| 1. |
- 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.
|
|
| 2. |
- Bravo, L, et al.
(författare)
-
- 2021
-
swepub:Mat__t
|
|
| 3. |
|
|
| 4. |
- Thomas, HS, et al.
(författare)
-
- 2019
-
swepub:Mat__t
|
|
| 5. |
|
|
| 6. |
- Tabiri, S, et al.
(författare)
-
- 2021
-
swepub:Mat__t
|
|
| 7. |
- Abbara, Aula, et al.
(författare)
-
Weaponizing water as an instrument of war in Syria: Impact on diarrhoeal disease in Idlib and Aleppo governorates, 2011–2019
- 2021
-
Ingår i: International Journal of Infectious Diseases. - : Elsevier. - 1201-9712 .- 1878-3511. ; 108, s. 202-208
-
Tidskriftsartikel (refereegranskat)abstract
- Objectives: Investigate the weaponization of water during the Syrian conflict and the correlation of attacks on water, sanitation, and hygiene (WASH) infrastructure in Idlib and Aleppo governorates with trends in waterborne diseases reported by Early Warning and Response surveillance systems.Methods: We reviewed literature and databases to obtain information on attacks on WASH in Aleppo and Idlib governorates between 2011 and 2019. We plotted weekly trends in waterborne diseases from two surveillance systems operational in Aleppo and Idlib governorates between 2015 and early 2020.Results: The literature review noted several attacks on water and related infrastructure in both governorates, suggesting that WASH infrastructure was weaponized by state and non-state actors. Most interference with WASH in the Aleppo governorate occurred before 2019 and in the Idlib governorate in the summer of 2020. Other acute diarrhea represented >90% of cases of diarrhea; children under 5 years contributed 50% of cases. There was substantial evidence (p < 0.001) of an overall upward trend in cases of diarrheal disease.Conclusions: Though no direct correlation can be drawn between the weaponization of WASH and the burden of waterborne infections due to multiple confounders, this research introduces important concepts on attacks on WASH and their potential impacts on waterborne diseases.
|
|
| 8. |
- Aboelazayem, Omar, et al.
(författare)
-
Biodiesel production from high acid value waste cooking oil using supercritical methanol: Esterification kinetics of free fatty acids
- 2017
-
Konferensbidrag (refereegranskat)abstract
- In this study, low quality waste cooking oil with high total acid value, has been used for biodiesel production. The main factors affecting the reaction has been analysed using Response Surface Methodology (RSM). A quadratic model representing the interrelationships between reaction variables and free fatty acids (FFA) conversion has been developed. Analysis of variance (ANOVA) has been used for checking the significance of the predicted model. Numerical optimisation concluded the optimum conditions for maximum conversion of FFA at methanol to oil (M:O) molar ratio, temperature, pressure and time of 35:1, 260oC, 110 bar and 16 minutes, respectively for 98% conversion. The predicted optimum conditions have been validated experimentally resulting in 97.7% conversion of FFA with 0.3% relative error. Kinetic and thermodynamic data of the esterification reaction has been studied resulting in pseudo first order reaction with reaction rate constant (k) of 0.00103 s-1, activation energy of 34.5 kJ/mol and Arrhenius constant of 1.26 s-1. Finally, a kinetic reaction has been simulated resulting in 97% conversion of FFA with 0.716% relative error from the experimental results.
|
|
| 9. |
- Aboelazayem, Omar, et al.
(författare)
-
Biodiesel Production from High Acid Value Waste Cooking Oil Using Supercritical Methanol: Esterification Kinetics of Free Fatty Acids
- 2017
-
Ingår i: European Biomass Conference and Exhibition Proceedings, 25thEUBCE, June 2017. - 2282-5819. - 9788889407172 ; , s. 1381-1387
-
Konferensbidrag (refereegranskat)abstract
- In this study, low quality waste cooking oil (WCO) with high total acid value has been used for biodiesel production. The main factors affecting the reaction have been analysed using Response Surface Methodology (RSM). A quadratic model representing the interrelationships between reaction variables and free fatty acids (FFA) conversion has been developed. Analysis of variance (ANOVA) has been used to evaluate the significance of the predicted model. Numerical optimisation predicted the optimum conditions for maximum conversion of FFA at methanol to oil (M:O) molar ratio, temperature, pressure and time of 35:1, 260 °C, 110 bar and 16 min, respectively for 98 % conversion. The predicted optimum conditions have been validated experimentally resulting in 97.7 % conversion of FFA with 0.3 % relative error. Kinetic and thermodynamic data of the esterification reaction has been studied resulting in pseudo first-order reaction with reaction rate constant of 0.00103 s-1, activation energy of 34.5 kJ/mol and Arrhenius constant of 1.26 s-1. Finally, a kinetic reactor has been simulated resulting in 97 % conversion of FFA with 0.716 % relative error from the experimental results.
|
|
| 10. |
- Abuohashish, Hatem, et al.
(författare)
-
Angiotensin(1-7) attenuates tooth movement and regulates alveolar bone response during orthodontic force application in experimental animal model.
- 2023
-
Ingår i: Progress in orthodontics. - 2196-1042. ; 24:1
-
Tidskriftsartikel (refereegranskat)abstract
- Renin-angiotensin system and its ACE2/Ang(1-7)/Mas receptor axis regulates skeletal response to multiple physiological and pathological conditions. Recent research suggested a vital role of Ang(1-7) in regulating alveolar bone metabolism and remodeling. In this context, this study evaluated the effects of the Ang(1-7)/Mas receptor axis on orthodontic tooth movement (OTM) and the alveolar bone response to mechanical load.A coil spring was placed between the right maxillary first molar and the anterior tooth of Wistar rats to apply bidirectional mechanical force. Ang(1-7) with or without a specific Mas receptor antagonist (A779) was infused using subcutaneous osmotic pumps (200 and 400 ng/kg/min: respectively). Animals were killed after 5 and 14 days from the OTM procedure after the clinical evaluation of tooth movement and mobility. Morphometric analysis of alveolar bone structure was conducted using micro-CT and the histological picture was evaluated after H&E staining. Moreover, collagen fiber distribution was assessed using Picro-Sirius red stain. In addition, bone samples were collected from the pressure and tension sites around the anterior tooth for gene expression analysis.Ang(1-7) infusion suppressed the tooth movement and mobility after 14 days of the orthodontic force application. Additionally, Ang(1-7) infusion preserved the morphometric and histological structure of the alveolar bone at pressure and tension sides. These effects were abolished by adding A779 infusion. Collagen fiber distribution was dysregulated mainly by the A779 Mas receptor blockage. Ang(1-7) affected the bone formation, remodeling- and vascularity-related genes in the pressure and tension sides, suggesting a prominent suppression of osteoclastogenesis. Ang(1-7) also improved osteoblasts-related genes on the tension side, whereas the osteoclasts-related genes were augmented by A779 on the pressure side.Collectively, the activation of Ang(1-7)/Mas receptor axis appears to hinder tooth movement and regulates alveolar bone remodeling in response to mechanical force.
|
|
