| 1. |
- Ademuyiwa, Adesoji O., et al.
(författare)
-
Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
-
Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
-
Tidskriftsartikel (refereegranskat)abstract
- Background: Child health is a key priority on the global health agenda, yet the provision of essential and emergency surgery in children is patchy in resource-poor regions. This study was aimed to determine the mortality risk for emergency abdominal paediatric surgery in low-income countries globally.Methods: Multicentre, international, prospective, cohort study. Self-selected surgical units performing emergency abdominal surgery submitted prespecified data for consecutive children aged <16 years during a 2-week period between July and December 2014. The United Nation's Human Development Index (HDI) was used to stratify countries. The main outcome measure was 30-day postoperative mortality, analysed by multilevel logistic regression.Results: This study included 1409 patients from 253 centres in 43 countries; 282 children were under 2 years of age. Among them, 265 (18.8%) were from low-HDI, 450 (31.9%) from middle-HDI and 694 (49.3%) from high-HDI countries. The most common operations performed were appendectomy, small bowel resection, pyloromyotomy and correction of intussusception. After adjustment for patient and hospital risk factors, child mortality at 30 days was significantly higher in low-HDI (adjusted OR 7.14 (95% CI 2.52 to 20.23), p<0.001) and middle-HDI (4.42 (1.44 to 13.56), p=0.009) countries compared with high-HDI countries, translating to 40 excess deaths per 1000 procedures performed.Conclusions: Adjusted mortality in children following emergency abdominal surgery may be as high as 7 times greater in low-HDI and middle-HDI countries compared with high-HDI countries. Effective provision of emergency essential surgery should be a key priority for global child health agendas.
|
|
| 2. |
- Bakhiet, Salaheldin Fararh Attallah, et al.
(författare)
-
Decreases in divergent thinking across age groups from 2005 to 2018 amongst school children in Sudan
- 2022
-
Ingår i: Acta Psychologica. - : Elsevier. - 0001-6918 .- 1873-6297. ; 231
-
Tidskriftsartikel (refereegranskat)abstract
- Performances on tests of creativity have been found to be in decline in the USA. Here, we explore scores on divergent thinking tests in private schools in Khartoum State in Sudan by comparing a 2005 and a 2018 administration of the Torrance Standardized Circles test to 8- to 12-year-olds of both sexes. We find a decline across the period in all three dimensions of the test (Fluency, Flexibility and Originality), as well as in the overall index of divergent thinking. In line with much previous research, females consistently outperform males. Examining previous studies that report Negative Flynn Effects on IQ in Arab countries, we conclude that our results most likely reflect highly localized and exclusively environmental causes, and caution against assuming that the same processes that underlie Negative Flynn Effects in the West, whether on IQ or any trait correlated with it, also underlie it in the Arab World.
|
|
| 3. |
|
|
