48 research outputs found
Modification of Pb-Sb eutectic bearing-solder alloys with bismuth additions rapidly solidified from melt
- Publication venue
- 'CIRWOLRD'
- Publication date
- 28/07/2015
- Field of study
In this work, various amounts of Bi element have been added to the eutectic Pb-Sb to form bearing- solder materials. The Pb-Sb eutectic has been produced by rapid solidification using melt spinning technique with various amounts of Bi have been added to it, in the ratio 1, 2 , 3, 4, and 5 wt.%. Scanning electron microscopy (SEM), X- ray diffraction (XRD) analysis and differential scanning calorimetry (DSC) have been carried out. Microhardness measurements were also carried out using Vicker’s hardness technique. The results showed that, the ternary alloys up to 4 wt.% Bi have properties superior to binary eutectic material. Bismuth up to 4wt. % increases the Young’s modulus, Vicker’s hardness and decreases the electrical resistivity, internal friction and melting point. The ternary Pb-13.1Sb-4Bi solder alloy has a lower melting point about 237.87 ?C. Also, the results show that formation of Bi phase developed the mechanical properties and Vicker’s hardness due to addition of Bi element. The addition of Bi refines the crystal size of Sn in case of melt spun alloys as seen in scanning electron micrographs and X-ray diffraction
A new chaotic behavior of a general model of the Henon map
- Author
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Effects of Chemically Characterized Fractions from Aerial Parts of Echinacea purpurea and E. angustifolia on Myelopoiesis in Rats
- Author
- Publication venue
- Iowa State University Digital Repository
- Publication date
- 01/01/2011
- Field of study
Echinacea species are used for beneficial effects on immune function, and various prevalent phytochemicals have immunomodulatory effects. Using a commercial E. purpurea (L.) Moench product, we have evaluated the myelopoietic effect on bone marrow of rats treated with various extracts and correlated this with their chemical class composition. Granulocyte/macrophage-colony forming cells (GM-CFCs) from femurs of female Sprague-Dawley rats were assessed at 24 h after 7 daily oral treatments. A 75 % ethanolic extract at 50 mg dried weight (derived from 227 mg aerial parts) per kg body weight increased GM-CFCs by 70 % but at 100 mg/kg was without effect. Ethanolic extracts from aerial parts of E. angustifolia DC. var. angustifolia andE. purpurea from the USDA North Central Regional Plant Introduction Station increased GM-CFCs by 3- and 2-fold, respectively, at 200 mg/kg (∼ 1400 mg/kg plant material). Extract from another USDA E. angustifoliawas inactive. Proton and APT NMR, MS, and TLC indicated alkylamides and caffeic-acid derivatives (CADs) present in ethanolic extracts of both the commercial and USDA-derived material. Cichoric and caftaric acids were prominent in both E. purpurea ethanolic extracts but absent in E. angustifolia. Aqueous extract of the commercial material exhibited polysaccharide and CAD signatures and was without effect on GM-CFCs. A methanol-CHCl3 fraction of commercial source, also inactive, was almost exclusively 1 : 4 nonanoic : decanoic acids, which were also abundant in commercial ethanolic extract but absent from USDA material. In conclusion, we have demonstrated an ethanol-extractable myelostimulatory activity in Echinacea aerial parts that, when obtained from commercial herbal supplements, may be antagonized by medium-chain fatty acids presumably derived from a non-plant additive
Isolation and identification of main mastitis pathogens in Mexico
- Author
- A. El-Sayed
- BEDOLLA C.C.
- BENITES N.R.
- BERGDOLL M.S.
- BILAL M.
- BISHI A.S.
- BRÜCKLER J.
- BUSATO A.
- CASTAÑEDA V.H.
- CASTAÑEDA V.H.
- Da SILVA E.
- DANIEL R.C.
- EISSA N.M.
- El-SAYED A.
- EL-SAYED A.
- H. Castañeda Vázquez
- HARMON R.J.
- KLOPPERT B.
- KUDINHA T.
- LOMBARD J.
- M. Zschöck
- M.A. Castañeda Vazquez
- MEDINA R.J.
- MILNE M.H.
- MIRANDA-MORALES R.E.
- MORE S.J.
- MYLLYS V.
- MYLLYS V.
- S. Jäger
- SOMMERHÄUSER J.
- STRAUB J.A.
- TOLLERSRUD T.
- W. Wolter
- WILSON D.J.
- WOLTER W.
- YOUSOF-BEIGHI G.H.
- Publication venue
- 'FapUNIFESP (SciELO)'
- Publication date
- Field of study
Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey
- Author
- Abbas Ahmed Hosam Eldin Hasan
- Abbas Ghanem
- Abbas Hazem
- Abbatini Francesca
- Abdalbakheet Duaa
- Abdallah Emad
- Abdelazim Tarek
- Abdelaziz Nabil Yassin Tammam
- Abdelglil Momen
- Abdelhalim Ahmed
- Abdelhalim Mostafa Mohammed
- Abdelhamid Ahmed
- Abdelhamid Mohamed Sayed
- Abdelkhalik Morsi Mohamed Morsi
- Abdellatif Ahmed
- Abdelmageed Mohammed Elkassaby
- Abdelmaksoud Mohamed
- Abdelmohsen Ahmed
- Abdelmomen Ahmed Ezzat Elghrieb
- Abdelmoneim Ibrahim Tharwat Mohamed
- Abdelmonem Mohamed Ahmed
- Abdelmotaleb Hussien Ali
- Abdelrafee Ahmed
- Abdelrasheed Sayed
- Abdelsayed Emad Fahim
- Abdo Nael
- Abdulatef Shehab Ahmed Ali
- Abdullah Alqahtani Ali
- Abdulrahman Chadi
- Abdur-Rahman Lukman
- Abduraboh Abdullah Fayez
- Abed Ali Ibrahim Eldawy
- Abiodun Azeez Lateef
- Abiyere Henry
- Aboelmagid Hamdy Haggag Ebrahim
- Abolnasr Khaled Samir
- Abosi-Appeadu Kessewa
- Abouelnagah Galal
- Abozeid Ahmad Mahmoud
- Abozeid Mahmoud
- Abualkhair Wael
- Abualnaja Yousra
- Abualsel Abdulmenem
- Abuosba Abdelrahman
- Abusalem Osama
- Abusiam Wael
- Abutalib Raid Abdullah
- Abuzeid Mohamed Mostafa
- Addari Giulio
- Adebowale Yusuf
- Adejumo Adeyinka
- Adel Mohammed
- Adeoluwa Ojajuni
- Adeyeye Ademola
- Adly Ramy Magdy
- Adorisio Ottavio
- Agbonrofo Peter
- Agrawal Abhishek
- Ahmad Farooq
- Ahmad Misbahu Haruna
- Ahmad Mustafa
- Ahmad Sufian
- Ahmad Suhaib
- Ahmed Abeer Abdul Hameed
- Ahmed Arooj
- Ahmed Emad Ali
- Ahmed Hassan
- Ahmed Mohamed
- Ahmed Mostafa Mahmoud
- Aitali Abdelmounaim
- Akeel Nouf
- Akhtar Khalid
- Akin Furkan Atakan
- Akinmade Akinola
- Al Eisa Abdulmohsen
- Al Hassn Ibrahim
- Al Naeb Mohamed
- Al Turki Neamat Ahmed Ali
- Al-Bahrani Ahmed
- Al-Kubati Waheeb
- Al-Masari Hayder Makki
- Al-Sadery Humood
- Alaa Mohammed
- Alabbas Haytham
- Alafghani Haitham
- Alarabi Rayan
- Alawadhi Abdulbari Mohammed
- Alawady Mohammed
- Alawfi Homoud
- Alazzam Saleh
- Albadry Ali Almahdy Ali
- Albahooth Khalid
- Albalawi Ibrahim Altedlawi
- Albeshri Khalid A.
- Aleksandr Ogoreltsev
- Alfalah Haitham
- Algatanesh Nassib
- Alghamdi Faisal Saleh
- Alghamdi Saleh
- Alghuliga Abdullah
- Alhamdany Arkan Shubber
- Alharbi Abdulhamid
- Alhazmi Barrag
- Alhazmi Waleed
- Alhedaithy Alhanouf
- Alhendawey Moaaz
- Alhussaini Mohammed Khalid
- Alhussien Fade Ahmed
- Ali Ali Sayed
- Ali Bandar Idrees A.
- Ali Doaa
- Ali Mahmoud
- Ali Mohamed Anwar Abdel Razik
- Ali Muhammad Zulfiqar
- Ali Shabeer
- Ali Syed Muhammad
- Aliyu Yakubu
- Aljathlany Yousef
- Aljawhari Adel Ali
- Alkhalegy Ayman
- Alkhayat Ali
- Alkhayat Mohammed Amer
- Allaeys Mathias
- Almaghrabi Alhassan Hesham
- Almasri Mahmoud
- Almulhim Abdulrhman
- Alnabarawi Mahmoud
- Alnahas Yousef
- Alnashar Ahmed
- Alnoqaidan Emad
- Alomieri Adil
- Alotaibi Abdullah
- Alotaibi Abdulrahman
- Alotaibi Abdulrahman
- Alowairdhi Tumadher
- Alqarni Ahmed
- Alqasaby Abdallah
- Alqudaihi Heba
- Alrashidi Yousef
- Alsallum Ofays
- Alsawat Salem
- Alshabi Yaser Ahmad
- Alshehari Mohammed Mohammed Hasan
- Alshukr Sarah
- Alsuwaimel Munir A.
- Althobaiti Majid
- Althumali Abdullah
- Altomare Donato F.
- Alvarez Gallesio José Maria
- Alwan Ahmed
- Alwusaibie Ahmed
- Alyami Mohammad
- Alzahrani Khalid H.
- Alzahrani Saud
- Alzamanan Mahdi
- Alzamel Heythem
- Amal Benzakour
- Amary Mohamed Mokhtar
- Amen Mohamed Mohsen
- Amer Nasser Mohammed
- Amir Mohammed
- Amr Wesam
- Andrea Chierici
- Andrea Police
- Andriola Valeria
- Angrisani Marco
- Angulo Victor Manuel Pinto
- Antonio D’Alessandro
- Anwer Mariyah
- Aoun Rany
- Arbutina Dragana
- Archid Rami
- Aremu Isiaka
- Argenio Giulio
- Arnold Marion
- Arnouse Mohamed Mohamed Hamdy
- Asar Khalid Mohammad Ibrahim
- Ashimov Erkin
- Ashraf Tamer
- Asif Muhammad
- Aslam Mohammad
- Ateeb Mujammad
- Atef Gehad
- Atici Semra Demirli
- Attia Ahmed Mohamed
- Ayoub Larissa
- Azer Mina
- Aziz Mina
- Aziz Muhammad Akram Abdul
- Ba Mamadou
- Bacher Annica
- Bafaraj Ahmed
- Bagaglini Giulia
- Balla Andrea
- Barbary Hesham
- Barberis Andrea
- Barbon Carlotta
- Basendowah Mohammed
- Bashah Moataz M.
- Bashir Umar
- Bashlachev Andrey
- Bassuni Majid
- Bàmbina Fabrizio
- Bellato Vittoria
- Belli Andrea
- Bensaad Ahmed
- Berchtold Valeria
- Bernante Paolo
- Bertels Laurie
- Beshir Hatem
- Bhatt Nikita
- Bogdan Stoica
- Bonci Eduard-Alexandru
- Borasi Andrea
- Botros Ibram
- Botteri Emanuele
- Bouchrika Amal
- Boukorou Garyfallia
- Brahmachari Swagata
- Bruzzaniti Placido
- Calik Bulent
- Calvo Mikel Prieto
- Campagnaro Tommaso
- Campanelli Michela
- Campennì Paola
- Canfora Alfonso
- Capizzi Vita
- Carrano Francesco Maria
- Castaldi Antonio
- Cavallaro Giuseppe
- Chacón Mario Franco
- Charalabopoulos Alexandros
- Cherfa Harieche Abdennour Abderahim
- Chiarella Vito
- Chipaila Jackson
- Cianci Pasquale
- Cillara Nicola
- Cirillo Bruno
- Ciubotaru Cezar
- Colás-Ruiz Enrique
- Colleoni Ramiro
- Colombo Francesco
- Coniglio Denise
- Costanzo Federico
- Cuk Vladica
- Curtis Nathan
- Dagorno Claire
- Daibes Adel Goda Hussein
- Danilov Michail
- Dare Julius Kolajo
- Daudi Irfan
- Davies Justin
- Dawdi Salahaldeen
- De Falco Nadia
- De Fatico GSerena
- De La Hermosa Alicia Ruiz
- De Lucia Francesca
- De Sousa Xavier
- Del Muslim Ka
- Demeester Steve
- Depuydt Martijn
- Dere Ümit Akın
- Derinov Aleksandr
- Di Bartolomeo Alessandro
- Di Carlo Sara
- Di Lorenzo Nicola
- Di Martino Marcello
- Di Saverio Salomone
- Diamantopoulou Angela
- Díaz Andrés Vega
- Díaz Jeancarlos J. Trujillo
- Doerner Johannes
- Dogjani Agron
- Don Cristine
- Duran Erik Efrain Sosa
- Durayb Norah
- Dursun Ayberk
- Dziakova Jana
- Echevarria Miguel Jose Pinto
- Edassy Mohammed El
- Efetov Sergey
- Eke Grace
- El-Hussuna Alaa
- El-Wakeel Ayman
- Elalfy Khaled
- Elbahrawy Aly
- Elbatal Amira Alsayed Abdelhai
- Eldeeb Ahmed
- Eldemery Mohamed
- Eldesouki Mohammed Nabil
- Eldesouky Omnia
- Eleshra Ahmed
- Elfeki Hossam
- Elgaly Maher Elesawi Kamel
- Elgamal Hesham
- Elganash Abdelazim
- Elgazar Amr
- Elgazar Elsayed Aly
- Elgendy Hesham
- Elghadban Hosam
- Elhafez Raheem El-Gohary Abd
- Elhattab Ahmad
- Elhawary Ahmed Adel
- Elkafoury Ahmed
- Elkased Ahmed Farag
- Elkatt Mahmoud Mohamed
- Elkhouly Ahmed G.
