7 research outputs found
Recommendations for the use of endoscopic lung volume reduction in South Africa: Role in the treatment of emphysema
- Author
- Publication venue
- 'South African Medical Association NPC'
- Publication date
- 19/09/2015
- Field of study
Emphysema is a very common cause of morbidity and mortality in South Africa (SA). Therapeutic options in severe emphysema are limited. Endoscopic lung volume reduction (ELVR) is increasingly being used internationally for the treatment of advanced emphysema in a subset of patients with advanced disease, aiming to obtain the same functional advantages as surgical lung volume reduction while reducing risks and costs. In addition to endobronchial valves, ELVR using endobronchial coils is now available in SA. The high cost of these interventions underscores the need for careful patient selection to best identify those who may or may not benefit from ELVR-related procedures. The Assembly on Interventional Pulmonology of the South African Thoracic Society appointed a committee comprising both local and international experts to extensively review all relevant evidence and provide advice on the use of ELVR in SA based on published evidence, expert opinion and local access to the various devices
Gastrointestinal diseases and their oro-dental manifestations: Part 4: Peutz-Jeghers syndrome
- Author
- A Bruwer
- A Haemminki
- A Rowan
- A Woo
- AD Beggs
- AR Latchford
- CI Amos
- DE Jenne
- DM Wilson
- E Volikos
- E. Dekker
- F Weber
- FM Giardiello
- FM Giardiello
- H Jeghers
- IP Tomlinson
- J Hutchinson
- J Utsunomiya
- JA Tovar
- JLA Peutz
- K Hizawa
- KH Perzin
- M. E. van Leerdam
- MG van Lier
- MG van Lier
- MG van Lier
- MG van Lier
- MG Van Lier
- NM Lindor
- RH Young
- RR Dozois
- S Aretz
- S Young
- S. E. Korsse
- SB Gruber
- SE Korsse
- SE Korsse
- TJ McGarrity
- V Schumacher
- W Lim
- WW de Leng
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Parental and Peer Predictors of Social Anxiety in Youth
- Author
- A Schrier
- AM La Greca
- AM La Greca
- AM La Greca
- B Birmaher
- B Birmaher
- B Bruwer
- BF Grant
- C Faravelli
- C Hayward
- CA Brook
- Candice C. Festa
- CD Spielberger
- DC Beidel
- DC Beidel
- DJ DeWit
- E Klineberg
- EM Vernberg
- GA Bernstein
- Golda S. Ginsburg
- GS Ginsburg
- GS Ginsburg
- GS Ginsburg
- GW Ladd
- I Lindhout
- J Elizabeth
- J Morgan
- JG Parker
- JL Hudson
- K Appleyard
- K Beesdo
- K Fordham
- K Gruner
- K Rigby
- KS Kendler
- LA Greco
- MR Dadds
- MR Leary
- P Muris
- P Muris
- PC Kendall
- PM Barrett
- R Lieb
- RC Kessler
- SE Whaley
- SH Spence
- SM Bogels
- TA Brown
- TC Eley
- WK Silverman
- WW Hartup
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
A self-harm series and its relationship with childhood adversity among adolescents in mainland China: a cross-sectional study
- Author
- A Ahmadi
- AJ Edmondson
