Reporte de consumo de plantas medicinales en gestantes del Centro de Salud Viña Alta, La Molina. Lima, Perú

This research aimed to find out the frequency and ways of using medicinal plants by pregnant women treated at the Centro de Salud Viña Alta, located in La Molina district. Twenty-one (21) pregnant women voluntarily participated in the study, where they were administered an expert-validated survey regarding the use of medicinal plants. The results showed that 86 % of the pregnant women used medicinal plants and 67 % did not ask their doctor before using them. The most frequent way of using the medicinal plants was by oral intake as herbal teas. The most widely used medicinal plants were chamomile, parsley, eucalyptus, boldo, aloe, mint and rue, some of which produced a teratogenic effect, uterine stimulant action, abortifacient effect, among others. It is necessary to know the actual quantity and most frequent way of using medicinal plants by pregnant women to classify these products as for its safety level and promote the rational use of traditional medicine to contribute to public health.El objetivo de este trabajo fue conocer la frecuencia y la manera en que las plantas medicinales son empleadas por las gestantes del Centro de Salud Viña Alta del distrito de La Molina. En el estudio participaron veintiuna gestantes, quienes respondieron una encuesta, validada por expertos, sobre el uso de plantas medicinales. Se demostró que el 86,00 % de las gestantes utilizaron plantas medicinales, y que 67,00 % no consultó con un médico sobre su empleo. La manera más frecuente de consumo de las plantas medicinales fue la vía oral, en forma de infusiones. Las plantas medicinales más utilizadas fueron manzanilla, perejil, eucalipto, boldo, aloe, menta y ruda; y algunas de ellas mostraron efecto teratogénico, estimulante uterino, abortivo, entre otros. Es necesario conocer la cantidad real y la manera más frecuente en que las gestantes consumen las plantas medicinales, con la finalidad de clasificar estos productos de acuerdo al nivel de seguridad que ofrecen y promover el uso racional de la medicina tradicional para contribuir en la salud pública

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

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

A global metagenomic map of urban microbiomes and antimicrobial resistance