- Elmesery Mohamed
- Elmetwally Ashraf S.
- Elmoghazy Mohamed Ibrahim
- Elnaghi Hisham
- Elnakash Ahmed Mostafa
- Elnemr Islam
- Elnour Ahmed Abd Elbaset Elsayed Abu
- Elrefai Mohamad
- Elsaied Adham
- Elsanhoury Kareem
- Elsanosi Abdelrhman Azhari Mohammed
- Elsayed Mohamed Abdelmoneim
- Elsayed Mohamed Ahmed Abdelhalim Ahmed
- Elseberbihy John Rezk Hanna
- Elshaer Ahmed Mohammed
- Elshazli Mostafa
- Elsheik Ahmad
- Elsheik Ahmed
- Elsherbiny Osama
- Elshikh Essam
- Elsorogy Mohamed
- Elvira Tartaglia
- Elzayady Hany M.
- Elzayat Ibrahim
- Elzeftawy Shady Ahmed
- Emile Sameh Hany
- Enad Farazdaq
- Epifani Angelo Gabriele
- Eral Burak
- Ezz Ahmed
- Fadel Bashir A.
- Fahiem Andrew
- Fakhr Ibrahim
- Falaschi Federica
- Familiari Pietro
- Farag Mohamed
- Farid Ahmed Mohammed
- Farid Mohamed
- Farouk Mohamed
- Farouk Nehal
- Fathy Mohammad
- Fatima Tauseef
- Fawzy Ahmed
- Faye Papa Mamadou
- Fayed Mohamed Abdelaziz Mohamed Abdalla M
- Fazli Mohammad Rafi
- Felix Marcos José Serrato
- Ferrara Francesco
- Ferrario Luca
- Ferri Lorenzo
- Fieturi Nura Ahmed
- Fikry Mohamed
- Fiore Antonio
- Flores Manuel SSalas
- Foppa Caterina
- Fouad Amgad
- Franceschilli Marzia
- Fransvea Pietro
- Frasson Matteo
- Frauenfelder Claire
- Frazzetta Giuseppe
- Freitas Carla
- Frigerio Isabella
- Frontali Alice
- Gaarour Osama
- Gabr Mohamed A.
- Gad Hamada
- Galala Ahmed
- Gallo Gaetano
- Gamal Ehab
- Gamal Sameh
- Ganau Mario
- Garino Mauro
- Garmanovs Tatiana
- Garoufalia Zoe
- Garreffa Emanuele
- Gazia Carlo
- Gehwolf Philipp
- Gendy Samuel Elkess Morcos
- George Ihediwa
- Ghabisha Saif Ali
- Ghafoor Tariq
- Ghanem Ahmed
- Gharbia Mohamed
- Ghazala Mohamed Jomma
- Ghonim Mostafa
- Ghunaim Mohammed
- Giani Alessandro
- Giardino Alessandro
- Giarratano Gabriella
- Giuffrida Maria Carmela
- Giugliano Marco
- Golea Smain
- Gomez Caroina Gonzalez
- Gondal Zafar
- Gonzales Erick Ivan Huaman
- Gorin David
- Gots Alexander
- Grappelli Virgilio Michael Ambrosi
- Guaitoli Eleonora
- Guerci Claudio
- Guerrero José Eaazim Flores
- Guida Anna
- Gulcu Baris
- Gurung Binay
- Haddad Feras
- Hadi Sabah Anwar
- Hamdi Salah
- Hamed Esmael Ali
- Hamed Hosam
- Hamed Mohamed Korayem Fattouh
- Hammad Muhammed Alaa Moukhtar
- Hamza Ahmed
- Hanif Muhammad Amir
- Hasani Ariola
- Hassan Mohamed Ali Gad
- Hassan Mohamed Salah Eldin
- Hassan Redan
- Hatm Mohamed
- Haydal Ashraf
- Hegazy Mostafa
- Hejazi Soha
- Helal Mohamed Alaa Abdelmoez
- Helmy Ahmed Hazem I.
- Hemidan Ahmed Gamal Abouelfetouh Ibrahim
- Henes Mohsen Michael
- Hesham Hosai Todd
- Hijazi Bilal Ahmed
- Hilling Denise
- Holubar Stefan D.
- Hussain Marwah
- Hussein Abdinafic Mohamud
- Ibrahim Ahmed
- Ibrahim Hamed
- Ibrahim Yaser
- Ibrahim Yassin
- Ignatov Ivan
- Ilkul Jh.
- Inam Aatif
- Inama Marco
- Ioan Tanase
- Ioannidis Argyrios
- Iossa Angelo
- Ippoliti Simona
- Isaiah Isaac A.
- Isci Sevim
- Islam S. M. Nazmul
- Ismail Ahmed Mahmoud Ahmed
- Izzo Giuliano
- Jain Amita
- Jallad Fadi Sami
- Jaman Ismail
- Jameel Muhammad Khurram
- Japhet Ntezamizero
- Jarboa Lutfi
- Jarvis Bennie L.
- Jasso Manuel Meza
- Javed Ayesha
- Jawad Fassi Fihri Mohamed
- Jeffery James
- Jolayemi Edward
- Jooma Uzair
- Juloski Jovan
- Junaid Sheikh
- Kaldarov Ayrat
- Kandel Mohamed Mosaad
- Karbovnichaya Elena
- Kassem Amr
- Kateb Abdullah
- Kaur Mandeep
- Kaya Tayfun
- Kazachenko Ekaterina
- Kazim Shuiab
- Kerawala Asad Ali
- Kewulere Raji Taofiq
- Khadwardi Faisal
- Khafagy Tamer
- Khafagy Wael
- Khalaf Mohsen George
- Khalil Medhat M. H. A.
- Khan Irfan Jan
- Khan Roaa Ghazi
- Khare Ritu
- Khashshan Sohib Mohammed Mohammed
- Khawar Mahwish
- Khoj Mohammed
- Khokhar Muhammad Imran
- Khudhayr Essa
- Khuller Somyaa
- Kilinc Gizem
- Kırmızı Yasemin
- Kiselev Michail
- Kitsenko Yury
- Klein Mads Falk
- Koc Mehmet Ali
- Koirala Dinesh Prasad
- Kostakis Ioannis D.
- Kress Melissa
- Kropshofer Stephan
- Kumar Sanjeev
- La Torre Filippo
- Laina Juan Luis Blas
- Lakshmi Harish Neelamraju
- Landaluce-Olavarria Aitor
- Lapolla Pierfrancesco
- Larbi Noureddine
- Lateef Nawras Falah
- Lathan Sanaz
- Lawal Bashir
- Lederhuber Hans
- Lelpo Benedettao
- Leo Cosimo Alex
- Leventoğlu Sezai
- Lewis Sophia
- Liakakos Theodore
- Light Alexander
- Lisi Giorgio
- Litta Francesco
- Lotfy Ahmad
- Loukil Issam
- Luc Jessica G. Y.
- Lule Herman
- Lund Jon
- Lutfi Basma Waseem
- Machairas Nikolaos
- Madbouly Khaled
- Madhuri Thumuluru Kavitha
- Maffioli Anna
- Maghrebi Houcine
- Mahadel Osama Abdel Salam
- Majeed Mudassar
- Majid Haroon Javaid
- Makasarwala Murtaza
- Malek Amgad Nashaat Abdel
- Malibary Nadim
- Maliki-Alaoui Mohamed
- Manetti Andrea
- Mangiameli Giuseppe
- Mansour Khaled Yousery Ibrahim
- Marafante Chiara
- Marano Alessandra
- Marcos Alberto
- Mariani Aurora
- Mariani Nicolò Maria
- Mariateresa Grasso
- Marino Marco V.
- Marra Angelo Alessandro
- Marsanic Patrizia
- Martin Linda W.
- Martin-Perez Beatriz
- Martinelli Fabio
- Marzouk Ahmed Msm
- Marzouk Khalid
- Matarangolo Antonio
- Maurizi Angela
- Mazingi Dennis
- Mbatani Nomonde
- Mbiine Ronald
- Mccaul Jeannie
- Mcnamara Deborah
- Medkova Iuliia
- Mehr Asma
- Mehraj Asif
- Mejdane Abdelhadi
- Menna Maria Paola
- Metwally Mohamed
- Mikhael Marolla Maher Eskander
- Mikrish Amir
- Milad Nader
- Milana Flavio
- Milford Karen
- Milic Ljiljana
- Millan Monica
- Mingoli Andrea
- Minoldo Javier
- Mirza Mohammad Amin
- Mitul Ashrarur Rahman
- Moeslein Gabriela
- Mohamed Mohamed Mohamed Adel
- Mohamed Anwar Yahya A.
- Mohamed Omnia Y.
- Mohammad Mohammad Aminu
- Mohammed Khalid Fathelrahman Bakier
- Mohammed Mahfoudh
- Mohammed Mahmoud M.
- Mohammed Mohammed Mustafa Hassan
- Mohammed Ouazni
- Mohmmed Mona Mhmoud
- Molena Daniela
- Montalbán Beatriz Cros
- Monti Alessio
- Montuori Mauro
- Mora-Guzmán Ismael
- More Vinal
- Morini Andrea
- Moustafa Mohammad Montaser Hassan
- Mpaili Eustratia
- Mubarak Ashraf Abdelazeem Mohamed
- Mudawi Ishag M.
- Muhammad Aneeqah Din
- Muresan Mihai-Stefan
- Mussa Haidar Aal
- Musthafa Shameel
- Nabeeh Mohamed Adel
- Nabil Tamer
- Nabwana Ambrose
- Nadeem Munawar
- Nadeem Uqba
- Nageeb Ashraf
- Nageeb Ramy Mikhael
- Najm Ghadah
- Nakazwe Mildred
- Nasef Hazem
- Nasir Muhammad
- Ndong Abdourahmane
- Negida Ahmed
- Negoi Ionut
- Nekhala Islam
- Ng Hwei Jene
- Ng Jen Siang
- Niaz Khurram
- Nimir Nessrein
- Ninkovic Marijana
- Nittala Rigved
- Njau Aidan
- Njokanma Iloba Gabriel
- Njoroge Githu
- Novikova Anastasia
- Obadiel Yasser Abdurabo
- Obure Ralph Ombati
- Ocklind Miranda E. K.
- Odion Clement
- Okunlola Abiodun Idowu
- Oludara Mobolaji Adewale
- Oluwasuyi Ige
- Oluyomi Ayodele Samuel
- Omar Mohamed I.
- Omar Tilioua
- Oosthuizen Pj
- Orecchia Luca
- Orlando Francesco
- Osman Khalid Abdalla Abdelgadir
- Osman Luqman
- Ouadii Mouaqit
- Oyedepo Charles Olajide
- Paci Marco
- Pagano Gianluca
- Pakula Andrea M.
- Palkhi Yusuf
- Pandey Diwakar
- Papadopoulos Georgios
- Parello Angelo
- Parente Alessandro
- Parida Lalit
- Pata Francesco
- Peediyakkal Saidalavi Padinhare
- Pellino Gianluca
- Perra Teresa
- Petagna Lorenzo
- Pérez-Bertólez Sonia
- Picciariello Arcangelo
- Pignatelli Marcello Filograna
- Pinotti Enrico
- Pio Luca
- Pirovano Riccardo
- Pirozzi Brunella
- Pitoni Ludovica
- Pohl Linda
- Ponholzer Florian
- Popoola Ademola
- Porcu Alberto
- Portela Carlos Antonio Sanchez
- Pouwels Sjaak
- Prodromidou Anastasia
- Puerto Puerto Alejandro
- Puzenko Dmitriy
- Quesada Matias
- Qurashi Kamran
- Qureshi Ahmad Uzair
- Rabea Mohamed
- Rachid Mohamed Ghassane
- Rao Satish
- Raptis Dimitri
- Rashid Arshad
- Rashid Shahid
- Ratto Carlo
- Rayamajhi Shreya
- Raza Muhammad Asif
- Rea Lo Dico
- Regal Samer
- Rho Maurizio
- Rihan Eslam
- Rimonda Roberto
- Rizk Tarek Taher
- Robles Eloy Morasen
- Rodimov Sergey
- Romic Ivan
- Roscio Francesco
- Rottoli Matteo
- Rubio-Perez Ines
- Ruiz Luis Angel Garcia
- Saad Ahmad
- Saadeldin Abdelhalim
- Saber Wael
- Sabet Khaled
- Sacchi Matteo
- Saeed Muhammad Ahmad
- Sahnan Kapil
- Said Khalid Babieker
- Saklani Avanish
- Sakr Ahmad
- Saleh Amr
- Salem Eman Abdalla Mohamed
- Salem Mohamed Abouelmagd
- Salim Mohammed Said Mahmoud
- Salim Omer El Faroug H.
