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- 2019
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Tidskriftsartikel (refereegranskat)
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| 2. |
- 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. |
- Backman, Jan, 1948-, et al.
(författare)
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Expanding the Cenozoic paleoceanographic record in the central Arctic Ocean: IODP Expedition 302 synthesis
- 2009
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Ingår i: Central European Journal of Geosciences. - : Walter de Gruyter GmbH. - 1896-1517. ; 1:2, s. 157-175
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Tidskriftsartikel (refereegranskat)abstract
- The Arctic Coring Expedition (ACEX) proved to be one of the most transformational missions in almost 40 year of scientific ocean drilling. ACEX recovered the first Cenozoic sedimentary sequence from the Arctic Ocean and extended earlier piston core records from ≈1.5 Ma back to ≈56 Ma. The results have had a major impact in paleoceanography even though the recovered sediments represents only 29% of Cenozoic time. The missing time intervals were primarily the result of two unexpected hiatuses. This important Cenozoic paleoceanographic record was reconstructed from a total of 339 m sediments. The wide range of analyses conducted on the recovered material, along with studies that integrated regional tectonics and geophysical data, produced surprising results including high Arctic Ocean surface water temperatures and a hydrologically active climate during the Paleocene Eocene Thermal Maximum (PETM), the occurrence of a fresher water Arctic in the Eocene, ice-rafted debris as old as middle Eocene, a middle Eocene environment rife with organic carbon, and ventilation of the Arctic Ocean to the North Atlantic through the Fram Strait near the early-middle Miocene boundary. Taken together, these results have transformed our view of the Cenozoic Arctic Ocean and its role in the Earth climate system.
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| 4. |
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| 5. |
- Backman, Jan, et al.
(författare)
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New results from ACEX
- 2008
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Ingår i: ECORD Newsletter. ; 10
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Forskningsöversikt (populärvet., debatt m.m.)
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| 6. |
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| 7. |
- Jakobsson, Martin, et al.
(författare)
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The Early Miocene Onset of a Ventilated Circulation Regime in the Arctic Ocean
- 2007
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Ingår i: Nature. - : Springer Science and Business Media LLC. - 0028-0836 .- 1476-4687. ; 447:7147, s. 986-990
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Tidskriftsartikel (refereegranskat)abstract
- Deep-water formation in the northern North Atlantic Ocean and the Arctic Ocean is a key driver of the global thermohaline circulation and hence also of global climate. Deciphering the history of the circulation regime in the Arctic Ocean has long been prevented by the lack of data from cores of Cenozoic sediments from the Arctic’s deep-sea floor. Similarly, the timing of the opening of a connection between the northern North Atlantic and the Arctic Ocean, permitting deep-water exchange, has been poorly constrained. This situation changed when the first drill cores were recovered from the central Arctic Ocean. Here we use these cores to show that the transition from poorly oxygenated to fully oxygenated (‘ventilated’) conditions in the Arctic Ocean occurred during the later part of early Miocene times. We attribute this pronounced change in ventilation regime to the opening of the Fram Strait. A palaeo-geographic and palaeo-bathymetric reconstruction of the Arctic Ocean, together with a physical oceanographic analysis of the evolving strait and sill conditions in the Fram Strait, suggests that the Arctic Ocean went from an oxygenpoor ‘lake stage’, to a transitional ‘estuarine sea’ phase with variable ventilation, and finally to the fully ventilated ‘ocean’ phase 17.5 Myr ago. The timing of this palaeo-oceanographic change coincides with the onset of the middle Miocene climatic optimum, although it remains unclear if there is a causal relationship between these two events.
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| 8. |
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| 9. |
- Moran, Kathryn, et al.
(författare)
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The Arctic Ocean revealed
- 2007
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Ingår i: Eos Transactions AGU, Fall Meeting 2007.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 10. |
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