12 research outputs found
Self domestication and the evolution of language
- Author
- A Benítez-Burraco
- A Mesoudi
- AA Pack
- AA Pack
- AA Pack
- AD Gordon
- AD Shapiro
- AD Smith
- AL Zihlman
- ALS Houde
- AP Melis
- AS Pollick
- AS Reber
- AS Wilkins
- AV Kukekova
- AV Kukekova
- AV Kukekova
- B Agnetta
- B Hare
- B Hare
- B Hare
- B Hare
- B Hare
- B Hare
- B Hare
- B Hare
- B MacWhinney
- B Thompson
- BC Goodwin
- BP Smith
- BT Shea
- C Bao
- C Darwin
- C Darwin
- C Hobaiter
- C Kemp
- C Schloegl
- CA Boeckx
- CA Boeckx
- CA Theisen
- CB Ruff
- CDL Wynne
- CJ Bidau
- CL Brace
- CPE Zollikofer
- D Dediu
- D Reiss
- D Zohary
- DA Leavens
- DCT Kruska
- DE Kroodsma
- DE Lieberman
- DF Morey
- DK Belyaev
- DL Cramer
- E Bufill
- E Herrmann
- E Herrmann
- E Larsson
- E Tchernov
- E Tchernov
- EH Harmon
- EM Markman
- EO Price
- EO Price
- EO Price
- EO Price
- F Boas
- F Nottebohm
- FJ Odling-Smee
- G Roberts
- GP Rightmire
- GRS Ritchie
- GRS Ritchie
- H Brighton
- H Brighton
- H Kagawa
- H Lyn
- H Pettersson
- HH Clark
- HJ O’Regan
- HM Leach
- HM Leach
- I Stewart
- I Svanberg
- IM Pepperberg
- J Clutton-Brock
- J Clutton-Brock
- J Håkansson
- J Kaminski
- J Kaminski
- J Kaminski
- J Polák
- J Polák
- J Riedel
- J Topál
- J Topál
- J Winters
- J-C Gómez
- James Thomas
- JH Poole
- JK Tornick
- JM Plavcan
- JR Saffran
- JW Boughman
- K Carlstead
- K Okanoya
- K Okanoya
- K Okanoya
- K Okanoya
- K Ralls
- K Smith
- K Smith
- K Smith
- K Soproni
- K Suzuki
- K Suzuki
- KA Spencer
- KC Kirchhofer
- KL Buchanan
- L Proops
- L Rendell
- LA Eales
- LF Baptista
- LK Samuelson
- LN Trut
- LN Trut
- M Brüne
- M Campler
- M Oliphant
- M Scheumann
- M Soma
- M Somel
- M Somel
- M Surbeck
- M Surbeck
- M Takahasi
- M Tamariz
- M Tamariz
- M Tomasello
- M Tomasello
- M Tomasello
- M Tomasello
- M Tomasello
- MA Rodrı́guez-Gironés
- MA Zeder
- MAR Udell
- MAR Udell
- MC Corballis
- MD Beecher
- MD Beecher
- MD Beecher
- MD Hauser
- MF Ashley Montagu
- MF Soma
- MH Christiansen
- MM Lahr
- MN Cohen
- N Giret
- NJ Mulcahy
- NJ Mulcahy
- OM Pearson
- P-Y Oudeyer
- P-Y Oudeyer
- R Wrangham
- RC Berwick
- RG Bednarik
- RL Cieri
- RM Seyfarth
- RW Wrangham
- RW Wrangham
- S Kirby
- S Kirby
- S Kirby
- S Kirby
- S Kirby
- S Kirby
- S Leitner
- S Mithen
- S Nowicki
- S Pinker
- S Pinker
- S Savage-Rumbaugh
- S Savage-Rumbaugh
- S Savage-Rumbaugh
- SA Kauffman
- Simon Kirby
- SJ Gould
- SJ Gould
- SW Gangestad
- T Verhoef
- TC Scott-Phillips
- TC Scott-Phillips
- TL Griffiths
- TW Deacon
- TW Deacon
- TW Deacon
- TW Deacon
- V Pilbrow
- V Wobber
- VM Janik
- WH Kimbel
- WT Fitch
- X Liu
- Z Peng
- Z Virányi
- Á Miklósi
- Á Miklósi
- Á Miklósi
- Á Miklósi
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/04/2018
- Field of study
Spatially Offset Raman Spectroscopy (SORS) as analytical tool for the sustainable analysis of packed meat
- Publication venue
- Publication date
- 19/09/2022
- Field of study