- Salim Sami
- Sallam Ibrahim
- Salman Usama
- Samadov Elgun
- Samaha Mahmoud Yahia
- Sanad Aly
- Sanad Mohammed
- Santos Esther Garcia
- Santurro Letizia
- Sapienza Paolo
- Sarhan Fetoh Alaaeldin Fetoh
- Sarmah Panchali
- Sasia Diego
- Sauri Fozan
- Sayouh Mohammad
- Sbaih Mohammed
- Scafa Anthony Kevin
- Schuldes Alejandro Daniel Lira
- Sciaudone Guido
- Sebelik Merry
- Seiam Moham
- Selvaggi Francesco
- Sembawa Hatem A.
- Semilan Anmar
- Senent-Boza Ana
- Senra Fatima
- Sergeevich Kochetkov Viktor
- Shafique Muhammad Salman
- Shah Rahmat Ullah
- Shah Shahzad Alam
- Shaheen Abelnasser
- Shahein Mostafa
- Shahin Yasser
- Shaikh Abdul Razaque
- Shaker George Samir Habib
- Shalaby Mostafa
- Shams Maher
- Sharaf Hesham
- Sharafeldin Hatem Abdelrahman Ahmed
- Sharma Meenakshi
- Shawer Sami
- Shawer Sherif
- Shehata Mina
- Shemes Ayman
- Sherbiny Kareem El
- Sherif Ahmed Elshawadfy
- Shetiwy Mosab
- Shittu Asimiyu Adekunle
- Shomoye El-Zaki
- Sibiany Abdulrahman
- Siboe Mark M. W.
- Sidorova Lyudmila
- Sileri Pierpaolo
- Silva Jesús
- Simioni Andrea
- Sindy Abdullah
- Singh Baljit
- Siragusa Leandro
- Situ Oladele
- Skandalakis Georgios P.
- Slavchev Mihail
- Sleilati Fadi
- Sobh Mohamed Ramadan
- Sofan Mostafa
- Soggiu Fiammetta
- Sokmen Selman
- Soliman Ahmed
- Spinelli Antonino
- Spolverato Gaya
- Ssenono Kavuma Daniel
- Stanislav Berelavichus
- Stavrou George
- Stijns Jasper
- Styliani Vasileiadou
- Subramanian Sivaraman
- Suliman Omar AAbu
- Tabasi Hani
- Tagg Gamal Hassan El
- Tairab Elsanousi Ibrahim Sabir
- Taki-Eldin Ahmed
- Tallon-Aguilar Luis
- Taman Mohamed
- Tamburrini Alessandro Paolo
- Tamini Nicolò
- Tanda Cinzia
- Tarabay Ahmed
- Tashkandi Wail
- Tashkandi Waleed
- Tecchio Piero
- Tejedoe Patricia
- Tesik Philip
- Testa Valentina
- Thakrar Dixa
- Thein Nyan
- Tohamy Aley Eldin
- Toma Omar
- Tong Kin Seng
- Torky Radwan Abdelsabour
- Towfigh Shirin
- Troci Albert
- Tropeano Francesca Paola
- Tsounaki Efthymia
- Tuncer Korhan
- Turrado-Rodríguez Víctor
- Uccelli Matteo
- Ugarte-Sierra Bakarne
- Uggeri Fabio
- Uraiqat Ahmad
- Uranitsch Stefan
- Uslu Gülberk
- Valente Marina
- Valery Nekoval
- Van Daele Elke
- Van Praet Charles
- Van Ramshorst Gabrielle H.
- Vanlander Aude
- Vanommeslaeghe Hanne
- Varma Gopala Pillay
- Vázquez-Melero Alba
- Vella Ivan
- Veltri Marco
- Venturelli Paolina
- Vikrantmr Sharma
- Villwock Jennifer
- Visconti Diego
- Vishwakarma Kushagra
- Vosloo Susan
- W Njoroge P.
- Waleed Aasma
- Wali Zubair
- Waqar Shahzad Hussain
- Warusavitarne Janindra
- Waseem Talat
- Wexner Steven
- Wuraola Funmilola Olanike
- Yacir El Alami
- Yakar Fatih
- Yanaga Katsuhiko
- Yassin Nouf
- Yassine Wassim Abou
- Yeşilyurt Değercan
- Yildiz Alp
- Yousef Yousef Mohamed
- Youssef Mohamed
- Youssef Youssef Abdel Aziz
- Yves Van Nieuwenhove
- Zafar Noman
- Zahra Tarek
- Zaidi Mariam
- Zaieem Mohammad
- Zakaria Hazem M.
- Zakharenko Alexander
- Zancana Giuseppa
- Zentar Aziz
- Zese Monica
- Zewar Karem Shahin Mohamed
- Zidan Ahmed Azmy
- Zigiotto Daniele
- Zubayraeva Albina
- Zuhdy Mohammad
- Publication venue
- Publication date
- 01/01/2024
- Field of study
Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020
Measuring progress and projecting attainment on the basis of past trends of the health-related Sustainable Development Goals in 188 countries: an analysis from the Global Burden of Disease Study 2016
- Author
- Abajobir Amanuel Alemu
- Abate Kalkidan Hassen
- Abbafati Cristiana
- Abbas Kaja M.
- Abd-Allah Foad
- Abdulkader Rizwan Suliankatchi
- Abdulle Abdishakur M.
- Abera Semaw Ferede
- Aboyans Victor
- Abu-Raddad Laith J.
- Abu-Rmeileh Niveen M.E.
- Adedeji Isaac Akinkunmi
- Adetokunboh Olatunji
- Afshin Ashkan
- Agrawal Anurag
- Agrawal Sutapa
- Ahmadieh Hamid
- Ahmed Muktar Beshir
- Aichour Amani Nidhal
- Aichour Ibtihel
- Aichour Miloud Taki Eddine
- Aiyar Sneha
- Akinyemi Rufus Olusola
- Akseer Nadia
- Al-Aly Ziyad
- Al-Raddadi Rajaa
- Alam Khurshid
- Alam Noore
- Alasfoor Deena
- Alene Kefyalew Addis
- Alizadeh-Navaei Reza
- Alkerwi Ala'a
- Alla François
- Allebeck Peter
- Allen Christine
- Alsharif Ubai
- Altirkawi Khalid A.
- Alvis-Guzman Nelson
- Amare Azmeraw T.
- Amini Erfan
- Ammar Walid
- Ansari Hossein
- Antonio Carl Abelardo T.
- Anwari Palwasha
- Arora Megha
- Artaman Al
- Arthur Avokpaho Euripide Frinel G.
- Aryal Krishna Kumar
- Asayesh Hamid
- Asgedom Solomon Weldegebreal
- Assadi Reza
- Atey Tesfay Mehari
- Atre Sachin R.
- Avila-Burgos Leticia
- Awasthi Ashish
- Azzopardi Peter
- Bacha Umar
- Badawi Alaa
- Balakrishnan Kalpana
- Bannick Marlena S.
- Barac Aleksandra
- Barber Ryan M.
- Barker-Collo Suzanne L.
- Barrero Lope H.
- Basu Sanjay
- Battle Katherine E.
- Baune Bernhard T.
- Beardsley Justin
- Bedi Neeraj
- Beghi Ettore
- Bell Michelle L.
- Bennett Derrick A.
- Bennett James R.
- Bensenor Isabela M.
- Berhane Adugnaw
- Berhe Derbew Fikadu
- Bernabé Eduardo
- Betsu Balem Demtsu
- Beuran Mircea
- Beyene Addisu Shunu
- Bhala Neeraj
- Bhansali Anil
- Bhatt Samir
- Bhutta Zulfiqar A.
- Bicer Burcu Kucuk
- Bidgoli Hassan Haghparast
- Bikbov Boris
- Bilal Arebu I.
- Birungi Charles
- Biryukov Stan
- Bizuayehu Habtamu Mellie
- Blancas Maria Jesus Rios
- Blosser Christopher D.
- Boneya Dube Jara
- Bose Dipan
- Bou-Orm Ibrahim R.
- Brauer Michael
- Breitborde Nicholas J.K.
- Brugha Traolach S.
- Bulto Lemma Negesa Bulto
- Butt Zahid A.
- Bärnighausen Till
- Béjot Yannick
- Cahuana-Hurtado Lucero
- Cameron Ewan
- Campuzano Julio Cesar
- Carabin Hélène
- Carrero Juan Jesus
- Carter Austin
- Casey Daniel C.
- Castañeda-Orjuela Carlos A.
- Castro Ruben Estanislao
- Catalá-López Ferrán
- Cercy Kelly
- Chang Hsing-Yi
- Chang Jung-Chen
- Charlson Fiona J.
- Chew Adrienne
- Chisumpa Vesper Hichilombwe
- Chitheer Abdulaal A.
- Christensen Hanne
- Christopher Devasahayam Jesudas
- Cirillo Massimo
- Cooper Cyrus
- Criqui Michael H.
- Cromwell Elizabeth A.
- Crump John A.
- Cárdenas Rosario
- Dandona Lalit
- Dandona Rakhi
- Dargan Paul I.
- Das Neves José
- Davitoiu Dragos V.
- De Courten Barbora
- De Steur Hans
- Defo Barthelemy Kuate
- Degenhardt Louisa
- Deiparine Selina
- Deribe Kebede
- DeVeber Gabrielle A.
- Ding Eric L.
- Djalalinia Shirin
- Do Huyen Phuc
- Dokova Klara
- Doku David Teye
- Dorsey E. Ray
- Driscoll Tim R.
- Dubey Manisha
- Duncan Bruce Bartholow
- Ebel Beth E.
- Ebrahimi Hedyeh
- El Razek Hassan Magdy Abd
- El Razek Mohammed Magdy Abd
- El Sayed Zaki Maysaa
- El-Khatib Ziad Ziad
- Enayati Ahmadali
- Endries Aman Yesuf
- Ermakov Sergey Petrovich
- Erskine Holly E.
- Eshrati Babak
- Eskandarieh Sharareh
- Esteghamati Alireza
- Estep Kara
- Faraon Emerito Jose Aquino
- Faro André
- Farzadfar Farshad
- Fazeli Mir Sohail
- Feigin Valery L.
- Feigl Andrea B.
- Fereshtehnejad Seyed-Mohammad
- Fernandes João C.
- Ferrari Alize J.
- Feyissa Tesfaye Regassa
- Filip Irina
- Fischer Florian
- Fitzmaurice Christina
- Flaxman Abraham D.
- Foigt Nataliya
- Foreman Kyle J.
- Frank Tahvi
- Franklin Richard C.
- Friedman Joseph
- Frostad Joseph J.
- Fullman Nancy
- Furtado Joao M.
- Fürst Thomas
- Gakidou Emmanuela
- Garcia-Basteiro Alberto L.
- Gebrehiwot Tsegaye Tewelde
- Geleijnse Johanna M.
- Geleto Ayele
- Gemechu Bikila Lencha
- Gething Peter W.
- Gibney Katherine B.
- Gill Paramjit Singh
- Gillum Richard F.
- Giref Ababi Zergaw
- Gishu Melkamu Dedefo
- Giussani Giorgia
- Glenn Scott D.
- Godwin William W.
- Goldberg Ellen M.
- Gona Philimon N.
- Goodridge Amador
- Gopalani Sameer Vali
- Goryakin Yevgeniy
- Griswold Max
- Gugnani Harish Chander
- Gupta Rajeev
- Gupta Tanush
- Gupta Vipin
- Hafezi-Nejad Nima
- Hailu Gessessew Bugssa
- Hamadeh Randah Ribhi
- Hammami Mouhanad
- Hankey Graeme J.
- Harb Hilda L.
- Hareri Habtamu Abera
- Hassanvand Mohammad Sadegh
- Havmoeller Rasmus
- Hawley Caitlin
- Hay Simon I.
- He Jiawei
- Hendrie Delia
- Henry Nathaniel J.
- Heredia-Pi Ileana Beatriz
- Hernandez Julio Cesar Montañez
- Hoek Hans W.
- Holmberg Mollie
- Horita Nobuyuki
- Hosgood H. Dean
- Hostiuc Sorin
- Hoy Damian G.
- Hsairi Mohamed
- Htet Aung Soe
- Huang Hsiang
- Huang John J.
- Huynh Chantal
- Iburg Kim Moesgaard
- Ikeda Chad
- Inoue Manami
- Irvine Caleb Mackay Salpeter
- Islam Sheikh Mohammed Shariful
- Jacobsen Kathryn H.
- Jahanmehr Nader
- Jakovljevic Mihajlo B.
