Oumer, Bilcha, P A, Mahesh, Padron-Monedero, Alicia, Palladino, Raffaele, Pana, Adrian, Panda-Jonas, Songhomitra, Pandey, Anamika, Pandey, Ashok, Pardhan, Shahina, Parekh, Tarang, Park, Eun-Kee, Parry, Charles D H, Pashazadeh Kan, Fatemeh, Patel, Jay, Pati, Siddhartha, Patton, George C, Paudel, Uttam, Pawar, Shrikant, Peden, Amy E, Petcu, Ionela-Roxana, Phillips, Michael R, Pinheiro, Marina, Plotnikov, Evgenii, Pradhan, Pranil Man Singh, Prashant, Akila, Quan, Jianchao, Radfar, Amir, Rafiei, Alireza, Raghav, Pankaja Raghav, Rahimi-Movaghar, Vafa, Rahman, Azizur, Rahman, Md Mosfequr, Rahman, Mosiur, Rahmani, Amir Masoud, Rahmani, Shayan, Ranabhat, Chhabi Lal, Ranasinghe, Priyanga, Rao, Chythra R, Rasali, Drona Prakash, Rashidi, Mohammad-Mahdi, Ratan, Zubair Ahmed, Rawaf, David Laith, Rawaf, Salman, Rawal, Lal, Renzaho, Andre M N, Rezaei, Negar, Rezaei, Saeid, Rezaeian, Mohsen, Riahi, Seyed Mohammad, Romero-Rodríguez, Esperanza, Roth, Gregory A, Rwegerera, Godfrey M, Saddik, Basema, Sadeghi, Erfan, Sadeghian, Reihaneh, Saeed, Umar, Saeedi, Farhad, Sagar, Rajesh, Sahebkar, Amirhossein, Sahoo, Harihar, Sahraian, Mohammad Ali, Saif-Ur-Rahman, Km, Salahi, Sarvenaz, Salimzadeh, Hamideh, Samy, Abdallah M, Sanmarchi, Francesco, Santric-Milicevic, Milena M, Sarikhani, Yaser, Sathian, Brijesh, Saya, Ganesh Kumar, Sayyah, Mehdi, Schmidt, Maria Inê, Schutte, Aletta Elisabeth, Schwarzinger, Michaël, Schwebel, David C, Seidu, Abdul-Aziz, Senthil Kumar, Nachimuthu, Seyedalinaghi, Seyedahmad, Seylani, Allen, Sha, Feng, Shahin, Sarvenaz, Shahraki-Sanavi, Fariba, Shahrokhi, Shayan, Shaikh, Masood Ali, Shaker, Elaheh, Shakhmardanov, Murad Ziyaudinovich, Shams-Beyranvand, Mehran, Sheikhbahaei, Sara, Sheikhi, Rahim Ali, Shetty, Adithi, Shetty, Jeevan K, Shiferaw, Damtew Solomon, Shigematsu, Mika, Shiri, Rahman, Shirkoohi, Reza, Shivakumar, K M, Shivarov, Velizar, Shobeiri, Parnian, Shrestha, Roman, Sidemo, Negussie Boti, Sigfusdottir, Inga Dora, Silva, Diego Augusto Santo, Silva, Natacha Torres da, Singh, Jasvinder A, Singh, Surjit, Skryabin, Valentin Yurievich, Skryabina, Anna Aleksandrovna, Sleet, David A, Solmi, Marco, Solomon, Yonatan, Song, Suhang, Song, Yimeng, Sorensen, Reed J D, Soshnikov, Sergey, Soyiri, Ireneous N, Stein, Dan J, Subba, Sonu Hangma, Szócska, Mikló, Tabarés-Seisdedos, Rafael, Tabuchi, Takahiro, Taheri, Majid, Tan, Ker-Kan, Tareke, Minale, Tarkang, Elvis Enowbeyang, Temesgen, Gebremaryam, Temesgen, Worku Animaw, Temsah, Mohamad-Hani, Thankappan, Kavumpurathu Raman, Thapar, Rekha, Thomas, Nikhil Kenny, Tiruneh, Chalachew, Todorovic, Jovana, Torrado, Marco, Touvier, Mathilde, Tovani-Palone, Marcos Roberto, Tran, Mai Thi Ngoc, Trias-Llimós, Sergi, Tripathy, Jaya Prasad, Vakilian, Alireza, Valizadeh, Rohollah, Varmaghani, Mehdi, Varthya, Shoban Babu, Vasankari, Tommi Juhani, Vos, Theo, Wagaye, Birhanu, Waheed, Yasir, Walde, Mandaras Tariku, Wang, Cong, Wang, Yanzhong, Wang, Yuan-Pang, Westerman, Ronny, Wickramasinghe, Nuwan Darshana, Wubetu, Abate Dargie, Xu, Suowen, Yamagishi, Kazumasa, Yang, Lin, Yesera, Gesila Endashaw E, Yigit, Arzu, Yiğit, Vahit, Yimaw, Ayenew Engida Ayenew Engida, Yon, Dong Keon, Yonemoto, Naohiro, Yu, Chuanhua, Zadey, Siddhesh, Zahir, Mazyar, Zare, Iman, Zastrozhin, Mikhail Sergeevich, Zastrozhina, Anasthasia, Zhang, Zhi-Jiang, Zhong, Chenwen, Zmaili, Mohammad, Zuniga, Yves Miel H, Gakidou, Emmanuela, Bryazka, D, Reitsma, Mb, Griswold, Mg, Abate, Kh, Abbafati, C, Kangevari, Ma, Kangevari, Za, Abdoli, A, Abdollahi, M, Abdullah, Am, Abhilash, E, Abu Gharbieh, E, Acuna, Jm, Addolorato, G, Adebayo, Om, Adekanmbi, V, Adhikari, K, Adhikari, S, Adnani, Qe, Afzal, S, Agegnehu, Wy, Aggarwal, M, Ahinkorah, Bo, Ahmad, Ar, Ahmad, S, Ahmad, T, Ahmadi, A, Ahmadi, S, Ahmed, H, Rashid, Ta, Akunna, Cj, Al Hamad, H, Alam, Mz, Alem, Dt, Alene, Ka, Alimohamadi, Y, Alizadeh, A, Allel, K, Alonso, J, Alvand, S, Guzman, Na, Amare, F, Ameyaw, Ek, Amiri, S, Ancuceanu, R, Anderson, Ja, Andrei, Cl, Andrei, T, Arabloo, J, Arshad, M, Artamonov, Aa, Aryan, Z, Asaad, M, Asemahagn, Ma, Burt, Ta, Athari, S, Atnafu, Dd, Atorkey, P, Atreya, A, Ausloos, F, Ausloos, M, Ayano, G, Ayanore, Ma, Ayinde, Oo, Mateos, Jla, Azadnajafabad, S, Azanaw, Mm, Khyavy, Ma, Jafari, Aa, Azzam, Ay, Badiye, Ad, Bagheri, N, Bagherieh, S, Bairwa, M, Bakkannavar, Sm, Bakshi, Rk, Balchut, Ah, Null, T, Barra, F, Barrow, A, Baskaran, P, Belo, L, Bennett, Da, Bensenor, Im, Bhagavathula, A, Bhala, N, Bhalla, A, Bhardwaj, N, Bhardwaj, P, Bhaskar, S, Bhattacharyya, K, Bhojaraja, V, Bintoro, B, Blokhina, Eae, Bodicha, Bba, Boloor, A, Bosetti, C, Braithwaite, D, Brenner, H, Briko, Ni, Brunoni, Ar, Butt, Za, Cao, C, Cao, Y, Cardenas, R, Carvalho, Af, Carvalho, M, Maia, Jmc, Castelpietra, G, de Araujo, Lfsc, Cattaruzza, M, Chakraborty, Pa, Charan, J, Chattu, Vk, Chaurasia, A, Cherbuin, N, Chu, Dt, Chudal, N, Chung, Sc, Churko, C, Ciobanu, Lg, Cirillo, M, Claro, Rm, Costanzo, S, Cowden, Rg, Criqui, Mh, Martins, Nc, Culbreth, Gt, Dachew, Ba, Dadras, O, Dai, Xc, Damiani, G, Dandona, L, Dandona, R, Daniel, Bd, Danielewicz, A, Gela, Jd, Davletov, K, de Araujo, Jap, de Sa, Ar, Debela, Sa, Dehghan, A, Demetriades, Ak, Molla, Md, Desai, R, Desta, Aa, da Silva, Dd, Diaz, D, Digesa, Le, Diress, M, Dodangeh, M, Dongarwar, D, Dorostkar, F, Dsouza, Hl, Duko, B, Duncan, Bb, Edvardsson, K, Ekholuenetale, M, Elgar, Fj, Elhadi, M, Elmonem, Ma, Endries, Ay, Eskandarieh, S, Etemadimanesh, A, Fagbamigbe, Af, Fakhradiyev, Ir, Farahmand, F, Farinha, Cse, Faro, A, Farzadfar, F, Fatehizadeh, A, Fauk, Nk, Feigin, Vl, Feldman, R, Feng, Xq, Fentaw, Z, Ferrero, S, Desideri, Lf, Filip, I, Fischer, F, Francis, Jm, Franklin, Rc, Gaal, Pa, Gad, Mm, Gallus, S, Galvano, F, Ganesan, B, Garg, T, Gebrehiwot, Mgd, Gebremeskel, Tg, Gebremichael, Ma, Gemechu, Tr, Getacher, L, Getachew, Me, Obsa, Ag, Getie, A, Ghaderi, A, Ghafourifard, M, Ghajar, A, Ghamari, Sh, Ghandour, La, Nour, Mg, Ghashghaee, A, Ghozy, S, Glozah, Fn, Glushkova, Ev, Godos, J, Goel, A, Goharinezhad, S, Golechha, M, Goleij, P, Golitaleb, M, Greaves, F, Grivna, M, Grosso, G, Gudayu, Tw, Gupta, B, Gupta, R, Gupta, S, Gupta, Vb, Gupta, Vk, Nejad, Nh, Mirzaian, Ah, Hall, Bj, Halwani, R, Handiso, Tb, Hankey, Gj, Hariri, S, Haro, Jm, Hasaballah, Ai, Moghaddam, Hh, Hay, Si, Hayat, K, Heidari, G, Heidari, M, Hendrie, D, Herteliu, C, Heyi, Dz, Hezam, K, Hlongwa, Mm, Holla, R, Hossain, Mm, Hossain, S, Hosseini, Sk, Hosseinzadeh, M, Hostiuc, M, Hostiuc, S, Hu, Gq, Huang, Jj, Hussain, S, Ibitoye, Se, Ilic, Im, Ilic, Md, Immurana, M, Irham, Lm, Islam, Mm, Islam, Rm, Islam, Sm, Iso, H, Itumalla, R, Iwagami, M, Jabbarinejad, R, Jacob, L, Jakovljevic, M, Jamalpoor, Z, Jamshidi, E, Jayapal, Sk, Jayarajah, Uu, Jayawardena, R, Jebai, R, Jeddi, Sa, Jema, At, Jha, Rp, Jindal, Ha, Jonas, Jb, Joo, T, Joseph, N, Joukar, F, Jozwiak, Jj, Jurisson, M, Kabir, A, Kabthymer, Rh, Kamble, Bd, Kandel, H, Kanno, Gg, Kapoor, N, Karaye, Im, Karimi, Se, Kassa, Bg, Kaur, Rj, Kayode, Ga, Keykhaei, M, Khajuria, H, Khalilov, R, Khan, Ia, Ab Khan, M, Kim, H, Kim, J, Kim, M, Kimokoti, Rw, Kivimaki, M, Klymchuk, V, Knudsen, Ak, Kolahi, Aa, Korshunov, Va, Koyanagi, A, Krishan, K, Krishnamoorthy, Y, Kumar, Ga, Kumar, N, Ben, Lacey, Lallukka, T, Lasrado, S, Lau, J, Lee, Sw, Lee, Wc, Lee, Yh, Lim, Ll, Lim, S, Lobo, Sw, Lopukhov, Pd, Lorkowski, S, Lozano, R, Lucchetti, G, Madadizadeh, F, Mahjoub, S, Mahmoodpoor, A, Mahumud, Ra, Makki, A, Malekpour, Mr, Manjunatha, N, Mansouri, B, Mansournia, Ma, Raga, Jm, Villa, Fam, Matzopoulos, R, Maulik, Pk, Mayeli, M, Mcgrath, Jj, Meena, Jk, Nasab, Em, Menezes, Rg, Mensink, Gbm, Mentis, Afa, Meretoja, A, Merga, Bt, Mestrovic, T, Jonasson, Jm, Miazgowski, B, de Sa, Acmgn, Miller, Tr, Mini, G, Mirica, A, Mirijello, A, Mirmoeeni, S, Mirrakhimov, Em, Misra, S, Moazen, B, Mobarakabadi, M, Moccia, M, Mohammad, Y, Mohammadi, E, Hafshejani, Am, Mohammed, Ta, Moka, N, Mokdad, Ah, Momtazmanesh, S, Moradi, Y, Mostafavi, E, Mubarik, S, Mullany, Ec, Mulugeta, Bt, Zamora, Em, Murray, Cjl, Mwita, Jc, Naghavi, M, Naimzada, Md, Nangia, V, Nayak, Bp, Negoi, I, Negoi, Ri, Nejadghaderi, Sa, Nepal, S, Neupane, Spp, Kandel, Sn, Nigatu, Yt, Nowroozi, A, Nuruzzaman, Km, Nzoputam, Ci, Obamiro, Ko, Ogbo, Fa, Oguntade, A, Aliabad, Ho, Olakunde, Bo, Oliveira, Gmm, Bali, Ao, Omer, E, Altamirano, Dvo, Otoiu, A, Otstavnov, S, Oumer, B, Mahesh, Pa, Monedero, Ap, Palladino, R, Pana, A, Jonas, Sp, Pandey, A, Pardhan, S, Parekh, T, Park, Ek, Parry, Cdh, Kan, Fp, Patel, J, Pati, S, Patton, Gc, Paudel, U, Pawar, S, Peden, Ae, Petcu, Ir, Phillips, Mr, Pinheiro, M, Plotnikov, E, Pradhan, Pm, Prashant, A, Quan, Jc, Radfar, A, Rafiei, A, Raghav, Pr, Movaghar, Vr, Rahman, A, Rahman, Mm, Rahman, M, Rahmani, Am, Rahmani, S, Ranabhat, Cl, Ranasinghe, P, Rao, Cr, Rasali, Dp, Rashidi, Mm, Ratan, Za, Rawaf, Dl, Rawaf, S, Rawal, L, Renzaho, Amn, Rezaei, N, Rezaei, S, Rezaeian, M, Riahi, Sm, Rodriguez, Er, Roth, Ga, Rwegerera, Gm, Saddik, B, Sadeghi, E, Sadeghian, R, Saeed, U, Saeedi, F, Sagar, R, Sahebkar, A, Sahoo, H, Sahraian, Ma, Rahman, Ksu, Salahi, S, Salimzadeh, H, Samy, Am, Sanmarchi, F, Milicevic, Mm, Sarikhani, Y, Sathian, B, Saya, Gk, Sayyah, M, Schmidt, Mi, Schutte, Ae, Schwarzinger, M, Schwebel, Dc, Seidu, Aa, Seyedalinaghi, S, Seylani, A, Sha, F, Shahin, S, Sanavi, F, Shahrokhi, S, Shaikh, Ma, Shaker, E, Shakhmardanov, Mz, Beyranvand, M, Sheikhbahaei, S, Sheikhi, Ra, Shetty, A, Shetty, Jk, Shiferaw, D, Shigematsu, M, Shiri, R, Shirkoohi, R, Shivakumar, Km, Shivarov, V, Shobeiri, P, Shrestha, R, Sidemo, Nb, Sigfusdottir, Id, Silva, Da, da Silva, Nt, Singh, Ja, Singh, S, Skryabin, Vy, Skryabina, Aa, Sleet, Da, Solmi, M, Solomon, Y, Song, S, Song, Ym, Sorensen, Rjd, Soshnikov, S, Soyiri, In, Stein, Dj, Subba, Sh, Szocska, M, Seisdedos, Rt, Tabuchi, T, Taheri, M, Tan, Kk, Tareke, M, Tarkang, Ee, Temesgen, G, Temesgen, Wa, Temsah, Mh, Thankappan, Kr, Thapar, R, Thomas, Nk, Tiruneh, C, Todorovic, J, Torrado, M, Touvier, M, Palone, Mrt, Tran, Mtn, Llimos, St, Tripathy, Jp, Vakilian, A, Valizadeh, R, Varmaghani, M, Varthya, Sb, Vasankari, Tj, Vos, T, Wagaye, B, Waheed, Y, Walde, Mt, Wang, C, Wang, Yz, Wang, Yp, Westerman, R, Wickramasinghe, Nd, Wubetu, Ad, Xu, S, Yamagishi, K, Yang, L, Yesera, Gee, Yigit, A, Yimaw, Ae, Yon, Dk, Yonemoto, N, Yu, Ch, Zadey, S, Zahir, M, Zare, I, Zastrozhin, M, Zastrozhina, A, Zhang, Zj, Zhong, Cw, Zmaili, M, Zuniga, Ymh, Gakidou, E, Madureira-Carvalho, Am, Ciobanu, LG, Gakidou, Emma, and GBD 2020 Alcohol Collaborators

Subjects
Adult, Male, Alcohol Drinking, CONTROL POLICIES, adult, Child, Preschool, Female, Geography, Global Burden of Disease, Global Health, Humans, Middle Aged, Quality-Adjusted Life Years, Risk Factors, NDAS, ALL-CAUSE, GUIDELINES, GBD 2020 Alcohol Collaborators, COST-EFFECTIVENESS, Medicine, General & Internal, DRINKING, SDG 3 - Good Health and Well-being, RA0421, General & Internal Medicine, Quality-Adjusted Life Year, RA0421 Public health. Hygiene. Preventive Medicine, DRINKERS, Child, Preschool, 11 Medical and Health Sciences, METAANALYSIS, MCC, Science & Technology, global burden of disease, Risk Factor, General Medicine, CANCER, alcohol drinking, AC, 3121 General medicine, internal medicine and other clinical medicine, REDUCED MORTALITY, Life Sciences & Biomedicine, Human
Abstract

Background: The health risks associated with moderate alcohol consumption continue to be debated. Small amounts of alcohol might lower the risk of some health outcomes but increase the risk of others, suggesting that the overall risk depends, in part, on background disease rates, which vary by region, age, sex, and year. Methods: For this analysis, we constructed burden-weighted dose-response relative risk curves across 22 health outcomes to estimate the theoretical minimum risk exposure level (TMREL) and non-drinker equivalence (NDE), the consumption level at which the health risk is equivalent to that of a non-drinker, using disease rates from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2020 for 21 regions, including 204 countries and territories, by 5-year age group, sex, and year for individuals aged 15-95 years and older from 1990 to 2020. Based on the NDE, we quantified the population consuming harmful amounts of alcohol. Findings: The burden-weighted relative risk curves for alcohol use varied by region and age. Among individuals aged 15-39 years in 2020, the TMREL varied between 0 (95% uncertainty interval 0-0) and 0·603 (0·400-1·00) standard drinks per day, and the NDE varied between 0·002 (0-0) and 1·75 (0·698-4·30) standard drinks per day. Among individuals aged 40 years and older, the burden-weighted relative risk curve was J-shaped for all regions, with a 2020 TMREL that ranged from 0·114 (0-0·403) to 1·87 (0·500-3·30) standard drinks per day and an NDE that ranged between 0·193 (0-0·900) and 6·94 (3·40-8·30) standard drinks per day. Among individuals consuming harmful amounts of alcohol in 2020, 59·1% (54·3-65·4) were aged 15-39 years and 76·9% (73·0-81·3) were male. Interpretation: There is strong evidence to support recommendations on alcohol consumption varying by age and location. Stronger interventions, particularly those tailored towards younger individuals, are needed to reduce the substantial global health loss attributable to alcohol. Research reported in this publication was supported by the Bill & Melinda Gates Foundation. S Afzal acknowledges the support for intellectual contributions to this manuscript by the Department of Community Medicine and Epidemiology at King Edward Medical University, Lahore, Pakistan. T Bärnighausen was supported by the Alexander von Humboldt Foundation through the Alexander von Humboldt Professor award, funded by the German Federal Ministry of Education and Research. L Belo acknowledges support from FCT in the scope of the project UIDP/04378/2020 and UIDB/04378/2020 of UCIBIO and the project LA/P/0140/2020 of i4HB. D Bennett is supported by the UK Medical Research Council Population Health Research Unit at the University of Oxford (Oxford, UK). M Carvalho acknowledges support from FCT in the scope of the project UIDP/04378/2020 and UIDB/04378/2020 of UCIBIO and the project LA/P/0140/2020 of i4HB. L Castro-de-Araujo was funded by the Medical Research Council (UK), Grant no. MR/T03355X/1 and by the National Institute of Mental Health Grant no. R01MH128911. FJ Elgar is supported by the Canada Research Chairs program. F Greaves acknowledges support from the NIHR Applied Research Collaboration for NW London. V K Gupta acknowledges funding support from the National Health and Medical Research Council (NHMRC), Australia. VB Gupta acknowledges funding support from the National Health and Medical Research Council (NHMRC), Australia. C Herteliu is partially supported by a grant from the Romanian National Authority for Scientific Research and Innovation, CNDS-UEFISCDI, project number PN-III-P4-ID-PCCF-2016-0084. C Herteliu is partially supported by a grant from the Romanian Ministry of Research Innovation and Digitalization, MCID, project number ID-585-CTR-42-PFE-2021. S Hussain was supported by the Operational Programme Research, Development and Education –Project, Postdoc2MUNI “(No. CZ.02.2.69/0.0/0.0/18_053/0016952). S M S Islam is funded by the National Health and Medical Research Council and received funding from the National Heart Foundation of Australia. The Serbian part of this GBD-related contribution has been co-financed through Grant OI 175 014 of the Ministry of Education Science and Technological Development of the Republic of Serbia. M Kivimaki was supported by the Wellcome Trust (221854/Z/20/Z), the UK Medical Research Council (MR/S011676/1), the US National Institute on Aging (R01AG056477), and the Academy of Finland (350426). K Krishan is supported by the UGC Centre of Advanced Study (Phase II), awarded to the Department of Anthropology, Panjab University, Chandigarh, India. B Lacey acknowledges support from the UK Biobank, funded largely by the UK Medical Research Council and Wellcome. S Lorkowski acknowledges institutional support from the Competence Cluster for Nutrition and Cardiovascular Health (nutriCARD) Halle-Jena-Leipzig (Germany; German Federal Ministry of Education and Research; grant agreement number 01EA1808A). G Lucchetti received a productivity scholarship from the Brazilian National Council for Scientific and Technological Development — CNPq (Level 1D). J McGrath was supported by the Danish National Research Foundation (Niels Bohr Professor). J McGrath is employed by the Queensland Centre for Mental Health Research (Australia), which receives support from the Queensland Health Department. C Parry acknowleges the South African Medical Research Council. A Peden is supported by a National Health and Medical Research Council Emerging Leadership Fellowship (Grant ID: APP2009306). M R Phillips was supported in part by the Global Alliance for Chronic Diseases - National Natural Science Foundation of China (NSFC. No. 81761128031). M Pinheiro acknowledges FCT for funding through program DL 57/2016 – Norma transitória. A Rahman acknowledges the support from the Data Science Research Unit in Charles Sturt University (Bathurst, NSW, Australia). U Saeed would like to acknowledge the International Center of Medical Sciences Research (ICMSR), Islamabad, Pakistan. A M Samy acknowledges support from Ain Shams University (Cairo, Egypt) and the Egyptian Fulbright Mission Program. N Senthil Kumar acknowledges the DBT, New Delhi sponsored Advanced State Level Biotech Hub (BT/NER/143/SP44475/2021), Mizoram University (Aizawl, Mizoram, India) for facilitating this work. F Sha is supported by the Shenzhen Science and Technology Program (Grant No. KQTD20190929172835662). A Shetty acknowledges Kasturba Medical College (Mangalore, India) and Manipal Academy of Higher Education (Manipal, India) for all the academic support. R Shrestha acknowledges a career development award from the National Institutes of Health (K01DA051346). D Silva was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior-Brazil (CAPES)-Finance Code 001 and is supported in part by CNPq - Brazil (309589/2021-5). D Sleet acknowledges partial support from Veritas Management Group, Inc and The Bizzell Group, LLC. S Trias-Llimós acknowledges research funding from the Juan de la Cierva-Formación program of the Spanish Ministry of Science and Innovation (FJC-2019-039314-I). Sí

Published
2022

10. Cognitive and behavioral profiles in children with autism spectrum disorder with and without Attention‐Deficit/hyperactivity disorder

Author

Rocio Rosello, Jose Martinez‐Raga, Jose Manuel Tomas, Alvaro Mira, and Samuele Cortese

Subjects
Psychiatry and Mental health, Pediatrics, Perinatology and Child Health
Abstract

BackgroundUnderstanding the developmental trajectories of children with autism spectrum disorder (ASD) with and without comorbid ADHD is relevant to tailor care plans. This prospective study assessed, for the first time, cognitive, emotional, behavioral, and learning outcomes in adolescence of children with ASD−ADHD and in those with ASD+ADHD in childhood. Possible predictors of severity of ASD core symptoms in adolescence were also evaluated.MethodsForty-five adolescents without intellectual disability, 26 diagnosed in childhood with ASD−ADHD and 19 with ASD+ADHD, were evaluated at baseline (mean age: 8.6 ± 1.3) and at 5-year follow-up (mean age: 12.9 ± 0.9). Parents and teachers completed questionnaires on executive functions, theory of mind (ToM), emotional/behavioral difficulties (EBD), and learning style at both time points..ResultsOverall different developmental trajectories for the two groups were found. In general, deficits in metacognition processes, ToM skills, EBD, and learning abilities were more pronounced in the ASD+ group. Over time, the ASD+ADHD group, but not the ASD−ADHD, tended to improve in EBD and metacognition but their level of development continued to be lower compared with ASD+ADHD. EBD in childhood were significant predictors of autism core symptoms of adolescents.ConclusionsOur findings highlight the importance of an early identification of comorbid ADHD symptoms in ASD to offer treatment strategies based on specific developmental trajectories.

Published
2022

11. Once-Monthly Long-Acting Injectable Aripiprazole for the Treatment of Patients with Schizophrenia and Co-occurring Substance Use Disorders: A Multicentre, Observational Study

Author

Jose Martinez-Raga, Julia Cambra Almerge, Ignacio Basurte-Villamor, Nestor Szerman, Mario De Matteis, Pablo Vega, Carlos Parro-Torres, Francisco Arias, and Lara Grau-López

Subjects
Psychosis, medicine.medical_specialty, viruses, lcsh:RS1-441, 030226 pharmacology & pharmacy, lcsh:Pharmacy and materia medica, 03 medical and health sciences, 0302 clinical medicine, Pharmacotherapy, immune system diseases, Internal medicine, mental disorders, medicine, Pharmacology (medical), Paliperidone, 030212 general & internal medicine, Original Research Article, Risperidone, business.industry, lcsh:RM1-950, virus diseases, medicine.disease, lcsh:Therapeutics. Pharmacology, Schizophrenia, Observational study, Aripiprazole, Substance use, business, medicine.drug
Abstract

Aim To evaluate the efficacy and impact of long-acting injectable (LAI) aripiprazole in patients with schizophrenia with a coexisting substance use disorder (SUD). Patients and methods A multicenter, observational, descriptive and retrospective study was conducted in patients with a DSM-5 diagnosis of schizophrenia who had a coexisting SUD and were treated with LAI-aripiprazole. Disease severity was evaluated with the Clinical Global Impression (CGI) severity scale for schizophrenia, daily functioning and disability were evaluated with the World Health Organisation Disability Assessment Scale (WHODAS-2.0), and the severity of the addiction was evaluated with the Severity of Dependence Scale (SDS). Results The sample included 40 patients. Overall, after 6 months of treatment with LAI-aripiprazole at a dose of 400 mg/4 weeks in 77.5% of the patients, we observed significant improvement in the psychopathological symptoms, with a reduction of over 30% in the scores of the five CGI-severity scales. The WHODAS-2.0 mean (standard deviation) score was also significantly reduced from 57.6 (8.2) to 42.3 (4.3) points (p

Published
2020

13. Cognitive, social, and behavioral manifestations of the co-occurrence of autism spectrum disorder and attention-deficit/hyperactivity disorder: A systematic review

Author

Rocio Rosello, Jose Martinez-Raga, Alvaro Mira, Juan Carlos Pastor, Marco Solmi, and Samuele Cortese

Subjects
Problem Behavior, Cognition, Attention Deficit Disorder with Hyperactivity, Autism Spectrum Disorder, mental disorders, Adaptation, Psychological, Developmental and Educational Psychology, Humans, Social Behavior, behavioral disciplines and activities
Abstract

Attention-deficit/hyperactivity disorder is one of the most common comorbidities in individuals with autism spectrum disorder. However, the clinical implications of the co-occurrence of these two disorders are still poorly understood. Based on a preregistered protocol (PROSPERO CRD42020193880), this systematic review identified 34 articles, published between January 1, 2014, and September 1, 2020, on cognitive, adaptive/social, and behavioral manifestations in children and adolescents with a diagnosis of autism spectrum disorder and attention-deficit/hyperactivity disorder (ASD+). The majority of available studies found a tendency toward a significant poorer cognitive performance in individuals with ASD+ compared with those with autism spectrum disorder alone (ASD−). The analysis of social/adaptive processes suggested that ASD+ is associated with lower functioning in comparison with ASD−. Finally, individuals with ASD+ were more likely to develop emotional/behavioral difficulties, in particular externalizing problems. Although some studies did not find differences among the two groups, overall co-occurring ASD+ may constitute a distinctive phenotype with a greater likelihood of cognitive, adaptive dysfunction, and mental health symptoms compared with ASD−. These results may inform the setting up and implementation of care pathways for individuals with attention-deficit/hyperactivity disorder and autism spectrum disorder. Lay abstract This work aimed to review recent research on the characteristics of individuals who have both autism spectrum disorder and attention-deficit/hyperactivity disorder due to their high co-occurrence. Thirty-four studies were analyzed and main findings summarized in two content domains focusing on areas that could enhance our understanding of the cognitive and behavioral characteristics of individuals with autism spectrum disorder + attention-deficit/hyperactivity disorder (ASD+). Most of the results suggested that ASD+ is a co-occurring condition associated with more severe impairments in cognitive functioning, adaptive behavior, and increased likelihood to present more emotional/behavioral problems. These results will be helpful to provide improved care plans for individuals with both attention-deficit/hyperactivity disorder and autism spectrum disorder.

Published
2021

14. Use of Antipsychotics in Patients with Behavioral and Psychological Symptoms of Dementia: Results of a Spanish Delphi Consensus

Author

Raquel Sánchez-Valle, Luis Agüera-Ortiz, Tomás Ojea-Ortega, Manuel Antón-Jiménez, Jose Martinez-Raga, Alexandre García-Caballero, Isabel Ramos-García, Sagrario Manzano-Palomo, and José A. Monge-Argilés

Subjects
Male, medicine.medical_specialty, Neurology, Consensus, Delphi Technique, medicine.drug_class, Cognitive Neuroscience, Delphi method, Atypical antipsychotic, Behavioral Symptoms, Psychiatric history, Quality of life, medicine, Dementia, Antipsychotics, Humans, Medical prescription, Psychiatry, Aged, Geriatrics, business.industry, Behavioral and psychological symptoms, Middle Aged, medicine.disease, Neuropsychiatric symptoms, Psychiatry and Mental health, Spain, Quality of Life, Female, Geriatrics and Gerontology, business, Alzheimer’s disease, Antipsychotic Agents, Research Article
Abstract

Background: Behavioral and psychological symptoms of dementia (BPSD) are difficult to manage and associated with poor outcome. Objectives: The aim of this study was to reach consensus on the use of antipsychotics in patients with BPSD in Spain. Methods: A qualitative, multicenter, two-round Delphi study was carried out, with the participation of specialists involved in the care of dementia patients throughout Spain. They completed a 76-item questionnaire related to the identification of BPSD, treatment with antipsychotics, follow-up of patients, barriers for the use of atypical antipsychotics, and effects of antipsychotics on quality of life. Results: A total of 162 specialists in neurology, psychiatry, and geriatrics (61% men) with a mean (SD) age of 45.9 (10) years participated in the study. Almost all participants (96.9%) strongly agreed that atypical antipsychotics are safer and better tolerated than typical antipsychotics. There was agreement on the importance to review the indication and dose of the antipsychotic drug at least every 3 months. There was consistent high rate of agreement on the beneficial impact of atypical antipsychotics on the quality of life of patients with dementia and their caregivers. A consensus was also reached on the need of detecting BPSD in patients with dementia as it decreases the quality of life of both patients and caregivers, and the need to routinely screen for dementia in elderly patients with no previous psychiatric history in the presence of suggestive symptoms of BPSD. Finally, the participants in the study agreed that administrative barriers for the prescription of atypical antipsychotics in Spain hinder the access to this drug group and favor the prescription of typical antipsychotics. Conclusions: The participants in the study agreed that atypical antipsychotics should be preferred to typical antipsychotics in the management of BPSD. Wide consensus was reached about the importance of early identification of BPSD in persons with cognitive impairment, the use and management of atypical antipsychotic drugs and their favorable impact on patients and caregiver’s quality of life.

Published
2020

15. Empirical examination of executive functioning, ADHD associated behaviors, and functional impairments in adults with persistent ADHD, remittent ADHD, and without ADHD

Author

Jose Martinez-Raga, Álvaro Mira, Carmen Berenguer, Ana Miranda, Inmaculada Baixauli, and Belén Roselló

Subjects
Adult, Persistence (psychology), Multivariate analysis, lcsh:RC435-571, Remission, behavioral disciplines and activities, Structural equation modeling, Attention deficit hyperactivity disorder, Persistence, Executive Function, 03 medical and health sciences, 0302 clinical medicine, lcsh:Psychiatry, mental disorders, medicine, Humans, Attention, 0501 psychology and cognitive sciences, Affective Symptoms, Psiquiatria, Child, Practical implications, Working memory, 05 social sciences, Functional impairments, Executive functions, medicine.disease, 030227 psychiatry, Psychiatry and Mental health, Memory, Short-Term, Empirical examination, Attention Deficit Disorder with Hyperactivity, Executive functioning, Psychology, Research Article, 050104 developmental & child psychology, Clinical psychology
Abstract

Background Previous studies suggest that childhood attention deficit hyperactivity disorder (ADHD) may continue in adulthood, producing adverse effects. Therefore, identifying factors that help to differentiate characteristics of ADHD persistence and remission has practical implications for evaluation and treatment. The first aim of this study was to analyze differences in executive functions (shift, working memory, inhibition, and plan/organize), symptoms associated with ADHD (inattention, hyperactivity, emotional lability, and self-concept), and functional impairments in adults with persistent ADHD (ADHD-P), with remittent ADHD (ADHD-R), and without ADHD (N-ADHD). The second aim was to study the contribution of functional impairments in these three groups based on executive functions and associated ADHD behaviors. Methods Participants were 115 adults, 61 with a childhood ADHD diagnosis (40 persisters and 21 remitters) and 54 individuals with typical development. Self-reports were collected on executive functions, symptoms associated with ADHD, and functional impairments. Multivariate Analyses of Variance were conducted to test differences between the ADHD-P, ADHD-R, and N-ADHD groups on the evaluated variables. In addition, analyses were performed using two structural equation models with observed variables (path analyses). Results The results indicated that significant executive and behavioral impairments and adverse functional outcomes in different life domains are related to the diagnostic persistence of ADHD. Recovery from the disorder is associated with better results, although hyperactivity/restlessness behaviors and plan/organize deficits continue to be present in remitter individuals. Conclusions The ADHD-P and ADHD-R groups showed some differences in their executive, behavioral, and functional impairments. Furthermore, the impairments in each group can be predicted by different executive functions and other symptoms associated with the disorder. These results should be taken into account in order to improve clinical practice.

Published
2020

16. A meta-review of literature reviews assessing the capacity of patients with severe mental disorders to make decisions about their healthcare

Author

M. Sánchez de Carmona, Alfredo Calcedo-Barba, A. Fructuoso, E. Vicens, Silvia Paz, and Jose Martinez-Raga

Subjects
medicine.medical_specialty, Bipolar Disorder, Meta-review, lcsh:RC435-571, Bipolar disorder, Decision Making, Psychological intervention, Context (language use), PsycINFO, CINAHL, lcsh:Psychiatry, Mentally Ill Persons, Health care, medicine, Humans, Mental Competency, Decision making capacity, Psychiatry, Literature review, business.industry, Bipolar disorder, Decision making capacity, Literature review, Mental disorder, Meta-review, Schizophrenia, Mental Disorders, Mental illness, medicine.disease, Self Care, Psychiatry and Mental health, Mental disorder, Psychotic Disorders, Schizophrenia, business, Research Article
Abstract

Background Determining the mental capacity of psychiatric patients for making healthcare related decisions is crucial in clinical practice. This meta-review of review articles comprehensively examines the current evidence on the capacity of patients with a mental illness to make medical care decisions. Methods Systematic review of review articles following PRISMA recommendations. PubMed, Scopus, CINAHL and PsycInfo were electronically searched up to 31 January 2020. Free text searches and medical subject headings were combined to identify literature reviews and meta-analyses published in English, and summarising studies on the capacity of patients with serious mental illnesses to make healthcare and treatment related decisions, conducted in any clinical setting and with a quantitative synthesis of results. Publications were selected as per inclusion and exclusion criteria. The AMSTAR II tool was used to assess the quality of reviews. Results Eleven publications were reviewed. Variability on methods across studies makes it difficult to precisely estimate the prevalence of decision-making capacity in patients with mental disorders. Nonetheless, up to three-quarters of psychiatric patients, including individuals with serious illnesses such as schizophrenia or bipolar disorder may have capacity to make medical decisions in the context of their illness. Most evidence comes from studies conducted in the hospital setting; much less information exists on the healthcare decision making capacity of mental disorder patients while in the community. Stable psychiatric and non-psychiatric patients may have a similar capacity to make healthcare related decisions. Patients with a mental illness have capacity to judge risk-reward situations and to adequately decide about the important treatment outcomes. Different symptoms may impair different domains of the decisional capacity of psychotic patients. Decisional capacity impairments in psychotic patients are temporal, identifiable, and responsive to interventions directed towards simplifying information, encouraging training and shared decision making. The publications complied satisfactorily with the AMSTAR II critical domains. Conclusions Whilst impairments in decision-making capacity may exist, most patients with a severe mental disorder, such as schizophrenia or bipolar disorder are able to make rational decisions about their healthcare. Best practice strategies should incorporate interventions to help mentally ill patients grow into the voluntary and safe use of medications.