- AL Barrocas
- Azhu Han
- B Bruwer
- B Mirkovic
- B Perera
- BM Law
- BM Law
- BY Liang
- C Sunnqvist
- DM Yang
- DP Bernstein
- ED Klonsky
- Geng Xu
- Gengfu Wang
- J Tang
- J Wang
- J Zhang
- JA Garisch
- JA Rønning
- K Hughes
- K Skegg
- KL Chan
- L Arseneault
- M Van Geel
- MA Lee
- ME Solberg
- MR Weierich
- PK Smith
- Puyu Su
- PY Lin
- PY Su
- R Bruffaerts
- R Cerutti
- R Ziaei
- RC Kessler
- RM de Araújo
- S Rasmussen
- ST Lereya
- SV Jaiswal
- SV Swannell
- WC Zhang
- WK Lee
- WW Zung
- X Ge
- X Liu
- X Liu
- X Liu
- Y Hu
- YH Wan
- Z Pan
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Do Childhood Adversities Predict Suicidality? Findings from the General Population of the Metropolitan Area of São Paulo, Brazil
- Author
- A Pickles
- A Zaluar
- B Bruwer
- BE Molnar
- Bruno Mendonça Coêlho
- C Benjet
- C Parrish
- C Tunnard
- D Vlahov
- DG Kleinbaum
- DJ Stein
- DM Fergusson
- DR Williams
- DW Brown
- E Durkheim
- E Maricato
- EG Karam
- GE Simon
- Geilson Lima Santana
- Guilherme Borges
- H Godet-Mardirossian
- H Morselli
- I Oron Ostre
- J Endicott
- J Hardt
- JG Green
- KA McLaughlin
- KM Wolter
- KR Merikangas
- KS Kendler
- L Itani
- Laura Helena Andrade
- LH Andrade
- M Dong
- M Fiddler
- M Polak
- MA Straus
- Maria Carmen Viana
- MC Viana
- ME Courtney
- MF Peres
- MW Enns
- R Bruffaerts
- R Trevisan
- R Uwakwe
- RC Kessler
- RC Kessler
- RC Kessler
- RC Kessler
- S Lee
- S Lee
- S Rosenman
- Soraya Seedat
- SR Dube
- SW Kim
- T Fujiwara
- TO Afifi
- VJ Edwards
- VJ Felitti
- VJ Felitti
- W Maier
- WW Eaton
- Yuan-Pang Wang
- Publication venue
- 'Public Library of Science (PLoS)'
- Publication date
- Field of study
Angeborene Herz- und Gefäßfehler
- Author
- A Abrikosoff
- A Abrikosoff
- A Anderson
- A Arkin
- A Arkin
- A Arnstein
- A Azevedo
- A Azevedo de
- A Babey
- A Babey
- A Battro
- A Beuren
- A Bigo
- A Blackhall-Morison
- A Blalock
- A Blalock
- A Blalock
- A Breton
- A Bruwer
- A Bruwer
- A Castellanos
- A Castellanos
- A Castellanos
- A Castellanos
- A Castellanos
- A Castellanos
- A Christie
- A Costa
- A Costa
- A Costa
- A Cournand
- A Cournand
- A Cournand
- A Cramer
- A Dalton
- A Dekker
- A Düx
- A Epstein
- A Esser
- A Fallot
- A Fink
- A Fitzgerald
- A Franceschetti
- A Ghon
- A Gonin
- A Gousios
- A Graybiel
- A Grishman
- A Grishman
- A Guggenheim
- A Heckler
- A Heigel
- A Himmelstein
- A Hotz
- A Jackson
- A Josefson
- A Keith
- A Keith
- A Keith
- A Kerr Jr.
- A Keys
- A Leatham
- A Leatham
- A Murray
- A Nagel
- A Obiditsch
- A Passow
- A Pontes
- A Rados
- A Ravelli
- A Ravin
- A Renander
- A Robinson
- A Sanderud
- A Schaede
- A Schaede
- A Schaede
- A Schaede
- A Schaede
- A Schaede
- A Schmincke
- A Segondi
- A Selzer
- A Selzer
- A Selzer
- A Senning
- A Senning
- A Sjoerdsma
- A Spitzer
- A Spitzer
- A Spitzer
- A Stecken
- A Stecken
- A Sturm
- A Sturm Jr.