- Jauregui Alejandra
- Javanbakht Mehdi
- Jeemon Panniyammakal
- Jha Vivekanand
- John Denny
- Johnson Catherine O.
- Johnson Sarah Charlotte
- Jonas Jost B.
- Jürisson Mikk
- Kabir Zubair
- Kadel Rajendra
- Kahsay Amaha
- Kamal Ritul
- Karch André
- Karema Corine Kakizi
- Kasaeian Amir
- Kassebaum Nicholas J.
- Kastor Anshul
- Katikireddi Srinivasa Vittal
- Kawakami Norito
- Keiyoro Peter Njenga
- Kelbore Sefonias Getachew
- Kemmer Laura
- Kengne Andre Pascal
- Kesavachandran Chandrasekharan Nair
- Khader Yousef Saleh
- Khalil Ibrahim A.
- Khan Ejaz Ahmad
- Khang Young-Ho
- Khosravi Ardeshir
- Khubchandani Jagdish
- Kiadaliri Aliasghar Ahmad
- Kieling Christian
- Kim Daniel
- Kim Jun Y.
- Kim Yun Jin
- Kimokoti Ruth W.
- Kinfu Yohannes
- Kisa Adnan
- Kissimova-Skarbek Katarzyna A.
- Kivimaki Mika
- Kokubo Yoshihiro
- Kopec Jacek A.
- Kosen Soewarta
- Koul Parvaiz A.
- Koyanagi Ai
- Kravchenko Michael
- Krohn Kristopher J.
- Kulikoff Xie Rachel
- Kumar G. Anil
- Kutz Michael J.
- Kyu Hmwe H.
- Lal Dharmesh Kumar
- Lalloo Ratilal
- Lansingh Van C.
- Larsson Anders
- Lazarus Jeffrey Victor
- Lee Paul H.
- Leigh James
- Leung Janni
- Leung Ricky
- Levi Miriam
- Li Yongmei
- Liben Misgan Legesse
- Lim Stephen S.
- Linn Shai
- Liu Patrick Y.
- Liu Shiwei
- Lodha Rakesh
- Looker Katharine J.
- Lopez Alan D.
- Lorkowski Stefan
- Lotufo Paulo A.
- Lozano Rafael
- Lucas Timothy C.D.
- Lunevicius Raimundas
- Mackay Mark T.
- Maddison Emilie R.
- Mahesh
- Majdan Marek
- Majdzadeh Reza
- Majeed Azeem
- Malekzadeh Reza
- Malhotra Rajesh
- Malta Deborah Carvalho
- Mamun Abdullah A.
- Manguerra Helena
- Mantovani Lorenzo G.
- Manyazewal Tsegahun
- Mapoma Chabila C.
- Marks Guy B.
- Martin Randall V.
- Martinez-Raga Jose
- Martins-Melo Francisco Rogerlândio
- Martopullo Ira
- Mathur Manu Raj
- Mazidi Mohsen
- McAlinden Colm
- McGaughey Madeline
- McGrath John J.
- McKee Martin
- Mehata Suresh
- Mehndiratta Man Mohan
- Meier Toni
- Meles Kidanu Gebremariam
- Memish Ziad A.
- Mendoza Walter
- Mengesha Melkamu Merid
- Mengistie Mubarek Abera
- Mensah George A.
- Mensink Gert B.M.
- Mereta Seid Tiku
- Meretoja Atte
- Meretoja Tuomo J.
- Mezgebe Haftay Berhane
- Micha Renata
- Millear Anoushka
- Miller Ted R.
- Minnig Shawn
- Mirarefin Mojde
- Mirrakhimov Erkin M.
- Misganaw Awoke
- Mishra Shiva Raj
- Mitchell Philip B.
- Mohammad Karzan Abdulmuhsin
- Mohammed Kedir Endris
- Mohammed Shafiu
- Mohan Murali B.V.
- Mokdad Ali H.
- Mollenkopf Sarah K.
- Monasta Lorenzo
- Montico Marcella
- Moradi-Lakeh Maziar
- Moraga Paula
- Morawska Lidia
- Morrison Shane D.
- Moses Mark W.
- Mountjoy-Venning Cliff
- Mueller Ulrich O.
- Muller Kate
- Murray Christopher J.L.
- Murthy Gudlavalleti Venkata Satyanarayana
- Musa Kamarul Imran
- Naghavi Mohsen
- Naheed Aliya
- Naidoo Kovin S.
- Nangia Vinay
- Natarajan Gopalakrishnan
- Negoi Ionut
- Negoi Ruxandra Irina
- Nguyen Cuong Tat
- Nguyen Grant
- Nguyen Minh
- Nguyen Quyen Le
- Nguyen Trang Huyen
- Nichols Emma
- Ningrum Dina Nur Anggraini
- Nomura Marika
- Nong Vuong Minh
- Norheim Ole F.
- Noubiap Jean Jacques N.
- Obermeyer Carla Makhlouf
- Ogbo Felix Akpojene
- Oh In-Hwan
- Oladimeji Olanrewaju
- Olagunju Andrew Toyin
- Olagunju Tinuke Oluwasefunmi
- Olivares Pedro R.
- Olsen Helen E.
- Olusanya Bolajoko Olubukunola
- Olusanya Jacob Olusegun
- Ong Kanyin
- Oren Eyal
- Ortiz Alberto
- Owolabi Mayowa O.
- Pana Adrian
- Panda Basant Kumar
- Panda-Jonas Songhomitra
- Papachristou Christina
- Park Eun-Kee
- Patton George C.
- Paulson Katherine
- Pereira David M.
- Perico David Norberto
- Pesudovs Konrad
- Petzold Max
- Phillips Michael Robert
- Pigott David M.
- Pillay Julian David
- Pinho Christine
- Piradov Michael A.
- Pishgar Farhad
- Poulton Richie G.
- Pourmalek Farshad
- Qorbani Mostafa
- Radfar Amir
- Rafay Anwar
- Rahimi-Movaghar Vafa
- Rahman Mahfuzar
- Rahman Muhammad Aziz
- Rai Rajesh Kumar
- Rajsic Sasa
- Ram Usha
- Ranabhat Chhabi Lal
- Rao Puja C.
- Rawaf Salman
- Reidy Patrick
- Reiner Robert C.
- Reinig Nikolas
- Reitsma Marissa B.
- Remuzzi Giuseppe
- Renzaho Andre M.N.
- Resnikoff Serge
- Rezaei Satar
- Rivas Jacqueline Castillo
- Roba Kedir Teji
- Rojas-Rueda David
- Rokni Mohammad Bagher
- Roshandel Gholamreza
- Roth Gregory A.
- Roy Ambuj
- Rubagotti Enrico
- Sadat Nafis
- Safdarian Mahdi
- Safi Sare
- Safiri Saeid
- Sagar Rajesh
- Salama Joseph
- Salomon Joshua A.
- Samy Abdallah M.
- Sanabria Juan Ramon
- Santomauro Damian
- Santos Itamar S.
- Santos João Vasco
- Santric Milicevic Milena M.
- Sartorius Benn
- Satpathy Maheswar
- Sawhney Monika
- Saxena Sonia
- Saylan Mete I.
- Schmidt Maria Inês
- Schneider Ione J.C.
- Schneider Matthew T.
- Schutte Aletta E.
- Schwebel David C.
- Schwendicke Falk
- Schöttker Ben
- Seedat Soraya
- Sepanlou Sadaf G.
- Servan-Mori Edson E.
- Shackelford Katya Anne
- Shaheen Amira
- Shahraz Saeid
- Shaikh Masood Ali
- Shamsipour Mansour
- Shamsizadeh Morteza
- Sharma Jayendra
- Sharma Rajesh
- She Jun
- Shi Peilin
- Shibuya Kenji
- Shields Chloe
- Shifa Girma Temam
- Shiferaw Mekonnen Sisay
- Shigematsu Mika
- Shin Min-Jeong
- Shiri Rahman
- Shirkoohi Reza
- Shirude Shreya
- Shishani Kawkab
- Shoman Haitham
- Shrime Mark G.
- Silberberg Donald H.
- Silva Diego Augusto Santos
- Silva João Pedro
- Silveira Dayane Gabriele Alves
- Singh Jasvinder A.
- Singh Virendra
- Sinha Dhirendra Narain
- Skiadaresi Eirini
- Slepak Erica Leigh
- Sligar Amber
- Smith Alison
- Smith David L.
- Smith Mari
- Sobaih Badr H.A.
- Sobngwi Eugene
- Sofia E Sa Farinha Carla
- Soljak Michael
- Soneji Samir
- Sorensen Reed J.D.
- Sposato Luciano A.
- Sreeramareddy Chandrashekhar T.
- Srinivasan Vinay
- Stanaway Jeffrey D.
- Stein Dan J.
- Steiner Caitlyn
- Steinke Sabine
- Stokes Mark Andrew
- Strub Bryan
- Sufiyan Muawiyyah Babale
- Sunguya Bruno F.
- Sur Patrick J.
- Swaminathan Soumya
- Sykes Bryan L.
- Sylte Dillon O.
- Szoeke Cassandra E.I.
- Tabarés-Seisdedos Rafael
- Tadakamadla Santosh Kumar
- Tandon Nikhil
- Tao Tianchan
- Tarekegn Yihunie L.
- Tavakkoli Mohammad
- Taveira Nuno
- Tegegne Teketo Kassaw
- Terkawi Abdullah Sulieman
- Tessema Gizachew Assefa
- Thakur
- Thankappan Kavumpurathu Raman
- Thrift Amanda G.
- Tiruye Tenaw Yimer
- Tobe-Gai Ruoyan
- Topor-Madry Roman
- Torre Anna
- Tortajada Miguel
- Tran Bach Xuan
- Troeger Christopher
- Truelsen Thomas
- Tsoi Derrick
- Tuem Kald Beshir
- Tuzcu Emin Murat
- Tyrovolas Stefanos
- Ukwaja Kingsley N.
- Uneke Chigozie Jesse
- Updike Rachel
- Ur Rahman Mohammad Hifz
- Uthman Olalekan A.
- Van Boven Job F.M.
- Van Donkelaar Aaron
- Varughese Santosh
- Vasankari Tommi
- Venketasubramanian Narayanaswamy
- Vidavalur Ramesh
- Violante Francesco S.
- Vladimirov Sergey K.
- Vlassov Vasiliy Victorovich
- Vollset Stein Emil
- Vos Theo
- Wadilo Fiseha
- Wakayo Tolassa
- Wallin Mitchell T.
- Wang Yuan-Pang
- Weichenthal Scott
- Weiderpass Elisabete
- Weintraub Robert G.
- Weiss Daniel J.
- Werdecker Andrea
- Westerman Ronny
- Whiteford Harvey A.
- Wijeratne Tissa
- Wiysonge Charles Shey
- Woldeyes Belete Getahun
- Wolfe Charles D.A.
- Woodbrook Rachel
- Xavier Denis
- Xu Gelin
- Yadgir Simon
- Yakob Bereket
- Yan Lijing L.
- Yano Yuichiro
- Yaseri Mehdi
- Ye Pengpeng
- Yimam Hassen Hamid
- Yip Paul
- Yonemoto Naohiro
- Yoon Seok-Jun
- Yotebieng Marcel
- Younis Mustafa Z.
