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Writ(h)ing Images: Imagination, the Human Form, and the Divine in William Blake, Salman Rushdie, and Simon Louvish
- Author
- Publication venue
- 'Informa UK Limited'
- Publication date
- 01/01/2006
- Field of study
In this paper, we address issues in segmentation Of remotely sensed LIDAR (LIght Detection And Ranging) data. The LIDAR data, which were captured by airborne laser scanner, contain 2.5 dimensional (2.5D) terrain surface height information, e.g. houses, vegetation, flat field, river, basin, etc. Our aim in this paper is to segment ground (flat field)from non-ground (houses and high vegetation) in hilly urban areas. By projecting the 2.5D data onto a surface, we obtain a texture map as a grey-level image. Based on the image, Gabor wavelet filters are applied to generate Gabor wavelet features. These features are then grouped into various windows. Among these windows, a combination of their first and second order of statistics is used as a measure to determine the surface properties. The test results have shown that ground areas can successfully be segmented from LIDAR data. Most buildings and high vegetation can be detected. In addition, Gabor wavelet transform can partially remove hill or slope effects in the original data by tuning Gabor parameters
Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries
- Author
- Aamir Faiqa Binte
- Aamir Syed Roohan
- Ababneh Adnan
- Abbal Muhammad Anas
- Abbas Ahmed M
- Abbas Mostafa
- Abd-Albain Montasir A
- Abdalei Abdulwahab
- Abdalla Ahmed
- Abdalla Ahmed Yassir
- Abdalla Mohamed Galal Ali
- Abdalla Zainab
- Abdallah Mohamed M
- Abdalmahmoud Noon Ezzeldien
- Abdalsadeg Rowa
- Abdelaal Ahmed M
- Abdelbagi Alnazeer Y
- Abdelbaky Mostafa
- Abdelbaset Doaa
- AbdElbaset Esraa
- Abdelbast Menhag
- Abdelfatah Mohammed Abdelnasser
- Abdelgawad Samia
- Abdelhamid Mohamed M
- Abdeljaber Mahmoud
- Abdelkhalig Mubarak
- Abdelmaksoud Mohamed
- Abdelmeguid Rana
- Abdelmelek Dhia Errahmane
- Abdelnaeam Samah
- Abdelnasser Mohammad K
- Abdelrahim Najwa
- Abdelrahman Amira
- Abdelrahman Ayman
- Abdelsalam Hebatalla
- Abdelsamed Enas Abdelbaset
- Abdelwahab Khaled
- Abdoun Meriem
- Abdulali Fatima
- Abdulaziz Mohamed
- Abdulla Dheba Almukhtar
- Abdullah Bahiyah
- Abdullah Bahiyah
- Abdullah Walaa
- Abdullahi Habiba Ibrahim
- Abdulrahman Ahmed
- Abdulrasheed Lubabatu
- Abdulwahed Eman
- Abdulwahed Eman
- Abeysirigunawardana Dewmi
- Abidin Muhammad Fihmi Zainal
- Abiola Olukayode
- Abiyere Henry
- Abodina Ahmed Mohammed
- Aboelela Reham
- AboElfarh Hadeer Elsaeed
- Aboudlal Husein
- AbouHiekal Osama
- Aboulfotouh Ahmed
- Abozid Anwaar
- Abubaker Noora
- Abubaker Noora
- Abufanas Asma
- Abughanima Mahmoud
- Abuhashem Shehab
- Abulafia Daniel
- Abushaala Fatima
- Abushanab Khaled
- AbuShawareb Issa
- Abuuqteish Hamza
- Abuzaho Amany
- Achem Arome
- Adam Eithar
- Adam Mohammed
- Adam Mohammed A
- Addalla Mohamed
- Addley Jordan
- Adeleye Gbadebo
- Adeniyi Adebayo
- Adewole Nathaniel
- Adeyemo Olabisi
- Adeyeye Ademola
- Adeyeye Ademola
- Adly Michael
- Adnan Siti Nasyirah Nisya
- Ads Adel Mohamed
- Ads Alaa Mohamed
- Adze Joel Amwe
- Afeikhena Ehis
- Agida Teddy
- Agilla Hamza
- Agnew Emilie
- Agu Joy Onyekachi
- Ahmad Zatul Akmar
- Ahmed Abdalla
- Ahmed Ahmed
- Ahmed Ahmed
- Ahmed Alaaaldeen
- Ahmed Entisar
- Ahmed Habeeba
- Ahmed Hatem
- Ahmed Reem
- Ahmed Rehab
- Ahmed Rihab
- Ahmed Rogia Ahmed Abdalla
- Ahmed Ruaa
- Ahmed Sharwany
- Ahmed Uzair
- Ahmed Wahiba
- Ahmeed Sultan
- Airede Lydia Regina
- Aitchison Lori
- Ajredini Mirac
- Ajulo Adeshina A
- Akaba Godwin
- Akasha Mazin
- Akbar Maha Ghulam
- Akbuz Seyma Orcan
