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- 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. |
- Lee, Jong-Koo, et al.
(författare)
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Institutional and behaviour-change interventions to support COVID-19 public health measures : a review by the Lancet Commission Task Force on public health measures to suppress the pandemic
- 2021
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Ingår i: International Health. - : Oxford University Press (OUP). - 1876-3413 .- 1876-3405. ; 13:5, s. 399-409
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Forskningsöversikt (refereegranskat)abstract
- The Lancet COVID-19 Commission Task Force for Public Health Measures to Suppress the Pandemic was launched to identify critical points for consideration by governments on public health interventions to control coronavirus disease 2019 (COVID-19). Drawing on our review of published studies of data analytics and modelling, evidence synthesis and contextualisation, and behavioural science evidence and theory on public health interventions from a range of sources, we outline evidence for a range of institutional measures and behaviour-change measures. We cite examples of measures adopted by a range of countries, but especially jurisdictions that have, thus far, achieved low numbers of COVID-19 deaths and limited community transmission of severe acute respiratory syndrome coronavirus 2. Finally, we highlight gaps in knowledge where research should be undertaken. As countries consider long-term measures, there is an opportunity to learn, improve the response and prepare for future pandemics.
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| 3. |
- Sadeghimeresht, Esmaeil, 1985-, et al.
(författare)
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Chlorine-induced high temperature corrosion of HVAF-sprayed Ni-based alumina and chromia forming coatings
- 2018
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Ingår i: Corrosion Science. - : Elsevier BV. - 0010-938X .- 1879-0496. ; 132:March, s. 170-184
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Tidskriftsartikel (refereegranskat)abstract
- Chlorine-induced corrosion of HVAF-sprayed Ni21Cr and Ni5Al coatings was investigated in 5 vol.% O2 + 500vppm HCl + N2 with and without KCl at 600 °C up to 168 h. Both coatings were protective in the absence of KCl. With KCl, Ni21Cr degraded through a two-stage mechanism: 1) formation of K2CrO4 followed by diffusion of Cl− through the oxide grain boundaries to yield chlorine and a non-protective oxide, and 2) inward diffusion of chlorine though defects in the non-protective oxide, leading to breakaway oxidation. Cl−/Cl2 could not diffuse through the protective alumina scale formed on Ni5Al, hence the corrosion resistance increased.
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| 4. |
- Sadeghimeresht, Esmaeil, 1985-, et al.
(författare)
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Influence of KCl and HCl on high temperature corrosion of HVAF-sprayed NiCrAlY and NiCrMo coatings
- 2018
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Ingår i: Materials & design. - : Elsevier BV. - 0264-1275 .- 1873-4197. ; 148, s. 17-29
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Tidskriftsartikel (refereegranskat)abstract
- The oxidation performance of NiCrAlY and NiCrMo coatings thermally sprayed by high velocity air-fuel (HVAF) technique has been investigated in a chloridizing-oxidizing environment, with and without a KCl deposit, at 600 °C for up to 168 h. Both coatings protected the substrate in the absence of KCl due to formation of a dense Cr-rich oxide scale. In the presence of KCl, Cl−/Cl2 diffused through a non-protective and porous NiCr2O4 scale formed on NiCrAlY, leading to formation of volatile CrCl3. On the other hand, Mo in NiCrMo stimulated the formation of a more protective Cr-rich oxide scale which increased the corrosion resistance by reducing Cl−/Cl2 diffusion.
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