We present a global atlas of 4,728 metagenomic samples from mass-transit systems in 60 cities over 3 years, representing the first systematic, worldwide catalog of the urban microbial ecosystem. This atlas provides an annotated, geospatial profile of microbial strains, functional characteristics, antimicrobial resistance (AMR) markers, and genetic elements, including 10,928 viruses, 1,302 bacteria, 2 archaea, and 838,532 CRISPR arrays not found in reference databases. We identified 4,246 known species of urban microorganisms and a consistent set of 31 species found in 97% of samples that were distinct from human commensal organisms. Profiles of AMR genes varied widely in type and density across cities. Cities showed distinct microbial taxonomic signatures that were driven by climate and geographic differences. These results constitute a high-resolution global metagenomic atlas that enables discovery of organisms and genes, highlights potential public health and forensic applications, and provides a culture-independent view of AMR burden in cities

Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

676sinoneBackground: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19·8 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6·6 and 2·4 per cent respectively before, but 23·7 and 5·3 per cent, during the pandemic (both P < 0·001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2.noneIelpo B.; Podda M.; Pellino G.; Pata F.; Caruso R.; Gravante G.; Di Saverio S.; Ielpo B.; Podda M.; Pellino G.; Pata F.; Caruso R.; Gravante G.; Di Saverio S.; Gallo G.; Lui R.; Orengia A.; Chowdary A.; Kulkarni A.; Kuvvetli A.; Navarro A.; Pisanu A.; Smith A.; Ibiricu A.C.; Nacion A.J.D.; Alsaleh A.; Alhazmi A.; Elmabri A.; Wani A.; Rencuzogullari A.; Lasarte A.S.; Rubio A.V.; Bavikatte A.; Kumar A.; Jamiri A.-R.; Padilla A.M.A.; Cacurri A.; de San Ildefonso A.; Porcu A.; Sartori A.; Rocca A.; Yanez A.P.; Becaria A.; Solis-Pena A.; Sretenovic A.; Urbistondo A.; Bandin A.; Najar A.; De Luca A.; Boddy A.; Charalabopoulos A.; Tzivanakis A.; Amendola A.; de Velasco A.R.-G.; Yildirim A.C.; Frontali A.; Toure A.O.; Garcia-Granero A.; Roldan A.M.; Larrainzar A.S.; Ratnayake A.S.; Gonzalez-Ganso A.M.; Minaya-Bravo A.M.; Das A.; Bondurri A.; Costanzi A.; Lucchi A.; Mazzari A.; Musig A.; Peloso A.; Piano A.; Police A.; Mihailescu A.; Pouy A.; Romano A.; Iossa A.; Leonetti A.C.; Guariniello A.; Isaac A.; Bovi A.P.D.; Chessa A.; Tromba A.; Martinez A.A.; Brillantino A.; Caira A.; Castaldi A.; Ferronetti A.; Giuliani A.; Prestera A.; la Medina A.R.-D.; Tarasconi A.; Tornambe A.; Picciariello A.; Ioannidis A.; Leppaniemi A.; Khan A.; Rashid A.; Perez-Sanchez A.L.E.; Mittal A.; Mitul A.R.; Mehraj A.; Laharwal A.; Dorisme A.; Marinis A.; Iqbal A.; Moncada A.; Braccio B.; Alkhafaji B.; de Andres Asenjo B.; Martin-Perez B.; Perez B.S.; Creavin B.; Cali B.; Cali B.; Pascotto B.; Stubbs B.; Retes B.Z.; Jovanovic B.; Goh B.K.P.; Sensi B.; Biddau C.; Gazia C.; Vallicelli C.; Fagundes C.A.; Santacruz C.C.; Chirico C.; Diaz C.J.G.; Petrola C.; Rodriguez C.S.; Benitez C.Y.; Dammaro C.; Faro C.L.; Reinke C.; Paez C.D.; Oliva C.; Paranjape C.; Thomas C.; Chia