| 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. |
- Thomas, HS, et al.
(författare)
-
- 2019
-
swepub:Mat__t
|
|
| 3. |
|
|
| 4. |
- Kuderna, Lukas F. K., et al.
(författare)
-
Identification of constrained sequence elements across 239 primate genomes
- 2024
-
Ingår i: Nature. - : Springer Nature. - 0028-0836 .- 1476-4687. ; 625:7996, s. 735-742
-
Tidskriftsartikel (refereegranskat)abstract
- Noncoding DNA is central to our understanding of human gene regulation and complex diseases1,2, and measuring the evolutionary sequence constraint can establish the functional relevance of putative regulatory elements in the human genome3,4,5,6,7,8,9. Identifying the genomic elements that have become constrained specifically in primates has been hampered by the faster evolution of noncoding DNA compared to protein-coding DNA10, the relatively short timescales separating primate species11, and the previously limited availability of whole-genome sequences12. Here we construct a whole-genome alignment of 239 species, representing nearly half of all extant species in the primate order. Using this resource, we identified human regulatory elements that are under selective constraint across primates and other mammals at a 5% false discovery rate. We detected 111,318 DNase I hypersensitivity sites and 267,410 transcription factor binding sites that are constrained specifically in primates but not across other placental mammals and validate their cis-regulatory effects on gene expression. These regulatory elements are enriched for human genetic variants that affect gene expression and complex traits and diseases. Our results highlight the important role of recent evolution in regulatory sequence elements differentiating primates, including humans, from other placental mammals.
|
|
| 5. |
- Rashid, Farhan Lafta, et al.
(författare)
-
Recent advances and developments of the application of hybrid nanofluids in parabolic solar collector energy systems and guidelines for future prospects
- 2024
-
Ingår i: Journal of Engineering Research. - : Elsevier. - 2307-1877.
-
Tidskriftsartikel (refereegranskat)abstract
- This study addresses challenges in enhancing the thermal efficiency of parabolic solar collector energy systems using hybrid nanofluids, focusing on issues like nanoparticle clumping and decreased effectiveness. The objective is to optimize design parameters for improved energy absorption and efficiency by evaluating the thermal performance of hybrid nanofluids through theoretical and experimental analyses, aiming to enhance the overall efficiency of solar collector systems. The thermal performance of solar collector systems was evaluated by conducting numerical simulations and experimental analyses to investigate the effects of various nanoparticle compositions and concentrations. The findings suggest that hybrid nanofluids, specifically Au-Cu/EO and Cu-Al2O3, demonstrate enhanced heat transfer properties in comparison to conventional fluids, resulting in efficiency enhancements ranging from 22.44% to 35.01%. Compared to water, Al2O3/water (0.04%), and MWCNT/water (0.04%), the solar collector's thermal efficiency improves by 197.1%, 69.2%, and 6.1%, respectively. Furthermore, the research emphasizes the potential advantages of integrating precise nanoparticle concentrations to improve thermal efficiency while reducing the adverse effects of friction factors. The results emphasize the significance of tackling primary obstacles such as the clumping together of nanoparticles, heightened energy demands for pumping, and elevated expenses in the manufacture of hybrid nanofluids. The study enhances the advancement of cost-effective and efficient solar collector systems by identifying limits and suggesting alternative solutions. The research highlights the necessity for additional investigation into innovative combinations of nanomaterials, fine-tuning of fluid characteristics, and thorough evaluations of long-term stability in order to forward the practical use of hybrid nanofluids in solar energy systems.
|
|
