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Sökning: WFRF:(Fadel A)

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1.
  • Bravo, L, et al. (författare)
  • 2021
  • swepub:Mat__t
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  • Thomas, HS, et al. (författare)
  • 2019
  • swepub:Mat__t
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  • Tabiri, S, et al. (författare)
  • 2021
  • swepub:Mat__t
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  • 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.
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  • Le Pavec, J. M., et al. (författare)
  • Lung transplantation for sarcoidosis: outcome and prognostic factors
  • 2021
  • Ingår i: European Respiratory Journal. - : European Respiratory Society (ERS). - 0903-1936 .- 1399-3003. ; 58:2
  • Tidskriftsartikel (refereegranskat)abstract
    • Study question In patients with sarcoidosis, past and ongoing immunosuppressive regimens, recurrent disease in the transplant and extrapulmonary involvement may affect outcomes of lung transplantation. We asked whether sarcoidosis lung phenotypes can be differentiated and, if so, how they relate to outcomes in patients with pulmonary sarcoidosis treated by lung transplantation. Patients and methods We retrospectively reviewed data from 112 patients who met international diagnostic criteria for sarcoidosis and underwent lung or heart-lung transplantation between 2006 and 2019 at 16 European centres. Results Patient survival was the main outcome measure. At transplantation, median (interaquartile range (IQR)) age was 52 (46-59) years; 71 (64%) were male. Lung phenotypes were individualised as follows: 1) extended fibrosis only; 2) airflow obstruction; 3) severe pulmonary hypertension (sPH) and airflow obstruction; 4) sPH, airflow obstruction and fibrosis; 5) sPH and fibrosis; 6) airflow obstruction and fibrosis; 7) sPH; and 8) none of these criteria, in 17%, 16%, 17%, 14%, 11%, 9%, 5% and 11% of patients, respectively. Post-transplant survival rates after 1, 3, and 5 years were 86%, 76% and 69%, respectively. During follow-up (median (IQR) 46 (16-89) months), 31% of patients developed chronic lung allograft dysfunction. Age and extended lung fibrosis were associated with increased mortality. Pulmonary fibrosis predominating peripherally was associated with short-term complications. Answer to the study question Post-transplant survival in patients with pulmonary sarcoidosis was similar to that in patients with other indications for lung transplantation. The main factors associated with worse survival were older age and extensive pre-operative lung fibrosis.
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18.
  • Pavec, J. L., et al. (författare)
  • Characteristics, Survival, and Outcomes of Lung and Heart-Lung Transplantation for Pulmonary Sarcoidosis in a Multicenter European Study Characteristics, Survival, and Outcomes of Lung and Heart-Lung Transplantation for Pulmonary Sarcoidosis in a Multicenter European Study
  • 2020
  • Ingår i: The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation. - : Elsevier BV. - 1557-3117. ; 39:4
  • Tidskriftsartikel (refereegranskat)abstract
    • PURPOSE: In the context of sarcoidosis, lung transplantation is often performed in patients with irreversible advanced lung disease unresponsive to medical therapy. The clinical phenotypes and posttransplant survival remain unclear, due primarily to the recurring nature of the disease and extrapulmonary involvement. The objective of this study in a large multicenter European cohort was to describe the clinical characteristics and outcomes of patients with pulmonary sarcoidosis treated by lung transplantation. METHODS: We retrospectively reviewed the data of 147 patients with pulmonary sarcoidosis who underwent lung or heart-lung transplantation between 1990 and 2019 at 15 European centers. Inclusion criteria were sarcoidosis meeting international diagnostic criteria and availability of data from pretransplantation right heart catheterization, lung function testing, and chest computed tomography (CT) staged using a standardized system. RESULTS: At transplantation, mean age was 50±8 years, 62% were male, and 20% had extrapulmonary manifestations. Mean values before transplantation were as follows: FVC (%pred), 46±17%; FEV1 (%pred), 38±19; FVC/FEV1 (%), 55±32; DLCO (%pred), 31±13; mPAP (mmHg), 36±13; PCWP (mmHg), 10±5; cardiac index (L/min/m²), 3.0±0.8; and pulmonary vascular resistance (dyn·s·cm-5), 480±340; furthermore, 60% of patients had severe pulmonary hypertension. Posttransplant survival rates after 1, 3, and 5 years were 85%, 69%, and 63%, respectively. During the median [range] follow-up of 43 [17-79] months, 38% of patients developed chronic lung allograft dysfunction. Factors significantly associated with outcomes were high emergency transplantation, era of transplantation, preoperative extrapulmonary sarcoidosis, and extent of fibrosis by CT. CONCLUSION: Posttransplant survival rates and freedom from chronic lung allograft dysfunction in patients with pulmonary sarcoidosis were similar to those in patients with other reasons for lung transplantation. Factors associated with worse outcomes were high emergency transplantation, earlier transplantation era, preoperative extrapulmonary sarcoidosis, and greater burden of fibrosis by CT. Copyright © 2020. Published by Elsevier Inc.
