| 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. |
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| 3. |
- Andersson, Joel B.H., et al.
(författare)
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U-Pb zircon-titanite-apatite age constraints on basin development and basin inversion in the Kiruna mining district, Sweden
- 2022
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Ingår i: Precambrian Research. - : Elsevier. - 0301-9268 .- 1872-7433. ; 372
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Tidskriftsartikel (refereegranskat)abstract
- To constrain the tectonothermal evolution of the type locality for iron oxide-apatite deposits, we have obtained U-Pb zircon, titanite, and apatite age data for the Kiruna mining district in northernmost Sweden. The results indicate that the host basin initiated in an overall extensional regime as indicated by the deposition of alluvial conglomerates and greywackes. A volcanic intercalation in a conglomerate unit northwest of the Luossavaara iron oxide-apatite deposit yields a U-Pb zircon age of 1887 ± 3 Ma representing the timing of the earliest Orosirian volcanism in the central Kiruna mining district coinciding with the onset of basin development. In-situ analysis of titanite on hydrothermally altered fracture planes within a cataclastic fault damage zone (c. 270 m from the fault core system associated to the Luossavaara iron oxide-apatite deposit) yields complex U-Pb data. Applying a strict discordance filter yields a 207Pb/206Pb age of 1889 ± 26 Ma. The age implies that the fault probably has a syn-volcanic origin and that syn-volcanic faults may have played an important role during iron ore emplacement. The mineralized basin was subsequently buried and metamorphosed under upper greenschist-facies conditions and later tectonically exhumed and cooled below the apatite closure temperature at 1805 ± 26 Ma indicated by apatite from the Nukutus iron oxide-apatite deposit. Basin inversion is temporally constrained by syn-tectonic titanite as part of sodic-calcic + Fe + Cl hydrothermal alteration along a brittle-ductile reverse shear zone to the east of the study area. Titanite grains that show sector and oscillatory zoning yield an age of 1812 ± 3 Ma, which we interpret as the onset of basin inversion. Homogeneous (relatively unzoned) titanite in the same sample yields an age of 1802 ± 8 Ma, tentatively indicating that the tectonothermal activity lasted up to c. 20 m.y.
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| 4. |
- Barnes, C. J., et al.
(författare)
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Using Th-U-Pb geochronology to extract crystallization ages of Paleozoic metamorphic monazite contaminated by initial Pb
- 2021
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Ingår i: Chemical Geology. - : Elsevier. - 0009-2541 .- 1872-6836. ; 582
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Tidskriftsartikel (refereegranskat)abstract
- Geochronology of Th-rich minerals is advantageous as it allows use of three isotopic systems (i.e., Pb-206/U-238, Pb-207/U-235, and Pb-208/Th-232) for accurate data assessment. The Pb-208/Th-232 system is especially advantageous in cases where the dated mineral includes an initial Pb component, as Pb-208/Th-232 is the least sensitive to the effects of initial Pb amongst the three systems. This benefit is demonstrated with monazite from a white mica schist of the Tsakkok Lens, Scandinavian Caledonides, where three distinct generations of Paleozoic monazite (Mnzsingle bondI, Mnz-II, Mnz-III) are recognized and dated using laser ablation inductively coupled mass spectrometry. The generations are interpreted to represent monazite crystallization in high-pressure conditions (Mnzsingle bondI), followed by lower-pressure monazite growth (Mnz-II), and likely dissolution-reprecipitation of the pre-existing monazite (Mnz-III). The results are compared in Tera-Wasserburg, Wetherill, and Th-U-Pb concordia space for each monazite generation. In both Tera-Wasserburg and Wetherill space, the data are all discordant and indicate an initial Pb component in the monazite. The trend and magnitude of discordance due to initial Pb in Mnz-I and Mnz-II is generally controlled by UO2 content of the monazite, with higher UO2 equating to greater radiogenic Pb and a dampening of the initial Pb effect, which is most prominent in the Pb-207/U-235 system. For the same generations, initial Pb discordance of Pb-206/U-238 versus Pb-208/Th-232 is less apparent due to the insensitivity of Pb-208/Th-232. Mnz-III does not follow the initial Pb trends, likely due to disturbance of the chemical and isotopic systems during recrystallization. Additional discordance in Mnz-I and Mnz-II, which is not related to initial Pb, is recognized and increases with actinide content. The additional discordance may be due to Pb-mobilization in Mnz-I and Mnz-II domains and is revealed when utilizing the( 208)Pb/Th-232 system due to its insensitivity to initial Pb effects. Consequently, relying only on the U-Pb systems can lead to significant initial Pb overcorrections in Tera-Wasserburg or Wetherill concordia space and to calculations of erroneously young concordia dates. The Th-U-Pb concordia method, incorporating all three systems, does not require an initial Pb correction and, therefore, can account for the additional discordance. The Th-U-Pb concordia dates are interpretated as accurate crystallization ages for Mnz-I (484.7 +/- 1.1 Ma, MSWD: 1.4) and Mnz-II (474.7 +/- 1.2 Ma, MSWD: 1.9). The timing for Mnz-III formation is not well-resolved as it formed via result of dissolution-reprecipitation of the pre-existing monazite, likely under lower amphibolite- to greenschist-facies conditions.