- Akdere Hakan
- Akın Bilge
- Akkaya Ege Nur
- Akpamgbo Chukwunonso Nnamdi
- Akwaisah Ayoub
- Al Hammoud Amr
- Al Rawashdeh Toka â â
- Al-Baw Mahmoud
- Al-Dahdouh Mosheer
- Al-Haek Safaâ
- Al-Hazaimeh Mo'ath
- Al-issawi Dima
- Al-Issawi Subhi
- Al-jammal Maryam
- Al-Juaifari Maytham A
- Al-Mwajeh Tesneem
- Al-Omary Sohaib
- Al-Quossi Mohammed
- Al-Shambaty Yasir Babkir Ali
- Al-Shami Qotadah
- Al-Smirat Heba
- Al-Tahayneh Sief-Addeen
- Al-Touny Aiman
- Al-Touny Shimaa
- Al-zawaydeh Alia
- Alaa Ali
- Alabed Ebtihal
- Alagelli Fatma
- Alagoz Ahmet Can
- Alameen Hind
- Alameen Maram
- Alamlih Laith
- Alaqoubi Retaj
- Alarabi Rehab
- Alariby Fatima
- Alatefi Dawood
- Alathameen Nassar
- Albakosh Bashir Abobaker
- Albanopoulos Konstantinos
- Albarhomy Osama
- Albarki Aisha
- Albashaireh Alaa
- Albatni Safa Sasi
- Albayadi Eslam
- Alboon Mosab
- Alboridy Muneera
- Alboueishi Asraa Ali
- Aldeges Marwan
- Aldreawi Mohammed
- Alflite Asil Omar Saleh
- Alfrijat Tamam
- Alfrjani Tariq
- Algabbasi Salima
- Algatanesh Nassib
- Alhadad Qamrah
- Alhaddad Hoda Salem
- Alhaleem Ayah
- Alhaleeq Saif
- Alharam Abtisam
- Alhashimi Abdulhadi Mohammed Alhadi
- Alhassan Monzer
- Alhudhairy Sara
- Ali Ahmed
- Ali Aml
- Ali Doua
- Ali Eithar M
- Ali Iqra Fatima Munawar
- Ali Maab
- Ali Manal
- Ali Muhammad
- Ali Radwa
- Ali Rawan Alsheikh
- Ali Rzan Ali Hamedelneel
- Ali Shehroz
- Aliosin Oleg
- Aljamal Mohammad
- Aljamal Sarah
- Alkaraja Layth
- Alkaseek Akram
- Alkazali Mustafa
- Alkchr Hayat Ben Hasan Mohamed A A
- Alkhatib Abed Alazeez
- Allam Shereen
- Almahroush Marin
- Almakki Doha Mohammed Ahmed
- Alnajjar Lara
- Alnajjar Majjd
- Alnatsheh Wesam
- Alnour Ammar
- Alomar Rabiaa
- Alomari Yazan
- Alqaarh Aya
- Alragig Zahra
- Alrifae Ghaliya Mohamed H
- Alrosan Risan
- Alsagoff Sharifah Nor Amirah Syed Abdul Latiff
- Alsaid Hamza
- Alsaify Esmat
- Alsaih Sawsan
- Alsari Najah
- Alshareea Entisar
- Alshawadfy Abdelrhman
- Alshawesh Aisha
- Alsheik Ahmad
- Alsori Mohamed
- Alsoudani Ali
- Altabbaa Hashem
- Altahir Mohamed
- Altair Mawadda
- Altaweel Ahmad
- Altughar Bushra
- Alvarez Matias
- Alvarez-Lozada Luis Adrian
- Alvarez-Lozada Luis Adrian
- Alwahaib Anas
- Alwash Mohammed
- Alzarga Ali
- Alzarouq Ebtisam
- Alzarroug Amal
- Alzghoul Bader
- Alzyoud Osama
- Amarasekara Mishka
- Amary Marwa
- Ametov Amet
- Amin Mostafa K
- Aminu Bashiru
- Aminu Muhammad Baffah
- Ammar Ahmed Siddique
- Amro Dana
- Ananthapadmanabhan Shravankrishna
- Anderson Paul
- Andrew Paul Chimezie
- Andriani Adelaide
- Anestiadou Elissavet
- Angelis Fragkiskos
- Angeslis Fragkiskos
- Aqeel Syed Talha Bin
- Aral Canan
- Arebi Jaber
- Arnaoutoglou Eleni
- Arslangilay Mert
- Arvanitaki Alexandra
- Asadyari-Lupo Shadie
- Ashar Nur Ayuni Khirul
- Ashour Amira
- Ashraf Hamza
- Ashur Abir Ben
- Asjad Imran
- Askar Aamal
- Askin Abdullah Emre
- Aslam Muhammad Nadeem
- Aslan Merve
- Aslangilay Mert
- Astal Mohammed
- Asudo Felicia
- Atadag Yildiz Buyukdereli
- Atef Dina
- Athamneh Tayseer
- Athanasiadis Apostolos
- Ather M Hammad
- Atherton Kristy
- Atia Ahmed
- Atici Semra Demirli
- Atilhan Ridvan
- Atim Terkaa
- Atiq Tabish
- Atta Raneem
- Attia Mohamed
- Attiya Omar
- Awad Hasan
- Awadallah Safaa
- Awoyinka Babatunde
- Ayasrah Salem
- Aydin Cemil
- AydogÌdu Erhan Onur
- Ayogu Emeka
- Ayoub Kerillos
- Ayyad Alaa
- Azboy Ibrahim
- Azer Armia
- Azhari Malaz
- Aziz Aliya Begum
- Babalola Olakunle
- Babar Daniyal
- Babekir Enas Mohammedtom Abdulhameed
- Babiker Afra
- Bacariza Loreto
- Baccar Marwen
- Badawy Asmaa
- Badi Hussameddin
- Badr Karim
- Badri Danniel
- Bagazi Doaa
- Bailey Ashley
- Bakare Adewumi
- Bakari Maisaratu A
- Bakeer Hibah Bileid
- Bakeer Mohammed
