| 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. |
- Carracedo, Juan Carlos, et al.
(författare)
-
The 2011-2012 submarine eruption off El Hierro, Canary Islands : New lessons in oceanic island growth and volcanic crisis management
- 2015
-
Ingår i: Earth-Science Reviews. - : Elsevier BV. - 0012-8252 .- 1872-6828. ; 150, s. 168-200
-
Tidskriftsartikel (refereegranskat)abstract
- Forty years after the eruption of the Teneguía volcano on La Palma, 1971, the last volcanic event in the Canary Islands, a submarine eruption took place in 2011 off-shore El Hierro, the smallest and youngest island of the archipelago. In this paper, we review the periods of seismic unrest leading up to the 2011–2012 El Hierro eruption, the timeline of eruptive events, the erupted products, the wider societal impacts, and the insights garnered for our understanding of ocean island growth mechanisms and hazard management. Seismic precursors allowed early detection of magmatic activity and prediction of the approximate location of the eruption. White coloured “floating stones” (“xeno-pumice”) were described within the first few days of the events, the origin of which were hotly debated because of their potential implications for the character of the eruption. Due to epistemic uncertainty derived from delayed flow of scientific information and equivocal interpretations of the “floating stones”, the El Hierro 2011–2012 events were characterised by cautious civil protection measures, which greatly impacted on the residents' lives and on the island's economy. We therefore summarise the scientific lessons learned from this most recent Canary Island eruption and discuss how emergency managers might cope with similar situations of uncertainty during future eruptive events in the region.
|
|
| 3. |
|
|
| 4. |
- Parra-López, Carlos, et al.
(författare)
-
Strengthening the development of the short-rotation plantations bioenergy sector : Policy insights from six European countries
- 2017
-
Ingår i: Renewable energy. - : Elsevier BV. - 0960-1481 .- 1879-0682. ; 114, s. 781-793
-
Tidskriftsartikel (refereegranskat)abstract
- This paper, based on a participatory methodological framework involving expert stakeholders and researchers from six European countries (Germany, Ireland, Poland, Spain, Sweden and UK), analyses the priority issues for the development of short-rotation plantations (SRP), and proposes a series of policy strategies to strengthen this development. The results indicate that there is a lack of awareness of the multifaceted benefits of SRP at the level of farmers, policy makers and public authorities. More research is required to put a value on the multifunctionality of SRP and justify its public support. Small-scale projects using established technologies are also required with energy crops introduced in a phased manner. The simultaneous dissemination of this knowledge upwards to policy makers and downwards to producers and farmers is critical in the success of SRP. Also, greater financial support on both the supply and demand side is highlighted as being necessary: on the supply side linking multifunctional benefits of SRP and targeted payments, along with increased long-term contractual arrangements between farmers and energy plant operators; demand side incentives should overcome any difference in price between fossil fuels and energy crops. Groups to lobby for the uptake and support of SRP and bioenergy are also of necessary.
|
|
| 5. |
- Tiegs, Scott D., et al.
(författare)
-
Global patterns and drivers of ecosystem functioning in rivers and riparian zones
- 2019
-
Ingår i: Science Advances. - Washington : American Association of Advancement in Science. - 2375-2548. ; 5:1
-
Tidskriftsartikel (refereegranskat)abstract
- River ecosystems receive and process vast quantities of terrestrial organic carbon, the fate of which depends strongly on microbial activity. Variation in and controls of processing rates, however, are poorly characterized at the global scale. In response, we used a peer-sourced research network and a highly standardized carbon processing assay to conduct a global-scale field experiment in greater than 1000 river and riparian sites. We found that Earth's biomes have distinct carbon processing signatures. Slow processing is evident across latitudes, whereas rapid rates are restricted to lower latitudes. Both the mean rate and variability decline with latitude, suggesting temperature constraints toward the poles and greater roles for other environmental drivers (e.g., nutrient loading) toward the equator. These results and data set the stage for unprecedented "next-generation biomonitoring" by establishing baselines to help quantify environmental impacts to the functioning of ecosystems at a global scale.
|
|