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19.
  • Bech-Hanssen, Odd, 1956, et al. (författare)
  • Left ventricular volumes by echocardiography in chronic aortic and mitral regurgitation.
  • 2016
  • Ingår i: Scandinavian cardiovascular journal : SCJ. - : Informa UK Limited. - 1651-2006 .- 1401-7431. ; 50:3, s. 154-161
  • Tidskriftsartikel (refereegranskat)abstract
    • Cut-off values for left ventricular (LV) dimensions indicating severe valve regurgitation have not been defined. The aim of the study was to establish echocardiographic cut-off values for LV dimensions indicating severe chronic aortic (AR) or mitral (MR) regurgitation.
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20.
  • Fadel, Hani T, 1979, et al. (författare)
  • Caries risk and periodontitis in patients with coronary artery disease.
  • 2011
  • Ingår i: Journal of periodontology. - : Wiley. - 1943-3670 .- 0022-3492. ; 82:9, s. 1295-303
  • Tidskriftsartikel (refereegranskat)abstract
    • ACKGROUND: There is considerable variation in studies on the oral health of patients with coronary artery disease (CAD). The aims of this investigation are to study the caries risk profile using the Cariogram computer program and the periodontal disease severity in patients with CAD. METHODS: A total of 127 participants (54 test and 73 control) were included. Participants were asked about their general health and daily habits. Clinical examinations, radiographs, and salivary sampling were performed. Cariologic data were entered into the computer program for risk-profile illustration. The onset of CAD conditions was also documented. RESULTS: Compared with controls, participants with CAD consumed less sugar, used fluoride toothpaste less frequently, and had significantly less favorable periodontal parameters (P <0.005). Generally, differences in cariologic parameters between the two groups were not significant. Significantly more participants with CAD exhibited low salivary-secretion rates than controls. The actual chance (percentage) of avoiding new cavities according to the Cariogram was low in the test and control groups (31% and 40%, respectively; P <0.05). Only gingival recession was correlated with the onset of CAD. CONCLUSIONS: Test and control groups had a relatively high caries risk. More severe periodontal disease was observed in participants with CAD.
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  • Hassan, Mohammad L., et al. (författare)
  • Chitosan/rice straw nanofibers nanocomposites: Preparation, mechanical, and dynamic thermomechanical properties
  • 2012
  • Ingår i: Journal of Applied Polymer Science. - : Wiley. - 0021-8995 .- 1097-4628. ; 125:Suppl. 2, s. E216-E222
  • Tidskriftsartikel (refereegranskat)abstract
    • Nanofibers were isolated from rice straw pulp using ultrahigh friction grinding and high-pressure homogenization. Chitosan nanocomposites were prepared using the isolated nanofibers at fiber loading from 2.5 to 20% by solution casting and evaporation technique. The effect of nanofiber loading on dry and wet tensile strength, dynamic mechanical thermal properties, and cyrstallinity of chitosan were studied using tensile testing, thermogravimetric analysis, dynamic mechanical thermal analysis, and X-ray diffraction. Addition of rice straw nanofibers (RSNF) to chitosan resulted in significant improvement in wet and dry tensile strength, and shift of glass transition temperature (Tg) of chitosan matrix to higher values. Chitosan nanocomposites prepared using RSNF (CRSNF) had remarkable wet and dry tensile strength, which could be attributed to presence of both nanofibers and nanosilica particles originally present in rice straw fibers. Addition of RSNF to chitosan did not affect its onset thermal degradation temperature.
