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- Thomas, HS, et al.
(författare)
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- 2019
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swepub:Mat__t
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| 2. |
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| 3. |
- 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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| 4. |
- Pocorni, Jetro Kenneth, et al.
(författare)
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Measuring the Melt Flow on the Laser Cut Front
- 2015
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Ingår i: 15th Nordic Laser Materials Processing Conference, Nolamp 15, 25-27 August 2015, Lappeenranta, Finland. - : Elsevier. ; 78, s. 99-109
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Konferensbidrag (refereegranskat)abstract
- The flow characteristics on the laser cut front for 10 mm stainless steel AISI 304 (EN 1.4301) are studied in this paper using High Speed Imaging (HSI). The laser cut samples were produced with a 6 kW fiber laser with nitrogen gas assist. Previous work in this field has used unusual cutting parameters to make the experimentation easier. This work presents, for the first time, HSI results from standard commercially viable cutting parameters. This was made possible by the development of a new experimental technique. The results presented here suggest that the cut front produced when cutting stainless steel with a fiber laser and a nitrogen assist gas is covered in bumps which themselves are covered in a thin layer of liquid. Under the conditions shown here the bumps move down the cut front at an average speed of approximately 0.4m/s. The liquid flows at an average speed of approximately 1.1m/s. The average melt depth at the bottom of the cut zone under these conditions is approximately 0.17 mm.
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