C.F.; Kong C.K.; De Lucia C.; Chao C.O.; Arcudi C.; Guerci C.; Chia C.; Parise C.; Folliero C.; Varela C.; Ferguson D.M.; Camacho D.; Popowich D.; Lima D.S.; Rega D.; Delogu D.; Zigiotto D.; Vinci D.; D'Antonio D.; Parini D.; Merlini D.A.; Zimmerman D.D.E.; Moro-Valdezate D.; Pertile D.; Giusti D.M.; Keller D.S.; Tarik D.; Kalivaci D.; Mazingi D.; Maldonado-Pintado D.G.; Sasia D.; Linardoutsos D.; Osilli D.; Murrone D.; Russello D.; Rodas E.; Roa E.A.A.; Ricciardi E.; Rosso E.; Saladino E.; Flores-Villalba E.; Ajs E.R.; Smith-Singares E.; Baili E.; Kouroumpas E.; Bourmpouteli E.; Douka E.; Martin-Perez E.; Guaitoli E.; Samadov E.; Francone E.; Vaterlini E.; Morales E.; Pena E.; Zhao E.; Andres E.D.P.; Benzoni E.; Erdas E.; Pinotti E.; Colas-Ruiz E.; Aytac E.; Laterza E.; Agastra E.; Foianini E.; Moscoso E.; Laviano E.; Marra E.; Cardamone E.; Licardie E.; Mpaili E.; Pinna E.; Varo E.; Navarro F.M.; Marino F.; Medas F.; Romano F.; Maraska F.; Saliu F.; Madrid F.; Rosa F.; Mastella F.; Gheza F.; Luvisetto F.; Alconchel F.; Vieira F.M.; Pareja F.; Agresta F.; Luna F.; Bonilla F.; Cordera F.; Burdio F.; Mendoza-Moreno F.; Flores F.M.; Aranda F.P.; Taylor F.; Ramos F.L.; Fernandes F.; Tropeano F.P.; Balestra F.; Bianco F.; Ceci F.; Colombo F.; Di Marzo F.; Ferrara F.; Lancellotti F.; Lazzarin F.; Litta F.; Martini F.; Pizza F.; Roscio F.; Virdis F.; Antona F.B.; Ramirez F.C.; Fernandez F.M.; Llinares F.O.; Quezada F.; Schlottmann F.; Quezada F.; Herrera-Almario G.; Massaferro G.; Bislenghi G.; van Ramshorst G.; Gallo G.; Luglio G.; Bointas G.; Kampouroglou G.; Papadopoulos G.; Manrique G.A.; Calini G.; Nastri G.; Formisano G.; Galiffa G.; Palini G.M.; Colucci G.; Pagano G.; Pellino G.; Vanni G.; Pattacini G.C.; Gravante G.; De Paola G.; Lisi G.; Partida G.; Bellanova G.; De Nobili G.; Necchi G.S.; Sinibaldi G.; Tebala G.; Bagaglini G.; Izzo G.; Argenio G.; Brisinda G.; Candilio G.; Di Grezia G.; Esposito G.; Faillace G.; Frazzetta G.; La Gumina G.; Nigri G.; Romeo G.; Amatriain G.C.; Ortega G.; Martin-Martin G.; Stavrou G.A.; Gunadi; Ugon G.A.; Machain G.; Marcucci G.; Martinez-Mier G.; Machain G.M.; Nari G.; Calvo H.; Fathy H.; Hamilto; Ahmed H.; Faraj H.; Nava H.; Macias H.O.; Nikaj H.; Solano H.; Khan H.A.; Alarcon H.S.; Ebied H.; Giani I.; Ateca I.V.; Neri I.; Roman I.A.S.; Fidoshev I.; Rodriguez I.M.; Negoi I.; Ortega I.; Bernescu I.; Russo I.S.; Rodriguez I.V.; Palomares I.; Baltazar I.; Torrejimeno I.J.; Jurado I.M.C.; Reccia I.; Hussain I.; Toledo I.B.; Mora-Guzman I.; Dogaru I.; Romic I.; Balciscueta I.; Kenington J.C.; Sagolsem J.; Jang J.Y.; Olivier J.; Lammel-Lindemann J.; Dziakova J.; Villavicencio J.I.R.; Salinas J.; Parreira J.P.J.G.; Jovanovic; Perez J.R.; Reyes J.A.S.; Luque J.A.M.; Mak J.; Rodriguez J.S.; Kok