10 research outputs found
Characterization of Ribosomal Frameshifting in Theiler's Murine Encephalomyelitis Virus.
- Author
- Publication venue
- J Virol
- Publication date
- 01/01/2015
- Field of study
Theiler's murine encephalomyelitis virus (TMEV) is a member of the genus Cardiovirus in the Picornaviridae, a family of positive-sense single-stranded RNA viruses. Previously, we demonstrated that in the related cardiovirus, Encephalomyocarditis virus, a programmed-1 ribosomal frameshift (1 PRF) occurs at a conserved G_GUU_UUU sequence within the 2B-encoding region of the polyprotein open reading frame (ORF). Here we show that-1 PRF occurs at a similar site during translation of the TMEV genome. In addition, we demonstrate that a predicted 3= RNA stem-loop structure at a noncanonical spacing downstream of the shift site is required for efficient frameshifting in TMEV and that frameshifting also requires virus infection. Mutating the G_GUU_UUU shift site to inhibit frameshifting results in an attenuated virus with reduced growth kinetics and a small-plaque phenotype. Frameshifting in the virus context was found to be extremely efficient at 74 to 82%, which, to our knowledge, is the highest frameshifting efficiency recorded to date for any virus. We propose that highly efficient-1 PRF in TMEV provides a mechanism to escape the confines of equimolar expression normally inherent in the single-polyprotein expression strategy of picornaviruses.Work in the A.E.F. lab is supported by the Wellcome Trust [088789], [106207]; and the
Biotechnology and Biological Sciences Research Council [BB/J007072/1]. L.F. is supported
by a Biotechnology and Biological Sciences Research Council PhD studentship.This is the final published version. It first appeared at http://jvi.highwire.org/content/early/2015/06/05/JVI.01043-15.abstract
Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study
- Author
- Abel K
- Adamali H.
- Adeloye D
- Adeyemi Oluwaseun
- Adrego Rita
- Aguilar Jimenez Laura A.
- Ahmad Haider N
- Ahmad Shanaz
- Ahmed R
- Ahwireng Nyarko
- Ainsworth Mark
- Al-Sheklly B.
- Alamoudi Asma
- Alfaro-Almagro Fidel
- Ali Mariam
- Aljaroof M
- Allan L
- Allen R J
- Allerton Lisa
- Allsop Lynne
- Allt Ann Marie
- Almeida Paula
- Altmann Danny
- Alvarez Corral Maria
- Amoils S.
- Anderson David
- Antoniades C
- Arbane Gill
- Arias Ava Maria
- Armour C.
- Armstrong Lisa
- Armstrong Natalie
- Arnold David
- Arnold H
- Ashish A
- Ashworth Andrew
- Ashworth M
- Aslani S
- Assefa-Kebede Hosanna
- Atkin C
- Atkin Paul
- Aul Raminder
- Aung H
- Austin Liam
- Avram Cristina
- Ayoub A.
- Babores M.
- Baggott R
- Bagshaw J
- Baguley D
- Bailey L
- Baillie J.K.
- Bain S
- Bakali M
- Bakau M
- Baldry E
- Baldwin D
- Baldwin M
- Ballard C
- Bandula Steven
- Banerjee A
- Bang Dongchun
- Barker R E
- Barman L
- Barratt Shaney
- Barrett Fiona
- Basire Donna
- Basu N.
- Bates A
- Bates M
- Batterham R
- Baxendale H
- Bayes Hannah
- Beadsworth M.
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- Beggs Mark
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- Bloss Angela
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- Xie Cheng
- Xu M
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- Zawia Amira
- Zeidan Lisa
- Zhao Bang
- Zheng Bang
- Zongo O.
- Publication venue
- Elsevier
- Publication date
- 22/09/2023
- Field of study
Introduction:
The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures.
Methods:
In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025.
Findings:
Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2–6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p<0·0001) and independently associated with COVID-19 status (odds ratio [OR] 2·9 [95% CI 1·5–5·8]; padjusted=0·0023) after adjusting for relevant confounders. Compared with controls, patients were more likely to have MRI evidence of lung abnormalities (p=0·0001; parenchymal abnormalities), brain abnormalities (p<0·0001; more white matter hyperintensities and regional brain volume reduction), and kidney abnormalities (p=0·014; lower medullary T1 and loss of corticomedullary differentiation), whereas cardiac and liver MRI abnormalities were similar between patients and controls. Patients with multiorgan abnormalities were older (difference in mean age 7 years [95% CI 4–10]; mean age of 59·8 years [SD 11·7] with multiorgan abnormalities vs mean age of 52·8 years [11·9] without multiorgan abnormalities; p<0·0001), more likely to have three or more comorbidities (OR 2·47 [1·32–4·82]; padjusted=0·0059), and more likely to have a more severe acute infection (acute CRP >5mg/L, OR 3·55 [1·23–11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation.
Interpretation:
After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification
Characterization of Ribosomal Frameshifting in Theiler's Murine Encephalomyelitis Virus.
- Author
- Publication venue
- 'American Society for Microbiology'
- Publication date
- 01/01/2015
- Field of study
Theiler's murine encephalomyelitis virus (TMEV) is a member of the genus Cardiovirus in the Picornaviridae, a family of positive-sense single-stranded RNA viruses. Previously, we demonstrated that in the related cardiovirus, Encephalomyocarditis virus, a programmed-1 ribosomal frameshift (1 PRF) occurs at a conserved G_GUU_UUU sequence within the 2B-encoding region of the polyprotein open reading frame (ORF). Here we show that-1 PRF occurs at a similar site during translation of the TMEV genome. In addition, we demonstrate that a predicted 3= RNA stem-loop structure at a noncanonical spacing downstream of the shift site is required for efficient frameshifting in TMEV and that frameshifting also requires virus infection. Mutating the G_GUU_UUU shift site to inhibit frameshifting results in an attenuated virus with reduced growth kinetics and a small-plaque phenotype. Frameshifting in the virus context was found to be extremely efficient at 74 to 82%, which, to our knowledge, is the highest frameshifting efficiency recorded to date for any virus. We propose that highly efficient-1 PRF in TMEV provides a mechanism to escape the confines of equimolar expression normally inherent in the single-polyprotein expression strategy of picornaviruses
A multiple method investigation of serving and ex-serving defence members’ experiences with the PTSD Coach Australia app
- Author
- Publication venue
- 'JMIR Publications Inc.'
- Publication date
- 26/07/2020
- Field of study
Background: PTSD Coach Australia is an app for serving and ex-serving Defence members that was adapted for the Australian context in 2013 from PTSD Coach, which was created in the USA. Objective: The current study aimed to provide an evaluation of the app from the perspective of serving and ex-serving members of the Australian Defence Force. Methods: Qualitative data were collected in response to questions to participants in one of five workshops (n = 29), or in telephone interviews (n = 24). Results: Analysis of the qualitative data demonstrated mixed support for the app. While some people found it to be extremely useful, especially as an adjunct to therapy, others pointed to limitations and cautioned against the app potentially triggering symptoms in people with PTSD. This perceived risk was usually seen as arising from frustration with the app’s functionality rather than its content. Participants spoke about helpful and unhelpful aspects of the app and barriers for its use and made suggestions for improvement. Many participants encouraged its continued use and highlighted the need for it to be promoted more broadly, as many were not aware of it until invited to participate in this research. Conclusions: PTSD Coach Australia was seen in a positive light by some participants, but others suggested it was too text dense and had the potential to trigger a traumatic response in users with PTSD. A need to update the app was also a common comment as was the need to increase awareness of the apps existence
Clinicians' perceptions of PTSD Coach Australia
- Author
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/09/2020
- Field of study
Introduction: Applications or “mobile apps” are a potentially important source of assistance for serving and ex-serving Defence members with mental health problems. PTSD Coach Australia is a modified version of an application developed by the US Department of Veteran Affairs. Clinician perceptions of mobile apps are important as they influence the dissemination and adoption of apps. This study aimed to explore the perceptions of PTSD Coach Australia by clinicians with experience in assisting Defence members with mental health problems. Method: The study involved two samples of participants who were asked about their perceptions of PTSD Coach Australia. The first involved 33 clinicians who participated in one of five focus groups. The second comprised 30 clinicians who were individually interviewed by telephone. Qualitative responses to questions regarding PTSD Coach Australia were analysed to identify representative themes. Participants in the focus group sample also rated the app on the user version of the Mobile Apps Rating Scale (uMARS). Results: On the uMARS, clinicians rated the mobile app's subjective quality as ‘average’ to ‘good’. Participants generally saw the app as a useful to help track symptoms, improve engagement and help implement strategies between sessions. However, they also expressed concerns with the app not being user-friendly (e.g. too wordy, poor layout/navigation) and having technical issues (freezing or crashing on Android devices). Discussion: PTSD Coach Australia is generally seen as being acceptable and useful by mental health clinicians. However, it is important to include their concerns in future developments of PTSD Coach Australia and similar mobile apps in order to maximize their utilisation in Defence members.</p
Multi‐Phase Sputtered TiO2‐Induced Current–Voltage Distortion in Sb2Se3 Solar Cells
- Author
- Biswas Deepnarayan
- Bowen Leon
- Dhanak Vinod R.
