Incidence of haematological malignancies in Kosovo-A post "uranium war" concern

Trends of incidence, mortality and survival of multiple myeloma in Spain. A twenty-three-year population-based study

BACKGROUND

Despite major advances, multiple myeloma remains an incurable disease. Epidemiological data from high-quality population-based registries are needed to understand the heterogeneous landscape of the disease.

METHODS

Incidence, mortality and survival in multiple myeloma were comprehensively analyzed in the Girona and Granada population-based cancer registries, over a 23-year study (1994-2016), divided into three periods (1994-2001, 2002-2009 and 2010-2016). Joinpoint regression analysis was used to estimate the annual percentage change in incidence and mortality. Age-standardized net survival was calculated with the Pohar-Perme method.

RESULTS

1957 myeloma patients were included in the study, with a median age of 72 years. Age-standardized incidence and mortality rates decreased over time in both sexes and both rates were higher in males. Five-year age-standardized net survival by period was 27.4% (1994-2001), 38.8% (2002-2009), and 47.4% (2010-2016). Survival improved for all age groups: 32.4%, 74.1% and 78.5% for patients aged 15-49; 27.5%, 44.6%, and 58.5% for those aged 50-69; finally, 24.8%, 25.5%, and 26.3% for the older group.

CONCLUSION

Incidence remained overall stable throughout the study, with only a small increase for men. Mortality was progressively decreasing in both sexes. Both incidence and mortality were higher in men. Age plays a critical role in survival, with impressive improvement in patients younger than 70 years, but only a minor benefit in those older than 70.

Farmers’ Attitudes Towards the Use of Biomass as Renewable Energy—A Case Study from Southeastern Europe

Among the renewable energy sources, increasing the use of biomass (agricultural by-products) could be important from both an environmental and a climate protection perspective, but in many cases this is not a part of the current practice. Especially in developing countries, a large amount of agricultural waste suitable for energy use remains unused, remaining on the arable land or being burned in the field. Complicating matters is the fact that some countries have significant fossil energy reserves. This is also the case in Kosovo, which has the largest reserves of coal reserves (lignite) in southeastern Europe. An important question is how polluting and non-climate-friendly fossil fuels are to be replaced when they are available cheaply and in large quantities. The function of the political and economic models used in Europe has local specificity. It is not possible to copy the good solutions introduced by each country because of differences in the economic systems and farmers. Previous research has paid little attention to the producer conditions for available waste biomass sales. Studies have not examined the sales attitudes of farmers, or under what conditions they are willing to sell a larger proportion of the straw produced—of course, in such a way that they also meet the needs of animal husbandry, nutrients, and carbon supply. Using binary logistics regression and descriptive statistics not yet used in previous research, we analyzed the factors that influence farmers’ willingness to sell, sales barriers, and incentives. According to the respondents, the biggest barriers to selling straw are the lack of a market (74.1%) and baling machines (50.9%), while the main incentives may be a good price (75%) and a guaranteed contract (67.8%). The farmers surveyed believe that, in a safe market, with a multiyear contractual agreement, they would sell more than half of their straw for biomass energy production. The use of straw in animal husbandry is declining due to the introduction of new technological solutions, so the use of straw for energy purposes is an increasingly topical issue in the rapidly developing southeastern European countries as well. Based on our research results, it can be stated that the majority of farmers are willing to sell more than 50% of the amount of straw produced for energy purposes if the business model and state regulations are appropriate.