As a highly sensitive food, the safety of meat is an important issue in the context of food safety. The current analytical methods for detection are based on different, invasive proce-dures. The analysis of these foods therefore causes avoidable food losses in the case of foods that are still suitable for consumption. Spatially offset Raman spectroscopy (SORS) is a po-tential alternative analytical method, as it offers the possibility to measure through packag-ing. Using packaged chicken breast as an example, we simulated two different storage condi-tions and compared these samples to control samples using SORS. To validate the group as-signment and to monitor the resulting changes, total bacterial count and NMR spectra of the meat extracts were measured and evaluated. We overcame the various difficulties in the multivariate data evaluation of the through package measured Raman spectra and were able to classify samples deviating from the control group with very high accuracies and simulta-neous absence of false positive results
Addiction Panel Discussion: Finding Support
- Author
- Publication venue
- Marshall Digital Scholar
- Publication date
- 24/01/2019
- Field of study
“Addiction Panel Discussion: Finding Support,” is the third of five in the, “Don’t Call Me Crazy: MU Mental Health Initiative,” panel discussion series, which was held on January 24, 2019. This initiative is comprised of three major components: “Resiliency through Education;” which includes: panel discussions with mental health professionals and a research guide, “Resiliency through Art;” an art exhibition that featured works form MU students, faculty and staff, and community members, and “Resiliency through Community;” an extensive collection of campus, local, state, and national mental health resources. Libraries hold a unique position as places to hold civil conversations on challenging subjects as well as purveyors of credible information in which to frame those conversations. The panel discussions provide opportunities for these conversations by bring experts together to answer questions and dispel misinformation. “Addiction Panel Discussion: Finding Support,” discusses topics such as: alcoholism, childhood, adolescent, and adult substance use disorders, opioid addiction and addiction treatment, substance use vs. addiction, medical vs. behavioral health model of treatment, family systems treatment, homelessness, harm reduction programs, compassion fatigue, and self-care.
Panelists include: Karen Yost, Matthew Q. Christiansen, M.D., M.P.H., Dr. Lyn O’Connell, Dan Curry, Amy Saunders, Michelle Perdue
Moderator: Sabrina Thoma
Neonatal Anthropometrics and Obesity Treatment Response in Children and Adolescents
- Author
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2022
- Field of study
Parental ethnotheories and family language policy in transnational adoptive families
- Author
- A Fina De
- AS Canagarajah
- B Melosh
- B Spolsky
- B Yngvesson
- BA Pan
- BC Miller
- C Baker
- C Higgins
- D Kulick
- D Tannen
- E Ochs
- E Ochs
- FM Hult
- H Jacobson
- J Gafaranga
- K King
- KA King
- KA King
- KA King
- L Hamilton
- LW Fogle
- LW Fogle
- Lyn Wright Fogle
- M Wetherell
- NH Hornberger
- R Stryker
- RA Javier
- S Blum-Kulka
- S Harkness
- SB Heath
- SB Warren
- T Elleseff
- XL Curdt-Christiansen
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Mesenchymal stem cells, neural lineage potential, heparan sulfate proteoglycans and the matrix
- Author
- Akiyama
- Alexanian
- Alfandari
- Bandtlow
- Bernfield
- Bernfield
- Capurro
- Capurro
- Carey
- Chen
- Christiansen
- Conget
- Cool
- Cunningham
- da Silva Meirelles
- Dityatev
- Dombrowski
- Egea
- Elenius
- Engler
- Erices
- Fernandez
- Ferrari
- Filmus
- Filmus
- Flanagan
- Friedenstein
- Gregory
- Guimond
- Habuchi
- Hacker
- Hagihara
- Hakuno
- Hancock
- Hardingham
- Hass
- Haupt
