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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. |
- Eriyeti, M., et al.
(författare)
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Web-based process planning system concept selection using Weighted Decision Matrix and Analytical Hierarchy Process : A case study of sheet metal bending operations
- 2019
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Ingår i: Procedia Manufacturing. - : Elsevier B.V.. - 2351-9789. ; , s. 462-469
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Konferensbidrag (refereegranskat)abstract
- The demand for sheet metal bending products has pushed the sheet metal industry to adopt new process planning approaches that can transform the existing systems in order to improve efficiency and reduce costs during product design and manufacture. Sheet metal industries are still using traditional system planning methods, which have limited capacity to respond to rapid changes in market requirements. In light of this, this paper proposes a suitable web-based process planning system that can be used to effectively bend varieties of sheet metal products using various bending press machines. Three web-based process planning system concepts were formulated in this study and evaluated using various criteria. The result of the Weighted Decision Matrix (WDM) and the Analytical Hierarchy Process (AHP) analyses revealed that web-based process planning system concept Y with a cumulative assessment score of 1.90 and a priority assessment score of 0.637 is the suitable web-based process planning system that could be used to effectively bend varieties of sheet metals. This evaluation approach serves as a useful information for system designers in other manufacturing sectors, to select suitable systems capable of effectively carrying out their operations.
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