3 research outputs found
Optimization of methods for determining the durability of wood coating systems
Bakalářská práce se zabĂ˝vá optimalizacĂ metod pro stanovenĂ trvanlivosti nátÄ›rovĂ˝ch systĂ©mĹŻ na dĹ™evo. Teoretická část se zaobĂrá podrobnou analĂ˝zou nátÄ›rovĂ˝ch systĂ©mĹŻ na dĹ™evo vÄŤetnÄ› specifikace jejich sloĹľenĂ, zejmĂ©na se zaměřenĂm na novodobĂ© vodouĹ™editelnĂ© nátÄ›rovĂ© systĂ©my. V praktickĂ© části byl proveden experiment, kde u vybranĂ˝ch druhĹŻ nátÄ›rĹŻ aplikovanĂ˝ch na Ĺ™ezivo byla provedena analĂ˝za vybranĂ˝ch trvanlivostnĂch parametrĹŻ nátÄ›rĹŻ po jejich vystavenĂ krátkodobĂ© a dlouhodobĂ© expozici degradaÄŤnĂm ÄŤinitelĹŻmThe bachelor thesis deals with the optimization of methods for determining the durability of wood coating systems. The theoretical part deals with a detailed analysis of wood coating systems, including the specification of their composition, especially with a focus on modern water-borne coating systems. In the practical part an experiment was carried out, where on the selected types of coatings applied to lumber was performed analysis of selected durability parameters of coatings after exposure to short-term and long-term exposure to degradation factors
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
Determination durability of modular panel elements in different exposures
V rámci teoretickĂ© části diplomovĂ© práce je proveden vĂ˝pis hlavnĂch typĹŻ zrychlenĂ˝ch zkoušek urÄŤenĂ˝ch pro odolnost kovovĂ˝ch a polymernĂch povrchovĂ˝ch Ăşprav. V experimentálnà části je provedeno hodnocenĂ mĂry biologickĂ© odolnosti deskovĂ˝ch materiálĹŻ na bázi dĹ™eva. Dále je posouzena odolnost povlakovĂ˝ch systĂ©mĹŻ pomocĂ zrychlenĂ˝ch testĹŻ. Odolnost plášťů modulárnĂch staveb je v diplomovĂ© práci primárnÄ› zaměřena na degradaci nátÄ›rĹŻ aplikovanĂ˝ch primárnÄ› na kovovĂ˝ch podkladech a dĹ™evÄ›nĂ˝ch podkladech. U zkoušenĂ˝ch nátÄ›rovĂ˝ch systĂ©mĹŻ je analyzován vliv podkladu a chemická báze na finálnĂ odolnost proti povÄ›trnostnĂm vlivĹŻm.Within the theoretical part of the diploma thesis, a list of the main types of accelerated tests designed for the resistance of metal and polymer surface finishes. In the experimental part of diploma thesis, the rate of biological resistance of wood-based board materials is evaluated. Furthermore, the resistance of coating systems is assessed by means of accelerated tests. Resistance of modular building shells is primarily focused on degradation of coatings applied primarily on metal materials and wood materials. The tested coating systems analyze the influence of the materials and chemical base on the final weather resistance.