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Objectives: Strong evidence links obesity to esophageal cancer (EC), gastric cancer (GC), colorectal cancer (CRC), and pancreatic cancer (PC). However, national-level studies testing the link between obesity and recent temporal trends in the incidence of these cancers are lacking., Methods: We queried the Surveillance, Epidemiology, and End Results (SEER) to identify the incidence of EC, GC, CRC, and PC. Cancer surgeries stratified by obesity (body mass index ≥30 kg/m) were obtained from the National Inpatient Sample (NIS). We quantified trends in cancer incidence and resections in 2002-2013, across age groups, using the average annual percent change (AAPC)., Results: The incidence of CRC and GC increased in the 20-49 year age group (AAPC +1.5% and +0.7%, respectively, P < 0.001) and across all ages for PC. Conversely, the incidence of CRC and GC decreased in patients 50 years or older and all adults for EC. According to the NIS, the number of patients with obesity undergoing CRC resections increased in all ages (highest AAPC was +15.3% in the 18-49 year age group with rectal cancer, P = 0.047). This trend was opposite to a general decrease in nonobese patients undergoing CRC resections. Furthermore, EC, GC, and PC resections only increased in adults 50 years or older with obesity., Discussion: Despite a temporal rise in young-onset CRC, GC, and PC, we only identify a corresponding increase in young adults with obesity undergoing CRC resections. These data support a hypothesis that the early onset of obesity may be shifting the risk of CRC to a younger age.

This paper explores the history of the isolation and industrial production of aluminium in France, from the work of Henri Sainte-Claire Deville in the 1850s to the latter part of the twentieth century, focusing on the relationships between academic research and industrial exploitation. In particular, it identifies a culture and organisation of research and development, "learning-by-doing," that emerged in the French aluminium industry following the establishment of the first electrolytic production facilities in the late 1880s by Paul Héroult, who, along with the American Charles Hall, patented the electrolytic method of producing the metal. This French method of R&D was a product both of a scientific culture that saw a continuity between scientific research and industrial application, and of a state policy that, unlike in Germany or the United States, was late to recognise the importance of fostering, on a large scale, the relations between academic chemistry and industry. It was only after World War II that the French state came fully to recognise the importance of underpinning industry with scientific research. And it was only from the 1960s, in the face of intensifying global competition, the risks of pollution, and the cost of energy, that the major aluminium firm Pechiney et Cie was able to replace a culture of "learning-by-doing" by one that integrated fundamental science with the production process.