- Don Christopher H.
- Durose Ken
- Finch Harry
- Fleck Nicole
- Hobson Theodore D. C.
- Jones Leanne A. H.
- Lee Tien‐Lin
- Major Jonathan D.
- Markwell Christopher
- Phillips Laurie J.
- Scanlon David O.
- Shalvey Thomas P.
- Smiles Matthew J.
- Swallow Jack E. N.
- Thakur Pardeep K.
- Thomas Luke
- Veal Tim D.
- Williamson Benjamin A. D.
- Publication venue
- Wiley
- Publication date
- 01/01/2023
- Field of study
Despite the recent success of CdS/Sb2Se3 heterojunction devices, cadmium toxicity, parasitic absorption from the relatively narrow CdS band gap (2.4 eV) and multiple reports of inter-diffusion at the interface forming Cd(S,Se) and Sb2(S,Se)3 phases, present significant limitations to this device architecture. Among the options for alternative partner layers in antimony chalcogenide solar cells, the wide band gap, non-toxic titanium dioxide (TiO2) has demonstrated the most promise. It is generally accepted that the anatase phase of the polymorphic TiO2 is preferred, although there is currently an absence of analysis with regard to phase influence on device performance. This work reports approaches to distinguish between TiO2 phases using both surface and bulk characterization methods. A device fabricated with a radio frequency (RF) magnetron sputtered rutile-TiO2 window layer (FTO/TiO2/Sb2Se3/P3HT/Au) achieved an efficiency of 6.88% and near-record short–circuit current density (Jsc) of 32.44 mA cm−2, which is comparable to established solution based TiO2 fabrication methods that produced a highly anatase-TiO2 partner layer and a 6.91% efficiency device. The sputtered method introduces reproducibility challenges via the enhancement of interfacial charge barriers in multi-phase TiO2 films with a rutile surface and anatase bulk. This is shown to introduce severe S-shaped current–voltage (J–V) distortion and a drastic fill–factor (FF reduction in these devices
Empagliflozin in Patients with Chronic Kidney Disease
- Author
- Aamir Navivala
- Abdulwahab Arbi
- Abegail Hernandez Pena
- Abraham Hanburry
- Adedolapo Adeleke
- Adeera Levin
- Adil Hazara
- Adline Ghazi
- Agnes Masengu
- Ahmad Tuffaha
- Ahmed Awad
- Ahmed Ghanem
- Ai Fukasawa
- Aik Kheng Lee
- Aiko Terakawa
- Aiko Tomita
- Aiko Yamada
- Ailsa Geddes
- Airi Sato
- Akane Katanosaka
- Akane Yamamoto
- Akihiro Fujimoto
- Akihiro Katayama
- Akihito Tanaka
- Akiko Fujita
- Akiko Hashimoto
- Akiko Ishiguro
- Akiko Omata
- Akimasa Asai
- Akinwande Akinfolarin
- Akio Kanazawa
- Akiyo Nishiyama
- Akiyo Tanabe
- Alastair Rankin
- Alastair Woodman
- Albert Hing
- Albert Power
- Alberto Rosati
- Aldo P Maggioni
- Aldo Peixoto
- Aleksandra Murawska
- Alessandro D'Amelio
- Alex Aguilera
- Alex Baxter
- Alex Howson
- Alexa Wonnacott
- Alexander Hadley
- Alexander Hodakowski
- Alexander Paliege
- Alexis Africano
- Alexis Stevenson
- Alfio Giuffrida
- Alfred K Cheung
- Alia Hasan
- Alia Zubaidah Bahtar
- Alice Aitken
- Alice Guerini
- Aliseiya Garza
- Alison Cowley
- Alison Jenkins
- Alison Timadjer
- Allen Young
- Allison Leslie
- Amalia Caamano
- Amanda Aliu
- Amanda Axler
- Amanda Davis
- Amanda Scott
- Amanda Tyler
- Amar Ali
- Amber Avery
- Amber Hurst
- Amelia Te
- Ami Inamori
- Amin Oomatia
- Amir Kazory
- Amret Hawfield
- Amritanshu Pandey
- Amy Hudson
- Amy Hunter
- Amy Mottl
- Ana Moncada
- Anand Srivastava
- Anastassiya Reisler
- Anca Gherman
- Andre Valleteau
- Andrea Lorimer
- Andrea Schwab
- Andrea Webster
- Andrea Wilson
- Andreas Schneider
- Andrew Breach
- Andrew Connor
- Andrew Frankel
- Andrew Gordon
- Andrew Lewington
- Andrew Shepherd
- Andrew Steele
- Andy Burke
- Andy Measor
- Angela Bergner
- Angela Chamberlain
- Angela Field
- Angela Moon
- Angeline Mbuyisa
- Angharad Williams
- Anil George
- Anita Hepditch
- Anita Kamarzarian
- Anja Knoppe
- Anju Oommen
- Anke Torp
- Ankit Mehta
- Ann Bennett
- Ann Cooper
- Ann Vasseur
- Anna Brewer
- Anna Liew
- Anna Postal
- Anna Romo
- Anna Sampson
- Annalisa Aloisi
- Anne Froment
- Anne Grace
- Anne Schreiber
- Anne-Marie Beneat
- Annegret Fleischer
- Annette Kraemer-Guth
- Annie Saillant
- Annika Küpper
- Anoushka Bhatt
- Anthony Lambert
- Anthony Torres
- Anthoula Apostolidi
- Antonia Schuster
- Antonio Cardone
- Aoife O'Sullivan
- Aparna Padiyar
- Arash Rashidi
- Archie Maskill
- Arelis Madera
- Arif Khwaja
- Arihiro Kiyosue
- Asako Takesada
- Ashlee Morris
- Ashleigh Wheeler
- Ashley Lawson
- Ashwathy Varughese
- Ashwini Gore
- Asma Sabarai
- Astrid Maselli
- Atsuko Nakatsuka
- Atsuyuki Tokuyama
- Auguste Kutschat
- Autumn Wood
- Aya Kawase
- Aya Tanaka
- Aya Yamanaka
- Ayako Imai
- Ayana Tatsuzawa
- Aydin Er
- Ayesha Ali
- Ayesha Irtiza-Ali
- Aziee Sudin
- Bader Al-Zeer
- Baigent Colin
- Bak Leong Goh
- Balwinder Gill
- Ban Chai Peng
- Baochun Guo
- Barbara Bartolomei Mecatti
- Barbara Tucky
- Barbara Winter-Goodwin
- Barbara Zander
- Barry Johns
- Beate Schumacher
- Bellovich Keith
- Ben Bagwell
- Ben Caplin
- Bernd Hohenstein
- Bernd Kruger
- Bernd Schroppel
- Bernd Stratmann
- Bernhard Banas
- Bernhard Kraemer
- Bernhard Winkelmann
- Bethelihem Gebeyehu
- Bhavya Kothapalli
- Bhrigu Sood
- Bhupinder Grewal
- Bianca Weber
- Bianka Rettenmaier
- Binbin Jin
- Bob Goodenough
- Bradley Eilerman
- Brandy Caudill
- Brenner Susanne
- Brian Camilleri
- Brigitte Fuchs
- Britta Brettschneider
- Britta Zemann
- Brittany Cleveland
- Brittany Golson
- Brittany Whitmore
- Brueckmann Martina
- Camille Galloway
- Cara Healy
- Carina Krieger
- Carl-Philipp Roesch
- Carlo Castillo
- Carlo Garofalo
- Carlos Hernandez-Cassis
- Carlos Martinez
- Carly McDonald
- Carol Buckman
- Carol Knott
- Caroline Blake
- Carolyn Hutchinson
- Cashmere Hardy
- Cassandra Johnson
- Cassandra Kimber
- Cat Guest
- Cath Byrne
- Cathy Jackson
- Cecilia Barnini
- Cesira Cafiero
- Chakradhar Velagapudi
- Charalampos Kriatselis
- Charles Daniels
- Charles Herzog
- Charlotte Kamundi
- Chee Koon Low
- Chek Loong Loh
- Chelsia Bao Tyng Chan
