| 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. |
- Thomas, HS, et al.
(författare)
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- 2019
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swepub:Mat__t
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| 3. |
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| 4. |
- Ghazy, Ramy Mohamed, et al.
(författare)
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Acceptance of COVID-19 Vaccine Booster Doses Using the Health Belief Model : A Cross-Sectional Study in Low-Middle- and High-Income Countries of the East Mediterranean Region
- 2022
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Ingår i: International Journal of Environmental Research and Public Health. - : MDPI AG. - 1661-7827 .- 1660-4601. ; 19:19
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Tidskriftsartikel (refereegranskat)abstract
- Coronavirus disease (COVID-19) booster doses decrease infection transmission and disease severity. This study aimed to assess the acceptance of COVID-19 vaccine booster doses in low, middle, and high-income countries of the East Mediterranean Region (EMR) and its determinants using the health belief model (HBM). In addition, we aimed to identify the causes of booster dose rejection and the main source of information about vaccination. Using the snowball and convince sampling technique, a bilingual, self-administered, anonymous questionnaire was used to collect the data from 14 EMR countries through different social media platforms. Logistic regression analysis was used to estimate the key determinants that predict vaccination acceptance among respondents. Overall, 2327 participants responded to the questionnaire. In total, 1468 received compulsory doses of vaccination. Of them, 739 (50.3%) received booster doses and 387 (26.4%) were willing to get the COVID-19 vaccine booster doses. Vaccine booster dose acceptance rates in low, middle, and high-income countries were 73.4%, 67.9%, and 83.0%, respectively (p < 0.001). Participants who reported reliance on information about the COVID-19 vaccination from the Ministry of Health websites were more willing to accept booster doses (79.3% vs. 66.6%, p < 0.001). The leading causes behind booster dose rejection were the beliefs that booster doses have no benefit (48.35%) and have severe side effects (25.6%). Determinants of booster dose acceptance were age (odds ratio (OR) = 1.02, 95% confidence interval (CI): 1.01–1.03, p = 0.002), information provided by the Ministry of Health (OR = 3.40, 95% CI: 1.79–6.49, p = 0.015), perceived susceptibility to COVID-19 infection (OR = 1.88, 95% CI: 1.21–2.93, p = 0.005), perceived severity of COVID-19 (OR = 2.08, 95% CI: 137–3.16, p = 0.001), and perceived risk of side effects (OR = 0.25, 95% CI: 0.19–0.34, p < 0.001). Booster dose acceptance in EMR is relatively high. Interventions based on HBM may provide useful directions for policymakers to enhance the population’s acceptance of booster vaccination.
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| 5. |
- Ali, Mona, et al.
(författare)
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Measuring the nonlinear optical properties of indium tin oxide thin film using femtosecond laser pulses
- 2020
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Ingår i: Journal of the Optical Society of America. B, Optical physics. - 0740-3224 .- 1520-8540. ; 37:11, s. A139-A146
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Tidskriftsartikel (refereegranskat)abstract
- We have investigated the nonlinear optical properties of indium tin oxide (ITO) thin film coated on soda-lime glass substrate using the z-scan technique. With 100 fs laser pulses, the nonlinear absorption coefficient and nonlinear refractive index are measured at different excitation wavelengths and at different incident intensities. The nonlinear optical absorption shows a competition between saturable absorption and reverse saturable absorption at the different excitation wavelengths and incident intensities. A transition from saturable to reverse saturable absorption was observed with increasing excitation wavelengths. The measured nonlinear refractive index was found to be dependent on wavelength with a maximum value of 5.34 x 10(-12) cm(2)/W at wavelength of 900 nm.
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| 6. |
- ElSayed, Doaa Ali, et al.
