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- Ademuyiwa, Adesoji O., et al.
(author)
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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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In: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
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Journal article (peer-reviewed)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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14. |
- Knaggård, Åsa, et al.
(author)
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Skåne idag och i framtiden
- 2015
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In: Klimatsäkrat Skåne. - 9789198157741 ; , s. 229-240
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Book chapter (other academic/artistic)abstract
- De beslut vi tar idag och i framtiden avgör om världen går mot en tvågraders- eller en fyragradersvärld, eller någonting där emellan. Vertikal samverkan mellan politiska nivåer och horisontell samverkan mellan sektorer är viktig för att möjliggöra kostnadseffektiva ambitiösa utsläppsminskningar och åtgärder för klimatanpassning i Skåne. Arbetet med Klimatsamverkan Skåne och Strukturbild för Skåne är ett bra första steg, men kan fördjupas och utvecklas. Koordinering med andra samverkansinsatser kan bidra ytterligare till framgångsrikt arbete. Regionens samverkan med näringslivet är relativt väl utvecklad, men kan förstärkas ytterligare, särskilt vad gäller klimatanpassning. Medborgarna kan involveras mer i arbetet med utsläppsminskningar och klimatanpassning. Beslutsprocesser som är transparenta, som förmår inkludera flera olika perspektiv och som möjliggör lärande över tid är till gagn för klimatarbetet lokalt och regionalt.
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15. |
- Aad, G., et al.
(author)
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- 2013
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In: The European Physical Journal C. - : Springer Science and Business Media LLC. - 1434-6052. ; 73:1
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Journal article (peer-reviewed)
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- Aad, G., et al.
(author)
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- 2012
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Journal article (peer-reviewed)
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17. |
- Aad, G., et al.
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- 2012
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Journal article (peer-reviewed)
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18. |
- Aad, G., et al.
(author)
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- 2013
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In: The European Physical Journal C. - : Springer Science and Business Media LLC. - 1434-6052. ; 73:3
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Journal article (peer-reviewed)
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19. |
- Aad, G., et al.
(author)
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- 2012
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Journal article (peer-reviewed)
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20. |
- Aad, G., et al.
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- 2012
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Journal article (peer-reviewed)
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21. |
- Aad, G., et al.
(author)
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- 2012
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In: Nuclear Physics, Section B. - : Elsevier BV. - 0550-3213 .- 1873-1562. ; 864:3, s. 341-381
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Journal article (peer-reviewed)
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- Aad, G., et al.
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- 2012
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Journal article (peer-reviewed)
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25. |
- Aad, G., et al.
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- 2012
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In: The European Physical Journal C. - : Springer Science and Business Media LLC. - 1434-6052. ; 72:10
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26. |
- Aad, G., et al.
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In: Journal of High Energy Physics. - 1029-8479 .- 1126-6708. ; :11
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- 2013
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In: Journal of High Energy Physics. - 1029-8479 .- 1126-6708. ; :9
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- 2013
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- 2012
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In: Journal of High Energy Physics. - 1029-8479 .- 1126-6708. ; :7
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- 2013
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- 2012
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In: Physical Review Letters. - 1079-7114 .- 0031-9007. ; 109:21
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- 2013
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- 2012
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- 2012
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- 2012
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In: Journal of High Energy Physics. - 1029-8479 .- 1126-6708. ; :9
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41. |
- Aad, G., et al.
(author)
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- 2012
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In: Physical Review D (Particles, Fields, Gravitation and Cosmology). - 1550-2368 .- 1550-7998. ; 86:7
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42. |
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- 2012
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In: Journal of High Energy Physics. - 1029-8479 .- 1126-6708. ; :9
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43. |
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- 2012
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In: Physical Review Letters. - : American Physical Society. - 1079-7114 .- 0031-9007. ; 108:26
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44. |
- Aad, G., et al.
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- 2012
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In: Journal of High Energy Physics. - 1029-8479 .- 1126-6708. ; :6
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