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- Thomas, HS, et al.
(författare)
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- 2019
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swepub:Mat__t
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| 2. |
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| 3. |
- Drake, TM, et al.
(författare)
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Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study
- 2020
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Ingår i: BMJ global health. - : BMJ. - 2059-7908. ; 5:12
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Tidskriftsartikel (refereegranskat)abstract
- Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings.MethodsA multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI).ResultsOf 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI.ConclusionThe odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.
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| 4. |
- Okda, Sherif, et al.
(författare)
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Testing of the Aerodynamic Characteristics of an Inflatable Airfoil Section
- 2020
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Ingår i: Journal of Aerospace Engineering. - 1943-5525 .- 0893-1321. ; 33:5
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Tidskriftsartikel (refereegranskat)abstract
- Inflatable structures are characterized by being light and easy to manufacture and deploy. Hence, they find many applications in aerospace and aeronautical engineering. In this paper, an inflatable segment with a The National Advisory Committee for Aeronautics (NACA) 0021 airfoil cross-section is designed, fabricated, and tested. The geometrical accuracy of the manufactured inflatable segment is measured using laser scanning. Measurements show that the average normalized error of the chord length and thickness are 2.97% and 0.554%, respectively. The aerodynamic behavior of the inflatable segment is then tested in a wind tunnel at different wind speeds and angles of attack. Lift forces are measured using a six-component balance, while the drag forces are calculated from the wake measurements. The lift and drag coefficients of the inflatable section are compared to those of a standard NACA 0021 airfoil. Finally, flow visualization is examined at different angles of attack using two methods: smoke and tufts. Both methods show that flow separation starts at 15° and full stall occurs at 25°. Results indicate that inflatables can find more applications in the design and construction of aerodynamic structures, such as wings.
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