Published
2020

17. Professional perception of clozapine use in patients with dual psychosis

Author

Grau-López L, Szerman N, Torrens M, Basurte I, Vega P, Jose Martinez-Raga, Casas M, and Roncero C

Subjects
Alcoholism, Schizophrenia, Antipsychotics, Professional Perception, Training, Dual Psychosis
Abstract

Introduction. Patients with psychotic disorders often have substance use disorders and other addictions. The objective of this study was to know the current treatment situation of these patients focusing on clozapine, which was proposed in most consensus as antipsychotic of first choice in this indication. Material and methods. A survey with 14 questions on aspects related to the treatment and management of the dual disorders was developed, emphasizing the role of clozapine in this disease. Results. The survey was answered by 199 experts in mental illnesses (90.5% physicians and 9.5% psychologists). A total of 88.4% of experts were able to prescribe clozapine, but the majority (89.4%) administered the drug to patients with resistant schizophrenia without considering a dual disorder. Only 30.8% considered the use of clozapine in patients with dual psychosis. The underutilization of clozapine in these patients was mainly attributed to controls of the pharmacovigilance plan, including frequent leukocyte count (57.1%), and lack of drug education (35.6%). The main measures proposed to increase its use are fewer blood tests (29.3%), more training (27.8%), and fewer administrative problems (25.1%). Conclusions. In order to improve the treatment of patients with dual psychosis, it is necessary to simplify the therapy and increase the training of professionals in the use of atypical antipsychotics, especially clozapine, designed to be the drug of choice in the main expert consensus.

Published
2020

18. The burden of disease in Spain: Results from the Global Burden of Disease 2016

Author

Jordi Alonso, Josep M. Antó, Alberto L. García-Basteiro, Mark J. Nieuwenhuijsen, Jeffrey V. Lazarus, Pere-Joan Cardona, Fernando G. Benavides, Stefanos Tyrovolas, Christopher J L Murray, Miguel Tortajada-Girbés, Alberto Ortiz, Esteve Fernández, Antoni Serrano-Blanco, Maria Dolores Sanchez-Niño, Maria F. Masana, Varsha Krish, David Rojas-Rueda, Scott D Glenn, Mohsen Naghavi, Jose Martinez-Raga, Joan B. Soriano, and Josep Maria Haro

Subjects
medicine.medical_specialty, business.industry, Disease, 030204 cardiovascular system & hematology, medicine.disease, Obesity, 03 medical and health sciences, 0302 clinical medicine, Years of potential life lost, Environmental health, Epidemiology, medicine, Dementia, 030212 general & internal medicine, Risk factor, business, Disease burden, Cause of death
Abstract

Background and objectives The global burden of disease (GBD) project measures the health of populations worldwide on an annual basis, and results are available by country. We used the estimates of the GBD to summarise the state of health in Spain in 2016 and report trends in mortality and morbidity from 1990 to 2016. Material and methods GBD 2016 estimated disease burden due to 333 diseases and injuries, and 84 risk factors. The GBD list of causes is hierarchical and includes 3 top level categories, namely: (1) communicable, maternal, neonatal, and nutritional diseases; (2) non-communicable diseases (NCDs), and (3) injuries. Mortality and disability-adjusted life-years (DALYs), risk factors, and progress towards the sustainable development goals (SDGs) are presented based on the GBD 2016 data in Spain. Results There were 418,516 deaths in Spain in 2016, from a total population of 46.5 million, and 80.5% of them occurred in those aged 70 years and older. Overall, NCDs were the main cause of death: 388,617 (95% uncertainty interval 374,959–402,486), corresponding to 92.8% of all deaths. They were followed by 3.6% due to injuries with 15,052 (13,902–17,107) deaths, and 3.5% communicable diseases with 14,847 (13,208–16,482) deaths. The 5 leading specific causes of death were ischaemic heart disease (IHD, 14.6% of all deaths), Alzheimer disease and other dementias (13.6%), stroke (7.1%), chronic obstructive pulmonary disease (6.9%), and lung cancer (5.0%). Remarkable increases in mortality from 1990 to 2016 were observed in other cancers, lower respiratory infections, chronic kidney disease, and other cardiovascular disease, among others. On the contrary, road injuries moved down from 8th to 32nd position, and diabetes from 6th to 10th. Low back and neck pain became the number one cause of DALYs in Spain in 2016, just surpassing IHD, while Alzheimer disease moved from 9th to 3rd position. The greatest changes in DALYs were observed for road injuries dropping from 4th to 16th position, and congenital disorders from 17th to 35th; conversely, oral disorders rose from 25th to 17th. Overall, smoking is by far the most relevant risk factor in Spain, followed by high blood pressure, high body mass index, alcohol use, and high fasting plasma glucose. Finally, Spain scored 74.3 of 100 points in the SDG index classification in 2016, and the main national drivers of detrimental health in SDGs were alcohol consumption, smoking and child obesity. An increase to 80.3 points is projected in 2030. Conclusion Low back and neck pain was the most important contributor of disability in Spain in 2016. There has seen a remarkable increase in the burden due to Alzheimer disease and other dementias. Tobacco remains the most important health issue to address in Spain.

Published
2018

19. The Role of Education on Dual Disorders: A Discussion Paper

Author

Nestor Szerman, Rodrigo Marín-Navarrete, and Jose Martinez-Raga

Subjects
03 medical and health sciences, Psychiatry and Mental health, 0302 clinical medicine, Psychotherapist, business.industry, Medicine (miscellaneous), Medicine, 030212 general & internal medicine, DUAL (cognitive architecture), business, 030227 psychiatry
Published
2017

20. Joint statement on dual disorders: Addiction and other mental disorders

Author

Pablo Vega, Pedro Ruiz, Jose Martinez-Raga, Celia Franco, Rodrigo Marín-Navarrete, Karl Mann, Giampaolo Spinnato, Ignacio Basurte, María Elena Medina-Mora, Carlos Roncero, Marta Torrens, Angelo Giovanni Icro Maremmani, Ruben Baler, Jean-Pierre Daulouède, Arkaitz Aguerretxe-Colina, Miguel Casas, Lara Grau-López, Nestor Szerman, and Icro Maremmani

Subjects
medicine.medical_specialty, Statement (logic), Addiction, media_common.quotation_subject, DUAL (cognitive architecture), 030227 psychiatry, 03 medical and health sciences, Psychiatry and Mental health, Clinical Psychology, 0302 clinical medicine, medicine, Psychiatry, Psychology, 030217 neurology & neurosurgery, media_common
Abstract

The World Association on Dual Disorders (WADD), the World Psychiatric Association (WPA) (Section on Dual Disorders), and the Sociedad Espanola de Patologia Dual (SEPD) have joined forces to clarify that: Addiction is a mental disorder, not a voluntary, self-indulgent act.

Published
2017

21. Subgroups of Children with Autism Spectrum Disorder without Intellectual Disability: A Longitudinal Examination of Executive and Socio-Adaptive Behaviors in Adolescence

Author

Rocio Rosello, Carmen Berenguer, Ana Miranda, Jose Martinez-Raga, and Samuele Cortese

Subjects
Activities of daily living, autism subgroups, Article, 03 medical and health sciences, 0302 clinical medicine, Social skills, social skills, Intellectual disability, medicine, adolescents, executive functioning, adaptive behavior, 0501 psychology and cognitive sciences, Prospective cohort study, Adaptive behavior, business.industry, 05 social sciences, Socialization, Cognition, General Medicine, medicine.disease, Autism spectrum disorder, Medicine, business, 030217 neurology & neurosurgery, 050104 developmental & child psychology, Clinical psychology
Abstract

Within the autistic spectrum, there is remarkable variability in the etiology, presentation, and treatment response. This prospective study was designed to identify, through cluster analysis, subgroups of individuals with ASD without intellectual disability (ID) based on the severity of the core symptoms in childhood. The secondary aim was to explore whether these subgroups and a group with typical development (TD) differ in cognitive, adaptive, and social aspects measured in adolescence. The sample at baseline was comprised of 52 children with ASD without ID and 37 children with TD, aged 7–11. Among the ASD group, three clusters were identified. Cluster 1 (40%), ‘high severity’, presented high symptom severity on the DSM-5 criteria and the Social Communication Questionnaire. Cluster 2 (34%) showed ‘moderate severity’ on most of the scores. Cluster 3 (25%) corresponded to ‘low severity’, showing moderate social impairment and low restrictive, repetitive patterns of behavior, interests and activities. At 5-year follow-up, 45 adolescents with ASD without ID and 27 adolescents with TD were assessed. All clusters had significantly more difficulties in EF, ToM, socialization and adaptive behavior compared to TD. Social and adaptive trajectories between the ASD subgroups were relatively different; Cluster 3 showed poorer socialization and daily living skills than the other two subgroups. These findings highlight the importance of fully assessing social, cognitive, and adaptive profiles to develop care plans tailored to specific needs.

Published
2021

22. Contribution of Family, Behavioral, and Neuropsychological Factors to Long-Term Functional Outcomes in Young Adults with ADHD: A 12-Year Follow-Up Study

Author

Fernando Mulas, Carmen Berenguer, Jose Martinez-Raga, Belén Roselló, and Ana Miranda

Subjects
family, Geography, Planning and Development, Psychological intervention, TJ807-830, Management, Monitoring, Policy and Law, TD194-195, Renewable energy sources, 03 medical and health sciences, 0302 clinical medicine, Quality of life, medicine, ADHD, Attention deficit hyperactivity disorder, GE1-350, 0501 psychology and cognitive sciences, Young adult, Environmental effects of industries and plants, behavior, Renewable Energy, Sustainability and the Environment, daily functioning, 05 social sciences, Neuropsychology, Cognition, follow-up study, executive functions, medicine.disease, Executive functions, 030227 psychiatry, Environmental sciences, quality of life, Mood disorders, neuropsychological factors, Psychology, 050104 developmental & child psychology, Clinical psychology
Abstract

The persistent nature of attention deficit hyperactivity disorder (ADHD) and the role of behavioral factors in its continuity have been widely documented in the literature. However, less is known about the role of early family and neuropsychological factors in predicting later adaptive functioning and quality of life in individuals with ADHD. This study aimed to analyze the contribution of early family, behavioral, and neuropsychological factors to long-term functional outcomes in young adults with ADHD. Family (parental mood disorders, family risk index, parenting stress, coherence), behavioral (oppositionism, inattention, emotional lability, hyperactivity), and cognitive factors were examined at baseline. Twelve years later, daily life functioning, quality of life, and executive and behavioral functioning were also evaluated in 61 young adults with a childhood diagnosis of ADHD. Results revealed significant correlations between most of the family and behavioral factors at baseline and the long-term functional outcomes. Specifically, multiple regressions showed that mothers&rsquo, depression and laxness predicted later quality of life, executive functioning, and the hyperactivity index, and mothers&rsquo, depression and parenting stress at baseline also significantly predicted the hyperactivity index. Oppositionism behavior and inhibition were also significant predictors of the hyperactivity index. Therefore, understanding the family, behavioral, and neuropsychological factors that can contribute to later quality of life, daily functioning, and behavioral and executive functions is a particularly critical issue in detecting and planning efficacious ADHD interventions.

Published
2021

23. Attention-deficit hyperactivity disorder medication use: factors involved in prescribing, safety aspects and outcomes

Author

Jose Martinez-Raga, Amparo Ferreros, Carlos Knecht, Raquel de Alvaro, and Eloisa Carabal

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Atomoxetine, Psychological intervention, Poison control, Context (language use), Review, Drug diversion, medicine.disease, Stimulant, 03 medical and health sciences, 0302 clinical medicine, mental disorders, medicine, Attention deficit hyperactivity disorder, Pharmacology (medical), 030212 general & internal medicine, Medical prescription, business, Psychiatry, 030217 neurology & neurosurgery, medicine.drug
Abstract

While treatment of patients with attention-deficit hyperactivity disorder (ADHD) is based on a multimodal approach that combines medication with specific psychological interventions, pharmacotherapy alone is generally considered an essential and cost-effective element. This paper aims to comprehensively and critically review factors involved in prescribing and medication use in individuals diagnosed with ADHD, focusing on the difficulties facing patients with ADHD seeking treatment, as well as the safety and tolerability aspects of ADHD pharmacotherapies, with particular attention on the cardiovascular adverse events and the potential risk of misuse or diversion of ADHD medications. A comprehensive and systematic literature search of PubMed/MEDLINE database was conducted to identify studies published in peer-reviewed journals until 1 August 2016. Children, adolescents and adults often encounter significant difficulties in the process of accessing specialist assessment and treatment for ADHD as a consequence of disparities in service organization and available treatment provision. Despite the well-established efficacy and overall safety profile, ADHD medications are not exempt from adverse events. The cardiovascular safety of pharmacotherapies used for treating individuals with ADHD has raised particular concerns; however there is little evidence of serious cardiovascular adverse events, including no serious corrected QT (QTc) abnormalities associated with stimulants, atomoxetine or α2-adrenergic receptor agonists. Although the abuse of prescription stimulant drugs, particularly, short-acting stimulants is a prevalent and growing problem, nonmedical use of prescription stimulants within the clinical context is very limited. In addition, nonstimulant ADHD medications lack any reinforcing effects and consequently any abuse potential.

Published
2016

24. Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations: a systematic analysis from the Global Burden of Disease Study 2016