J.H.H.; Krook J.; Diaz-Elizondo J.A.; Castell J.; Garcia-Flores J.E.; Navalon J.M.J.; Rodrigues J.M.S.; Pereira J.; Gomez J.T.C.; Luque J.B.; del Olmo J.C.M.; Salamea J.C.; Olivier J.F.C.; Laina J.L.B.; Ordonez J.M.; Gutierrez J.; Abba J.; Sofi J.A.; Sherafgan K.; Sahnan K.; Yanaga K.; Beatson K.; Asim L.; Alvarez L.; Siragusa L.; Farber L.; Ong L.; Athanasios L.; Garcia-Bruna L.; De Martino L.; Ferrario L.; Giordano L.; Gordini L.; Pio L.; Ponchietti L.; Moletta L.; Curella L.; Poggi L.; Taglietti L.; Bonavina L.; Conti L.; Goffredi L.; Ruiz L.A.G.; Barrionuevo L.; Fregoso L.E.; Cabrera L.F.; Rodriguez L.G.; Grande L.; Osoria L.G.; Gonzalez L.J.K.; Sanchez-Guillen L.; Tallon-Aguilar L.; Tresierra L.; Giavarini L.; Hasabelnabi M.; Odovic M.; Uemura M.; Khan M.; Artiles-Armas M.; David M.; Di Martino M.; Spampinato M.G.; Ribeiro M.A.F.; Viola M.; Angrisani M.; Calussi M.; Cannistra M.; Catarci M.; Cereda M.; Conte M.; Giordano M.; Pellicciaro M.; Marino M.V.; Vaterlini M.E.; Jimenez M.F.; Lolli M.G.; Bellini M.I.; Lemma M.; Chiarello M.M.; Nicola M.; Arrigo M.; Mejia M.C.; Manrique M.M.; Rodriguez-Lopez M.; Serradilla-Martin M.; Lara M.Z.; Martinez M.; Bagnall M.; Peter M.; Lara M.C.; Gomez M.J.; Paniagua-Garcia-Senorans M.; Gonzalez M.P.; Rutegard M.; Salo M.; Franceschilli M.; Silveri M.; Veroux M.; Pezzulo M.; Nardi M.; Rottoli M.; Tolonen M.; Ciro M.P.; Zuluagua M.; Cannavo M.; Cervellera M.; Iacobone M.; Montuori M.; Podda M.; Dominguez M.G.; Bingol-Kologlu M.; Tahir M.; Lim M.; Wilson M.S.; Wilson M.; Campanelli M.; Bisaccia M.; De Rosa M.; Maruccia M.; Paterno M.; Pisano M.; Torre M.; Trevino M.; Zuolo M.; Hernandez Bartolome M.A.; Farina M.; Pera M.; Calvo M.P.; Sotelo M.; Thway M.M.; Hassan M.; Hassan M.S.E.; Azfar M.; Bouhuwaish M.; Taha M.; Zaieem M.; Korkoman M.; Guraieb M.; Shalaby M.; Raza M.A.; Younis M.U.; Elhadi M.; Ali M.Z.; Quazi N.; Dudi-Venkata N.N.; Alselaim N.; Loria N.; Ramirez N.V.; Than N.W.; Smart N.; Trelles N.; Pinto N.; Allievi N.; Petrucciani N.; Antonacci N.; Cillara N.; Gica N.; Cristiana N.D.; Krystek N.; Falco N.; Pecorelli N.; Tamini N.; Dallas N.A.; Machairas N.; Brito N.; Fieturi N.A.; Ortega N.; Mercado O.A.; Irkorucu O.; Alsherif O.; Valles O.; Ioannidis O.; Palmas O.H.; Palmas O.I.H.; Guadarrama O.S.; Bozbiyik O.; Omelanczuk P.; Ottolino P.; Rodrigues P.; Ruiz P.; Campenni P.; Chiarade P.; Olivares P.P.; Baroffio P.; Panaccio P.; Wintringer P.; Di Fronzo P.; Talento P.; Favoriti P.; Sendino P.; Marsanic P.; Mifsut P.; Andrade P.; Ajawin P.; Abadia-Barno P.; Castaneda P.A.N.; Arevalos P.O.S.; Bellver P.P.; Koh P.S.; Souza P.; Major P.; Bali R.S.; Khattar R.M.; Melo R.B.; Ebrahiminia R.; Azar R.; Murga R.L.; Caruso R.; Pirolo R.; Brady R.; Davies R.J.; Dholakia R.; Rattan R.; Singhal