- Chen Cheng
- Chen Hua Ching
- Cheng Beng Goh
- Cherney David
- Chetna Tailor
- Cheung Alfred K
- Chiara Saccà
- Chiara Salviani
- Chidambaram Nethaji
- Chie Hashimoto
- Chie Saito
- Chigusa Higuchi
- Chigusa Yamashita
- Chiho Murakami
- Chika Kuribayashi
- Chimaki Unekawa
- Chintankumar Barot
- Chloe Bird
- Chong Men Leong
- Chris Bowler
- Chrissie Ambrose
- Christian Albert
- Christian Hartner
- Christian Hugo
- Christina Büttner
- Christina Reith
- Christine Bond
- Christine Braun
- Christine Brown
- Christine McClary-Wright
- Christine Meshykhi
- Christine Pötz
- Christoph Stellbrink
- Christoph Wanner
- Christopher Goldsmith
- Christopher Hill
- Christopher Marshall
- Christopher Provenzano
- Christopher Sze Bing Sim
- Christopher Wong
- Chuanwen Xu
- Chukwuma Chukwu
- Chun Leong Low
- Chye Chung Gan
- Cindy Castro
- Cindy Vanhoy
- Claire Burston
- Claire Sharpe
- Claire Shenton
- Clare Hui Hong Tan
- Clare Macdonald
- Claudia Donhauser
- Claudia Foellinger
- Claudia Hanf
- Claudia Schmidt
- Claudia Schneider-Danwitz
- Clorinda Falcone
- Cole Valletta
- Conception Pugay
- Concetta Gangemi
- Conor Moran
- Cristina Badin
- Cristina Calvi
- Curtis Knight
- Cynthia Mohandas
- Daisuke Sato
- Daisy Arteaga
- Damini Jeyarajah
- Daniel Kraus
- Daniel Pinto
- Daniel Steffl
- Daniela Farrugia
- Danijela Bovan
- Danny Sugimoto
- Daria Motta
- Darya Hosein
- David Bains
- David Cherney
- David Loader
- David MacLean
- David Preiss
- David Sutton
- David Tietjen
- Davina Hewitt
- Debasish Banerjee
- Debbie Domingo
- Debbie Griffin
- Deborah Glowski
- Deborah Lund
- Deirdre Fottrell-Gould
- Denise Donaldson
- Denise Fleming-Brown
- Denise Laurienti
- Dennis Karounos
- Deo Rajat
- Derrick Bennett
- Devasmita Dev
- Dheeptha Radhakrishnan
- Diane Campbell
- Diane Watkins
- Diethelm Tschope
- Diliana Draganova
- Divya Birudaraju
- Dolores Rijos
- Domenico Santoro
- Dominic Fellowes
- Dominik Alscher
- Dominik Stoffler
- Donald Fraser
- Donata Lucci
- Donatella Bilucaglia
- Doo Yee Mah
- Doreen Zhu
- Doris Poehler
- Dorleena Gowen
- Duncan Browne
- Eason Chang
- Edmond Limon
- Edward Kinsella-Perks
- Edward Pereira
- Edwin Wong
- Egbert Schulz
- Eiichiro Kanda
- Eilbracht Jens
- Eirini Lioudaki
- Eitaro Nakashima
- Ekaterina Stellbrink
- Elaine Fung
- Eleanor Damian
- Elena Brioni
- Elias Ugwu
- Elif Turan
- Elisa Joye Petr
- Elisabeth Bahlmann-Kroll
- Elisabeth Laundy
- Elissa Williams
- Elizabeta Matvienko
- Elizabeth Newman
- Elizabeth Swanson
- Elke Preiss
- Elke Schettler
- Elliyyin Katiman
- Emberson Jonathan R
- Emi Kuroda
- Emily Chang
- Emily Harding
- Emily Laity
- Emily Sammons
- Emily Tropman
- Emma McHaffie
- Emma Sadler
- Emmie Cole
- Enric Vilar
- Eri Kogure
- Eri Nagashima
- Eri Yanagisawa
- Eric Wines
- Erika Perez
- Eriko Takahira
- Erin Latore
- Ester Baldini
- Esther Zhao Zhi Tan
- Etsuo Yoshidome
- Eunice Doctolero
- Eva Voigt
- Eve Miller-Hodges
- Evelina Grobovaite
- Evelyn Nadar
- Ewelina Eckrich
- Exodus Edmerson
- Fadia Boreky
- Fairol Huda Ibrahim
- Fang Chen
- Fang Feng
- Farah Amalina Mohamed Affandi
- Farah Hanis Zulkipli
- Farah Latif
- Farid Ghalli
- Fariz Safhan Mohamad Nor
- Federica Tripodi
- Federico Alberici
- Fengmin Shao
- Filippo Aucella
- Filippo Fani
- Filippo Farnia
- Florian Sonntag
- Fortunata Zirino
- France Samson
- Frances Morris
- Francesca Bianchini
- Francesco Pesce
- Francesco Russo
- Francesco Scolari
- Francesco Totaro
- Francisco Aguilar
- Francois Dube
- Francois Madore
- Frank McCarroll
- Frank Strutz
- Franz Putz
- Franziska Klauser
- Franziska Scheidemantel
- Freda Driver
- Frederic Rahbari-Oskoui
- Fujiko Hasegawa
- Fulvia Zappulo
- Fuye Yang
- Gabriele Eden
- Gaetano La Manna
- Gagandeep Dhillon
- Gail Evans
- Gail Makos
- Genesis Naverrete
- Genielle Brewer
- Gennaro Santorelli
- Georg Rainer Schlieper
- George Thomas
- Georges Nakhoul
- Geraldine Hernandez
- Gerard Martins
- Gerhard Klausmann
- Gerhard Schmidt
- Gianna Fabbri
- Gianni Carraro
- Gillian Whalley
- Gina Morig
- Giorgio Gentile
- Giovanna Leoncini
- Giovanni Gambaro
- Giovanni Piccinni
- Girish Shivashankar
- Giulia Nobili
- Giuseppe Cianciolo
- Giuseppe Grandaliano
- Giuseppe Spatoliatore
- Giuseppe Vezzoli
- Giuseppina Pessolano
- Godson Oguchi
- Golriz Jafari
- Goto Shinya
- Green Jennifer B
- Gregory Greenwood
- Guanguo Cui
- Guillermo Jimenez
- Gunnar Heine
- Gunter Wolf
- Guylaine Marcotte
- Haitao Zhang
- Haiyan Lin
- Hajar Ahmad Rosdi
- Hajime Nagasu
- Hamish Woodhouse
- Hanako Hase
- Hanna Reiner
- Hannah Kingston
- Hannah Turner
- Hans Schmidt-Gurtler
- Hao Dai
- Harald Darius
- Hari Dukka
- Hari Nair
- Harish Pariani
- Harold Szerlip
- Harpreet Bajaj
- Haruhito Uchida
- Haruka Sasajima
- Hasnah Yahaya
- Hasnain Khandwala
- Hauske Sibylle J
- Haynes Richard
- Heather Edwards
- Heather Henderson
- Heba Nosseir
- Helen Clarke
- Helen Eldon
- Helen French
- Helen Lochhead
- Helen Sparks
- Henry Brown
- Hermann Haller
- Herrington William G
- Hesham Ammar
- Hideki Fujii
- Hideki Kamiya
- Hideki Katagiri
- Hideo Araki
- Hideyoshi Kaga
- Hikari Uchi
- Hilary Tindall
- Hill Michael
- Hima Yalamanchili
- Hin Seng Wong
- Hirayasu Kai
- Hiroaki Sato
- Hirokazu Sugiyama
- Hiroko Inazawa
- Hiromasa Goto
- Hiromi Komori
- Hiromi Shimoda
- Hiroshi Kajio
- Hiroshi Kinashi
- Hiroshi Kojima
- Hiroshi Maegawa
- Hiroshi Morinaga
- Hiroshi Nishi
- Hirotaka Komaba
- Hirotaka Watada
- Hiroto Sugawara
- Hiroyuki Kadoya
- Hitomi Ito
- Hitomi Sato
- Hitomi Yoshikawa
- Hitoshi Iwasaki
- Hitoshi Kuwata
- Hitoshi Shimano
- Hitoshi Sugiyama
- Hitoshi Suzuki
- Holly Coles
- Holly Robinson
- Holly Waterfall
- Hong Cheng
- Hong Du
- Hong Liu
- Hooi Lai Seong
- Horst Weihprecht
- Huan Yean Kang
- Huaying Xiao
- Hubert Dumann
- Hugh Finn
- Hugh Murtagh
- Hui Xue
- Hui Yu
- Hui Zhong
- Huixia Cao
- Huzaifa Salim
- Hyder Jasim
- Iain MacDougall
- Ian Barton
- Ichiro Nojima
- Ikuko Kawai
- Imran Nazeer
- Ina Girakossyan
