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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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| 2. |
- Blid, Jesper, 1981-, et al.
(författare)
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Excavations at the Monastery of St Antony at the Red Sea
- 2016
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Ingår i: Opuscula. - : Editorial Committee of the Swedish Institutes at Athens and Rome (ECSI). - 2000-0898. ; 9, s. 133-215
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Tidskriftsartikel (refereegranskat)abstract
- This paper discusses the results from recent archaeological investigations at the Monastery of St Antony in Egypt, including the remains of a number of building phases predating the current church, locally produced pottery, and manuscript fragments written in Coptic, Arabic, Hebrew, and Ge'ez.
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| 3. |
- Blid, Jesper, et al.
(författare)
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Excavations at the Monastery of St Antony at the Red Sea : The Monastery in Literary Sources during the Period of Study
- 2016
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Ingår i: Opuscula: Annual of the Swedish Institutes At Athens and Rome. - : Editorial Committee of the Swedish Institutes at Athens and Rome (ECSI). - 2000-0898. ; 9, s. 133-215
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Tidskriftsartikel (refereegranskat)abstract
- This paper discusses the results from recent archaeological investigations at the Monastery of St Antony in Egypt, including the remains of a number of building phases predating the current church, locally produced pottery, and manuscript fragments written in Coptic, Arabic, Hebrew, and Ge’ez.
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| 4. |
- Gebremichael, Mengistu Welday, et al.
(författare)
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Women suffer more from disrespectful and abusive care than from the labour pain itself : a qualitative study from Women's perspective
- 2018
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Ingår i: BMC Pregnancy and Childbirth. - : BioMed Central. - 1471-2393 .- 1471-2393. ; 18
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Tidskriftsartikel (refereegranskat)abstract
- Background: Utilization of institutional delivery services could be hampered by women's experience of disrespectful and abusive care during childbirth. However, such experiences are not well documented and taken into consideration id planning maternal health services in many developing countries. The aim of this study was to describe women's experience of disrespect and abuse during giving birth at health facilities in northern Ethiopia. Methods: A qualitative phenomenological study was conducted in Tigray, Ethiopia. Focus group discussions (FGDs) with primipara and multipara women were conducted to collect the necessary information. All study participants had their last delivery at a health facility in the year preceding the study. A semi-structured discussion guide was used to elicit discussion. Discussions were audio recorded and transcribed verbatim in the local language and then translated to English. Data were analyzed using thematic analysis approach assisted by the Open Code qualitative data management software. Results: The study participants described disrespect and abuse as serious obstacles to utilization of maternal health services. Women reported experiencing feelings of being infantilized, losing self-control, being overlooked, being informed bad news without proper preparation, repeated examination without being properly communicated/ informed, disallow companions, and left unattended during labor. Facility related issues include women's perception of incompetence of professionals attending delivery, unhygienic facilities, and unavailability of basic supplies. Conclusion: Women consider health facilities not fully prepared to provide respectful maternal care. Sustainable increase in institutional delivery requires ensuring quality, compassionate and caring services in all health facilities.
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| 5. |
- Gobezie Worku, Mengistu
(författare)
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The Church of Yimrhane Kristos : An Archaeological Investigation
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The purpose of this thesis is to augment our understanding of the Church of Yimrhane Kristos, and the Lasta period in which it was built, from the study of a variety of source materials. Due to the fact that the Lasta period suffers from the absence of adequate and reliable literary sources, this study largely depends on the elements of historic buildings as the basic data source. Using archaeometric methods, samples of timber, plaster, and pigments taken from the Church of Yimrhane Kristos and other associated buildings were analyzed to establish a scientific basis for the dates of, and materials used in, the edifices. The available written sources, including the Life of St. Yimrhane Kristos, were compared and collated with the scientific results, prompting new insights into the Church of Yimrhane Kristos that have larger implications for the Lasta period. The radiocarbon-based data analyses reveal that the church and palace of Yimrhane Kristos were contemporaneous, dating to between the 11th and 12th centuries. The portable altar and the treasury box in the Church of Yimrhane Kristos are confirmed to have the same age. The church of Emmekīna Medhanē Alem is dated to between the 12th and 13th centuries. It is shown that the church and the palace of Yimrhane Kristos used the same plaster component, gypsum, and they are found in their original status and integrity. The wood anatomy analysis confirmed that cedar was used to construct the Church of Yimrhane Kristos. The technical analysis of samples revealed the use of a rich palette of expensive mineral pigments in the decorative paintings of the Church of Yimrhane Kristos. The use of precious metals for decoration purpose is evidenced in the metal studded main entrance door of the church.The scientific results, crosschecked with the surviving literary materials, have implications for the chronology of the reign of Yimrhane Kristos and the Lasta period more broadly. It is suggested that the Lasta period commenced during the second half of the 10th century and Yimrhane Kristos ruled between the late 1080s and the early 1130s. Corroboration of sources also shows that Ethiopian relations with the outside world during the Lasta period were largely confined to Egypt and, to a lesser extent, the Holy Land, the main motive being religion.This study has highlighted reliable aspects in terms of the history of Lasta period in the Life of St. Yimrhane Kristos, as the scientific results of the chronology and the use of cedar in the Church of Yimrhane Kristos confirm the accounts the hagiography provides. There is also collaboration in certain respects between the Life and 11th and 12th century Coptic documents, the land grant notes, and inscriptions on portable altars. This has led to the assumption that certain parts of the Life might be derived from a 12th century account, probably a chronicle of the king.
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