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| 5. |
- Barnes, Christopher J., et al.
(författare)
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Zircon and monazite reveal late Cambrian/early Ordovician partial melting of the Central Seve Nappe Complex, Scandinavian Caledonides
- 2022
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Ingår i: Contributions to Mineralogy and Petrology. - : Springer. - 0010-7999 .- 1432-0967. ; 177:9
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Tidskriftsartikel (refereegranskat)abstract
- The Seve Nappe Complex (SNC) comprises continental rocks of Baltica that were subducted and exhumed during the Caledonian orogeny prior to collision with Laurentia. The tectonic history of the central SNC is investigated by applying in-situ zircon and monazite (Th-)U-Pb geochronology and trace element analysis to (ultra-)high pressure (UHP) paragneisses in the Avardo and Marsfjallet gneisses. Zircons in the Avardo Gneiss exposed at Sippmikk creek exhibit xenocrystic cores with metamorphic rims. Cores show typical igneous REE profiles and were affected by partial Pb-loss. The rims have flat HREE profiles and are interpreted to have crystallized at 482.5 +/- 3.7 Ma during biotite-dehydration melting and peritectic garnet growth. Monazites in the paragneiss are chemically homogeneous and record metamorphism at 420.6 +/- 2.0 Ma. In the Marsfjallet Gneiss exposed near Kittelfjall, monazites exhibit complex zoning with cores enveloped by mantles and rims. The cores are interpreted to have crystallized at 481.6 +/- 2.1 Ma, possibly during garnet resorption. The mantles and rims provide a dispersion of dates and are interpreted to have formed by melt-driven dissolution-reprecipitation of pre-existing monazites until 463.1 +/- 1.8 Ma. Depletion of Y, HREE, and U in the mantles and rims compared to the cores record peritectic garnet and zircon growth. Altogether, the Avardo and Marsfjallet gneisses show evidence of late Cambrian/early Ordovician partial melting (possibly in (U)HP conditions), Middle Ordovician (U)HP metamorphism, and late Silurian tectonism. These results indicate that the SNC underwent south-to-north oblique subduction in late Cambrian time, followed by progressive north-to-south exhumation to crustal levels prior to late Silurian continental collision.
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| 6. |
- Bastard, Paul, et al.
(författare)
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Preexisting autoantibodies to type I IFNs underlie critical COVID-19 pneumonia in patients with APS-1.
- 2021
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Ingår i: The Journal of experimental medicine. - 1540-9538. ; 218:7
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Tidskriftsartikel (refereegranskat)abstract
- Patients with biallelic loss-of-function variants of AIRE suffer from autoimmune polyendocrine syndrome type-1 (APS-1) and produce a broad range of autoantibodies (auto-Abs), including circulating auto-Abs neutralizing most type I interferons (IFNs). These auto-Abs were recently reported to account for at least 10% of cases of life-threatening COVID-19 pneumonia in the general population. We report 22 APS-1 patients from 21 kindreds in seven countries, aged between 8 and 48 yr and infected with SARS-CoV-2 since February 2020. The 21 patients tested had auto-Abs neutralizing IFN-α subtypes and/or IFN-ω; one had anti-IFN-β and another anti-IFN-ε, but none had anti-IFN-κ. Strikingly, 19 patients (86%) were hospitalized for COVID-19 pneumonia, including 15 (68%) admitted to an intensive care unit, 11 (50%) who required mechanical ventilation, and four (18%) who died. Ambulatory disease in three patients (14%) was possibly accounted for by prior or early specific interventions. Preexisting auto-Abs neutralizing type I IFNs in APS-1 patients confer a very high risk of life-threatening COVID-19 pneumonia at any age.