- Haynesworth
- Haynesworth
- Hermann
- Hermann
- Iozzo
- Ivins
- Jayson
- Kjellen
- Kolf
- Kopen
- Kuznetsov
- Lamoureux
- Lander
- Lander
- Lanzoni
- Larisa M. Haupt
- Lee
- Lindahl
- Lindahl
- Lindner
- Ling
- Ling
- Litwack
- Lyn R. Griffiths
- Mackay
- Maeda
- Makino
- Margolis
- Matsumoto-Miyai
- Mezey
- Minguell
- Minguell
- Mithieux
- Nagai
- Nurcombe
- Ohkawara
- Ohta
- Oohira
- Ornitz
- Perrimon
- Petitou
- Pittenger
- Powell
- Qian
- Rachel K. Okolicsanyi
- Ragni
- Rapraeger
- Rapraeger
- Reading
- Reyes
- Rosenberg
- Rotter
- Rozario
- Sadan
- Safaiyan
- Salmivirta
- Sasisekharan
- Shields
- Shukla
- Siena
- Song
- Stipp
- Sugahara
- Tavassoli
- Tkachenko
- Tuan
- Veugelers
- Vlodavsky
- Watt
- Weihe
- Yamaguchi
- Yamaguchi
- Zimmermann
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2014
- Field of study
Along with the tri-lineage of bone, cartilage and fat, human mesenchymal stem cells (hMSCs) retain neural lineage potential. Multiple factors have been described that influence lineage fate of hMSCs including the extracellular microenvironment or niche. The niche includes the extracellular matrix (ECM) providing structural composition, as well as other associated proteins and growth factors, which collectively influence hMSC stemness and lineage specification. As such, lineage specific differentiation of MSCs is mediated through interactions including cell–cell and cell–matrix, as well as through specific signalling pathways triggering downstream events. Proteoglycans (PGs) are ubiquitous within this microenvironment and can be localised to the cell surface or embedded within the ECM. In addition, the heparan sulfate (HS) and chondroitin sulfate (CS) families of PGs interact directly with a number of growth factors, signalling pathways and ECM components including FGFs, Wnts and fibronectin. With evidence supporting a role for HSPGs and CSPGs in the specification of hMSCs down the osteogenic, chondrogenic and adipogenic lineages, along with the localisation of PGs in development and regeneration, it is conceivable that these important proteins may also play a role in the differentiation of hMSCs toward the neuronal lineage. Here we summarise the current literature and highlight the potential for HSPG directed neural lineage fate specification in hMSCs, which may provide a new model for brain damage repair
Work and Family Stressors and the Quality of Father-Child Relationships: Do Neighborhood Resources Matter?
- Author
- Bronfenbrenner Urie
- Brown Geoffrey L.
- Bubolz Margaret M.
- Burley Kim A.
- Castillo Jason
- Christiansen Shawn L.
- Coltrane Scott
- Coltrane Scott
- Cookston Jeffrey T.
- Cotterell J.
- Craig Lyn
- Crouter Ann C
- Daly Kerry
- De Luccie
- Gareis Karen C.
- Glass Jennifer L.
- Goldberg Wendy A
- Goncy Elizabeth A.
- Greenhaus Jeffrey H.
- Greenstein Theodore N
- Hill E.
- Hill E. Jeffrey
- Hill E. Jeffrey
- Hill E. Jeffrey
- Hochschild Arlie R.
- Hook Jennifer L.
- Jacobs Jerry A.
- Jacobs Julie N.
- Kinnunen Ulla K.
- Lareau Annette
- Lau Yuk King
- McDonald Daniel A.
- McGuire J.B.
- Milkie Melissa A.
- Minnotte Krista Lynn
- Moen Phyllis
- Moen Phyllis
- Monahan Deborah J.
- Morman Mark T.
- Nomaguchi Kei M
- Olson Joan Toms
- Perlow Leslie A.
- Perry-Jenkins Maureen
- Shelton Beth Anne.
- South Scott J.
- South Scott J.
- South Scott J.
- Stevens Daphne Pedersen
- Swisher Raymond
- Theodori Gene L.
