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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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| 3. |
- Yaqoob, Ibrar, et al.
(författare)
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Big data : From beginning to future
- 2016
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Ingår i: International Journal of Information Management. - : Elsevier BV. - 0268-4012 .- 1873-4707. ; 36:6B, s. 1231-1247
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Tidskriftsartikel (refereegranskat)abstract
- Big data is a potential research area receiving considerable attention from academia and IT communities. In the digital world, the amounts of data generated and stored have expanded within a short period of time. Consequently, this fast growing rate of data has created many challenges. In this paper, we use structuralism and functionalism paradigms to analyze the origins of big data applications and its current trends. This paper presents a comprehensive discussion on state-of-the-art big data technologies based on batch and stream data processing. Moreover, strengths and weaknesses of these technologies are analyzed. This study also discusses big data analytics techniques, processing methods, some reported case studies from different vendors, several open research challenges, and the opportunities brought about by big data. The similarities and differences of these techniques and technologies based on important parameters are also investigated. Emerging technologies are recommended as a solution for big data problems.
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