| 1. |
- Thomas, HS, et al.
(författare)
-
- 2019
-
swepub:Mat__t
|
|
| 2. |
|
|
| 3. |
|
|
| 4. |
|
|
| 5. |
|
|
| 6. |
|
|
| 7. |
- Ademuyiwa, Adesoji O., et al.
(författare)
-
Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
-
Ingår i: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
-
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.
|
|
| 8. |
- Andrienko, G., et al.
(författare)
-
(So) Big Data and the transformation of the city
- 2020
-
Ingår i: International Journal of Data Science and Analytics. - : Springer. - 2364-415X .- 2364-4168.
-
Tidskriftsartikel (refereegranskat)abstract
- The exponential increase in the availability of large-scale mobility data has fueled the vision of smart cities that will transform our lives. The truth is that we have just scratched the surface of the research challenges that should be tackled in order to make this vision a reality. Consequently, there is an increasing interest among different research communities (ranging from civil engineering to computer science) and industrial stakeholders in building knowledge discovery pipelines over such data sources. At the same time, this widespread data availability also raises privacy issues that must be considered by both industrial and academic stakeholders. In this paper, we provide a wide perspective on the role that big data have in reshaping cities. The paper covers the main aspects of urban data analytics, focusing on privacy issues, algorithms, applications and services, and georeferenced data from social media. In discussing these aspects, we leverage, as concrete examples and case studies of urban data science tools, the results obtained in the “City of Citizens” thematic area of the Horizon 2020 SoBigData initiative, which includes a virtual research environment with mobility datasets and urban analytics methods developed by several institutions around Europe. We conclude the paper outlining the main research challenges that urban data science has yet to address in order to help make the smart city vision a reality.
|
|
| 9. |
- Cirillo, E. N. M., et al.
(författare)
-
Upscaling the interplay between diffusion and polynomial drifts through a composite thin strip with periodic microstructure
- 2020
-
Ingår i: Meccanica (Milano. Print). - : Springer. - 0025-6455 .- 1572-9648. ; 55:11, s. 2159-2179
-
Tidskriftsartikel (refereegranskat)abstract
- We study the upscaling of a system of many interacting particles through a heterogenous thin elongated obstacle as modeled via a two-dimensional diffusion problem with a one-directional nonlinear convective drift. Assuming that the obstacle can be described well by a thin composite strip with periodically placed microstructures, we aim at deriving the upscaled model equations as well as the effective transport coefficients for suitable scalings in terms of both the inherent thickness at the strip and the typical length scales of the microscopic heterogeneities. Aiming at computable scenarios, we consider that the heterogeneity of the strip is made of an array of periodically arranged impenetrable solid rectangles and identify two scaling regimes what concerns the small asymptotics parameter for the upscaling procedure: the characteristic size of the microstructure is either significantly smaller than the thickness of the thin obstacle or it is of the same order of magnitude. We scale up the diffusion-polynomial drift model and list computable formulas for the effective diffusion and drift tensorial coefficients for both scaling regimes. Our upscaling procedure combines ideas of two-scale asymptotics homogenization with dimension reduction arguments. Consequences of these results for the construction of more general transmission boundary conditions are discussed. We illustrate numerically the concentration profile of the chemical species passing through the upscaled strip in the finite thickness regime and point out that trapping of concentration inside the strip is likely to occur in at least two conceptually different transport situations: (i) full diffusion/dispersion matrix and nonlinear horizontal drift, and (ii) diagonal diffusion matrix and oblique nonlinear drift.
|
|
| 10. |
- Elec, A. D., et al.
(författare)
-
COVID-19 after kidney transplantation: Early outcomes and renal function following antiviral treatment
- 2021
-
Ingår i: International Journal of Infectious Diseases. - : Elsevier BV. - 1201-9712. ; 104, s. 426-432
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives: The lack of effective treatments for coronavirus disease 2019 (COVID-19) has mandated the repurposing of several drugs, including antiretrovirals and remdesivir (RDV). These compounds may induce acute kidney injury and are not recommended in patients with poor renal function, such as kidney transplant (KTx) recipients. Methods: The records of 42 KTx recipients with COVID-19 were reviewed. Some of them were receiving antiretrovirals (n = 10) or RDV (n = 8) as part of COVID-19 management. Most patients were male (71%) and their median age was 52 years. The median glomerular filtration rate in these patients was 56 ml/ min. Regarding disease severity, 36% had mild disease, 19% had moderate disease, 31% had severe disease, and 12% had critical disease. Subgroups, i.e., patients receiving antiretrovirals, RDV, or no antivirals, were comparable in terms of patient age, comorbidities, and immunosuppression. Results: Seven patients (16.6%) died during hospitalization. Acute kidney injury was found in 24% of KTx recipients at admission. Upon discharge, estimated glomerular filtration rate (eGFR) increased in 32% and decreased in 39% of the KTx recipients compared with the admission rate. The decrease was more prevalent in the RDV group (80%) compared with KTx recipients without any antiviral treatment (29%) (p < 0.05). Most patients (62%) returned to baseline eGFR values within 1 month of discharge. The proportion was similar between the patients receiving antiviral treatment and those not receiving this treatment. Conclusions: KTx recipients run a high risk of COVID-19-related renal impairment. Antivirals appear to be safe for use without major risks for kidney injury. (c) 2021 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
|
|