- A Testini
- A Thomson
- A Tourniaire
- A Tourniaire
- A Vass
- A Vineberg
- A Vogt
- A Zink
- AA Fischl
- AA Peel
- AA Peel
- AA Zimmermann
- AB Burchell
- AB Ford
- AB Kelly
- AB Marfan
- AC Papaioannou
- AC Rambar
- AC Witham
- AD Nichol
- AD Nichol
- AD Waller
- AE Doyle
- AE Sansom
- AE Schmid
- AE Ungerleider
- AEJ Barclay
- AG Dato
- AG Morrow
- AG Morrow
- AGW Whitfield
- AI Blake
- AJ Aballi
- AJ Beuren
- AJ Beuren
- AJ Beuren
- AJ Beuren
- AJ Beuren
- AJ Bruwer
- AJ Bruwer
- AJ Geiger
- AJ Glazebrook
- AJ Kerwin
- AJ Sweyer
- AL d’Abreu
- AL D’abreu
- AL Friedlich
- Albracht
- AM Jones
- AM McCallen
- AM Olsen
- AM Rogers
- AR Diaz
- AR Gilchrist
- AR Gilchrist
- AR Higgins
- AR Muir
- AS Nadas
- AS Nadas
- AS Parker
- ASW Touroff
- AT Bahnson
- AW Baughart
- AW Ormond
- AW Silver
- AW Tucker
- AW Venables
- B Adachi
- B Baginsky
- B BrodÉn
- B Conrads
- B Felson
- B Halpert
- B Halpert
- B Halpert
- B Hartmann
- B Hellstroem
- B Kommerell
- B Levin
- B Lingen van
- B Perry
- B Preter
- B Richman
- B Stackelberg
- B Taschen
- B Thurnher
- B Zuber
- BA Bercu
- Barnard
- BD Bower
- BE Taylor
- BE Taylor
- BF Vaugham
- BI Ivemark
- BJ Anson
- BL Brofman
- BM Gasul
- BM Gasul
- BM Gasul
- BM Kaplan
- BM Patten
- BO Price
- Bolders
- BS Tabakin
- Buchem
- Buchem
- BV Jager
- C Bakken
- C Crafoord
- C Davis Jr.
- C Denton
- C Ferencz
- C Ferencz
- C Funck-Brentano
- C Gerhardt
- C Gerhardt
- C Goehring
- C Goetsch
- C Hochsinger
- C Kioes
- C Korth
- C Laubry
- C Laubry
- C Lian
- C Lian
- C Maier
- C Mouton
- C Métianu
- C Métianu
- C Métinau
- C Neill
- C Nogueira
- C Pezzi
- C Pope
- C Robles
- C Sternberg
- C Toldt
- C Wegelius
- Cassel
- CB Chapman
- CB Henderson
- CB Leech
- CB Leech
- CB Lockwood
- CB Perry
- CE Benda
- CE Roes
- CE Snelling
- CF Garis de
- CF Rauchfuss
- CF Storey
- CFV Rokitansky
- CFV Rokitansky
- CFV Rokitansky
- CFV Rokitansky
- CFW McLure
- CG Barnes
- CG Lightner Mc.
- Ch Baker
- Ch Girard
- Ch Laubry
- Ch Mahaim
- CH McIntosh
- ChB Upshaw
- ChrV Hedinger
- CJ Lund
- CJ Wiggers
- CK Kirby
- CL Mendelson
- CL Waite
- CM Couves
- CP Bailey
- CP Bailey
- CP Bailey
- CP Bailey
- CP Lynxweiler
- CP Mayer
- CR Lam
- CR Leininger
- CR Lowe
- CR Messeloff
- CR Souders
- CS Burwell
- CS Wakai
- CS Wakai
- CT Dotter
- CT Dotter
- CT Dotter
- CT Dotter
- CT Dotter
- CT Olcott
- CV Weller
- CW Bain
- CW Erickson
- CW Findlay Jr.
