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- Thomas, HS, et al.
(författare)
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- 2019
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swepub:Mat__t
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- 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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| 7. |
- El-Sadek, M.H., et al.
(författare)
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Non-isothermal carbothermic reduction kinetics of mechanically activated ilmenite containing self-reducing mixtures
- 2018
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Ingår i: Journal of thermal analysis and calorimetry (Print). - : Springer. - 1388-6150 .- 1588-2926. ; 131:3, s. 2457-2465
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Tidskriftsartikel (refereegranskat)abstract
- Effect of mechanical activation on carbothermic reduction kinetics and mechanism of ilmenite concentrate containing self-reducing mixture has been investigated using a combination of thermogravimetry and X-ray diffraction. Thermogravimetric comparative study of mechanically activated and non-activated ilmenite concentrate containing self-reducing mixtures with C/O molar ratio of 1.5 was conducted non-isothermally. The samples were heated up to 1573 K at three different heating rates (10, 15, and 20 K min−1) under controlled atmosphere. The reduction mechanism of mechanically activated mixture was followed by X-ray diffraction analysis of arrested samples at different reduction extents. In addition, reaction kinetics was further investigated and corresponding kinetic parameters were estimated using isoconversional (model-free) and model-fitting (Coats–Redfern) methods.
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| 8. |
- Mahmmoud Sayed, Abd El-sadek, et al.
(författare)
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Influence of different stabilizers on the optical and nonlinear optical properties of CdTe nanoparticles
- 2011
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Ingår i: Optics Communications. - : Elsevier BV. - 0030-4018. ; 284:12, s. 2900-2904
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Tidskriftsartikel (refereegranskat)abstract
- CdTe semiconductor nanocrystals were synthesized with three different stabilizers: Mercaptoacetic Acid (MM), Mercaptopropionic Acid (MPA) and 2-Mercaptoethanol (ME) at pH approximate to 11.2 by wet chemical route using potassium tellurite and cadmium chloride as starting materials. The effect of capping agent on the preparation of these samples was evaluated using UV-Visible absorption and photoluminescence analysis. With the same reaction time but with different stabilizers, nanocrystals of different diameters were obtained. The average full width at half maximum of the photoluminescence spectra was about 69 nm which indicates that the monodispersity was quite good. The particle size was calculated by Debye-Scherrer equation from XRD data. Further characterization studies such as FT-IR and optical nonlinearity studies on the samples were carried out and the results are discussed. (C) 2011 Elsevier B.V. All rights reserved.
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| 9. |
- Shaydakov, Maxim E., et al.
(författare)
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Extended anticoagulation for venous thromboembolism : A survey of the American Venous Forum and the European Venous Forum
- 2022
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Ingår i: Journal of Vascular Surgery: Venous and Lymphatic Disorders. - : Elsevier BV. - 2213-333X. ; 10:5, s. 3-1020
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Extended anticoagulation therapy should always be considered after standard treatment of an unprovoked episode of venous thromboembolism (VTE). It can also be considered for selected patients with provoked VTE. However, the evidence-based protocols suggested by some clinical guidelines and risk assessment tools to guide this practice are limited and ambiguous. The goal of the present survey research was to analyze current practices in applying extended anticoagulation therapy for patients with VTE among members of the American Venous Forum (AVF) and European Venous Forum (EVF). Methods: An online survey was created by the AVF Research Committee. The survey consisted of 16 questions to identify the country of practice, specialty, experience of the participating physicians, and their clinical practice patterns in applying extended anticoagulation therapy for VTE patients. The survey was distributed via e-mail to the members of the AVF and EVF. Results: A total of 144 practitioners, 48 AVF members (33%) and 96 EVF members (66%), participated in the survey. Most of the respondents identified themselves as vascular specialists with primary certification in vascular surgery (70%), vascular medicine or angiology (9%), and venous disease or phlebology (3%). Of the 144 respondents, 72% believed that the risk of VTE recurrence will generally overweigh the risk of bleeding for patients with unprovoked VTE. Extended anticoagulation therapy might be used by 97% of providers. Different patterns in real world clinical practice were identified. More than one half of the practitioners estimated the VTE recurrence and bleeding risk subjectively. The antithrombotic drugs most commonly used for secondary prophylaxis were rivaroxaban, apixaban, warfarin, dabigatran, and aspirin, in decreasing order of frequency. Among the reasons selected for not regularly considering extended anticoagulation therapy were the lack of specific clinical practice guidelines (24%), lack of reported evidence (9%), and absence of valid VTE and/or bleeding risk prediction calculators (8%). Twelve participants (8%) stated that extended anticoagulation therapy would not be beneficial for most patients with VTE. Ten participants (7%) indicated that prescribing extended anticoagulation therapy was outside the scope of their specialty. Conclusions: Different practice patterns exist regarding extending anticoagulation therapy beyond the standard treatment for patients with VTE. Major gaps in knowledge remain a serious challenge at least partially explaining the inaccuracy and inconsistency in long-term VTE management. Appropriately designed studies are needed to evaluate risk stratification tools when contemporary best medical therapy is used, accurately predict VTE recurrence and its long-term outcomes, and tailor safe and effective secondary prophylaxis.
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