R.; Lim R.; Angelico R.; Isernia R.M.; Tutino R.; Faccincani R.; Peltrini R.; Carrera-Ceron R.; Tejos R.; Kashyap R.; Fajardo R.; Lozito R.; Pareja R.M.; Garbarino S.; Di Saverio S.; Morales-Conde S.; Benli S.; Mansour S.; Flores S.; Suarez S.L.; Ben S.L.; Fuentes S.; Napetti S.; de Guzman S.O.; Awad S.; Weckmann Lujan S.A.; Gentilli S.; Grimaldi S.; Pizarro S.O.; Tayar S.; Nabi S.; Chan S.M.; Junaid S.; Rojas S.; Monetti S.; Garcia S.; Salvans S.; Tenconi S.; Shaw S.; Santoni S.; Parra S.A.; Cardenas S.; Perez-Bertolez S.; Chiappetta S.; Dessureault S.; Delis S.; Bonapasta S.A.; Rausei S.; Scaringi S.; Keswani S.; Ali S.M.; Cetinkunar S.; Fung T.L.D.; Rawashdeh T.; Lopez T.N.; De Campos T.; Duque T.C.; Perra T.; Liakakos T.; Daskalakis T.; Liakakos T.; Barnes T.; Koeter T.; Zalla T.; Gonzalez T.E.; Elosua T.; Campagnaro T.; Brown T.; Luoto T.; Oumar T.A.; Giustizieri U.; Grossi U.; Bracale U.; Rivas U.; Sosa V.; Testa V.; Andriola V.; Tonini V.; Balassone V.; Celentano V.; Progno V.; Raju V.; Carroni V.; Cavallaro V.; Katta V.R.; De Simone V.; Romaguera V.P.; Orozco V.H.G.; Luraschi V.; Rachkov V.; Turrado-L V.; Visag-Castillo V.; Dowling V.; Graham V.; Papagni V.; Vigorita V.; Fonseca V.C.; Carneros V.J.; Bellato V.; Goncalves W.; Powers W.F.; Grigg W.; Bechstein W.O.; Lim Y.B.; Altinel Y.; Golubovic Z.; Balciscueta Z.Ielpo, B.; Podda, M.; Pellino, G.; Pata, F.; Caruso, R.; Gravante, G.; Di Saverio, S.; Ielpo, B.; Podda, M.; Pellino, G.; Pata, F.; Caruso, R.; Gravante, G.; Di Saverio, S.; Gallo, G.; Lui, R.; Orengia, A.; Chowdary, A.; Kulkarni, A.; Kuvvetli, A.; Navarro, A.; Pisanu, A.; Smith, A.; Ibiricu, A. C.; Nacion, A. J. D.; Alsaleh, A.; Alhazmi, A.; Elmabri, A.; Wani, A.; Rencuzogullari, A.; Lasarte, A. S.; Rubio, A. V.; Bavikatte, A.; Kumar, A.; Jamiri, A. -R.; Padilla, A. M. A.; Cacurri, A.; de San Ildefonso, A.; Porcu, A.; Sartori, A.; Rocca, A.; Yanez, A. P.; Becaria, A.; Solis-Pena, A.; Sretenovic, A.; Urbistondo, A.; Bandin, A.; Najar, A.; De Luca, A.; Boddy, A.; Charalabopoulos, A.; Tzivanakis, A.; Amendola, A.; de Velasco, A. R. -G.; Yildirim, A. C.; Frontali, A.; Toure, A. O.; Garcia-Granero, A.; Roldan, A. M.; Larrainzar, A. S.; Ratnayake, A. S.; Gonzalez-Ganso, A. M.; Minaya-Bravo, A. M.; Das, A.; Bondurri, A.; Costanzi, A.; Lucchi, A.; Mazzari, A.; Musig, A.; Peloso, A.; Piano, A.; Police, A.; Mihailescu, A.; Pouy, A.; Romano, A.; Iossa, A.; Leonetti, A. C.; Guariniello, A.; Isaac, A.; Bovi, A. P. D.; Chessa, A.; Tromba, A.; Martinez, A. A.; Brillantino, A.; Caira, A.; Castaldi, A.; Ferronetti, A.; Giuliani, A.; Prestera, A.; la Medina, A. R. -D.; Tarasconi, A.; Tornambe, A.; Picciariello, A.; Ioannidis, A.; Leppaniemi, A.; Khan, A.; Rashid, A.; Perez-Sanchez, A. L. E.; Mittal, A.; Mitul, A. R.; Mehraj, A.; Laharwal, A.; Dorisme, A.; Marinis, A.; Iqbal, A.; Moncada, A.; Braccio, B.; Alkhafaji, B.; de