- CW Hughes
- CW Lillehei
- CW Lillehei
- CW Lillehei
- CW Lohmann
- CWM Poynter
- D Bauer
- D Bayford
- D Eisen
- D Emslie-Shmith
- D Heath
- D Heath
- D Heath
- D Heath
- D Manfredi
- D Michel
- D Michel
- D Routier
- D Routier
- D Routier
- D Routier
- D Routier
- D Rutstein
- D Urrutia
- D Wheeler
- D Young
- D Young
- DA Cooley
- DA Cooley
- DA Cooley
- DA Cooley
- DB Effler
- DC Fyler
- DC Levinson
- DC Levinson
- DC Muir
- DC Wood
- DE Bedford
- DE Bedford
- DE Bedford
- DE Cassels
- DE Smith
- DF Bauer
- DF Bauer De
- DF Bauer De
- DF Downing
- DF Downing
- DF Downing
- DF Downing
- DG Greene
- DG Mason
- DG Reid
- DG Watson
- DH Sprong Jr.
- DH Ward
- DH Waterman
- DK Crystal
- DL Gardner
- DL Lynch
- DL Shaw
- DM Collins
- DM Golub
- DM Hosier
- DN Ross
- DN Ross
- DR Barry
- DR Peck
- DS Lukas
- DW Barritt
- DW Chapman
- DW Goltman
- DW Ingham
- DW Ingham
- DW Robinson
- E Apert
- E Araya
- E Braunwald
- E Braunwald
- E Braunwald
- E Braunwald
- E Cockayne
- E Custodis
- E Derra
- E Derra
- E Derra
- E Derra
- E Derra
- E Derra
- E Derra
- E Derra
- E Derra
- E Derra
- E Derra
- E Donzelot
- E Donzelot
- E Dormanns
- E Doyen
- E Dupré
- E Eibach
- E Evans
- E Fasano
- E Gelfman
- E Grawitz
- E Gressner
- E Grunmach
- E Grädel
- E Günzel
- E Hasche
- E Hedinger
- E Heim de Balsac
- E Henry
- E Holman
- E Holman
- E Howald
- E Hull
- E Kaiser
- E Kirch
- E Kresbach
- E Kugel
- E Lewicki
- E Loeffler
- E Lutembacher
- E Mannheimer
- E Mannheimer
- E Mannheimer
- E Mannheimer
- E Mannheimer
- E Moniz
- E Pernkopf
- E Pfennig
- E Richards
- E Roques
- E Rossi
- E Rossi
- E Rossi
- E Rossi
- E Rossi
- E Rossi
- E Rossi
- E Sandifort
- E Saupe
- E Schwartz
- E Stutz
- E Thomas
- E Valdivia
- E Varnauskas
- E Viva-Salas
- E Vivas-Salas
- E Weiss
- E Weiss
- E Wieland
- E Zdansky
- E Zdansky
- E Zdansky
- E Zdansky
- E Zdansky
- E Zeh
- EA Baumgartner
- EA Childe
- EA Cockayne
- EA Edwards
- EA Gall
- EA Graham
- EA Park
- EB Kay
- EB Wright
- EBD Neuhauser
- EC Brockenbrough
- EC Brown
- EC Eppinger
- EC Lambert
- ED Baldwin
- ED Volfberg
- EEH Kurtz
- EF Bland
- EF Bland
- EF King
- EG Dimond
- EG Dolton
- EG Pappas
- EH Drake
- EH Fell
- EH Fell
- EH Fell
- EH Morgan
- EHT Lochte
- EI Honig
- EJ Walther
- EL Perry
- EM Cooley
- EM Goyette
- EO Warthen
- EP Stibbe
- ERV Hoffmann
- ES Brannon
- ES Imperial
- ETh Keats
- EW Jew Jr.
