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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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| 3. |
- Hasani, Arman, et al.
(författare)
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Laser Processing of Liquid Feedstock Plasma-Sprayed Lithium Titanium Oxide Solid-State-Battery Electrode
- 2024
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Ingår i: Coatings. - : MDPI. - 2079-6412. ; 14:2
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Tidskriftsartikel (refereegranskat)abstract
- The astonishing safety and capacity characteristics of solid-state-batteries are encouraging researchers and companies to work on the manufacturing, development, and characterization of battery materials. In the present work, the effects of laser beam interaction with a liquid feedstock plasma-sprayed ceramic solid-state-battery (SSB) material coating were studied. Lithium Titanium Oxide (LTO) in the form of an aqueous suspension consisting of submicron powder particles was plasma-sprayed for the first time using a high-power axial III plasma torch on an aluminum substrate. The plasma-sprayed LTO coating suspension was subsequently post-processed using a fiber laser. The energy input of the laser beam on the surface of the deposited layer was the main variable. By varying the laser power and laser processing speed, the energy input values were varied, with values of 3.8 J/mm2, 9.6 J/mm2, 765.9 J/mm2, and 1914.6 J/mm2, and their effects on some key characteristics such as laser-processed zone dimensions and chemical composition were investigated. The results indicated that changing the laser beam parameter values has appreciable effects on the geometry, surface morphology, and elemental distribution of laser-processed zones; for instance, the highest energy inputs were 33% and 152%, respectively, higher than the lowest energy input.
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