- Zaidi Zoubida
- Zavala-Arciniega Luis
- Zhang Xueying
- Zipkin Ben
- Zodpey Sanjay
- Publication venue
- Publication date
- 01/01/2017
- Field of study
The UN’s Sustainable Development Goals (SDGs) are grounded in the global ambition of “leaving no one behind”. Understanding today’s gains and gaps for the health-related SDGs is essential for decision makers as they aim to improve the health of populations. As part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016), we measured 37 of the 50 health-related SDG indicators over the period 1990–2016 for 188 countries, and then on the basis of these past trends, we projected indicators to 2030
Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries
- Author
- Aamir Faiqa Binte
- Aamir Syed Roohan
- Ababneh Adnan
- Abbal Muhammad Anas
- Abbas Ahmed M
- Abbas Mostafa
- Abd-Albain Montasir A
- Abdalei Abdulwahab
- Abdalla Ahmed
- Abdalla Ahmed Yassir
- Abdalla Mohamed Galal Ali
- Abdalla Zainab
- Abdallah Mohamed M
- Abdalmahmoud Noon Ezzeldien
- Abdalsadeg Rowa
- Abdelaal Ahmed M
- Abdelbagi Alnazeer Y
- Abdelbaky Mostafa
- Abdelbaset Doaa
- AbdElbaset Esraa
- Abdelbast Menhag
- Abdelfatah Mohammed Abdelnasser
- Abdelgawad Samia
- Abdelhamid Mohamed M
- Abdeljaber Mahmoud
- Abdelkhalig Mubarak
- Abdelmaksoud Mohamed
- Abdelmeguid Rana
- Abdelmelek Dhia Errahmane
- Abdelnaeam Samah
- Abdelnasser Mohammad K
- Abdelrahim Najwa
- Abdelrahman Amira
- Abdelrahman Ayman
- Abdelsalam Hebatalla
- Abdelsamed Enas Abdelbaset
- Abdelwahab Khaled
- Abdoun Meriem
- Abdulali Fatima
- Abdulaziz Mohamed
- Abdulla Dheba Almukhtar
- Abdullah Bahiyah
- Abdullah Bahiyah
- Abdullah Walaa
- Abdullahi Habiba Ibrahim
- Abdulrahman Ahmed
- Abdulrasheed Lubabatu
- Abdulwahed Eman
- Abdulwahed Eman
- Abeysirigunawardana Dewmi
- Abidin Muhammad Fihmi Zainal
- Abiola Olukayode
- Abiyere Henry
- Abodina Ahmed Mohammed
- Aboelela Reham
- AboElfarh Hadeer Elsaeed
- Aboudlal Husein
- AbouHiekal Osama
- Aboulfotouh Ahmed
- Abozid Anwaar
- Abubaker Noora
- Abubaker Noora
- Abufanas Asma
- Abughanima Mahmoud
- Abuhashem Shehab
- Abulafia Daniel
- Abushaala Fatima
- Abushanab Khaled
- AbuShawareb Issa
- Abuuqteish Hamza
- Abuzaho Amany
- Achem Arome
- Adam Eithar
- Adam Mohammed
- Adam Mohammed A
- Addalla Mohamed
- Addley Jordan
- Adeleye Gbadebo
- Adeniyi Adebayo
- Adewole Nathaniel
- Adeyemo Olabisi
- Adeyeye Ademola
- Adeyeye Ademola
- Adly Michael
- Adnan Siti Nasyirah Nisya
- Ads Adel Mohamed
- Ads Alaa Mohamed
- Adze Joel Amwe
- Afeikhena Ehis
- Agida Teddy
- Agilla Hamza
- Agnew Emilie
- Agu Joy Onyekachi
- Ahmad Zatul Akmar
- Ahmed Abdalla
- Ahmed Ahmed
- Ahmed Ahmed
- Ahmed Alaaaldeen
- Ahmed Entisar
- Ahmed Habeeba
- Ahmed Hatem
- Ahmed Reem
- Ahmed Rehab
- Ahmed Rihab
- Ahmed Rogia Ahmed Abdalla
- Ahmed Ruaa
- Ahmed Sharwany
- Ahmed Uzair
- Ahmed Wahiba
- Ahmeed Sultan
- Airede Lydia Regina
- Aitchison Lori
- Ajredini Mirac
- Ajulo Adeshina A
- Akaba Godwin
- Akasha Mazin
- Akbar Maha Ghulam
- Akbuz Seyma Orcan
- Akdere Hakan
- Akın Bilge
- Akkaya Ege Nur
- Akpamgbo Chukwunonso Nnamdi
- Akwaisah Ayoub
- Al Hammoud Amr
- Al Rawashdeh Toka
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- Yildirim Yasemin
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- Youssef Arkan
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- Yusuf Stephen
- Yuzgec Ayse Nilufer
- Zachomitros Fotios
- Zaed Moahmed
- Zafar Fatima
- Zaghloul Ahmed
- Zaheer Adil
- Zaidi Faseeh
- Zain Ahmad
- Zakaria Ahmed
- Zakaria Andee Dzulkarnaen
- Zakaria Mohd Zaim
- Zalloum Jihad
- Zamanbandhon Bushra
- Zambon Mattia
- Zapsalis Konstantinos
- Zargar Kamran
- Zarzour Mohamed A
- Zeng Raymond
- Zeng Raymond
- Zengin Kagan
- Zertuche Juventino Tadeo Guerrero
- Zhang Caitlin
- Zhang Edward
- Zhang Shane
- Zhang Yichi
- Zhao Hailin
- Zheng Helen
- Zhou Karen
- Zhou Yida
- Ziergiebel Felix
- Zou Peishan
- Zuylekom Kate Van
- Zuylekom Katie Van
- Zwain Yasir Adnan
- Zyul'korneeva Sof'ya
- Aladna Abdallah
- Aljoumaa Abdullah
- Nawfal Hamdi
- Niazi Ammar
- Publication venue
- Publication date
- 01/01/2024
- Field of study
Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely
Non-invasive diagnostic tests for Helicobacter pylori infection
- Author
- Abadi
- Abdullah
- Abdullah
- Abdulqawi
- Abu Shady
- Abu-Sbeih
- Abukhadir
- Abut
- Aceti
- Adachi
- Adamczyk
- Adamek
- Adamek
- Adamopoulos
- Adamopoulos
- Adamsson
- Adiloglu
- Adiloglu
- Agha-Amiri
- Agha-Amiri
- Agha-Amiri
- Agudo
- Agudo
- Aguemon
- Aguemon
- Aguilar
- Aguilar-Soto
- Ahmed
- Ahuja
- Aje
- Aksoy
- Aktepe
- Al-Assi
- Al-Fadda
- Al-Humayed
- Alam El-Din
- Alan Selcuk
- Alarcón-Rivera
- Alavi
- Alavi
- Albrecht
- Alcalde
- Alem
- Alemohammad
- Ali
- Ali
- Allardyce
- Allerberger
- Alpert
- Altindis
- Altindis
- Altindis
- Amendola
- Anania
- Anania
- Andersen
- Anderson
- Andrews
- Ang
- Ang
- Angelis
- Anonymous
- Anonymous
- Anonymous
- Anonymous
- Anonymous
- Anonymous
- Anonymous
- Antico
- Antoine
- Antos
- Anwar
- Arboleda
- Archimandritis
- Arents
- Arents
- Argentieri
- Argila
- Arikan
- Arinton
- Arita
- Arj
- Arora
- Arruda
- Artiko
- Asaka
- Asaki
- Asante
- Asfeldt
- Ashraf
- Atherton
- Atherton
- Atli
- Attallah
- Attumi
- Aucher
- Aulia
- Auroux
- Aziz
- Bakka
- Balcilar
- Ballam
- Ballam
- Ballam
- Balon
- Baqai
- Baranskaia
- Barbosa
- Barthel
- Baryshnikova
- Baryshnikova
- Baryshnikova
- Baryshnikova
- Basinska
- Bassler
- Basso
- Bateson
- Bateson
- Bathe
- Bazaz
- Bazzoli
- Bazzoli
- Bazzoli
- Bazzoli
- Bazzoli
- Bazzoli
- Bazzoli
- Bazzoli
- Befrits
- Behrens
- Behrens
- Beiki
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- Bell
- Bell
- Bellon
- Bener
- Benito
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- Bennedsen
- Bennett
- Berger
- Bergey
- Bergmann
- Berker
- Bermejo
- Bermejo
- Bermejo San Jose
- Berning
- Bertschinger
- Besherdas
- Bessede
- Best
- Best
- Beynon
- Bhewa
- Bielanski
- Bielanski
- Bielanski
- Bielanski
- Bielanski
- Bielanski
- Bielanski
- Bielanski
- Biemond
- Bilal
- Bilardi
- Billaud
- Bindayna
- Birkenfeld
- Bjorneklett
- Blairon
- Blancas Valencia
- Blanco
- Blanco
- Blashenkov
- Bleau
- Blecker
- Blecker
- Blecker
- Blecker
- Blecker
- Blecker
- Blecker
- Blecker
- Blecker
- Blecker
- Blecker
- Blecker
- Blecker
- Blecker
- Blecker
- Blum
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- Bode
- Bode
- Bode
- Bodger
- Bodhidatta
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- Bohemen
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- Bojko
- Bolton
- Bolton
- Bolton
- Bommelaer
- Bonamico
- Bongermino
- Booka
- Bordin
- Bornschein
- Borody
- Borody
- Bosso
- Boudjella
- Boukthir
- Boyanova
- Boyanova
- Braden
- Braden
- Braden
- Braden
- Braden
- Braden
- Braden
- Braden
- Braden
- Braden
- Braden
- Braden
- Braden
- Braden
- Braden
- Brandi
- Bravo
- Bravos
- Brennan
- Brennan
- Brennan
- Breslin
- Breslin
- Breslin
- Bretagne
- Briedigkeit
- Britto Gomes
- Brmbolic
- Brown
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- Bruden
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- Buchan
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- Buhling
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- Calvet
- Calvet
- Calvet
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- Calvo
- Camargos Rocha
- Camorlinga-Ponce
- Campuzano-Maya
- Canard
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- Cao
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- Casellas
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- Caspary
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- Castro Fernández
- Castro-Fernández
- Cave
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- Cevrioglu
- Chacon
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- Chang
- Chang
- Chang
- Chang
- Chang
- Chang
- Chattopadhyay
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- Checchi
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- Chen
- Chen
- Chen
- Chen
- Chen
- Chen
- Chen
- Chen
- Chen
- Chen
- Chen
- Cheng
- Cherian
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- Chey
- Chey
- Chey
- Chey
- Chey
- Chey
- Chey
- Chiang
- Chiba
- Ching
- Ching
- Ching
- Chisholm
- Chmiela
- Cho
- Cho
- Cho
- Choi
- Choi
- Chong
- Chong
- Chou
- Christensen
- Christie
- Chua
- Chung
- Chung
- Churchill
- Chvalova
- Cinar
- Ciok
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- Cockburn
- Coelho
- Coelho
- Coelho
- Coelho
- Coelho
- Coelho
- Coelho
- Cohen
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- Collins
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- Crispino
- Cullen
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- Cunningham
- Cutler
- Cutler
- Cutler
- Cutler
- Cutler
- Cutler
- Cutler
- Czerwionka-Szaflarska
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- Debongnie
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- Demir
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- Demiray Gurbuz
- Demiray-Gurbuz
- Demirturk
- Desroches
- Devenish
- Dewan
- Dhar
- Dhesi
- Dietz
- Dill
- Dill
- Ding
- Ding
- Dinler
- Djurasinovic
- Dmitrienko
- Dmitrienko
- Dolek
- Dominguez
- Dominguezmunoz
- Domínguez-Muñoz
- Donati
- Donati
- Dondi
- Doorn
- Doorn
- Dore
- Dore
- Dore
- Dorta
- Dou
- Douraghi
- Doweck
- Dowlatshahi
- Drew
- Drumm
- Drzymala-Czy
- Du
- Duan
- Duan
- DuBois
- Duggan
- Duggan
- Dulbecco
- Dulbecco
- Dun
- Durdal
- Dy-Limquiaco
- Dyrla
- Ebara
- Ebell
- Edwards
- Eggers
- Ekesbo
- El-Din
- El-Mekki
- El-Nasr
- El-Nujumi
- El-Nujumi
- El-Zaatari
- El-Zimaity
- Elbast
- Elitsur
- Elitsur
- Elitsur
- Elitsur
- Elitsur
- Elitsur
- Elitsur
- Ellenrieder
- Elnujumi
- Eloubeidi
- Eltumi
- Ende
- Endtz
- Engberg
- Engstrand
- Enroth
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- Enroth
- Epple
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- Erzin
- Est
- Evans
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- Faigel
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- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
- Gisbert
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- Goh
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- Gonzalez
- Gonzalez
- Gonzalez
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- Good
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- Gosciniak
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- Granberg
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- Gurbuz
- Gurbuz
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- Gutierrez
- Guven
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- Katelaris
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- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
- Kato
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- Katsuragi
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- Kearney
- Ken Dror
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- Khafri
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- Kim
- Kim
- Kim
- Kim
- Kim
- Kim
- Kim
- Kim
- Kim
- Kim
- Kindermann
- Kindermann
- Kindermann
- Kishkun
- Kist
- Klein
- Klein
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- Kobayashi
- Koca
- Kodama
- Kodama
- Koizumi
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- Koletzko
- Kolho
- Kolho
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- Konorev
- Konorev
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- Konturek
- Kopacova
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- Kopanski
- Kopanski
- Kopanski
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- Kubota
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- Kuo
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- Kwon
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- Kyrlagkitsis
- Laat
- Labenz
- Labenz
- Ladas
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- Lahaie
- Laheij
- Lahner
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- Laine
- Lamarque
- Langhorst
- Lappas
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- Lassnig
- Laszewicz
- Lee
- Lee
- Lee
- Lee
- Lee
- Lee
- Lee
- Lee
- Lee
- Leerdam
- Leerdam
- Leja
- Lelwala Guruge
- Lemus
- Leodolter
- Leodolter
- Leodolter
- Leodolter
- Leodolter
- Leodolter
- Leodolter
- Leodolter
- Leodolter
- Leodolter
- Leodolter
- Leodolter
- Leodolter
- Leodolter
- Lepper
- Lerang
- Lerang
- Leszczynska
- Leung
- Leung
- Leung
- Leung
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- Lewis
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- Li
- Li
- Liao
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- Lin
- Lin
- Lin
- Lin
- Lindsetmo
- Ling
- Liquornik
- Liston
- Liu
- Llor
- Lo
- Locatelli
- Loeb
- Loffeld
- Loffeld
- Logan
- Logan
- Logan
- Lombardo
- Lombardo
- Lopez
- Lopez Penas
- Lopez-Brea
- Lotterer
- Lotterer
- Lotterer
- Lottspeich
- Loy
- Lozniewski
- Lu
- Lu
- Lucio
- Luthra
- Luzza
- Luzza
- Luzza
- Ma
- Maaroos
- Machado
- Machado
- MacKay
- Madico
- Mahmood
- Mahony
- Maity
- Makristathis
- Makristathis
- Malaty
- Malaty
- Malaty
- Malfertheiner
- Malfertheiner
- Malfertheiner
- Malfertheiner
- Mana
- Mana
- Mana
- Mana
- Mana
- Mana
- Manes
- Manes
- Manes
- Mansour-Ghanaei
- Marchildon
- Marchildon
- Marchildon
- Mario
- Mario
- Marshall
- Marshall
- Marshall
- Marshall
- Marshall
- Martin-de-Argila
- Marusic
- Masoero
- Mason
- Massarrat
- Matougui
- Matsuda
- Matsuda
- Matsukura
- Matsukura
- Matsuo
- Mattar
- Mattar
- Matthews
- Matthews
- Mauro
- Mauro