- EZ Pernkopf
- F Bender
- F Biedermann
- F Bouchard
- F Börger
- F Chiariotti
- F Eldridge
- F Ernst
- F Fleischner
- F Gardner
- F Gardner
- F Gerbode
- F Gerbode
- F Graux
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Grosse-Brockhoff
- F Hammerschlag
- F Herzog
- F Kopsch
- F Kuhlmann
- F Longin
- F Longin
- F Longin
- F Loogen
- F Loogen
- F Loogen
- F Loogen
- F Loogen
- F Loogen
- F Loogen
- F Loogen
- F Loogen
- F Loogen
- F Loogen
- F Loogen
- F Loogen
- F Niedner
- F Northoff
- F Peltzer
- F Pygott
- F Robicsek
- F Schwarzweller
- F Söldner
- F Thaden
- F Therkelsen
- F Voill
- F Wessels
- FA Hemsath
- FC Abbott
- FC Lutman
- FC Turner
- FC Wood
- FD Dodrill
- FD Gunn
- FE Burch
- FE Ellis
- FE Mayer
- FE Tylecote
- FE Tylecote
- FF Niedner
- FF Niedner
- FG Zak
- FH Adams
- FH Adams
- FH Adams
- FH Ellis
- FH Ellis
- FH Ellis
- FH Ellis Jr.
- FH Ellis Jr.
- FH King
- FH Redlich
- FJ Lewis
- FM Sones Jr.
- FN Cooke
- FP Mall
- FR Joly
- FR Küchenmeister
- FS Winter
- FSP Buchem
- FSP Buchem Van
- FW Nash
- G Baylin
- G Björck
- G Blumer
- G Bonte
- G Bourne
- G Buchanan
- G Burgemeister
- G Carpent
- G Cooper
- G Daoud
- G Ekström
- G Fanconi
- G Fletcher
- G Fletcher
- G Giraud
- G Hammer
- G Herrnheiser
- G Herxheimer
- G Herxheimer
- G Jacobson
- G Jönsson
- G Jönsson
- G Klein
- G Könn
- G Körner
- G Malan
- G Marchal
- G Martens
- G McGinn
- G Migliorini
- G Miller
- G Molz
- G Niwayama
- G Nylin
- G Pense
- G Peritz
- G Reynolds
- G Reynolds
- G Rotthoff
- G Runström
- G Salzer
- G Scaglia
- G Sepulveda
- G Sepulveda
- G Smith
- G Tori
- G Voci
- G Weill
- GA Brecher
- GA Gibson
- GA Lindeboom
- GA Lindeboom
- GAC Snyder
- GB Gruber
- GD Whyte
- GDJ Griffin
- GE Venning
- GF Nicolai
- GF Saltzman
- GH Fairley
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- GH Muelheims
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- GL Higgins
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- GL Schiebler
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- GM Maxwell
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- GO Favorite
- GP Robb
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- GrR Venning
- GS Myers
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- GWB Starkey
- H Arvidsson
- H Assmann
- H Assmann
- H Blincoe
- H Bohn
- H Bredt
- H Bredt
- H Bredt
- H Bredt
- H Bredt
- H Brody
- H Bénard
- H Chouppe
- H Davis
- H Denolin
- H Denolin
- H Dufour
- H Dufour
- H Engels
- H Erlanger
- H Fellmann
- H Finke
- H Forrest
- H Franke
- H Fulton
- H Gillmann
- H Gillmann
- H Gladnikoff
- H Goldberg
- H Gombert
- H Green
- H Gremmel
- H Gremmel
- H Gremmel
- H Guenther
- H Götz
- H Gøtzsche
- H Gøtzsche
- H Hallerbach
- H Hellmer
- H Hoepke
- H Hrders
- H Huchard
- H Hultgren
- H Kirchmair
- H Kjaergaard
- H Klein
- H Koller-Aeby
- H Krauss
- H Krauss
- H Kreuzer
- H Latour
- H Leo
- H Ludwig
- H Löhr
- H Manecke
- H Meessen
- H Meessen
- H Meessen
- H Metz
- H Meyer
- H Moscowitz
- H MÉry
- H Müller Jr.
