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| 2. |
- Glasbey, JC, et al.
(författare)
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- 2021
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swepub:Mat__t
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| 5. |
- 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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| 6. |
- Abbafati, Cristiana, et al.
(författare)
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- 2020
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Tidskriftsartikel (refereegranskat)
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| 7. |
- Sarker, M. Shahjahan A., et al.
(författare)
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Maximization of Livestock Anthrax Vaccination Coverage in Bangladesh : An Alternative Approach
- 2020
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Ingår i: Vaccines. - : MDPI. - 2076-393X. ; 8:3
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Tidskriftsartikel (refereegranskat)abstract
- Low vaccination coverage of livestock is one of the major challenges to control anthrax in Bangladesh. This study was conducted to assess an alternate approach to maximize vaccination coverage. The method included traditional vaccination campaigns, livestock census, interviews, focus group discussions of cattle farmers, vaccination and livestock personnel, and validation workshops. It was observed that a mass vaccination program covered only 44% of the cattle population. It was found that 54.1% of the respondents did not bring their cattle to mass vaccination programs due to the difficulties of handling cattle and that there was no male member in the household. Only 12.5% of respondents acknowledged that they were not aware of the vaccine, and 3% of the respondents claimed that they ignored vaccination due to cost. All of the respondents from livestock personnel agreed that manpower was not enough to cover the total area. Further, 20% of vaccinators mentioned that they did not get enough vaccines. For an effective vaccination program, 58.33% of respondents recommended door-to-door service, and 54.16% of respondents suggested to arrange regular vaccination campaigns in six-month intervals. Thus, regular campaigns with door-to-door vaccination services are suggested to control anthrax outbreaks in Bangladesh.
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| 8. |
- Iqbal, Z., et al.
(författare)
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Photocatalytic degradation of dyes in aqueous media by gum shellac stabilized selenium nanoparticles
- 2023
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Ingår i: Zeitschrift Fur Physikalische Chemie-International Journal of Research in Physical Chemistry & Chemical Physics. - 0942-9352. ; 237:8, s. 1139-1152
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Tidskriftsartikel (refereegranskat)abstract
- The present work outlines the successful synthesis of selenium nanoparticles (Se NPs) stabilized with gum shellac (GS) and their use as photocatalyst for the enhanced degradation of dyes. Se NPs were synthesized by a simple and cost effective chemical reduction method using selenious acid, GS and sodium borohydride. Gum shellac was used as stabilizing agent. The orange red gum shellac-selenium nanoparticles (GS-Se NPs) were characterized by UV-Vis spectroscopy, Fourier transform infra-red (FTIR), scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDX). The morphology of these particles appeared to be uniform and spherical as observed in SEM images. Energy dispersive X-ray spectroscopic profile showed the presence of elemental selenium, carbon and oxygen. The synthesized GS-Se NPs were investigated for their photo-catalytic efficiency towards degradation of methylene blue (MB) and methyl orange (MO) dye in aqueous media. Absorbance was measured at ?(max) 665 nm and 455 nm for MB and MO, respectively. Maximum degradation of MB in-comparison with MO obtained at 50 mg/L were 81.72 % and 71.42 % respectively. A very slow degradation rate was observed for the MO and MB in the absence of synthesized photocatalyst whereas greater percentage degradation was observed for the GS-Se NPs.
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| 9. |
- van der Spek, M., et al.
(författare)
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Uncertainty analysis in the techno-economic assessment of CO2 capture and storage technologies. Critical review and guidelines for use
- 2020
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Ingår i: International Journal of Greenhouse Gas Control. - : Elsevier BV. - 1750-5836 .- 1878-0148. ; 100
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Tidskriftsartikel (refereegranskat)abstract
- Uncertainty analysis is a key element of sound techno-economic analysis (TEA) of CO2 Capture and Storage (CCS) technologies and systems, and in the communication of TEA results. Many CCS technologies are relatively novel, with only few large-scale projects constructed and in operation to date. Therefore, uncertainties in technology performance and costs are often substantial, making it imperative that they be characterized and reported. Although uncertainty analysis itself is not novel, with some methods already frequently used by the CCS TEA community, a document that provides a comprehensive overview of methods and approaches, as well as guidance on their selection and use, is still lacking. Given its importance, we seek to fill this gap by providing a critical review of uncertainty analysis methods along with guidance on the selection and use of these methods for CCS TEAs, highlighting good practice and examples from the CCS literature. The paper starts by identifying the different audiences for CCS TEAs, the different modelling approaches available for CCS technology performance and cost analysis, and the different roles that uncertainty analysis may play. It then continues to discuss established, as well as emerging, uncertainty analysis methods and addresses how and when each method is best used, as well as common pitfalls. We argue that the most commonly used method of one-parameter-at-a-time ‘local’ sensitivity analysis may often be a suboptimal choice, and that other approaches may be more suitable or lead to more insight, especially since uncertainty analysis software is becoming more widespread and easier to use. Finally, the paper discusses the benefits of advanced uses of uncertainty analysis in, for instance, the design of CCS experiments or in the design and planning of CCS infrastructure. Sound uncertainty analysis has an important role to play in TEAs of CCS technologies and systems, and there are many opportunities to bring the use of uncertainty analysis to a higher level than currently practiced. This review of and guidance on available methods is intended to help accelerate continued methods development and their application to more robust and meaningful CCS performance and costing studies.
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| 10. |
- Ahmed, Sheik, et al.
(författare)
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Thalassemia Patients from Baluchistan in Pakistan Are Infected with Multiple Hepatitis B or C Virus Strains
- 2021
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Ingår i: American Journal of Tropical Medicine and Hygiene. - : American Society of Tropical Medicine and Hygiene. - 0002-9637 .- 1476-1645. ; 104:4, s. 1569-1576
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Tidskriftsartikel (refereegranskat)abstract
- There are an estimated 2,000 children with 6-thalassemia in the province Baluchistan of Pakistan. These children are at high risk of acquiring transfusion-transmitted infections (TTIs) due to their need of regular blood transfusions for survival. Therefore, we investigated the frequencies of TTIs among these multi-transfused patients in a region where the WHO guidelines for blood safety are not always followed. Sera from 400 children (mean age 7.7 +/- 4.70 years) treated at two thalassemia centers in Baluchistan were investigated for TTIs. Eleven (2.8%) were hepatitis B surface antigen positive, and 72 (18.3%) had anti-hepatitis C virus (HCV), two of which were infected with both viruses. Only 22% of the children had been reached by the program for universal hepatitis B virus (HBV) vaccination which started in 2004. Half (51%) of the HCV infected had also been HBV infected. The HBV- and HCV-infected patients were older and had received more blood transfusions than the uninfected patients (P < 0.001). Molecular characterization of the viral strains revealed the presence of several genetically different strains in at least three HBV- and seven HCV-infected children. This is the first study to demonstrate infections with multiple HBV or HCV strains simultaneously infecting thalassemia patients. These may become the source for new emerging recombinant viruses of unknown virulence. The high prevalence of anti-HCV-positive children, and the presence of HBV infections among children who should have been vaccinated, highlights an urgent need for improvements of blood safety in this region of Pakistan.
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