- Inga-Nadine Kummer
- Iradis Leal
- Irda Yasmoon Awang
- Irene Capelli
- Irene Leal
- Irina Schneider
- Isabel Rodriguez-Bachiller
- Ismeal Ahmed
- Itsuko Miyazawa
- Jack Dienes
- Jacob Maris
- Jaime Wiebel
- Jaime Yoke May Chan
- James Bushnell
- James Magee
- James Muir
- James Tomlinson
- James Wheeler
- Jamie Bhairoo
- Jan Jochims
- Jan Kielstein
- Jan Menne
- Jane Piper
- Janet Wittes
- Janice Rogers
- Janina Renner
- Jaskiran Saini
- Jasmine Gaidu
- Jason Stubbs
- Javelin Peji
- Javier Almeida
- Jay Cadorna
- Jean Park
- Jeevika Vinathan
- Jeffrey Dugas
- Jeffrey Mulhern
- Jeffrey Turner
- Jennifer B Green
- Jennifer Ingell
- Jennifer Kearney
- Jennifer Sheldon
- Jennifer Stanfield
- Jennifer Stickley
- Jennifer Wiley
- Jenny Finch
- Jenny Hansen
- Jenny Ingell
- Jens Passauer
- Jerome Loutan
- Jessica Kaufeld
- Jessica Terry
- Jesslyn Roesch
- Jesus Arroyo
- Jiamin Liu
- Jianfang Cai
- Jianying Niu
- Jie Huang
- Jiehui Chen
- Jill Barton
- Jim Moriarty
- Jing Li
- Jing Wu
- Jinghong Zhao
- Jiro Nakamura
- Jo Chambers
- Jo Taylor
- Joachim Beige
- Joanne Davies
- Joanne Gordon
- Joanne Kellett
- Jocelyn Berdeprado
- Joel Topf
- Johannes Stegbauer
- John Evans
- John Manley
- John Nolan
- John O'Toole
- John Smyth
- Jon Tyler
- Jonathan Emberson
- Jonathan Hecktman
- Jonathan Taliercio
- Jordan Osmond Foster
- Jorge Jesus-Silva
- Joseph Aiello
- Joseph Soufer
- Josephine Tse
- Joyce Bilton
- Ju Fan Tay
- Juan Fernandez
- Judepatricks Onyema
- Judge Parminder
- Judi Graham
- Judith Plummer-Morgan
- Judy Ann Acosta
- Judy Carle
- Judy Lee
- Julia Krappe
- Julia Weinmann-Menke
- Julian Stumpf
- Juliette Meek
- Jun Eguchi
- Jun Okajyo
- Jun Takeoka
- Jun Wada
- Junichiro Nakata
- Junko Sato
- Junko Wada
- Justin Davis
- Justyna Witczak
- Jyothis George
- Kadowaki Takashi
- Kah Mean Thong
- Kahla Damianik
- Kaho Shimamura
- Kai Quan Lee
- Kaitlin J Mayne
- Kaitlin Knapp
- Kaitlyn Preston
- Kaitlyn Staylor
- Kana Uozumi
- Kana Wakayama
- Kanae Fujita
- Kaori Oishi
- Kaori Okamura
- Karen Chung
- Karen Convery
- Karen Taylor
- Karina Urquia
- Karl Wallendszus
- Katarzyna Eichstadt
- Kate Frederick
- Kate Trivedi
- Katharine Draxlbauer
- Katherine R Tuttle
- Kathryn DeGoursey
- Kathryn Lafferty
- Kathryn Simmons
- Kathy McCray
- Katia Sloan
- Katrina Taylor
- Katsutaro Morino
- Katsuya Tanigaki
- Katsuyuki Tanabe
- Kay Tobin
- Kayaho Maeda
- Kayla Merritt
- Kayo Kaneko
- Kazue Sawada
- Kazuhiko Sakaguchi
- Kazuhiro Ito
- Kazuki Tajima
- Kazuo Izumi
- Kazushige Hirata
- Kazuyo Takahashi
- Kazuyuki Yuasa
- Kei Takahashi
- Keiji Kono
- Keiko Inomata
- Keisuke Habuki
- Keizo Kaneko
- Kelli McIntosh
- Kelly White
- Kendaling Bruce
- Kengo Kidokoro
- Kenichi Shikata
- Kenji Ishihara
- Kenji Sugawara
- Kenji Tsuji
- Kenneth Boren
- Kenneth Kay Leong Khoo
- Kenta Sugamori
- Kentaro Watanabe
- Kerelyn Garcia
- Kerri Gallo
- Kerry Read
- Kerstin Haaser
- Kevin Murphy
- Kevin Verdel
- Kieran McCafferty
- Kim Bocchicchia
- Kim Wren
- Kirsty Forsyth
- Kiyohiro Izumi
- Koichi Kato
- Koin Watanabe
- Koji Maruyama
- Kojiro Ueki
- Kok Seng Teng
- Koki Shin
- Koko Ishizuka
- Konstantin Herfurth
- Korina Rahmat
- Kosuke Masutani
- Kristin Marx
- Kristine Calabrese
- Krystle Williams
- Ku Ruziana Ku Md Razi
- Kulli Barrett
- Kumar Sharma
- Kun Peng
- Kunihiro Ogane
- Kunihiro Yamagata
- Kwame Ansu
- Kyle Jansson
- Laiseong Hooi
- Laith Al-Rabadi
- Lance Sloan
- Landray Martin J
- Lars Rump
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- Shingo Iwasaki
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- Shogo Banno
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- Sion Roy
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- Siti Nabilah Mohamad Zaini
- Smeeta Sinha
- Smita Gunda
- Sodai Kubota
- Sofia Dayi
- Sonja Grotjahn
- Sonoka Yamamoto
- Soo Kun Lim
- Soon Yi Sor
- Sorcha Mulligan
- Sri Yarlagadda
- Sridhar Ramanaidu
- Srinivasan Beddhu
- Stacey-Ann Villaruel
- Stacie Hitchcock
- Stacy Gillham
- Staplin Natalie
- Stefan Degenhardt
- Stefan Haack
- Stefan Hantel
- Stefanie Jones
- Stefanie Kuhn
- Stephan Matthias
- Stephanie Bolton
- Stephanie Estcourt
- Stephanie Evans
- Stephanie Martinez
- Stephanie Rosenberg
- Stephanie Watson
- Stephanie Whittaker
- Stephany Topping
- Stephen Aronoff
- Steubl Dominik
- Steven Nagelberg
- Stevens Will
- Stewart Moffat
- Subash Somalanka
- Subha Clarke
- Subrata Debnath
- Sucharit Joshi
- Sue Ann Lee
- Sue Hewins
- SueAnn Squyres
- Sui Phin Kon
- Sunil Bhandari
- Sunita Bavanandan
- Suresh Ramadoss
- Suria Junus
- Susan Haskett
- Susan Hurley
- Susan McLaughlin
- Susannah Pajak
- Susanne Bodine
- Susanne Brenner
- Susumu Nakatani
- Suzannah Dorey
- Sybille Merscher
- Tabbatha Duck
- Tabinda Dugal
- Tadahiro Tomita
- Taeko Uchida
- Tai Meng Chen
- Takahiro Ishikawa
- Takahiro Kato
- Takahiro Matsunaga
- Takahiro Yamano
- Takako Kuramae
- Takako Ozawa
- Takanori Hyo
- Takashi Funayama
- Takashi Kadowaki
- Takashi Kobayashi
- Takashi Udagawa
- Takatoshi Otani
- Takayuki Katsuno
- Takehiko Wada
- Takehiro Sugiyama
- Takeshi Kurose
- Takeshi Miyatsuka
- Takeshi Ogihara
- Takuji Ishimoto
- Takuma Kojo
- Takuya Haraguchi
- Takuya Yokoyama
- Tamaki Sasaki
- Tamara Isakova
- Tammi Glider
- Tammy Ross
- Tanaji Dasgupta
- Taneera Ghate
- Taniya Nimbkar
- Tanvi Talsania
- Tara Johnson
- Tasuku Nagasawa
- Tatsuhito Himeno
- Tatyana Chavagnon
- Tejas Patel
- Teresa Kozlowski
- Teresa McKinley
- Terri Chant
- Tetsuya Hosooka
- Tetsuya Shigehara
- Thahir Abdul-Samad
- The EMPA-KIDNEY Collaborative Group: Colin Baigent
- Theresa McCarthy
- Thiemo Pfab
- Thisun Saram
- Thomas Arnold
- Thomas Jones
- Thomas Phillips
- Thomas Pickett
- Thomas Sitter
- Thomas Walters
- Thomas Weinreich
- Tim Doulton
- Tim Williams
- Timothy Ellam
- Tina Harding
- Tina Ramsey
- Ting Meng
- Tingting Kan
- Tobias Bergler
- Toluleyi Sobande
- Tomoe Sato
- Tomohide Hayami
- Tomohito Gohda
- Tomohito Izumi
