| 1. |
- 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. |
- Bravo, L, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 4. |
- Tabiri, S, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 5. |
- Danaei, Goodarz, et al.
(författare)
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Iran in transition
- 2019
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Ingår i: The Lancet. - 0140-6736 .- 1474-547X. ; 393:10184, s. 1984-2005
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Forskningsöversikt (refereegranskat)abstract
- Being the second-largest country in the Middle East, Iran has a long history of civilisation during which several dynasties have been overthrown and established and health-related structures have been reorganised. Iran has had the replacement of traditional practices with modern medical treatments, emergence of multiple pioneer scientists and physicians with great contributions to the advancement of science, environmental and ecological changes in addition to large-scale natural disasters, epidemics of multiple communicable diseases, and the shift towards non-communicable diseases in recent decades. Given the lessons learnt from political instabilities in the past centuries and the approaches undertaken to overcome health challenges at the time, Iran has emerged as it is today. Iran is now a country with a population exceeding 80 million, mainly inhabiting urban regions, and has an increasing burden of non-communicable diseases, including cardiovascular diseases, hypertension, diabetes, malignancies, mental disorders, substance abuse, and road injuries.
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| 6. |
- 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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| 7. |
- Hakeem, Abbas Saeed, et al.
(författare)
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Synthesis and characterization of alkaline earth and rare earth doped sialon Ceramics by spark plasma sintering
- 2021
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Ingår i: International journal of refractory metals & hard materials. - : Elsevier. - 0263-4368. ; 97
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Tidskriftsartikel (refereegranskat)abstract
- Several sialon ceramics compositions were synthesized by selecting metal oxides (MOs) in the nanosize range as additives in the oxynitride network. Nanosized precursors, including Si3N4, SiO2, AlN, Al2O3, and MO (MO =MgO, CaO, SrO, BaO, Y2O3, La2O3, CeO2, Nd2O3, Eu2O3, Dy2O3, Er2O3 and Yb2O3,) were used in the present study. Probe sonication and spark plasma sintering techniques were used for mixing the powder precursors and subsequent synthesis of sialon ceramics at a relatively low temperature of 1500 ◦C. Formation of α-sialon(general formula represented by Mm/vSi12-(m+n)Alm+nOnN16-n) was investigated for m and n values of 1.1 and 0.6, respectively and their structural, morphological, thermal, and mechanical properties were evaluated. The synthesized samples were characterized using X-ray diffractometry and field emission scanning electron microscopy to study the effect of the MOs on the microstructure and resulting densification, hardness, fracture toughness, thermal expansion, and thermal conductivity. The sialon samples synthesized using the selected MOs exhibited similar relative densities in the range of 96 to 99% among all the samples and Vickers hardness (HV10) values, in the range of 15 to 20.8 GPa, depending on the type of MO. However, RE MOs exhibited a higher HV than AE MOs.Fracture toughness (KIc) was ~4 MPa⋅m1/2 for most of the samples, but the sample doped with Yb2O3 had the highest KIc of 6.3 MPa⋅m1/2. The thermal conductivity decreased as the atomic number (atomic radii) of the AE increases and in the case of RE exhibited a random tendency. On the other hand, the thermal expansion coefficient increased with increasing atomic radii of the AE, and a mixed trend, with values in the range of 2.63 to2.83 ppm⋅K-1, was observed for RE doped sialon ceramics. These behaviors are attributed to the resulting morphology and structure of alpha sialon comprised of both equiaxed and elongated grains. The properties of these sialon ceramics could be tailored by the proper selection of suitable precursors and synthesis parameters.
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