Andres Asenjo, B.; Martin-Perez, B.; Perez, B. S.; Creavin, B.; Cali, B.; Cali, B.; Pascotto, B.; Stubbs, B.; Retes, B. Z.; Jovanovic, B.; Goh, B. K. P.; Sensi, B.; Biddau, C.; Gazia, C.; Vallicelli, C.; Fagundes, C. A.; Santacruz, C. C.; Chirico, C.; Diaz, C. J. G.; Petrola, C.; Rodriguez, C. S.; Benitez, C. Y.; Dammaro, C.; Faro, C. L.; Reinke, C.; Paez, C. D.; Oliva, C.; Paranjape, C.; Thomas, C.; Chia, C. F.; Kong, C. K.; De Lucia, C.; Chao, C. O.; Arcudi, C.; Guerci, C.; Chia, C.; Parise, C.; Folliero, C.; Varela, C.; Ferguson, D. M.; Camacho, D.; Popowich, D.; Lima, D. S.; Rega, D.; Delogu, D.; Zigiotto, D.; Vinci, D.; D'Antonio, D.; Parini, D.; Merlini, D. A.; Zimmerman, D. D. E.; Moro-Valdezate, D.; Pertile, D.; Giusti, D. M.; Keller, D. S.; Tarik, D.; Kalivaci, D.; Mazingi, D.; Maldonado-Pintado, D. G.; Sasia, D.; Linardoutsos, D.; Osilli, D.; Murrone, D.; Russello, D.; Rodas, E.; Roa, E. A. A.; Ricciardi, E.; Rosso, E.; Saladino, E.; Flores-Villalba, E.; Ajs, E. R.; Smith-Singares, E.; Baili, E.; Kouroumpas, E.; Bourmpouteli, E.; Douka, E.; Martin-Perez, E.; Guaitoli, E.; Samadov, E.; Francone, E.; Vaterlini, E.; Morales, E.; Pena, E.; Zhao, E.; Andres, E. D. P.; Benzoni, E.; Erdas, E.; Pinotti, E.; Colas-Ruiz, E.; Aytac, E.; Laterza, E.; Agastra, E.; Foianini, E.; Moscoso, E.; Laviano, E.; Marra, E.; Cardamone, E.; Licardie, E.; Mpaili, E.; Pinna, E.; Varo, E.; Navarro, F. M.; Marino, F.; Medas, F.; Romano, F.; Maraska, F.; Saliu, F.; Madrid, F.; Rosa, F.; Mastella, F.; Gheza, F.; Luvisetto, F.; Alconchel, F.; Vieira, F. M.; Pareja, F.; Agresta, F.; Luna, F.; Bonilla, F.; Cordera, F.; Burdio, F.; Mendoza-Moreno, F.; Flores, F. M.; Aranda, F. P.; Taylor, F.; Ramos, F. L.; Fernandes, F.; Tropeano, F. P.; Balestra, F.; Bianco, F.; Ceci, F.; Colombo, F.; Di Marzo, F.; Ferrara, F.; Lancellotti, F.; Lazzarin, F.; Litta, F.; Martini, F.; Pizza, F.; Roscio, F.; Virdis, F.; Antona, F. B.; Ramirez, F. C.; Fernandez, F. M.; Llinares, F. O.; Quezada, F.; Schlottmann, F.; Quezada, F.; Herrera-Almario, G.; Massaferro, G.; Bislenghi, G.; van Ramshorst, G.; Gallo, G.; Luglio, G.; Bointas, G.; Kampouroglou, G.; Papadopoulos, G.; Manrique, G. A.; Calini, G.; Nastri, G.; Formisano, G.; Galiffa, G.; Palini, G. M.; Colucci, G.; Pagano, G.; Pellino, G.; Vanni, G.; Pattacini, G. C.; Gravante, G.; De Paola, G.; Lisi, G.; Partida, G.; Bellanova, G.; De Nobili, G.; Necchi, G. S.; Sinibaldi, G.; Tebala, G.; Bagaglini, G.; Izzo, G.; Argenio, G.; Brisinda, G.; Candilio, G.; Di Grezia, G.; Esposito, G.; Faillace, G.; Frazzetta, G.; La