| 1. |
- Bravo, L, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 2. |
- Drake, TM, et al.
(författare)
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Surgical site infection after gastrointestinal surgery in children: an international, multicentre, prospective cohort study
- 2020
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Ingår i: BMJ global health. - : BMJ. - 2059-7908. ; 5:12
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Tidskriftsartikel (refereegranskat)abstract
- Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings.MethodsA multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI).ResultsOf 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI.ConclusionThe odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.
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| 3. |
- Tabiri, S, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 4. |
- Alnadhari, Ibrahim, et al.
(författare)
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Presentation, diagnosis, management, and outcomes of prostatic abscess : comparison of three treatment modalities
- 2020
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Ingår i: Therapeutic advances in urology. - : Sage Publications. - 1756-2872 .- 1756-2880. ; 12, s. 1-8
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Tidskriftsartikel (refereegranskat)abstract
- Purpose:The lack of available guidelines for the management of prostatic abscess (PA) results in inconsistencies in its management. The most commonly used management modalities were conservative treatment with parenteral antibiotics alone, transrectal ultrasound-guided (TRUS) needle aspiration, or transurethral deroofing (TUD).The current study is a retrospective study and examines prostatic abscess cases treated by either one or more of the different modalities. We assess and compare presentation, diagnosis, management, and outcomes of prostatic abscess and we compare the outcomes of the three management modalities.Methods:We retrieved the records of all patients (n = 23) admitted to the Urology department at Al Wakra hospital with the computed tomography (CT) diagnosis of prostatic abscess from January 2013 to March 2018. Data collected included demographic, clinical, laboratory, and imaging findings, as well as management modality, duration of hospital stay, duration of follow up, outcome, and recurrence.Results:A total of nine (39.1%) patients had conservative treatment only; eight (34.8%) had TUD, and six (26.1%) had TRUS needle aspiration. The mean age was 52.7 years. Lower urinary tract symptoms and fever were the most common presentations (95.7% and 82.6%, respectively). CT scan of the abdomen and pelvis with contrast was undertaken for all patients and it showed that multiple abscesses were observed in 14 (60.9%) cases.The overall mean hospital stay was 8.45 days (range 2–21 days). We observed no recurrences for patients treated conservatively or those who undertook TUD, but three patient (50%) recurrences were noted in TRUS aspiration patients. There was no mortality across the sample.Conclusion:Early diagnosis of prostatic abscess and prompt management may have decreased the morbidity and mortality. Conservative management can succeed in subcentimeter abscesses but TUD is the definite therapy for large and multiloculated abscess. TRUS aspiration does have a role in treatment, but it has higher recurrence and longer hospital stay.
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| 5. |
- Ellabban, Mohamed A., et al.
(författare)
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Assessment of Freestyle Local Facial Perforator Flaps for Coverage of Facial Defects
- 2021
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Ingår i: The Journal of Craniofacial Surgery. - : Wolters Kluwer. - 1049-2275 .- 1536-3732. ; 32:2, s. e122-e125
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To assess local freestyle facial perforator flaps in the reconstruction of small to medium-sized facial defects.MATERIALS AND METHODS: In a case series, local freestyle perforator flaps were used in Suez Canal University Hospital to reconstruct 28 facial defects in 26 patients between 2017 and 2019. Adequate perforators were identified near those defects and flaps were designed as propeller or VY advancement. Four scales from the FACE-Q (satisfaction with facial appearance, satisfaction with the outcome, psychological function, and appearance-related psychosocial distress) and 2 scales from the SCAR-Q (Appearance scale and Symptom scale) were used as well as the observer part of the Patient and Observer Scar Assessment Scale. The mean follow up period was 10 months.RESULTS: Complete reconstruction was achieved in all cases with a high rate of patient satisfaction which was assessed by FACE-Q and SCAR-Q. Moreover, observer assessment by Patient and Observer Scar Assessment Scale score showed high patient satisfaction with the scars with a mean (SD) 15.5 (3.4) and there was a positive correlation between subjective and objective: results (r2 from 0.27 to 0.41, P < 0.01). Regarding complications, bulkiness occurred in 2 flaps, congestion in 2 flaps, dehiscence in 1 flap, and tip necrosis in 5 flaps. Accordingly, secondary intervention in the form of medicinal leech therapy was used in 3 flaps, delayed closure for the dehisced flap and debulking for 1 flap.CONCLUSIONS: Local freestyle perforator flap reconstruction is one of the recommended techniques for small to medium-sized facial defects which gives a high aesthetic outcome and patient satisfaction.
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| 6. |
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| 7. |
- McKeever, Steve, 1969-, et al.
(författare)
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Unit of measurement libraries, their popularity and suitability
- 2021
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Ingår i: Software, practice & experience. - : John Wiley & Sons. - 0038-0644 .- 1097-024X. ; 51:4, s. 711-734
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Tidskriftsartikel (refereegranskat)abstract
- In scientific applications, physical quantities, and units of measurement are used regularly. If the inherent incompatibility between these units is not handled properly it can lead to potentially catastrophic problems. Although the risk of a miscalculation is high and the cost equally so, almost none of the major programming languages has support for physical quantities. We employed a systematic approach to examine and analyse available units of measurement (UoM) libraries. The search results were condensed into 38 libraries. These were the most comprehensive and well-developed, open-source libraries, chosen from approximately 3700 search results across seven repository hosting sites. Most libraries are implemented in a similar manner, but with varying features and evaluation strategies. Three developers and a scientist were interviewed and 91 practitioners of varying experiences from on-line forums were surveyed to explain their impressions of UoM libraries and their suitability. Our findings show several reasons for nonadoption, including insufficient awareness of UoM libraries, cumbersome in practice, specific performance concerns, and usage of development processes that exclude unit information We conclude with recommendations to UoM library creators derived from these observations. We also argue that so long as units are not part of the language, or not supported through an IDE extension, their use will be limited. Native language support allows for efficient unit conversion and static checking. While lightweight methods provide many benefits of UoM libraries with minimal overheads. Libraries are perhaps best suited to applications in which unit of measurement checking is desirable at run-time.
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| 8. |
- Salah, Omar-Alfred, et al.
(författare)
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Lack of Adoption of Units of Measurement Libraries : Survey and Anecdotes
- 2020
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Ingår i: 2020 IEEE/ACM 42nd International Conference On Software Engineering. - New York : Association for Computing Machinery ACM. ; , s. 81-89
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Konferensbidrag (refereegranskat)abstract
- Units of measurement (UoM) libraries are mostly used to appropriately encode unit variables and convert between them in a type-safe manner. Approximately 3700 functioning unit measurement libraries exist on the web, indicating that the wheel is being reinvented time and time again. Previous research has postulated that too much diversity, lack of code sharing and duplicated efforts are discouraging adoption, yet more remains to be known. Three developers and a scientist were interviewed and 91 practitioners of varying experiences from online forums were surveyed to explain their dissatisfaction with UoM libraries and possible reasons behind the lack of adoption. Our findings range from insufficient awareness of these UoM's, to development processes that exclude unit information through to specific performance concerns. We conclude with recommendations to UoM library creators stemming from these points that could help alleviate the problem and lead to an increased adoption rate of methodologies that support unit annotation and checking.
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| 9. |
- Abbafati, Cristiana, et al.
(författare)
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- 2020
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Tidskriftsartikel (refereegranskat)
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| 10. |
- Glasbey, JC, et al.
(författare)
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- 2021
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swepub:Mat__t
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