- Toth Jr
- Trent Katherine
- Voydanoff Patricia
- Voydanoff Patricia
- Voydanoff Patricia
- Voydanoff Patricia
- Voydanoff Patricia
- Wall Glenda
- Wellman Barry
- White James M.
- Publication venue
- 'Informa UK Limited'
- Publication date
- Field of study
Semiotics and the Origin of Language in the Lower Palaeolithic
- Author
- A Balikçi
- A Benito-Calvo
- A Brumm
- A Clark
- A Cooper
- A Defez
- A Gómez-Olivencia
- A Iliopoulos
- A Leroi-Gourhan
- A MacLarnon
- A Malinsky-Buller
- A Marshack
- A Muller
- A Powell
- A Whiten
- A Whiten
- AE Goldberg
- AJM Key
- AK Kalan
- AR Wallace
- AS Pollick
- B Arthur
- B de Boer
- B Latour
- B Pfaffenberger
- B Pfaffenberger
- BB Beck
- BS Hewlett
- BS Hewlett
- C Boesch
- C Darwin
- C Gamble
- C Gosden
- C Lemorini
- C Power
- C Shipton
- C Shipton
- C Shipton
- C Shipton
- C Shipton
- C Shipton
- C Tennie
- C Trevarthen
- C Tyron
- CF Hockett
- CR Johnson
- CS Henshilwood
- CS Peirce
- CS Peirce
- CS Peirce
- D Barsky
- D Bickerton
- D Bickerton
- D Brandišauskas
- D Dediu
- D Gil
- D Hodgson
- D Killick
- D Stout
- D Stout
- D Stout
- D Stout
- D Tayanin
- DA Roe
- DL Everett
- DL Everett
- DL Everett
- DL Everett
- DL Everett
- DL Medin
- DR Braun
- E Bates
- E Fedorenko
- E Kroll
- E Sapir
- E Sapir
- F Balezeau
- F de Saussure
- F Diez-Martína
- F d’Errico
- F Guindon
- F Karlsson
- FL Coolidge
- G Csibra
- G Lakoff
- G McCall
- G Sharon
- G Sharon
- G Sharon
- G Sharon
- G Urban
- GD Ruxton
- GD van den Bergh
- GK Pullum
- H de Lumley
- H Dibble
- H Lyn
- HJ Deacon
- I Davidson
- I Davidson
- I Davidson
- I de la Torre
- I Hodder
- I Hodder
- I Hodder
- I Kopytoff
- I Martínez
- I Rouse
- I Watts
- IB Firchow
- J Cole
- J Goodall
- J McNabb
- J Pedersen
- J Queiroz
- J Steele
- J Vonk
- J Zilhão
- JAJ Gowlett
- JAJ Gowlett
- JB Preysler
- JD Clark
- JE Fairlie
- JJ Shea
- JM Skibo
- JR Hurford
- JR Hurford
- JR Sackett
- JR Sackett
- JT Laitman
- K Akhilesh
- K MacDonald
- KA Overmann
- KE Slocombe
- KR Gibson
- KW Arthur
- L Backwell
- L Barham
- L Barham
- L Malafouris
- L Steels
- L Steels
- L Wadley
- L White
- L-J Boë
- L-J Boë
- M Aubert
- M Corballis
- M Dominguez-Rodrigo
- M Gentilucci
- M Grove
- M Kohn
- M Lombard
- M Martinon-Torres
- M Osvath
- M Piatelli-Palmarini
- M Tallerman
- M Tomasello
- M Tomasello
- M Yip
- M-H Moncel
- MA Byers
