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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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| 2. |
- Thomas, HS, et al.
(författare)
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- 2019
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swepub:Mat__t
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| 3. |
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| 4. |
- Surup, Gerrit Ralf, et al.
(författare)
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The effect of wood composition and supercritical CO2 extraction on charcoal production in ferroalloy industries
- 2020
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Ingår i: Energy. - : Elsevier. - 0360-5442 .- 1873-6785. ; 193
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Tidskriftsartikel (refereegranskat)abstract
- This work demonstrates that the integration of supercritical carbon dioxide extraction with slow pyrolysis is an effective method for the production of value-added chemicals and charcoal that is an attractive alternative to coke for industry. Integration of technologies is key for the development of holistic biorefineries that exploit all parts of the biomass feedstock and generate little or ideally no waste. In fact, the use of waste or low valued wood fractions is attractive due to their plentiful abundance and lack of exploitation. Supercritical carbon dioxide has been demonstrated to be effective at the removal of over half of extractives from low quality wood and forestry wastes, which can account for up to 11 wt %, of the dried biomass in waste needles. High extractive yields by supercritical carbon dioxide extraction illustrates the potential of utilizing low quality wood as an alternative feedstock for the sustainable production of value-added chemicals. High yields of steroids and derivatives, terpenes and other plant metabolites were obtained in the extracts of needles, branches and bark. Importantly, supercritical carbon dioxide extraction had little impact neither on the physical properties of original wood nor on the yield of solid charcoal. This indicates that extraction by supercritical carbon dioxide can be used as a method for adding further value to the process by removal of bio-based chemicals, whilst still maintaining the yield of the solid fuel product. Moreover, the heat treatment temperature and supercritical carbon dioxide extraction had a significant impact on the tar yields during pyrolysis, leading to an increase in naphthalene, polycyclic aromatic hydrocarbons, aromatic and phenolic fractions with greater temperature. These results are promising as they show that the charcoal obtained from this renewable feedstock could be used as an alternative to fossil-based coke in applications including ferroalloy industries.
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