- McColl
- McColl
- McNamara
- McNulty
- McNulty
- Mediero
- Megraud
- Megraud
- Megraud
- Mehrazma
- Meijer
- Meltzer
- Mendall
- Mendoza
- Menegatti
- Menegatti
- Metz
- Metz
- Midolo
- Miehlke
- Minoli
- Mion
- Mion
- Mion
- Mion
- Mion
- Mirbagheri
- Misawa
- Mitchell
- Miwa
- Miwa
- Miwa
- Miwa
- Miwa
- Miwa
- Mizukami
- Moayyedi
- Mock
- Mohammadi
- Mohammadian
- Moncayo
- Monteiro
- Monteiro
- Morales
- Morales
- Moshkowitz
- Motta
- Moulton-Barrett
- Mowat
- Mowat
- Mrevlje
- Muhsen
- Muhsen
- Munster
- Murakami
- Murakami
- Murata
- Murphy
- Murugesan
- Muñoz
- Muñoz
- Myllyniemi
- Myllyniemi
- Nagahara
- Nair
- Nakagawa
- Nakata
- Nakata
- Nakayama
- Naruki
- Navarro
- Negayama
- Negrini
- Neri
- Neumann
- Neumann
- Neumann
- Newell
- Newell
- Newell
- Newell
- Ng
- Ng
- Nguyen
- Nguyen
- Nguyen
- Nguyen
- Nguyen
- Ni
- Nightingale
- Nijevitch
- Nilius
- Nishi
- Nishikawa
- Nishikawa
- Nishikawa
- Nishizono
- Niv
- Niv
- Niv
- Noguchi
- Noguera
- Notarnicola
- Novis
- Nugalieva
- Nurgalieva
- Nurgalieva
- Nysaeter
- O'Connor
- Oak
- Obata
- Obradovic
- Odaka
- Oderda
- Oderda
- Oderda
- Oderda
- Oderda
- Oderda
- Oever
- Ogata
- Ogunc
- Ohara
- Ohara
- Ohara
- Ohara
- Ohara
- Ohara
- Ohkura
- Ohkura
- Oksanen
- Oksanen
- Oksanen
- Okuda
- Okuda
- Okuda
- Okuda
- Okuda
- Okuda
- Olafsson
- Oleastro
- Oleastro
- Oliaro
- Oliveira
- Olsson
- Omorogbe
- Ong
- Opekun
- Opekun
- Ormand
- Ortiz-Olvera Nayeli
- Osaki
- Osman
- Osoba
- Ozdemir
- Ozturk
- Ozturk
- Pacheco
- Pacheco
- Paimela
- Palka
- Pandya
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- Pantoflickova
- Pantoflickova
- Paoluzi
- Parejo Carranza
- Parente
- Parente
- Parente
- Parente
- Parente
- Park
- Park
- Park
- Park
- Parolova
- Pascalis
- Patel
- Pathak
- Pathak
- Pathak
- Pathak
- Pathak
- Pathak
- Pathak
- Pattison
- Pattison
- Pavlitou
- Pavlitou
- Pawar
- Payne
- Peitz
- Peitz
- Peitz
- Peitz
- Peleteiro
- Pena
- Peng
- Peng
- Peng
- Peng
- Peng
- Peng
- Peng
- Peng
- Perets
- Perets
- Perez Paramo
- Perez Paramo
- Perez-Perez
- Perezperez
- Perna
- Perna
- Perri
- Perri
- Perri
- Perri
- Perri
- Perri
- Perri
- Perri
- Perri
- Perri
- Perri
- Perri
- Perrone
- Petrovic
- Pettersson
- Peura
- Pianko
- Pilotto
- Pilotto
- Pilotto
- Pilotto
- Plebani
- Ploier
- Ploier
- Ploier
- Polat
- Pons
- Porter
- Porter
- Portorreal
- Posteraro
- Potashov
- Pourakbari
- Pourakbari
- Pourakbari
- Pozo Garcia
- Prabakaran
- Prell
- Presecki
- Prieto Bozano
- Pronovost
- Przyklenk
- Pu
- Puolakkainen
- Puspok
- Puz
- Puz
- Qadeer
- Qibi
- Quach
- Queiroz
- Queiroz
- Queiroz
- Queralt
- Quesada
- Quesada
- Rabbe
- Radke
- Rae
- Raedsch
- Rafeey
- Raguza
- Raguza
- Rahman
- Raju
- Ramírez-Lázaro
- Rao
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- Rasheed
- Rasool
- Rasool
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- Raymond
- Raymond
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- Rocha
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- Rothenbacher
- Rowland
- Rowland
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- Salih
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- Salomaa-Rasanen
- Saltik
- Saltik
- Sampson
- Sanches
- Sano
- Santogade
- Sarker
- Sastry
- Sato
- Satoh
- Savarino
- Savarino
- Savarino
- Savarino
- Savio
- Sawada
- Sayed
- Schaefer
- Scherbakov
- Schilling
- Schilling
- Schilling
- Schmitt
- Schuman
- Schumann
- Schwarzer
- Scuderi
- Sedlackova
- Segamwenge
- Selcukcan Aydin
- Sen
- Sen
- Seo
- Seo
- Serrano
- Sfarti
- Shaikh
- Sharbatdaran
- Sharma
- Sharma
- Sharma
- Sharma
- She
- Sheikhian
- Shepherd
- Sheu
- Sheu
- Sheu
- Sheu
- Sheu
- Sheu
- Sheu
- Sheu
- Sheu
- Shiba
- Shimada
- Shimizu
- Shimizu
- Shimoyama
- Shimoyama
- Shimoyama
- Shimoyama
- Shimoyama
- Shimoyama
- Shimoyama
- Shin
- Shirin
- Shirin
- Shirin
- Shmuely
- Shuber
- Shukla
- Sicinschi
- Sicinschi
- Siddiqui
- Silva
- Silva
- Silvio
- Sito
- Slade
- Slater
- Slomianski
- Slomianski
- Smith
- Smith
- Smith
- Smith
- Smith
- Snyder
- Sobala
- Sokucu
- Song
- Song
- Sonmezoglu
- Soomro
- Soomro
- Sorberg
- Steen
- Stege
- Stermer
- Sternberg
- Stirling
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- Storskrubb
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- Stuppy
- Stuppy
- Sudraba
- Sudraba
- Sue
- Sugiyama
- Sujatha
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- Surveyor
- Surveyor
- Suto
- Suto
- Suto
- Suto
- Suto
- Suzuki
- Syam
- Sykora
- Sykora
- Taha
- Taha
- Takagi
- Takagi
- Takagi
- Takahashi
- Takwoingi
- Talebkhan
- Talebkhan
- Talley
- Talley
- Talley
- Talley
- Tamura
- Tanahashi
- Tanaka
- Tanaka
- Tanaka
- Tanaka
- Tanigawa
- Taniguchi
- Taylor
- Teich
- Temelli
- Teo
- Tepes
- Tereshchenko
- Tewari
- Tham
- Tham
- Thijs
- Thijs
- Thijs
- Thijs
- Thillainayagam
- Thobani
- Thomas
- Thomas
- Thong-Ngam
- Thongbai
- Tindberg
- Tinnert
- Tiryaki
- Tiwari
- Togashi
- Tokunaga
- Tokunaga
- Tokunaga
- Tokunaga
- Toporowska-Kowalska
- Tormo
- Torres
- Toyama
- Trautmann
- Treiber
- Trevisani
- Trevisani
- Trevisani
- Trevisani
- Trevisani
- Tseng
- Tu
- Tucci
- Tummala
- Uchida
- Ueda
- Uematsu
- Urita
- Urita
- Urita
- Urita
- Urita
- Urita
- Urita
- Urita
- Us
- Uyub
- Vafaeimanesh
- Vaira
- Vaira
- Vaira
- Vaira
- Vaira
- Vaira
- Vaira
- Vaira
- Vaira
- Vaira
- Vaira
- Vaira
- Vakil
- Vakil
- Vakil
- Valdeperez
- Valentine
- Valle
- Valle
- Van't Hoff
- Vandenplas
- Vannella
- Vargas
- Vaz Coelho
- Vecsei
- Veenendaal
- Veijola
- Veijola
- Veijola
- Velayos
- Veldhuyzen van Zanten
- Veldhuyzen van Zanten
- Vesna Vukadinovic
- Villalobos Perez
- Vincent
- Vinette
- Vivas
- Voort
- Voort
- Vorobjova
- Vyas
- Wadstrom
- Wallace
- Wang
- Wang
- Wang
- Wang
- Wang
- Wang
- Wang
- Wang
- Wardi
- Watanabe
- Watanabe
- Weijnen
- Weijnen
- Weingart
- Weingart
- Weiss
- Werdmuller
- Westblom
- Westblom
- Whiting
- Whiting
- Wilcox
- Wildgrube
- Wildner-Christensen
- Wilson
- Winiarski
- Winiarski
- Wirtheim
- Wisniewska
- Wisniewska
- Wisniewska
- Wong
- Wong
- Wong
- Wong
- Wong
- Wong
- Wong
- Wong
- Wong
- Wouden
- Wouw
- Wouw
- Wouw
- Wu
- Wu
- Wu
- Wu
- Wu
- Wu
- Wu
- Wu
- Wulffen
- Wulffen
- Wulffen
- Xia
- Xia
- Xia
- Xiao
- Xiao
- Xie
- Xie
- Xu
- Xue
- Yachi
- Yakoob
- Yakoob
- Yamakawa
- Yamamoto
- Yamamoto
- Yamamoto
- Yamamoto
- Yamamoto
- Yamamoto
- Yamaoka
- Yamasaki
- Yamashiro
- Yan
- Yan
- Yanez
- Yang
- Yang
- Yang
- Yang
- Yang
- Yasuda
- Ye
- Ye
- Yee
- Yilmaz
- Yin
- Yokota
- Yong
- Yoo
- Yoshida
- Yoshida
- Yoshimura
- Young
- Young
- Yu
- Yu
- Zagari
- Zagari
- Zagari
- Zagari
- Zalabska
- Zambon
- Zanetti
- Zanten
- Zanten
- Zaremba
- Zawadzka-Gralec
- Zhang
- Zhang
- Zhang
- Zhang
- Zhelezova
- Zheng
- Zhou
- Zhou
- Zhou
- Zhu
- Zhu
- Zhukhovitskii
- Zhuo
- Zipser
- Zompo
- Zubillaga
- Zubillaga
- Zwet
- Zwet
- Publication venue
- 'Wiley'
- Publication date
- 15/03/2018
- Field of study
BACKGROUND: Helicobacter pylori (H pylori) infection has been implicated in a number of malignancies and non-malignant conditions including peptic ulcers, non-ulcer dyspepsia, recurrent peptic ulcer bleeding, unexplained iron deficiency anaemia, idiopathic thrombocytopaenia purpura, and colorectal adenomas. The confirmatory diagnosis of H pylori is by endoscopic biopsy, followed by histopathological examination using haemotoxylin and eosin (H & E) stain or special stains such as Giemsa stain and Warthin-Starry stain. Special stains are more accurate than H & E stain. There is significant uncertainty about the diagnostic accuracy of non-invasive tests for diagnosis of H pylori. OBJECTIVES: To compare the diagnostic accuracy of urea breath test, serology, and stool antigen test, used alone or in combination, for diagnosis of H pylori infection in symptomatic and asymptomatic people, so that eradication therapy for H pylori can be started. SEARCH METHODS: We searched MEDLINE, Embase, the Science Citation Index and the National Institute for Health Research Health Technology Assessment Database on 4 March 2016. We screened references in the included studies to identify additional studies. We also conducted citation searches of relevant studies, most recently on 4 December 2016. We did not restrict studies by language or publication status, or whether data were collected prospectively or retrospectively. SELECTION CRITERIA: We included diagnostic accuracy studies that evaluated at least one of the index tests (urea breath test using isotopes such as13C or14C, serology and stool antigen test) against the reference standard (histopathological examination using H & E stain, special stains or immunohistochemical stain) in people suspected of having H pylori infection. DATA COLLECTION AND ANALYSIS: Two review authors independently screened the references to identify relevant studies and independently extracted data. We assessed the methodological quality of studies using the QUADAS-2 tool. We performed meta-analysis by using the hierarchical summary receiver operating characteristic (HSROC) model to estimate and compare SROC curves. Where appropriate, we used bivariate or univariate logistic regression models to estimate summary sensitivities and specificities. MAIN RESULTS: We included 101 studies involving 11,003 participants, of which 5839 participants (53.1%) had H pylori infection. The prevalence of H pylori infection in the studies ranged from 15.2% to 94.7%, with a median prevalence of 53.7% (interquartile range 42.0% to 66.5%). Most of the studies (57%) included participants with dyspepsia and 53 studies excluded participants who recently had proton pump inhibitors or antibiotics.There was at least an unclear risk of bias or unclear applicability concern for each study.Of the 101 studies, 15 compared the accuracy of two index tests and two studies compared the accuracy of three index tests. Thirty-four studies (4242 participants) evaluated serology; 29 studies (2988 participants) evaluated stool antigen test; 34 studies (3139 participants) evaluated urea breath test-13C; 21 studies (1810 participants) evaluated urea breath test-14C; and two studies (127 participants) evaluated urea breath test but did not report the isotope used. The thresholds used to define test positivity and the staining techniques used for histopathological examination (reference standard) varied between studies. Due to sparse data for each threshold reported, it was not possible to identify the best threshold for each test.Using data from 99 studies in an indirect test comparison, there was statistical evidence of a difference in diagnostic accuracy between urea breath test-13C, urea breath test-14C, serology and stool antigen test (P = 0.024). The diagnostic odds ratios for urea breath test-13C, urea breath test-14C, serology, and stool antigen test were 153 (95% confidence interval (CI) 73.7 to 316), 105 (95% CI 74.0 to 150), 47.4 (95% CI 25.5 to 88.1) and 45.1 (95% CI 24.2 to 84.1). The sensitivity (95% CI) estimated at a fixed specificity of 0.90 (median from studies across the four tests), was 0.94 (95% CI 0.89 to 0.97) for urea breath test-13C, 0.92 (95% CI 0.89 to 0.94) for urea breath test-14C, 0.84 (95% CI 0.74 to 0.91) for serology, and 0.83 (95% CI 0.73 to 0.90) for stool antigen test. This implies that on average, given a specificity of 0.90 and prevalence of 53.7% (median specificity and prevalence in the studies), out of 1000 people tested for H pylori infection, there will be 46 false positives (people without H pylori infection who will be diagnosed as having H pylori infection). In this hypothetical cohort, urea breath test-13C, urea breath test-14C, serology, and stool antigen test will give 30 (95% CI 15 to 58), 42 (95% CI 30 to 58), 86 (95% CI 50 to 140), and 89 (95% CI 52 to 146) false negatives respectively (people with H pylori infection for whom the diagnosis of H pylori will be missed).Direct comparisons were based on few head-to-head studies. The ratios of diagnostic odds ratios (DORs) were 0.68 (95% CI 0.12 to 3.70; P = 0.56) for urea breath test-13C versus serology (seven studies), and 0.88 (95% CI 0.14 to 5.56; P = 0.84) for urea breath test-13C versus stool antigen test (seven studies). The 95% CIs of these estimates overlap with those of the ratios of DORs from the indirect comparison. Data were limited or unavailable for meta-analysis of other direct comparisons. AUTHORS' CONCLUSIONS: In people without a history of gastrectomy and those who have not recently had antibiotics or proton ,pump inhibitors, urea breath tests had high diagnostic accuracy while serology and stool antigen tests were less accurate for diagnosis of Helicobacter pylori infection.This is based on an indirect test comparison (with potential for bias due to confounding), as evidence from direct comparisons was limited or unavailable. The thresholds used for these tests were highly variable and we were unable to identify specific thresholds that might be useful in clinical practice.We need further comparative studies of high methodological quality to obtain more reliable evidence of relative accuracy between the tests. Such studies should be conducted prospectively in a representative spectrum of participants and clearly reported to ensure low risk of bias. Most importantly, studies should prespecify and clearly report thresholds used, and should avoid inappropriate exclusions
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
- Author
- Abad-Motos Ane
- Abbas Ahmed M.