- Balciscueta Zutoia
- Ballah Shirahn
- Balogh Zsolt
- Baltacı Zeynep Hazal
- Banaga Essam Eldien Abuobaida
- Banerjee Arnab
- Banihani Farah
- Barbara Silvia Jasmine
- Barbaro Antonio
- Bareka Metaxia
- Bariun Yara
- Barka Sharf
- Barker John
- Barker Sally
- Barsoum Fady
- Basam Aya
- Basam Aya
- Bassam Ahmad
- Bassey Asi-oqua
- Bataineh Saad
- Bature Stephen Bodam
- Bayram Cigdem
- Baysallar Duygu
- Baziotis-Kalfas Kristian
- Beatson Nicholas
- Bei Michael
- Bektas Sebnem
- Bell David
- Benamor Oumayma
- Benek Duygu Ece
- Benham Emily
- Benismai Israa
- Bensalem Marya
- Bensalem Serien Hossain
- Benyani Simran Vinod
- Bernabei Massimiliano
- Betts Aisling
- Bezweek Adel
- Bhikha Jainey
- Bindra Randipsingh
- Binnawara Muhannud
- Bird Katie
- Bisgin Tayfun
- Bitsianis Stefanos
- Blake Jessica
- Bland Laura
- Blassey Aneel
- Blundell Jian
- Bobba Sriya
- Bockxmeer John Van
- Bolam Scott Matthew
- Bolton Damien
- Bosi Simone
- Bouaoud Souad
- Bouchenak Kamel
- Boussahel Ikram Fatima Zohra
- Bowman Sarah
- Boyd Theresa
- Boyes Hamish
- Boyley Jessica
- Bozhko Maxim
- Bozkir Haktan Ovul
- Bozkurt Mehmet Abdussamet
- Bresadola Vittorio
- Brewster Dani
- Brooke Kenya
- Brown Georgia
- Brown Matthew
- Buari Taiwo
- Buhavac Milos
- Bunjo Zachary
- Burrows Emalee
- Burruso Luca
- Busaidi Ibrahim S Al
- Bushaala Hassan
- Butterworth Yasmine
- Butyrskii Aleksandr
- Cabalag Carlos
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- Cakcak Ibrahim Ethem
- Cakir Niyazi
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- Calini Giacomo
- Camkıran Elifsu
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- Canton Joshua
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- Carnuccio Emma
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- Castagnini Francesco
- Catalioto Caterina
- Cepe Hale
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- Certel Alperen Taha
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- Chakroun Sawssen
- Chambers Jessica
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- Chan Ashley
- Chan Juliet
- Chan Justin
- Chan Nicholas
- Chand Namisha
- Chandiok Karan
- Chandler Callum
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- Chang Kelvin
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- Chao Phoebe
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- Chau Michelle
- Chauhan Karanjeet
- Chawla Tabish
- Chen Andrew
- Chen Brian
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- Cheung Aiden
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- Chiappe Caterina
- Chidambaram Seevakan
- Chilaka Lalitya
- Chlebicka Tara
- Choi Colin Chan-Min
- Choi Horim
- Choong Zhi Shyuan
- Chou Justin
- Chowdhury Nebula
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- Chua Alan
- Chua Alyssa
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- Chua Matthew
- Chye David
- Cianci Pasquale
- Ciranni Dominico
- Clair Sophie St
- Clanfield Matthew
- Clarnette Nick
- Clemente-Navarro Pablo
- Cobden Andrew
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- Collins Josh
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- Cordingley Timothy
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- Cornwell Charlotte
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- Crossman Mason
- Crostella
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- Cuneo Beatriz
- Currie William
- Cuthbert Mitchell
- Cyr Kathryn
- Çolak Eli Ìf
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- Das Ankita
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- Denby Hannah
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- Dimofte Mihail Gabriel