(författare)
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Validation and Cultural Adaptation of the Parent Attitudes about Childhood Vaccines (PACV) Questionnaire in Arabic Language Widely Spoken in a Region with a High Prevalence of COVID-19 Vaccine Hesitancy
- 2022
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Ingår i: Tropical Medicine and Infectious Disease. - : MDPI AG. - 2414-6366. ; 7:9
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Tidskriftsartikel (refereegranskat)abstract
- The parents’ attitude toward vaccinating children and adolescents against coronavirus disease 2019 (COVID-19) remains inconsistent and needs further elucidation. The high rates of COVID-19 vaccine hesitancy in the Middle East and North Africa (MENA) region require intensive research to understand the determinants of this phenomenon. This study aimed to validate a version of the Parent Attitudes about Childhood Vaccines (PACV) tool in Arabic, the most widely spoken language in the MENA. The study objectives included the investigation of Arab-speaking parents’ views regarding COVID-19 vaccination of their children. Parents living in Egypt with at least one child aged 5–18 years were eligible to participate in the study that was conducted through an online survey with 15 PACV items. The PACV tool was translated into Arabic using forward and backward translation. To assess the psychometric properties of the Arabic version of PACV, Pearson’s correlation coefficient and exploratory and confirmatory factor analysis (EFA and CFA) were performed. A total of 223 parents participated in the study: 59.82% aged 30–39 years, 69.20% were females, 46.19% were university-educated, and 40.63% had one child. The overall Cronbach’s alpha for the Arabic version of PACV was 0.799. The EFA of the 15 items showed that three domains were most conceptually equivalent. All items had a positive significant correlation with the mean score of each subscale except for item 4 (r = 0.016, p = 0.811). Regression analyses results indicated that education, previous COVID-19 infection, vaccine status of parents, and PACV score were significantly associated with the intention of the parents to vaccinate their children against COVID-19. The CFA results showed that most of the factor loadings were statistically significant (p < 0.010) except for items 4 and 7. However, the root mean square error of approximation (RMSEA = 0.080) and the standardized root mean squared residual (SRMR = 0.080) indicated that the model had a reasonable fit, and the three factors were good in reproducing each correlation. Our study results indicated the validity and reliability of the PACV instrument in Arabic language. Consequently, the PACV can be used to assess COVID-19 vaccine hesitancy in a majority of MENA countries for better delineation of this highly prevalent phenomenon in the region.
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| 7. |
- Shehata, Abdullah, et al.
(författare)
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Design of an optical trap for storing femtosecond laser pulses
- 2018
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Ingår i: Applied Optics. - 1559-128X .- 2155-3165. ; 57:5, s. 1212-1217
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Tidskriftsartikel (refereegranskat)abstract
- An optical trap for storing femtosecond laser pulses to enhance the interaction effectiveness with optically thin targets is being proposed and investigated. Presently, we studied the trapping of 10-200 fs laser pulses of wavelength 800 nm, 1 mu J energy per pulse, and 10 Hz repetition rate. To compensate the optical losses in the trap, a Ti: Sapphire crystal as an amplifying medium is being considered, which should be synchronously pumped by the second harmonic of the Nd: YAG laser. Due to the propagation of the short pulses through optical trap components, group velocity dispersion introduces a significant broadening in pulse duration. To compensate for this broadening, a chirped mirror with suitable parameters is being proposed. An increase of the average power of the laser pulse in the optical trap that includes an amplifying medium (Ti: Sapphire crystal) by a factor of 805 compared to a single passage of the laser pulse was derived. It should be possible to store the laser pulse in the optical trap for >4 mu s with constant power and with a repetition rate of up to 250 MHz.
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| 8. |
- Shehata, Abdullah, et al.
(författare)
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Experimental investigations of nonlinear optical properties of soda-lime glasses and theoretical study of self-compression of fs laser pulses
- 2019
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Ingår i: Optics and Laser Technology. - : Elsevier BV. - 0030-3992 .- 1879-2545. ; 116, s. 276-283
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Tidskriftsartikel (refereegranskat)abstract
- Nonlinear optical properties of soda-lime glasses irradiated by 100 fs laser pulses with intensities ranging from 80 to 182 GW/cm(2) and wavelengths from 780 to 870 nm were investigated by the Z-scan technique. Saturated three photon absorption (3PA) was observed and the dependence of the 3PA coefficient on the intensity and the irradiation wavelengths. The measured value of the nonlinear refractive index was found to be intensity dependent and wavelength independent. The estimated nonlinear optical properties were in good agreement with the experimental results. The self-compression of femtosecond laser pulses in a soda-lime glass was evaluated numerically taken into account the interplay between group velocity dispersion (GVD) and self-phase modulation (SPM) in the soda-lime. A numerical simulation of the transmission of a 200 fs laser pulse through soda lime glass of 1.2 cm thickness showed that the interplay between anomalous GVD and SPM lead to a significant compression of the pulse to 8.5 fs i.e. by a factor of 23.
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