- Tomoka Nakamura
- Tomoki Kosugi
- Tomoko Hisatake
- Tomoko Morisaki
- Tomoko Takahashi
- Tomoko Takai
- Tomonori Hasegawa
- Tomoya Mita
- Torsten Schramm
- Toru Ikeda
- Toshiki Kano
- Toshimasa Yamauchi
- Toshiya Yamamoto
- Toshiyuki Komiya
- Toyoyoshi Uchida
- Tracey Cummins
- Tracy Fuller
- Tracy Spinola
- Trevor Greene
- Tricia Young
- Tristan Daniels
- Tsukasa Iwakura
- Tuttle Katherine R
- Tze Jian Ng
- Ulla Ludwig
- Ulrike Giebeln-Hudnell
- Ulrike Schmidt
- Urs Benck
- Ursula Hohenstatt
- Usah Lilavivat
- Vahid Mahabadi
- Vanessa Rivers
- Verlaine Stewart-Ray
- Veronica Poma
- Veronica Yousif
- Vesta Lai
- Vicki Adell
- Vicki Brindle
- Vicki Dodds
- Vicki Donley
- Vickie Jones
- Victoria Carnall
- Victoria Gonce
- Vimal Derebail
- Vinay Varad
- Vittorio Ortalda
- Vivian Yiu
- Vladimir Cejka
- Volker Schettler
- Volker Vielhauer
- Wael Eid
- Wagdy Basily
- Wakako Isari
- Wallendszus Karl
- Waltraud Kmietschak
- Wan Ahmad Faizal Alaidin Razali
- Wan Hazlina Wan Mohamad
- Wanner Christoph
- Waqar Ayub
- Waseem Karsan
- Wasim Deeb
- Wasim Hanif
- Wataru Ogawa
- Wei Wang
- Wei Wei
- Weijing Bian
- Weiping Hou
- Weixin Kong
- Wen Jiun Liu
- Wen Liu
- Wendy Arriaga
- Wiebke Kaluza-Schilling
- Will Stevens
- William Durham
- William G Herrington
- William G Herrington
- William Hodge
- William Petchey
- Wolf-Adam Seeger
- Wolfgang Seeger
- Wuhanbilige Hundei
- Xavier Rossello
- Xia Song
- Xiangcheng Xiao
- Xiaojing Jiao
- Xiaojue Li
- Xiaoliang Wang
- Xinzhou Zhang
- Xiumei Hu
- Xuejiao Liu
- Xueying Wang
- Yan Li
- Yanmei Xu
- Yanping Wang
- YanRu Qiao
- Yanwu Yu
- Yanyun Xie
- Yao Weng
- Yao Yao
- Yasemin Kavak
- Yasuhiko Furukawa
- Yasuhiko Ito
- Yasuhiko Kanaguchi
- Yasuhiro Suzuki
- Yasushi Iwaita
- Ye Mun Low
- Yee Yan Lee
- Yew Fong Liew
- Yi Loon Tye
- Yik Hong Wong
- Yik Shen Lim
- Ying Hu
- Ying Jiang
- Ying Kuan
- Ying Lu
- Yinghua Chen
- Yohei Ejima
- Yoko Inukai
- Yolanda Miller
- Yong Chieh Chan
- Yonghong Bu
- Yoshiaki Morishita
- Yoshie Shibata
- Yoshifumi Tamura
- Yoshihiko Yamasaki
- Yoshihisa Wada
- Yoshikazu Tamori
- Yoshiki Suzuki
- Yoshimitsu Yamasaki
- Yoshinari Yasuda
- Yoshinori Osaki
- Yoshiro Kato
- Yoshiyuki Hamamoto
- Yosuke Hirakawa
- Yosuke Nakagawa
- Youcef Mostefai
- Young Lee-Barkey
- Yu An
- Yu Chen
- Yu Chen Ong
- Yu Yamanouchi
- Yuana Mohd Yusoff
- Yuichiro Munakata
- Yuji Oe
- Yuka Sato
- Yuka Ueda
- Yukari Miura
- Yuki Fujita
- Yuki Fukao
- Yuki Omori
- Yukihiro Shimizu
- Yukihiro Yamaji
- Yukiko Nakayama
- Yukiko Toyonaga
- Yukiko Wakita
- Yuko Katsuda
- Yuko Makita
- Yuko Okada
- Yuko Orimo
- Yumi Osawa
- Yushi Hirota
- Yusuke Suzuki
- Yutaka Kamimura
- Yuya Nishida
- Yvette Webley
- Yvonne Ehrl
- Yvonne Jackson
- Zabrina Lozon
- Zaid Azhari
- Zaiha Harun
- Zainab Sheriff
- Zanaida Cooper
- Zay Htet
- Zhang Duan Tham
- Zhi-Hong Liu
- Zhirui Zhao
- Zhu Doreen
- Zhuo Tang
- Zohreh Forghani
- Zuber Patel
- Publication venue
- 'Massachusetts Medical Society'
- Publication date
- 01/01/2023
- Field of study
Background The effects of empagliflozin in patients with chronic kidney disease who are at risk for disease progression are not well understood. The EMPA-KIDNEY trial was designed to assess the effects of treatment with empagliflozin in a broad range of such patients. Methods We enrolled patients with chronic kidney disease who had an estimated glomerular filtration rate (eGFR) of at least 20 but less than 45 ml per minute per 1.73 m(2) of body-surface area, or who had an eGFR of at least 45 but less than 90 ml per minute per 1.73 m(2) with a urinary albumin-to-creatinine ratio (with albumin measured in milligrams and creatinine measured in grams) of at least 200. Patients were randomly assigned to receive empagliflozin (10 mg once daily) or matching placebo. The primary outcome was a composite of progression of kidney disease (defined as end-stage kidney disease, a sustained decrease in eGFR to < 10 ml per minute per 1.73 m(2), a sustained decrease in eGFR of & GE;40% from baseline, or death from renal causes) or death from cardiovascular causes. Results A total of 6609 patients underwent randomization. During a median of 2.0 years of follow-up, progression of kidney disease or death from cardiovascular causes occurred in 432 of 3304 patients (13.1%) in the empagliflozin group and in 558 of 3305 patients (16.9%) in the placebo group (hazard ratio, 0.72; 95% confidence interval [CI], 0.64 to 0.82; P < 0.001). Results were consistent among patients with or without diabetes and across subgroups defined according to eGFR ranges. The rate of hospitalization from any cause was lower in the empagliflozin group than in the placebo group (hazard ratio, 0.86; 95% CI, 0.78 to 0.95; P=0.003), but there were no significant between-group differences with respect to the composite outcome of hospitalization for heart failure or death from cardiovascular causes (which occurred in 4.0% in the empagliflozin group and 4.6% in the placebo group) or death from any cause (in 4.5% and 5.1%, respectively). The rates of serious adverse events were similar in the two groups. Conclusions Among a wide range of patients with chronic kidney disease who were at risk for disease progression, empagliflozin therapy led to a lower risk of progression of kidney disease or death from cardiovascular causes than placebo
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis
- Author
- Ab Majid Mohd Azuan
- Ab Rahman Ahmad Sufian
- Ab Rahman Rusnah
- Abayasinghe Chamika
- Abbas Muntadhar
- Abbott T. E. F.
- Abbott Tom
- Abd Ghafar Fara Nur Idayu
- Abd Hadi Husni Zaeem
- Abdel Goad Ehab Helmy
- Abdullah Noor Hairiza
- Abdur-Rahman Lukman
- Abeloos Jacques
- Abernethy Caroline
- Abidin Ucu Nurhadiat
- Abrunhosa Alexandra
- Absar Mohammed
- Adam Suwayba
- Adams David
- Adams George
- Adamson Michael
- Adekola Oyebola
- Adelaja Yemi
- Ademola Adeyinka
- Adenekan Anthony
- Adenike Odewabi
- Adeolu Augustine A.