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- Dong Jason
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- Edwards Elton
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- Eismontas Vitalijus
- Ejaz Adya
- Ejembi Peter
- Ekwebelam Jennifer
- El-Masry Mariam
- el-mola Amira Gad
- El-Sakka Ahmed
- El-Taher Ahmed Kamal
- Elaagib Amna
- Eldaim Khalid Nour
- Eldarat Tarik Ahmed
- Eldomiaty Donia
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- Elewa Ahmed
- Elfadli Mustafa
- Elfallah Sara
- Elfeki Hossam
- Elferis Donia
- Elgadi Tahani
- Elghamry Ahmed
- Elgharib Asmaa Moatasem
- Elghazy Mohamed Abdelaziz
- Elgherwi Laila
- Elghoul Youssef
- Elgindy Yara
- Elhadi Muhammed
- Elhadi Muhammed
- Elhadi Muhammed
- Elhadi Rawan Elnoman Hamadelniel
- Elhassan Baraa
- Elia Michael
- ElieyiogÌlu GuÌşta
- Elizabeth
- Elkenawi Karim
- Elkharaz Omar A
- Elkheshebi Ahlam
- Elkhodary Ahmed
- Ellepola Hasthika
- Ellilly Ahmed
- Elmaghrabey Abdallah
- Elmehdawi Haitham
- Elmubark Abdelhadi
- Elnagar Rahma
- Elporgay Aya
- Elreaid Fadwa
- Elreaid Fatma Fathi
- Elrishi Fatheia
- Elsaied Mostafa
- Elsawy Amr
- Eltaib Ibrahim
- Eltayeb Mohammed Omer Mohammed
- Elyan Basel
- Elzoubia Joma
- Emad Humam
- Emam Asmaa
- Emhimmed David
- Enaami Husam
- English Tessa
- Eniola Bolarinwa
- Erginoz Ergin
- Esaiti Salma
- Esho Adriana
- Evans Natalie
- Ezeoke Grace
- Fabbri NicoloÌ
- fadalah Bader Abo
- Fadlalmola Hammad
- Faisal Arwa
- Fang Carol
- Farag Abdelrahman
- Fares Gamal Elsayed
- Faris Farah
- Fariyike Bunmi
- Farre Joan
- Farrell Michael
- Farrell Michael
- Fasiku Olushola
- Fatima Aleeza
- Fearnley-Fitzgerald Chekodi
- Febre Jorge
- Feierdaiweisi Xireaili
- Feo Carlo V
- Fergar Cem
- Ferguson Liam
- Ferguson Neil
- Fernando Isuru
- Figgitt Ethan
- Filikus Abraham L
- Flame Aki
- Fletcher Joseph
- Flintoft Sean
- Flores-GonzaÌlez Ana Karina
- Fong Bryan
- Fong Hakim
- Fong Pei Jun
- Foo Jonathon
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- Forsythe Jack
- Fotheringham Penelope
- Fouda Mohamed Fayez
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- Franks Angus
- Fraser Calvin
- Frost Taylor
- Fu Jeff
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- Fufore Mohammed Bello
- Fujihara Asuka
- Fung James
- Furey Joseph
- Gaafar Mohammed
- Gaarour Osama Samir
- Gaborit Lorane
- Gaborit Lorane
- Gahwagi Milad
- Galal Adham
- Galal-Eldin Sami
- Gallert Kayla
- Gamage Tharushi
- Gan Christine
- Gan Kathy
- Gan Siang Wei
- Gara Mouna
- Garba Mohammad Albuhari
- Garcia Sara
- GarciÌa Patricia Ludivina GonzaÌlez
- Garton Briar
- Garza Alejandro Quiroga
- Garza Francisco Javier Arrambide
- Gattesco Davide
- Gattulli Domenico
- Gebeh Alpha
- Gecici Mehmet Emre
- Gemici Aylin
- Geng Ruxi
- Gentle Juliette
- George Akhita
- George Ria
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- Gernhoefer Erin
- Ghaly Moheb
- Ghandi Kushan
- Ghanem Sohila
- Ghemmied Malak
- Ghmagh Rawia
- Ghmagh Reem
- Giannakopoulos Konstantinos S
- Gidiem Doaa
- Gill Sonia
- Gilmore Paul
- Gineeb Hana Yousef
- Giurgius Mary
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- Glynatsis John
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- Gundara Justin
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- Hadi Arwa
- Hadi Arwa
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- hamoud Mohammad Al
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- Hares Mohamed M
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- Harmston Christopher
- Haroon Ola
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- Hashem Ahmed Mohamed
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- Ibtisam Muhammad
- Ifoto Oghenekaro
- Iftikhar Hareem