Author

Nancy, Fullman, Jamal, Yearwood, Solomon, M, Abay, Cristiana, Abbafati, Foad, Abd-Allah, Jemal, Abdela, Ahmed, Abdelalim, Zegeye, Abebe, Teshome, Abuka, Abebo, Victor, Aboyans, Haftom, Niguse, Abraha, Daisy, M, X, Abreu, Laith, Abu-Raddad, J, Akilew, Awoke, Adane, Rufus, Adesoji, Adedoyin, Olatunji, Adetokunboh, Tara, Ballav, Adhikari, Mohsen, Afarideh, Ashkan, Afshin, Gina, Agarwal, Dominic, Agius, Anurag, Agrawal, Sutapa, Agrawal, Aliasghar, Ahmad, Kiadaliri, Miloud, Taki, Eddine, Aichour, Mohammed, Akibu, Rufus, Olusola, Akinyemi, Tomi, Akinyemiju, F, Nadia, Akseer, Faris, Hasan, Lami, Al, Fares, Alahdab, Ziyad, Al-Aly, Khurshid, Alam, Tahiya, Alam, Deena, Alasfoor, Mohammed, I, Albittar, Kefyalew, Addis, Alene, Ayman, Al-Eyadhy, Syed, Danish, Ali, Mehran, Alijanzadeh, Syed, M, Aljunid, Ala’A, Alkerwi, François, Alla, Peter, Allebeck, Christine, Allen, Mahmoud, A, Alomari, Rajaa, Al-Raddadi, Ubai, Alsharif, Khalid, A, Altirkawi, Nelson, Alvis-Guzman, Azmeraw, T, Amare, Kebede, Amenu, Walid, Ammar, Yaw, Ampem, Amoako, Nahla, Anber, Catalina, Liliana, Andrei, Sofia, Androudi, Carl, Abelardo, Antonio, T, Valdelaine, E, Araújo, M, Olatunde, Aremu, Johan, Ärnlöv, Artaman, Al, Krishna, Kumar, Aryal, Hamid, Asayesh, Ephrem, Tsegay, Asfaw, Solomon, Weldegebreal, Asgedom, Rana, Jawad, Asghar, Mengistu, Mitiku, Ashebir, Netsanet, Abera, Asseffa, Tesfay, Mehari, Atey, Sachin, R, Atre, Madhu, Atteraya, S, Leticia, Avila-Burgos, Euripide, Frinel, Arthur, G, Avokpaho, Ashish, Awasthi, Beatriz, Paulina, Ayala, Quintanilla, Animut, Alebel, Ayalew, Henok, Tadesse, Ayele, Rakesh, Ayer, Tambe, Betrand, Ayuk, Peter, Azzopardi, Natasha, Azzopardi-Muscat, Tesleem, Kayode, Babalola, Hamid, Badali, Alaa, Badawi, Maciej, Banach, Amitava, Banerjee, Amrit, Banstola, Ryan, M, Barber, Miguel, Barboza, A, Suzanne, L, Barker-Collo, Till, Bärnighausen, Simon, Barquera, Lope, H, Barrero, Quique, Bassat, Sanjay, Basu, Bernhard, T, Baune, Shahrzad, Bazargan-Hejazi, Neeraj, Bedi, Ettore, Beghi, Masoud, Behzadifar, Meysam, Behzadifar, Bayu, Begashaw, Bekele, Abate, Bekele, Belachew, Saba, Abraham, Belay, Yihalem, Abebe, Belay, Michelle, L, Bell, Aminu, Bello, K, Derrick, A, Bennett, James, Bennett, R, Isabela, M, Bensenor, Derbew, Fikadu, Berhe, Eduardo, Bernabé, Robert, Steven, Bernstein, Mircea, Beuran, Ashish, Bhalla, Paurvi, Bhatt, Soumyadeep, Bhaumik, Zulfiqar, A, Bhutta, Belete, Biadgo, Ali, Bijani, Boris, Bikbov, Charles, Birungi, Stan, Biryukov, Hailemichael, Bizuneh, Ian, W, Bolliger, Kaylin, Bolt, Ibrahim, R, Bou-Orm, Kayvan, Bozorgmehr, Oliver, Jerome, Brady, Alexandra, Brazinova, Nicholas, J, Breitborde, K, Hermann, Brenner, Gabrielle, Britton, Traolach, S, Brugha, Zahid, Butt, A, Lucero, Cahuana-Hurtado, Ismael, Ricardo, Campos-Nonato, Julio, Cesar, Campuzano, Josip, Car, Mate, Car, Rosario, Cárdenas, Juan, Jesus, Carrero, Felix, Carvalho, Carlos, A, Castañeda-Orjuela, Jacqueline, Castillo, Rivas, Ferrán, Catalá-López, Kelly, Cercy, Julian, Chalek, Hsing-Yi, Chang, Jung-Chen, Chang, Aparajita, Chattopadhyay, Pankaj, Chaturvedi, Peggy, Pei-Chia, Chiang, Vesper, Hichilombwe, Chisumpa, Jee-Young, J, Choi, Hanne, Christensen, Devasahayam, Jesudas, Christopher, Sheng-Chia, Chung, Liliana, G, Ciobanu, Cirillo, Massimo, Danny, Colombara, Sara, Conti, Cyrus, Cooper, Leslie, Cornaby, Paolo, Angelo, Cortesi, Monica, Cortinovis, Alexandre, Costa, Pereira, Ewerton, Cousin, Michael, H, Criqui, Elizabeth, Cromwell, A, Christopher, Stephen, Crowe, John, Crump, A, Alemneh, Kabeta, Daba, Berihun, Assefa, Dachew, Abel, Fekadu, Dadi, Lalit, Dandona, Rakhi, Dandona, Paul, I, Dargan, Ahmad, Daryani, Maryam, Daryani, Jai, Das, Siddharth, Kumar, Das, José, Das, Neves, Nicole, Davis, Weaver, Kairat, Davletov, Barbora, De, Courten, Diego, Leo, De, Jan-Walter, De, Neve, Robert, Dellavalle, P, Gebre, Demoz, Kebede, Deribe, Don, C, Des, Jarlais, Subhojit, Dey, Samath, D, Dharmaratne, Meghnath, Dhimal, Shirin, Djalalinia, David, Teye, Doku, Kate, Dolan, Ray, E, Dorsey, Kadine, Priscila, Bender, Dos, Santos, Kerrie, E, Doyle, Tim, Driscoll, R, Manisha, Dubey, Eleonora, Dubljanin, Bruce, Bartholow, Duncan, Michelle, Echko, Dumessa, Edessa, David, Edvardsson, Joshua, R, Ehrlich, Erika, Eldrenkamp, Ziad, El-Khatib, Matthias, Endres, Aman, Yesuf, Endries, Babak, Eshrati, Sharareh, Eskandarieh, Alireza, Esteghamati, Mahdi, Fakhar, Tamer, Farag, Mahbobeh, Faramarzi, Emerito, Jose, Aquino, Faraon, André, Faro, Farshad, Farzadfar, Adesegun, Fatusi, Mir, Sohail, Fazeli, Valery, Feigin, L, Andrea, B, Feigl, Netsanet, Fentahun, Seyed-Mohammad, Fereshtehnejad, Eduarda, Fernandes, João, C, Fernandes, Daniel, Obadare, Fijabi, Irina, Filip, Florian, Fischer, Christina, Fitzmaurice, Abraham, D, Flaxman, Luisa, Sorio, Flor, Nataliya, Foigt, Kyle, J, Foreman, Joseph, Frostad, J, Thomas, Fürst, Neal, D, Futran, Emmanuela, Gakidou, Silvano, Gallus, Ketevan, Gambashidze, Amiran, Gamkrelidze, Morsaleh, Ganji, Abadi, Kahsu, Gebre, Tsegaye, Tewelde, Gebrehiwot, Amanuel, Tesfay, Gebremedhin, Yalemzewod, Assefa, Gelaw, Johanna, M, Geleijnse, Demeke, Geremew, Peter, W, Gething, Reza, Ghadimi, Khalil, Ghasemi, Falavarjani, Maryam, Ghasemi-Kasman, Paramjit, Singh, Gill, Ababi, Zergaw, Giref, Maurice, Giroud, Melkamu, Dedefo, Gishu, Giorgia, Giussani, William, W, Godwin, Srinivas, Goli, Hector, Gomez-Dantes, Philimon, N, Gona, Amador, Goodridge, Sameer, Vali, Gopalani, Yevgeniy, Goryakin, Alessandra, Carvalho, Goulart, Ayman, Grada, Max, Griswold, Giuseppe, Grosso, Harish, Chander, Gugnani, Yuming, Guo, Rahul, Gupta, Rajeev, Gupta, Tanush, Gupta, Tarun, Gupta, Vipin, Gupta, Juanita, A, Haagsma, Vladimir, Hachinski, Nima, Hafezi-Nejad, Gessessew, Bugssa, Hailu, Randah, Ribhi, Hamadeh, Samer, Hamidi, Graeme, J, Hankey, Hilda, Harb, L, Heather, C, Harewood, Sivadasanpillai, Harikrishnan, Josep, Maria, Haro, Hamid, Yimam, Hassen, Rasmus, Havmoeller, Caitlin, Hawley, Simon, I, Hay, Jiawei, He, Stephen, J, Hearps, C, Mohamed, I, Hegazy, Behzad, Heibati, Mohsen, Heidari, Delia, Hendrie, Nathaniel, J, Henry, Victor, Hugo, Herrera, Ballesteros, Claudiu, Herteliu, Desalegn, Tsegaw, Hibstu, Molla, Kahssay, Hiluf, Hans, W, Hoek, Enayatollah, Homaie, Rad, Nobuyuki, Horita, Dean, H, Hosgood, Mostafa, Hosseini, Seyed, Reza, Hosseini, Mihaela, Hostiuc, Sorin, Hostiuc, Damian, G, Hoy, Mohamed, Hsairi, Aung, Soe, Htet, Guoqing, Hu, John, J, Huang, Kim, Moesgaard, Iburg, Fachmi, Idris, Ehimario, Uche, Igumbor, Chad, Ikeda, Bogdan, Vasile, Ileanu, Olayinka, Ilesanmi, S, Kaire, Innos, Seyed, Sina, Naghibi, Irvani, Caleb, M, Irvine, S, Farhad, Islami, Troy, A, Jacobs, Kathryn, Jacobsen, H, Nader, Jahanmehr, Rajesh, Jain, Sudhir, Kumar, Jain, Mihajlo, Jakovljevic, M, Moti, Tolera, Jalu, Amr, Jamal, A, Mehdi, Javanbakht, Achala, Upendra, Jayatilleke, Panniyammakal, Jeemon, Ravi, Prakash, Jha, Vivekanand, Jha, Jacek, Józwiak, Oommen, John, Sarah, Charlotte, Johnson, Jost, Jonas, B, Vasna, Joshua, Mikk, Jürisson, Zubair, Kabir, Rajendra, Kadel, Amaha, Kahsay, Rizwan, Kalani, Chittaranjan, Kar, Marina, Karanikolos, André, Karch, Corine, Kakizi, Karema, Seyed, Karimi, M, Amir, Kasaeian, Dessalegn, Haile, Kassa, Getachew, Mullu, Kassa, Tesfaye, Dessale, Kassa, Nicholas, Kassebaum, J, Srinivasa, Vittal, Katikireddi, Anil, Kaul, Norito, Kawakami, Konstantin, Kazanjan, Seifu, Kebede, Peter, Njenga, Keiyoro, Grant, Rodgers, Kemp, Andre, Pascal, Kengne, Maia, Kereselidze, Ezra, Belay, Ketema, Yousef, Saleh, Khader, Morteza, Abdullatif, Khafaie, Alireza, Khajavi, Ibrahim, A, Khalil, Ejaz, Ahmad, Khan, Gulfaraz, Khan, Nuruzzaman, Md, Khan, Muhammad, Ali, Khan, Mukti, Nath, Khanal, Young-Ho, Khang, Mona, M, Khater, Abdullah, Tawfih, Abdullah, Khoja, Ardeshir, Khosravi, Jagdish, Khubchandani, Getiye, Dejenu, Kibret, Daniel, Ngari, Kiirithio, Daniel, Kim, Yun, Jin, Kim, Ruth, Kimokoti, W, Yohannes, Kinfu, Sanjay, Kinra, Adnan, Kisa, Niranjan, Kissoon, Sonali, Kochhar, Yoshihiro, Kokubo, Jacek, A, Kopec, Soewarta, Kosen, Parvaiz, A, Koul, Koyanagi, Ai, Michael, Kravchenko, Kewal, Krishan, Kristopher, J, Krohn, Barthelemy, Kuate, Defo, Anil, G, Kumar, Pushpendra, Kumar, Michael, Kutz, Igor, Kuzin, Hmwe, H, Kyu, Deepesh, Pravinkumar, Lad, Alessandra, Lafranconi, Dharmesh, Kumar, Lal, Ratilal, Lalloo, Hilton, Lam, Qing, Lan, Justin, J, Lang, Van, Lansingh, C, Sonia, Lansky, Anders, Larsson, Arman, Latifi, Jeffrey, Victor, Lazarus, Janet, Leasher, L, Paul, H, Lee, Yirga, Legesse, James, Leigh, Cheru, Tesema, Leshargie, Samson, Leta, Janni, Leung, Ricky, Leung, Miriam, Levi, Yongmei, Li, Juan, Liang, Misgan, Legesse, Liben, Lee-Ling, Lim, Stephen, S, Lim, Margaret, Lind, Shai, Linn, Stefan, Listl, Patrick, Y, Liu, Shiwei, Liu, Rakesh, Lodha, Alan, D, Lopez, Scott, Lorch, A, Stefan, Lorkowski, Paulo, A, Lotufo, Timothy, C, D, Lucas, Raimundas, Lunevicius, Grégoire, Lurton, Ronan, A, Lyons, Fadi, Maalouf, Erlyn, Rachelle, King, Macarayan, Mark, T, Mackay, Emilie, Maddison, R, Fabiana, Madotto, Hassan, Magdy, Abd, El, Razek, Mohammed, Magdy, Abd, Razek, El, Marek, Majdan, Reza, Majdzadeh, Azeem, Majeed, Reza, Malekzadeh, Rajesh, Malhotra, Deborah, Carvalho, Malta, Abdullah, Mamun, A, Helena, Manguerra, Treh, Manhertz, Mohammad, Ali, Mansournia, Lorenzo, Mantovani, G, Tsegahun, Manyazewal, Chabila, C, Mapoma, Christopher, Margono, Jose, Martinez-Raga, Sheila, Cristina, Ouriques, Martins, Francisco, Rogerlândio, Martins-Melo, Ira, Martopullo, Winfried, März, Benjamin, Ballard, Massenburg, Manu, Raj, Mathur, Pallab, K, Maulik, Mohsen, Mazidi, Colm, Mcalinden, Mcgrath, Martin, Mckee, Suresh, Mehata, Ravi, Mehrotra, Kala, M, Mehta, Varshil, Mehta, Toni, Meier, Fabiola, Mejia-Rodriguez, Kidanu, Gebremariam, Meles, Mulugeta, Melku, Peter, Memiah, Ziad, A, Memish, Walter, Mendoza, Degu, Abate, Mengiste, Desalegn, Tadese, Mengistu, Bereket, Gebremichael, Menota, George, Mensah, A, Atte, Meretoja, Tuomo, J, Meretoja, Haftay, Berhane, Mezgebe, Tomasz, Miazgowski, Renata, Micha, Robert, Milam, Anoushka, Millear, Ted, R, Miller, Mini, Gk, Shawn, Minnig, Andreea, Mirica, Erkin, M, Mirrakhimov, Awoke, Misganaw, Philip, B, Mitchell, Fitsum, Weldegebreal, Mlashu, Babak, Moazen, Karzan, Abdulmuhsin, Mohammad, Roghayeh, Mohammadibakhsh, Ebrahim, Mohammed, Mohammed, A, Mohammed, Shafiu, Mohammed, Ali, H, Mokdad, Glen, Liddell, D, Mola, Mariam, Molokhia, Fatemeh, Momeniha, Lorenzo, Monasta, Julio, Cesar, Montañez, Hernandez, Mahmood, Moosazadeh, Maziar, Moradi-Lakeh, Paula, Moraga, Lidia, Morawska, Ilais, Moreno, Velasquez, Rintaro, Mori, Shane, D, Morrison, Mark, Moses, Seyyed, Meysam, Mousavi, Ulrich, Mueller, O, Manoj, Murhekar, Gudlavalleti, Venkata, Satyanarayana, Murthy, Srinivas, Murthy, Jonah, Musa, Kamarul, Imran, Musa, Ghulam, Mustafa, Saravanan, Muthupandian, Chie, Nagata, Gabriele, Nagel, Mohsen, Naghavi, Aliya, Naheed, Gurudatta, A, Naik, Nitish, Naik, Farid, Najafi, Luigi, Naldi, Vinay, Nangia, Jobert, Richie, Njingang, Nansseu, K, M, Venkat, Narayan, Bruno, Ramos, Nascimento, Ionut, Negoi, Ruxandra, Irina, Negoi, Charles, Newton, R, Josephine, Wanjiku, Ngunjiri, Grant, Nguyen, Long, Nguyen, Trang, Huyen, Nguyen, Emma, Nichols, Dina, Nur, Anggraini, Ningrum, Ellen, Nolte, Vuong, Minh, Nong, Ole, Norheim, F, Norrving, Bo, Jean, Jacques, Noubiap, N, Alypio, Nyandwi, Carla, Makhlouf, Obermeyer, Richard, Ofori-Asenso, Felix, Akpojene, Ogbo, In-Hwan, Oh, Olanrewaju, Oladimeji, Andrew, Toyin, Olagunju, Tinuke, Oluwasefunmi, Olagunju, Pedro, R, Olivares, Patricia, Pereira, Vasconcelos, Oliveira, De, Helen, E, Olsen, Bolajoko, Olubukunola, Olusanya, Jacob, Olusegun, Olusanya, Kanyin, Ong, John, Nelson, Opio, Eyal, Oren, Doris, V, Ortega-Altamirano, Alberto, Ortiz, Raziye, Ozdemir, Mahesh, Pa, Amanda, W, Pain, Marcos, Roberto, Tovani, Palone, Adrian, Pana, Songhomitra, Panda-Jonas, Jeyaraj, D, Pandian, Eun-Kee, Park, Hadi, Parsian, Tejas, Patel, Sanghamitra, Pati, Snehal, T, Patil, Ajay, Patle, George, C, Patton, Vishnupriya, Rao, Paturi, Deepak, Paudel, Marcel, De, Moares, Pedroso, Sandra, P, Pedroza, David, Pereira, M, Norberto, Perico, Hannah, Peterson, Max, Petzold, Niloofar, Peykari, Michael, Robert, Phillips, Frédéric, Piel, B, David, M, Pigott, Julian, David, Pillay, Michael, A, Piradov, Suzanne, Polinder, Constance, D, Pond, Maarten, Postma, J, Farshad, Pourmalek, Swayam, Prakash, Prakash, V, Narayan, Prasad, Noela, Marie, Prasad, Caroline, Purcell, Mostafa, Qorbani, Hedley, Knewjen, Quintana, Amir, Radfar, Anwar, Rafay, Alireza, Rafiei, Kazem, Rahimi, Afarin, Rahimi-Movaghar, Vafa, Rahimi-Movaghar, Mahfuzar, Rahman, Muhammad, Aziz, Rahman, Sajjad, Rahman, Ur, Rajesh, Kumar, Rai, Sree, Bhushan, Raju, Usha, Ram, Saleem, M, Rana, Zane, Rankin, Davide, Rasella, David, Laith, Rawaf, Salman, Rawaf, Sarah, E, Ray, Christian, Aspacia, Razo-García, Priscilla, Reddy, Robert, C, Reiner, Cesar, Reis, Marissa, B, Reitsma, Giuseppe, Remuzzi, Andre, M, Renzaho, N, Serge, Resnikoff, Satar, Rezaei, Mohammad, Sadegh, Rezai, Antonio, Ribeiro, L, Maria, Jesus, Rios, Blancas, Juan, A, Rivera, Leonardo, Roever, Luca, Ronfani, Gholamreza, Roshandel, Ali, Rostami, Gregory, A, Roth, Dietrich, Rothenbacher, Ambuj, Roy, Nobhojit, Roy, George, Mugambage, Ruhago, Yogesh, Damodar, Sabde, Perminder, S, Sachdev, Nafis, Sadat, Mahdi, Safdarian, Saeid, Safiri, Rajesh, Sagar, Amirhossein, Sahebkar, Sahraian, Haniye, Sadat, Sajadi, Joseph, Salama, Payman, Salamati, Raphael, De, Freitas, Saldanha, Hamideh, Salimzadeh, Joshua, A, Salomon, Abdallah, Samy, M, Juan, Ramon, Sanabria, Parag, Sancheti, K, Maria, Dolores, Sanchez-Niño, Damian, Santomauro, Itamar, S, Santos, Milena, Santric, M, Milicevic, Abdur, Razzaque, Sarker, Nizal, Sarrafzadegan, Benn, Sartorius, Maheswar, Satpathy, Miloje, Savic, Monika, Sawhney, Sonia, Saxena, Mete, I, Saylan, Elke, Schaeffner, Josef, Schmidhuber, Maria, Inês, Schmidt, Ione, J, C, Schneider, Austin, Schumacher, E, Aletta, E, Schutte, David, Schwebel, C, Falk, Schwendicke, Mario, Sekerija, Sadaf, G, Sepanlou, Edson, Servan-Mori, E, Azadeh, Shafieesabet, Masood, Ali, Shaikh, Marina, Shakh-Nazarova, Mehran, Shams-Beyranvand, Heidar, Sharafi, Mahdi, Sharif-Alhoseini, Sheikh, Mohammed, Shariful, Islam, Meenakshi, Sharma, Rajesh, Sharma, Jun, She, Aziz, Sheikh, Mebrahtu, Teweldemedhin, Shfare, Peilin, Shi, Chloe, Shields, Mika, Shigematsu, Yukito, Shinohara, Rahman, Shiri, Reza, Shirkoohi, Ivy, Shiue, Mark, G, Shrime, Sharvari, Rahul, Shukla, Soraya, Siabani, Inga, Dora, Sigfusdottir, Donald, Silberberg, H, Diego, Augusto, Santos, Silva, João, Pedro, Silva, Dayane, Gabriele, Alves, Silveira, Jasvinder, Singh, A, Lavanya, Singh, Narinder, Pal, Singh, Virendra, Singh, Dhirendra, Narain, Sinha, Abiy, Hiruye, Sinke, Mekonnen, Sisay, Vegard, Skirbekk, Karen, Sliwa, Alison, Smith, Adauto, Martins, Soares, Filho, Badr, H, Sobaih, A, Melek, Somai, Samir, Soneji, Moslem, Soofi, Reed, J, Sorensen, D, Joan, B, Soriano, Ireneous, Soyiri, N, Luciano, A, Sposato, Chandrashekhar, Sreeramareddy, T, Vinay, Srinivasan, Jeffrey, D, Stanaway, Vasiliki, Stathopoulou, Nicholas, Steel, Dan, J, Stein, Mark, Andrew, Stokes, Lela, Sturua, Muawiyyah, Babale, Sufiyan, Rizwan, Abdulkader, Suliankatchi, Bruno, F, Sunguya, Patrick, Sur, J, Bryan, L, Sykes, P, Sylaja, N, Cassandra, E, Szoeke, I, Rafael, Tabarés-Seisdedos, Santosh, Kumar, Tadakamadla, Andualem, Henok, Tadesse, Getachew, Redae, Taffere, Nikhil, Tandon, Amare, Tariku, Tariku, Nuno, Taveira, Arash, Tehrani-Banihashemi, Girma, Temam, Shifa, Mohamad-Hani, Temsah, Abdullah, Sulieman, Terkawi, Azeb, Gebresilassie, Tesema, Dawit, Jember, Tesfaye, Belay, Tessema, Thakur, Js, Nihal, Thomas, Matthew, J, Thompson, Taavi, Tillmann, Quyen, G, Ruoyan, Tobe-Gai, Marcello, Tonelli, Roman, Topor-Madry, Fotis, Topouzis, Anna, Torre, Miguel, Tortajada, Bach, Xuan, Tran, Khanh, Bao, Tran, Avnish, Tripathi, Srikanth, Prasad, Tripathy, Christopher, Troeger, Thomas, Truelsen, Derrick, Tsoi, Lorainne, Tudor, Car, Kald, Beshir, Tuem, Stefanos, Tyrovolas, Uche, S, Uchendu, Kingsley, Nnanna, Ukwaja, Irfan, Ullah, Rachel, Updike, Olalekan, A, Uthman, Benjamin, Chudi, S, Uzochukwu, Pascual, Rubén, Valdez, Job, F, Van, M, Boven, Santosh, Varughese, Tommi, Vasankari, Narayanaswamy, Venketasubramanian, Francesco, S, Violante, Sergey, Vladimirov, K, Vasiliy, Victorovich, Vlassov, Stein, Emil, Vollset, Theo, Vos, Fasil, Wagnew, Yasir, Waheed, Mitchell, T, Wallin, Judd, Walson, L, Yafeng, Wang, Yuan-Pang, Wang, Molla, Mesele, Wassie, Marcia, Weaver, R, Elisabete, Weiderpass, Robert, G, Weintraub, Jordan, Weiss, Kidu, Gidey, Weldegwergs, Andrea, Werdecker, Eoin, T, West, Ronny, Westerman, Richard, G, White, Harvey, Whiteford, A, Justyna, Widecka, Andrea, Sylvia, Winkler, Charles, Shey, Wiysonge, Charles, D, Wolfe, A, Yohanes, Ayele, Wondimkun, Abdulhalik, Workicho, Grant, M, Wyper, A, Denis, Xavier, Gelin, Xu, Lijing, L, Yan, Yuichiro, Yano, Mehdi, Yaseri, Nigus, Bililign, Yimer, Peng, Yin, Paul, Yip, Biruck, Desalegn, Yirsaw, Naohiro, Yonemoto, Gerald, Yonga, Seok-Jun, Yoon, Marcel, Yotebieng, Mustafa, Z, Younis, Chuanhua, Yu, Vesna, Zadnik, Zoubida, Zaidi, Maysaa, El, Sayed, Zaki, Sojib, Bin, Zaman, Mohammad, Zamani, Zerihun, Menlkalew, Zenebe, Maigeng, Zhou, Jun, Zhu, Stephanie, R, Zimsen, M, Ben, Zipkin, Sanjay, Zodpey, Liesl, Joanna, Zuhlke, Christopher, J, L, Murray, Rafael, Lozano., Fullman, N, Yearwood, J, Abay, S, Abbafati, C, Abd-Allah, F, Abdela, J, Abdelalim, A, Abebe, Z, Abebo, T, Aboyans, V, Abraha, H, Abreu, D, Abu-Raddad, L, Adane, A, Adedoyin, R, Adetokunboh, O, Adhikari, T, Afarideh, M, Afshin, A, Agarwal, G, Agius, D, Agrawal, A, Agrawal, S, Ahmad Kiadaliri, A, Aichour, M, Akibu, M, Akinyemi, R, Akinyemiju, T, Akseer, N, Al Lami, F, Alahdab, F, Al-Aly, Z, Alam, K, Alam, T, Alasfoor, D, Albittar, M, Alene, K, Al-Eyadhy, A, Ali, S, Alijanzadeh, M, Aljunid, S, Alkerwi, A, Alla, F, Allebeck, P, Allen, C, Alomari, M, Al-Raddadi, R, Alsharif, U, Altirkawi, K, Alvis-Guzman, N, Amare, A, Amenu, K, Ammar, W, Amoako, Y, Anber, N, Andrei, C, Androudi, S, Antonio, C, Araújo, V, Aremu, O, Ärnlöv, J, Artaman, A, Aryal, K, Asayesh, H, Asfaw, E, Asgedom, S, Asghar, R, Ashebir, M, Asseffa, N, Atey, T, Atre, S, Atteraya, M, Avila-Burgos, L, Avokpaho, E, Awasthi, A, Ayala Quintanilla, B, Ayalew, A, Ayele, H, Ayer, R, Ayuk, T, Azzopardi, P, Azzopardi-Muscat, N, Babalola, T, Badali, H, Badawi, A, Banach, M, Banerjee, A, Banstola, A, Barber, R, Barboza, M, Barker-Collo, S, Bärnighausen, T, Barquera, S, Barrero, L, Bassat, Q, Basu, S, Baune, B, Bazargan-Hejazi, S, Bedi, N, Beghi, E, Behzadifar, M, Bekele, B, Belachew, A, Belay, S, Belay, Y, Bell, M, Bello, A, Bennett, D, Bennett, J, Bensenor, I, Berhe, D, Bernabé, E, Bernstein, R, Beuran, M, Bhalla, A, Bhatt, P, Bhaumik, S, Bhutta, Z, Biadgo, B, Bijani, A, Bikbov, B, Birungi, C, Biryukov, S, Bizuneh, H, Bolliger, I, Bolt, K, Bou-Orm, I, Bozorgmehr, K, Brady, O, Brazinova, A, Breitborde, N, Brenner, H, Britton, G, Brugha, T, Butt, Z, Cahuana-Hurtado, L, Campos-Nonato, I, Campuzano, J, Car, J, Car, M, Cárdenas, R, Carrero, J, Carvalho, F, Castañeda-Orjuela, C, Castillo Rivas, J, Catalá-López, F, Cercy, K, Chalek, J, Chang, H, Chang, J, Chattopadhyay, A, Chaturvedi, P, Chiang, P, Chisumpa, V, Choi, J, Christensen, H, Christopher, D, Chung, S, Ciobanu, L, Cirillo, M, Colombara, D, Conti, S, Cooper, C, Cornaby, L, Cortesi, P, Cortinovis, M, Costa Pereira, A, Cousin, E, Criqui, M, Cromwell, E, Crowe, C, Crump, J, Daba, A, Dachew, B, Dadi, A, Dandona, L, Dandona, R, Dargan, P, Daryani, A, Daryani, M, Das, J, Das, S, das Neves, J, Davis Weaver, N, Davletov, K, de Courten, B, De Leo, D, De Neve, J, Dellavalle, R, Demoz, G, Deribe, K, Des Jarlais, D, Dey, S, Dharmaratne, S, Dhimal, M, Djalalinia, S, Doku, D, Dolan, K, Dorsey, E, dos Santos, K, Doyle, K, Driscoll, T, Dubey, M, Dubljanin, E, Duncan, B, Echko, M, Edessa, D, Edvardsson, D, Ehrlich, J, Eldrenkamp, E, El-Khatib, Z, Endres, M, Endries, A, Eshrati, B, Eskandarieh, S, Esteghamati, A, Fakhar, M, Farag, T, Faramarzi, M, Faraon, E, Faro, A, Farzadfar, F, Fatusi, A, Fazeli, M, Feigin, V, Feigl, A, Fentahun, N, Fereshtehnejad, S, Fernandes, E, Fernandes, J, Fijabi, D, Filip, I, Fischer, F, Fitzmaurice, C, Flaxman, A, Flor, L, Foigt, N, Foreman, K, Frostad, J, Fürst, T, Futran, N, Gakidou, E, Gallus, S, Gambashidze, K, Gamkrelidze, A, Ganji, M, Gebre, A, Gebrehiwot, T, Gebremedhin, A, Gelaw, Y, Geleijnse, J, Geremew, D, Gething, P, Ghadimi, R, Ghasemi Falavarjani, K, Ghasemi-Kasman, M, Gill, P, Giref, A, Giroud, M, Gishu, M, Giussani, G, Godwin, W, Goli, S, Gomez-Dantes, H, Gona, P, Goodridge, A, Gopalani, S, Goryakin, Y, Goulart, A, Grada, A, Griswold, M, Grosso, G, Gugnani, H, Guo, Y, Gupta, R, Gupta, T, Gupta, V, Haagsma, J, Hachinski, V, Hafezi-Nejad, N, Hailu, G, Hamadeh, R, Hamidi, S, Hankey, G, Harb, H, Harewood, H, Harikrishnan, S, Haro, J, Hassen, H, Havmoeller, R, Hawley, C, Hay, S, He, J, Hearps, S, Hegazy, M, Heibati, B, Heidari, M, Hendrie, D, Henry, N, Herrera Ballesteros, V, Herteliu, C, Hibstu, D, Hiluf, M, Hoek, H, Homaie Rad, E, Horita, N, Hosgood, H, Hosseini, M, Hosseini, S, Hostiuc, M, Hostiuc, S, Hoy, D, Hsairi, M, Htet, A, Hu, G, Huang, J, Iburg, K, Idris, F, Igumbor, E, Ikeda, C, Ileanu, B, Ilesanmi, O, Innos, K, Irvani, S, Irvine, C, Islami, F, Jacobs, T, Jacobsen, K, Jahanmehr, N, Jain, R, Jain, S, Jakovljevic, M, Jalu, M, Jamal, A, Javanbakht, M, Jayatilleke, A, Jeemon, P, Jha, R, Jha, V, Jóúwiak, J, John, O, Johnson, S, Jonas, J, Joshua, V, Jürisson, M, Kabir, Z, Kadel, R, Kahsay, A, Kalani, R, Kar, C, Karanikolos, M, Karch, A, Karema, C, Karimi, S, Kasaeian, A, Kassa, D, Kassa, G, Kassa, T, Kassebaum, N, Katikireddi, S, Kaul, A, Kawakami, N, Kazanjan, K, Kebede, S, Keiyoro, P, Kemp, G, Kengne, A, Kereselidze, M, Ketema, E, Khader, Y, Khafaie, M, Khajavi, A, Khalil, I, Khan, E, Khan, G, Khan, M, Khanal, M, Khang, Y, Khater, M, Khoja, A, Khosravi, A, Khubchandani, J, Kibret, G, Kiirithio, D, Kim, D, Kim, Y, Kimokoti, R, Kinfu, Y, Kinra, S, Kisa, A, Kissoon, N, Kochhar, S, Kokubo, Y, Kopec, J, Kosen, S, Koul, P, Koyanagi, A, Kravchenko, M, Krishan, K, Krohn, K, Kuate Defo, B, Kumar, G, Kumar, P, Kutz, M, Kuzin, I, Kyu, H, Lad, D, Lafranconi, A, Lal, D, Lalloo, R, Lam, H, Lan, Q, Lang, J, Lansingh, V, Lansky, S, Larsson, A, Latifi, A, Lazarus, J, Leasher, J, Lee, P, Legesse, Y, Leigh, J, Leshargie, C, Leta, S, Leung, J, Leung, R, Levi, M, Li, Y, Liang, J, Liben, M, Lim, L, Lim, S, Lind, M, Linn, S, Listl, S, Liu, P, Liu, S, Lodha, R, Lopez, A, Lorch, S, Lorkowski, S, Lotufo, P, Lucas, T, Lunevicius, R, Lurton, G, Lyons, R, Maalouf, F, Macarayan, E, Mackay, M, Maddison, E, Madotto, F, Magdy Abd El Razek, H, Magdy Abd El Razek, M, Majdan, M, Majdzadeh, R, Majeed, A, Malekzadeh, R, Malhotra, R, Malta, D, Mamun, A, Manhertz, T, Manguerra, H, Mansournia, M, Mantovani, L, Manyazewal, T, Mapoma, C, Margono, C, Martinez-Raga, J, Martins, S, Martins-Melo, F, Martopullo, I, März, W, Massenburg, B, Mathur, M, Maulik, P, Mazidi, M, Mcalinden, C, Mcgrath, J, Mckee, M, Mehata, S, Mehrotra, R, Mehta, K, Mehta, V, Meier, T, Mejia-Rodriguez, F, Meles, K, Melku, M, Memiah, P, Memish, Z, Mendoza, W, Mengiste, D, Mengistu, D, Menota, B, Mensah, G, Meretoja, A, Meretoja, T, Mezgebe, H, Miazgowski, T, Micha, R, Milam, R, Millear, A, Miller, T, Mini, G, Minnig, S, Mirica, A, Mirrakhimov, E, Misganaw, A, Mitchell, P, Mlashu, F, Moazen, B, Mohammad, K, Mohammadibakhsh, R, Mohammed, E, Mohammed, M, Mohammed, S, Mokdad, A, Mola, G, Molokhia, M, Momeniha, F, Monasta, L, Montañez Hernandez, J, Moosazadeh, M, Moradi-Lakeh, M, Moraga, P, Morawska, L, Moreno Velasquez, I, Mori, R, Morrison, S, Moses, M, Mousavi, S, Mueller, U, Murhekar, M, Murthy, G, Murthy, S, Musa, J, Musa, K, Mustafa, G, Muthupandian, S, Nagata, C, Nagel, G, Naghavi, M, Naheed, A, Naik, G, Naik, N, Najafi, F, Naldi, L, Nangia, V, Nansseu, J, Narayan, K, Nascimento, B, Negoi, I, Negoi, R, Newton, C, Ngunjiri, J, Nguyen, G, Nguyen, L, Nguyen, T, Nichols, E, Ningrum, D, Nolte, E, Nong, V, Norheim, O, Norrving, B, Noubiap, J, Nyandwi, A, Obermeyer, C, Ofori-Asenso, R, Ogbo, F, Oh, I, Oladimeji, O, Olagunju, A, Olagunju, T, Olivares, P, Oliveira, P, Olsen, H, Olusanya, B, Olusanya, J, Ong, K, Opio, J, Oren, E, Ortega-Altamirano, D, Ortiz, A, Ozdemir, R, Pa, M, Pain, A, Palone, M, Pana, A, Panda-Jonas, S, Pandian, J, Park, E, Parsian, H, Patel, T, Pati, S, Patil, S, Patle, A, Patton, G, Paturi, V, Paudel, D, Pedroso, M, Pedroza, S, Pereira, D, Perico, N, Peterson, H, Petzold, M, Peykari, N, Phillips, M, Piel, F, Pigott, D, Pillay, J, Piradov, M, Polinder, S, Pond, C, Postma, M, Pourmalek, F, Prakash, S, Prakash, V, Prasad, N, Purcell, C, Qorbani, M, Quintana, H, Radfar, A, Rafay, A, Rafiei, A, Rahimi, K, Rahimi-Movaghar, A, Rahimi-Movaghar, V, Rahman, M, Rahman, S, Rai, R, Raju, S, Ram, U, Rana, S, Rankin, Z, Rasella, D, Rawaf, D, Rawaf, S, Ray, S, Razo-García, C, Reddy, P, Reiner, R, Reis, C, Reitsma, M, Remuzzi, G, Renzaho, A, Resnikoff, S, Rezaei, S, Rezai, M, Ribeiro, A, Rios Blancas, M, Rivera, J, Roever, L, Ronfani, L, Roshandel, G, Rostami, A, Roth, G, Rothenbacher, D, Roy, A, Roy, N, Ruhago, G, Sabde, Y, Sachdev, P, Sadat, N, Safdarian, M, Safiri, S, Sagar, R, Sahebkar, A, Sahraian, M, Sajadi, H, Salama, J, Salamati, P, Saldanha, R, Salimzadeh, H, Salomon, J, Samy, A, Sanabria, J, Sancheti, P, Sanchez-Niño, M, Santomauro, D, Santos, I, Santric Milicevic, M, Sarker, A, Sarrafzadegan, N, Sartorius, B, Satpathy, M, Savic, M, Sawhney, M, Saxena, S, Saylan, M, Schaeffner, E, Schmidhuber, J, Schmidt, M, Schneider, I, Schumacher, A, Schutte, A, Schwebel, D, Schwendicke, F, Sekerija, M, Sepanlou, S, Servan-Mori, E, Shafieesabet, A, Shaikh, M, Shakh-Nazarova, M, Shams-Beyranvand, M, Sharafi, H, Sharif-Alhoseini, M, Shariful Islam, S, Sharma, M, Sharma, R, She, J, Sheikh, A, Shfare, M, Shi, P, Shields, C, Shigematsu, M, Shinohara, Y, Shiri, R, Shirkoohi, R, Shiue, I, Shrime, M, Shukla, S, Siabani, S, Sigfusdottir, I, Silberberg, D, Silva, D, Silva, J, Silveira, D, Singh, J, Singh, L, Singh, N, Singh, V, Sinha, D, Sinke, A, Sisay, M, Skirbekk, V, Sliwa, K, Smith, A, Soares Filho, A, Sobaih, B, Somai, M, Soneji, S, Soofi, M, Sorensen, R, Soriano, J, Soyiri, I, Sposato, L, Sreeramareddy, C, Srinivasan, V, Stanaway, J, Stathopoulou, V, Steel, N, Stein, D, Stokes, M, Sturua, L, Sufiyan, M, Suliankatchi, R, Sunguya, B, Sur, P, Sykes, B, Sylaja, P, Tabarés-Seisdedos, R, Tadakamadla, S, Tadesse, A, Taffere, G, Tandon, N, Tariku, A, Taveira, N, Tehrani-Banihashemi, A, Temam Shifa, G, Temsah, M, Terkawi, A, Tesema, A, Tesfaye, D, Tessema, B, Thakur, J, Thomas, N, Thompson, M, Tillmann, T, To, Q, Tobe-Gai, R, Tonelli, M, Topor-Madry, R, Topouzis, F, Torre, A, Tortajada, M, Tran, B, Tran, K, Tripathi, A, Tripathy, S, Troeger, C, Truelsen, T, Tsoi, D, Tudor Car, L, Tuem, K, Tyrovolas, S, Uchendu, U, Ukwaja, K, Ullah, I, Updike, R, Uthman, O, Uzochukwu, B, Valdez, P, van Boven, J, Varughese, S, Vasankari, T, Violante, F, Vladimirov, S, Vlassov, V, Vollset, S, Vos, T, Wagnew, F, Waheed, Y, Wallin, M, Walson, J, Wang, Y, Wassie, M, Weaver, M, Weiderpass, E, Weintraub, R, Weiss, J, Weldegwergs, K, Werdecker, A, West, T, Westerman, R, White, R, Whiteford, H, Widecka, J, Winkler, A, Wiysonge, C, Wolfe, C, Wondimkun, Y, Workicho, A, Wyper, G, Xavier, D, Xu, G, Yan, L, Yano, Y, Yaseri, M, Yimer, N, Yin, P, Yip, P, Yirsaw, B, Yonemoto, N, Yonga, G, Yoon, S, Yotebieng, M, Younis, M, Yu, C, Zadnik, V, Zaidi, Z, Zaki, M, Zaman, S, Zamani, M, Zenebe, Z, Zhou, M, Zhu, J, Zimsen, S, Zipkin, B, Zodpey, S, Zuhlke, L, Murray, C, Lozano, R, Fullman, Nancy, Yearwood, Jamal, Abay, Solomon M., Abbafati, Cristiana, Abd-Allah, Foad, Abdela, Jemal, Abdelalim, Ahmed, Abebe, Zegeye, Abebo, Teshome Abuka, Aboyans, Victor, Abraha, Haftom Niguse, Abreu, Daisy M.X., Abu-Raddad, Laith J., Adane, Akilew Awoke, Adedoyin, Rufus Adesoji, Adetokunboh, Olatunji, Adhikari, Tara Ballav, Afarideh, Mohsen, Afshin, Ashkan, Agarwal, Gina, Agius, Dominic, Agrawal, Anurag, Agrawal, Sutapa, Ahmad Kiadaliri, Aliasghar, Aichour, Miloud Taki Eddine, Akibu, Mohammed, Akinyemi, Rufus Olusola, Akinyemiju, Tomi F., Akseer, Nadia, Al Lami, Faris Hasan, Alahdab, Fare, Al-Aly, Ziyad, Alam, Khurshid, Alam, Tahiya, Alasfoor, Deena, Albittar, Mohammed I., Alene, Kefyalew Addi, Al-Eyadhy, Ayman, Ali, Syed Danish, Alijanzadeh, Mehran, Aljunid, Syed M., Alkerwi, Ala'a, Alla, Françoi, Allebeck, Peter, Allen, Christine, Alomari, Mahmoud A., Al-Raddadi, Rajaa, Alsharif, Ubai, Altirkawi, Khalid A., Alvis-Guzman, Nelson, Amare, Azmeraw T., Amenu, Kebede, Ammar, Walid, Amoako, Yaw Ampem, Anber, Nahla, Andrei, Catalina Liliana, Androudi, Sofia, Antonio, Carl Abelardo T., Araújo, Valdelaine E.M., Aremu, Olatunde, Ärnlöv, Johan, Artaman, Al, Aryal, Krishna Kumar, Asayesh, Hamid, Asfaw, Ephrem Tsegay, Asgedom, Solomon Weldegebreal, Asghar, Rana Jawad, Ashebir, Mengistu Mitiku, Asseffa, Netsanet Abera, Atey, Tesfay Mehari, Atre, Sachin R., Atteraya, Madhu S., Avila-Burgos, Leticia, Avokpaho, Euripide Frinel G. Arthur, Awasthi, Ashish, Ayala Quintanilla, Beatriz Paulina, Ayalew, Animut Alebel, Ayele, Henok Tadesse, Ayer, Rakesh, Ayuk, Tambe Betrand, Azzopardi, Peter, Azzopardi-Muscat, Natasha, Babalola, Tesleem Kayode, Badali, Hamid, Badawi, Alaa, Banach, Maciej, Banerjee, Amitava, Banstola, Amrit, Barber, Ryan M., Barboza, Miguel A., Barker-Collo, Suzanne L., Bärnighausen, Till, Barquera, Simon, Barrero, Lope H., Bassat, Quique, Basu, Sanjay, Baune, Bernhard T., Bazargan-Hejazi, Shahrzad, Bedi, Neeraj, Beghi, Ettore, Behzadifar, Masoud, Behzadifar, Meysam, Bekele, Bayu Begashaw, Belachew, Abate Bekele, Belay, Saba Abraham, Belay, Yihalem Abebe, Bell, Michelle L., Bello, Aminu K., Bennett, Derrick A., Bennett, James R., Bensenor, Isabela M., Berhe, Derbew Fikadu, Bernabé, Eduardo, Bernstein, Robert Steven, Beuran, Mircea, Bhalla, Ashish, Bhatt, Paurvi, Bhaumik, Soumyadeep, Bhutta, Zulfiqar A., Biadgo, Belete, Bijani, Ali, Bikbov, Bori, Birungi, Charle, Biryukov, Stan, Bizuneh, Hailemichael, Bolliger, Ian W., Bolt, Kaylin, Bou-Orm, Ibrahim R., Bozorgmehr, Kayvan, Brady, Oliver Jerome, Brazinova, Alexandra, Breitborde, Nicholas J.K., Brenner, Hermann, Britton, Gabrielle, Brugha, Traolach S., Butt, Zahid A., Cahuana-Hurtado, Lucero, Campos-Nonato, Ismael Ricardo, Campuzano, Julio Cesar, Car, Josip, Car, Mate, Cárdenas, Rosario, Carrero, Juan Jesu, Carvalho, Felix, Castañeda-Orjuela, Carlos A., Castillo Rivas, Jacqueline, Catalá-López, Ferrán, Cercy, Kelly, Chalek, Julian, Chang, Hsing-Yi, Chang, Jung-Chen, Chattopadhyay, Aparajita, Chaturvedi, Pankaj, Chiang, Peggy Pei-Chia, Chisumpa, Vesper Hichilombwe, Choi, Jee-Young J., Christensen, Hanne, Christopher, Devasahayam Jesuda, Chung, Sheng-Chia, Ciobanu, Liliana G., Cirillo, Massimo, Colombara, Danny, Conti, Sara, Cooper, Cyru, Cornaby, Leslie, Cortesi, Paolo Angelo, Cortinovis, Monica, Costa Pereira, Alexandre, Cousin, Ewerton, Criqui, Michael H., Cromwell, Elizabeth A., Crowe, Christopher Stephen, Crump, John A., Daba, Alemneh Kabeta, Dachew, Berihun Assefa, Dadi, Abel Fekadu, Dandona, Lalit, Dandona, Rakhi, Dargan, Paul I., Daryani, Ahmad, Daryani, Maryam, Das, Jai, Das, Siddharth Kumar, Das Neves, José, Davis Weaver, Nicole, Davletov, Kairat, De Courten, Barbora, De Leo, Diego, De Neve, Jan-Walter, Dellavalle, Robert P., Demoz, Gebre, Deribe, Kebede, Des Jarlais, Don C., Dey, Subhojit, Dharmaratne, Samath D., Dhimal, Meghnath, Djalalinia, Shirin, Doku, David Teye, Dolan, Kate, Dorsey, E. Ray, Dos Santos, Kadine Priscila Bender, Doyle, Kerrie E., Driscoll, Tim R., Dubey, Manisha, Dubljanin, Eleonora, Duncan, Bruce Bartholow, Echko, Michelle, Edessa, Dumessa, Edvardsson, David, Ehrlich, Joshua R., Eldrenkamp, Erika, El-Khatib, Ziad, Endres, Matthia, Endries, Aman Yesuf, Eshrati, Babak, Eskandarieh, Sharareh, Esteghamati, Alireza, Fakhar, Mahdi, Farag, Tamer, Faramarzi, Mahbobeh, Faraon, Emerito Jose Aquino, Faro, André, Farzadfar, Farshad, Fatusi, Adesegun, Fazeli, Mir Sohail, Feigin, Valery L., Feigl, Andrea B., Fentahun, Netsanet, Fereshtehnejad, Seyed-Mohammad, Fernandes, Eduarda, Fernandes, João C., Fijabi, Daniel Obadare, Filip, Irina, Fischer, Florian, Fitzmaurice, Christina, Flaxman, Abraham D., Flor, Luisa Sorio, Foigt, Nataliya, Foreman, Kyle J., Frostad, Joseph J., Fürst, Thoma, Futran, Neal D., Gakidou, Emmanuela, Gallus, Silvano, Gambashidze, Ketevan, Gamkrelidze, Amiran, Ganji, Morsaleh, Gebre, Abadi Kahsu, Gebrehiwot, Tsegaye Tewelde, Gebremedhin, Amanuel Tesfay, Gelaw, Yalemzewod Assefa, Geleijnse, Johanna M., Geremew, Demeke, Gething, Peter W., Ghadimi, Reza, Ghasemi Falavarjani, Khalil, Ghasemi-Kasman, Maryam, Gill, Paramjit Singh, Giref, Ababi Zergaw, Giroud, Maurice, Gishu, Melkamu Dedefo, Giussani, Giorgia, Godwin, William W., Goli, Sriniva, Gomez-Dantes, Hector, Gona, Philimon N., Goodridge, Amador, Gopalani, Sameer Vali, Goryakin, Yevgeniy, Goulart, Alessandra Carvalho, Grada, Ayman, Griswold, Max, Grosso, Giuseppe, Gugnani, Harish Chander, Guo, Yuming, Gupta, Rahul, Gupta, Rajeev, Gupta, Tanush, Gupta, Tarun, Gupta, Vipin, Haagsma, Juanita A., Hachinski, Vladimir, Hafezi-Nejad, Nima, Hailu, Gessessew Bugssa, Hamadeh, Randah Ribhi, Hamidi, Samer, Hankey, Graeme J., Harb, Hilda L., Harewood, Heather C., Harikrishnan, Sivadasanpillai, Haro, Josep Maria, Hassen, Hamid Yimam, Havmoeller, Rasmu, Hawley, Caitlin, Hay, Simon I., He, Jiawei, Hearps, Stephen J.C., Hegazy, Mohamed I., Heibati, Behzad, Heidari, Mohsen, Hendrie, Delia, Henry, Nathaniel J., Herrera Ballesteros, Victor Hugo, Herteliu, Claudiu, Hibstu, Desalegn Tsegaw, Hiluf, Molla Kahssay, Hoek, Hans W., Homaie Rad, Enayatollah, Horita, Nobuyuki, Hosgood, H. Dean, Hosseini, Mostafa, Hosseini, Seyed Reza, Hostiuc, Mihaela, Hostiuc, Sorin, Hoy, Damian G., Hsairi, Mohamed, Htet, Aung Soe, Hu, Guoqing, Huang, John J., Iburg, Kim Moesgaard, Idris, Fachmi, Igumbor, Ehimario Uche, Ikeda, Chad, Ileanu, Bogdan Vasile, Ilesanmi, Olayinka S., Innos, Kaire, Irvani, Seyed Sina Naghibi, Irvine, Caleb M.S., Islami, Farhad, Jacobs, Troy A., Jacobsen, Kathryn H., Jahanmehr, Nader, Jain, Rajesh, Jain, Sudhir Kumar, Jakovljevic, Mihajlo M., Jalu, Moti Tolera, Jamal, Amr A., Javanbakht, Mehdi, Jayatilleke, Achala Upendra, Jeemon, Panniyammakal, Jha, Ravi Prakash, Jha, Vivekanand, Józwiak, Jacek, John, Oommen, Johnson, Sarah Charlotte, Jonas, Jost B., Joshua, Vasna, Jürisson, Mikk, Kabir, Zubair, Kadel, Rajendra, Kahsay, Amaha, Kalani, Rizwan, Kar, Chittaranjan, Karanikolos, Marina, Karch, André, Karema, Corine Kakizi, Karimi, Seyed M., Kasaeian, Amir, Kassa, Dessalegn Haile, Kassa, Getachew Mullu, Kassa, Tesfaye Dessale, Kassebaum, Nicholas J., Katikireddi, Srinivasa Vittal, Kaul, Anil, Kawakami, Norito, Kazanjan, Konstantin, Kebede, Seifu, Keiyoro, Peter Njenga, Kemp, Grant Rodger, Kengne, Andre Pascal, Kereselidze, Maia, Ketema, Ezra Belay, Khader, Yousef Saleh, Khafaie, Morteza Abdullatif, Khajavi, Alireza, Khalil, Ibrahim A., Khan, Ejaz Ahmad, Khan, Gulfaraz, Khan, Md Nuruzzaman, Khan, Muhammad Ali, Khanal, Mukti Nath, Khang, Young-Ho, Khater, Mona M., Khoja, Abdullah Tawfih Abdullah, Khosravi, Ardeshir, Khubchandani, Jagdish, Kibret, Getiye Dejenu, Kiirithio, Daniel Ngari, Kim, Daniel, Kim, Yun Jin, Kimokoti, Ruth W., Kinfu, Yohanne, Kinra, Sanjay, Kisa, Adnan, Kissoon, Niranjan, Kochhar, Sonali, Kokubo, Yoshihiro, Kopec, Jacek A., Kosen, Soewarta, Koul, Parvaiz A., Koyanagi, Ai, Kravchenko, Michael, Krishan, Kewal, Krohn, Kristopher J., Kuate Defo, Barthelemy, Kumar, G. Anil, Kumar, Pushpendra, Kutz, Michael, Kuzin, Igor, Kyu, Hmwe H., Lad, Deepesh Pravinkumar, Lafranconi, Alessandra, Lal, Dharmesh Kumar, Lalloo, Ratilal, Lam, Hilton, Lan, Qing, Lang, Justin J., Lansingh, Van C., Lansky, Sonia, Larsson, Ander, Latifi, Arman, Lazarus, Jeffrey Victor, Leasher, Janet L., Lee, Paul H., Legesse, Yirga, Leigh, Jame, Leshargie, Cheru Tesema, Leta, Samson, Leung, Janni, Leung, Ricky, Levi, Miriam, Li, Yongmei, Liang, Juan, Liben, Misgan Legesse, Lim, Lee-Ling, Lim, Stephen S., Lind, Margaret, Linn, Shai, Listl, Stefan, Liu, Patrick Y., Liu, Shiwei, Lodha, Rakesh, Lopez, Alan D., Lorch, Scott A., Lorkowski, Stefan, Lotufo, Paulo A., Lucas, Timothy C.D., Lunevicius, Raimunda, Lurton, Grégoire, Lyons, Ronan A., Maalouf, Fadi, Macarayan, Erlyn Rachelle King, Mackay, Mark T., Maddison, Emilie R., Madotto, Fabiana, Magdy Abd El Razek, Hassan, Magdy Abd El Razek, Mohammed, Majdan, Marek, Majdzadeh, Reza, Majeed, Azeem, Malekzadeh, Reza, Malhotra, Rajesh, Malta, Deborah Carvalho, Mamun, Abdullah A., Manguerra, Helena, Manhertz, Treh, Mansournia, Mohammad Ali, Mantovani, Lorenzo G., Manyazewal, Tsegahun, Mapoma, Chabila C., Margono, Christopher, Martinez-Raga, Jose, Martins, Sheila Cristina Ourique, Martins-Melo, Francisco Rogerlândio, Martopullo, Ira, März, Winfried, Massenburg, Benjamin Ballard, Mathur, Manu Raj, Maulik, Pallab K., Mazidi, Mohsen, McAlinden, Colm, McGrath, John J., McKee, Martin, Mehata, Suresh, Mehrotra, Ravi, Mehta, Kala M., Mehta, Varshil, Meier, Toni, Mejia-Rodriguez, Fabiola, Meles, Kidanu Gebremariam, Melku, Mulugeta, Memiah, Peter, Memish, Ziad A., Mendoza, Walter, Mengiste, Degu Abate, Mengistu, Desalegn Tadese, Menota, Bereket Gebremichael, Mensah, George A., Meretoja, Atte, Meretoja, Tuomo J., Mezgebe, Haftay Berhane, Miazgowski, Tomasz, Micha, Renata, Milam, Robert, Millear, Anoushka, Miller, Ted R., Mini, G.K., Minnig, Shawn, Mirica, Andreea, Mirrakhimov, Erkin M., Misganaw, Awoke, Mitchell, Philip B., Mlashu, Fitsum Weldegebreal, Moazen, Babak, Mohammad, Karzan Abdulmuhsin, Mohammadibakhsh, Roghayeh, Mohammed, Ebrahim, Mohammed, Mohammed A., Mohammed, Shafiu, Mokdad, Ali H., Mola, Glen Liddell D., Molokhia, Mariam, Momeniha, Fatemeh, Monasta, Lorenzo, Montañez Hernandez, Julio Cesar, Moosazadeh, Mahmood, Moradi-Lakeh, Maziar, Moraga, Paula, Morawska, Lidia, Moreno Velasquez, Ilai, Mori, Rintaro, Morrison, Shane D., Moses, Mark, Mousavi, Seyyed Meysam, Mueller, Ulrich O., Murhekar, Manoj, Murthy, Gudlavalleti Venkata Satyanarayana, Murthy, Sriniva, Musa, Jonah, Musa, Kamarul Imran, Mustafa, Ghulam, Muthupandian, Saravanan, Nagata, Chie, Nagel, Gabriele, Naghavi, Mohsen, Naheed, Aliya, Naik, Gurudatta A., Naik, Nitish, Najafi, Farid, Naldi, Luigi, Nangia, Vinay, Nansseu, Jobert Richie Njingang, Narayan, K.M. Venkat, Nascimento, Bruno Ramo, Negoi, Ionut, Negoi, Ruxandra Irina, Newton, Charles R., Ngunjiri, Josephine Wanjiku, Nguyen, Grant, Nguyen, Long, Nguyen, Trang Huyen, Nichols, Emma, Ningrum, Dina Nur Anggraini, Nolte, Ellen, Nong, Vuong Minh, Norheim, Ole F., Norrving, Bo, Noubiap, Jean Jacques N., Nyandwi, Alypio, Obermeyer, Carla Makhlouf, Ofori-Asenso, Richard, Ogbo, Felix Akpojene, Oh, In-Hwan, Oladimeji, Olanrewaju, Olagunju, Andrew Toyin, Olagunju, Tinuke Oluwasefunmi, Olivares, Pedro R., De Oliveira, Patricia Pereira Vasconcelo, Olsen, Helen E., Olusanya, Bolajoko Olubukunola, Olusanya, Jacob Olusegun, Ong, Kanyin, Opio, John Nelson, Oren, Eyal, Ortega-Altamirano, Doris V., Ortiz, Alberto, Ozdemir, Raziye, Pa, Mahesh, Pain, Amanda W., Palone, Marcos Roberto Tovani, Pana, Adrian, Panda-Jonas, Songhomitra, Pandian, Jeyaraj D., Park, Eun-Kee, Parsian, Hadi, Patel, Teja, Pati, Sanghamitra, Patil, Snehal T., Patle, Ajay, Patton, George C., Paturi, Vishnupriya Rao, Paudel, Deepak, De Moares Pedroso, Marcel, Pedroza, Sandra P., Pereira, David M., Perico, Norberto, Peterson, Hannah, Petzold, Max, Peykari, Niloofar, Phillips, Michael Robert, Piel, Frédéric B., Pigott, David M., Pillay, Julian David, Piradov, Michael A., Polinder, Suzanne, Pond, Constance D., Postma, Maarten J., Pourmalek, Farshad, Prakash, Swayam, Prakash, V., Prasad, Narayan, Prasad, Noela Marie, Purcell, Caroline, Qorbani, Mostafa, Quintana, Hedley Knewjen, Radfar, Amir, Rafay, Anwar, Rafiei, Alireza, Rahimi, Kazem, Rahimi-Movaghar, Afarin, Rahimi-Movaghar, Vafa, Rahman, Mahfuzar, Rahman, Muhammad Aziz, Rahman, Sajjad Ur, Rai, Rajesh Kumar, Raju, Sree Bhushan, Ram, Usha, Rana, Saleem M., Rankin, Zane, Rasella, Davide, Rawaf, David Laith, Rawaf, Salman, Ray, Sarah E., Razo-García, Christian Aspacia, Reddy, Priscilla, Reiner, Robert C., Reis, Cesar, Reitsma, Marissa B., Remuzzi, Giuseppe, Renzaho, Andre M.N., Resnikoff, Serge, Rezaei, Satar, Rezai, Mohammad Sadegh, Ribeiro, Antonio L., Rios Blancas, Maria Jesu, Rivera, Juan A., Roever, Leonardo, Ronfani, Luca, Roshandel, Gholamreza, Rostami, Ali, Roth, Gregory A., Rothenbacher, Dietrich, Roy, Ambuj, Roy, Nobhojit, Ruhago, George Mugambage, Sabde, Yogesh Damodar, Sachdev, Perminder S., Sadat, Nafi, Safdarian, Mahdi, Safiri, Saeid, Sagar, Rajesh, Sahebkar, Amirhossein, Sahraian, Mohammad Ali, Sajadi, Haniye Sadat, Salama, Joseph, Salamati, Payman, De Freitas Saldanha, Raphael, Salimzadeh, Hamideh, Salomon, Joshua A., Samy, Abdallah M., Sanabria, Juan Ramon, Sancheti, Parag K., Sanchez-Niño, Maria Dolore, Santomauro, Damian, Santos, Itamar S., Santric Milicevic, Milena M., Sarker, Abdur Razzaque, Sarrafzadegan, Nizal, Sartorius, Benn, Satpathy, Maheswar, Savic, Miloje, Sawhney, Monika, Saxena, Sonia, Saylan, Mete I., Schaeffner, Elke, Schmidhuber, Josef, Schmidt, Maria Inê, Schneider, Ione J.C., Schumacher, Austin E., Schutte, Aletta E., Schwebel, David C., Schwendicke, Falk, Sekerija, Mario, Sepanlou, Sadaf G., Servan-Mori, Edson E., Shafieesabet, Azadeh, Shaikh, Masood Ali, Shakh-Nazarova, Marina, Shams-Beyranvand, Mehran, Sharafi, Heidar, Sharif-Alhoseini, Mahdi, Shariful Islam, Sheikh Mohammed, Sharma, Meenakshi, Sharma, Rajesh, She, Jun, Sheikh, Aziz, Shfare, Mebrahtu Teweldemedhin, Shi, Peilin, Shields, Chloe, Shigematsu, Mika, Shinohara, Yukito, Shiri, Rahman, Shirkoohi, Reza, Shiue, Ivy, Shrime, Mark G., Shukla, Sharvari Rahul, Siabani, Soraya, Sigfusdottir, Inga Dora, Silberberg, Donald H., Silva, Diego Augusto Santo, Silva, João Pedro, Silveira, Dayane Gabriele Alve, Singh, Jasvinder A., Singh, Lavanya, Singh, Narinder Pal, Singh, Virendra, Sinha, Dhirendra Narain, Sinke, Abiy Hiruye, Sisay, Mekonnen, Skirbekk, Vegard, Sliwa, Karen, Smith, Alison, Soares Filho, Adauto Martin, Sobaih, Badr H.A., Somai, Melek, Soneji, Samir, Soofi, Moslem, Sorensen, Reed J.D., Soriano, Joan B., Soyiri, Ireneous N., Sposato, Luciano A., Sreeramareddy, Chandrashekhar T., Srinivasan, Vinay, Stanaway, Jeffrey D., Stathopoulou, Vasiliki, Steel, Nichola, Stein, Dan J., Stokes, Mark Andrew, Sturua, Lela, Sufiyan, Muawiyyah Babale, Suliankatchi, Rizwan Abdulkader, Sunguya, Bruno F., Sur, Patrick J., Sykes, Bryan L., Sylaja, P.N., Szoeke, Cassandra E.I., Tabarés-Seisdedos, Rafael, Tadakamadla, Santosh Kumar, Tadesse, Andualem Henok, Taffere, Getachew Redae, Tandon, Nikhil, Tariku, Amare Tariku, Taveira, Nuno, Tehrani-Banihashemi, Arash, Temam Shifa, Girma, Temsah, Mohamad-Hani, Terkawi, Abdullah Sulieman, Tesema, Azeb Gebresilassie, Tesfaye, Dawit Jember, Tessema, Belay, Thakur, J.S., Thomas, Nihal, Thompson, Matthew J., Tillmann, Taavi, To, Quyen G., Tobe-Gai, Ruoyan, Tonelli, Marcello, Topor-Madry, Roman, Topouzis, Foti, Torre, Anna, Tortajada, Miguel, Tran, Bach Xuan, Tran, Khanh Bao, Tripathi, Avnish, Tripathy, Srikanth Prasad, Troeger, Christopher, Truelsen, Thoma, Tsoi, Derrick, Tudor Car, Lorainne, Tuem, Kald Beshir, Tyrovolas, Stefano, Uchendu, Uche S., Ukwaja, Kingsley Nnanna, Ullah, Irfan, Updike, Rachel, Uthman, Olalekan A., Uzochukwu, Benjamin S. Chudi, Valdez, Pascual Rubén, Van Boven, Job F.M., Varughese, Santosh, Vasankari, Tommi, Venketasubramanian, Narayanaswamy, Violante, Francesco S., Vladimirov, Sergey K., Vlassov, Vasiliy Victorovich, Vollset, Stein Emil, Vos, Theo, Wagnew, Fasil, Waheed, Yasir, Wallin, Mitchell T., Walson, Judd L., Wang, Yafeng, Wang, Yuan-Pang, Wassie, Molla Mesele, Weaver, Marcia R., Weiderpass, Elisabete, Weintraub, Robert G., Weiss, Jordan, Weldegwergs, Kidu Gidey, Werdecker, Andrea, West, T. Eoin, Westerman, Ronny, White, Richard G., Whiteford, Harvey A., Widecka, Justyna, Winkler, Andrea Sylvia, Wiysonge, Charles Shey, Wolfe, Charles D.A., Wondimkun, Yohanes Ayele, Workicho, Abdulhalik, Wyper, Grant M.A., Xavier, Deni, Xu, Gelin, Yan, Lijing L., Yano, Yuichiro, Yaseri, Mehdi, Yimer, Nigus Bililign, Yin, Peng, Yip, Paul, Yirsaw, Biruck Desalegn, Yonemoto, Naohiro, Yonga, Gerald, Yoon, Seok-Jun, Yotebieng, Marcel, Younis, Mustafa Z., Yu, Chuanhua, Zadnik, Vesna, Zaidi, Zoubida, El Sayed Zaki, Maysaa, Zaman, Sojib Bin, Zamani, Mohammad, Zenebe, Zerihun Menlkalew, Zhou, Maigeng, Zhu, Jun, Zimsen, Stephanie R.M., Zipkin, Ben, Zodpey, Sanjay, Zuhlke, Liesl Joanna, Murray, Christopher J.L., Lozano, Rafael, Viðskiptadeild (HR), School of Business (RU), Háskólinn í Reykjavík, Reykjavik University, Abay, Sm, Abebo, Ta, Abraha, Hn, Abreu, Dmx, Abu-Raddad, Lj, Adane, Aa, Adedoyin, Ra, Adhikari, Tb, Aichour, Mte, Akinyemi, Ro, Akinyemiju, Tf, Al Lami, Fh, Albittar, Mi, Alene, Ka, Ali, Sd, Aljunid, Sm, Alomari, Ma, Altirkawi, Ka, Amare, At, Amoako, Ya, Andrei, Cl, Antonio, Cat, Araújo, Vem, Aryal, Kk, Asfaw, Et, Asgedom, Sw, Asghar, Rj, Ashebir, Mm, Asseffa, Na, Atey, Tm, Atre, Sr, Avokpaho, Efga, Ayala Quintanilla, Bp, Ayalew, Aa, Ayele, Ht, Ayuk, Tb, Babalola, Tk, Barber, Rm, Barboza, Ma, Barker-Collo, Sl, Barrero, Lh, Baune, Bt, Bekele, Bb, Belachew, Ab, Belay, Sa, Belay, Ya, Bell, Ml, Bello, Ak, Bennett, Da, Bennett, Jr, Bensenor, Im, Berhe, Df, Bhutta, Za, Bolliger, Iw, Bou-Orm, Ir, Brady, Oj, Breitborde, Njk, Butt, Za, Campos-Nonato, Ir, Campuzano, Jc, Carrero, Jj, Castañeda-Orjuela, Ca, Chang, Hy, Chang, Jc, Chiang, Pp, Chisumpa, Vh, Choi, Jj, Christopher, Dj, Chung, Sc, Ciobanu, Lg, Cortesi, Pa, Criqui, Mh, Cromwell, Ea, Crump, Ja, Daba, Ak, Dachew, Ba, Dadi, Af, Dargan, Pi, Das, Sk, De Neve, Jw, Dellavalle, Rp, Des Jarlais, Dc, Dharmaratne, Sd, Doku, Dt, Dorsey, Er, Dos Santos, Kpb, Doyle, Ke, Driscoll, Tr, Duncan, Bb, Ehrlich, Jr, El-Khatib, Zz, Endries, Ay, Faraon, Eja, Feigin, Vl, Feigl, Ab, Fereshtehnejad, Sm, Fernandes, Jc, Fijabi, Do, Flaxman, Ad, Foreman, Kj, Frostad, Jj, Futran, Nd, Gebre, Ak, Gebrehiwot, Tt, Gebremedhin, At, Gelaw, Ya, Geleijnse, Jm, Gething, Pw, Giref, Az, Gishu, Md, Godwin, Ww, Gona, Pn, Gopalani, Sv, Goulart, Ac, Gugnani, Hc, Haagsma, Ja, Hailu, Gb, Hamadeh, Rr, Hankey, Gj, Harb, Hl, Harewood, Hc, Haro, Jm, Hassen, Hy, Hay, Si, Hearps, Sjc, Hegazy, Mi, Henry, Nj, Herrera Ballesteros, Vh, Hibstu, Dt, Hiluf, Mk, Hoek, Hw, Hosgood, Hd, Hosseini, Sr, Hoy, Dg, Huang, Jj, Iburg, Km, Igumbor, Eu, Ileanu, Bv, Irvani, Ssn, Irvine, Cm, Jacobs, Ta, Jacobsen, Kh, Jain, Sk, Jakovljevic, Mb, Jalu, Mt, Jamal, Aa, Jayatilleke, Au, Jha, Rp, Johnson, Sc, Jonas, Jb, Karema, Ck, Karimi, Sm, Kassa, Dh, Kassa, Gm, Kassa, Td, Kassebaum, Nj, Katikireddi, Sv, Keiyoro, Pn, Kemp, Gr, Kengne, Ap, Ketema, Eb, Khafaie, Ma, Khalil, Ia, Khan, Ea, Khan, Mn, Khan, Ma, Khanal, Mn, Khang, Yh, Khater, Mm, Khoja, Ata, Kibret, Gd, Kiirithio, Dn, Kim, Yj, Kimokoti, Rw, Kopec, Ja, Koul, Pa, Krohn, Kj, Kumar, Ga, Kyu, Hh, Lad, Dp, Lal, Dk, Lang, Jj, Lansingh, Vc, Lazarus, Jv, Leasher, Jl, Lee, Ph, Leshargie, Ct, Liben, Ml, Lim, Ll, Lopez, Ad, Lorch, Sa, Lotufo, Pa, Lucas, Tcd, Lyons, Ra, Macarayan, Erk, Mackay, Mt, Maddison, Er, Malta, Dc, Mamun, Aa, Mansournia, Ma, Mantovani, Lg, Mapoma, Cc, Martins, Sco, Martins-Melo, Fr, Massenburg, Bb, Mathur, Mr, Maulik, Pk, Mcgrath, Jj, Mehta, Km, Meles, Kg, Memish, Za, Mengiste, Da, Mengistu, Dt, Menota, Bg, Mensah, Ga, Meretoja, Tj, Mezgebe, Hb, Miller, Tr, Mini, Gk, Mirrakhimov, Em, Mitchell, Pb, Mlashu, Fw, Mohammad, Ka, Mohammed, Ma, Mokdad, Ah, Mola, Gl, Montañez Hernandez, Jc, Morrison, Sd, Mousavi, Sm, Mueller, Uo, Murthy, Gv, Musa, Ki, Naik, Ga, Nansseu, Jrn, Narayan, Kv, Nascimento, Br, Negoi, Ri, Newton, Cr, Ngunjiri, Jw, Nguyen, Th, Ningrum, Dna, Nong, Vm, Norheim, Of, Noubiap, Jjn, Obermeyer, Cm, Ogbo, Fa, Oh, Ih, Olagunju, At, Olagunju, To, Olivares, Pr, Oliveira, Ppv, Olsen, He, Olusanya, Bo, Olusanya, Jo, Opio, Jn, Ortega-Altamirano, Dv, Pain, Aw, Palone, Mrt, Pandian, Jd, Park, Ek, Patil, St, Patton, Gc, Paturi, Vr, Pedroso, Mm, Pedroza, Sp, Pereira, Dm, Phillips, Mr, Piel, Fb, Pigott, Dm, Pillay, Jd, Piradov, Ma, Pond, Cd, Postma, Mj, Prasad, Nm, Quintana, Hk, Rahman, Ma, Rahman, Su, Rai, Rk, Raju, Sb, Rana, Sm, Rawaf, Dl, Ray, Se, Razo-García, Ca, Reiner, Rc, Reitsma, Mb, Renzaho, Amn, Ribeiro, Al, Rios Blancas, Mj, Rivera, Ja, Roth, Ga, Ruhago, Gm, Sabde, Yd, Sahraian, Ma, Saldanha, Rf, Salomon, Ja, Samy, Am, Sanabria, Jr, Sancheti, Pk, Sanchez-Niño, Md, Santric Milicevic, Mm, Sarker, Ar, Saylan, Mi, Schmidt, Mi, Schneider, Ijc, Schumacher, Ae, Schutte, Ae, Schwebel, Dc, Sepanlou, Sg, Servan-Mori, Ee, Shaikh, Ma, Shariful Islam, Sm, Shfare, Mt, Shrime, Mg, Shukla, Sr, Sigfusdottir, Id, Silberberg, Dh, Silva, Da, Silva, Jp, Silveira, Dga, Singh, Ja, Singh, Np, Sinha, Dn, Sinke, Ah, Soares Filho, Am, Sobaih, Bha, Sorensen, Rjd, Soriano, Jb, Soyiri, In, Sposato, La, Sreeramareddy, Ct, Stanaway, Jd, Stein, Dj, Stokes, Ma, Sufiyan, Mb, Suliankatchi, Ra, Sunguya, Bf, Sur, Pj, Sykes, Bl, Sylaja, Pn, Tadakamadla, Sk, Tadesse, Ah, Taffere, Gr, Tariku, At, Temsah, Mh, Tesema, Ag, Tesfaye, Dj, Thompson, Mj, To, Qg, Tran, Bx, Tran, Kb, Tripathy, Sp, Tuem, Kb, Ukwaja, Kn, Uthman, Oa, Uzochukwu, Bsc, Valdez, Pr, van Boven, Jfm, Vladimirov, Sk, Vlassov, Vv, Vollset, Se, Wallin, Mt, Walson, Jl, Wang, Yp, Wassie, Mm, Weaver, Mr, Weintraub, Rg, Weldegwergs, Kg, West, Te, White, Rg, Whiteford, Ha, Wolfe, Cd, Wondimkun, Ya, Wyper, Gma, Yan, Ll, Yimer, Nb, Yirsaw, Bd, Yoon, Sj, Younis, Mz, Zaki, Me, Zaman, Sb, Zenebe, Zm, Zimsen, Srm, Zuhlke, Lj, Murray, Cjl, and Lozano, R.