Gumina, G.; Nigri, G.; Romeo, G.; Amatriain, G. C.; Ortega, G.; Martin-Martin, G.; Stavrou, G. A.; Gunadi, ; Ugon, G. A.; Machain, G.; Marcucci, G.; Martinez-Mier, G.; Machain, G. M.; Nari, G.; Calvo, H.; Fathy, H.; Hamilto, ; Ahmed, H.; Faraj, H.; Nava, H.; Macias, H. O.; Nikaj, H.; Solano, H.; Khan, H. A.; Alarcon, H. S.; Ebied, H.; Giani, I.; Ateca, I. V.; Neri, I.; Roman, I. A. S.; Fidoshev, I.; Rodriguez, I. M.; Negoi, I.; Ortega, I.; Bernescu, I.; Russo, I. S.; Rodriguez, I. V.; Palomares, I.; Baltazar, I.; Torrejimeno, I. J.; Jurado, I. M. C.; Reccia, I.; Hussain, I.; Toledo, I. B.; Mora-Guzman, I.; Dogaru, I.; Romic, I.; Balciscueta, I.; Kenington, J. C.; Sagolsem, J.; Jang, J. Y.; Olivier, J.; Lammel-Lindemann, J.; Dziakova, J.; Villavicencio, J. I. R.; Salinas, J.; Parreira, J. P. J. G.; Jovanovic, ; Perez, J. R.; Reyes, J. A. S.; Luque, J. A. M.; Mak, J.; Rodriguez, J. S.; Kok, J. H. H.; Krook, J.; Diaz-Elizondo, J. A.; Castell, J.; Garcia-Flores, J. E.; Navalon, J. M. J.; Rodrigues, J. M. S.; Pereira, J.; Gomez, J. T. C.; Luque, J. B.; del Olmo, J. C. M.; Salamea, J. C.; Olivier, J. F. C.; Laina, J. L. B.; Ordonez, J. M.; Gutierrez, J.; Abba, J.; Sofi, J. A.; Sherafgan, K.; Sahnan, K.; Yanaga, K.; Beatson, K.; Asim, L.; Alvarez, L.; Siragusa, L.; Farber, L.; Ong, L.; Athanasios, L.; Garcia-Bruna, L.; De Martino, L.; Ferrario, L.; Giordano, L.; Gordini, L.; Pio, L.; Ponchietti, L.; Moletta, L.; Curella, L.; Poggi, L.; Taglietti, L.; Bonavina, L.; Conti, L.; Goffredi, L.; Ruiz, L. A. G.; Barrionuevo, L.; Fregoso, L. E.; Cabrera, L. F.; Rodriguez, L. G.; Grande, L.; Osoria, L. G.; Gonzalez, L. J. K.; Sanchez-Guillen, L.; Tallon-Aguilar, L.; Tresierra, L.; Giavarini, L.; Hasabelnabi, M.; Odovic, M.; Uemura, M.; Khan, M.; Artiles-Armas, M.; David, M.; Di Martino, M.; Spampinato, M. G.; Ribeiro, M. A. F.; Viola, M.; Angrisani, M.; Calussi, M.; Cannistra, M.; Catarci, M.; Cereda, M.; Conte, M.; Giordano, M.; Pellicciaro, M.; Marino, M. V.; Vaterlini, M. E.; Jimenez, M. F.; Lolli, M. G.; Bellini, M. I.; Lemma, M.; Chiarello, M. M.; Nicola, M.; Arrigo, M.; Mejia, M. C.; Manrique, M. M.; Rodriguez-Lopez, M.; Serradilla-Martin, M.; Lara, M. Z.; Martinez, M.; Bagnall, M.; Peter, M.; Lara, M. C.; Gomez, M. J.; Paniagua-Garcia-Senorans, M.; Gonzalez, M. P.; Rutegard, M.; Salo, M.; Franceschilli, M.; Silveri, M.; Veroux, M.; Pezzulo, M.; Nardi, M.; Rottoli, M.; Tolonen, M.; Ciro, M. P.; Zuluagua, M.; Cannavo, M.; Cervellera, M.; Iacobone, M.; Montuori, M.; Podda, M.; Dominguez, M. G.; Bingol-Kologlu, M.; Tahir, M.; Lim, M.; Wilson, M. S.; Wilson, M.; Campanelli, M.; Bisaccia, M.; De Rosa, M.; Maruccia, M.; Paterno, M.; Pisano, M.; Torre, M.; Trevino, M.; Zuolo, M.; Hernandez