- Adetoye Adedapo
- Adewale Badru
- Adigun Tinuola
- Adolfsson Anne
- Africander Cucu
- Afshari Arash
- Agarwal Vandana
- Agodirin Olayide
- Aguzzoli Crisitiano
- Ahamed khader null
- Ahmad Azam Ummi Azmira
- Ahmad Abdurrahman
- Ahmad Norfaizan
- Ahmad T.
- Ahmad Tahania
- Ahmad Yousra
- Ahmed Ahmed
- Ahmed Jamil
- Ahmed Tahania
- Ai Yanqiu
- Aignatoaie Mariana
- Aimoniotou-Georgiou Eleni
- Akanmu Olanrewaju
- Akerman Nik
- Akinwale Mukaila
- Al Anizi Mashel
- Al hussaini Sabah
- Al'Amri Khalid
- Al-Soudaine Yassr
- Aladin Hafiz
- Alagbe-Briggs Olubusola
- Albaj Safauldeensalem
- Alberto Lisi Zaheer Moolla
- AlbertoVolta Carlo
- Alcock David
- Alcock Liam
- Aldecoa Cesar
- Aleixo Fábia Berganton
- Alexander Hazel
- Alexander Maini
- Alexander-Sefre Farhad
- Alherz Fadhel
- Ali Hani
- Ali Marlynn
- Ali Sarah
- Alias Abdul Hafiz
- Alias Anita
- Alit Mahaalit Aribawa
- Allen Samantha
- Allen Sara Jane
- Allison Joanna
- Alloj Chiara
- Allorto Nikki Leigh
- Allsop Joanne
- Almeida William
- Alonso Eduardo
- Alonso José Ignacio
- Alphonsus Christella
- Alvares Danielle
- Alves Maria Joao
- Amador Juan Carlos Bravo
- Ameer Yusuf
- Amendola Cristina Prata
- Ami Noam
- Amstrup-Hansen Louise
- Anagnou Athina
- Andersen Cheme
- Anderson Charlotte
- Anderson Colette
- Anderson Frank
- Anderson Philip
- Andreadaki Evangelia
- Andreou Alexandros
- Andreou Prematie
- Andrew Alyson
- Andrews Emma
- Angermair Stefan
- Angus Kirsty
- Anillo Victor
- Antal Oana
- Antill Philip
- Antoniadou Eleni
- Antonina Webombesa
- Apagaki Eymorfia
- Apostolou Konstantinos
- Applewhaite Christopher
- Aquino Laura Patricia González
- Ar Praburaj
- Arawwawala Dilshan
- Ardern Diane
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- Zerman Luiza
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- Zhang Xiaolin
- Zhang Xiaoyan
- Zhang Xuekang
- Zhang Yan
- Zhang Yapping
- Zhang Ye
- Zhang Yuan
- Zhao Bing
- Zhao Bo
- Zhao Chong
- Zhao Jiashi
- Zhao Jinning
- Zhao Lei
- Zhao Lili
- Zhao Shuna
- Zhao Ting
- Zhao Weihong
- Zhao Weilu
- Zhao Xiaoying
- Zhen Jungang
- Zheng Kang
- Zheng Lina
- Zheng Tianzhao
- Zhong Yi
- Zhou Ce
- Zhou Dachun
- Zhou Haidong
- Zhou Haiyan
- Zhou Jiali
- Zhou Jialong
- Zhou Jing
- Zhou Xian-jin
- Zhu Xiaomao
- Zhu Xiaoping
- Zhu Yi
- Zhu Zhipeng
- Zhuang Xiuxiu
- Zilis Georgios
- Zingerle Nicolette
- Zingg Urs
- Zoerner Frank
- Zonneveldt Harry
- Zou Xiaohua
- Zoulamoglou Menelaos
- Zsisku Lajos
- Åkring Irene
- Ögren Katrin
- Publication venue
- Health Sciences Research Commons
- Publication date
- 30/10/2017
- Field of study
© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine
Prospective observational cohort study on grading the severity of postoperative complications in global surgery research
- Author
- Abayasinghe Chamika
- Abbas Muntadhar
- Abbott T. E. F.
- Abbott Tom
- Abdullah Noor Hairiza
- Abdur-Rahman Lukman
- Abeloos Jacques
- Abernethy Caroline
- Abidin Ucu Nurhadiat
- Abrunhosa Alexandra
- Absar Mohammed
- Adam Suwayba
- Adams George
- Adamson Michael
- Adekola Oyebola
- Adelaja Yemi
- Ademola Adeyinka
- Adenekan Anthony
- Adenike Odewabi
- Adeolu Augustine A
- Adetoye Adedapo
- Adewale Badru
- Adigun Tinuola
- Adolfsson Anne
- Aflori Laura
- Africander Cucu
- Afshari Arash
- Agarwal Vandana
- Agodirin Olayide
- Aguzzoli Crisitiano
- Ahmad Abdurrahman
- Ahmad Norfaizan
- Ahmad T.
- Ahmad Tahania
- Ahmad Yousra
- Ahmed Ahmed
- Ahmed Jamil
- Ahmed Tahania
- Ai Yanqiu
- Aignatoaie Mariana
- Aimoniotou-Georgiou Eleni
- Akanmu Olanrewaju
- Akerman Nik
- Akinwale Mukaila
- Al Amri Khalid
- Al Hussaini Sabah
- Al-Soudaine Yassr
- Aladin Hafiz
- Alagbe-Briggs Olubusola
- Albaj Safauldeensalem
- Alcock David
- Alcock Liam
- Aldecoa Cesar
- Aldecoa Cesar
- Aleixo Fábia Berganton
- Alexander Hazel
- Alexander Maini
- Alexander-Sefre Farhad
- Alherz Fadhel
- Ali Hani
- Ali Marlynn
- Ali Sarah
- Alias Abdul Hafiz
- Alias Anita
- Alias Raja Liza Raja
- Allen Samantha
- Allen Sara Jane
- Allison Joanna
- Alloj Chiara
- Allorto Nikki Leigh
- Allsop Joanne
- Almeida William
- Alonso Eduardo
- Alonso José Ignacio
- Alphonsus Christella
- Alvares Danielle
- Alves Maria Joao
- Amador Juan Carlos Bravo
- Ameer Yusuf
- Amendola Cristina Prata
- Ami Noam
- Amstrup-Hansen Louise
- Anagnou Athina
- Andersen Cheme
- Anderson Charlotte
- Anderson Colette
- Anderson Frank
- Anderson Philip
- Andreadaki Evangelia
- Andreou Alexandros
- Andreou Prematie
- Andrew Alyson
- Andrews Emma
- Angel Miguel Paludi
- Angermair Stefan
- Angus Kirsty
- Anillo Victor
- Anizi Mashel Al
- Antal Oana
- Antill Philip
- Antoniadou Eleni
- Apagaki Eymorfia
- Apostolou Konstantinos
- Applewhaite Christopher
- Applewhaite Christopher
- Aquino Laura Patricia González
- Ar Praburaj
- Araujo Daniela Marques
- Arawwawala Dilshan
- Ardern Diane
- Argue Ruth
- Aribawa Mahaalit Alit
- Arkalaki Eleni
- Armaganidis Apostolos
- Armstrong John
- Armstrong Richard
- Arnaoutoglou Christina
- Arnaoutoglou Elena
- Arnold Glenn
- Arrandale Lindsay
- Arrich James
- Arrigo Mario
- Arshad Homa
- Arshad Mohammed Asif
- Artiles Tania Socorro
- Arumugam Swarna
- Arustei Mirela
- Arvaniti Kostoula
- Arvaniti Kostoula
- Arya Aryabiantara
- Arya Shobhit
- Asimakos Andreas
- Aslam M
- Asudo Felicia
- Athanasakis Elias
- Atiku Mamuda
- Attrill Elizabeth
- Attwood Clare
- Auer Patrick
- Avidan Michael
- Avila Erendira Jocelin Dominguez
- Avis Joanne
- Awad Hadi
- Axioti Elena
- Azam Ummi Azmira Ahmad
- Azambuja Pedro
- Azevedo Caroline
- Aziz Faizal Zuhri
- Baas Peter
- Baghirzada Leyla
- Bai Hui-Ping
- Baillie Shelley
- Baines Duncan
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- Baker Gerard
- Baker Katie-Anne
- Baker Paul
- Balain Birender
- Balajonda Naraida
- Balanescu Andreea
- Balasubramaniam Madhu
- Baldisserotto Sérgio
- Baldwin Jacqueline
- Baldwin Matthew
- Balfoussia Danai
- Bali Christina
- Bandeira Maria Expedito
- Banerjee Robin
- Bankewitz Carla
- Banner-Goodspeed Valerie
- Bao Qi
- Barcraft-Barnes Helena
- Barneto Lisa
- Barnett Andrew
- Barraclough James
- Barras Jean-Pierre
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- Barrett Wendy Joan
