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- 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. |
- Zaki, Zaki I., et al.
(författare)
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Synthesis of Vanadium Carbide by Mechanical Activation Assisted Carbothermic Reduction
- 2020
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Ingår i: Materials. - : MDPI. - 1996-1944. ; 13:19
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Tidskriftsartikel (refereegranskat)abstract
- Vanadium carbide is known, for its hardness and other unique properties, as a refractory material. The synthesis of vanadium carbide is always associated with the utilization of expensive active metals, such as aluminum, calcium and magnesium, as a reducing agent to extract the vanadium metal from its corresponding oxide, followed by carbidization. The carbidization of reduced vanadium requires a complicated process and elevated temperature. Mechanical activation to synthesize vanadium carbide from its corresponding oxide and carbon source represents a promising, straightforward and less energy-intensive route. In the present study, vanadium carbide is synthesized by the carbothermic reduction of a mechanically activated mixture of V2O5 and carbon black as reducing agents without any additives. The reduction process is monitored by means of thermogravimetric analysis. The reduction products are characterized by X-ray diffraction and field emission scanning electron microscope. It is found that V8C7 with an average crystallite size of 88 nm can be synthesized from a V2O5-C mixture after milling for 15 h and further heating at 1050 °C for 1 h in an inert atmosphere.
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