Bartolome, M. A.; Farina, M.; Pera, M.; Calvo, M. P.; Sotelo, M.; Thway, M. M.; Hassan, M.; Hassan, M. S. E.; Azfar, M.; Bouhuwaish, M.; Taha, M.; Zaieem, M.; Korkoman, M.; Guraieb, M.; Shalaby, M.; Raza, M. A.; Younis, M. U.; Elhadi, M.; Ali, M. Z.; Quazi, N.; Dudi-Venkata, N. N.; Alselaim, N.; Loria, N.; Ramirez, N. V.; Than, N. W.; Smart, N.; Trelles, N.; Pinto, N.; Allievi, N.; Petrucciani, N.; Antonacci, N.; Cillara, N.; Gica, N.; Cristiana, N. D.; Krystek, N.; Falco, N.; Pecorelli, N.; Tamini, N.; Dallas, N. A.; Machairas, N.; Brito, N.; Fieturi, N. A.; Ortega, N.; Mercado, O. A.; Irkorucu, O.; Alsherif, O.; Valles, O.; Ioannidis, O.; Palmas, O. H.; Palmas, O. I. H.; Guadarrama, O. S.; Bozbiyik, O.; Omelanczuk, P.; Ottolino, P.; Rodrigues, P.; Ruiz, P.; Campenni, P.; Chiarade, P.; Olivares, P. P.; Baroffio, P.; Panaccio, P.; Wintringer, P.; Di Fronzo, P.; Talento, P.; Favoriti, P.; Sendino, P.; Marsanic, P.; Mifsut, P.; Andrade, P.; Ajawin, P.; Abadia-Barno, P.; Castaneda, P. A. N.; Arevalos, P. O. S.; Bellver, P. P.; Koh, P. S.; Souza, P.; Major, P.; Bali, R. S.; Khattar, R. M.; Melo, R. B.; Ebrahiminia, R.; Azar, R.; Murga, R. L.; Caruso, R.; Pirolo, R.; Brady, R.; Davies, R. J.; Dholakia, R.; Rattan, R.; Singhal, R.; Lim, R.; Angelico, R.; Isernia, R. M.; Tutino, R.; Faccincani, R.; Peltrini, R.; Carrera-Ceron, R.; Tejos, R.; Kashyap, R.; Fajardo, R.; Lozito, R.; Pareja, R. M.; Garbarino, S.; Di Saverio, S.; Morales-Conde, S.; Benli, S.; Mansour, S.; Flores, S.; Suarez, S. L.; Ben, S. L.; Fuentes, S.; Napetti, S.; de Guzman, S. O.; Awad, S.; Weckmann Lujan, S. A.; Gentilli, S.; Grimaldi, S.; Pizarro, S. O.; Tayar, S.; Nabi, S.; Chan, S. M.; Junaid, S.; Rojas, S.; Monetti, S.; Garcia, S.; Salvans, S.; Tenconi, S.; Shaw, S.; Santoni, S.; Parra, S. A.; Cardenas, S.; Perez-Bertolez, S.; Chiappetta, S.; Dessureault, S.; Delis, S.; Bonapasta, S. A.; Rausei, S.; Scaringi, S.; Keswani, S.; Ali, S. M.; Cetinkunar, S.; Fung, T. L. D.; Rawashdeh, T.; Lopez, T. N.; De Campos, T.; Duque, T. C.; Perra, T.; Liakakos, T.; Daskalakis, T.; Liakakos, T.; Barnes, T.; Koeter, T.; Zalla, T.; Gonzalez, T. E.; Elosua, T.; Campagnaro, T.; Brown, T.; Luoto, T.; Oumar, T. A.; Giustizieri, U.; Grossi, U.; Bracale, U.; Rivas, U.; Sosa, V.; Testa, V.; Andriola, V.; Tonini, V.; Balassone, V.; Celentano, V.; Progno, V.; Raju, V.; Carroni, V.; Cavallaro, V.; Katta, V. R.; De Simone, V.; Romaguera, V. P.; Orozco, V. H. G.; Luraschi, V.; Rachkov, V.; Turrado-L, V.; Visag-Castillo, V.; Dowling, V.; Graham, V.; Papagni, V.; Vigorita, V.; Fonseca, V. C.; Carneros, V. J.; Bellato, V.; Goncalves, W.; Powers, W. F.; Grigg, W.; Bechstein, W. O.; Lim, Y. B.; Altinel, Y.; Golubovic, Z.; Balciscueta, Z

Inequalities in screening policies and perioperative protection for patients with acute appendicitis during the pandemic: Subanalysis of the ACIE Appy study

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