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- Innes Michael
- Ioannidis Orestis
- Ioannidis Orestis
- Ioannidis Orestis
- Isaac Hope
- Isah AliyuYabagi
- Isah Dennis Anthony
- Isahak Mohamed Izzad
- Isais Jorge Arath Rosales
- Ismail Samir
- Ismail Tiamiyu
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- Isweesi Mohamed
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- Jabur Aiden
- Jabur Aiden
- Jaffry Kumail
- Jaffry Kumail
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- Jamieson Jodie
- Jamil Muhammad Badrul Hisyam Mohamad
- Jangam Aishwarya
- Jangra Muskan
- Javed Imran
- Jawa Timothy
- Jayatilleke Shenuka
- Jayyab Mustafa Abu
- Jeffery Fraser
- Jenkins Gregory
- Jeyamohan Ragavi
- Jeyarajan Deepak Rajan
- Jiang Vincent
- Jimenez Ramirez Lia Jasmin
- Jin Rong
- Jinu Puja
- Jollow David
- Joseph Fashe
- Joseph Nejo
- Joshi Divyanshu
- Joshi Krishma
- Ju William
- Juha Nida
- Jurgaitis Jonas
- Just Benjamin
- Juwaheer Ghanisht
- Kaabache Oumelaz
- Kache Stephen Akau
- Kaddah Abdulrahim Al
- Kaiser Nicole
- Kala Bemi
- Kale Ahmet
- Kaleem Urauba
- Kalkan Senad
- Kalogiannidis Ioannis
- Kalyanasundaram Kaviya
- Kamaleldin Aya
- Kamath Aditi
- Kamath Aditi
- Kamel Ali Momen
- Kanczuk Marcelo
- Kang Leannedra
- Kapetanios Georgios
- Kapoor Dhruv
- Kara Mehmet Emin
- Kara Yasin
- Karasneh Leen
- Karmakar Antara
- Karrar Ahmed
- Karthikeyan Nandini
- Kashaf Yumna
- Kaur Sharon
- Kaya Eslem
- Kayabaş IÌkbal
- Kayilioglu Ilgaz
- Kazbek Baturay Kansu
- Kechiche Nahla
- Keenan Rory
- Kejriwal Ritwik
- Keng Cambo
- Keramida Myrto D
- Keskin Abdil Yetkin
- Khadrawi Mohammad
- Khafifi Khaled
- Khairallah Nour Salah
- Khairy Ahmed
- Khairy Munya Ali Talab
- Khaldoon Tariq
- Khalid Ahmed Usman
- Khalid Omer Bin
- Khalifa Mansour
- Khalil Mahmoud
- Khalil Omaima
- Khamees Almu'atasim
- Khan Nasar Ahmad
- Khandelwal Tanishq
- Khanna Kabir
- Kharim Atab
- Kharwadkar Sahil
- Khassawneh Dima
- Khattak Shehrbano
- Khattar Mitali
- Khoo Michael
- Khorsheed Mohammed
- Khouja âFatima
- Khraise Wail
- Kim Ha Jin
- Kim Katie
- Kim Katie
- Kim Taehoon
- King Dennis
- Kink Aleah
- Kıralı Nurtac
- Kirfi Abdullahi Musa
- Kirk Rosemary
- Knowlton Lisa
- Kocatekin Henry
- Kocyigit Guldane Zehra
- Kodalak Taha Anıl
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- Zaed Moahmed
- Zafar Fatima
- Zaghloul Ahmed
- Zaheer Adil
- Zaidi Faseeh
- Zain Ahmad
- Zakaria Ahmed
- Zakaria Andee Dzulkarnaen
- Zakaria Mohd Zaim
- Zalloum Jihad
- Zamanbandhon Bushra
- Zambon Mattia
- Zapsalis Konstantinos
- Zargar Kamran
- Zarzour Mohamed A
- Zeng Raymond
- Zeng Raymond
- Zengin Kagan
- Zertuche Juventino Tadeo Guerrero
- Zhang Caitlin
- Zhang Edward
- Zhang Shane
- Zhang Yichi
- Zhao Hailin
- Zheng Helen
- Zhou Karen
- Zhou Yida
- Ziergiebel Felix
- Zou Peishan
- Zuylekom Kate Van
- Zuylekom Katie Van
- Zwain Yasir Adnan
- Zyul'korneeva Sof'ya
- âAladna âAbdallah
- âAljoumaa âAbdullah
- âNawfal âHamdi
- âNiazi âAmmar
- Publication venue
- Publication date
- 01/01/2024
- Field of study
Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely
Writ(h)ing Images: Imagination, the Human Form, and the Divine in William Blake, Salman Rushdie, and Simon Louvish
- Author
- Publication venue
- 'Informa UK Limited'
- Publication date
- 01/02/2008
- Field of study
Effect of general anaesthesia on functional outcome in patients with anterior circulation ischaemic stroke having endovascular thrombectomy versus standard care: a meta-analysis of individual patient data
- Author
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- Aeron-thomas John
- Aggour Mohamed
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- Van Den Berg Jan S.p.