- H Oberdahlhoff
- H Perelman
- H Preisz
- H Preisz
- H Preisz
- H Reindell
- H Reindell
- H Roeder
- H Roesler
- H Roesler
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- H Roesler
- H Roesler
- H Roesler
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- H Rösler
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- H Spencer
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- H VersÉ
- H Vessel
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- Hamdi
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- Hommel
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- HT Mankin
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- Huber
- Hulke
- HV Hauser
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- HW Bishoff
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- HW Scott Jr.
- HW Scott Jr.
- HY Raubitschek
- I Arnold
- I Bayer
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- I Cairney
- I Chavez
- I Espino Vela
- I Exalto
- I Potts
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- I Spencer
- I Steinberg
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- I Steinberg
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- IC Smith
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- IG Kroop
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- IM Barker
- IR Kelsey Jr.
- IRB Knutson
- IV Sydow
- IW Kirklin
- J Araujo
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- J Carlotti
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- J Hawley
- J Hilario
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- J Innerfield
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- J Jacobi
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- J Karnell
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- J Reinhold
- J Schmidt
- J Schmidt
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- J Schoenmackers
- J Skall-Jensen
- J Skoda
- J Smith
- J Stoermer
- J Tannenberg
- J Thomas
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- WT Mustard
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- Z Belobradek
- — Die Mißbildungen des menschlichen Herzens. Ergebn. allg. Path. path
- —La double crosse aortique
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/1967
- Field of study
Maternal and neonatal outcomes after caesarean delivery in the African Surgical Outcomes Study: a 7-day prospective observational cohort study.
- Author
- A Abd-rouf
- A Abduljalil
- A Abdulrahman
- A Abokris
- A Abushnaf
- A Addanfour
- A Alatresh
- A Alfari
- A Alfetore
- A Algddar
- A Alghazali
- A Alhendery Alhendery
- A Ali
- A Ali
- A Alkilani
- A Alli
- A Almajbery
- A Alsayed
- A Anele
- A Attia
- A Berhe
- A Bogoslovskiy
- A Dasrath
- A Dodiyi-Manuel
- A Ehouni
- A Elmgadmi
- A Elshikhy
- A Elwerfelli
- A Feituri
- A Gakenia
- A Ganesh
- A Garrido Lopez
- A Ghnain
- A Hdud
- A Ibrahim Abdelatif
- A Issoufou
- A Jaber
- A Juwid
- A Khamajeet
- A Maharaj
- A Maharaj
- A Mallier Peter
- A Manneh
- A Mansour
- A Metali
- A Mlotshwa
- A Mohamed
- A Mohamed
- A Mohamed
- A Mohamed
- A Mohamed
- A Muturi
- A Mwale
- A Nansook
- A Onyegbule
- A Prosper
- A Rabemazava
- A Sarkin-Pawa
- A Shubba
- A Sohoub
- A Steyn
- A Swaleh
- A Tarhuni
- A Thotharam
- A Wafa
- A Wafula
- A Zidan
- A Zo
- AA Alraheem
- AA Altagazi
- AA Aribi
- AA Eshwehdi
- AA Kornilov
- AA Munyika