Subjects
Peformance, Coverage, Dánartíðni, Lífslíkur, Life expectancy, GBD, Background A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016. Methods Drawing from established methods and updated estimates from GBD 2016, we used 32 causes from which death should not occur in the presence of effective care to approximate personal health-care access and quality by location and over time. To better isolate potential effects of personal health-care access and quality from underlying risk factor patterns, we risk-standardised cause-specific deaths due to non-cancers by location-year, replacing the local joint exposure of environmental and behavioural risks with the global level of exposure. Supported by the expansion of cancer registry data in GBD 2016, we used mortality-to-incidence ratios for cancers instead of risk-standardised death rates to provide a stronger signal of the effects of personal health care and access on cancer survival. We transformed each cause to a scale of 0–100, with 0 as the first percentile (worst) observed between 1990 and 2016, and 100 as the 99th percentile (best), universal health coverage, Article, access quality health care, health care access and quality index, Nations, Healthcare Acce, Cause-specific mortality, Psychology, Healthcare Access and Quality Index, Mælitæki, States, Medicine (all), Health care, Þjóðir, Public Health, Global Health, Social Medicine and Epidemiology, Quality, Heilbrigðisþjónusta, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Sálfræði, Indicator, Amenable mortality, Transition, we set these thresholds at the country level, and then applied them to subnational locations. We applied a principal components analysis to construct the HAQ Index using all scaled cause values, providing an overall score of 0–100 of personal health-care access and quality by location over time. We then compared HAQ Index levels and trends by quintiles on the Socio-demographic Index (SDI), a summary measure of overall development. As derived from the broader GBD study and other data sources, we examined relationships between national HAQ Index scores and potential correlates of performance, such as total health spending per capita. Findings In 2016, HAQ Index performance spanned from a high of 97·1 (95% UI 95·8–98·1) in Iceland, followed by 96·6 (94·9–97·9) in Norway and 96·1 (94·5–97·3) in the Netherlands, to values as low as 18·6 (13·1–24·4) in the Central African Republic, 19·0 (14·3–23·7) in Somalia, and 23·4 (20·2–26·8) in Guinea-Bissau. The pace of progress achieved between 1990 and 2016 varied, with markedly faster improvements occurring between 2000 and 2016 for many countries in sub-Saharan Africa and southeast Asia, whereas several countries in Latin America and elsewhere saw progress stagnate after experiencing considerable advances in the HAQ Index between 1990 and 2000. Striking subnational disparities emerged in personal health-care access and quality, with China and India having particularly large gaps between locations with the highest and lowest scores in 2016. In China, performance ranged from 91·5 (89·1–93·6) in Beijing to 48·0 (43·4–53·2) in Tibet (a 43·5-point difference), while India saw a 30·8-point disparity, from 64·8 (59·6–68·8) in Goa to 34·0 (30·3–38·1) in Assam. Japan recorded the smallest range in subnational HAQ performance in 2016 (a 4·8-point difference), whereas differences between subnational locations with the highest and lowest HAQ Index values were more than two times as high for the USA and three times as high for England. State-level gaps in the HAQ Index in Mexico somewhat narrowed from 1990 to 2016 (from a 20·9-point to 17·0-point difference), whereas in Brazil, disparities slightly increased across states during this time (a 17·2-point to 20·4-point difference). Performance on the HAQ Index showed strong linkages to overall development, with high and high-middle SDI countries generally having higher scores and faster gains for non-communicable diseases. Nonetheless, countries across the development spectrum saw substantial gains in some key health service areas from 2000 to 2016, most notably vaccine-preventable diseases. Overall, national performance on the HAQ Index was positively associated with higher levels of total health spending per capita, as well as health systems inputs, but these relationships were quite heterogeneous, particularly among low-to-middle SDI countries. Interpretation GBD 2016 provides a more detailed understanding of past success and current challenges in improving personal health-care access and quality worldwide. Despite substantial gains since 2000, many low-SDI and middle-SDI countries face considerable challenges unless heightened policy action and investments focus on advancing access to and quality of health care across key health services, especially non-communicable diseases. Stagnating or minimal improvements experienced by several low-middle to high-middle SDI countries could reflect the complexities of re-orienting both primary and secondary health-care services beyond the more limited foci of the Millennium Development Goals. Alongside initiatives to strengthen public health programmes, the pursuit of universal health coverage hinges upon improving both access and quality worldwide, and thus requires adopting a more comprehensive view—and subsequent provision—of quality health care for all populations, Trends, Inequalities
Abstract

Background A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthcare Access and Quality (HAQ) Index for 195 countries and territories, as well as subnational locations in seven countries, from 1990 to 2016. Methods Drawing from established methods and updated estimates from GBD 2016, we used 32 causes from which death should not occur in the presence of effective care to approximate personal health-care access and quality by location and over time. To better isolate potential effects of personal health-care access and quality from underlying risk factor patterns, we risk-standardised cause-specific deaths due to non-cancers by location-year, replacing the local joint exposure of environmental and behavioural risks with the global level of exposure. Supported by the expansion of cancer registry data in GBD 2016, we used mortality-to-incidence ratios for cancers instead of risk-standardised death rates to provide a stronger signal of the effects of personal health care and access on cancer survival. We transformed each cause to a scale of 0-100, with 0 as the first percentile (worst) observed between 1990 and 2016, and 100 as the 99th percentile (best); we set these thresholds at the country level, and then applied them to subnational locations. We applied a principal components analysis to construct the HAQ Index using all scaled cause values, providing an overall score of 0-100 of personal health-care access and quality by location over time. We then compared HAQ Index levels and trends by quintiles on the Socio-demographic Index (SDI), a summary measure of overall development. As derived from the broader GBD study and other data sources, we examined relationships between national HAQ Index scores and potential correlates of performance, such as total health spending per capita. Findings In 2016, HAQ Index performance spanned from a high of 97.1 (95% UI 95.8-98.1) in Iceland, followed by 96.6 (94.9-97.9) in Norway and 96.1 (94.5-97.3) in the Netherlands, to values as low as 18.6 (13.1-24.4) in the Central African Republic, 19.0 (14.3-23.7) in Somalia, and 23.4 (20.2-26.8) in Guinea-Bissau. The pace of progress achieved between 1990 and 2016 varied, with markedly faster improvements occurring between 2000 and 2016 for many countries in sub-Saharan Africa and southeast Asia, whereas several countries in Latin America and elsewhere saw progress stagnate after experiencing considerable advances in the HAQ Index between 1990 and 2000. Striking subnational disparities emerged in personal health-care access and quality, with China and India having particularly large gaps between locations with the highest and lowest scores in 2016. In China, performance ranged from 91.5 (89.1-936) in Beijing to 48.0 (43.4-53.2) in Tibet (a 43.5-point difference), while India saw a 30.8-point disparity, from 64.8 (59.6-68.8) in Goa to 34.0 (30.3-38.1) in Assam. Japan recorded the smallest range in subnational HAQ performance in 2016 (a 4.8-point difference), whereas differences between subnational locations with the highest and lowest HAQ Index values were more than two times as high for the USA and three times as high for England. State-level gaps in the HAQ Index in Mexico somewhat narrowed from 1990 to 2016 (from a 20.9-point to 17.0-point difference), whereas in Brazil, disparities slightly increased across states during this time (a 17.2-point to 20.4-point difference). Performance on the HAQ Index showed strong linkages to overall development, with high and high-middle SDI countries generally having higher scores and faster gains for non-communicable diseases. Nonetheless, countries across the development spectrum saw substantial gains in some key health service areas from 2000 to 2016, most notably vaccine-preventable diseases. Overall, national performance on the HAQ Index was positively associated with higher levels of total health spending per capita, as well as health systems inputs, but these relationships were quite heterogeneous, particularly among low-to-middle SDI countries. Interpretation GBD 2016 provides a more detailed understanding of past success and current challenges in improving personal health-care access and quality worldwide. Despite substantial gains since 2000, many low-SDI and middle-SDI countries face considerable challenges unless heightened policy action and investments focus on advancing access to and quality of health care across key health services, especially non-communicable diseases. Stagnating or minimal improvements experienced by several low-middle to high-middle SDI countries could reflect the complexities of re-orienting both primary and secondary health-care services beyond the more limited foci of the Millennium Development Goals. Alongside initiatives to strengthen public health programmes, the pursuit of universal health coverage upon improving both access and quality worldwide, and thus requires adopting a more comprehensive view and subsequent provision of quality health care for all populations., Bill & Melinda Gates Foundation. Barbora de Courten is supported by a National Heart Foundation Future Leader Fellowship (100864). Ai Koyanagi’s work is supported by the Miguel Servet contract financed by the CP13/00150 and PI15/00862 projects, integrated into the National R + D + I and funded by the ISCIII —General Branch Evaluation and Promotion of Health Research—and the European Regional Development Fund (ERDF-FEDER). Alberto Ortiz was supported by Spanish Government (Instituto de Salud Carlos III RETIC REDINREN RD16/0019 FEDER funds). Ashish Awasthi acknowledges funding support from Department of Science and Technology, Government of India through INSPIRE Faculty scheme Boris Bikbov has received funding from the European Union’s Horizon 2020 research and innovation programme under Marie Sklodowska-Curie grant agreement No. 703226. Boris Bikbov acknowledges that work related to this paper has been done on the behalf of the GBD Genitourinary Disease Expert Group. Panniyammakal Jeemon acknowledges support from the clinical and public health intermediate fellowship from the Wellcome Trust and Department of Biotechnology, India Alliance (2015–20). Job F M van Boven was supported by the Department of Clinical Pharmacy & Pharmacology of the University Medical Center Groningen, University of Groningen, Netherlands. Olanrewaju Oladimeji is an African Research Fellow hosted by Human Sciences Research Council (HSRC), South Africa and he also has honorary affiliations with Walter Sisulu University (WSU), Eastern Cape, South Africa and School of Public Health, University of Namibia (UNAM), Namibia. He is indeed grateful for support from HSRC, WSU and UNAM. EUI is supported in part by the South African National Research Foundation (NRF UID: 86003). Ulrich Mueller acknowledges funding by the German National Cohort Study grant No 01ER1511/D, Gabrielle B Britton is supported by Secretaría Nacional de Ciencia, Tecnología e Innovación and Sistema Nacional de Investigación de Panamá. Giuseppe Remuzzi acknowledges that the work related to this paper has been done on behalf of the GBD Genitourinary Disease Expert Group. Behzad Heibati would like to acknowledge Air pollution Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran. Syed Aljunid acknowledges the National University of Malaysia for providing the approval to participate in this GBD Project. Azeem Majeed and Imperial College London are grateful for support from the Northwest London National Insititute of Health Research (NIHR) Collaboration for Leadership in Applied Health Research & Care. Tambe Ayuk acknowledges the Institute of Medical Research and Medicinal Plant Studies for office space provided. José das Neves was supported in his contribution to this work by a Fellowship from Fundação para a Ciência e a Tecnologia, Portugal (SFRH/BPD/92934/2013). João Fernandes gratefully acknowledges funding from FCT–Fundação para a Ciência e a Tecnologia (grant number UID/Multi/50016/2013). Jan-Walter De Neve was supported by the Alexander von Humboldt Foundation. Kebede Deribe is funded by a Wellcome Trust Intermediate Fellowship in Public Health and Tropical Medicine (201900). Kazem Rahimi was supported by grants from the Oxford Martin School, the NIHR Oxford BRC and the RCUK Global Challenges Research Fund. Laith J Abu-Raddad acknowledges the support of Qatar National Research Fund (NPRP 9-040-3-008) who provided the main funding for generating the data provided to the GBD-IHME effort. Liesl Zuhlke is funded by the national research foundation of South Africa and the Medical Research Council of South Africa. Monica Cortinovis acknowledges that work related to this paper has been done on the behalf of the GBD Genitourinary Disease Expert Group. Chuanhua Yu acknowleges support from the National Natural Science Foundation of China (grant number 81773552 and grant number 81273179) Norberto Perico acknowledges that work related to this paper has been done on behalf of the GBD Genitourinary Disease Expert Group. Charles Shey Wiysonge’s work is supported by the South African Medical Research Council and the National Research Foundation of South Africa (grant numbers 106035 and 108571). John J McGrath is supported by grant APP1056929 from the John Cade Fellowship from the National Health and Medical Research Council and the Danish National Research Foundation (Niels Bohr Professorship). Quique Bassat is an ICREA (Catalan Institution for Research and Advanced Studies) research professor at ISGlobal. Richard G White is funded by the UK MRC and the UK Department for International Development (DFID) under the MRC/DFID Concordat agreement that is also part of the EDCTP2 programme supported by the European Union (MR/P002404/1), the Bill & Melinda Gates Foundation (TB Modelling and Analysis Consortium: OPP1084276/OPP1135288, CORTIS: OPP1137034/OPP1151915, Vaccines: OPP1160830), and UNITAID (4214-LSHTM-Sept15; PO 8477-0-600). Rafael Tabarés-Seisdedos was supported in part by grant number PROMETEOII/2015/021 from Generalitat Valenciana and the national grant PI17/00719 from ISCIII-FEDER. Mihajlo Jakovljevic acknowleges contribution from the Serbian Ministry of Education Science and Technological Development of the Republic of Serbia (grant OI 175 014). Shariful Islam is funded by a Senior Fellowship from Institute for Physical Activity and Nutrition, Deakin University and received career transition grants from High Blood Pressure Research Council of Australia. Sonia Saxena is funded by various grants from the NIHR. Stefanos Tyrovolas was supported by the Foundation for Education and European Culture, the Sara Borrell postdoctoral program (reference number CD15/00019 from the Instituto de Salud Carlos III (ISCIII–Spain) and the Fondos Europeo de Desarrollo Regional. Stefanos was awarded with a 6 months visiting fellowship funding at IHME from M-AES (reference no. MV16/00035 from the Instituto de Salud Carlos III). S Vittal Katikreddi was funded by a NHS Research Scotland Senior Clinical Fellowship (SCAF/15/02), the MRC (MC_UU_12017/13 & MC_ UU_12017/15) and the Scottish Government Chief Scientist Office (SPHSU13 & SPHSU15). Traolach S Brugha has received funding from NHS Digital UK to collect data used in this study. The work of Hamid Badali was financially supported by Mazandaran University of Medical Sciences, Sari, Iran. The work of Stefan Lorkowski is funded by the German Federal Ministry of Education and Research (nutriCARD, Grant agreement number 01EA1411A). Mariam Molokhia’s research was supported by the National Institute for Health Research (NIHR) Biomedical Research Centre at Guy’s and St Thomas’ NHS Foundation Trust and King’s College London. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. We also thank the countless individuals who have contributed to GBD 2016 in various capacities.

Published
2018

25. 1st International Experts' Meeting on Agitation: Conclusions Regarding the Current and Ideal Management Paradigm of Agitation

Author

Jose Martinez-Raga, Pierre Vidailhet, Bo Skagen, Jens Kuhn, Gemma Safont, Guido Di Sciascio, Konstantinos Papageorgiou, Gabriel Moreno González, Marina Garriga, Maria M. Margariti, Ángel Royuela, Radu Ioan Florea, Mario Amore, Kai G. Kahl, Maurizio Pompili, B. Pacciardi, Joachim Scharfetter, Per Axel Karlsson, Kazuhiro Tajima-Pozo, Fabrice Rivollier, Producción Científica UCH 2018, and UCH. Departamento de Farmacia

Subjects
Schizophrenia - Treatment, Psychomotor agitation, lcsh:RC435-571, media_common.quotation_subject, Psychomotor disorders - Treatment, Review, Motor Hyperactivity, Psicosis maníaco depresiva - Tratamiento, Esquizofrenia - Farmacoterapia, Psicomotricidad - Trastornos - Tratamiento, 03 medical and health sciences, 0302 clinical medicine, Promotion (rank), Bipolar disorder, Clinical practice, Management, Psychomotor agitation, Schizophrenia, Psychiatry and Mental Health, Nursing, lcsh:Psychiatry, medicine, bipolar disorder, clinical practice, management, psychomotor agitation, schizophrenia, Manic-depressive illness, 030212 general & internal medicine, Manic-Depressive illness - Treatment, media_common, Psychiatry, Protocol (science), Psicosis maníaco depresiva - Farmacoterapia, Trastorn bipolar, Health professionals, Cognition, Manic-Depressive illnes - Chemotherapy, 030227 psychiatry, Clinical Practice, Schizophrenia - Chemotherapy, Psychiatry and Mental health, Schizophrenia, Esquizofrènia, Esquizofrenia - Tratamiento, medicine.symptom, Emotional arousal, Psychology
Abstract

Este artículo se encuentra disponible en la página web de la revista en la siguiente URL: https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00054/full En este artículo científico participan los siguientes autores: Mario Amore, Guido Di Sciascio, Radu Ioan Florea, Marina Garriga, Gabriel Gonzalez, Kai G. Kahl, Per-Axel Karlsson, Jens Kuhn, Maria Margariti, Bruno Pacciardi, Konstantinos Papageorgiou, Maurizio Pompili, Fabrice Rivollier, Ángel Royuela, Gemma Safont, Joachim Scharfetter, Bo Skagen, Kazuhiro Tajima-Pozo y Pierre Vidailhet. Agitation is a heterogeneous concept without a uniformly accepted definition, however, it is generally considered as a state of cognitive and motor hyperactivity characterized by excessive or inappropriate motor or verbal activity with marked emotional arousal. Not only the definition but also other aspects of agitated patients’ care are still unsolved and need consensus and improvement. To help the discussion about agitation among experts and improve the identification, management, and treatment of agitation, the 1st International Experts’ Meeting on Agitation was held in October 2016 in Madrid. It was attended by 20 experts from Europe and Latin America with broad experience in the clinical management of agitated patients. The present document summarizes the key conclusions of this meeting and highlights the need for an updated protocol of agitation management and treatment, the promotion of education and training among healthcare professionals to improve the care of these patients and the necessity to generate clinical data of agitated episodes.

Published
2018

26. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systematic analysis for the Global Burden of Disease Study 2015