- Van Den Berg Lucie A
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- Van Den Berg René
- Van Den Berg-vos Renske M.
- Van Der Heijden Esther
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- Van Dijk Ewoud J.
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- Van Hasselt Boudewijn A.a.m.
- Van Oostayen Jacques A.
- Van Oostenbrugge Robert J
- Van Oostenbrugge Robert J.
- Van Rooij Willem Jan J.
- Van Vemde Gina
- Van Walderveen Marianne Aa
- Van Zwam Wim H
- Van Zwam Wim H.
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- Wong Kitty
- Wortmann G
- Wright Mr
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- Wunderlich S
- Yan Bernard
- Yanase L
- Yang V
- Yassi Nawaf
- Yavagal D
- Yavagal Dileep R
- Yavagal Dileep R.
- Yeo Ta
- Yger Marion
- Yoo Albert J
- Yoo J
- You Sj
- Young Dennis
- Yu Y
- Zacharatos H
- Zaidat O
- Zaidi S
- Zavanone Chiara
- Zech M
- Zegarac V
- Zerlauth Jean-baptiste
- Zimmel L
- Zuniga Paolo
- Zurasky J
- Publication venue
- 'Elsevier BV'
- Publication date
- 16/12/2017
- Field of study
Background:
General anaesthesia (GA) during endovascular thrombectomy has been associated with worse patient outcomes in observational studies compared with patients treated without GA. We assessed functional outcome in ischaemic stroke patients with large vessel anterior circulation occlusion undergoing endovascular thrombectomy under GA, versus thrombectomy not under GA (with or without sedation) versus standard care (ie, no thrombectomy), stratified by the use of GA versus standard care.
Methods:
For this meta-analysis, patient-level data were pooled from all patients included in randomised trials in PuMed published between Jan 1, 2010, and May 31, 2017, that compared endovascular thrombectomy predominantly done with stent retrievers with standard care in anterior circulation ischaemic stroke patients (HERMES Collaboration). The primary outcome was functional outcome assessed by ordinal analysis of the modified Rankin scale (mRS) at 90 days in the GA and non-GA subgroups of patients treated with endovascular therapy versus those patients treated with standard care, adjusted for baseline prognostic variables. To account for between-trial variance we used mixed-effects modelling with a random effect for trials incorporated in all models. Bias was assessed using the Cochrane method. The meta-analysis was prospectively designed, but not registered.
Findings:
Seven trials were identified by our search; of 1764 patients included in these trials, 871 were allocated to endovascular thrombectomy and 893 were assigned standard care. After exclusion of 74 patients (72 did not undergo the procedure and two had missing data on anaesthetic strategy), 236 (30%) of 797 patients who had endovascular procedures were treated under GA. At baseline, patients receiving GA were younger and had a shorter delay between stroke onset and randomisation but they had similar pre-treatment clinical severity compared with patients who did not have GA. Endovascular thrombectomy improved functional outcome at 3 months both in patients who had GA (adjusted common odds ratio (cOR) 1·52, 95% CI 1·09â2·11, p=0·014) and in those who did not have GA (adjusted cOR 2·33, 95% CI 1·75â3·10, p<0·0001) versus standard care. However, outcomes were significantly better for patients who did not receive GA versus those who received GA (covariate-adjusted cOR 1·53, 95% CI 1·14â2·04, p=0·0044). The risk of bias and variability between studies was assessed to be low.
Interpretation:
Worse outcomes after endovascular thrombectomy were associated with GA, after adjustment for baseline prognostic variables. These data support avoidance of GA whenever possible. The procedure did, however, remain effective versus standard care in patients treated under GA, indicating that treatment should not be withheld in those who require anaesthesia for medical reasons
Penumbral imaging and functional outcome in patients with anterior circulation ischaemic stroke treated with endovascular thrombectomy versus medical therapy: a meta-analysis of individual patient-level data
- Author
- A Aceituno
- A Adams
- A Aghaebrahim
- A Alseraya
- A Anderson
- A Azizi
- A Balgude