- AA Sheshe
- AA Yahya
- AA Yunus
- AAG Gomati
- AB Muhammad
- AB Zerihun
- Abdulaziz M Elkhogia
- Abdulaziz M Elkhogia FRCA
- AC Castro
- AD Aldarrat
- AD Maharaj
- Adam Hewitt-Smith
- AET Ayebale
- AFX Agaba
- AGB Andriamampionona
- AGL Rocher
- AH Harissou
- AH Hery
- Ahmadou L Samateh
- Ahmadou L Samateh FWACS
- AHN Rakotoarisoa
- AHR Rakotoarijaona
- AI Ibrahim
- AI Levin
- AI Yahya
- AJ Szpytko
- AJ Vermeulen
- AJM Lumbamba
- AK Egote
- AK Kintu
- AK Koledale
- Akinyinka O Omigbodun
- Akinyinka O Omigbodun ProfFWACS
- Akwasi Antwi-Kusi
- Akwasi Antwi-Kusi FGCS
- AL AL Samateh
- Al-A Amer
- Al-J Ahmed
- Alex M Makupe
- AM Baloyi
- AM Elghallal
- AM Elghobashy
- AM Elzufri
- AM Iraya
- AM Kilembe
- AM Kukembila
- AM Macheka
- AM Mohamed
- AM Ngalala
- AM Torborg
- Ambroise Guegni
- Amina Kalisa
- AN Kabongo
- Anatole Atomabe
- Andrew K N Ndonga FICS
- Andrew KN Ndonga
- ANJD Alberts
- Anthony R Reed
- AO Adisa
- AO Osinowo
- AO Ousseini
- AO Usenbo
- AP Gatheru
- AP Patience
- Apollo Basenero
- Apollo Basenero MBChB
- ARW Mungherera
- AS Shkirban
- AS Singh
- AS Yusuf
- ASB Benamour
- ASM Madsen
- AT Robelie
- ATM Masiyambiri
- AZ Elzoway
- AZ Machowski
- AZ Zeiton
- B Ahmed
- B Alsellabi
- B Chrirangi
- B Church
- B Dedekind
- B Gadi
- B Githae
- B Kipng'etich
- B Kiprop
- B Lerutla
- B Ntueba
- B Rink
- B Thakoor
- B Veerasamy
- BA Albakosh
- BA Dokolwana
- BB Afolabi
- BB Osinaike
- BB Ryabchiy
- BC Businge
- BC Enicker
- BE Bilby
- Belinda S Kusel
- Bernard Mbwele
- Bernard Mbwele MSc
- Beye Seïdina Alioune
- BH Pienaar
- BJS Diedericks
- Blaise Tchaou
- BM Mabaso
- BM Ngari
- BN BN Tanjong
- BNK Kaholongo
- BO Mofikoya
- BO Semo
- BP Thomas
- Bruce M Biccard
- Bruce M Biccard ProfPhD
- BS Sikombe
- BSG Diale
- BT Amisi
- Busi Mrara
- C Bitta
- C Chalo
- C Changfoot
- C Dhege
- C Houston
- C Kruse
- C Lee
- C Lionnet
- C Manirimbere
- C Msadabwe
- C Nantulu
- C Ndung'u
- C Nnaji
- C Ntoto
- CA Blake
- CA Roberts
- CAG Smits
- CH Basson
- Chaibou M Sani
- Chaibou M Sani MD
- Charles Tchegnonsi
- Chris Cairns
- Christella S Alphonsus
- Christina Salmina Gordon
- Christopher Y Matola
- CJ Bikuelo
- CJM Mawire
- CLC Lubamba
- CM Human
- CM Mwangi
- CN Mwaluka
- CN Namata
- Coulibaly Youssouf
- Coulibaly Youssouf ProfMD
- CR Saaiman
- CS Jallow
- CS Sendagire
- CS Shambare
- CZ Zinyemba
- D Benali
- D Daliri
- D Elrafifi
- D Hugo
- D Krick
- D Naidoo
- D Ndegwa
- D Ngorora
- D Ngouane
- D Roytowski
- D Tarloff
- Daniel Zemenfes Ashebir
- David Bishop PhD
- David G Bishop
- David Lee Skinner
- DE du Plessis
- Dela A Maiwald
- Devan Rungan
- DF Dibwe
- DG Giles
- DH Imposo
- DI Uhuebor
- Diallo Gangaly
- Diango Djibo Mahamane
- DJ Van der Merwe
- DK Kabatoro
- DK Sanduku
- DM Adeleke
- DM Linyama
- DM Maimane
- DM Maluleke
- DM Mangoo
- DMA Aurélia
- DMA Randriambololona
- DO Ojuka
- Dolly M Munlemvo
- Dolly M Munlemvo MD
- Dominique van Dyk
- Dominique van Dyk FCA
- Doreen M Mashava
- DP Domoyyeri
- DR Bhagwandass
- DS Nesengani
- DS Sikazwe
- DV Manyere
- E Atito-Narh
- E Blignaut
- E Chikumba
- E Hadia
- E Horugavye
- E Loots
- E Mashoko
- E Ngatia
- E Ninise
- E Salaheddin
- E Swayeb
- EA Alakkari
- EA Alzahra
- EB Etuk
- EB Holford
- Edith Djessouho
- EE Wynne
- EF Post
- EK Badianga
- EK Makopa
- El-Z Ahmed
- EM Semenya
- EN Waweru
- EO Enendu
- EO Enwerem
- EO Ogboli-Nwasor
- Ernest Nkwabi