Author

Haidong, Wang, Mohsen, Naghavi, Christine, Allen, Ryan M, Barber Zulfi, qar A, Bhutta, Austin, Carter, Daniel C, Casey Fiona, J Charlson, Alan Zian, Chen Matthew, M Coates, Megan, Coggeshall, Lalit, Dandona, Daniel J, Dicker Holly, E Erskine, Alize J, Ferrari, Christina, Fitzmaurice, Kyle, Foreman, Mohammad H, Forouzanfar Maya, S Fraser, Nancy, Fullman, Peter W, Gething Ellen, M Goldberg, Nicholas, Graetz, Juanita A, Haagsma Simon, I Hay, Chantal, Huynh, Catherine O, Johnson Nicholas, J Kassebaum, Yohannes, Kinfu, Xie Rachel, Kulikoff, Michael, Kutz, Hmwe H, Kyu Heidi, J Larson, Janni, Leung, Xiaofeng, Liang, Stephen S, Lim, Margaret, Lind, Rafael, Lozano, Neal, Marquez, George A, Mensah, Joe, Mikesell, Ali H, Mokdad Meghan, D Mooney, Grant, Nguyen, Elaine, Nsoesie, David M, Pigott, Christine, Pinho, Gregory A, Roth Joshua, A Salomon, Logan, Sandar, Naris, Silpakit, Amber, Sligar, Reed J, D Sorensen, Jeff rey, Stanaway, Caitlyn, Steiner, Stephanie, Teeple, Bernadette A, Thomas, Christopher, Troeger, Amelia, VanderZanden, Stein Emil, Vollset, Valentine, Wanga, Harvey A, Whiteford, Timothy, Wolock, Leo, Zoeckler, Kalkidan Hassen, Abate, Cristiana, Abbafati, Kaja M, Abbas, Foad, Abd-Allah, Semaw Ferede, Abera Daisy, M X, Abreu Laith, J Abu-Raddad, Gebre Yitayih, Abyu, Tom, Achoki, Ademola Lukman, Adelekan Zanfi, na Ademi, Arsène Kouablan, Adou José, C Adsuar, Kossivi Agbelenko, Afanvi, Ashkan, Afshin, Emilie Elisabet, Agardh, Arnav, Agarwal, Anurag, Agrawal, Aliasghar Ahmad, Kiadaliri Oluremi, N Ajala, Ali Shafqat, Akanda Rufus, Olusola Akinyemi, Tomi F, Akinyemiju, Nadia, Akseer, Faris Hasan, Al Lami, Samer, Alabed, Ziyad, Al-Aly, Khurshid, Alam, Noore K, M Alam, Deena, Alasfoor, Saleh Fahed, Aldhahri Robert, William Aldridge, Miguel Angel, Alegretti Alicia, V Aleman, Zewdie Aderaw, Alemu Lily, T Alexander, Samia, Alhabib, Raghib, Ali, Ala’a, Alkerwi, François, Alla, Peter, Allebeck, Rajaa, Al-Raddadi, Ubai, Alsharif, Khalid A, Altirkawi Elena, Alvarez Martin, Nelson, Alvis-Guzman, Azmeraw T, Amare Adeladza, Kofi Amegah, Emmanuel A, Ameh, Heresh, Amini, Walid, Ammar, Stephen Marc, Amrock Hjalte, H Andersen, Benjamin O, Anderson Gregory, M Anderson, Carl Abelardo, T Antonio, Atsede Fantahun, Aregay, Johan, Ärnlöv, Valentina S, Arsic Arsenijevic, Al, Artaman, Hamid, Asayesh, Rana Jawad, Asghar, Suleman, Atique, Euripide Frinel, G Arthur, Avokpaho, Ashish, Awasthi, Peter, Azzopardi, Umar, Bacha, Alaa, Badawi, Maria C, Bahit, Kalpana, Balakrishnan, Amitava, Banerjee, Aleksandra, Barac, Suzanne L, Barker-Collo, Till, Bärnighausen, Lars, Barregard, Lope H, Barrero, Arindam, Basu, Sanjay, Basu, Yibeltal Tebekaw, Bayou, Shahrzad, Bazargan-Hejazi, Justin, Beardsley, Neeraj, Bedi, Ettore, Beghi, Haileeyesus Adamu, Belay, Brent, Bell, Michelle L, Bell Aminu, K Bello, Derrick A, Bennett Isabela, M Bensenor, Adugnaw, Berhane, Eduardo, Bernabé, Balem Demtsu, Betsu Addisu, Shunu Beyene, Neeraj, Bhala, Ashish, Bhalla, Sibhatu, Biadgilign, Boris, Bikbov, Aref A, Bin Abdulhak, Brian J, Biroscak, Stan, Biryukov, Espen, Bjertness, Jed D, Blore Christopher, D Blosser, Megan A, Bohensky, Rohan, Borschmann, Dipan, Bose, Rupert R, A Bourne, Michael, Brainin, Carol E, G Brayne, Alexandra, Brazinova, Nicholas J, K Breitborde, Hermann, Brenner, Jerry D, Brewer, Alexandria, Brown, Jonathan, Brown, Traolach S, Brugha Geoff, rey Colin, Buckle Zahid, A Butt, Bianca, Calabria, Ismael Ricardo, Campos-Nonato Julio, Cesar Campuzano, Jonathan R, Carapetis, Rosario, Cárdenas, David O, Carpenter Juan, Jesus Carrero, Carlos A, Castañeda-Orjuela Jacqueline, Castillo Rivas, Ferrán, Catalá-López, Fiorella, Cavalleri, Kelly, Cercy, Jorge, Cerda, Wanqing, Chen, Adrienne, Chew, Peggy Pei-Chia, Chiang, Mirriam, Chibalabala, Chioma Ezinne, Chibueze, Odgerel, Chimed-Ochir, Vesper Hichilombwe, Chisumpa Jee-Young, Jasmine Choi, Rajiv, Chowdhury, Hanne, Christensen, Devasahayam Jesudas, Christopher Liliana, G Ciobanu, Cirillo Massimo, Aaron J, Cohen, Valentina, Colistro, Mercedes, Colomar, Samantha M, Colquhoun, Cyrus, Cooper, Leslie Trumbull, Cooper, Monica, Cortinovis, Benjamin C, Cowie John, A Crump, James, Damsere-Derry, Hadi, Danawi, Rakhi, Dandona, Farah, Daoud, Sarah C, Darby Paul, I Dargan, José das, Neves, Gail, Davey, Adrian C, Davis Dragos, V Davitoiu, E Filipa, de Castro, Pieter de, Jager Diego, De Leo, Louisa, Degenhardt, Robert P, Dellavalle, Kebede, Deribe, Amare, Deribew, Samath D, Dharmaratne Preet, K Dhillon, Cesar, Diaz-Torné, Eric L, Ding Kadine, Priscila Bender, dos Santos, Edem, Dossou, Tim R, Driscoll, Leilei, Duan, Manisha, Dubey, Bruce Bartholow, Duncan Richard, G Ellenbogen, Christian Lycke, Ellingsen, Iqbal, Elyazar, Aman Yesuf, Endries Sergey, Petrovich Ermakov, Babak, Eshrati, Alireza, Esteghamati, Kara, Estep, Imad D, A Faghmous, Saman, Fahimi, Emerito Jose, Aquino Faraon, Talha A, Farid Carla, Sofi a, e Sa, Farinha, André, Faro, Maryam S, Farvid, Farshad, Farzadfar, Valery L, Feigin, Seyed-Mohammad, Fereshtehnejad, Jeff erson, G Fernandes, Joao C, Fernandes, Florian, Fischer, Joseph R, A Fitchett, Abraham, Flaxman, Nataliya, Foigt, F Gerry, R Fowkes, Elisabeth Barboza, Franca Richard, C Franklin, Joseph, Friedman, Joseph, Frostad, Thomas, Fürst, Neal D, Futran Seana, L Gall, Ketevan, Gambashidze, Amiran, Gamkrelidze, Parthasarathi, Ganguly, Fortuné Gbètoho, Gankpé, Teshome, Gebre, Tsegaye Tsewelde, Gebrehiwot Amanuel, Tesfay Gebremedhin, Alemseged Aregay, Gebru Johanna, M Geleijnse, Bradford D, Gessner Aloke, Gopal Ghoshal, Katherine B, Gibney Richard, F Gillum, Stuart, Gilmour, Ababi Zergaw, Giref, Maurice, Giroud, Melkamu Dedefo, Gishu, Giorgia, Giussani, Elizabeth, Glaser, William W, Godwin, Hector, Gomez-Dantes, Philimon, Gona, Amador, Goodridge, Sameer Vali, Gopalani Richard, A Gosselin, Carolyn C, Gotay, Atsushi, Goto, Hebe N, Gouda, Felix, Greaves, Harish Chander, Gugnani, Rahul, Gupta, Rajeev, Gupta, Vipin, Gupta, Reyna A, Gutiérrez, Nima, Hafezi-Nejad, Demewoz, Haile, Alemayehu Desalegne, Hailu Gessessew, Bugssa Hailu, Yara A, Halasa Randah, Ribhi Hamadeh, Samer, Hamidi, Jamie, Hancock, Alexis J, Handal Graeme, J Hankey, Yuantao, Hao, Hilda L, Harb, Sivadasanpillai, Harikrishnan, Josep Maria, Haro, Rasmus, Havmoeller, Susan R, Heckbert Ileana, Beatriz Heredia-Pi, Pouria, Heydarpour, Henk B, M Hilderink, Hans W, Hoek Robert, S Hogg, Masako, Horino, Nobuyuki, Horita, H Dean, Hosgood Peter, J Hotez, Damian G, Hoy, Mohamed, Hsairi, Aung Soe, Htet Maung, Maung Than, Htike, Guoqing, Hu, Cheng, Huang, Hsiang, Huang, Laetitia, Huiart, Abdullatif, Husseini, Inge, Huybrechts, Grace, Huynh, Kim Moesgaard, Iburg, Kaire, Innos, Manami, Inoue, Veena J, Iyer Troy, A Jacobs, Kathryn H, Jacobsen, Nader, Jahanmehr, Mihajlo B, Jakovljevic, Peter, James, Mehdi, Javanbakht, Sudha P, Jayaraman Achala, Upendra Jayatilleke, Panniyammakal, Jeemon, Paul N, Jensen, Vivekanand, Jha, Guohong, Jiang, Ying, Jiang, Tariku, Jibat, Aida, Jimenez-Corona, Jost B, Jonas Tushar, Kant Joshi, Zubair, Kabir, Ritul, Kamal, Haidong, Kan, Surya, Kant, André, Karch, Corine Kakizi, Karema, Chante, Karimkhani, Dimitris, Karletsos, Ganesan, Karthikeyan, Amir, Kasaeian, Marzieh, Katibeh, Anil, Kaul, Norito, Kawakami, Jeanne Françoise, Kayibanda Peter, Njenga Keiyoro, Laura, Kemmer, Andrew Haddon, Kemp Andre, Pascal Kengne, Andre, Keren, Maia, Kereselidze, Chandrasekharan Nair, Kesavachandran Yousef, Saleh Khader, Ibrahim A, Khalil Abdur, Rahman Khan, Ejaz Ahmad, Khan, Young-Ho, Khang, Sahil, Khera, Tawfi k, Ahmed Muthafer, Khoja, Christian, Kieling, Daniel, Kim, Yun Jin, Kim Brett, M Kissela, Niranjan, Kissoon, Luke D, Knibbs Ann, Kristin Knudsen, Yoshihiro, Kokubo, Dhaval, Kolte, Jacek A, Kopec, Soewarta, Kosen, Parvaiz A, Koul, Ai, Koyanagi, Norun Hjertager, Krog Barthelemy, Kuate Defo, Burcu Kucuk, Bicer Andreas, A Kudom, Ernst J, Kuipers Veena, S Kulkarni, G Anil, Kumar Gene, F Kwan, Aparna, Lal, Dharmesh Kumar, Lal, Ratilal, Lalloo, Hilton, Lam, Jennifer O, Lam Sinead, M Langan, Van C, Lansingh, Anders, Larsson, Dennis Odai, Laryea Asma, Abdul Latif, Alicia Elena, Beatriz Lawrynowicz, James, Leigh, Miriam, Levi, Yongmei, Li, M Patrice, Lindsay Steven, E Lipshultz, Patrick Y, Liu, Shiwei, Liu, Yang, Liu, Loon-Tzian, Lo, Giancarlo, Logroscino, Paulo A, Lotufo Robyn, M Lucas, Raimundas, Lunevicius, Ronan A, Lyons, Stefan, Ma, Vasco Manuel, Pedro Machado, Mark T, Mackay Jennifer, H MacLachlan, Hassan Magdy, Abd El, Razek Mohammed, Magdy Abd, El Razek, Marek, Majdan, Azeem, Majeed, Reza, Malekzadeh, Wondimu Ayele, Ayele Manamo, John, Mandisarisa, Srikanth, Mangalam, Chabila C, Mapoma, Wagner, Marcenes, David Joel, Margolis Gerard, Robert Martin, Jose, Martinez-Raga, Melvin Barrientos, Marzan, Felix, Masiye, Amanda J, Mason-Jones, João, Massano, Richard, Matzopoulos, Bongani M, Mayosi Stephen, Theodore McGarvey, John J, McGrath, Martin, McKee, McMahon Peter, A Meaney, Alem, Mehari, Man Mohan, Mehndiratta, Fabiola, Mejia-Rodriguez, Alemayehu B, Mekonnen Yohannes, Adama Melaku, Peter, Memiah, Ziad A, Memish, Walter, Mendoza, Atte, Meretoja, Tuomo J, Meretoja Francis, Apolinary Mhimbira, Renata, Micha, Ted R, Miller Mojde, Mirarefi n, Awoke, Misganaw, Charles N, Mock Karzan, Abdulmuhsin Mohammad, Alireza, Mohammadi, Shafi u, Mohammed, Viswanathan, Mohan, Glen Liddell, D Mola, Lorenzo, Monasta, Julio Cesar, Montañez Hernandez, Pablo, Montero, Marcella, Montico, Thomas J, Montine, Maziar, Moradi-Lakeh, Lidia, Morawska, Katherine, Morgan, Rintaro, Mori, Dariush Mozaff, arian Ulrich, O Mueller, Gudlavalleti Venkata, Satyanarayana Murthy, Srinivas, Murthy, Kamarul Imran, Musa Jean, B Nachega, Gabriele, Nagel, Kovin S, Naidoo, Nitish, Naik, Luigi, Naldi, Vinay, Nangia, Denis, Nash, Chakib, Nejjari, Subas, Neupane, Charles R, Newton John, N Newton, Marie, Ng, Frida Namnyak, Ngalesoni Jean, de Dieu, Ngirabega Quyen, Le Nguyen, Muhammad Imran, Nisar Patrick, Martial Nkamedjie, Pete, Marika, Nomura, Ole F, Norheim Paul, E Norman, Bo, Norrving, Luke, Nyakarahuka, Felix Akpojene, Ogbo, Takayoshi, Ohkubo, Foluke Adetola, Ojelabi Pedro, R Olivares, Bolajoko Olubukunola, Olusanya Jacob, Olusegun Olusanya, John Nelson, Opio, Eyal, Oren, Alberto, Ortiz, Majdi, Osman, Erika, Ota, Raziye, Ozdemir, Mahesh, PA, Jeyaraj D, Pandian Puspa, Raj Pant, Christina, Papachristou, Eun-Kee, Park, Jae-Hyun, Park, Charles D, Parry, Mahboubeh, Parsaeian, Angel J, Paternina Caicedo, Scott B, Patten George, C Patton, Vinod K, Paul, Neil, Pearce, João Mário, Pedro Ljiljana, Pejin Stokic, Pereira, Norberto, Perico, Konrad, Pesudovs, Max, Petzold, Michael Robert, Phillips Frédéric, B Piel, Julian David, Pillay, Dietrich, Plass, James A, Platts-Mills, Suzanne, Polinder, C Arden, Pope, Svetlana, Popova, Richie G, Poulton, Farshad, Pourmalek, Dorairaj, Prabhakaran, Mostafa, Qorbani, Justice, Quame-Amaglo, D Alex, Quistberg, Anwar, Rafay, Kazem, Rahimi, Vafa, Rahimi-Movaghar, Mahfuzar, Rahman, Mohammad Hifz, Ur Rahman, Sajjad Ur, Rahman Rajesh, Kumar Rai, Zhale, Rajavi, Sasa, Rajsic, Murugesan, Raju, Ivo, Rakovac, Saleem M, Rana Chhabi, L Ranabhat, Thara, Rangaswamy, Puja, Rao, Sowmya R, Rao Amany, H Refaat, Jürgen, Rehm, Marissa B, Reitsma, Giuseppe, Remuzzi, Serge Resnikoff, Antonio L, Ribeiro, Stefano, Ricci, Maria Jesus, Rios Blancas, Bayard, Roberts, Anna, Roca, David, Rojas-Rueda, Luca, Ronfani, Gholamreza, Roshandel, Dietrich, Rothenbacher, Ambuj, Roy, Nawal K, Roy George, Mugambage Ruhago, Rajesh, Sagar, Sukanta, Saha, Ramesh, Sahathevan, Muhammad Muhammad, Saleh Juan, R Sanabria, Maria Dolores, Sanchez-Niño, Lidia, Sanchez-Riera, Itamar S, Santos, Rodrigo, Sarmiento-Suarez, Benn, Sartorius, Maheswar, Satpathy, Miloje, Savic, Monika, Sawhney, Michael P, Schaub Maria, Inês Schmidt, Ione J, C Schneider, Ben, Schöttker, Aletta E, Schutte David, C Schwebel, Soraya, Seedat, Sadaf G, Sepanlou Edson, E Servan-Mori, Katya A, Shackelford, Gavin, Shaddick, Amira, Shaheen, Saeid, Shahraz, Masood Ali, Shaikh, Marina, Shakh-Nazarova, Rajesh, Sharma, Jun, She, Sara, Sheikhbahaei, Jiabin, Shen, Ziyan, Shen, Donald S, Shepard Kevin, N Sheth, Balakrishna P, Shetty, Peilin, Shi, Kenji, Shibuya, Min-Jeong, Shin, Rahman, Shiri, Ivy, Shiue, Mark G, Shrime Inga, Dora Sigfusdottir, Donald H, Silberberg Diego, Augusto Santos, Silva Dayane, Gabriele Alves, Silveira Jonathan, I Silverberg, Edgar P, Simard, Abhishek, Singh, Gitanjali M, Singh Jasvinder, A Singh, Om Prakash, Singh Prashant, Kumar Singh, Virendra, Singh, Samir, Soneji, Kjetil, Søreide, Joan B, Soriano Luciano, A Sposato, Chandrashekhar T, Sreeramareddy, Vasiliki, Stathopoulou, Dan J, Stein Murray, B Stein, Saverio, Stranges, Konstantinos, Stroumpoulis, Bruno F, Sunguya, Patrick, Sur, Soumya, Swaminathan, Bryan L, Sykes Cassandra, E I, Szoeke, Rafael, Tabarés-Seisdedos, Karen M, Tabb, Ken, Takahashi, Jukka S, Takala Roberto, Tchio Talongwa, Nikhil, Tandon, Mohammad, Tavakkoli, Bineyam, Taye, Hugh R, Taylor Braden, J Te, Ao Bemnet, Amare Tedla, Worku Mekonnen, Tefera Margreet, Ten Have, Abdullah Sulieman, Terkawi Fisaha, Haile Tesfay, Gizachew Assefa, Tessema Alan, J Thomson, Andrew L, Thorne-Lyman Amanda, G Thrift, George D, Thurston, Taavi, Tillmann, David L, Tirschwell, Marcello, Tonelli, Roman, Topor-Madry, Fotis, Topouzis, Allen Towbin, Traebert Bach, Xuan Tran, Thomas, Truelsen, Ulises, Trujillo, Abera Kenay, Tura Emin, Murat Tuzcu, Uche S, Uchendu Kingsley, N Ukwaja, Eduardo A, Undurraga Olalekan, A Uthman, Rita Van, Dingenen Aaron, van Donkelaar, Tommi, Vasankari, Ana Maria, Nogales Vasconcelos, Narayanaswamy, Venketasubramanian, Ramesh, Vidavalur, Lakshmi, Vijayakumar, Salvador, Villalpando, Francesco S, Violante Vasiliy, Victorovich Vlassov, Joseph A, Wagner Gregory, R Wagner, Mitchell T, Wallin, Linhong, Wang, David A, Watkins, Scott, Weichenthal, Elisabete, Weiderpass, Robert G, Weintraub, Andrea, Werdecker, Ronny, Westerman, Richard A, White, Tissa, Wijeratne, James D, Wilkinson Hywel, C Williams, Charles Shey, Wiysonge Solomon, Meseret Woldeyohannes, A Wolfe, Sungho, Won, John Q, Wong Anthony, D Woolf, Denis, Xavier, Qingyang, Xiao, Gelin, Xu, Bereket, Yakob, Ayalnesh Zemene, Yalew Lijing, L Yan, Yuichiro, Yano, Mehdi, Yaseri, Pengpeng, Ye, Henock Gebremedhin, Yebyo, Paul, Yip, Biruck Desalegn, Yirsaw, Naohiro, Yonemoto, Gerald, Yonga, Mustafa Z, Younis, Shicheng, Yu, Zoubida, Zaidi, Maysaa El, Sayed Zaki, Faiez, Zannad, Diego E, Zavala, Hajo, Zeeb, Berihun M, Zeleke, Hao, Zhang, Sanjay, Zodpey, David, Zonies, Liesl Joanna, Zuhlke, Theo, Vos, Alan D, Lopez Christopher, J L, Murray., Haidong, Wang, Mohsen, Naghavi, Christine, Allen, Ryan, M, Barber, Zulfi, Qar, A, Bhutta, Austin, Carter, Daniel, C, Casey, Fiona, J, Charlson, Alan, Zian, Chen, Matthew, M, Coate, Megan, Coggeshall, Lalit, Dandona, Daniel, J, Dicker, Holly, E, Erskine, Alize, J, Ferrari, Christina, Fitzmaurice, Kyle, Foreman, Mohammad, H, Forouzanfar, Maya, S, Fraser, Nancy, Fullman, Peter, W, Gething, Ellen, M, Goldberg, Nicholas, Graetz, Juanita, A, Haagsma, Simon, I, Hay, Chantal, Huynh, Catherine, O, Johnson, Nichola, J, Kassebaum, Yohannes, Kinfu, Xie, Rachel, Kulikoff, Michael, Kutz, Hmwe, H, Kyu, Heidi, J, Larson, Janni, Leung, Xiaofeng, Liang, Stephen, S, Lim, Margaret, Lind, Rafael, Lozano, Neal, Marquez, George, A, Mensah, Joe, Mikesell, Ali, H, Mokdad, Meghan, D, Mooney, Grant, Nguyen, Elaine, Nsoesie, David, M, Pigott, Christine, Pinho, Gregory, A, Roth, Joshua, A, Salomon, Logan, Sandar, Naris, Silpakit, Amber, Sligar, Reed, J, D, Sorensen, Jeff, Rey, Stanaway, Caitlyn, Steiner, Stephanie, Teeple, Bernadette, A, Thomas, Christopher, Troeger, Amelia, Vanderzanden, Stein, Emil, Vollset, Valentine, Wanga, Harvey, A, Whiteford, Timothy, Wolock, Leo, Zoeckler, Kalkidan, Hassen, Abate, Cristiana, Abbafati, Kaja, M, Abbas, Foad, Abd-Allah, Semaw, Ferede, Abera, Daisy, M, X, Abreu, Laith, J, Abu-Raddad, Gebre, Yitayih, Abyu, Tom, Achoki, Ademola, Lukman, Adelekan, Zanfi, Na, Ademi, Arsène, Kouablan, Adou, José, C, Adsuar, Kossivi, Agbelenko, Afanvi, Ashkan, Afshin, Emilie, Elisabet, Agardh, Arnav, Agarwal, Anurag, Agrawal, Aliasghar, Ahmad, Kiadaliri, Oluremi, N, Ajala, Ali, Shafqat, Akanda, Rufu, Olusola, Akinyemi, Tomi, F, Akinyemiju, Nadia, Akseer, Faris, Hasan, Al, Lami, Samer, Alabed, Ziyad, Al-Aly, Khurshid, Alam, Noore, K, M, Alam, Deena, Alasfoor, Saleh, Fahed, Aldhahri, Robert, William, Aldridge, Miguel, Angel, Alegretti, Alicia, V, Aleman, Zewdie, Aderaw, Alemu, Lily, T, Alexander, Samia, Alhabib, Raghib, Ali, Ala’A, Alkerwi, François, Alla, Peter, Allebeck, Rajaa, Al-Raddadi, Ubai, Alsharif, Khalid, A, Altirkawi, Elena, Alvarez, Martin, Nelson, Alvis-Guzman, Azmeraw, T, Amare, Adeladza, Kofi, Amegah, Emmanuel, A, Ameh, Heresh, Amini, Walid, Ammar, Stephen, Marc, Amrock, Hjalte, H, Andersen, Benjamin, O, Anderson, Gregory, M, Anderson, Carl, Abelardo, T, Antonio, Atsede, Fantahun, Aregay, Johan, Ärnlöv, Valentina, S, Arsic, Arsenijevic, Al, Artaman, Hamid, Asayesh, Rana, Jawad, Asghar, Suleman, Atique, Euripide, Frinel, G, Arthur, Avokpaho, Ashish, Awasthi, Peter, Azzopardi, Umar, Bacha, Alaa, Badawi, Maria, C, Bahit, Kalpana, Balakrishnan, Amitava, Banerjee, Aleksandra, Barac, Suzanne, L, Barker-Collo, Till, Bärnighausen, Lars, Barregard, Lope, H, Barrero, Arindam, Basu, Sanjay, Basu, Yibeltal, Tebekaw, Bayou, Shahrzad, Bazargan-Hejazi, Justin, Beardsley, Neeraj, Bedi, Ettore, Beghi, Haileeyesus, Adamu, Belay, Brent, Bell, Michelle, L, Bell, Aminu, K, Bello, Derrick, A, Bennett, Isabela, M, Bensenor, Adugnaw, Berhane, Eduardo, Bernabé, Balem, Demtsu, Betsu, Addisu, Shunu, Beyene, Neeraj, Bhala, Ashish, Bhalla, Sibhatu, Biadgilign, Boris, Bikbov, Aref, A, Bin, Abdulhak, Brian, J, Biroscak, Stan, Biryukov, Espen, Bjertne, Jed, D, Blore, Christopher, D, Blosser, Megan, A, Bohensky, Rohan, Borschmann, Dipan, Bose, Rupert, R, A, Bourne, Michael, Brainin, Carol, E, G, Brayne, Alexandra, Brazinova, Nicholas, J, K, Breitborde, Hermann, Brenner, Jerry, D, Brewer, Alexandria, Brown, Jonathan, Brown, Traolach, S, Brugha, Geoff, Rey, Colin, Buckle, Zahid, A, Butt, Bianca, Calabria, Ismael, Ricardo, Campos-Nonato, Julio, Cesar, Campuzano, Jonathan, R, Carapetis, Rosario, Cárdena, David, O, Carpenter, Juan, Jesus, Carrero, Carlos, A, Castañeda-Orjuela, Jacqueline, Castillo, Riva, Ferrán, Catalá-López, Fiorella, Cavalleri, Kelly, Cercy, Jorge, Cerda, Wanqing, Chen, Adrienne, Chew, Peggy, Pei-Chia, Chiang, Mirriam, Chibalabala, Chioma, Ezinne, Chibueze, Odgerel, Chimed-Ochir, Vesper, Hichilombwe, Chisumpa, Jee-Young, Jasmine, Choi, Rajiv, Chowdhury, Hanne, Christensen, Devasahayam, Jesuda, Christopher, Liliana, G, Ciobanu, Cirillo, Massimo, Aaron, J, Cohen, Valentina, Colistro, Mercedes, Colomar, Samantha, M, Colquhoun, Cyrus, Cooper, Leslie, Trumbull, Cooper, Monica, Cortinovi, Benjamin, C, Cowie, John, A, Crump, James, Damsere-Derry, Hadi, Danawi, Rakhi, Dandona, Farah, Daoud, Sarah, C, Darby, Paul, I, Dargan, José, Da, Neves, Gail, Davey, Adrian, C, Davis, Drago, V, Davitoiu, E, Filipa, De, Castro, Pieter, De, Jager, Diego, De, Leo, Louisa, Degenhardt, Robert, P, Dellavalle, Kebede, Deribe, Amare, Deribew, Samath, D, Dharmaratne, Preet, K, Dhillon, Cesar, Diaz-Torné, Eric, L, Ding, Kadine, Priscila, Bender, Dos, Santo, Edem, Dossou, Tim, R, Driscoll, Leilei, Duan, Manisha, Dubey, Bruce, Bartholow, Duncan, Richard, G, Ellenbogen, Christian, Lycke, Ellingsen, Iqbal, Elyazar, Aman, Yesuf, Endries, Sergey, Petrovich, Ermakov, Babak, Eshrati, Alireza, Esteghamati, Kara, Estep, Imad, D, A, Faghmou, Saman, Fahimi, Emerito, Jose, Aquino, Faraon, Talha, A, Farid, Carla, Sofi, A, E, Sa, Farinha, André, Faro, Maryam, S, Farvid, Farshad, Farzadfar, Valery, L, Feigin, Seyed-Mohammad, Fereshtehnejad, Jeff, Erson, G, Fernande, Joao, C, Fernandes, Florian, Fischer, Joseph, R, A, Fitchett, Abraham, Flaxman, Nataliya, Foigt, F, Gerry, R, Fowke, Elisabeth, Barboza, Franca, Richard, C, Franklin, Joseph, Friedman, Joseph, Frostad, Thomas, Fürst, Neal, D, Futran, Seana, L, Gall, Ketevan, Gambashidze, Amiran, Gamkrelidze, Parthasarathi, Ganguly, Fortuné, Gbètoho, Gankpé, Teshome, Gebre, Tsegaye, Tsewelde, Gebrehiwot, Amanuel, Tesfay, Gebremedhin, Alemseged, Aregay, Gebru, Johanna, M, Geleijnse, Bradford, D, Gessner, Aloke, Gopal, Ghoshal, Katherine, B, Gibney, Richard, F, Gillum, Stuart, Gilmour, Ababi, Zergaw, Giref, Maurice, Giroud, Melkamu, Dedefo, Gishu, Giorgia, Giussani, Elizabeth, Glaser, William, W, Godwin, Hector, Gomez-Dante, Philimon, Gona, Amador, Goodridge, Sameer, Vali, Gopalani, Richard, A, Gosselin, Carolyn, C, Gotay, Atsushi, Goto, Hebe, N, Gouda, Felix, Greave, Harish, Chander, Gugnani, Rahul, Gupta, Rajeev, Gupta, Vipin, Gupta, Reyna, A, Gutiérrez, Nima, Hafezi-Nejad, Demewoz, Haile, Alemayehu, Desalegne, Hailu, Gessessew, Bugssa, Hailu, Yara, A, Halasa, Randah, Ribhi, Hamadeh, Samer, Hamidi, Jamie, Hancock, Alexis, J, Handal, Graeme, J, Hankey, Yuantao, Hao, Hilda, L, Harb, Sivadasanpillai, Harikrishnan, Josep, Maria, Haro, Rasmus, Havmoeller, Susan, R, Heckbert, Ileana, Beatriz, Heredia-Pi, Pouria, Heydarpour, Henk, B, M, Hilderink, Hans, W, Hoek, Robert, S, Hogg, Masako, Horino, Nobuyuki, Horita, H, Dean, Hosgood, Peter, J, Hotez, Damian, G, Hoy, Mohamed, Hsairi, Aung, Soe, Htet, Maung, Maung, Than, Htike, Guoqing, Hu, Cheng, Huang, Hsiang, Huang, Laetitia, Huiart, Abdullatif, Husseini, Inge, Huybrecht, Grace, Huynh, Kim, Moesgaard, Iburg, Kaire, Inno, Manami, Inoue, Veena, J, Iyer, Troy, A, Jacob, Kathryn, H, Jacobsen, Nader, Jahanmehr, Mihajlo, B, Jakovljevic, Peter, Jame, Mehdi, Javanbakht, Sudha, P, Jayaraman, Achala, Upendra, Jayatilleke, Panniyammakal, Jeemon, Paul, N, Jensen, Vivekanand, Jha, Guohong, Jiang, Ying, Jiang, Tariku, Jibat, Aida, Jimenez-Corona, Jost, B, Jonas, Tushar, Kant, Joshi, Zubair, Kabir, Ritul, Kamal, Haidong, Kan, Surya, Kant, André, Karch, Corine, Kakizi, Karema, Chante, Karimkhani, Dimitris, Karletso, Ganesan, Karthikeyan, Amir, Kasaeian, Marzieh, Katibeh, Anil, Kaul, Norito, Kawakami, Jeanne, Françoise, Kayibanda, Peter, Njenga, Keiyoro, Laura, Kemmer, Andrew, Haddon, Kemp, Andre, Pascal, Kengne, Andre, Keren, Maia, Kereselidze, Chandrasekharan, Nair, Kesavachandran, Yousef, Saleh, Khader, Ibrahim, A, Khalil, Abdur, Rahman, Khan, Ejaz, Ahmad, Khan, Young-Ho, Khang, Sahil, Khera, Tawfi, K, Ahmed, Muthafer, Khoja, Christian, Kieling, Daniel, Kim, Yun, Jin, Kim, Brett, M, Kissela, Niranjan, Kissoon, Luke, D, Knibbs, Ann, Kristin, Knudsen, Yoshihiro, Kokubo, Dhaval, Kolte, Jacek, A, Kopec, Soewarta, Kosen, Parvaiz, A, Koul, Ai, Koyanagi, Norun, Hjertager, Krog, Barthelemy, Kuate, Defo, Burcu, Kucuk, Bicer, Andrea, A, Kudom, Ernst, J, Kuipers, Veena, S, Kulkarni, G, Anil, Kumar, Gene, F, Kwan, Aparna, Lal, Dharmesh, Kumar, Lal, Ratilal, Lalloo, Hilton, Lam, Jennifer, O, Lam, Sinead, M, Langan, Van, C, Lansingh, Anders, Larsson, Dennis, Odai, Laryea, Asma, Abdul, Latif, Alicia, Elena, Beatriz, Lawrynowicz, James, Leigh, Miriam, Levi, Yongmei, Li, M, Patrice, Lindsay, Steven, E, Lipshultz, Patrick, Y, Liu, Shiwei, Liu, Yang, Liu, Loon-Tzian, Lo, Giancarlo, Logroscino, Paulo, A, Lotufo, Robyn, M, Luca, Raimundas, Luneviciu, Ronan, A, Lyons, Stefan, Ma, Vasco, Manuel, Pedro, Machado, Mark, T, Mackay, Jennifer, H, Maclachlan, Hassan, Magdy, Abd, El, Razek, Mohammed, Magdy, Abd, El, Razek, Marek, Majdan, Azeem, Majeed, Reza, Malekzadeh, Wondimu, Ayele, Ayele, Manamo, John, Mandisarisa, Srikanth, Mangalam, Chabila, C, Mapoma, Wagner, Marcene, David, Joel, Margolis, Gerard, Robert, Martin, Jose, Martinez-Raga, Melvin, Barriento, Marzan, Felix, Masiye, Amanda, J, Mason-Jones, João, Massano, Richard, Matzopoulo, Bongani, M, Mayosi, Stephen, Theodore, Mcgarvey, John, J, Mcgrath, Martin, Mckee, Mcmahon, Peter, A, Meaney, Alem, Mehari, Man, Mohan, Mehndiratta, Fabiola, Mejia-Rodriguez, Alemayehu, B, Mekonnen, Yohanne, Adama, Melaku, Peter, Memiah, Ziad, A, Memish, Walter, Mendoza, Atte, Meretoja, Tuomo, J, Meretoja, Franci, Apolinary, Mhimbira, Renata, Micha, Ted, R, Miller, Mojde, Mirarefi, N, Awoke, Misganaw, Charles, N, Mock, Karzan, Abdulmuhsin, Mohammad, Alireza, Mohammadi, Shafi, U, Mohammed, Viswanathan, Mohan, Glen, Liddell, D, Mola, Lorenzo, Monasta, Julio, Cesar, Montañez, Hernandez, Pablo, Montero, Marcella, Montico, Thomas, J, Montine, Maziar, Moradi-Lakeh, Lidia, Morawska, Katherine, Morgan, Rintaro, Mori, Dariush, Mozaff, Arian, Ulrich, O, Mueller, Gudlavalleti, Venkata, Satyanarayana, Murthy, Srinivas, Murthy, Kamarul, Imran, Musa, Jean, B, Nachega, Gabriele, Nagel, Kovin, S, Naidoo, Nitish, Naik, Luigi, Naldi, Vinay, Nangia, Denis, Nash, Chakib, Nejjari, Subas, Neupane, Charles, R, Newton, John, N, Newton, Marie, Ng, Frida, Namnyak, Ngalesoni, Jean, De, Dieu, Ngirabega, Quyen, Le, Nguyen, Muhammad, Imran, Nisar, Patrick, Martial, Nkamedjie, Pete, Marika, Nomura, Ole, F, Norheim, Paul, E, Norman, Bo, Norrving, Luke, Nyakarahuka, Felix, Akpojene, Ogbo, Takayoshi, Ohkubo, Foluke, Adetola, Ojelabi, Pedro, R, Olivare, Bolajoko, Olubukunola, Olusanya, Jacob, Olusegun, Olusanya, John, Nelson, Opio, Eyal, Oren, Alberto, Ortiz, Majdi, Osman, Erika, Ota, Raziye, Ozdemir, Mahesh, Pa, Jeyaraj, D, Pandian, Puspa, Raj, Pant, Christina, Papachristou, Eun-Kee, Park, Jae-Hyun, Park, Charles, D, Parry, Mahboubeh, Parsaeian, Angel, J, Paternina, Caicedo, Scott, B, Patten, George, C, Patton, Vinod, K, Paul, Neil, Pearce, João, Mário, Pedro, Ljiljana, Pejin, Stokic, Pereira, Norberto, Perico, Konrad, Pesudov, Max, Petzold, Michael, Robert, Phillips, Frédéric, B, Piel, Julian, David, Pillay, Dietrich, Pla, James, A, Platts-Mills, Suzanne, Polinder, C, Arden, Pope, Svetlana, Popova, Richie, G, Poulton, Farshad, Pourmalek, Dorairaj, Prabhakaran, Mostafa, Qorbani, Justice, Quame-Amaglo, D, Alex, Quistberg, Anwar, Rafay, Kazem, Rahimi, Vafa, Rahimi-Movaghar, Mahfuzar, Rahman, Mohammad, Hifz, Ur, Rahman, Sajjad, Ur, Rahman, Rajesh, Kumar, Rai, Zhale, Rajavi, Sasa, Rajsic, Murugesan, Raju, Ivo, Rakovac, Saleem, M, Rana, Chhabi, L, Ranabhat, Thara, Rangaswamy, Puja, Rao, Sowmya, R, Rao, Amany, H, Refaat, Jürgen, Rehm, Marissa, B, Reitsma, Giuseppe, Remuzzi, Serge, Resnikoff, Antonio, L, Ribeiro, Stefano, Ricci, Maria, Jesu, Rios, Blanca, Bayard, Robert, Anna, Roca, David, Rojas-Rueda, Luca, Ronfani, Gholamreza, Roshandel, Dietrich, Rothenbacher, Ambuj, Roy, Nawal, K, Roy, George, Mugambage, Ruhago, Rajesh, Sagar, Sukanta, Saha, Ramesh, Sahathevan, Muhammad, Muhammad, Saleh, Juan, R, Sanabria, Maria, Dolore, Sanchez-Niño, Lidia, Sanchez-Riera, Itamar, S, Santos, Rodrigo, Sarmiento-Suarez, Benn, Sartoriu, Maheswar, Satpathy, Miloje, Savic, Monika, Sawhney, Michael, P, Schaub, Maria, Inês, Schmidt, Ione, J, C, Schneider, Ben, Schöttker, Aletta, E, Schutte, David, C, Schwebel, Soraya, Seedat, Sadaf, G, Sepanlou, Edson, E, Servan-Mori, Katya, A, Shackelford, Gavin, Shaddick, Amira, Shaheen, Saeid, Shahraz, Masood, Ali, Shaikh, Marina, Shakh-Nazarova, Rajesh, Sharma, Jun, She, Sara, Sheikhbahaei, Jiabin, Shen, Ziyan, Shen, Donald, S, Shepard, Kevin, N, Sheth, Balakrishna, P, Shetty, Peilin, Shi, Kenji, Shibuya, Min-Jeong, Shin, Rahman, Shiri, Ivy, Shiue, Mark, G, Shrime, Inga, Dora, Sigfusdottir, Donald, H, Silberberg, Diego, Augusto, Santo, Silva, Dayane, Gabriele, Alve, Silveira, Jonathan, I, Silverberg, Edgar, P, Simard, Abhishek, Singh, Gitanjali, M, Singh, Jasvinder, A, Singh, Om, Prakash, Singh, Prashant, Kumar, Singh, Virendra, Singh, Samir, Soneji, Kjetil, Søreide, Joan, B, Soriano, Luciano, A, Sposato, Chandrashekhar, T, Sreeramareddy, Vasiliki, Stathopoulou, Dan, J, Stein, Murray, B, Stein, Saverio, Strange, Konstantinos, Stroumpouli, Bruno, F, Sunguya, Patrick, Sur, Soumya, Swaminathan, Bryan, L, Sykes, Cassandra, E, I, Szoeke, Rafael, Tabarés-Seisdedo, Karen, M, Tabb, Ken, Takahashi, Jukka, S, Takala, Roberto, Tchio, Talongwa, Nikhil, Tandon, Mohammad, Tavakkoli, Bineyam, Taye, Hugh, R, Taylor, Braden, J, Te, Ao, Bemnet, Amare, Tedla, Worku, Mekonnen, Tefera, Margreet, Ten, Have, Abdullah, Sulieman, Terkawi, Fisaha, Haile, Tesfay, Gizachew, Assefa, Tessema, Alan, J, Thomson, Andrew, L, Thorne-Lyman, Amanda, G, Thrift, George, D, Thurston, Taavi, Tillmann, David, L, Tirschwell, Marcello, Tonelli, Roman, Topor-Madry, Fotis, Topouzi, Allen, Towbin, Traebert, Bach, Xuan, Tran, Thomas, Truelsen, Ulises, Trujillo, Abera, Kenay, Tura, Emin, Murat, Tuzcu, Uche, S, Uchendu, Kingsley, N, Ukwaja, Eduardo, A, Undurraga, Olalekan, A, Uthman, Rita, Van, Dingenen, Aaron, Van, Donkelaar, Tommi, Vasankari, Ana, Maria, Nogales, Vasconcelo, Narayanaswamy, Venketasubramanian, Ramesh, Vidavalur, Lakshmi, Vijayakumar, Salvador, Villalpando, Francesco, S, Violante, Vasiliy, Victorovich, Vlassov, Joseph, A, Wagner, Gregory, R, Wagner, Mitchell, T, Wallin, Linhong, Wang, David, A, Watkins, Scott, Weichenthal, Elisabete, Weiderpa, Robert, G, Weintraub, Andrea, Werdecker, Ronny, Westerman, Richard, A, White, Tissa, Wijeratne, James, D, Wilkinson, Hywel, C, William, Charles, Shey, Wiysonge, Solomon, Meseret, Woldeyohanne, A, Wolfe, Sungho, Won, John, Q, Wong, Anthony, D, Woolf, Denis, Xavier, Qingyang, Xiao, Gelin, Xu, Bereket, Yakob, Ayalnesh, Zemene, Yalew, Lijing, L, Yan, Yuichiro, Yano, Mehdi, Yaseri, Pengpeng, Ye, Henock, Gebremedhin, Yebyo, Paul, Yip, Biruck, Desalegn, Yirsaw, Naohiro, Yonemoto, Gerald, Yonga, Mustafa, Z, Younis, Shicheng, Yu, Zoubida, Zaidi, Maysaa, El, Sayed, Zaki, Faiez, Zannad, Diego, E, Zavala, Hajo, Zeeb, Berihun, M, Zeleke, Hao, Zhang, Sanjay, Zodpey, David, Zonie, Liesl, Joanna, Zuhlke, Theo, Vo, Alan, D, Lopez, Christopher, J, L, Murra, Y., Wang, Haidong, Naghavi, Mohsen, Allen, Christine, Barber, Ryan M, Bhutta, Zulfiqar A, Carter, Austin, Casey, Daniel C, Charlson, Fiona J, Chen, Alan Zian, Coates, Matthew M, Coggeshall, Megan, Dandona, Lalit, Dicker, Daniel J, Erskine, Holly E, Ferrari, Alize J, Fitzmaurice, Christina, Foreman, Kyle, Forouzanfar, Mohammad H, Fraser, Maya S, Fullman, Nancy, Gething, Peter W, Goldberg, Ellen M, Graetz, Nichola, Haagsma, Juanita A, Hay, Simon I, Huynh, Chantal, Johnson, Catherine O, Kassebaum, Nicholas J, Kinfu, Yohanne, Kulikoff, Xie Rachel, Kutz, Michael, Kyu, Hmwe H, Larson, Heidi J, Leung, Janni, Liang, Xiaofeng, Lim, Stephen S, Lind, Margaret, Lozano, Rafael, Marquez, Neal, Mensah, George A, Mikesell, Joe, Mokdad, Ali H, Mooney, Meghan D, Nguyen, Grant, Nsoesie, Elaine, Pigott, David M, Pinho, Christine, Roth, Gregory A, Salomon, Joshua A, Sandar, Logan, Silpakit, Nari, Sligar, Amber, Sorensen, Reed J D, Stanaway, Jeffrey, Steiner, Caitlyn, Teeple, Stephanie, Thomas, Bernadette A, Troeger, Christopher, Vanderzanden, Amelia, Vollset, Stein Emil, Wanga, Valentine, Whiteford, Harvey A, Wolock, Timothy, Zoeckler, Leo, Abate, Kalkidan Hassen, Abbafati, Cristiana, Abbas, Kaja M, Abd-Allah, Foad, Abera, Semaw Ferede, Abreu, Daisy M X, Abu-Raddad, Laith J, Abyu, Gebre Yitayih, Achoki, Tom, Adelekan, Ademola Lukman, Ademi, Zanfina, Adou, Arsène Kouablan, Adsuar, José C, Afanvi, Kossivi Agbelenko, Afshin, Ashkan, Agardh, Emilie Elisabet, Agarwal, Arnav, Agrawal, Anurag, Kiadaliri, Aliasghar Ahmad, Ajala, Oluremi N, Akanda, Ali Shafqat, Akinyemi, Rufus Olusola, Akinyemiju, Tomi F, Akseer, Nadia, Lami, Faris Hasan Al, Alabed, Samer, Al-Aly, Ziyad, Alam, Khurshid, Alam, Noore K M, Alasfoor, Deena, Aldhahri, Saleh Fahed, Aldridge, Robert William, Alegretti, Miguel Angel, Aleman, Alicia V, Alemu, Zewdie Aderaw, Alexander, Lily T, Alhabib, Samia, Ali, Raghib, Alkerwi, Ala'A, Alla, Françoi, Allebeck, Peter, Al-Raddadi, Rajaa, Alsharif, Ubai, Altirkawi, Khalid A, Martin, Elena Alvarez, Alvis-Guzman, Nelson, Amare, Azmeraw T, Amegah, Adeladza Kofi, Ameh, Emmanuel A, Amini, Heresh, Ammar, Walid, Amrock, Stephen Marc, Andersen, Hjalte H, Anderson, Benjamin O, Anderson, Gregory M, Antonio, Carl Abelardo T, Aregay, Atsede Fantahun, Ärnlöv, Johan, Arsenijevic, Valentina S Arsic, Artaman, Al, Asayesh, Hamid, Asghar, Rana Jawad, Atique, Suleman, Avokpaho, Euripide Frinel G Arthur, Awasthi, Ashish, Azzopardi, Peter, Bacha, Umar, Badawi, Alaa, Bahit, Maria C, Balakrishnan, Kalpana, Banerjee, Amitava, Barac, Aleksandra, Barker-Collo, Suzanne L, Bärnighausen, Till, Barregard, Lar, Barrero, Lope H, Basu, Arindam, Basu, Sanjay, Bayou, Yibeltal Tebekaw, Bazargan-Hejazi, Shahrzad, Beardsley, Justin, Bedi, Neeraj, Beghi, Ettore, Belay, Haileeyesus Adamu, Bell, Brent, Bell, Michelle L, Bello, Aminu K, Bennett, Derrick A, Bensenor, Isabela M, Berhane, Adugnaw, Bernabé, Eduardo, Betsu, Balem Demtsu, Beyene, Addisu Shunu, Bhala, Neeraj, Bhalla, Ashish, Biadgilign, Sibhatu, Bikbov, Bori, Abdulhak, Aref A Bin, Biroscak, Brian J, Biryukov, Stan, Bjertness, Espen, Blore, Jed D, Blosser, Christopher D, Bohensky, Megan A, Borschmann, Rohan, Bose, Dipan, Bourne, Rupert R A, Brainin, Michael, Brayne, Carol E G, Brazinova, Alexandra, Breitborde, Nicholas J K, Brenner, Hermann, Brewer, Jerry D, Brown, Alexandria, Brown, Jonathan, Brugha, Traolach S, Buckle, Geoffrey Colin, Butt, Zahid A, Calabria, Bianca, Campos-Nonato, Ismael Ricardo, Campuzano, Julio Cesar, Carapetis, Jonathan R, Cárdenas, Rosario, Carpenter, David O, Carrero, Juan Jesu, Castañeda-Orjuela, Carlos A, Rivas, Jacqueline Castillo, Catalá-López, Ferrán, Cavalleri, Fiorella, Cercy, Kelly, Cerda, Jorge, Chen, Wanqing, Chew, Adrienne, Chiang, Peggy Pei-Chia, Chibalabala, Mirriam, Chibueze, Chioma Ezinne, Chimed-Ochir, Odgerel, Chisumpa, Vesper Hichilombwe, Choi, Jee-Young Jasmine, Chowdhury, Rajiv, Christensen, Hanne, Christopher, Devasahayam Jesuda, Ciobanu, Liliana G, Cohen, Aaron J, Colistro, Valentina, Colomar, Mercede, Colquhoun, Samantha M, Cooper, Cyru, Cooper, Leslie Trumbull, Cortinovis, Monica, Cowie, Benjamin C, Crump, John A, Damsere-Derry, Jame, Danawi, Hadi, Dandona, Rakhi, Daoud, Farah, Darby, Sarah C, Dargan, Paul I, das Neves, José, Davey, Gail, Davis, Adrian C, Davitoiu, Dragos V, de Castro, E Filipa, de Jager, Pieter, Leo, Diego De, Degenhardt, Louisa, Dellavalle, Robert P, Deribe, Kebede, Deribew, Amare, Dharmaratne, Samath D, Dhillon, Preet K, Diaz-Torné, Cesar, Ding, Eric L, dos Santos, Kadine Priscila Bender, Dossou, Edem, Driscoll, Tim R, Duan, Leilei, Dubey, Manisha, Duncan, Bruce Bartholow, Ellenbogen, Richard G, Ellingsen, Christian Lycke, Elyazar, Iqbal, Endries, Aman Yesuf, Ermakov, Sergey Petrovich, Eshrati, Babak, Esteghamati, Alireza, Estep, Kara, Faghmous, Imad D A, Fahimi, Saman, Faraon, Emerito Jose Aquino, Farid, Talha A, Farinha, Carla Sofia e Sa, Faro, André, Farvid, Maryam S, Farzadfar, Farshad, Feigin, Valery L, Fereshtehnejad, Seyed-Mohammad, Fernandes, Jefferson G, Fernandes, Joao C, Fischer, Florian, Fitchett, Joseph R A, Flaxman, Abraham, Foigt, Nataliya, Fowkes, F Gerry R, Franca, Elisabeth Barboza, Franklin, Richard C, Friedman, Joseph, Frostad, Joseph, Fürst, Thoma, Futran, Neal D, Gall, Seana L, Gambashidze, Ketevan, Gamkrelidze, Amiran, Ganguly, Parthasarathi, Gankpé, Fortuné Gbètoho, Gebre, Teshome, Gebrehiwot, Tsegaye Tsewelde, Gebremedhin, Amanuel Tesfay, Gebru, Alemseged Aregay, Geleijnse, Johanna M, Gessner, Bradford D, Ghoshal, Aloke Gopal, Gibney, Katherine B, Gillum, Richard F, Gilmour, Stuart, Giref, Ababi Zergaw, Giroud, Maurice, Gishu, Melkamu Dedefo, Giussani, Giorgia, Glaser, Elizabeth, Godwin, William W, Gomez-Dantes, Hector, Gona, Philimon, Goodridge, Amador, Gopalani, Sameer Vali, Gosselin, Richard A, Gotay, Carolyn C, Goto, Atsushi, Gouda, Hebe N, Greaves, Felix, Gugnani, Harish Chander, Gupta, Rahul, Gupta, Rajeev, Gupta, Vipin, Gutiérrez, Reyna A, Hafezi-Nejad, Nima, Haile, Demewoz, Hailu, Alemayehu Desalegne, Hailu, Gessessew Bugssa, Halasa, Yara A, Hamadeh, Randah Ribhi, Hamidi, Samer, Hancock, Jamie, Handal, Alexis J, Hankey, Graeme J, Hao, Yuantao, Harb, Hilda L, Harikrishnan, Sivadasanpillai, Haro, Josep Maria, Havmoeller, Rasmu, Heckbert, Susan R, Heredia-Pi, Ileana Beatriz, Heydarpour, Pouria, Hilderink, Henk B M, Hoek, Hans W, Hogg, Robert S, Horino, Masako, Horita, Nobuyuki, Hosgood, H Dean, Hotez, Peter J, Hoy, Damian G, Hsairi, Mohamed, Htet, Aung Soe, Htike, Maung Maung Than, Hu, Guoqing, Huang, Cheng, Huang, Hsiang, Huiart, Laetitia, Husseini, Abdullatif, Huybrechts, Inge, Huynh, Grace, Iburg, Kim Moesgaard, Innos, Kaire, Inoue, Manami, Iyer, Veena J, Jacobs, Troy A, Jacobsen, Kathryn H, Jahanmehr, Nader, Jakovljevic, Mihajlo B, James, Peter, Javanbakht, Mehdi, Jayaraman, Sudha P, Jayatilleke, Achala Upendra, Jeemon, Panniyammakal, Jensen, Paul N, Jha, Vivekanand, Jiang, Guohong, Jiang, Ying, Jibat, Tariku, Jimenez-Corona, Aida, Jonas, Jost B, Joshi, Tushar Kant, Kabir, Zubair, Kamal, Ritul, Kan, Haidong, Kant, Surya, Karch, André, Karema, Corine Kakizi, Karimkhani, Chante, Karletsos, Dimitri, Karthikeyan, Ganesan, Kasaeian, Amir, Katibeh, Marzieh, Kaul, Anil, Kawakami, Norito, Kayibanda, Jeanne Françoise, Keiyoro, Peter Njenga, Kemmer, Laura, Kemp, Andrew Haddon, Kengne, Andre Pascal, Keren, Andre, Kereselidze, Maia, Kesavachandran, Chandrasekharan Nair, Khader, Yousef Saleh, Khalil, Ibrahim A, Khan, Abdur Rahman, Khan, Ejaz Ahmad, Khang, Young-Ho, Khera, Sahil, Khoja, Tawfik Ahmed Muthafer, Kieling, Christian, Kim, Daniel, Kim, Yun Jin, Kissela, Brett M, Kissoon, Niranjan, Knibbs, Luke D, Knudsen, Ann Kristin, Kokubo, Yoshihiro, Kolte, Dhaval, Kopec, Jacek A, Kosen, Soewarta, Koul, Parvaiz A, Koyanagi, Ai, Krog, Norun Hjertager, Defo, Barthelemy Kuate, Bicer, Burcu Kucuk, Kudom, Andreas A, Kuipers, Ernst J, Kulkarni, Veena S, Kumar, G Anil, Kwan, Gene F, Lal, Aparna, Lal, Dharmesh Kumar, Lalloo, Ratilal, Lam, Hilton, Lam, Jennifer O, Langan, Sinead M, Lansingh, Van C, Larsson, Ander, Laryea, Dennis Odai, Latif, Asma Abdul, Lawrynowicz, Alicia Elena Beatriz, Leigh, Jame, Levi, Miriam, Li, Yongmei, Lindsay, M Patrice, Lipshultz, Steven E, Liu, Patrick Y, Liu, Shiwei, Liu, Yang, Lo, Loon-Tzian, Logroscino, Giancarlo, Lotufo, Paulo A, Lucas, Robyn M, Lunevicius, Raimunda, Lyons, Ronan A, Ma, Stefan, Machado, Vasco Manuel Pedro, Mackay, Mark T, Maclachlan, Jennifer H, Razek, Hassan Magdy Abd El, Magdy, Mohammed, Razek, Abd El, Majdan, Marek, Majeed, Azeem, Malekzadeh, Reza, Manamo, Wondimu Ayele Ayele, Mandisarisa, John, Mangalam, Srikanth, Mapoma, Chabila C, Marcenes, Wagner, Margolis, David Joel, Martin, Gerard Robert, Martinez-Raga, Jose, Marzan, Melvin Barriento, Masiye, Felix, Mason-Jones, Amanda J, Massano, João, Matzopoulos, Richard, Mayosi, Bongani M, Mcgarvey, Stephen Theodore, Mcgrath, John J, Mckee, Martin, Mcmahon, Brian J, Meaney, Peter A, Mehari, Alem, Mehndiratta, Man Mohan, Mejia-Rodriguez, Fabiola, Mekonnen, Alemayehu B, Melaku, Yohannes Adama, Memiah, Peter, Memish, Ziad A, Mendoza, Walter, Meretoja, Atte, Meretoja, Tuomo J, Mhimbira, Francis Apolinary, Micha, Renata, Miller, Ted R, Mirarefin, Mojde, Misganaw, Awoke, Mock, Charles N, Mohammad, Karzan Abdulmuhsin, Mohammadi, Alireza, Mohammed, Shafiu, Mohan, Viswanathan, Mola, Glen Liddell D, Monasta, Lorenzo, Hernandez, Julio Cesar Montañez, Montero, Pablo, Montico, Marcella, Montine, Thomas J, Moradi-Lakeh, Maziar, Morawska, Lidia, Morgan, Katherine, Mori, Rintaro, Mozaffarian, Dariush, Mueller, Ulrich O, Murthy, Gudlavalleti Venkata Satyanarayana, Murthy, Sriniva, Musa, Kamarul Imran, Nachega, Jean B, Nagel, Gabriele, Naidoo, Kovin S, Naik, Nitish, Naldi, Luigi, Nangia, Vinay, Nash, Deni, Nejjari, Chakib, Neupane, Suba, Newton, Charles R, Newton, John N, Ng, Marie, Ngalesoni, Frida Namnyak, de Dieu Ngirabega, Jean, Nguyen, Quyen Le, Nisar, Muhammad Imran, Pete, Patrick Martial Nkamedjie, Nomura, Marika, Norheim, Ole F, Norman, Paul E, Norrving, Bo, Nyakarahuka, Luke, Ogbo, Felix Akpojene, Ohkubo, Takayoshi, Ojelabi, Foluke Adetola, Olivares, Pedro R, Olusanya, Bolajoko Olubukunola, Olusanya, Jacob Olusegun, Opio, John Nelson, Oren, Eyal, Ortiz, Alberto, Osman, Majdi, Ota, Erika, Ozdemir, Raziye, Pa, Mahesh, Pandian, Jeyaraj D, Pant, Puspa Raj, Papachristou, Christina, Park, Eun-Kee, Park, Jae-Hyun, Parry, Charles D, Parsaeian, Mahboubeh, Caicedo, Angel J Paternina, Patten, Scott B, Patton, George C, Paul, Vinod K, Pearce, Neil, Pedro, João Mário, Stokic, Ljiljana Pejin, Pereira, David M, Perico, Norberto, Pesudovs, Konrad, Petzold, Max, Phillips, Michael Robert, Piel, Frédéric B, Pillay, Julian David, Plass, Dietrich, Platts-Mills, James A, Polinder, Suzanne, Pope, C Arden, Popova, Svetlana, Poulton, Richie G, Pourmalek, Farshad, Prabhakaran, Dorairaj, Qorbani, Mostafa, Quame-Amaglo, Justice, Quistberg, D Alex, Rafay, Anwar, Rahimi, Kazem, Rahimi-Movaghar, Vafa, Rahman, Mahfuzar, Rahman, Mohammad Hifz Ur, Rahman, Sajjad Ur, Rai, Rajesh Kumar, Rajavi, Zhale, Rajsic, Sasa, Raju, Murugesan, Rakovac, Ivo, Rana, Saleem M, Ranabhat, Chhabi L, Rangaswamy, Thara, Rao, Puja, Rao, Sowmya R, Refaat, Amany H, Rehm, Jürgen, Reitsma, Marissa B, Remuzzi, Giuseppe, Resnikoff, Serge, Ribeiro, Antonio L, Ricci, Stefano, Blancas, Maria Jesus Rio, Roberts, Bayard, Roca, Anna, Rojas-Rueda, David, Ronfani, Luca, Roshandel, Gholamreza, Rothenbacher, Dietrich, Roy, Ambuj, Roy, Nawal K, Ruhago, George Mugambage, Sagar, Rajesh, Saha, Sukanta, Sahathevan, Ramesh, Saleh, Muhammad Muhammad, Sanabria, Juan R, Sanchez-Niño, Maria Dolore, Sanchez-Riera, Lidia, Santos, Itamar S, Sarmiento-Suarez, Rodrigo, Sartorius, Benn, Satpathy, Maheswar, Savic, Miloje, Sawhney, Monika, Schaub, Michael P, Schmidt, Maria Inê, Schneider, Ione J C, Schöttker, Ben, Schutte, Aletta E, Schwebel, David C, Seedat, Soraya, Sepanlou, Sadaf G, Servan-Mori, Edson E, Shackelford, Katya A, Shaddick, Gavin, Shaheen, Amira, Shahraz, Saeid, Shaikh, Masood Ali, Shakh-Nazarova, Marina, Sharma, Rajesh, She, Jun, Sheikhbahaei, Sara, Shen, Jiabin, Shen, Ziyan, Shepard, Donald S, Sheth, Kevin N, Shetty, Balakrishna P, Shi, Peilin, Shibuya, Kenji, Shin, Min-Jeong, Shiri, Rahman, Shiue, Ivy, Shrime, Mark G, Sigfusdottir, Inga Dora, Silberberg, Donald H, Silva, Diego Augusto Santo, Silveira, Dayane Gabriele Alve, Silverberg, Jonathan I, Simard, Edgar P, Singh, Abhishek, Singh, Gitanjali M, Singh, Jasvinder A, Singh, Om Prakash, Singh, Prashant Kumar, Singh, Virendra, Soneji, Samir, Søreide, Kjetil, Soriano, Joan B, Sposato, Luciano A, Sreeramareddy, Chandrashekhar T, Stathopoulou, Vasiliki, Stein, Dan J, Stein, Murray B, Stranges, Saverio, Stroumpoulis, Konstantino, Sunguya, Bruno F, Sur, Patrick, Swaminathan, Soumya, Sykes, Bryan L, Szoeke, Cassandra E I, Tabarés-Seisdedos, Rafael, Tabb, Karen M, Takahashi, Ken, Takala, Jukka S, Talongwa, Roberto Tchio, Tandon, Nikhil, Tavakkoli, Mohammad, Taye, Bineyam, Taylor, Hugh R, Ao, Braden J Te, Tedla, Bemnet Amare, Tefera, Worku Mekonnen, Have, Margreet Ten, Terkawi, Abdullah Sulieman, Tesfay, Fisaha Haile, Tessema, Gizachew Assefa, Thomson, Alan J, Thorne-Lyman, Andrew L, Thrift, Amanda G, Thurston, George D, Tillmann, Taavi, Tirschwell, David L, Tonelli, Marcello, Topor-Madry, Roman, Topouzis, Foti, Towbin, Jeffrey Allen, Traebert, Jefferson, Tran, Bach Xuan, Truelsen, Thoma, Trujillo, Ulise, Tura, Abera Kenay, Tuzcu, Emin Murat, Uchendu, Uche S, Ukwaja, Kingsley N, Undurraga, Eduardo A, Uthman, Olalekan A, Dingenen, Rita Van, van Donkelaar, Aaron, Vasankari, Tommi, Vasconcelos, Ana Maria Nogale, Venketasubramanian, Narayanaswamy, Vidavalur, Ramesh, Vijayakumar, Lakshmi, Villalpando, Salvador, Violante, Francesco S, Vlassov, Vasiliy Victorovich, Wagner, Joseph A, Wagner, Gregory R, Wallin, Mitchell T, Wang, Linhong, Watkins, David A, Weichenthal, Scott, Weiderpass, Elisabete, Weintraub, Robert G, Werdecker, Andrea, Westerman, Ronny, White, Richard A, Wijeratne, Tissa, Wilkinson, James D, Williams, Hywel C, Wiysonge, Charles Shey, Woldeyohannes, Solomon Meseret, Wolfe, Charles D A, Won, Sungho, Wong, John Q, Woolf, Anthony D, Xavier, Deni, Xiao, Qingyang, Xu, Gelin, Yakob, Bereket, Yalew, Ayalnesh Zemene, Yan, Lijing L, Yano, Yuichiro, Yaseri, Mehdi, Ye, Pengpeng, Yebyo, Henock Gebremedhin, Yip, Paul, Yirsaw, Biruck Desalegn, Yonemoto, Naohiro, Yonga, Gerald, Younis, Mustafa Z, Yu, Shicheng, Zaidi, Zoubida, Zaki, Maysaa El Sayed, Zannad, Faiez, Zavala, Diego E, Zeeb, Hajo, Zeleke, Berihun M, Zhang, Hao, Zodpey, Sanjay, Zonies, David, Zuhlke, Liesl Joanna, Vos, Theo, Lopez, Alan D, and Murray, Christopher J L