- A Bauer
- A Bharatha
- A Bhatt
- A Binder
- A Bitner
- A Blue-Schaller
- A Cayley
- A Cervera
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- A Cullen
- A Dogan
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- A Ducruet
- A Ducruet
- A Durocher
- A DĂĄvalos
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- A Farrow-Schmidt
- A Flores
- A Fulton
- A Grande
- A Hassan
- A Hendrickson
- A Horev
- A Huberle
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- A Itreat
- A Jadhav
- A Jadhav
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- Marie-HĂ©lĂšne Dugay
- Marie-HĂ©lĂšne Mahagne
- Marieke C. Visser
- Marieke E.S. Sprengers
- Marieke JH Wermer
- Marina Sachet
- Mario Bruno Bartolini
- Marion Apoil-Brissard
- Marion Simpson
- Marion Yger
- Marit Lucas
- Mark Brooks
- Mark W Parsons
- Marloes Csizmadia
- Martin Krause
- Martin M Brown
- Martin M. Brown
- MarĂa HernĂĄndez-PĂ©rez
- Mathieu Bataille
- Mathieu Sevin-Allouet
- Matthias Lamy
- Maurice Giroud
- Maurice Moriarty
- Maxim Mulder
- Mayank Goyal
- Mayank Goyal
- MD Hill
- Merel Boers
- Michael D Hill
- Michael Holt
- Michaël Obadia
- Michel Piotin
- Miriam Priglinger
- MJ Lee
- ML Koch
- Mohamed Aggour
- Monica Badve
- MR Wright
- MR Wright
- MS Hussain
- Muir
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- N Akhtar
- N Beadell
- N Campbell
- N Cunningham
- N Daneault
- N Gentile
- N Gonzalez
- N Henninger
- N Hjort
- N Lang
- N Leboucq
- N MacĂas
- N Menjot de Champfleur
- N Mueller-Kronast
- N Pitiyanuvath
- N PĂ©rez de la Ossa
- N Rao
- N Ruiz de Morales Ayudarte
- N Steffenhagen
- N Vora
- Nader Sourour
- Nadia-Nawel Berhoune
- Nadine Fleitour
- Naga Kandasamy
- Nathalie Bourgois
- Nathalie Caucheteux
- Nawaf Yassi
- Nawaf Yassi
- Nawid Saiedie
- Naziha Ghannouti
- Neil Spratt
- Nerses Sanossian
- Nicolas Vitello
- Nikki Boodt
- Nils Wahlgren
- NJ Newcommon
- Nogueira
- Norbert Nighoghossian
- NR Kamal
- O Imoukhuede
- O Jansen
- O Kozak
- O Lynch
- O Maisterra
- O Menn
- O Ologuntoye
- O Singer
- O Zaidat
- Oguzhan Coskun
- Olav Jansen
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- Olivier Chassin
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- Olivot
- Olvert A Berkhemer
- Olvert A Berkhemer
- Omid Eshghi
- OY Bang
- P Beck
- P Brennan
- P Cardona
- P Choi
- P Coscojuela
- P Cotter
- P Couillard
- P Cuadras
- P Flynn
- P Garcia Bermejo
- P GarcĂa Bermejo
- P George
- P Gonzalez
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- P Jeon
- P Katz
- P Kelly
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- P Kostyrko
- P Lopez- Ojeda
- P Machi
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- P McNelis
- P Meler
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- P Minhas
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- P O'Brien
- P Papanagiotou
- P Pema
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- P Puyalto
- P Ringleb
- P Shah
- P Von Weitzel-Mudersbach
- P. Alan Barber
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- Paolo Machi
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- Pascal Derkinderen
- Pascale Gauthier-Lasalarie
- Patrice Menegon
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- Patrick A. Brouwer
- Patrick C. Vroomen
- Patrick Courtheoux
- Paul J Nederkoorn
- Paul L.M. de Kort
- Pauline Renou
- Paut Greebe
- Peter J Mitchell
- Peter J Mitchell
- Peter J. Koudstaal
- Philip White
- Philip White
- Philippe Graveleau
- Pierre Aguettaz
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- Pierre Clavelou
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- Pierre Guedin
- Pierre-Alexandre Baillot
- PK Stys
- Poh Sien Loh
- Puck SS Fransen
- Purushotham
- Q Shah
- R Agid
- R Bartt
- R Bellon
- R Brant
- R Budzik
- R Carandang
- R Cerejo
- R Chan
- R Collins
- R Dahlgren
- R Dharia
- R Doyle
- R du Mesnil de Rochemont
- R Farb
- R Gandhi
- R GarcĂa-Sort
- R Goddeau
- R Jahan
- R Martin
- R Moftakhar
- R Navarro
- R Pafford
- R Pratt
- R Priest
- R Reddy
- R Roberts
- R Sawyer
- R Shamloul
- R Swartz
- R Taylor
- R Tummala
- R Turner
- R van Dijk
- R Vandorpe
- R Whelan
- R Wiegner
- RA Ashforth
- RA Willinsky
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- Rachael McCoy