- Abbas Mostafa
- Abbasi Mujeeb
- Abbott Tom
- Abd Karim Muhammad Fairuz Shah
- Abdalaal Ibrahim
- Abdel-Galil Khalid
- Abdelemam Rania
- Abdelgawad Abdalrahman
- Abdelkarim Maryam
- Abdelkhalek Mohamed
- Abdelmageed Abdelfatah
- Abdelmawgoud Sherif
- Abdelmohsen Sarah
- Abdelrahman Ahmed Saber
- Abdelrahman Mostafa
- Abdelwahab Khaled
- Abdou Hossam
- Abdulai Darling Ramatu
- Abdulkhaleq Marwa
- Abdullah Bahiyah
- Abdulsalam Khalifa
- Abdulsalam Shuaib
- Abdur-Rahman Lukman
- Abdus-Salam Rukiyat
- Abdussalam Hameedat Opeyemi
- Abebrese John Tabiri
- Abeldaño Ariel
- Abou-Khalil Jad
- Abou-Taleb Hisham
- Abozid Anwaar
- Abozied Hesham
- Abrate Alberto
- Abu-Zaid Ahmed
- Abubakar Mohammed Kabir
- Abud Burçin
- Abuzaid Mohammed
- Adam Albushra Altayeb
- Adamina Michel
- Adamou Harissou
- Adamu Auwal
- Adamu Kabir Musa
- Adanu Kekeli
- Adebara Idowu
- Adebola Oluwaseyi
- Ademuyiwa Adesoji
- Adeniran Abiodun
- Adepiti Akinfolarin
- Aderogba Adeleke Akeem
- Adesunkanmi Abdulhafiz
- Adeyeye Ademola
- Adisa Adewale
- Adjeso Theophilus Justus Kofi
- Ads Adel Mohamed
- Ads Alaa Mohamed
- Adu-Aryee Nii Armah
- Adumah Collins
- Afzal Irrum
- Agapov Mikhail
- Agarwal Gaurav
- Agarwal Ravi
- Agbeko Anita Eseenam
- Agbeno Evans Kofi
- Agbonrofo Peter
- Agboola Oluseyi
- Aggarwal Gaurav
- Aghadi Ifeanyi
- Aghtarafi Natasha
- Agrawal Amit
- Agresta Ferdinando
- Aguado Héctor J.
- Aguilera-Arevalo Maria-Lorena
- Aherne Thomas
- Ahmad Aline
- Ahmad Maleeha
- Ahmad Misbahu
- Ahmad Sarwat
- Ahmad Shahzaib
- Ahmad Shoaib
- Ahmed Hayat Tarig Abdelhafiz
- Ahmed Khalid
- Ahmed Sharwany
- Ahmed Shima
- Ahmed Usama
- Aisuodionoe-Shadrach Oseremen
- Aitken Sarah
- Ajenifuja Kayode
- Ajiya Abdulrazak
- Akeel Nouf
- Akin Emrah
- Akinajo Opeyemi
- Akinyemi Tosin
- Akrida Ioanna
- Aktokmakyan Talar Vartanoglu
- Akwaisah Ayoub
- Al Bettar Osama
- Al-Badawi Ismail A.
- Al-Juaifari Maytham
- Al-Khyatt Waleed
- Al-Mallah Abdullah
- Al-Nusairi Ahmed
- Al-Saadi Nina
- Al-Sayaghi Khaled
- Al-Shaiji Tariq
- Al-Shehari Mohammed
- Al-Touny Aiman
- Al-Touny Shimaa A.
- Aladawi Omar
- Aladna Abdallah
- Alali Mahmoud
- Alam Mahmood
- Alam Mohammed Shadrul
- Alarabi Rehab
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- Alayande Barnabas
- Albanese Erminia
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- Albdour Maram
- Alconchel Felipe
- Alderazi Amer
- Alegbeleye Bamidele
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- Alexander Philip
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- Algarni Kamal
- Alhamad Ameen
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- Alharmi Rawan A. Rahman
- Alharthi Mohammed
- Alhazmi Barrag
- Ali Mohamed Shafi Mahboob
- Ali Stephen
- Alibrahim Hidar
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- Aljirdabi Noof
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- Almiqlash Bushray
- Almoshantaf Mohammad Badr
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- Alnsour Abed Alfattah Mahmoud
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- Alonso Jesús Aarón Martínez
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- Mahečić Tina Tomić
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- Mallmann Christoph
- Mallmann Michael R.
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- Martins Claudia Pinto
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- Mayo-Yáñez Miguel
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- McLeish Bethan
- McPherson Duncan
- Meara John G.
- Meead Adullah
- Mehraj Asif
- Meilak Joseph
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- Vázquez Gil
- Vázquez Irene Ortega
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- Wade Ryckie
- Wafi Omar
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- Wallis Christopher
- Wanjara Samuel
- Waqar Shahzad Hussain
- Warden Claire
- Warner Christian
- Wasim D.
- Wason Shaun
- Wasserman Isaac
- Watcyn-Jones Tom
- Waterson Ben
- Watson David
- Watson Matthew
- Weber Clemens
- Wheatstone P.
- Wheeler James
- Wheldon Luke
- White Michelle
- White Stuart
- White William
- Wickramasinghe Dakshitha
- Widmer Lukas Werner
- Wiedemann Dominik
- Wiesinger Clemens Georg
- Wijekoon Naveen
- Wijenayake Wasantha
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- Wijeysundera Duminda
- Wiles Matthew
- Wilkin Richard
- Wilkins Alex
- Wilkins James
- William Tinka George
- Williams Omolara Modupe
- Williams Shekinah
- Windsor John
- Winnand Philipp
- Wittmann Maria
- Wolde Amanuel
- Wolfenden John W. D.
- Wong Benjamin Ngie Xiong
- Wong Enoch
- Wong Evan G.
- Wong George Kwok Chu
- Wong Ho Ying Flora
- Wong Kai Yuen
- Wormald Justin
- Wright Deborah
- Wright Joshua
- Wu Fiona
- Wurm Markus
- Xenaki Sofia
- Yadev Ip
- Yahaya Ahmad Shuib
- Yakubu Mustapha
- Yang Wah
- Yanik Özge
- Yanowsky-Reyes Guillermo
- Yassin Abubaker
- Yates Elizabeth
- Yebes Alvaro
- Yenli Edwin Mwintiereh Ta-Ang
- Yeoh Tien
- Yeung Justin
- Yiallourou Anneza
- Yigit Banu
- Yildirim Asif
- Yim Guang
- Yiu Andrew
- Yonekura Hiroshi
- Yotsov Tsanko
- Younis Muhammad Umar
- Yunus Alif
- Yusefi Hossein
- Zabaleta Jon
- Zabkiewicz Catheriner
- Zaccaria Giulia
- Zacharia Bincy
- Zafar Syed Nabeel
- Zago Mauro
- Zaheen Zakia
- Zahid Zahra
- Zaimis Tilemachos
- Zakaria Andee Dzulkarnaen
- Zambon Martina
- Zamora Lindsey
- Zampogna Biagio
- Zancana Giuseppa
- Zani Augusto
- Zanin Luca
- Zanini Nicola
- Zapardiel Ignacio
- Zapata Carlos Shiraishi
- Zarif Pierre
- Zaránd Attila
- Zehnder Philipp
- Zenger Serkan
- Zenha Horácio
- Zhu Michael Z. L.
- Ziemann Sebastian
- Zimak Danijela Mrazovac
- Zimak Zoran
- Zivkovic Dragana
- Zizzo Maurizio
- Zucker Benjamin
- Zwain Yasir
- Zyskowski Michael
- Ávila Clara Castro
- Älgå Andreas
- Çakici Mehmet Çaǧlar
- Çelik Enes
- Çelik Meryem Nur
- Özçay Necdet
- Şevik Hüsnü
- Šantak Goran
- Šimko Kristián
- Žatecký Jan
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2023
- Field of study
Abstract
Background
Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres.
Methods
This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries.
Results
In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia.
Conclusion
This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
- Author
- A. Mohammed Kalakwa
- A. Nemer Ayoub
- Abantanga Francis A.
- Abatli Safa' Jamal
- Abbas Wisam
- Abbo Olivier
- Abdelbaqi Reem
- Abdelhady Dina Sobhy
- Abdelhafez Mohammad Omar Mohammad
- Abdelhamid Sultan S.
- Abdelmaksoud Sherif
- Abdelmoumen Roua
- Abdelmutalib Fakereldeen
- Abdul-Mumin Alhassan
- Abduljawad Fatima Mousa
- Abdullah Fizan
- Abdullah Mohd Yusof bin
- Abdulraheem Nurudeen
- Abdulrahman Alaa
- Abdulsalam Moruf Adekunle
- Abdunomonovich Dekhkonboev Avazjon
- Aboelela Ahmed
- Abouheba Mohamed
- Abrahamsson Kate
- Abrunhosa Matias Marcia
- Abu-Nejmah Fawzi
- Abuajaila Abdulsalam
- Abuattaya Adham Ashraf
- Abubakar Auwal M
- Abueideh Ahmad
- Abuhayyeh Husam Aldean
- Abuhlega Ma'aly A.