- MD Hauser
- MF Müller
- MH Christiansen
- MH Christiansen
- MH Fisch
- MH Wobst
- MJ White
- MR Meyer
- N Ashton
- N Chomsky
- N Chomsky
- N Chomsky
- N Chomsky
- N Chomsky
- NJ Wallis
- P Bahn
- P Delahaye
- P Draper
- P García-Medrano
- P Gärdenfors
- P Gärdenfors
- P Lieberman
- P Lieberman
- P Mellars
- P Mellars
- P Mellars
- P Mellars
- P Spikins
- PG Chase
- PJ Richerson
- PV Tobias
- R Aunger
- R Bednarik
- R Bednarik
- R Bednarik
- R Bednarik
- R Botha
- R Botha
- R Crompton
- R Galloti
- R Gallotti
- R Holloway
- R Hosfield
- R Jackendoff
- R Klein
- R Klein
- R Potts
- RA Gould
- RB Lee
- RC Berwick
- RM Seyfarth
- RW Byrne
- RW Preucel
- S Belitzky
- S Harmand
- S Lew-Levy
- S Lew-Levy
- S Mithen
- S Pinker
- S Savage-Rumbaugh
- SD Cousins
- SE Fisher
- SH Ambrose
- SJ Lycett
- SK Watson
- SL Kuhn
- SM Musgrave
- SP McPherron
- SS Putt
- SSJ Putt
- T Berlant
- T Deacon
- T Grüber
- T Ingicco
- T Ingold
- T Ingold
- T Simanjuntak
- T Wynn
- T Wynn
- T Wynn
- T Wynn
- T Wynn
- TJ Pinch
- TW Plummer
- U Eco
- VK Bentley-Condit
- VM Sloutsky
- W Noble
- WC McGrew
- WT Fitch
- WT Fitch
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
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
- Baio Thalissa Hermínia
- Bairaktari Aggeliki
- 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
- Barrett Stephen
- Barrett Wendy Joan
- Basanth Sujith
- Batchelor Nick
- Bateman Brian
- Bates Alexander
- Bates Sarah
- Batista Hugo Dias
- Bauchmuller Kris
- Bauer Marlene
- Baumgarten Georg
- Baxter Linden
- Beaton Ceri
- Beattie Scott
- Beattie Scott
- Beattie Scott
- Beavis Vanessa
- Beavis Vanessa
- Bechan Sudha
- Beer Johan
- Bejia Tarek
- Belciu Ioana
- Belda Margarita Tormo
- Bell Gillian
- Bell Rachel
- Bell Rachel
- Bell Stephanie
- Bellandi Mattia
- Bello Jibril
- Beloeil Helene
- Belskiy Vladislav
- Beltran Anna Valle
- Ben-Menachem Erez
- Benavent Pau
- Benevento Angelo
- Bengeri Sheshagiri
- Bennett Cambell
- Bennett Michael
- Bennett Rachael
- Bennett Victoria
- Bentley Conor
- Beretta Luigi
- Berg Andrew
- Berg Bianca
- Bergin Colin
- Bernard Andre
- Bernard Andre
- Bernard Andre
- Bernat Maria Jose
- Berntsen Emer
- Berntsen Emer
- Bertram Wendy
- Bester Delia
- Bester Marlet
- Bettega Fernanda
- Bettinelli Alessandra
- Bhardwaj Neeraj
- Bhatia Kailash
- Bhula Chettan
- Bi Yanbing
- Biais M.