- Ralph Geuskens
- Raphael Blanc
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- Raul G. Nogueira
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- Reza Jahan
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- Richard Chiacchierini
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- Richard Perry
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- Rita Ghatala
- RJ Owen
- Rob H Lo
- Rob Lenthall
- Robert J van Oostenbrugge
- Robert J. van Oostenbrugge
- Roberto Riva
- Roel J.J. Heijboer
- Roeland Dobbe
- Ronil V Chandra
- RĂ©my Beaujeux
- RĂŒdiger von Kummer
- S Adatia
- S Al-Boutros
- S Amaro
- S Arkin
- S Barnwell
- S Biethahn
- S Blayney
- S Boned
- S Boo
- S Bracard
- S Crandall
- S Crann
- S Dancer
- S Decesare
- S Dehkharghani
- S Dharmadhikari
- S Doppelheuer
- S Duff
- S Faro
- S Gallagher
- S Gelabert
- S Guggenberger
- S Göricke
- S Hall
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- S Hou
- S Jamieson
- S John
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- S Koch
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- S Lanthier
- S Lee
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- S Murphy
- S Murphy
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- S Patel
- S Patil
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- S Phillips
- S Prothmann
- S Quarfordt
- S Quarfordt
- S Rangaraju
- S Remollo
- S Renfrow
- S Rho
- S Robert
- S Rohde
- S Rudilosso
- S Ryoo
- S Sheth
- S Shine
- S Smyth
- S Starkman
- S Streib
- S Subramaniam
- S Tateshima
- S Taudorf
- S Wunderlich
- S Zaidi
- S-I Sohn
- Sabrina Debruxelles
- Sal Lamin
- Sandra Felix
- Sandrine Deltour
- Sandrine Wiertlewski
- Sanjeev Nayak
- Sarah Evain
- Saver
- Saver
- SB Coutts
- Scott Brown
- Scott Hamilton
- Sebastiaan F. de Bruijn
- Serge Bakchine
- Serge Bracard
- Serge Evrard
- Servane Mouton
- Sherisse Celestino
- Silvan Licher
- Silvia Pistocchi
- Simon Salinas
- SJ Kim
- SJ You
- Sjoerd F.M. Jenniskens
- Skye Coote
- SolĂšne De Gaalon
- Sophie Crozier
- Sophie Godard Ducceschi
- SR Belagaje
- SS Naik
- Stefan Vinken
- Stefanie Schipperen
- Steff Lewis
- Stephane Velasco
- Stephen M Davis
- Stephen M Davis
- Susan Day
- Sylvain Lachaud
- Sylvie Godon-Hardy
- SĂ©bastien Richard
- SĂ©bastien Richard
- SĂ©verine Debiais
- T Boeckh-Behrens
- T Coughlan
- T Daly
- T Daly
- T Davis
- T Devlin
- T Devlin
- T Galvin
- T Harbo
- T Hendrickson
- T Hyldal
- T Jeerakathil
- T Kahles
- T Krings
- T Larson
- T Lowenkopf
- T Lynch
- T Marotta
- T Meindl
- T Musuka
- T Nguyen
- T Reiff
- T Roberts
- T Sajobi
- T Sajobi
- T Scheibe-Mirek
- T Stavngaard
- T Stewart
- T Stewart
- T Stewart
- T Walsh
- TA Yeo
- Tae-Hee Cho
- Tanya Frost
- TB Kotylak
- Teddy Y Wu
- TG Jovin
- Thanh Phan
- Theo Stijnen
- Thibaud Lebouvier
- Thierry Moulin
- Thomas J Oxley
- Thomas Liebig
- Thomas Ritzenthaler
- Thomas Ronziere
- Thompson Robinson
- Tiemen van Boxtel
- Timo Krings
- Timothy Ang
- Timothy J Harrington
- Timothy J Kleinig
- Tiphaine Rouaud
- Tissa Wijeratne
- Tobien H.C.M.L. Schreuder
- Tommy Andersson
- Tony Goddard
- TS Field
- Tudor G Jovin
- Tudor G. Jovin
- TW Watson
- U Grzyska
- V Biberacher
- V Chang
- V Costalat
- V Deshmukh
- V Dubuc
- V Kalugdan
- V Nambiar
- V Obach
- V Pandey
- V Patel
- V Reddy
- V Snyder
- V Szeder
- V Totoraitis
- V Totoraitis
- V Yang
- V Zegarac
- VA Coté
- Valérie Domigo
- Valérie Wolff
- Vasdev Ashok
- Vincent Cahagne
- Vincent Costalat
- Vincent Guiraud
- Violaine Rouaud Jaffrenou
- Vitor Mendes Pereira
- VK Reddy
- W Clark
- W Holloway
- W Maloney
- W Montanera
- W Morgan
- W Pfeilschifer
- W Poon
- W Tekle
- Wade Smith
- Werner Hacke
- WF Morrish
- WF Morrish
- Willem Jan J. van Rooij
- Willy Struijk
- Wilma Pellikaan
- Wim H van Zwam
- Wim H. van Zwam
- Winston Chong
- Wintermark
- WJ Hicks
- WJ Montanera
- WJ Montanera
- Wouter J Schonewille
- X Ayrignac
- X Urra
- Xavier Barreau
- Xavier Ducrocq
- Xavier Leclerc
- Y Deschaintre
- Y Li
- Y Yu
- Yannick Bejot
- YD Kim
- Yince Loh
- Yves Chau
- Yves Samson
- Yvo B W E M Roos
- Yvo B.W.E.M. Roos
- Z El-Zammar
- Z Khawaja
- Zofia Ross
- Zoltan Szatmary
- Zwenneke Flach
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