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  • Hassan, Mohammad L., et al. (författare)
  • Improving cellulose/polypropylene nanocomposites properties with chemical modified bagasse nanofibers and maleated polypropylene
  • 2014
  • Ingår i: Journal of reinforced plastics and composites (Print). - : SAGE Publications. - 0731-6844 .- 1530-7964. ; 33:1, s. 26-36
  • Tidskriftsartikel (refereegranskat)abstract
    • The properties of cellulose/polypropylene (PP) nanocomposites with n-octadecyl-modified bagasse nanofibers (MBNF) were compared to those with maleated polypropylene (MAPP) coupling agent. The nanocomposites were prepared by twin-screw extrusion with bagasse nanofiber (BNF) content varying from 2.5 to 10 wt%. The compression molded nanocomposites sheets were characterized regarding their tensile strength properties, dynamic mechanical thermal properties, crystallinity, water absorption, transparency and loss of strength due to composting in soil. As a compatibilizer to improve the tensile strength properties and transparency of PP/cellulose nanofibers nanocomposites, MAPP was more effective than n-octadecyl-modified cellulose nanofibers. The crystallinity of the nanocomposites was lower than that of neat PP except for those prepared using high loading of MBNF. Dynamic mechanical thermal analysis (DMTA) of the prepared materials showed that adding the different nanofibers (treated or untreated) resulted in better mechanical thermal properties above glass transition temperature (Tg) of PP. Water absorption capability in all nanocomposites was weakened while that in PP/MBNF was the lowest. No significant differences were found between the nanocomposites with different kinds of nanofibers regarding the loss of their tensile strength after compositing in soil up to six months.
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  • Hassan, Mohammad L., et al. (författare)
  • Metallo-Terpyridine-Modified Cellulose Nanofiber Membranes for Papermaking Wastewater Purification
  • 2018
  • Ingår i: Journal of Inorganic and Organometallic Polymers and Materials. - : Springer. - 1574-1443 .- 1574-1451. ; 28:2, s. 439-447
  • Tidskriftsartikel (refereegranskat)abstract
    • Metallo-terpyridine compounds and polymers exhibit unique optical, electrical, magnetic and antimicrobial properties. Recently, metallo-terpyridine-modified cellulosic films with interesting porous structure, that exhibit these properties, have been prepared. Herein we report the use of Cu-terpyridine-modified oxidized cellulose nanofibers (OXCNF-Cu-Tpy) as membranes for treatment of effluents of paper mills to produce re-usable water. The OXCNF-Cu-Tpy was prepared by modification of TEMPO-oxidized CNF (OXCNF) using copper(II) complex of 4′-Chloro [2,2′:6′,2″] terpyridine. The modification was proven by elemental analysis and Fourier transform infrared spectroscopy. The prepared OXCNF-Cu-Tpy was also characterized using X-ray diffraction and transmission electron microscopy. The prepared membranes were evaluated regarding their microscopic structure using scanning electron microscopy, atomic force microscopy, contact angle measurement, water flux and rejection of sub-micron size suspended particles in papermaking wastewater effluent. Chemical modification of OXCNF with the Cu-Tpy groups significantly increased pure water flux of the membranes by about 52 and 194% depending on pressure used during filtration (0.5 and 1 MPa, respectively). Although both OXCNF and OXCNF-Cu-Tpy exhibited high efficiency in removing the sub-micron size suspended particles from wastewater effluent, OXCNF-Cu-Tpy membranes showed about 30% higher flux rate than OXCNF membranes.
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25.
  • Hassan, Mohammad L., et al. (författare)
  • Water purification ultrafiltration membranes using nanofibers from unbleached and bleached rice straw
  • 2020
  • Ingår i: Scientific Reports. - : Springer Nature. - 2045-2322. ; 10
  • Tidskriftsartikel (refereegranskat)abstract
    • There has been an increasing interest in recent years in isolating cellulose nanofibers from unbleached cellulose pulps for economic, environmental, and functional reasons. In the current work, cellulose nanofibers isolated from high-lignin unbleached neutral sulfite pulp were compared to those isolated from bleached rice straw pulp in making thin-film ultrafiltration membranes by vacuum filtration on hardened filter paper. The prepared membranes were characterized in terms of their microscopic structure, hydrophilicity, pure water flux, protein fouling, and ability to remove lime nanoparticles and purify papermaking wastewater effluent. Using cellulose nanofibers isolated from unbleached pulp facilitated the formation of a thin-film membrane (with a shorter filtration time for thin-film formation) and resulted in higher water flux than that obtained using nanofibers isolated from bleached fibers, without sacrificing its ability to remove the different pollutants.
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