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| 7. |
- Billström, Kjell, et al.
(författare)
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Sandstone-hosted Pb-Zn deposits along the margin of the Scandinavian Caledonides and their possible relationship with nearby Pb-Zn vein mineralisation
- 2020
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Ingår i: Ore Geology Reviews. - : Elsevier BV. - 0169-1368 .- 1872-7360. ; 127
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Forskningsöversikt (refereegranskat)abstract
- Numerous sandstone-hosted Pb-Zn deposits occur along the present-day erosional front of the eastern Scandinavian Caledonides. The largest deposit is Laisvall (64.3 Mt at 4.0% Pb, 0.6% Zn and 9.0 g/t Ag) and since mineralisations generally share similar characteristics (reminding of both SEDEX and MVT-style) the term Laisvall-type has often been used. Typically, mineralised zones occur along sedimentary bedding and consist of disseminated galena and sphalerite and lesser amounts of calcite, fluorite, baryte, pyrite and sericite forming a cement that fill interstitial pores in Neoproterozoic/Eocambrian (e.g. Laisvall) to Cambrian (e.g. Vassbo) sandstones. Deposits occur both in autochtonous and allochtonous sedimentary rocks, and a broad consensus exists about their epigenetic nature, their spatial relationships to syn-sedimentary faults and that ore fluids have scavenged metals from the crystalline basement. However, the detailed ore depositional history and the timing of ore deposition have remained more controversial. New analyses aimed to complement earlier Rb-Sr data (crush-leach technique using sphalerite) fail to support a published three-point isochron age of 467 +/- 5 Ma. This is probably due to syn-ore mixing between fluids carrying isotopically variable strontium and inherited problems to analyse sphalerite grains that strictly were deposited from a single ore pulse. Tentatively, strontium in the ores originate from a mix of components derived from the basement, seawater and the local sedimentary host sequences. The lead component has highly radiogenic compositions, and data define sub-parallel linear arrays interpreted to essentially represent mixing of isotopically different types of lead released from regional basement rocks. There are obvious similarities when comparing features of deposits representing two Pb-Zn ore styles, the sandstone-hosted dissemination and the fracture-controlled mineralisation in the granite-dominated basement occurring further east of the Caledonian margin. These include low temperature brines responsible for mineral deposition, the mineralogy and the nature of Rb-Sr and Pb isotope data. We suggest that these types of mineralisation have a common origin and time of emplacement, but it is elusive to propose a well-constrained age. Nonetheless, field observations and other evidence suggest that ore formation is due to large-scale fluid flow triggered by the transition from an extensional to compressional tectonic setting at about 500 Ma. Connected to this mid-Cambrian stage was the development of syn-sedimentary faults and fractures in the basement and in overlying consolidated sandstones. The opening of such zones of weakness enabled a movement of ore-forming fluids infilling pore space in sandstones (disseminated ore) and fractures in the basement (vein ore).
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| 8. |
- Boethius, Adam, et al.
(författare)
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Assessing laser ablation multi-collector inductively coupled plasma mass spectrometry as a tool to study archaeological and modern human mobility through strontium isotope analyses of tooth enamel
- 2022
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Ingår i: Archaeological and Anthropological Sciences. - : Springer Science and Business Media LLC. - 1866-9557 .- 1866-9565. ; 14:5
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Tidskriftsartikel (refereegranskat)abstract
- To evaluate the possibility of obtaining detailed individual mobility data from archaeological teeth, the strontium isotope ratios on 28 human teeth from three separate Early-Mid Holocene, Swedish, foraging contexts (Norje Sunnansund, Skateholm and Västerbjers) were analysed through laser ablation. The teeth/individuals have previously been analysed using traditional bulk sampled thermal ionisation mass spectrometry. To validate the conclusions regarding the archaeological teeth, a tooth from a modern man with a known background was also analysed. The result shows that all of the teeth display less than 0.4% discrepancy between the mean values of the laser ablation profiles and the previously published bulk data and 25 (89%) of the teeth display less than a 0.2% discrepancy. By calculating linear and polynomial trendlines for each ablated tooth, it was possible to illustrate a strong correlation for the transition pattern between the measurements when following a chronological sequence from the tip to the cervix. Such correlations were not reproduced when the data sequence was randomized. The analyses show that the chronologically sequenced ablation data fit with a transition between local bioavailable strontium regions, that the measurements do not fluctuate between extremes and that their values are not caused by end-member mixing. This indicates an increasing data resolution when reducing strontium isotope ratio averaging time by minimizing the sampling area. The results suggest strontium incorporation in human teeth can be measured on an ordinal scale, with a traceable chronological order to enamel mineralization when sampled from tip to cervix at an equal distance from the surface. Micro-sampling enamel is considered a valid method to assess prehistoric, but not modern, human mobility; laser ablation technology increases the amount of information obtained from a single tooth while rendering minimal damage to the studied specimen.