Subjects
VITAL-STATISTICS, INTEGRATED APPROACH, ECONOMIC-DEVELOPMENT, DEVELOPMENT ASSISTANCE, UNITED-STATES, Global Health, Communicable Disease, Communicable Diseases, cause of death, Medicine, General & Internal, Life Expectancy, General & Internal Medicine, Humans, Mortality, Medicine(all), Science & Technology, Mortality, Premature, Medicine (all), EPIDEMIOLOGIC TRANSITION, GBD 2015 Mortality and Causes of Death Collaborators, CIVIL REGISTRATION, Public Health, Global Health, Social Medicine and Epidemiology, Articles, 11 Medical And Health Sciences, ROAD TRAFFIC INJURIES, ALZHEIMERS-DISEASE, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, VERBAL AUTOPSY, Life Sciences & Biomedicine, Human
Abstract

Background Improving survival and extending the longevity of life for all populations requires timely, robust evidence on local mortality levels and trends. The Global Burden of Disease 2015 Study (GBD 2015) provides a comprehensive assessment of all-cause and cause-specific mortality for 249 causes in 195 countries and territories from 1980 to 2015. These results informed an in-depth investigation of observed and expected mortality patterns based on sociodemographic measures. Methods We estimated all-cause mortality by age, sex, geography, and year using an improved analytical approach originally developed for GBD 2013 and GBD 2010. Improvements included refinements to the estimation of child and adult mortality and corresponding uncertainty, parameter selection for under-5 mortality synthesis by spatiotemporal Gaussian process regression, and sibling history data processing. We also expanded the database of vital registration, survey, and census data to 14 294 geography-year datapoints. For GBD 2015, eight causes, including Ebola virus disease, were added to the previous GBD cause list for mortality. We used six modelling approaches to assess cause-specific mortality, with the Cause of Death Ensemble Model (CODEm) generating estimates for most causes. We used a series of novel analyses to systematically quantify the drivers of trends in mortality across geographies. First, we assessed observed and expected levels and trends of cause-specific mortality as they relate to the Socio-demographic Index (SDI), a summary indicator derived from measures of income per capita, educational attainment, and fertility. Second, we examined factors affecting total mortality patterns through a series of counterfactual scenarios, testing the magnitude by which population growth, population age structures, and epidemiological changes contributed to shifts in mortality. Finally, we attributed changes in life expectancy to changes in cause of death. We documented each step of the GBD 2015 estimation processes, as well as data sources, in accordance with Guidelines for Accurate and Transparent Health Estimates Reporting (GATHER). Findings Globally, life expectancy from birth increased from 61.7 years (95% uncertainty interval 61.4-61.9) in 1980 to 71.8 years (71.5-72.2) in 2015. Several countries in sub-Saharan Africa had very large gains in life expectancy from 2005 to 2015, rebounding from an era of exceedingly high loss of life due to HIV/AIDS. At the same time, many geographies saw life expectancy stagnate or decline, particularly for men and in countries with rising mortality from war or interpersonal violence. From 2005 to 2015, male life expectancy in Syria dropped by 11.3 years (3.7-17.4), to 62.6 years (56.5-70.2). Total deaths increased by 4.1% (2.6-5.6) from 2005 to 2015, rising to 55.8 million (54.9 million to 56.6 million) in 2015, but age-standardised death rates fell by 17.0% (15.8-18.1) during this time, underscoring changes in population growth and shifts in global age structures. The result was similar for non-communicable diseases (NCDs), with total deaths from these causes increasing by 14.1% (12.6-16.0) to 39.8 million (39.2 million to 40.5 million) in 2015, whereas age-standardised rates decreased by 13.1% (11.9-14.3). Globally, this mortality pattern emerged for several NCDs, including several types of cancer, ischaemic heart disease, cirrhosis, and Alzheimer's disease and other dementias. By contrast, both total deaths and age-standardised death rates due to communicable, maternal, neonatal, and nutritional conditions significantly declined from 2005 to 2015, gains largely attributable to decreases in mortality rates due to HIV/AIDS (42.1%, 39.1-44.6), malaria (43.1%, 34.7-51.8), neonatal preterm birth complications (29.8%, 24.8-34.9), and maternal disorders (29.1%, 19.3-37.1). Progress was slower for several causes, such as lower respiratory infections and nutritional deficiencies, whereas deaths increased for others, including dengue and drug use disorders. Age-standardised death rates due to injuries significantly declined from 2005 to 2015, yet interpersonal violence and war claimed increasingly more lives in some regions, particularly in the Middle East. In 2015, rotaviral enteritis (rotavirus) was the leading cause of under-5 deaths due to diarrhoea (146 000 deaths, 118 000-183 000) and pneumococcal pneumonia was the leading cause of under-5 deaths due to lower respiratory infections (393 000 deaths, 228 000-532 000), although pathogen-specific mortality varied by region. Globally, the effects of population growth, ageing, and changes in age-standardised death rates substantially differed by cause. Our analyses on the expected associations between cause-specific mortality and SDI show the regular shifts in cause of death composition and population age structure with rising SDI. Country patterns of premature mortality (measured as years of life lost [YLLs]) and how they differ from the level expected on the basis of SDI alone revealed distinct but highly heterogeneous patterns by region and country or territory. Ischaemic heart disease, stroke, and diabetes were among the leading causes of YLLs in most regions, but in many cases, intraregional results sharply diverged for ratios of observed and expected YLLs based on SDI. Communicable, maternal, neonatal, and nutritional diseases caused the most YLLs throughout sub-Saharan Africa, with observed YLLs far exceeding expected YLLs for countries in which malaria or HIV/AIDS remained the leading causes of early death. Interpretation At the global scale, age-specific mortality has steadily improved over the past 35 years; this pattern of general progress continued in the past decade. Progress has been faster in most countries than expected on the basis of development measured by the SDI. Against this background of progress, some countries have seen falls in life expectancy, and age-standardised death rates for some causes are increasing. Despite progress in reducing age-standardised death rates, population growth and ageing mean that the number of deaths from most non-communicable causes are increasing in most countries, putting increased demands on health systems. Copyright (C) The Author(s). Published by Elsevier Ltd.

Published
2016

28. Chronic hepatitis C and individuals with a history of injecting drugs in Spain: population assessment, challenges for successful treatment

Author

Pablo Vega, Jose Martinez-Raga, Marta Torrens, Carlos Roncero, and Richard Littlewood

Subjects
Drug, medicine.medical_specialty, Health Knowledge, Attitudes, Practice, Hepatitis C virus, media_common.quotation_subject, Population, MEDLINE, 030508 substance abuse, medicine.disease_cause, Health Services Accessibility, Drug Users, 03 medical and health sciences, 0302 clinical medicine, Chronic hepatitis, Risk Factors, medicine, Prevalence, Humans, 030212 general & internal medicine, education, Substance Abuse, Intravenous, media_common, education.field_of_study, Risk behaviour, Hepatology, Traditional medicine, business.industry, Gastroenterology, Hepatitis C, Hepatitis C, Chronic, Patient Acceptance of Health Care, medicine.disease, Prognosis, Substance abuse, Spain, Family medicine, 0305 other medical science, business
Abstract

In Spain, there is a need to improve chronic hepatitis C care among people who inject drugs (PWID). Injecting drug use is an important risk behaviour for hepatitis C virus (HCV) infection. Review of 28 sources of the relevant published literature mapped the size of the addiction-HCV population in Spain. Experts in opioid use disorder (OUD) treatment in Spain completed a consensus to define the population size, HCV prevalence and access or barriers to hepatitis C treatment for PWID populations. In Spain, over 300 000 individuals have a lifetime history of injecting drugs. Currently, 150 000 individuals in Spain have OUD; many have injected drugs. Each year, 80 000 individuals engage with treatment services for OUD. A proportion of this group continues to inject drugs. There is a high HCV prevalence in PWID - estimates of 60-80% in Spain. Uptake of hepatitis C therapy in PWID in Spain is limited; barriers include awareness of treatment pathways, advocacy for regular screening and effective joint care. There is an urgent need to address barriers to effective hepatitis C care for PWID in Spain. Practical and specific strategies including peer-led solutions, patient buddy systems and joint working models at the local level can make important short-term differences.

Published
2017

29. Department of Error

Author

BIJU ABRAHAM, Rajiv Chowdhury, Hassan Magdy Abd El Razek, ZOUBIDA ZAIDI, Marcella Montico, Ileana Beatriz Heredia-Pi, Burcu Kucuk Bicer, Samer Hamidi, Rintaro Mori, Nataliya Foigt, Samir Bhatt, Kalpana Balakrishnan, Lope Barrero, John McGrath, Bishal Gyawali, Ingrid Wolfe, Konstantinos Stroumpoulis, Ibrahim Ginawi, Sibhatu Biadgilign, Carla Farinha, Kenji Shibuya, Sait Mentes Birlik, Vafa Rahimi-Movaghar, RAJESH SAGAR, Pengpeng Ye, Peter Meaney, Boris Bikbov, Sivadasanpillai Harikrishnan, Aleksandra Barac, Daniel Kim, Graeme Hankey, Giancarlo Logroscino, Bruno Sunguya, Heidi J. Larson, Amador Goodridge, Khalid Altirkawi, João Fernandes, Joan B Soriano, Edson Servan-Mori, Francis Mhimbira, Ibrahim Abubakar, Peter Gething, Gholamreza Roshandel, Bemnet Amare Tedla, Rakhi Dandona, Rajaa Al-Raddadi, Rafael Lozano, Scott Patten, Diego Augusto Santos Silva, RAJ VERMA, Maziar Moradi-Lakeh, Norberto Perico, Om Prakash Singh, Eyal Oren, Eduardo Bernabe, Bach Tran, Fisaha Haile Tesfay (PhD), Ben Schöttker, Mustafa Younis, Jiabin Shen, Rafael Tabares-Seisdedos, Mahdi Mahdavi, Yousef Khader, Gizachew A Tessema, Charles Wiysonge, Hajo Zeeb, Ana Maria Nogales Vasconcelos, AMANUEL GEBREMEDHIN, Azmeraw T. Amare, Jacob Olusanya, Angel Paternina-Caicedo, Maria Dolores Sanchez-Niño, Yohannes Adama Melaku, Vivekanand Jha, George Mugambage Ruhago, Olalekan Uthman, Farshad Farzadfar, Nelson Alvis-Guzmán, Khurshid Alam, Srinivas Murthy, Johanna Marianna Geleijnse, Alemayehu Mekonnen, Ivo Rakovac, Soraya Seedat, Amir Kasaeian, Yibeltal Bayou, Andrew Kemp, David Pereira, Raimundas Lunevicius, EMERITO JOSE A. FARAON, Samantha Colquhoun, Ai Koyanagi, Ted Miller, JUNG-CHEN CHANG, Demewoz Haile, Zubair Kabir, Suleman Atique, Richard Franklin, Jose Martinez-Raga, Sergey Soshnikov, Yohannes Kinfu, Konrad Pesudovs, Johan Ärnlöv, Adugnaw Berhane, Alireza Esteghamati, Niranjan Kissoon, Shafiu Mohammed, Jean Nachega, Derrick Bennett, Karzan Mohammad, Hwashin Hyun SHIN, Tissa Wijeratne, and Subas Neupane

Subjects
Child mortality, Burden of disease, 03 medical and health sciences, 030219 obstetrics & reproductive medicine, 0302 clinical medicine, History, 030212 general & internal medicine, General Medicine, Article, 3. Good health, Demography
Abstract

GBD 2015 Child Mortality Collaborators. Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980–2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet 2016; 388: 1725–74—In this Article, Mohsen Naghavi, Michael J Kutz, Chantal Huynh, Samer Hamidi, Addisu Shunu Beyene, and Stephen S Lim should have been listed as authors. The affiliation details for Simon I Hay have been updated. The funding statement for Simon I Hay has been added. These corrections have been made to the online version as of Jan 5, 2017.

Published
2017

30. Dual Diagnosis Resource Needs in Spain: A National Survey of Professionals

Author

Ignacio Basurte-Villamor, Pablo Vega, Beatriz Mesias, Carlos Roncero, Carmen Barral, Jose Martinez-Raga, Laia Rodríguez-Cintas, Lara Grau-López, Nestor Szerman, and Miguel Casas

Subjects
Male, Mental Health Services, medicine.medical_specialty, Resource (biology), Substance-Related Disorders, Health Personnel, media_common.quotation_subject, Computer-assisted web interviewing, Health care, medicine, Humans, Psychiatry, media_common, business.industry, Data Collection, Mental Disorders, Addiction, medicine.disease, Mental health, Substance abuse, Psychiatry and Mental health, Diagnosis, Dual (Psychiatry), Spain, Health Resources, Dual diagnosis, Female, business
Abstract

Since provision of integrated services for patients with dual pathology or dual disorders (coexistence of an addictive disorder and another mental health disorder) is an important challenge in mental health, this study assessed health care professionals' perceptions and knowledge of the current state of specific resources for patients with dual pathology in Spain.We conducted a national survey of health care professionals seeing patients with dual pathology in treatment facilities throughout Spain. Participants completed a specific online questionnaire about the needs of and available resources for patients with dual pathology.A total of 659 professionals, mostly psychologists (n = 286, 43.4%) or psychiatrists (n = 217, 32.9%), participated in the study. Nearly all participants who responded to these items reported that specific resources for dual pathology were needed (n = 592/635, 93.2%); 76.7% (n = 487) identified intermediate resources, 68.8% (n = 437) acute detoxification units, and 64.6% (n = 410) medium-stay rehabilitation units as particularly necessary. In the opinion of 54.0% of respondents (n = 343), integrated mental health and addiction treatment services were available. Of the participants who answered these items, only a small proportion (n = 162/605, 26.8%) reported that there were appropriate outpatient programs for dual pathology, 30.4% (n = 184/605) specific hospitalization units, 16.9% (n = 99/587) subacute inpatient units, 34.2% (n = 201/587) outpatient intermediate resources, 15.5% (n = 91/587) day hospitals, and 21.5% (n = 126/587) day centers. Conversely, 62.5% (n = 378/587) of participants reported a greater presence of specific detoxification/withdrawal units, 47.3% (n = 286/587) psychiatric acute admission units, and 41.9% (n = 246/587) therapeutic communities. In the professionals' opinion, the presence of specialty programs was low; 11.6% of respondents (n = 68/587) reported that vocational programs and 16.7% (n = 98/587) reported that occupational rehabilitation programs were available. Employee turnover was common: 51.9% of respondents (n = 314/605) stated that employee turnover was occasional to frequent.According to the professionals surveyed, specific health care resources for the management of dual pathology are currently insufficient, underlining the need for additional efforts and strategies for treating individuals with comorbid disorders.

Published
2014

31. Addressing Dual Diagnosis Patients Suffering from Attention-Deficit Hyperactivity Disorders and Comorbid Substance Use Disorders

Author

Raquel de Alvaro, Carlos Knecht, Pedro Ruiz, Nestor Szerman, and Jose Martinez-Raga

Subjects
medicine.medical_specialty, Addiction, media_common.quotation_subject, Medicine (miscellaneous), medicine.disease, behavioral disciplines and activities, Substance abuse, Psychiatry and Mental health, mental disorders, Attention deficit, medicine, Dual diagnosis, Substance use, Psychiatry, Psychology, Psychosocial, media_common, Clinical psychology
Abstract

Objective: To provide an updated, thorough, and critical review of the current status of the pharmacological and psychosocial treatments of patients with attentiondeficit hyperactivity disorder (ADHD) and a comorbid substance use disorder (SUD).

Published
2013

32. State of Training, Clinical Services, and Research on Dual Disorders Across France, India, Israel, and Spain

Author

Jose Martinez-Raga, Shaul Lev-Ran, Nestor Szerman, Lisa Blecha, Shalini Singh, Amine Benyamina, and Yatan Pal Singh Balhara

Subjects
Mental Health Services, Substance-Related Disorders, India, Day care, Health Services Accessibility, 03 medical and health sciences, 0302 clinical medicine, Nursing, Health care, medicine, Humans, Disease management (health), Israel, Health policy, business.industry, Health Policy, Mental Disorders, Research, Disease Management, medicine.disease, Private sector, Comorbidity, 030227 psychiatry, Psychiatry and Mental health, Spain, Needs assessment, Dual diagnosis, Clinical Competence, France, business, Delivery of Health Care, 030217 neurology & neurosurgery, Needs Assessment
Abstract

This article overviews training, clinical services, and research on dual disorders across four countries: France, India, Israel, and Spain.The current dual disorders systems in each of the four countries were reviewed, with a focus on strengths and limitations of each.In France, psychiatric care occurs within the public health care system and involves little training of medical graduates for managing dual disorders. Special courses and forums for specialists have recently started to meet the growing interest of physicians in learning how to manage dual disorders. The Indian health care system grapples with a large treatment gap for mental disorders, and while some treatment services for dual disorders exist, specific research and training efforts on dual disorders are just beginning. Israel has both public- and private sector services for patients with dual disorders, with specialized inpatient and emergency care for the acutely ill as well as day care and therapeutic communities for long-term management. Interest by researchers is growing, but training and education efforts in dual disorders are, however, minimal. Similar to the other countries, addiction and psychiatry disciplines are governed by separate divisions within the National Health System in Spain. There are some dual disorders services available, but they are limited in scope. While medical professionals clearly recognize the importance of dual disorders, there is no such recognition by the national and regional governing bodies.The common thread in various aspects of dual disorder management in each of these four countries is that there is a lower-than-desirable level of attention to dual disorders in terms of care, policy, research, and training. There are growing opportunities for training and continuing education in dual disorders management. We suggest that nations could learn from each other's experiences on how to address the issue of dual disorders.