- Abukhalaf Sadi
- Abumunshar Ali Abdelhay
- Acuna Gaston
- Adams Stephen
- Adamu Sani
- Adanan Mohd Fitri Shukri bin Mohamed
- Adawi Ihda
- Adawi Samer
- Adawy Ahmad
- Ade-Ajayi Niyi
- Adegboyega Rilwan
- Ademuyiwa Adesoji
- Adesanya Opeoluwa
- Adhiwidjaja Cathline Freya
- Adofo-Ansong Nana
- Agboola Titiloye Hannah
- Agelebe Efeturi
- Aguilar Aguilar Faye
- Aguilar Gargurevich Prince Pamela
- Aguirre-Lopez Pastor
- Agulham Miguel Angelo
- Ahmad Hira
- Ahmad Zahidah Adlynee Haji
- Ahmed Hazem
- Ahmed Mahmoud Abdelfattah
- Ajai Olalekan Temitope
- Ajao Emmanuel Akinlabi
- Ajiboye Olalekan S.
- Ajrami Yara
- Ajwa Ahmad Elian Abu
- Akan M. Eren
- Akhbari Melika
- Akhter Nadeem
- Akova Fatih
- Al-Attar Hala M.
- Al-Halbouni Layana
- Al-Mamun Abdullah
- Al-Mayoof Ali Farooq
- Al-Momani Hashem M.
- Al-Mouakeh Ahmad
- Al-Rayyes Maisara
- Al-saleem Hasan Subhi Hasan Abu
- Al-Salhi Ashraf Ayman
- Al-Shwaikh Samar H.
- Al-Slaibi Ibrahim
- Al-Taher Raed Nael
- Al-Taher Raed Nael
- Al-Tammam Hiba
- Alakaloko Felix
- Alamrain Abdulwhhab Ayman Abu
- Alanguia Chipana Cathy Lee
- Alattas Khalid
- Alberto Carlos
- Albozidi Aya
- Alcántara Elvyn
- ALDIRAWI MOHAMMED A. M.
- Alebbini Mohanad Mutasem
- Alfoghi Mabroka
- Algabri Hayder Nadhim Obaid
- Alglaib Mohammed Meftah
- Alhamid Ahmad
- Alhamid Aos
- Alhassan Priscilla
- Ali Hassan
- Ali Karim Osamy
- Ali Liza
- Ali Mansour
- Alijla Sharif
- Alijla Sharif S.
- Aliwisat Ahmad Hasan
- Aljaboo Hajir
- Aljadidi Wesal Omar F. Saied
- Aljarad Ziad
- Alkareem Raghad mohammad abdu
- Almada Suad Ahmed
- Almadhoun Walaa
- Almasri Murad
- Almeida Aguiar Arthur
- Almeida Giovana
- Almengar Inas
- Almohamady Hisham
- Almosaibli Mohammad
- Almusleh Tasneem Fathi Hasan
- Alnaeri Ali
- Alnahhal Khaled
- Alonso Verónica
- Alosta Hasan Mustafa
- Alqarajeh Firas
- Alqor Mohammad Omar Ibrahim
- Alsaadi Nijmeh Nasser
- Alsaggaf Ameen
- Alsaied Amer
- Alser Mohammed
- Alser Osaid H.
- Alshaikhkhalil Haya Abdulnasser Ali
- Alshehri Abdullah
- Altaweel Ahmed
- Altın Merve
- Altokhais Tariq
- Altomi Mohamed
- Alturki Fahad
- Alvarado Zelada Jackelyne
- Alves Dutra da Silva Érika
- Alwadia Soha Marwan Salem
- Alwaggaa Nouriyah Ali
- Alzamari Ainaa Ata Mohammad
- Alzate Gallego Edgar
- Alzeer Asmahan Mohammad Suliman
- Alzerei Sulaiman T.
- Alzraikat Sayel H.
- Alzubair Afnan
- Alzughayyar Tareq Z.
- Amad Mohamed
- Amado Fernando
- Amaechi Chukwubinyelum
- Amah Christopher Chim
- Amarin Justin Z.
- Amarin Marzouq
- Ambriz-González Gabriela
- Ameh Emmanuel
- Amjad Muhammad Bin
- Amoabin Afua Amoabin
- Anatole Nzanzu
- Anatole Nzanzu Kipata
- Anaya Dominguez Marlene
- Anaya Firas
- Andrade Jerhy
- Andreussi Lorna
- Anicama Elias Rocio
- Annajjar Mohammad hasan
- Anntinea Jessmine
- Antunes Amanda
- Antunez-Mora Alexandra
- Anyomih Theophilus Teddy Kojo
- Anzelewicz Stefan
- Apaza Leon Jose Luis
- Appeadu-Mensah William
- Arabiat Esraa
- Arafa Mohamed Ahmed
- Arafat Hasan
- Aragão Liliana
- Arancibia Gutiérrez Elsa
- Aranda Sánchez Cristian Irela
- Arar Ahmad Samih
- Arauco Jenny
- Arbab Hana
- Arboleda Jenny
- Aremo Anuoluwapo
- Arnadóttir Helena
- Arnaud Alexis P
- Arnold Marion
- Arnoletto Lucia Beatriz
- Arrmali Saddam
- Arrmalli Lina Ali
- Arshad Muhammad
- Arthur Felicity
- Arul Suren
- Ashour Dina Ayman
- Ashour Yara shareef
- Aslan Yakup
- Aspirot Ann
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- Salem Hosni khairy
- Salha Aya Azmi Shehda
- Salim Jamal Mohammed
- Salinas Barreto Juan Jose
- Salinas Vicente
- Salö Martin
- Samad Lubna
- Samadi Dr. Ahmad Zia
- Samanez Obeso Angel
- Samarah Yasmeen Ahmad
- Samarakkody Udaya
- Samy Doaa
- Sanchez Valladares Pablo
- Sanchez Alberto
- Sanchez Beatriz
- Sanchez Janina
- Sanchez Nancy
- Santana Ortiz Rafael
- Saousen Benmanseur
- Sara Nabti
- Saracevic Adna
- Sarhan Osama Abdul Kareem
- Sarıhan Haluk
- Sarkaz Taher L.
- Sartori Giovanoni Lais
- Sayeed Fatema
- Sbaih Mahmoud Fuad
- Scalabre Aurelien
- Scherl Humberto
- Schmedding Andrea
- Segura Calle Carlos
- Sehic Anesa
- Sehwiel Abrar Shaheen
- Sekyere Owusu
- Selak Nejra
- Semensato Carloni Isabela Cristina
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- Serban Andreea Madalina
- Serezo Belen
- Sevdalis Nick
- Seyi-Olajide Justina
- Sferco Carlos Ariel
- Shabana Osaid Shaher
- Shahbal Swaleh
- Shaheen Ahmad Ashraf
- Shaheen Nureddin
- Shaklawoon Aisha
- Shalaby Amr
- Shalaby Hanin
- Shalluf Hawa Ahmed
- Shan Cheah Hui
- Sharabati Fadwa
- Sharabati Mutassem
- Sharif Muhammad
- Sharif Randa Alamen M
- Shaw Kenneth
- Shehada Mohammed
- Shehu Ibrahim
- Sheir Hesham
- Sherer Karen
- Sherzad Ajmal
- Shiha Eman Abu
- Shikha Anas
- Shinondo Patricia
- Shnishah Aya Essam
- Shokri Hajer Ali
- Shonubi Amo
- Shoubaki Ali
- Shu Qiang
- Shyaka Gashugi Ian
- Siddiqui Sabina M
- Sidler Daniel
- Sigalet David
- Sihem Brahimi
- Sikwete Guigui
- Siles Hinojosa Alexander
- Silva Beltrán Nathalia
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- Silva Karina Ilheu da
- Silva Yanina
- Sim Marcus
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- Singer Georg
- Singh Michael
- Sivaraj Jayaram
- Sivasubramaniam Mithila
- Siyotula Thozama
- Slavkovi Andjelka
- Slavkovic Milan
- Smith Emily Rose
- Soares de Fraga José Carlos
- Sobrero Helena
- Soccorso Giampiero
- Sokolovic Emir
- Sola Juan
- Solanki Meghna
- Soliman Nourhan Akram
- Son Joonhyuk
- Song Eung song
- Soomro Aqil
- Sotelo Sanchez Jennifer
- Souhem Touabti
- Soula Enas
- Souza Barros Beatriz
- Souza Machado Ana Beatriz
- Sowe Babucarr
- Sriniworn Anan
- St-Louis Etienne
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- Stark Domitille
- Stojanovic Miona
- Stringer Mark
- Strumila Arunas
- Sueiras Ines
- Sulca Cruzado Gladys Johana
- Suleiman Faruk
- Sultana Sadia
- Suradi Haya H.
- Sutcliffe Jonathan
- Suzana Trein Cristine
- Suzen Alev
- Svensson Emma
- Svirsky Alexander
- Swessi Hisham
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- Szklarz Maria Tatiana
- Sánchez Paredes Vicente
- Sönmez Kaan
- T Shajin
- T. Sambo Yusuf
- Tababa Osama
- Tabari Ahmad Khaleghnejad
- Tabiri Stephen
- Tadesse Amezene
- Tahyneh Abdulraheem Adnan Abdulraheem
- Takrouney Mohammed Hamada
- Talat Nabila
- Tallaa Mohamed Anwer El
- Tamada Horácio
- Tamaddun Hafatin Fairos bt
- Tang Weibing
- Tanimola Adebayo Gbenga
- Tanming Patchareeporn
- Tanny Sharman Tan
- Tantush Sara Abobaker
- Tarabishi Ahmad Sankari
- Tarek Ahmed
- Tarmohamed Murad
- Tarniba Sara Ali
- Tarrado Xavier
- Tasker David
- Teague Warwick
- Telles Leila
- Temilade Bolarinwa Bolanle
- Teo Rufinah
- Teran Araceli
- Terzic Sabina
- Testoni Daniela
- Thaiwatcharamas Kanokrat
- Thiessen Jesh
- Thomas Amy Hughes
- Thomas Gordon
- Thomas Mark C
- Thompson Hannah
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- Tillig Bernd
- Tinoco Guzmán Nestor Julien
- Tobor Szymon
- Toczewski Krystian
- Tom Alan
- Toplicic Djordje
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- Torres Picón Cintya Maria de Jesus
- Torres-Canchala Laura
- Toselli Luzia
- Touabti Souhem
- Toufik Iaiche Achour
- Tovar Gutierrez Natalia
- Trainba Sara
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- Trindade Deyl Rafael
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- Trypens Agata
- Tumi Mohamed
- Tuyishime Eugene
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- Türkyılmaz Zafer
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- Ugwunne Chuka A
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- Ullrich Sarah
- Vacek Jonathan
- Vaitkiene Agota
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- Valeria Pelussi
- Valerio-Vazquez Rafael
- Vanis Nedim
- Vaquila Justo
- Varela Maria Florencia
- Vasquez Matos Juan Pedro
- Vatta Fabrizio
- Vega Centen Stephany
- Velaña Junior
- Vellusamy V Muthualhagi M
- Venant Ntakarutimana
- Venkatraman Soundappan Sannappa
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- Veronica Sofficci
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- Vianney Butoyi Jean Marie
- Vida Lucian
- Vidal Cristian R. Zalles
- Vierboom Liam
- Villalba Villalba Araceli
- Villegas Silva Raúl
- Vinskaite Asta
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- Vosoughi Armin
- Wafa Tamer
- Walker Gregor
- Wang Jinhu
- Wang Peng
- Waseem Basma
- Weeratunga Naveen
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- Wen Gang
- Werneck Raposo Juliana
- Wester Tomas
- Wijekoon Naveen
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- Wishah Bisan D. M.
- Wishah Nidal
- Wissanji Hussein
- Wolak Przemyslaw
- Wolny Agnieszka
- Wong Janice
- Wong Marilyn
- Wright Naomi Jane
- Wu Guowei
- Wyrzykowski Dariusz
- Xiaodong Guo
- Xie Hua
- Yacoub Mina A.
- Yaghi Bashar
- Yaghi Dua Hasan
- Yalcinkaya Ali
- Yang Hee-Beom
- Yanis Ahmad H.
- Yanowsky Reyes Guillermo
- Yao Yang
- Yapo Benjamin
- Yarza Fernández Jessica
- Yeniay Aslı Öztürk
- Yola Mariya Mukhtar
- Yong Feng
- Youn Joong Kee
- Yousuf Hina
- Yu Mengnan
- Yu Raisa
- Yuen Quah Soong
- Yuldashev Rustam Z.
- Yunus Aayenah
- Za'nouneh Faris J. Abu
- Zaghlol Louay Y.
- Zahari Dato' Dr Zakaria bin
- Zain Mostafa
- Zaman Azrina SK
- Zanellato Josiane Bernartt
- Zarwawi Ahmad Zulhisyam bin
- Zea-Salazar Luis Enrique
- Zeinelabdeen Ali
- Zhao Xiaoxia
- Zhu Jianming
- Zhu Libin
- Zidan Mazen
- Zivanovic Dragoljub
- Zottis Barcelos Fabricio
- Zreeg Dafer abdulhakim . S.
- Zurikat Rajai O.
- Zvizdic Nada
- Zvizdic Zlatan
- Çekiç Bahanur
- Çelik Müge
- Özçelik Zerrin
- Şeref Kıvanç
- Šafus Antonín
- Škvařil Jan
- Štichhauer Radek
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2021
- Field of 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