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| 9. |
- Boethius, Adam, et al.
(författare)
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Diachronic forager mobility : untangling the Stone Age movement patterns at the sites Norje Sunnansund, Skateholm and Västerbjers through strontium isotope ratio analysis by laser ablation
- 2022
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Ingår i: Archaeological and Anthropological Sciences. - : Springer Science and Business Media LLC. - 1866-9557 .- 1866-9565. ; 14:9
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Tidskriftsartikel (refereegranskat)abstract
- Strontium isotope ratios in human teeth from the three Swedish prehistoric Stone Age hunter-fisher-gathering societies Norje Sunnansund (Maglemose), Skateholm (Ertebølle) and Västerbjers (Pitted Ware Culture) were analysed with laser ablation to produce data on both individual movement patterns and societal mobility trends. The analyses of teeth from both Skateholm and Västerbjers displayed homogeneous ratios and corresponding mobility patterns, while the data from Norje Sunnansund showed larger variances with heterogenous strontium ratios and varied inter-individual mobility patterns. Correlation with the bioavailable baseline suggests that the size of the geographical areas, where human strontium ratios could have originated, was roughly comparable for all three sites. The teeth measurements were reflected within a 50-km radius of the surrounding landscape and the 25–75% data quartile matched with distances between 3 and 30 km from the sites, suggesting limited mobility ranges among aquatically dependent foragers from southernmost Sweden. By applying ethnographic analogies and site-specific contextual inferences, the results suggest that mobility ranges at Norje Sunnansund were likely not delimited by neighbouring group territories. This changed over time and an increasing territorialisation of the landscape may have influenced movement patterns and caused restrictions to the foraging activities at both Skateholm and Västerbjers.
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| 10. |
- Boethius, Adam, et al.
(författare)
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Early Holocene Scandinavian foragers on a journey to affluence: Mesolithic fish exploitation, seasonal abundance and storage investigated through strontium isotope ratios by laser ablation (LA‐MC-ICP‐MS)
- 2021
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Ingår i: PLOS ONE. - : Public Library of Science (PLoS). - 1932-6203. ; 16:1, s. e0245222-e0245222
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Tidskriftsartikel (refereegranskat)abstract
- At Norje Sunnansund, an Early Holocene settlement in southern Sweden, the world’s earliest evidence of fermentation has been interpreted as a method of managing long-term and large-scale food surplus. While an advanced fishery is suggested by the number of recovered fish bones, until now it has not been possible to identify the origin of the fish, or whether and how their seasonal migration was exploited. We analysed strontium isotope ratios (87Sr/86Sr) in 16 cyprinid and 8 pike teeth, which were recovered at the site, both from within the fermentation pit and from different areas outside of it, by using laser ablation multi-collector inductively coupled plasma mass spectrometry. Our investigation indicates three different regions of origin for the fish at the site. We find that the most commonly fermented fish, cyprinids (roach), were caught in the autumn during their seasonal migration from the Baltic Sea to the sheltered stream and lake next to the site. This is in contrast to the cyprinids from other areas of the site, which were caught when migrating from nearby estuaries and the Baltic Sea coast during late spring. The pikes from the fermentation pit were caught in the autumn as by-catch to the mainly targeted roach while moving from the nearby Baltic Sea coast. Lastly, the pikes from outside the fermentation pit were likely caught as they migrated from nearby waters in sedimentary bedrock areas to the south of the site, to spawn in early spring. Combined, these data suggest an advanced fishery with the ability to combine optimal use of seasonal fish abundance at different times of the year. Our results offer insights into the practice of delayed-return consumption patterns, provide a more complete view of the storage system used, and increase our understanding of Early Holocene sedentism among northern hunter-fisher-gatherers. By applying advanced strontium isotope analyses to archaeological material integrated into an ecological setting, we present a methodology that can be used elsewhere to enhance our understanding of the otherwise elusive indications of storage practices and fish exploitation patterns among ancient foraging societies.
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