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- 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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- Azevedo, Olivia, et al.
(författare)
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Predicting Soil Respiration from Plant Productivity (NDVI) in a Sub-Arctic Tundra Ecosystem
- 2021
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Ingår i: Remote Sensing. - : MDPI. - 2072-4292. ; 13:13
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Tidskriftsartikel (refereegranskat)abstract
- Soils represent the largest store of carbon in the biosphere with soils at high latitudes containing twice as much carbon (C) than the atmosphere. High latitude tundra vegetation communities show increases in the relative abundance and cover of deciduous shrubs which may influence net ecosystem exchange of CO2 from this C-rich ecosystem. Monitoring soil respiration (Rs) as a crucial component of the ecosystem carbon balance at regional scales is difficult given the remoteness of these ecosystems and the intensiveness of measurements that is required. Here we use direct measurements of Rs from contrasting tundra plant communities combined with direct measurements of aboveground plant productivity via Normalised Difference Vegetation Index (NDVI) to predict soil respiration across four key vegetation communities in a tundra ecosystem. Soil respiration exhibited a nonlinear relationship with NDVI (y = 0.202e3.508x, p < 0.001). Our results further suggest that NDVI and soil temperature can help predict Rs if vegetation type is taken into consideration. We observed, however, that NDVI is not a relevant explanatory variable in the estimation of SOC in a single-study analysis.
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- Parker, Thomas C., et al.
(författare)
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Rhizosphere allocation by canopy-forming species dominates soil CO2 efflux in a subarctic landscape
- 2020
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Ingår i: New Phytologist. - : John Wiley & Sons. - 0028-646X .- 1469-8137. ; 227:6, s. 1818-1830
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Tidskriftsartikel (refereegranskat)abstract
- In arctic ecosystems, climate change has increased plant productivity. As arctic carbon (C) stocks predominantly are located belowground, the effects of greater plant productivity on soil C storage will significantly determine the net sink/source potential of these ecosystems, but vegetation controls on soil CO2 efflux remain poorly resolved.In order to identify the role of canopy‐forming species in belowground C dynamics, we conducted a girdling experiment with plots distributed across 1 km2 of treeline birch (Betula pubescens ) forest and willow (Salix lapponum ) patches in northern Sweden and quantified the contribution of canopy vegetation to soil CO2 fluxes and belowground productivity.Girdling birches reduced total soil CO2 efflux in the peak growing season by 53%, which is double the expected amount, given that trees contribute only half of the total leaf area in the forest. Root and mycorrhizal mycelial production also decreased substantially. At peak season, willow shrubs contributed 38% to soil CO2 efflux in their patches.Our findings indicate that C, recently fixed by trees and tall shrubs, makes a substantial contribution to soil respiration. It is critically important that these processes are taken into consideration in the context of a greening arctic because productivity and ecosystem C sequestration are not synonymous.
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