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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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- 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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- Ahmad, Fawad, et al.
(författare)
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Synthesis of New Naphthyl Aceto Hydrazone-Based Metal Complexes : Micellar Interactions, DNA Binding, Antimicrobial, and Cancer Inhibition Studies
- 2021
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Ingår i: Molecules. - : MDPI AG. - 1431-5157 .- 1420-3049. ; 26:4
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Tidskriftsartikel (refereegranskat)abstract
- In the present study, naphthyl acetohydrazide (HL) ligand was prepared and used for the synthesis of new six amorphous transition metal (Co(II), Ni(II), Cu(II), Zn(II), Pb(II), Cd(II)) complexes. All the compounds were characterized by elemental analysis, UV-vis, FT-IR, 1H- and 13C-NMR, and Matrix-Assisted Laser Desorption Ionization (MALDI). The solubilization study was carried out by estimating the interaction between the metal complexes with surfactants viz. sodium stearate (SS) and Cetyltrimethylammonium bromide (CTAB). UV-Visible spectroscopy was employed to determine partitioning and binding parameters, whereas electrical conductivity measurements were employed to estimate critical micellar concentration (CMC), the extent of dissociation, and free energy of micellization. The CT-DNA interaction of synthesized compounds with DNA represents the major groove binding. The synthesized ligand and metal complexes were also tested against bacterial and fungal strains and it has been observed that Cu(II) complex is active against all the strains except Candida albicans, while Cd(II) complex is active against all bacterial and fungal strains except Pseudomonas. Among all compounds, only the Pd(II) complex shows reasonable activity against cervical cancer HeLa cell lines, representing 97% inhibition.
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- Jentsch, Mark F., et al.
(författare)
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Transforming existing weather data for worldwide locations to enable energy and building performance simulation under future climates
- 2013
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Ingår i: Renewable energy. - : Elsevier BV. - 0960-1481 .- 1879-0682. ; 55:0, s. 514-524
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Tidskriftsartikel (refereegranskat)abstract
- Building performance and solar energy system simulations are typically undertaken with standardised weather files which do not generally consider future climate predictions. This paper investigates the generation of climate change adapted simulation weather data for locations worldwide from readily available data sets. An approach is presented for ‘morphing’ existing EnergyPlus/ESP-r Weather (EPW) data with UK Met Office Hadley Centre general circulation model (GCM) predictions for a ‘medium–high’ emissions scenario (A2). It was found that, for the United Kingdom (UK), the GCM ‘morphed’ data shows a smoothing effect relative to data generated from the corresponding regional climate model (RCM) outputs. This is confirmed by building performance simulations of a naturally ventilated UK office building which highlight a consistent temperature distribution profile between GCM and RCM ‘morphed’ data, yet with a shift in the distribution. It is demonstrated that, until more detailed RCM data becomes available globally, ‘morphing’ with GCM data can be considered as a viable interim approach to generating climate change adapted weather data.
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- Teli, Despoina, 1980, et al.
(författare)
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Field study on thermal comfort in a UK primary school
- 2012
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Ingår i: Proceedings of 7th Windsor Conference: The Changing Context of Comfort in an Unpredictable World.
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Konferensbidrag (refereegranskat)abstract
- This paper presents findings from a field survey in a naturally ventilated primary school building in Southampton, UK. The study included thermal comfort surveys and simultaneous measurements of indoor environmental variables. Approximately 230 pupils aged 7-11 in all 8 classrooms of the school were surveyed in repeated survey runs outside the heating season, from April to July 2011. In total 1314 responses were gathered. The survey involved questions on the thermal sensation and preference of the pupils. This paper investigates the children’s thermal sensation trends, their perception of overall comfort and tiredness. Furthermore, it compares the survey results to predictions achieved with current adult-based comfort standards, namely ISO 7730 and EN 15251. The results suggest that children have a different thermal perception than adults. Possible explanations are discussed in relation to the particularities and specific character of school environments.
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