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- Ademuyiwa, Adesoji O., et al.
(författare)
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Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
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Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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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.
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- Amer, Wael A., et al.
(författare)
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Liquid-crystalline azobenzene-containing ferrocene-based polymers : study on synthesis and properties of main-chain ferrocene-based polyesters with azobenzene in the side chain
- 2013
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Ingår i: Polymers for Advanced Technologies. - : Wiley. - 1042-7147 .- 1099-1581. ; 24:2, s. 181-190
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Tidskriftsartikel (refereegranskat)abstract
- Ferrocene-based polymers are characterized by their electrochemical activity, good redox properties, thermal, photochemical stability, and liquid crystallinity, and thus they have various applications in different fields. A comprehensive investigation on the synthesis and properties of three novel main-chain ferrocene-based polyesters with azobenzene in the side chain (MFPAS) was carried out. The main-chain ferrocene-based polyester, poly(N-phenyldiethanolamine 1,1'-ferrocene dicarboxylate (PPFD), was synthesized via the solution polycondensation reaction of 1,1'-ferrocenedicarbonyl chloride with phenyldiethanolamine (PDE). The novel MFPAS were synthesized via the post-polymerization azo-coupling reaction of PPFD with three different 4-substituted anilines including 4-nitroaniline, 4-aminobenzoic acid, and 4-aminobenzonitrile to produce 4-nitrophenylazo-functionalized-PPFD (PPFD-NT), 4-carboxyphenylazo-functionalized-PPFD (PPFD-CA), and 4-cyanophenylazo-functionalized-PPFD (PPFD-CN), respectively. All the synthesized polymers were characterized by 1H NMR spectroscopy, Fourier transform infrared spectroscopy, and UVvisible spectroscopy. In addition, powder X-ray diffraction patterns were measured for the synthesized polymers. The photoisomerization of the MFPAS was studied. The thermal properties of the MFPAS were studied using thermogravimetric analysis and differential scanning calorimetry. PPFD-CA and PPFD-CN were found to be more thermally stable than PPFD-NT. Finally, the liquid-crystalline properties of PPFD and the MFPAS were examined using polarized optical microscope. It was found that all the polymers possessed nematic phases and exhibited textures with schlieren disclinations.
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- Amer, Wael A., et al.
(författare)
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Synthesis and Properties of a Ferrocene-based Metallomesogenic Polymer Containing Bis(4-hydroxyoctoxyphenyl)sulfone
- 2012
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Ingår i: Journal of Inorganic and Organometallic Polymers and Materials. - : Springer Nature. - 1574-1443 .- 1574-1451. ; 22:6, s. 1229-1239
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Tidskriftsartikel (refereegranskat)abstract
- Poly[bis(4-hydroxyoctoxyphenyl)sulfone 1,1'-ferrocene dicarboxylate] (PHOSFD) was synthesized by solution polycondensation reaction of bis(4-hydroxyoctoxyphenyl)sulfone with 1,1'-ferrocenyl chloride. The synthesized polymer was characterized via the measurement of its H-1 NMR spectrum, UV-Vis spectrum and FTIR spectrum. X-ray diffraction pattern was measured to investigate the crystallinity of the synthesized polymer and it was found that the polymer is mostly amorphous. The molecular weight of the polymer was determined by gel permeation chromatography. In addition, the electrochemical, the thermal, and the liquid crystalline properties of the synthesized polymer were examined and compared with the properties of poly(diethyleneglycol 1,1'-ferrocene dicarboxylate) (PDEFD) that was synthesized in our earlier study. The electrochemical processes of PHOSFD in CH2Cl2 were confirmed neither to be totally reversible nor completely irreversible. Generally, the electrochemical properties of PHOSFD and PDEFD were found to be similar to each other. PHOSFD was found to be thermally stable but its thermal stability is lower than that of PDEFD. Both of PHOSFD and PDEFD showed liquid crystalline properties and they possessed nematic phase textures with schlieren disclinations during heating and cooling.
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