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- Batchelor Nick
- Bateman Brian
- Bates Alexander
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- Bhatia Kailash
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- Biais Matthieu
- Biccard Bruce
- Biccard Bruce M
- Bidd Heena
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- Biffen Andrew
- Bignami Elena
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- Bishop David Gray
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- Blaj Mihaela
- Blakemore Stephen P
- Bland Martin
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- Bodansky Daniella
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- Boereboom Catherine
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- Bolaji Benjamin
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- Bouris Vasilios
- Bourner Lynsey
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- Bouwman Arthur
- Bouwman Arthur
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- Buise Marc
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- Cherrett Veronica
- Chetty Rubendraj R
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- Chew Michelle
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- Christoforidis Dimitri
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- Ciobotaru Oana Roxana
- Cirstea Emanuel
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- Clarkson Aisling
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- Claxton Andrew
- Clemmons Karen
- Cloro Luigi Maria
- Clyde Antony
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- Colling Kerry
- Collins Michelle
- Collins Nwokoro
- Colvin Carolyn
- Commey Thelma
- Comptaer Nicolas
- Conceição Soares Maria
- Conde Carlos
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- Constantin Kathryn
- Cook Tim
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- Cooper Lucy
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- Zangrillo Alberto
- Zapata Darcy Danitza Mari
- Zbitnew Geoff
- Zeggeren Laura
- Zeidan Lisa
- Zeng Qiuting
- Zettergren Jan
- Zhang Baoling
- Zhang Enman
- Zhang Huaigen
- Zhang Huan
- Zhang Jie
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- Zhang Mingxiao
- Zhang Qin
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- Zhang Shihai
- Zhang Weiwei
- Zhang Xiaoguang
- Zhang Xiaolin
- Zhang Xiaoyan
- Zhang Yan
- Zhang Yapping
- Zhang Ye
- Zhang Yuan
- Zhao Bing
- Zhao Bo
- Zhao Chong
- Zhao Jiashi
- Zhao Jinning
- Zhao Lei
- Zhao Shuna
- Zhao Ting
- Zhao Weihong
- Zhao Weilu
- Zhao Xiaoying
- Zhen Jungang
- Zheng Kang
- Zheng Lina
- Zheng Tianzhao
- Zhong Yi
- Zhou Ce
- Zhou Dachun
- Zhou Haidong
- Zhou Haiyan
- Zhou Jiali
- Zhou Jialong
- Zhou Jing
- Zhou Xian-jin
- Zhu Xiaomao
- Zhu Yi
- Zhu Zhipeng
- Zhuang Xiuxiu
- Zilis Georgios
- Zin Nor Hafizah Mohd
- Zingerle Nicolette
- Zingg Urs
- Zoerner Frank
- Zonneveldt Harry
- Zou Xiaohua
- Zoulamoglou Menelaos
- Zsisku Lajos
- Zundert Tom
- Zyl Rebekka
- åkring Irene
- Ögren Katrin
- Publication venue
- 'Wiley'
- Publication date
- 22/10/2018
- Field of study
Background
The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs).
Methods
This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs.
Results
A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59).
Conclusion
Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally
Critical care admission following elective surgery was not associated with survival benefit: prospective analysis of data from 27 countries
- Author
- A T Landers
- Aaron Lawson McLean
- Abbey Paton
- Abdel Razzaq Khalaf
- Abdul Hafiz Alias
- Abdurrahman Ahmad
- Abegail Salvana
- Abigail Keen
- Abigail Patrick
- Abraham Hulst
- Acela G Lopez
- Adam Evans
- Adam Rehak
- Adamu Muhammad Sarki
- Ade Nurkacan Dursin
- Ade Susanti
- Adela Ruiz
- Adeline Rankin
- Ademola Talabi
- Adenekan Adetoye
- Adeoluwa Tayo
- Adeyinka Ademola
- Aditi Kulkarni
- Aditi Naik
- Aditi Shrivastava
- Adriana Krepil
- Adrianna Woolsey
- Adrianna Woolsey
- Adrienne Carr
- Afolabi Owojuyigbe
- Aggeliki Bairaktari
- Agoritsa Tsioka
- Agostino Roasio
- Ahamed Khader
- Ahmad Sufian Ab Rahman
- Ahmed Ahmed
- Ahmed El-Sayed
- Ahmed Saloojee
- Ahmed Sayeed
- Aida Tantri
- Aida Tantri
- Aikaterini Chatzimichali
- Aikaterini Kyparissi
- Aikaterini Makatounaki
- Aisling Clarkson
- Ajay Gupta
- Akanmu Durodola
- Akbar Vohra
- Akbar Vohra
- Akbar Vohra
- Akbar Vohra
- Akram Fuad
- Alae Conradie
- Alasdair Scott
- Alastair Rose
- Alba Perez Gonzalez
- Albert Tsui
- Alberto Lisi
- Alberto Premoli
- Alberto Ramirez
- Alberto Zangrillo
- Alda Martins
- Aleaxandra Moustaka
- Alejandra Romero Rodrigo
- Alejandro Duca
- Alejandro Suarez-de-la-Rica
- Aleksandr Iurin
- Aleksandr Molkov
- Aleksandr Samoilenko
- Aleksandr Tchekulaev
- Alessandra Bettinelli
- Alessandro Gatta
- Alessandro Marchesi
- Alex Looseley
- Alex Ragan
- Alexander Bates
- Alexander Chan
- Alexander Durst
- Alexander Fowler
- Alexander Freethy
- Alexander Ishimaru
- Alexander Kulikov
- Alexander Tolmasov
- Alexandra Abrunhosa
- Alexandra Charlalampidoy
- Alexandra Dumitrescu
- Alexandra Papaioannou
- Alexandra Torborg
- Alexandra Williams
- Alexandra Wolfer
- Alexandra Wolfer
- Alexandre Ouattara
- Alexandros Andreou
- Alexey Karelov
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- Somasundaram Jeyanthan
- Song Huang
- Sonia Sampson
- Sonja Meier
- Sonya Daniel
- Sophia Tsiligiannis
- Sophie Gray
- Sophie Mathoulin
- Sotannde Sola
- Sotirios Bristogiannis
- Sotirios Georgios Popeskou
- Speranza Bocchino
- Spyros Zakynthinos
- Srikanth Chukkambotla
- Stanislav Pugachev
- Stavros Tsampalas
- Stefaan Bouchez
- Stefan Angermair
- Stefan Breitenstein
- Stefan de Hert
- Stefan De Hert
- Stefan Wildi
- Stephan Holliger
- Stephan Thilen
- Stephanie Bell
- Stephanie Jones
- Stephen Barrett
- Stephen Choi
- Stephen John Roberts
- Stephen Kowalski
- Stephen P Blakemore
- Stephen Phillips
- Stephen Webb
- Stephens Robert
- Steve Rose
- Steve White
- Steven Kim
- Steven Kleopoulos
- Steven Takemoto
- Steyn van Wyk
- Stuart White
- Stylianos Gaitanakis
- Stylianos Karatzas
- Stéphane de Rudnicki
