| 1. |
- Ademuyiwa, Adesoji O., et al.
(author)
-
Determinants of morbidity and mortality following emergency abdominal surgery in children in low-income and middle-income countries
- 2016
-
In: BMJ Global Health. - : BMJ Publishing Group Ltd. - 2059-7908. ; 1:4
-
Journal article (peer-reviewed)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.
|
|
| 2. |
- El-Kemary, Maged, et al.
(author)
-
Calendula officinalis-mediated biosynthesis of Silver Nanoparticles and their Electrochemical and Optical Characterization
- 2016
-
In: International Journal of Electrochemical Science. - : Elsevier BV. - 1452-3981. ; 11:12, s. 10795-10805
-
Journal article (peer-reviewed)abstract
- The metal nanoparticles synthesis is highly explored field of nanotechnology. The biological methods seem to be more effective. A simple and elegant method is adopted to prepare Silver nanoparticles (AgNPs) in a single step using Calendula officinalis extract (COE) as reducing and stabilizing agent. The plant extract is mixed with AgNO3 to get biosynthesized AgNPs. The biosynthesized AgNPs were both optically and electrochemically characterized by UV-Vis, Infrared spectroscopy, Transmission Electron Microscopy, Fluorescence spectroscopy, Zeta potential and Cyclic Voltammetry. The results showed Calendula officinalis extract is a useful bioreductant for the synthesis of AgNPs. This study infers that the size of biosynthesized AgNPs ranges from 30 to 50 nm. The surface plasmon resonance peak in the UV-Vis absorption spectra shows maximum absorption at 435 nm. Fluorescence spectra of silver nanoparticles, which show an emission peak at 468 nm have also been studied. Zeta potential analysis ensured the biosynthesized AgNPs are highly stable. Using this environmentally friendly method of biological AgNPs production supplies rates of biosynthesis facile in comparison with other chemical and engineered routes. The employment of traditional medicine in biosynthesis protocols can potentially open new doors in various human health and well-being implications such as cosmetics, foods and medicine.
|
|