- Biais Matthieu
- Biais Matthieu
- Biccard Bruce
- Biccard Bruce M
- Bidd Heena
- Bidd Heena
- Bidgoli Jawad
- Biffen Andrew
- Bignami Elena
- Bilolikar Anjali
- Birch Julie
- Bishop David Gray
- Biyase Thuli
- Bizios Christol
- Blackwell Clare
- Blackwood Douglas
- Blaj Mihaela
- Blakemore Stephen P
- Bland Martin
- Blunt Mark
- Blyth Katharine
- Bocchino Speranza
- Bodansky Daniella
- Bodger Phoebe
- Boer Christa
- Boer Hans Donald
- Boereboom Catherine
- Boggiano Victoria
- Bokkel-Andela Janneke
- Bolaji Benjamin
- Bolton David
- Boone Myles
- Boschi Luca
- Boshier Piers
- Botes Marisa
- Botis Ioannis
- Bottini Corrado
- Bottrill Fiona
- Bouchez Stefaan
- Boulton Kerenza
- Bouris Vasilios
- Bourner Lynsey
- Boutsikos Georgios
- Bouwman Arthur
- Bouwman Arthur
- Bowrey Sarah
- Boxall Leigh
- Boyd Christine
- Bradburn Mike
- Bradburn Mike
- Bradley Jacqueline
- Branagan Graham
- Branco Teresa
- Brand Bastiaan
- Brandsborg Birgitte
- Breitenstein Stefan
- Brennan Andrew
- Brennan Emma
- Brenner Laura
- Brincat Maximilian
- Briscoe Richard
- Bristogiannis Sotirios
- Brooke Jenny
- Brookes Jamie
- Brookes Morag
- Brooks Carolyn
- Broomby Rupert
- Brotto Ana Flavia
- Brown Andrew
- Brown Caroline Wrey
- Brown Gemma
- Brown Jamie
- Brown Janette
- Brown Lynne
- Brown Richard
- Brown Robyn
- Browning Julie
- Bruma Dana
- Brunete Tamara
- Brunswicker Annemarie
- Bryant Helen
- Bua Emmanuel
- Buccimazza Ines
- Buckley Sarah
- Buerkle Christian
- Buhre Wolfgang
- Buhre Wolfgang
- Builu Pierre Monji
- Buise Marc
- Bullock Clare
- Bunwarie Bimalshakth
- Burns Karen
- Burrows Lorna
- Burrows Tom
- Burston Ben
- Burtenshaw Andrew
- Burton Megan
- Busuioc Mihai
- Butryn Izabella
- Butt Georgina
- Byrne Kelly
- Bührer Thomas
- Cabezuelo Estefania
- Cabral Raquel
- Cabrini Luca
- Cacala Sharon
- Cai Fang
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- Lobo Suzana M
- Lockwood Geoffrey
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- Manuel Granell Gil
- Manzini Vukani T
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- Wilson Matt
- Wilson Natalie
- Wima Semarawima
- Winch Denyse
- Winstone Ulrika
- Winterton Dario
- Wir Wiryana Made
- Wise Robert
- Wittmann Maria
- Wolfer Alexandra
- Wolfer Alexandra
- Wollaston Julie
- Wong Christopher
- Wong Juan Yong
- Wong Kate
- Wong Kin Wai Kevin
- Wong Sze Meng
- Wong Tony
- Woodgate Andrew
- Woolsey Adrianna
- Woolsey Adrianna
- Woon Yuan Liang
- Worreth Marc
- Wouters Patrick
- Wouters Patrick
- Wrench Ian
- Wright Sally
- Wu Chao
- Wu Chi
- Wu Jie
- Wu Jie
- Wu Qiong
- Wu Shuijing
- Wyffels Piet
- Wyk Steyn
- Wylie Katharine
- Xia Jiangyan
- Xia Yanfei
- Xia Zhong-yuan
- Xiao Wangpin
- Xiao Wei
- Xie Guohao
- Xie Jue
- Xie Junjie
- Xie Keliang
- Xifara Archontoula
- Xiong Xiapei
- Xiong Yingfen
- Xouplidis Kyriakos
- Xu Guan-Jie
- Xu Lin
- Xu Liyuan
- Xu Qiong
- Xu Shixia
- Xue Rui
- Yagnik Anmol
- Yan Yixiu
- Yang Jian
- Yang Lu
- Yang Qiuhong
- Yang Shuangjia
- Yang Tianqin
- Yang Yang
- Yao Shanglong
- Yao Yurui
- Yap Huey Ling
- Yarwood Jamie
- Yassaee Arrash
- Ye Haiwang
- Ye Hui
- Yegnaram Shashikant
- Yeh Erlinda
- Yin Ning
- Yip Chi Pang
- Yong Johnny
- Yu Hai Chuan
- Yu Shuchun
- Yu Tian
- Yu Yonghao
- Yuan Dajiang
- Yuan Fang
- Yuan Jiaqi
- Yuan Jing
- Yuan Yazhuo
- Yuliana Annika
- Yun Bai
- Zaane Bas
- Zaimi Donika
- Zakynthinos Spyros
- Zamudio Diana
- 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
- Zhang Kai
- Zhang Lina
- Zhang Min
- Zhang Mingxiao
- Zhang Qin
- Zhang Ruilin
- 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