Published
2016

33. Nonmedical use of prescription drugs in the European Union

Author

Jose Martinez-Raga, Karol Krotki, Anders Håkansson, Jens Reimer, Scott P. Novak, and Sajan Varughese

Subjects
Adult, Male, medicine.medical_specialty, Prescription drug, Prescription Drugs, Cross-sectional study, Substance-Related Disorders, medicine.medical_treatment, Denmark, Population, Pharmacy, Thinking, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Risk Factors, Germany, medicine, Prevalence, media_common.cataloged_instance, Hypnotics and Sedatives, Humans, 030212 general & internal medicine, European Union, European union, Medical prescription, Psychiatry, education, Prescription Drug Misuse, Reproductive health, media_common, Sweden, education.field_of_study, business.industry, United Kingdom, Stimulant, Analgesics, Opioid, Europe, Psychiatry and Mental health, Cross-Sectional Studies, Spain, Central Nervous System Stimulants, Female, business, 030217 neurology & neurosurgery, Research Article
Abstract

Background Nonmedical prescription drug use (NMPDU) refers to the self-treatment of a medical condition using medication without a prescriber’s authorization as well as use to achieve euphoric states. This article reports data from a cross-national investigation of NMPDU in five European Countries, with the aim to understand the prevalence and characteristics of those engaging in NMPDU across the EU. Methods A parallel series of self-administered, cross-sectional, general population surveys were conducted in 2014. Data were collected using multi-stage quota sampling and then weighted using General Exponential Model. A total of 22,070 non-institutionalized participants, aged 12 to 49 years, in 5 countries: Denmark, Germany, Great Britain, Spain, and Sweden. Lifetime and past-year nonmedical use of prescription medications such as stimulants, opioids, and sedatives were ascertained via a modified version of the World Health Organization’s Composite International Diagnostic Interview. Information about how the medications were acquired for NMPDU were also collected from the respondent. Results Lifetime and past-year prevalence of nonmedical prescription drug use was estimated for opioids (13.5 and 5.0 %), sedatives (10.9 and 5.8 %), and stimulants (7.0 and 2.8 %). Germany exhibited the lowest levels of NMPDU, with Great Britain, Spain, and Sweden having the highest levels. Mental and sexual health risk factors were associated with an increased likelihood of past-year nonmedical prescription drug use. Among past-year users, about 32, 28, and 52 % of opioid, sedative, and stimulant nonmedical users, respectively, also consumed illicit drugs. Social sources (sharing by friends/family) were the most commonly endorsed methods of acquisition, ranging from 44 % (opioids) to 62 % (sedatives). Of interest is that Internet pharmacies were a common source of medications for opioids (4.1 %), stimulants (7.6 %), and sedatives (2.7 %). Conclusions Nonmedical prescription drug use was reported across the five EU countries we studied, with opioids and sedatives being the most prevalent classes of prescription psychotherapeutics. International collaborations are needed for continued monitoring and intervention efforts to target population subgroups at greatest risk for NMDU.

Published
2016

34. Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980-2015 : a systematic analysis for the Global Burden of Disease Study 2015

Author

Vasiliki Stathopoulou, Kiran Thapa, Vesper Hichilombwe Chisumpa, Azeem Majeed, Hjalte Holm Andersen, Devasahayam J. Christopher, Alireza Mohammadi, John J. McGrath, Konstantin Kazanjan, Naohiro Yonemoto, Guoqing Hu, Yousef Khader, Suzanne Barker-Collo, Frida Namnyak Ngalesoni, Jennifer O Lam, Laetitia Huiart, Xiaofeng Liang, Amanuel Tesfay Gebremedhin, Lalit Dandona, Felix Masiye, Joseph R Fitchett, Derrick A Bennett, Rosana E. Norman, Theo Vos, Tuomo J. Meretoja, Rahman Shiri, Melvin Barrientos Marzan, Charles R. Newton, Kelly Cercy, Masoud Vaezghasemi, Elena Alvarez Martin, Christopher Troeger, Ismael R. Campos-Nonato, Amany H Refaat, Ruben Castro, Amiran Gamkrelidze, Michael R. Phillips, Samath D Dharmaratne, Reed J D Sorensen, Roderick J. Hay, Johan Ärnlöv, Ivo Rakovac, Alexandra Brazinova, Nancy Fullman, Sara Sheikhbahaei, Liliana G Ciobanu, Nader Jahanmehr, Yuming Guo, Luigi Naldi, Rana Jawad Asghar, Tsegaye Tewelde Gebrehiwot, Corine Karema, Biju Abraham, Rynaz H S Rabiee, Emerito Jose A. Faraon, Philimon Gona, Jonathan I. Silverberg, Alexandria Brown, Kovin Naidoo, Suleman Atique, Yun Jin Kim, Benn Sartorius, Hwashin Hyun Shin, George Mugambage Ruhago, Adugnaw Berhane, Tesfaye Tekle, Abdur Rahman Khan, Vipin Gupta, Nima Hafezi-Nejad, Héctor Gómez-Dantés, Jun She, Ted R. Miller, Tolesa Bekele, Yohannes Kinfu, Srinivas Murthy, Alaa Badawi, Mahfuzar Rahman, Raghib Ali, Robert G. Weintraub, Nicholas Steel, Khalid A Altirkawi, Muhammad Imran Nisar, Man Mohan Mehndiratta, Thomas N. Williams, Adrian Davis, Usha Ram, Nobuyuki Horita, Qingyang Xiao, Bishal Gyawali, Burcu Kucuk Bicer, Eun-Kee Park, Subas Neupane, Mohammad Tavakkoli, Lorenzo Monasta, Roman Topor-Madry, Marc-Alain Widdowson, James Leigh, Padukudru Anand Mahesh, Stephen M. Amrock, Stefan Ma, Virendra Singh, Amir Kasaeian, Mahdi Mahdavi, Shahrzad Bazargan-Hejazi, Kim Moesgaard Iburg, Vafa Rahimi-Movaghar, Julio Cesar Campuzano, Maria Dolores Sanchez-Niño, Jean B. Nachega, Hamid Asayesh, Pratik Pinal Doshi, Charles Shey Wiysonge, Peter J. Hotez, Ying Jiang, Girma Temam Shifa, Warren D. Lo, Francis Apolinary Mhimbira, Joan B. Soriano, Ritul Kamal, Young-Ho Khang, Isaac Akinkunmi Adedeji, Daniel C Casey, Adeladza Kofi Amegah, Demewoz Haile, Tomi Akinyemiju, Andrew L. Thorne-Lyman, Achala Upendra Jayatilleke, Rajeev Gupta, Rosario Cárdenas, Peter W. Gething, Ami R. Moore, Marie Ng, Maigeng Zhou, Ferrán Catalá-López, Anders Larsson, Ratilal Lalloo, Panniyammakal Jeemon, Bach Xuan Tran, Chigozie Jesse Uneke, Marina Shakh-Nazarova, Jamie Hancock, Yohannes Adama Melaku, Jasvinder A. Singh, Isabela M. Benseñor, Shafiu Mohammed, Rajiv Chowdhury, Hedyeh Ebrahimi, Yoshihiro Kokubo, Belinda K Lloyd, Samir Bhatt, Geoffrey Buckle, Tissa Wijeratne, Giuseppe Remuzzi, Robert W Aldridge, Luca Ronfani, Raj Kumar Verma, Jagdish Khubchandani, Irma Khonelidze, Ai Koyanagi, Teshome Gebre, Michael Kutz, Om Prakash Singh, Ana Maria Nogales Vasconcelos, Margaret Lind, Svetlana Popova, Hmwe H Kyu, Tom Achoki, Laith J. Abu-Raddad, Zacharie Tsala Dimbuene, Henock Yebyo, Mehdi Yaseri, Max Petzold, Sungho Won, Semaw Ferede Abera, Devina Nand, Rafael Tabarés-Seisdedos, Abdishakur M. Abdulle, Yingfeng Zheng, Soewarta Kosen, Aleksandra Barac, Mahboubeh Parsaeian, Yuichiro Yano, Charles D.A. Wolfe, Simon I. Hay, Luke D. Knibbs, Balem Demtsu Betsu, Solomon Abrha Damtew, Ileana Heredia-Pi, Boris Bikbov, Bemnet Amare Tedla, Daniel Kim, Ulrich O Mueller, Khurshid Alam, Andrew H. Kemp, Austin Carter, Chuanhua Yu, Ibrahim A Khalil, João Mário Pedro, Atsushi Goto, Arsène Kouablan Adou, Scott B. Patten, Nicola Low, Julio Cesar Montañez Hernandez, Heidi J. Larson, Worku Tefera, Sanjay Zodpey, Kalpana Balakrishnan, Hsing-Yi Chang, Jacqueline Castillo Rivas, Donal Bisanzio, Hilda L Harb, Meghan D. Mooney, John N Newton, Vasiliy Victorovich Vlassov, Marcella Montico, Mojde Mirarefin, Vinay Nangia, Edgar P. Simard, Ben Schöttker, Michael Brainin, Ziad A. Memish, Rafael Lozano, Damian G Hoy, Gebre Yitayih Abyu, Alexis J Handal, Saleem M Rana, Francesco Saverio Violante, Monika Sawhney, Eyal Oren, Iqbal R. F. Elyazar, Oluremi N Ajala, Christopher J L Murray, Chioma Ezinne Chibueze, Rupert R A Bourne, Euripide Frinel G Arthur Avokpaho, Andreas A Kudom, Hilton Lam, Aman Yesuf Endries, Farshad Pourmalek, Andre Pascal Kengne, Gholamreza Roshandel, Chandrashekhar T Sreeramareddy, Bolajoko O. Olusanya, Tommi Vasankari, Zahid A Butt, Alemseged Aregay Gebru, Samer Hamidi, Soraya Seedat, Xie Rachel Kulikoff, Maziar Moradi-Lakeh, Gelin Xu, Shireen Sindi, Ruoyan Tobe-Gai, Haidong Wang, Johanna M. Geleijnse, Rajesh Kumar Rai, Ryan M Barber, André Karch, Ione Jayce Ceola Schneider, Hebe N. Gouda, Sibhatu Biadgilign, Erika Ota, Kerrie E. Doyle, Olalekan A. Uthman, Jed D. Blore, Walid Ammar, Guohong Jiang, Carlos A Castañeda-Orjuela, Ibrahim Abubakar, Konstantinos Stroumpoulis, Megan Coggeshall, Charles N Mock, Ronan A Lyons, Jose Martinez-Raga, Thomas Fürst, Ambuj Roy, Mustafa Z. Younis, Harish Chander Gugnani, Mohammad Hifz Ur Rahman, Lidia Morawska, Noore Alam, Paul S. F. Yip, Grant Nguyen, Randah R. Hamadeh, Victor Aboyans, Miloje Savic, Ketevan Gambashidze, Graeme J. Hankey, David M. Pereira, Cho-il Kim, Peter A. Meaney, Haidong Kan, Sameer Vali Gopalani, Murugesan Raju, Saeid Shahraz, Ibrahim Abdelmageem Mohamed Ginawi, Kenji Shibuya, Raimundas Lunevicius, Sun Ha Jee, Prashant Singh, Atte Meretoja, Suzanne Polinder, Alex Reynolds, Joseph Mikesell, David O. Carpenter, Carla Sofia e Sa Farinha, Miguel Angel Alegretti, Nataliya Foigt, Naris Silpakit, Amare Deribew, Gessessew Bugssa Hailu, Mohammed Magdy Abd El Razek, Reza Assadi, Yichong Li, Georgina A. V. Murphy, Babak Eshrati, Rintaro Mori, Scott Weichenthal, Andre Keren, Van C. Lansingh, Kebede Deribe, Bulat Idrisov, François Alla, Maaya Kita, Ala'a Alkerwi, Maia Kereselidze, Yanping Wang, Rajesh Sharma, Florian Fischer, Foluke Adetola Ojelabi, Maya S Fraser, Kingsley N. Ukwaja, H. Dean Hosgood, Puja Rao, Deena Alasfoor, Muhammad Muhammad Saleh, Bryan L. Sykes, Juan Sanabria, Ronny Westerman, Julian David Pillay, Cassandra Szoeke, Umar Bacha, Edward J Mills, Manisha Dubey, Aliya Naheed, Al Artaman, Jiabin Shen, Michael Burch, Reza Malekzadeh, Hans W. Hoek, David C. Schwebel, Alireza Esteghamati, Seok Jun Yoon, Leilei Duan, Matthew M Coates, Arnav Agarwal, Soumya Swaminathan, Quyen Nguyen, Hye-Youn Park, Peter Nguhiu, Bereket Yakob, Patrick Liu, Elisabeth Barboza França, Tigist Assefa Bayou, Azmeraw T. Amare, Farshad Farzadfar, Tariku Jibat, Jost B. Jonas, Kaja Abbas, Thomas Truelsen, Maryam S. Farvid, Louisa Degenhardt, George A. Mensah, Till Bärnighausen, Ivy Shuie, Jee-Young Jasmine Choi, Amitava Banerjee, Zubair Kabir, Ingrid Wolfe, Patrick Martial Nkamedjie Pete, Preet K Dhillon, Kathryn H. Jacobsen, Sadaf G. Sepanlou, Gagandeep Kang, Aminu K. Bello, Bineyam Taye, Mohsen Naghavi, Chhabi Lal Ranabhat, Walter Mendoza, M. Patrice Lindsay, Sergey K Vladimirov, Tesfaye Setegn, Angel J Paternina Caicedo, Eric L. Ding, Narayanaswamy Venketasubramanian, Stephen S Lim, Barthelemy Kuate Defo, Alan D. Lopez, G Anil Kumar, João C. Fernandes, In-Hwan Oh, Rasmus Havmoeller, Amanuel Alemu Abajobir, Pengpeng Ye, Gabrielle deVeber, Espen Bjertness, Hao Zhang, Ali H. Mokdad, Yogeshwar Kalkonde, Peter Memiah, Rodrigo Sarmiento-Suarez, Konrad Pesudovs, Yong Zhao, Joseph Friedman, Abdullah Sulieman Terkawi, Hadi Danawi, André Faro, Kevin N. Sheth, Abera Kenay Tura, Sajjad Ur Rahman, Sergey Soshnikov, Ajit Kumar Yadav, Michelle L. Bell, Nelson Alvis-Guzman, Miia Kivipelto, Pieter de Jager, Yongmei Li, Giancarlo Logroscino, Sivadasanpillai Harikrishnan, Talha Farid, Zewdie Aderaw Alemu, Alemayehu Amberbir, Niveen M E Abu-Rmeileh, Beatriz Paulina Ayala Quintanilla, Parvaiz A Koul, Edson Serván-Mori, Anil Kaul, Cheng Huang, Kalkidan Hassen Abate, Hsiang Huang, Foad Abd-Allah, Marek Majdan, Sait Mentes Birlik, Jung-Chen Chang, Rahul Gupta, Luciano A. Sposato, Sergey Petrovich Ermakov, Ejaz Ahmad Khan, Yibeltal Tebekaw Bayou, Christian Lycke Ellingsen, Ole Frithjof Norheim, Zulfiqar A Bhutta, Hajo Zeeb, Norberto Perico, Jun Zhu, Bruno F. Sunguya, Parthasarathi Ganguly, Fisaha Haile Tesfay, Min-Jeong Shin, Ashish Awasthi, Felix Akpojene Ogbo, Alan J Thomson, Mostafa Qorbani, Ye Jin, Don C. Des Jarlais, Itamar S. Santos, Juanita A. Haagsma, Anwar Rafay, Jacob Olusegun Olusanya, José Neves, Gregory M Anderson, Amador Goodridge, Bolanle F Banigbe, David Rojas-Rueda, Pedro R. Olivares, Rakhi Dandona, Stefanos Tyrovolas, Peter Njenga Keiyoro, Stein Emil Vollset, Andrea Werdecker, Mohamed Hsairi, Chandrasekharan Nair Kesavachandran, Jeanne Françoise Kayibanda, Alemayehu B. Mekonnen, Addisu Shunu Beyene, Lela Sturua, Inga Dora Sigfusdottir, Amber Sligar, Maysaa El Sayed Zaki, Shiwei Liu, Melkamu Dedefo Gishu, Chantal Huynh, Lope H Barrero, Linhong Wang, Neeraj Bedi, Masood Ali Shaikh, Ricky Leung, Mehdi Javanbakht, Alemayehu Hailu, Kimani M Harun, Ubai Alsharif, Richard C. Franklin, Zoubida Zaidi, Hassan Magdy Abd El Razek, Masako Horino, Karzan Abdulmuhsin Mohammad, Diego Augusto Santos Silva, Marcello Tonelli, Juan Jesus Carrero, Cyrus Cooper, Rajaa Al-Raddadi, Juan Liang, Leslie Cornaby, Awoke Misganaw, Norito Kawakami, Carl Abelardo T. Antonio, Daniel J. Weiss, Abhishek Singh, Vivekanand Jha, Seyed-Mohammad Fereshtehnejad, Serge Resnikoff, Gizachew Assefa Tessema, Alem Mehari, Wagner Marcenes, Chabila C Mapoma, Ababi Zergaw Giref, Farhad Pishgar, Khassoum Diallo, Nicholas J K Breitborde, Emmanuel A. Ameh, Justin Beardsley, Ademola Lukman Adelekan, Joshua A. Salomon, Mamo Wubshet, Diego De Leo, Daniel Pope, Elisabete Weiderpass, Gregory A. Roth, Niranjan Kissoon, Kaire Innos, João Vasco Santos, Rajesh Sagar, Bradford D. Gessner, Akindele Olupelumi Adebiyi, John J Huang, Dharmesh Kumar Lal, Samantha M. Colquhoun, Eduardo Bernabé, Nadia Akseer, Maheswar Satpathy, Fotis Topouzis, Health Services Management & Organisation (HSMO), Public Health, Psychiatry, Neurology, Wang, Haidong, Bhutta, Zulfiqar A, Coates, Matthew M, Coggeshall, M, Ciobanu, Liliana G, Murray, Christopher JL, Coggeshall, Megan, Dandona, Lalit, Diallo, Khassoum, Franca, Elisabeth Barboza, Fraser, Maya, Fullman, Nancy, Gething, Peter W, Hay, Simon I, Kinfu, Yohanne, Kita, Maaya, Kulikoff, Xie Rachel, Larson, Heidi J, Liang, Juan, Liang, Xiaofeng, Lind, Margaret, Lopez, Alan D, Lozano, Rafael, Mensah, George A, Mikesell, Joseph B, Mokdad, Ali H, Mooney, Meghan D, Nguyen, Grant, Rakovac, Ivo, Salomon, Joshua A, Silpakit, Nari, Sligar, Amber, Sorensen, Reed J D, Vos, Theo, Zhu, Jun, Abajobir, Amanuel Alemu, Abate, Kalkidan Hassen, Abbas, Kaja M, Abd-Allah, Foad, Abdulle, Abdishakur M, Abera, Semaw Ferede, Aboyans, Victor, Abraham, Biju, Abubakar, Ibrahim, Abu-Raddad, Laith J, Abu-Rmeileh, Niveen M E, Abyu, Gebre Yitayih, Achoki, Tom, Adebiyi, Akindele Olupelumi, Adedeji, Isaac Akinkunmi, Adelekan, Ademola Lukman, Adou, Arsène Kouablan, Agarwal, Arnav, Ajala, Oluremi N, Akinyemiju, Tomi F, Akseer, Nadia, Alam, Khurshid, Alam, Noore K M, Alasfoor, Deena, Aldridge, Robert William, Alegretti, Miguel Angel, Alemu, Zewdie Aderaw, Ali, Raghib, Alkerwi, Ala'A, Alla, Françoi, Al-Raddadi, Rajaa, Alsharif, Ubai, Altirkawi, Khalid A, Martin, Elena Alvarez, Alvis-Guzman, Nelson, Amare, Azmeraw T, Amberbir, Alemayehu, Amegah, Adeladza Kofi, Ameh, Emmanuel A, Ammar, Walid, Amrock, Stephen Marc, Andersen, Hjalte H, Anderson, Gregory M, Antonio, Carl Abelardo T, Ärnlöv, Johan, Artaman, Al, Asayesh, Hamid, Asghar, Rana Jawad, Assadi, Reza, Atique, Suleman, Avokpaho, Euripide Frinel G Arthur, Awasthi, Ashish, Quintanilla, Beatriz Paulina Ayala, Bacha, Umar, Badawi, Alaa, Balakrishnan, Kalpana, Banerjee, Amitava, Banigbe, Bolanle F, Barac, Aleksandra, Barber, Ryan M, Barker-Collo, Suzanne L, Bärnighausen, Till, Barrero, Lope H, Bayou, Tigist Assefa, Bayou, Yibeltal Tebekaw, Bazargan-Hejazi, Shahrzad, Beardsley, Justin, Bedi, Neeraj, Bekele, Tolesa, Bell, Michelle L, Bello, Aminu K, Bennett, Derrick A, Bensenor, Isabela M, Berhane, Adugnaw, Bernabé, Eduardo, Betsu, Balem Demtsu, Bhatt, Samir, Biadgilign, Sibhatu, Bikbov, Bori, Birlik, Sait Mente, Bisanzio, Donal, Bjertness, Espen, Blore, Jed D, Bourne, Rupert R A, Brainin, Michael, Brazinova, Alexandra, Breitborde, Nicholas J K, Brown, Alexandria, Buckle, Geoffrey Colin, Burch, Michael, Butt, Zahid A, Campos-Nonato, Ismael Ricardo, Campuzano, Julio Cesar, Cárdenas, Rosario, Carpenter, David O, Carrero, Juan Jesu, Carter, Austin, Casey, Daniel C, Castañeda-Orjuela, Carlos A, Rivas, Jacqueline Castillo, Castro, Ruben Estanislao, Catalá-López, Ferrán, Cercy, Kelly, Chang, Hsing-Yi, Chang, Jung-Chen, Chibueze, Chioma Ezinne, Chisumpa, Vesper Hichilombwe, Choi, Jee-Young Jasmine, Chowdhury, Rajiv, Christopher, Devasahayam Jesuda, Colquhoun, Samantha M, Cooper, Cyru, Cornaby, Leslie, Damtew, Solomon Abrha, Danawi, Hadi, Dandona, Rakhi, das Neves, José, Davis, Adrian C, de Jager, Pieter, De Leo, Diego, Degenhardt, Louisa, Deribe, Kebede, Deribew, Amare, Jarlais, Don C De, Deveber, Gabrielle A, Dharmaratne, Samath D, Dhillon, Preet K, Ding, Eric L, Doshi, Pratik Pinal, Doyle, Kerrie E, Duan, Leilei, Dubey, Manisha, Ebrahimi, Hedyeh, Ellingsen, Christian Lycke, Elyazar, Iqbal, Endries, Aman Yesuf, Ermakov, Sergey Petrovich, Eshrati, Babak, Esteghamati, Alireza, Faraon, Emerito Jose Aquino, Farid, Talha A, Farinha, Carla Sofia e Sa, Faro, André, Farvid, Maryam S, Farzadfar, Farshad, Fereshtehnejad, Seyed-Mohammad, Fernandes, Joao C, Fischer, Florian, Fitchett, Joseph R A, Foigt, Nataliya, Franklin, Richard C, Friedman, Joseph, Fürst, Thoma, Gambashidze, Ketevan, Gamkrelidze, Amiran, Ganguly, Parthasarathi, Gebre, Teshome, Gebrehiwot, Tsegaye Tewelde, Gebremedhin, Amanuel Tesfay, Gebru, Alemseged Aregay, Geleijnse, Johanna M, Gessner, Bradford D, Ginawi, Ibrahim Abdelmageem Mohamed, Giref, Ababi Zergaw, Gishu, Melkamu Dedefo, Gomez-Dantes, Hector, Gona, Philimon, Goodridge, Amador, Gopalani, Sameer Vali, Goto, Atsushi, Gouda, Hebe N, Gugnani, Harish Chander, Guo, Yuming, Gupta, Rahul, Gupta, Rajeev, Gupta, Vipin, Gyawali, Bishal, Haagsma, Juanita A, Hafezi-Nejad, Nima, Haile, Demewoz, Hailu, Alemayehu Desalegne, Hailu, Gessessew Bugssa, Hamadeh, Randah Ribhi, Hancock, Jamie, Handal, Alexis J, Hankey, Graeme J, Harb, Hilda L, Harikrishnan, Sivadasanpillai, Harun, Kimani M, Havmoeller, Rasmu, Hay, Roderick J, Heredia-Pi, Ileana Beatriz, Hoek, Hans W, Horino, Masako, Horita, Nobuyuki, Hosgood, H Dean, Hotez, Peter J, Hoy, Damian G, Hsairi, Mohamed, Hu, Guoqing, Huang, Cheng, Huang, John J, Huang, Hsiang, Huiart, Laetitia, Iburg, Kim Moesgaard, Idrisov, Bulat T, Innos, Kaire, Jacobsen, Kathryn H, Jahanmehr, Nader, Javanbakht, Mehdi, Jayatilleke, Achala Upendra, Jee, Sun Ha, Jeemon, Panniyammakal, Jha, Vivekanand, Jiang, Guohong, Jiang, Ying, Jibat, Tariku, Jin, Ye, Jonas, Jost B, Kabir, Zubair, Kalkonde, Yogeshwar, Kamal, Ritul, Kan, Haidong, Kang, Gagandeep, Karch, André, Karema, Corine Kakizi, Kasaeian, Amir, Kaul, Anil, Kawakami, Norito, Kayibanda, Jeanne Françoise, Kazanjan, Konstantin, Keiyoro, Peter Njenga, Kemp, Andrew Haddon, Kengne, Andre Pascal, Keren, Andre, Kereselidze, Maia, Kesavachandran, Chandrasekharan Nair, Khader, Yousef Saleh, Khalil, Ibrahim A, Khan, Abdur Rahman, Khan, Ejaz Ahmad, Khang, Young-Ho, Khonelidze, Irma, Khubchandani, Jagdish, Kim, Cho-il, Kim, Daniel, Kim, Yun Jin, Kissoon, Niranjan, Kivipelto, Miia, Knibbs, Luke D, Kokubo, Yoshihiro, Kosen, Soewarta, Koul, Parvaiz A, Koyanagi, Ai, Defo, Barthelemy Kuate, Bicer, Burcu Kucuk, Kudom, Andreas A, Kumar, G Anil, Kyu, Hmwe H, Lal, Dharmesh Kumar, Lalloo, Ratilal, Lam, Hilton, Lam, Jennifer O, Lansingh, Van C, Larsson, Ander, Leigh, Jame, Leung, Ricky, Li, Yichong, Li, Yongmei, Lindsay, M Patrice, Liu, Patrick Y, Liu, Shiwei, Lloyd, Belinda K, Lo, Warren D, Logroscino, Giancarlo, Low, Nicola, Lunevicius, Raimunda, Lyons, Ronan A, Ma, Stefan, Razek, Hassan Magdy Abd El, Razek, Mohammed Magdy Abd El, Mahdavi, Mahdi, Majdan, Marek, Majeed, Azeem, Malekzadeh, Reza, Mapoma, Chabila C, Marcenes, Wagner, Martinez-Raga, Jose, Marzan, Melvin Barriento, Masiye, Felix, Mcgrath, John J, Meaney, Peter A, Mehari, Alem, Mehndiratta, Man Mohan, Mekonnen, Alemayehu B, Melaku, Yohannes Adama, Memiah, Peter, Memish, Ziad A, Mendoza, Walter, Meretoja, Atte, Meretoja, Tuomo J, Mhimbira, Francis Apolinary, Miller, Ted R, Mills, Edward J, Mirarefin, Mojde, Misganaw, Awoke, Mock, Charles N, Mohammad, Karzan Abdulmuhsin, Mohammadi, Alireza, Mohammed, Shafiu, Monasta, Lorenzo, Hernandez, Julio Cesar Montañez, Montico, Marcella, Moore, Ami R, Moradi-Lakeh, Maziar, Morawska, Lidia, Mori, Rintaro, Mueller, Ulrich O, Murphy, Georgina A V, Murthy, Sriniva, Nachega, Jean B, Naheed, Aliya, Naidoo, Kovin S, Naldi, Luigi, Nand, Devina, Nangia, Vinay, Neupane, Suba, Newton, Charles R, Newton, John N, Ng, Marie, Ngalesoni, Frida Namnyak, Nguhiu, Peter, Nguyen, Quyen Le, Nisar, Muhammad Imran, Pete, Patrick Martial Nkamedjie, Norheim, Ole F, Norman, Rosana E, Ogbo, Felix Akpojene, Oh, In-Hwan, Ojelabi, Foluke Adetola, Olivares, Pedro R, Olusanya, Bolajoko Olubukunola, Olusanya, Jacob Olusegun, Oren, Eyal, Ota, Erika, Pa, Mahesh, Park, Eun-Kee, Park, Hye-Youn, Parsaeian, Mahboubeh, Caicedo, Angel J Paternina, Patten, Scott B, Pedro, João Mário, Pereira, David M, Perico, Norberto, Pesudovs, Konrad, Petzold, Max, Phillips, Michael Robert, Pillay, Julian David, Pishgar, Farhad, Polinder, Suzanne, Pope, Daniel, Popova, Svetlana, Pourmalek, Farshad, Qorbani, Mostafa, Rabiee, Rynaz H S, Rafay, Anwar, Rahimi-Movaghar, Vafa, Rahman, Mahfuzar, Rahman, Mohammad Hifz Ur, Rahman, Sajjad Ur, Rai, Rajesh Kumar, Raju, Murugesan, Ram, Usha, Rana, Saleem M, Ranabhat, Chhabi Lal, Rao, Puja, Refaat, Amany H, Remuzzi, Giuseppe, Resnikoff, Serge, Reynolds, Alex, Rojas-Rueda, David, Ronfani, Luca, Roshandel, Gholamreza, Roth, Gregory A, Roy, Ambuj, Ruhago, George Mugambage, Sagar, Rajesh, Saleh, Muhammad Muhammad, Sanabria, Juan R, Sanchez-Niño, Maria Dolore, Santos, Itamar S, Santos, João Vasco, Sarmiento-Suarez, Rodrigo, Sartorius, Benn, Satpathy, Maheswar, Savic, Miloje, Sawhney, Monika, Schneider, Ione J C, Schöttker, Ben, Schwebel, David C, Seedat, Soraya, Sepanlou, Sadaf G, Servan-Mori, Edson E, Setegn, Tesfaye, Shahraz, Saeid, Shaikh, Masood Ali, Shakh-Nazarova, Marina, Sharma, Rajesh, She, Jun, Sheikhbahaei, Sara, Shen, Jiabin, Sheth, Kevin N, Shibuya, Kenji, Shin, Hwashin Hyun, Shin, Min-Jeong, Shiri, Rahman, Shuie, Ivy, Sigfusdottir, Inga Dora, Silva, Diego Augusto Santo, Silverberg, Jonathan, Simard, Edgar P, Sindi, Shireen, Singh, Abhishek, Singh, Jasvinder A, Singh, Om Prakash, Singh, Prashant Kumar, Singh, Virendra, Soriano, Joan B, Soshnikov, Sergey, Sposato, Luciano A, Sreeramareddy, Chandrashekhar T, Stathopoulou, Vasiliki, Steel, Nichola, Stroumpoulis, Konstantino, Sturua, Lela, Sunguya, Bruno F, Swaminathan, Soumya, Sykes, Bryan L, Szoeke, Cassandra E I, Tabarés-Seisdedos, Rafael, Tavakkoli, Mohammad, Taye, Bineyam, Tedla, Bemnet Amare, Tefera, Worku Mekonnen, Tekle, Tesfaye, Shifa, Girma Temam, Terkawi, Abdullah Sulieman, Tesfay, Fisaha Haile, Tessema, Gizachew Assefa, Thapa, Kiran, Thomson, Alan J, Thorne-Lyman, Andrew L, Tobe-Gai, Ruoyan, Tonelli, Marcello, Topor-Madry, Roman, Topouzis, Foti, Tran, Bach Xuan, Troeger, Christopher, Truelsen, Thoma, Dimbuene, Zacharie Tsala, Tura, Abera Kenay, Tyrovolas, Stefano, Ukwaja, Kingsley N, Uneke, Chigozie Jesse, Uthman, Olalekan A, Vaezghasemi, Masoud, Vasankari, Tommi, Vasconcelos, Ana Maria Nogale, Venketasubramanian, Narayanaswamy, Verma, Raj Kumar, Violante, Francesco S, Vladimirov, Sergey K, Vlassov, Vasiliy Victorovich, Vollset, Stein Emil, Wang, Linhong, Wang, Yanping, Weichenthal, Scott, Weiderpass, Elisabete, Weintraub, Robert G, Weiss, Daniel J, Werdecker, Andrea, Westerman, Ronny, Widdowson, Marc-Alain, Wijeratne, Tissa, Williams, Thomas Neil, Wiysonge, Charles Shey, Wolfe, Charles D A, Wolfe, Ingrid, Won, Sungho, Wubshet, Mamo, Xiao, Qingyang, Xu, Gelin, Yadav, Ajit Kumar, Yakob, Bereket, Yano, Yuichiro, Yaseri, Mehdi, Ye, Pengpeng, Yebyo, Henock Gebremedhin, Yip, Paul, Yonemoto, Naohiro, Yoon, Seok-Jun, Younis, Mustafa Z, Yu, Chuanhua, Zaidi, Zoubida, Zaki, Maysaa El Sayed, Zeeb, Hajo, Zhang, Hao, Zhao, Yong, Zheng, Yingfeng, Zhou, Maigeng, Zodpey, Sanjay, and Murray, Christopher J L

Subjects
Pediatrics, Nutrition and Disease, Global Health, Communicable Disease, 0302 clinical medicine, Voeding en Ziekte, Infant Mortality, Compensation law of mortality, Global health, Medicine, LIFE EXPECTANCY, 030212 general & internal medicine, DEVELOPING-COUNTRIES, 10. No inequality, Medicine(all), NEWBORN BABIES, Medicine (all), Mortality rate, 1. No poverty, DEATH, Public Health, Global Health, Social Medicine and Epidemiology, General Medicine, 11 Medical And Health Sciences, Stillbirth, 3. Good health, Child Mortality, SURVIVAL, CHILD-MORTALITY, HEALTH, Life Sciences & Biomedicine, DEVELOPMENT GOAL 4, Human, INTERVENTIONS, medicine.medical_specialty, RJ, INTEGRATED APPROACH, Developing country, Communicable Diseases, neonatal, 03 medical and health sciences, Medicine, General & Internal, 030225 pediatrics, General & Internal Medicine, Life Science, Humans, Global Burden of Disease Study, VLAG, Estimation, Science & Technology, business.industry, Klinisk medicin, Infant, GBD 2015 Child Mortality Collaborators, Infant mortality, Malaria, Child mortality, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Life expectancy, Clinical Medicine, RG, business, Demography
Abstract

BACKGROUND: Established in 2000, Millennium Development Goal 4 (MDG4) catalysed extraordinary political, financial, and social commitments to reduce under-5 mortality by two-thirds between 1990 and 2015. At the country level, the pace of progress in improving child survival has varied markedly, highlighting a crucial need to further examine potential drivers of accelerated or slowed decreases in child mortality. The Global Burden of Disease 2015 Study (GBD 2015) provides an analytical framework to comprehensively assess these trends for under-5 mortality, age-specific and cause-specific mortality among children under 5 years, and stillbirths by geography over time. METHODS: Drawing from analytical approaches developed and refined in previous iterations of the GBD study, we generated updated estimates of child mortality by age group (neonatal, post-neonatal, ages 1-4 years, and under 5) for 195 countries and territories and selected subnational geographies, from 1980-2015. We also estimated numbers and rates of stillbirths for these geographies and years. Gaussian process regression with data source adjustments for sampling and non-sampling bias was applied to synthesise input data for under-5 mortality for each geography. Age-specific mortality estimates were generated through a two-stage age-sex splitting process, and stillbirth estimates were produced with a mixed-effects model, which accounted for variable stillbirth definitions and data source-specific biases. For GBD 2015, we did a series of novel analyses to systematically quantify the drivers of trends in child mortality across geographies. First, we assessed observed and expected levels and annualised rates of decrease for under-5 mortality and stillbirths as they related to the Soci-demographic Index (SDI). Second, we examined the ratio of recorded and expected levels of child mortality, on the basis of SDI, across geographies, as well as differences in recorded and expected annualised rates of change for under-5 mortality. Third, we analysed levels and cause compositions of under-5 mortality, across time and geographies, as they related to rising SDI. Finally, we decomposed the changes in under-5 mortality to changes in SDI at the global level, as well as changes in leading causes of under-5 deaths for countries and territories. We documented each step of the GBD 2015 child mortality estimation process, as well as data sources, in accordance with the Guidelines for Accurate and Transparent Health Estimates Reporting (GATHER). FINDINGS: Globally, 5·8 million (95% uncertainty interval [UI] 5·7-6·0) children younger than 5 years died in 2015, representing a 52·0% (95% UI 50·7-53·3) decrease in the number of under-5 deaths since 1990. Neonatal deaths and stillbirths fell at a slower pace since 1990, decreasing by 42·4% (41·3-43·6) to 2·6 million (2·6-2·7) neonatal deaths and 47·0% (35·1-57·0) to 2·1 million (1·8-2·5) stillbirths in 2015. Between 1990 and 2015, global under-5 mortality decreased at an annualised rate of decrease of 3·0% (2·6-3·3), falling short of the 4·4% annualised rate of decrease required to achieve MDG4. During this time, 58 countries met or exceeded the pace of progress required to meet MDG4. Between 2000, the year MDG4 was formally enacted, and 2015, 28 additional countries that did not achieve the 4·4% rate of decrease from 1990 met the MDG4 pace of decrease. However, absolute levels of under-5 mortality remained high in many countries, with 11 countries still recording rates exceeding 100 per 1000 livebirths in 2015. Marked decreases in under-5 deaths due to a number of communicable diseases, including lower respiratory infections, diarrhoeal diseases, measles, and malaria, accounted for much of the progress in lowering overall under-5 mortality in low-income countries. Compared with gains achieved for infectious diseases and nutritional deficiencies, the persisting toll of neonatal conditions and congenital anomalies on child survival became evident, especially in low-income and low-middle-income countries. We found sizeable heterogeneities in comparing observed and expected rates of under-5 mortality, as well as differences in observed and expected rates of change for under-5 mortality. At the global level, we recorded a divergence in observed and expected levels of under-5 mortality starting in 2000, with the observed trend falling much faster than what was expected based on SDI through 2015. Between 2000 and 2015, the world recorded 10·3 million fewer under-5 deaths than expected on the basis of improving SDI alone. INTERPRETATION: Gains in child survival have been large, widespread, and in many places in the world, faster than what was anticipated based on improving levels of development. Yet some countries, particularly in sub-Saharan Africa, still had high rates of under-5 mortality in 2015. Unless these countries are able to accelerate reductions in child deaths at an extraordinary pace, their achievement of proposed SDG targets is unlikely. Improving the evidence base on drivers that might hasten the pace of progress for child survival, ranging from cost-effective intervention packages to innovative financing mechanisms, is vital to charting the pathways for ultimately ending preventable child deaths by 2030. FUNDING: Bill & Melinda Gates Foundation. Erratum: Department of Error, The Lancet,Volume 389, Issue 10064, 2017, Page e1. DOI: 10.1016/S0140-6736(16)32608-3

Published
2016

35. State of Training, Clinical Services, and Research on Dual Disorders Across France, India, Israel, and Spain

Author

Yp, Balhara, Lev-Ran S, Jose Martinez-Raga, Benyamina A, Singh S, Blecha L, and Szerman N

Subjects
Dual disorders, comorbidity, training, Italy, Spain, India, France, dual diagnosis, co-occurring disorders
Abstract

Objective: This article overviews training, clinical services, and research on dual disorders across four countries: France, India, Israel, and Spain. Methods: The current dual disorders systems in each of the four countries were reviewed, with a focus on strengths and limitations of each. Results: In France, psychiatric care occurs within the public health care system and involves little training of medical graduates for managing dual disorders. Special courses and forums for specialists have recently started to meet the growing interest of physicians in learning how to manage dual disorders. The Indian health care system grapples with a large treatment gap for mental disorders, and while some treatment services for dual disorders exist, specific research and training efforts on dual disorders are just beginning. Israel has both public- and private sector services for patients with dual disorders, with specialized inpatient and emergency care for the acutely ill as well as day care and therapeutic communities for long-term management. Interest by researchers is growing, but training and education efforts in dual disorders are, however, minimal. Similar to the other countries, addiction and psychiatry disciplines are governed by separate divisions within the National Health System in Spain. There are some dual disorders services available, but they are limited in scope. While medical professionals clearly recognize the importance of dual disorders, there is no such recognition by the national and regional governing bodies. Conclusions: The common thread in various aspects of dual disorder management in each of these four countries is that there is a lower-than-desirable level of attention to dual disorders in terms of care, policy, research, and training. There are growing opportunities for training and continuing education in dual disorders management. We suggest that nations could learn from each other's experiences on how to address the issue of dual disorders.

