| 1. |
- 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. |
- Fytory, Mostafa, et al.
(författare)
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Core-Shell Nanostructured Drug Delivery Platform Based on Biocompatible Metal-Organic Framework-Ligated Polyethyleneimine for Targeted Hepatocellular Carcinoma Therapy
- 2023
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Ingår i: ACS Omega. - : AMER CHEMICAL SOC. - 2470-1343. ; 8:23, s. 20779-20791
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Tidskriftsartikel (refereegranskat)abstract
- Multifunctional nanosized metal-organic frameworks(NMOFs)have advanced rapidly over the past decade to develop drug deliverysystems (DDSs). These material systems still lack precise and selectivecellular targeting, as well as the fast release of the quantity ofdrugs that are simply adsorbed within and on the external surfaceof nanocarriers, which hinders their application in the drug delivery.Herein, we designed a biocompatible Zr-based NMOF with an engineeredcore and the hepatic tumor-targeting ligand, glycyrrhetinic acid graftedto polyethyleneimine (PEI) as the shell. The improved core-shellserves as a superior nanoplatform for efficient controlled and activedelivery of the anticancer drug doxorubicin (DOX) against hepaticcancer cells (HepG2 cells). In addition to their high loading capacityof 23%, the developed nanostructure DOX@NMOF-PEI-GA showed an acidicpH-stimulated response and extended the drug release time to 9 daysas well as enhanced the selectivity toward the tumor cells. Interestingly,the DOX-free nanostructures showed a minimal toxic effect on bothnormal human skin fibroblast (HSF) and hepatic cancer cell line (HepG2),but the DOX-loaded nanostructures exhibited a superior killing effecttoward the hepatic tumor, thus opening the way for the active drugdelivery and achieving efficient cancer therapy applications.
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| 3. |
- Abbafati, Cristiana, et al.
(författare)
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- 2020
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Tidskriftsartikel (refereegranskat)
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| 4. |
- Glasbey, JC, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 5. |
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| 6. |
- Bravo, L, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 7. |
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| 8. |
- Tabiri, S, et al.
(författare)
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- 2021
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swepub:Mat__t
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