- ES al Shams
- ES Namegabe
- Estie Cloete
- Eugene Zoumenou
- Eugene Zoumenou ProfPhD
- EV Neluheni
- F Abuhdema
- F Albert
- F Alkobty Alkobty
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- F Blignaut
- F Boufas
- F Carlos
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- F Mitema
- F Nakandungile
- F Ouanes
- F Tshivhula
- FAM Mohammed
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- Farai D Madzimbamuto FCA ECSA
- Farai Madzimbamuto
- Felix Anani
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- FP Paruk
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- François Rakotoniaina
- Fred Bulamba
- FS Senusi
- FT Elharati
- G Ekwen
- G Elsaadi
- G Gerbel
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- Zipporah WW Ngumi
- ZS Elghazal
- ZS Jamal
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/04/2019
- Field of study
BACKGROUND: Maternal and neonatal mortality is high in Africa, but few large, prospective studies have been done to investigate the risk factors associated with these poor maternal and neonatal outcomes. METHODS: A 7-day, international, prospective, observational cohort study was done in patients having caesarean delivery in 183 hospitals across 22 countries in Africa. The inclusion criteria were all consecutive patients (aged ≥18 years) admitted to participating centres having elective and non-elective caesarean delivery during the 7-day study cohort period. To ensure a representative sample, each hospital had to provide data for 90% of the eligible patients during the recruitment week. The primary outcome was in-hospital maternal mortality and complications, which were assessed by local investigators. The study was registered on the South African National Health Research Database, number KZ_2015RP7_22, and on ClinicalTrials.gov, number NCT03044899. FINDINGS: Between February, 2016, and May, 2016, 3792 patients were recruited from hospitals across Africa. 3685 were included in the postoperative complications analysis (107 missing data) and 3684 were included in the maternal mortality analysis (108 missing data). These hospitals had a combined number of specialist surgeons, obstetricians, and anaesthetists totalling 0·7 per 100 000 population (IQR 0·2-2·0). Maternal mortality was 20 (0·5%) of 3684 patients (95% CI 0·3-0·8). Complications occurred in 633 (17·4%) of 3636 mothers (16·2-18·6), which were predominantly severe intraoperative and postoperative bleeding (136 [3·8%] of 3612 mothers). Maternal mortality was independently associated with a preoperative presentation of placenta praevia, placental abruption, ruptured uterus, antepartum haemorrhage (odds ratio 4·47 [95% CI 1·46-13·65]), and perioperative severe obstetric haemorrhage (5·87 [1·99-17·34]) or anaesthesia complications (11·47 (1·20-109·20]). Neonatal mortality was 153 (4·4%) of 3506 infants (95% CI 3·7-5·0). INTERPRETATION: Maternal mortality after caesarean delivery in Africa is 50 times higher than that of high-income countries and is driven by peripartum haemorrhage and anaesthesia complications. Neonatal mortality is double the global average. Early identification and appropriate management of mothers at risk of peripartum haemorrhage might improve maternal and neonatal outcomes in Africa. FUNDING: Medical Research Council of South Africa.Medical Research Council of South Africa