- Su Meng
- Subash Chirkut
- Sudha Bechan
- Sudheer Karlakki
- Sue Hesketh
- Sue Olliff
- Suhas Kumar
- Sujith Basanth
- Sukhada Savarkar
- Sukumar Nagaiah
- Suman Mewa Kinoo
- Sumara Niman
- Sumayer Sanghera
- Sumitra Lahiri
- Suneetha Venugopal
- Sunny Karadia
- Suparna Das
- Suren R Ramphal
- Susan Melbourne
- Susan Smolen
- Susanna Chu
- Susanne Sonnemann
- Susanne Sonnemann
- Susilo Chandra
- Susilo Chandra
- Suwayba Adam
- Suzana Lobo
- Suzana M Lobo
- Suzanne Coulter
- Suzanne Odeberg-Wernerman
- Svenja Pabel
- Swarna Arumugam
- Swarna Baskar Sharma
- Swati Karmarkar
- Swati Pande
- Sze Meng Wong
- Sérgio Baldisserotto
- Søren Hübertz Smith
- Taeyang Kim
- Tahania Ahmad
- Tahania Ahmed
- Talvinder Gill
- Tamara Brunete
- Tamas Szakmany
- Tamas Szakmany
- Tanaka Muzenda
- Tania Socorro Artiles
- Tara Campbell
- Tara Walker
- Tarek Bejia
- Tariq Deen
- Tatiana Lefaki
- Tatiana Slepova
- Tauqeer Husain
- Tejal Dave
- Temlett Emma
- Tengku Alini Tengku Lih
- Teresa Branco
- Teresa Rotunno
- Terry Martin
- Tesuven K Naidu
- Thais Creary
- Thalissa Hermínia Baio
- Thandinkosi E Madiba
- Thelma Commey
- Theodora Christodoulopoulou
- Theodora Melissopoulou
- Theodosios Theodosopoulos
- Theoniki Paraforou
- Theonymfi Papavasilopoulou
- Theophilos Rozenberg
- Thiago Motta Netto
- Thinagrin Dhasarthun Naidoo
- Thomas Bührer
- Thomas Daubeny
- Thomas Egan
- Thomas Hillermann
- Thomas Hopkins
- Thomas Hughes
- Thomas Jared McCormick
- Thomas Jared McCormick
- Thomas Mayrhofer
- Thomas McCormick
- Thomas Mencke
- Thomas Owen
- Thomas Parsons
- Thomas Smith
- Thuli Biyase
- Tiago do Nascimento Cabral
- Tian Yu
- Tianlong Wang
- Tianqin Yang
- Tianzhao Zheng
- Tim Cook
- Tim Short
- Timothy Jones
- Timothy McCulloch
- Timothy Salmond
- Tina Kobborg
- Ting Zhao
- Tingju Hu
- Tinuolac Adigun
- Tjokorda Gde Agung Senapathi
- Tokunbo Olajumoke
- Tom Abbott
- Tom Burrows
- Tom Jacobs
- Tom Jowitt
- Tom Lawson
- Tom Lawton
- Tom van Zundert
- Tonia Onyeka
- Tony Smith
- Tony Wong
- Tracey Hodgkiss
- Tracey Lowery
- Tracey Nolan
- Tracey Nolan
- Tracey Roberts
- Tracy Lam
- Tracy Norton
- Tracy-Lee Jansen
- Tressy Pitt-Kerby
- Troy Wildes
- Tse Siang Tan
- Tunde Osinaike
- Ucu Nurhadiat Abidin
- Ulf Kessler
- Ulrich Goebel
- Ulrika Winstone
- Uma Shastri
- Umar Musa Sule
- Ummi Azmira Ahmad Azam
- Urs Zingg
- Utara Hartawan Utara
- Vaia Aliki Rompou
- Valentin Tutunaru
- Valentina Paola Plumari
- Valentina Testa
- Valentina Tulupova
- Valerie Banner-Goodspeed
- Valerie Serra Maudet
- Valerie Smit-Fun
- Valeriy Levin
- Vandana Agarwal
- Vanessa Beavis
- Vanessa Beavis
- Vanessa Beavis
- Vanessa Nesbitt
- Varvara Vanessa Gardikou
- Vasileia Nyktari
- Vasileios Despotidis
- Vasileios Kalles
- Vasileios Ourailoglou
- Vasilios Bouris
- Vasilios Koulouras
- Veerle Van Mossevelde
- Vera Guttenthaler
- Veronica Cherrett
- Veronika Cakova
- Vicari Sottosanti
- Vicente Chisbert Cuenca
- Vicky Hills
- Victor Anillo
- Victor Aspelund Liljequist
- Victor Ionita
- Victor Raji
- Victoria Bennett
- Victoria Boggiano
- Victoria Freeman
- Victoria Frost
- Victoria Lambourne
- Victoria Martinson
- Victoria Phelps
- Vieri Parrini
- Vikas Kaura
- Vilavan Koompirochana
- Vimal Hariharan
- Vincent Chan
- Vineshykaa Ramesh Kumar
- Vinícius Nascimento
- Vishal Narwani
- Vishendran Govindasamy
- Vivek Sinha
- Vivesh Rughubar
- Vlad Kushakovsky
- Vladimir Kretov
- Vladislav Belskiy
- Vukani T Manzini
- Vítor Miguel Pinho-Oliveira
- Wai Cheong Soon
- Wai Kit Jacky Chan
- Wangpin Xiao
- Warren Paul Kuhn
- Wei Ren
- Wei Xiao
- Weihong Zhao
- Weilin Sung
- Weilu Zhao
- Weiwei Zhang
- Weixing Wang
- Wendy Bertram
- Wendy Joan Barrett
- Weng Ken Chan
- Wenhui Huang
- Werner Schmid
- Werner Schmid
- Weslley Mendes
- Widnyana Made Wid
- William Almeida
- William Foers
- William Peat
- Wilson Binh Quan Huynh
- Wilson Fabio Serna Martínez
- Wilton van Klei
- Wing LamWong
- Wing Sze Li
- Wing Yan Lam
- Wiryana Made Wir
- Wolfgang Buhre
- Wolfgang Buhre
- Wujun Geng
- Xenia Souvatzis
- Xian-Jin Zhou
- Xianfu Lu
- Xiangming Fang
- Xianwen Hu
- Xiao Hong Wen
- Xiaocui Lv
- Xiaodong Ge
- Xiaodong Qiu
- Xiaoguang Zhang
- Xiaohua Zou
- Xiaolan Hu
- Xiaolin Zhang
- Xiaomao Zhu
- Xiaoqin Li
- Xiaoyan Zhang
- Xiaoying Li
- Xiaoying Zhao
- Xiaoyu Li
- Xiaoyun Shi
- Xiapei Xiong
- Xin He
- Xindan Du
- Xinjian Lu
- Xinmei Jiang
- Xinyu Qi
- Xiu-Li Wang
- Xiumei Song
- Xiuxiu Zhuang
- Xuewu Lin
- Xuming Hu
- Yan Jing
- Yan Leng
- Yan Pan
- Yan Zhang
- Yana Ilyina
- Yanbing Bi
- Yanfei Xia
- Yang Liu
- Yang Yang
- Yangwen Ou
- Yangyang Han
- Yanling Li
- Yanming Huang
- Yanqiu Ai
- Yapping Zhang
- Yaqi Li
- Yaqiu Chen
- Yassr Al-Soudaine
- Yavor Metodiev
- Yazhou Wen
- Yazhuo Yuan
- Ye Zhang
- Yelong Ren
- Yemi Adelaja
- Yetong Li
- Yew Ching Lee
- Yi Liu
- Yi Zhong
- Yi Zhu
- Yijiao Chen
- Yijun Chen
- Yik Lam Chan
- Ying Cao
- Yingfen Xiong
- Yingping Liang
- Yixiu Yan
- Yiyi Shi
- Yonghao Yu
- Yongjie Chen
- Yongqing Guo
- Yongtao Sun
- Yongzhong Tang
- Yoni van Duivenvoorde
- Youliang Tong
- Yousif Saeed
- Yousra Ahmad
- Yu Fan
- Yu Sun
- Yuan Hsuan Chang
- Yuan Liang Woon
- Yuan Zhang
- Yuanming Pan
- Yuanyuan Pan
- Yue Fei
- Yuehong Qi
- Yuejiang Liu
- Yuelan Wang
- Yugang Shi
- Yuhong Li
- Yuksel Gercek
- Yun Bai
- Yun Ren
- Yunbin Fu
- Yunchang Mo
- Yunfei Cai
- Yunlin Feng
- Yunzhi Ling
- Yurui Yao
- Yushio Cheing
- Yusuf Ameer
- Yuting Wang
- Yves Jaquet
- Yvonne Hack
- Yvonne Selibea
- Zaheer Moolla
- Zaid Makzal
- Zane Farina
- Zhang Chen
- Zhen Dan Peng
- Zhen Wang
- Zhen Wang
- Zheng Guo
- Zhengyuan Liu
- Zhenrong Ji
- Zhi Wang
- Zhipeng Wang
- Zhipeng Zhu
- Zhisong Li
- Zhiting Wen
- Zhong-Yuan Xia
- Zhongming Cao
- Zi-Ying Shen
- Zin Nico
- Ziqiang Miao
- Zoe Davies
- Zoe Drinkwater
- Zoe Whitman
- Zulkarnain Hamzah
- Álvaro Réa-Neto
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2017
- Field of study
This was an investigator initiated study funded by Nestle Health Sciences through an unrestricted research grant, and by a National Institute for Health Research (UK) Professorship held by RP. The study was sponsored by Queen Mary University of London