| 1. |
- Bravo, L, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 2. |
- Tabiri, S, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 3. |
- Khatri, C, et al.
(författare)
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Outcomes after perioperative SARS-CoV-2 infection in patients with proximal femoral fractures: an international cohort study
- 2021
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Ingår i: BMJ open. - : BMJ. - 2044-6055. ; 11:11, s. e050830-
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Tidskriftsartikel (refereegranskat)abstract
- Studies have demonstrated high rates of mortality in people with proximal femoral fracture and SARS-CoV-2, but there is limited published data on the factors that influence mortality for clinicians to make informed treatment decisions. This study aims to report the 30-day mortality associated with perioperative infection of patients undergoing surgery for proximal femoral fractures and to examine the factors that influence mortality in a multivariate analysis.SettingProspective, international, multicentre, observational cohort study.ParticipantsPatients undergoing any operation for a proximal femoral fracture from 1 February to 30 April 2020 and with perioperative SARS-CoV-2 infection (either 7 days prior or 30-day postoperative).Primary outcome30-day mortality. Multivariate modelling was performed to identify factors associated with 30-day mortality.ResultsThis study reports included 1063 patients from 174 hospitals in 19 countries. Overall 30-day mortality was 29.4% (313/1063). In an adjusted model, 30-day mortality was associated with male gender (OR 2.29, 95% CI 1.68 to 3.13, p<0.001), age >80 years (OR 1.60, 95% CI 1.1 to 2.31, p=0.013), preoperative diagnosis of dementia (OR 1.57, 95% CI 1.15 to 2.16, p=0.005), kidney disease (OR 1.73, 95% CI 1.18 to 2.55, p=0.005) and congestive heart failure (OR 1.62, 95% CI 1.06 to 2.48, p=0.025). Mortality at 30 days was lower in patients with a preoperative diagnosis of SARS-CoV-2 (OR 0.6, 95% CI 0.6 (0.42 to 0.85), p=0.004). There was no difference in mortality in patients with an increase to delay in surgery (p=0.220) or type of anaesthetic given (p=0.787).ConclusionsPatients undergoing surgery for a proximal femoral fracture with a perioperative infection of SARS-CoV-2 have a high rate of mortality. This study would support the need for providing these patients with individualised medical and anaesthetic care, including medical optimisation before theatre. Careful preoperative counselling is needed for those with a proximal femoral fracture and SARS-CoV-2, especially those in the highest risk groups.Trial registration numberNCT04323644
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| 4. |
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- 2019
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Tidskriftsartikel (refereegranskat)
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| 5. |
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| 6. |
- Abdelaziz, Omar Y., et al.
(författare)
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Novel process technologies for conversion of carbon dioxide from industrial flue gas streams into methanol
- 2017
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Ingår i: Journal of CO2 Utilization. - : Elsevier BV. - 2212-9820. ; 21, s. 52-63
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Tidskriftsartikel (refereegranskat)abstract
- This research aims to develop efficient process technologies that are capable of converting/utilising CO2 streams into energy-rich liquid products (fuels). This would result in better solutions with near-zero-carbon-emissions level. From an energetic and economic point of view, methanol synthesis from CO2 is a competitive alternate to methanol production from biomass. Our work considers the CO2 balance for the technologies proposed, taking into account all CO2 flows from/to the environment. Flue gas CO2 streams released from electric power stations, steel industry, petroleum industry, and cement industry are good candidates for the developed technologies. Three new processes are developed and modelled for converting CO2 streams into liquid methanol. The total cost of equipment and utility for all process scenarios are evaluated and compared. The energy targets as well as the CO2 emissions (balance) are determined. Heat integration is performed on the best selected process technology. The case study employed for the present work is a power station plant burning natural gas for electricity production with a capacity of 112 MW, releasing 328 t/h flue gases to the atmosphere, of which CO2 gas accounts for 14%; hydrogen required for CO2 conversion comes from the chlor-alkali industry. The optimum process technology reached in this contribution results in methanol production of 0.625 t-per-tonne of CO2 waste gas supply, leading to an annual production of 222,507 tons methanol with a profit of 56.55 M$/y. Thus, the CO2 release to the environment is cut by about 62%.
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