Published
2016

36. Suboxone® (Buprenorphine/Naloxone) as an Agonist Opioid Treatment in Spain: A Budgetary Impact Analysis

Author

Jose Martinez-Raga, Francisco González Saiz, Francisco J. Sabater Torres, César Pascual, and Miguel A. Casado

Subjects
Budgets, Agonist, Health (social science), Naloxone, business.industry, medicine.drug_class, Medicine (miscellaneous), Budgetary impact, (+)-Naloxone, Opioid-Related Disorders, Buprenorphine, Analgesics, Opioid, Psychiatry and Mental health, Opioid, Spain, Anesthesia, Buprenorphine/naloxone, medicine, Humans, Buprenorphine, Naloxone Drug Combination, business, Opiate dependence, medicine.drug, Methadone
Abstract

Objective: To evaluate the economic impact of buprenorphine/naloxone (B/N) as an agonist opioid treatment for opiate dependence. Methods: A budgetary impact analysis model was designed to calculate the annual costs (drugs and associated costs) to the Spanish National Healthcare System of methadone versus B/N. Data for the model were obtained from official databases and expert panel opinion. Results: It was estimated that 86,017 patients would be in an agonist opioid treatment program each of the 3 years of the study. No increase in the number of patients is expected with the introduction of B/N combination. The budgetary impact (drugs and associated costs) for agonist opiate treatment in the first year of the study would be 89.53 million EUR. In the first year of B/N use, the budgetary impact would rise by 4.39 million EUR (4.6% of the total impact), with an incremental cost of 0.79 million EUR (0.9% of the total impact). The budgetary increase would be 0.6% (0.48 million EUR increase) and 0.6% (0.49 million EUR increase) in the second and third years of use, respectively. The mean cost per patient in the first year with and without B/N would be EUR 1,050 and 1,041, respectively. The most influential variables in the sensitivity analysis were logistics and production costs of methadone and the percentage use of B/N. Conclusion: With an additional cost of only EUR 9 per patient, B/N is an efficient addition to the therapeutic arsenal in the drug treatment of opiate dependence, particularly when considering clinical aspects of novel pharmacotherapy.

Published
2009

37. One session of high frequency repetitive transcranial magnetic stimulation (rTMS) to the right prefrontal cortex transiently reduces cocaine craving

Author

Joan A. Camprodon, Jose Martinez-Raga, Alvaro Pascual-Leone, Miguel Alonso-Alonso, and Mei-Chiung Shih

Subjects
Adult, Male, medicine.medical_specialty, Brain activity and meditation, media_common.quotation_subject, medicine.medical_treatment, Prefrontal Cortex, Craving, Stimulation, Anxiety, Audiology, Toxicology, behavioral disciplines and activities, Functional Laterality, Cocaine dependence, Cocaine-Related Disorders, Neuromodulation, mental disorders, medicine, Humans, Pharmacology (medical), Prefrontal cortex, media_common, Pharmacology, Cross-Over Studies, Addiction, medicine.disease, Transcranial Magnetic Stimulation, Disruptive, Impulse Control, and Conduct Disorders, Transcranial magnetic stimulation, Psychiatry and Mental health, medicine.anatomical_structure, medicine.symptom, Psychology, Neuroscience, psychological phenomena and processes
Abstract

Background Cocaine dependence is a public health problem affecting 2 million individuals in USA. Craving is a predictor of subsequent cocaine use and is related to changes in brain activity in networks involving the prefrontal cortex. Methods We investigated the efficacy of one session of high frequency repetitive transcranial magnetic stimulation (rTMS) to reduce craving in cocaine addicted subjects. Six patients underwent two sessions of 10 Hz rTMS over left or right dorsolateral prefrontal cortex (DLPFC). Before, immediately after and 4 h after rTMS we measured craving using visual analogue scales. Results Right, but not left, DLPFC stimulation significantly reduced craving over time ( F (2,10) = 11.07, p = 0.0029). The reduction was 19% (13.4–24.6%) from baseline and disappeared after 4 h. The interaction of time by site of stimulation for craving was also significant ( F (2,25) = 6.13, p = 0.0068). Conclusion One session of 10 Hz rTMS over right, but not left, DLPFC transiently reduces craving in cocaine dependent individuals. These results highlight the potential of non-invasive neuromodulation as a therapeutic tool for cocaine addiction.

Published
2007

38. Who says this is a modern disorder? The early history of attention deficit hyperactivity disorder

Author

Jose Martinez-Badía and Jose Martinez-Raga

Subjects
medicine.medical_specialty, Conceptualization, business.industry, Poison control, Review, Impulsivity, medicine.disease, Suicide prevention, Neurodevelopmental disorder, Injury prevention, medicine, Attention deficit hyperactivity disorder, medicine.symptom, Psychiatry, business, Medical literature
Abstract

Attention-deficit hyperactivity disorder (ADHD) is a complex, heterogeneous and multifactorial neurodevelopmental disorder characterized by persistent symptoms of inattention, hyperactivity and impulsivity. Although the first clinical description of a constellation of symptoms highly resembling to what currently could be diagnosed as ADHD is generally attributed to George F Still in 1902, there are scattered but significant published historical medical, scientific and non-scientific reports, much prior to Still's lectures, of what is currently conceptualized as ADHD. The present report aimed at exploring the early history of ADHD, prior to the 20(th) century in the medical literature and in other historical sources, to provide clinicians, researchers and other professionals with a better understanding of the roots and current conceptualization of this disorder. It is possible to find clues and highly suggestive descriptions of individuals presenting symptoms resembling what is currently defined as ADHD in the literature, in paintings or in the Bible. However, the earliest medical reports of individuals with abnormal degrees of inattention, distractibility and overactivity date from the last quarter of the 18(th) century, included in two of the first textbooks specifically on the subject of mental diseases, published by the German Melchior Adam Weikard and the Scottish Sir Alexander Crichton. During the 19(th) century some eminent physicians from Germany, France or Great Britain, such as Charles West, Thomas C Albutt, Thomas S Clouston, William W, Ireland, John Haslam, Heinrich Neumann, or Desire-Magloire Bourneville, among others provided clinical depictions of patients that most likely presently would be diagnosed as having ADHD. Whilst some of the children described by Still and his predecessors may have suffered from a variety of neurological and psychiatric disorders, many of these patients showed clear symptoms of ADHD and may present with comorbid disorders, as it is commonly the case in clinical practice.

Published
2015

39. Profile of guanfacine extended release and its potential in the treatment of attention-deficit hyperactivity disorder

Author

Jose Martinez-Raga, Carlos Knecht, and Raquel de Alvaro

Subjects
Pediatrics, medicine.medical_specialty, oppositional symptoms, adjunctive therapy, medicine.medical_treatment, Review, Pharmacology, law.invention, Pharmacotherapy, cardiovascular safety, Randomized controlled trial, law, attention-deficit hyperactivity disorder, medicine, Attention deficit hyperactivity disorder, ADHD, Pharmacology (medical), Dosing, guanfacine extended-release, Adverse effect, business.industry, medicine.disease, Guanfacine, Stimulant, Oncology, Pharmacodynamics, business, medicine.drug
Abstract

The α2-adrenergic receptor agonist guanfacine, in its extended-release formulation (GXR), is the most recent nonstimulant medication approved in several countries for the treatment of attention-deficit hyperactivity disorder (ADHD) as monotherapy and as adjunctive pharmacotherapy to stimulants in children and adolescents. The present paper aims to review comprehensively and critically the pharmacodynamic and pharmacokinetic characteristics and the published evidence on the efficacy and safety profile of GXR in the treatment of ADHD. A comprehensive search of relevant databases (PubMed, Embase, and PsycInfo) was conducted to identify studies published in peer-reviewed journals until January 15, 2015. Though the precise mechanism of action of guanfacine in the treatment of ADHD is not fully understood, it is thought to act directly by enhancing noradrenaline functioning via α2A-adrenoceptors in the prefrontal cortex. Weight-adjusted doses should be used, with a dosing regime on a milligram per kilogram basis, starting at doses in the range 0.05-0.08 mg/kg/day, up to 0.12 mg/kg/day. As evidenced in short-term randomized controlled trials and in long-term open-label extension studies, GXR has been shown to be effective as monotherapy in the treatment of ADHD. Furthermore, GXR has also been found to be effective as adjunctive therapy to stimulant medications in patients with suboptimal responses to stimulants. Many of the adverse reactions associated with GXR, particularly sedation-related effects, were dose-related, transient, mild to moderate in severity, and did not interfere with attention or overall efficacy. There are no reports of serious cardiovascular adverse events associated with GXR alone or in combination with psychostimulants.

Published
2015

40. Editorial

Author

Nestor Szerman and Jose Martinez-Raga

Subjects
Psychiatry and Mental health, Pshychiatric Mental Health
Published
2015

41. The role of personality disorders on drug dependence treatment outcomes following inpatient detoxification

Author

Gonzalo Haro, Miguel Castellano, Jose Martinez-Raga, César Mateu, G. Cervera, and J.C. Valderrama

Subjects
Adult, Male, medicine.medical_specialty, media_common.quotation_subject, Psychological intervention, HIV Infections, Comorbidity, Personality Disorders, 03 medical and health sciences, Risk-Taking, 0302 clinical medicine, Acquired immunodeficiency syndrome (AIDS), medicine, Humans, Personality, Psychiatry, media_common, Addiction, Opioid-Related Disorders, medicine.disease, Personality disorders, 030227 psychiatry, Hospitalization, Psychiatry and Mental health, Sexual intercourse, Treatment Outcome, Female, Opiate, Psychology, Risk Reduction Behavior, 030217 neurology & neurosurgery, Follow-Up Studies, Psychopathology
Abstract

AimsThe present 6 month follow-up study was conducted to investigate the possible influence of comorbid personality disorders on drug treatment, as well as associated psychopathology and HIV-related risk behaviors outcomes.Subjects and methodsData were collected initially from a consecutive sample of 74 patients with a diagnosis of opiate abuse or dependence, admitted for inpatient detoxification.ResultDuring intake, 80.9% of patients reported at least one HIV-related risk behavior in the previous 6 months. Not using condoms during sexual intercourse was the most common and the only risk behavior that showed a statistically significant reduction over the follow-up period. A total of 58.1% of subjects had at least one personality disorder (PD). Borderline PD was the most prevalent. However, antisocial PD was the only PD that influenced substance use outcomes. The presence of this diagnosis increased the chance of worse opiate use outcomes, but decreased likelihood of not using condoms. Patients with low obsessive–compulsive PD dimensional scores showed a significant increase in the number of risk behaviors. However, these influences were only seen at the 3-month follow-up assessment.ConclusionsThese results suggest that personality disorders need to be considered when planning effective interventions for opiate dependent individuals and when preparing and evaluating HIV risk-reduction interventions, particularly for the more severe substance dependent patients.

Published
2004

42. Does Anyone Care about Names? How Attendees at Substance Misuse Services Like to Be Addressed by Health Professionals

Author

Victoria Manning, Jose Martinez-Raga, Charlotte Wilson Jones, Ana Sabater, Shamil Wanagaratne, John Strang, Michael Kelleher, David Spektor, and Francis Keaney

Subjects
Adult, Male, Health (social science), Patients, Substance-Related Disorders, Health Personnel, education, Medicine (miscellaneous), Context (language use), Nursing, Surveys and Questionnaires, Health care, Substance misuse, Humans, Names, Medicine, Service user, Aged, Analysis of Variance, Chi-Square Distribution, ComputingMilieux_THECOMPUTINGPROFESSION, Health professionals, business.industry, Middle Aged, humanities, Preference, Psychiatry and Mental health, Socioeconomic Factors, Patient Satisfaction, Female, Substance Abuse Treatment Centers, business
Abstract

Objective: To determine the preference of substance misusers for the terms ‘patient’, ‘client’ and ‘service user’ in the context of their contact with health professionals, if they consider substance misuse problems to exist appropriately under the category of mental health problems and if they consider themselves to have mental health problems. Methods: A self-completion questionnaire was administered to 150 National Health Service and private in- and outpatients with alcohol, drug and smoking problems. Results: The majority (54%) preferred the term ‘patient’, felt substance misuse problems was a category of mental health problems (59%), even though the majority (62%) did not consider themselves to have a mental health problem. Broadly similar preferences were found for those attending drug services and alcohol services whilst those attending the smoking cessation service were less likely to consider it an appropriate location or description. Discussion: The majority of substance misusers preferred to be called ‘patients’. The location of substance misuse services within mental health provision was widely tolerated.

Published
2004

43. Emociones, motivación y trastornos adictivos: un enfoque biopsicosocial

Author

Jose Martinez-Raga, Gonzalo Haro, F. Bolinches, P. De Vicente, M.J. Reig, and G. Cervera

Subjects
Pharmacology, Psychiatry and Mental health
Abstract

Objetivo Emociones, motivacion y trastornos adictivos son, cada dia mas, objeto de un analisis cientifico holistico que desde la perspectiva psicopatologica y basandose en los importantes avances psicobiologicos de las neurociencias, nos permiten una comprension global de la realidad cotidiana que tratamos los clinicos Material y metodos Realizar una revision de la literatura que desde la sociologia y psicologia hasta la medicina (psiquiatria y neurociencias en general) aborda la emocion, motivacion y adiccion, tan relacionadas entre si pero, por sesgos logicos, tan poco evaluadas en conjunto Resultados Las emociones, desde las mas animales a las llamadas humanas, son la base de muchos constructos, e incluso hasta la propia inteligencia se fundamenta, en buena medida, en ellas. Sin embargo, y a pesar de tener una larga trayectoria, fundamentalmente en la filosofia, no es hasta hace relativamente poco tiempo que vuelven a ser objeto de interes y atencion cientifica, junto a la motivacion, para entender la personalidad y algunos tras-tornos psicopatologicos como los adictivos Conclusiones Este interes por la emocion y la motivacion, que va desde la clinica a las neurociencias, nos permitira entender mejor las adicciones y el comportamiento humano en su globalidad

Published
2003

44. Positive or negative history of childhood sexual abuse among problem drinkers: relationship to substance use disorders and psychiatric co-morbidity

Author

Francis Keaney, David Best, Jose Martinez-Raga, John Strang, David Ball, and E. Jane Marshall

Subjects
High rate, medicine.medical_specialty, Health (social science), History of childhood, business.industry, European research, Medicine (miscellaneous), medicine.disease, Unit of alcohol, Substance abuse, Sexual abuse, medicine, Co morbidity, Substance use, Psychiatry, business, Clinical psychology
Abstract

Background Victims of childhood sexual abuse (CSA) show higher rates of several psychiatric and substance abuse disorders in adulthood. High rates of CSA have been reported in alcohol- or drug-dependent patients presenting to treatment. However, there is a paucity of European research with regard to in-patient alcohol-dependent populations. Aims The aim was to describe the prevalence of CSA in a UK sample of alcohol-dependent in-patients admitted over a 3-year period to a specialist alcohol unit; also to identify sociodemographic, alcohol and other substance use-related variables, and co-morbid psychiatric disorders associated with CSA. Method Clinical and socio-demographic data and information on childhood sexual abuse (CSA) were collected from 414 admissions, between September 1995 and September 1998, to the Specialist Alcohol Inpatient Unit. Results In the total sample of 414 subjects, 52 had experienced CSA. Of the 311 male subjects included in the study, 20 (6.4%) had experienced CSA. Of the 103 fema...

Published
2002

45. Aspectos éticos de la asistencia clínica en los trastornos adictivos

Author

F. Bolinches, Jose Martinez-Raga, P. De Vicente, Pérez-Gálvez B, G. Cervera, and Gonzalo Haro

Subjects
Pharmacology, Psychiatry and Mental health
Abstract

Resumen El terapeuta que trabaja en trastornos adictivos se encuentra con frecuencia con multitude de problemas y decisiones de gran calado en el campo de la etica. En los ultimos meses se han publicado en Espana varios libros que abordan el tema desde el campo psiquiatrico, con la salvedad que estos principios eticos son aplicables al resto de profesionales que trabajan en los trastornos adictivos. Se analizan las teorias que sustentan a la etica, asi como los cuatro principios eticos de la medicina, para terminar con una revision de como el paradigm postmoderno influira sobre ella Material y metodo Revision bibliografica, en su mayor parte de libros sobre etica en medicina y psiquiatria, para realizar un analisis de los principios eticos en los trastornos por uso de sustancias en el marco de la asistencia sanitaria de la sociedad postmoderna Resultados Los problemas eticos de la no maleficencia, entre los que destaca el diagnostico y el tratamiento del trastorno adictivo y trastornos concomitants (SIDA, diagnostico dual, etc.), la justicia, la beneficencia y sobre todo la autonomia son extraordinariamente relevantes en la practica clinica y lo seran mas en la revolucion de los cuidados sanitarios, que forma parte de otra mas amplia, la del pensamiento social postmoderno desconstruccionista Conclusiones El abordaje clinico de las drogodependencias no puede obviar las normas eticas, entre las que resaltan: el deber de seleccionar intervenciones terapeuticas minimamente restrictivas para la libertad del paciente, buscando asesoramiento en la areas del trabajo en las que no se tuviera la experiencia necesaria; el deber de mantenerse al tanto del desarrollo cientifico, y que el paciente debe ser aceptado en el proceso terapeutico como un igual por derecho propio. La relacion terapeuta-paciente debe basarse en la confianza y en el respeto mutuos, que es lo que permite al paciente tomar decisiones libres e informadas.

Published
2002

46. Personalidades impulsivas y trastornos por uso de sustancias: algo más que un diagnósticodual

Author

Gonzalo Haro, G. Cervera, Pérez-Gálvez B, Jose Martinez-Raga, P. De Vicente, F. Bolinches, and M. Castellano Gómez

Subjects
Pharmacology, Psychiatry and Mental health
Abstract

Objetivo Los trastornos impulsivos dela personalidad estan asociados frecuentemente alos trastornos por uso de sustancias, esta relacionhay que entenderla en base a la vulnerabilidad quetienen estos trastornos de la personalidad paraconsumir sustancias, sin medir el riesgo que significasu uso, y caer en la adiccion tras el consumo. Material y metodo Revision bibliografica acercade los trabajos referidos a este campo de la psicopatologia(desde la psicologia a la psiquiatria), sinolvidar la importante aportacion que las neurocienciashacen a este complejo campo del diagnosticodual. Resultados Los trastornos impulsivos de la personalidad(limite y antisocial) son politeticos, conun espectro complejo de patrones de comportamientoen los que, cuando se presenta abuso desustancias, hay que considerar la psicobiologia delcircuito de la recompensa y el funcionalismo de loslobulos frontales. Conclusiones Desde estos posicionamientos psicobiologicosy geneticos, comprenderemos mejor larelacion entre estos trastornos del Eje I y II delDSM-IV-TR, relacion que consideramos como algomas que un diagnostico dual, y que habria que asumiren la genesis de esta comorbilidad, asi como enlas estrategias de intervencion.

Published
2002

47. Hepatitis C Crónica y usuarios con un historial de inyección de drogas en España: evaluación de la población, retos para un tratamiento efectivo

Author

Jose Martinez-Raga, Carlos Roncero, Pablo Vega, and Marta Torrens

Subjects
Hepatitis C -- Tractament, 03 medical and health sciences, Psychiatry and Mental health, 0302 clinical medicine, 030220 oncology & carcinogenesis, Philosophy, Treatment outcome, Drogoaddicció, Medicine (miscellaneous), 030211 gastroenterology & hepatology, Humanities
Abstract

La hepatitis C cronica (HCC) es una enfermedad de desigualdad que afecta desproporcionadamente a las personas desatendidas por la salud publica. Personas con antecedentes de uso de opioides o uso de drogas por via parenteral (UDVP) se enfrentan a desigualdad y estigma. Un historia previa de inyeccion de drogas es un comportamiento que incrementa el riesgo de contraer el VHC. Hay una gran incidencia de HCC entre las personas se inyectan drogas. Hay mas de 300,000 personas en Espana que actualmente se inyectan drogas o tienen antecedentes. Hay 150,000 personas en Espana con un historial trastorno de uso de opioides y la mayoria son UDVP o ex UDVP. Aproximadamente 80,000 personas usan los servicios para tratar el trastorno de uso de opioides cada ano. La presencia de HCC en esta poblacion es de 47-85% (EMCDDA, 2015; Folch et al., 2013, 2016; Hahne et al., 2013; Ministerio de Sanidad Servicios Sociales e igualdad, 2013; Muga et al., 2015; Reyes-Uruena, Brugal, Majo, Domingo-Salvany, & Cayla, 2015; Roncero et al., 2011; Vallejo et al., 2015). Un 30% (entre el 15-45%) de las personas continuan inyectandose drogas durante el tratamiento, aun que muchas personas usan programas de intercambio de agujas y no comparten su equipo. La tolerabilidad y efectividad de la terapia del HCC en el pasado ha limitado las intervenciones exitosas. Sin embargo actualmente hay nuevos tratamientos eficientes y accesibles. En Espana, se han tratado un numero muy limitado de UDVP con HCC (Muga et al., 2015). En general, el tratamiento de los UDVP es menos probable que para otros pacientes. Muchos de los UDVP asumen que no pueden acceder al tratamiento para el HCC por sus problemas de salud y las desigualdades del sistema; probablemente hay una inutilidad percibida en solicitar pruebas de deteccion y participar en el tratamiento. Ademas, en el pasado la ausencia de nuevos tratamientos y el miedo a los efectos secundarios de las antiguas medicaciones usadas para el tratamiento de HCC, como el interferon, limitaba el acceso. Por otra parte, el escaso conocimiento sobre la infeccion del Virus de la Hepatitis C (VHC) y sus secuelas son limitaciones que se deben considerar. Estos problemas deben de ser solucionados con nuevas y diferentes formas de educacion de la salud. Por ejemplo, el uso de grupos de apoyo conducidos por pares son probablemente de gran importancia. Tambien se puede considerar la posibilidad de facilitar el diagnostico por pares o el autodiagnostico en ciertos establecimientos, incluyendo sitios informales y no clinicos como farmacias, programas de intercambios de jeringuillas y centros de servicios sociales. La barrera mas importante para el acceso al tratamiento del VHC para esta poblacion es el enlace entre los centros de tratamiento de las drogodependencias y los centros que tratan el HCC (unidades o servicios de enfermedades infecciosas y/o de hepatologia). La separacion de estos servicios, que estan definidos por la organizacion e infraestructura del sistema sanitario de Espana, es la mayor limitacion para la administracion con exito del tratamiento de los pacientes con VHC. Estas limitaciones pueden ser solucionadas facilitando una colaboracion entre las unidades que tratan a los pacientes adictos y los servicios de enfermedades infecciosas y/o hepatologia, incluyendo el desarrollo de un protocolo conjunto para los profesionales sanitarios y los pacientes. Es muy dificil entender como se puede tratar efectivamente a estos grupos ya que muchos de ellos no se relacionan con servicios sociales y sanitarios en absoluto, o solo con servicios para el tratamiento de la drogodependencia a los opioides. Se han descrito las siguientes causas que explicarian el acceso limitado al tratamiento del paciente: (1) bajo nivel de participacion en el tratamiento, (2) baja participacion en pruebas regulares del VHC, (3) clara ausencia de un protocolo claro desde los recursos para el tratamiento del trastorno de uso de opiaceos hasta los servicios de tratamiento del VHC para muchos pacientes (Figure 1). Hay aproximadamente 150,000 personas en Espana con trastorno de uso de opiaceo y muchos de ellos tambien tienen un historial de inyeccion de drogas. De esta poblacion, hay 80,000 personas que se relacionan con los servicios para el tratamiento de la drogodependencia, recibiendo TSO y otros tipos de intervenciones... Sin embargo, hasta la actualidad, pocos UDVP con VHC en Espana han sido tratados. Las razones por las que el numero de UDVP tratados es bajo apunta a una serie de estrategias que pueden mejorar el acceso a servicios sanitarios de estos grupos. Hay una oportunidad para los responsables politicos, medicos y pacientes para hacer un gran cambio en la manera que se trata el VHC en UDVP.

Published
2017

48. Department of Error

Author

Hassan Magdy Abd El Razek, Damian Santomauro, Aletta Schutte, Jean Jacques Noubiap, ZOUBIDA ZAIDI, Marcella Montico, Ileana Beatriz Heredia-Pi, Burcu Kucuk Bicer, Kefyalew Addis Alene, Nataliya Foigt, Ziad El-Khatib, Sachin Atre, Mikk Jürisson, Samir Bhatt, Kalpana Balakrishnan, Lope Barrero, Bolajoko Olusanya, John McGrath, Abdulaal Chitheer, Carla Farinha, Kenji Shibuya, Vafa Rahimi-Movaghar, Irina Filip, Mihajlo Jakovljevic, Santosh Tadakamadla, Elisabete Weiderpass, Ewan Cameron, Pengpeng Ye, Alize Ferrari, Boris Bikbov, Muktar Ahmed, Sadaf Sepanlou, Muhammad Aziz Rahman, Mark Stokes, Mika Kivimaki, Aleksandra Barac, Rahman Shiri, Sergey Vladimirov, Daniel Kim, Graeme Hankey, Dina Nur Anggraini Ningrum, Michael Kravchenko, Salman Rawaf, George Patton, Bruno Sunguya, Amador Goodridge, Khalid Altirkawi, João Fernandes, Paul Dargan, Gert Mensink, Tsegahun Manyazewal, Edson Servan-Mori, Amir Radfar, Muawiyyah Babale Sufiyan, Deborah Carvalho Malta, Denny John, Janni Leung, Peter Gething, Lucero Cahuana-Hurtado, Valery L. Feigin, Gholamreza Roshandel, Rakhi Dandona, Rajaa Al-Raddadi, Rafael Lozano, Amanda Thrift, Ratilal Lalloo, Erkin Mirrakhimov, Diego Augusto Santos Silva, Olanrewaju Oladimeji, Giorgia Giussani, Lemma Negesa Bulto, Mete Saylan, Maziar Moradi-Lakeh, Norberto Perico, Guy Marks, Klara Dokova, Eyal Oren, Eduardo Bernabe, Bach Tran, Rajendra Kadel, Ben Schöttker, Sorin Hostiuc, Mustafa Younis, MARIA JESUS RIOS BLANCAS, Bruce Duncan, Hamid Ahmadieh, Rufus Akinyemi, Morteza Shamsizadeh, Rafael Tabares-Seisdedos, Teketo TEGEGNE, Rachel Woodbrook, Jeffrey V. Lazarus, Michael Brauer, ANDRE RENZAHO, Yousef Khader, Ahmad Ali Enayati, Gizachew A Tessema, Sonia Saxena, Sasa Rajsic, Misgan Legesse Liben, Yuan-Pang Wang, Mayowa Owolabi, Charles Wiysonge, Azmeraw T. Amare, Jacob Olusanya, Hanne Christensen, Vivekanand Jha, Olalekan Uthman, Andrew Olagunju, Farshad Farzadfar, Hamid Hassen, Kamarul Imran Musa, Nelson Alvis-Guzmán, Katarzyna Kissimova-Skarbek, Khurshid Alam, Anurag Agrawal, Francisco Rogerlândio Martins-Melo, Soraya Seedat, Michael Piradov, Amir Kasaeian, David Pereira, Raimundas Lunevicius, Nuno Taveira, EMERITO JOSE A. FARAON, Seid Tiku Mereta, Haitham Shoman, Srinivasa Katikireddi, Ai Koyanagi, Ted Miller, JUNG-CHEN CHANG, Zubair Kabir, Selina Deiparine, Richard Franklin, Jose Martinez-Raga, Dan Stein, Adnan Kisa, Alberto Ortiz Arduan, Melkamu Meried Mengesha, Yohannes Kinfu, Konrad Pesudovs, Olatunji Adetokunboh, Carl Abelardo Antonio, Yannick Béjot, Abdallah Samy, Adugnaw Berhane, Alireza Esteghamati, Shafiu Mohammed, Derrick Bennett, Stefan Lorkowski, Karzan Mohammad, Fiona Charlson, Ettore Beghi, Tesfaye Regassa Feyissa, Tissa Wijeratne, and João M. Furtado

Subjects
Burden of disease, Sustainable development, Economic growth, 030219 obstetrics & reproductive medicine, 030505 public health, Health related, General Medicine, Article, 3. Good health, 03 medical and health sciences, 0302 clinical medicine, Section (archaeology), Past Trends, Political science, 030212 general & internal medicine, 0305 other medical science, Global Health Metrics
Abstract

Summary Background The UN's Sustainable Development Goals (SDGs) are grounded in the global ambition of “leaving no one behind”. Understanding today's gains and gaps for the health-related SDGs is essential for decision makers as they aim to improve the health of populations. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016), we measured 37 of the 50 health-related SDG indicators over the period 1990–2016 for 188 countries, and then on the basis of these past trends, we projected indicators to 2030. Methods We used standardised GBD 2016 methods to measure 37 health-related indicators from 1990 to 2016, an increase of four indicators since GBD 2015. We substantially revised the universal health coverage (UHC) measure, which focuses on coverage of essential health services, to also represent personal health-care access and quality for several non-communicable diseases. We transformed each indicator on a scale of 0–100, with 0 as the 2·5th percentile estimated between 1990 and 2030, and 100 as the 97·5th percentile during that time. An index representing all 37 health-related SDG indicators was constructed by taking the geometric mean of scaled indicators by target. On the basis of past trends, we produced projections of indicator values, using a weighted average of the indicator and country-specific annualised rates of change from 1990 to 2016 with weights for each annual rate of change based on out-of-sample validity. 24 of the currently measured health-related SDG indicators have defined SDG targets, against which we assessed attainment. Findings Globally, the median health-related SDG index was 56·7 (IQR 31·9–66·8) in 2016 and country-level performance markedly varied, with Singapore (86·8, 95% uncertainty interval 84·6–88·9), Iceland (86·0, 84·1–87·6), and Sweden (85·6, 81·8–87·8) having the highest levels in 2016 and Afghanistan (10·9, 9·6–11·9), the Central African Republic (11·0, 8·8–13·8), and Somalia (11·3, 9·5–13·1) recording the lowest. Between 2000 and 2016, notable improvements in the UHC index were achieved by several countries, including Cambodia, Rwanda, Equatorial Guinea, Laos, Turkey, and China; however, a number of countries, such as Lesotho and the Central African Republic, but also high-income countries, such as the USA, showed minimal gains. Based on projections of past trends, the median number of SDG targets attained in 2030 was five (IQR 2–8) of the 24 defined targets currently measured. Globally, projected target attainment considerably varied by SDG indicator, ranging from more than 60% of countries projected to reach targets for under-5 mortality, neonatal mortality, maternal mortality ratio, and malaria, to less than 5% of countries projected to achieve targets linked to 11 indicator targets, including those for childhood overweight, tuberculosis, and road injury mortality. For several of the health-related SDGs, meeting defined targets hinges upon substantially faster progress than what most countries have achieved in the past. Interpretation GBD 2016 provides an updated and expanded evidence base on where the world currently stands in terms of the health-related SDGs. Our improved measure of UHC offers a basis to monitor the expansion of health services necessary to meet the SDGs. Based on past rates of progress, many places are facing challenges in meeting defined health-related SDG targets, particularly among countries that are the worst off. In view of the early stages of SDG implementation, however, opportunity remains to take actions to accelerate progress, as shown by the catalytic effects of adopting the Millennium Development Goals after 2000. With the SDGs' broader, bolder development agenda, multisectoral commitments and investments are vital to make the health-related SDGs within reach of all populations. Funding Bill & Melinda Gates Foundation.

Published
2017

49. Attention-deficit hyperactivity disorder (ADHD), substance use disorders, and criminality: a difficult problem with complex solutions

Author

Jose Martinez-Raga, Vicent Balanzá-Martínez, Raquel de Alvaro, and Carlos Knecht

Subjects
Conduct Disorder, medicine.medical_specialty, Adolescent, Substance-Related Disorders, Population, Trastorns de l'atenció, PsycINFO, Risk Factors, Epidemiology, mental disorders, medicine, Attention deficit hyperactivity disorder, Humans, Psiquiatria, education, Psychiatry, Imprisonment, Child, Serotonin Plasma Membrane Transport Proteins, education.field_of_study, Dopamine Plasma Membrane Transport Proteins, Receptors, Dopamine D4, Public Health, Environmental and Occupational Health, Criminals, medicine.disease, Substance abuse, Conduct disorder, Attention Deficit Disorder with Hyperactivity, Pediatrics, Perinatology and Child Health, Juvenile Delinquency, Psychology, Psychosocial
Abstract

The association between attention-deficit hyperactivity disorder (ADHD) and criminality has been increasingly recognized as an important societal concern. Studies conducted in different settings have revealed high rates of ADHD among adolescent offenders. The risk for criminal behavior among individuals with ADHD is increased when there is psychiatric comorbidity, particularly conduct disorder and substance use disorder. In the present report, it is aimed to systematically review the literature on the epidemiological, neurobiological, and other risk factors contributing to this association, as well as the key aspects of the assessment, diagnosis, and treatment of ADHD among offenders. A systematic literature search of electronic databases (PubMed, EMBASE, and PsycINFO) was conducted to identify potentially relevant studies published in English, in peer-reviewed journals. Studies conducted in various settings within the judicial system and in many different countries suggest that the rate of adolescent and adult inmates with ADHD far exceeds that reported in the general population; however, underdiagnosis is common. Similarly, follow-up studies of children with ADHD have revealed high rates of criminal behaviors, arrests, convictions, and imprisonment in adolescence and adulthood. Assessment of ADHD and comorbid condition requires an ongoing and careful process. When treating offenders or inmates with ADHD, who commonly present other comorbid psychiatric disorder complex, comprehensive and tailored interventions, combining pharmacological and psychosocial strategies are likely to be needed.

Published
2014

50. Los trastornos relacionados con el uso desustancias desde la perspectiva de lapsicopatología y las neurociencias

Author

F. Bolinches, P. De Vicente, G. Cervera, Jose Martinez-Raga, J.C. Valderrama, and G. Haro

Subjects
Pharmacology, Psychiatry and Mental health
Abstract

Resumen Introduccion las neurociencias explican, cada dia mas y mejor, los trastornos psicopatologicos y dentro de ellos los relacionados con eluso de sustancias. El conocimiento de la fisiologia yanatomia de los sistemas de refuerzo, asi como delresto de mecanismos de la adiccion, junto a la psicopatologia y comorbilidad asociada, nos permitenun mejor marco de referencia para el diagnostico y tratamiento de estos trastornos Material y metodo revision bibliografica de losaspectos psicobiologicos de la adiccion y su relacion con los hallazgos clinicos dentro de los trastornos por uso de sustancias Resultados en la primera mitad del pasado siglo yase apuntaron algunos aspectos clinicos que hacianpensar en la existencia de factores psicobiologicos delas drog dependencias, estos hechos confirmados en lasegunda mitad del siglo se articulan en: unos mecanismos de refuerzo sustentados fundamentalmente en la transmision dopaminergica del mesoaccumbens, laexistencia de otras areas implicadas en el circuito de lare compensa; y la conceptualizacion de la adiccioncomo factor primario, que junto a otros trastornos psiquicos, tanto primarios como drogo inducidos, dentrode un modelo de vulnerabilidad, da la patologia dual Conclusiones el factor biologico, considerandocomo tal el efecto de las sustancias en los circuitosdel refuerzo, y sobre otras estructuras y sistemasde neurotransmision cerebrales, tiene que relacionarse con la psicopatologia, previa o inducida, enun contexto social determinado. Solamente asi seentendera de forma adecuada los trastornos adicti-vos y la psicopatologia asociada

Published
2001

Catalog

Books, media, physical & digital resources
See catalog results