95 research outputs found
EEG signal analysis and characterization for the aid of disabled people
- Publication venue
- 'WITPRESS LTD.'
- Publication date
- 01/01/2007
- Field of study
Granite Exploration by using Electrical Resistivity Imaging (ERI): A Case Study in Johor
- Author
- Publication venue
- 'Penerbit UTHM'
- Publication date
- 15/09/2020
- Field of study
Electrical Resistivity Imaging (ERI) is a tool used in near surface geophysical surveys by flowing an electric current through electrodes that were injected into the ground. The usage of electrical resistivity imaging (ERI) method dominated by geophysicist has increased tremendously in geotechnical engineering application owing to the efficiency and effectiveness of the method in term of time, cost and also data coverage. The survey performed with respect to the particular reference to ERI in determining the granite rock underneath the ground. There were seven (7) lines of ERI performed at the study area by using ABEM Terrameter LS 2 set of equipment based on Schlumberger protocol. Six (6) boreholes were also drilled to obtain engineering properties of rock at the study area. In order to develop the relationship between resistivity and engineering properties, a comparison between borehole field test result and the resistivity value were made. Results from the ERT indicated the presence of zones with high resistivity values identified as overburden soil, fractured granite and solid granite. The findings of this study also showed that the electrical resistivity imaging coupled with borehole drillings were applicable tools for the determination of the granite rock underneath the ground via subsurface profiles and such as depth of overburden soil and engineering properties of soil
Techniques of EMG signal analysis: detection, processing, classification and applications
- Author
- A Boca del
- A Hamilton-Wright
- A Merlo
- A Moser
- AJ McComas
- AJ Thexton
- AM Syeed
- AR Ismail
- CI Christodoulou
- CJ Luca de
- CL Nikias
- CL Nikias
- CL Nikias
- CS Pattichis
- D Farina
- D Gabor
- D Graupe
- D Graupe
- D Zennaro
- DA Winter
- DK Kumar
- DW Stashuk
- F Laterza
- F. Mohd-Yasin
- FHY Chan
- G Cheron
- G Hefftner
- GB Giannakis
- H Piper
- HJ Yeom
- J Duchene
- JR Cram
- JV Basmajian
- K Kanosue
- K Tohru
- K Yana
- KB Englehart
- KR Wheeler
- L Bernatos
- L Cohen
- LA Major
- LQ Zhang
- M. B. I. Reaz
- M. S. Hussain
- NR Lorente de
- P Bornato
- P Rosenfalck
- P Wellig
- PA Kaplanis
- PC Doerschuk
- R Boualem
- RFM Kleissen
- S Karlsson
- S Micera
- S Shahid
- SD Nandedkar
- V Stanford
- W Martin
- W Peasgood
- X Lanyi
- X Zhengquan
- Y Zhou
- YT Zhang
- Publication venue
- Biological Procedures Online
- Publication date
- 01/01/2006
- Field of study
Electromyography (EMG) signals can be used for clinical/biomedical applications, Evolvable Hardware Chip (EHW) development, and modern human computer interaction. EMG signals acquired from muscles require advanced methods for detection, decomposition, processing, and classification. The purpose of this paper is to illustrate the various methodologies and algorithms for EMG signal analysis to provide efficient and effective ways of understanding the signal and its nature. We further point up some of the hardware implementations using EMG focusing on applications related to prosthetic hand control, grasp recognition, and human computer interaction. A comparison study is also given to show performance of various EMG signal analysis methods. This paper provides researchers a good understanding of EMG signal and its analysis procedures. This knowledge will help them develop more powerful, flexible, and efficient applications
Effectiveness of the EMPOWER-PAR Intervention in Improving Clinical Outcomes of Type 2 Diabetes Mellitus in Primary Care: A Pragmatic Cluster Randomised Controlled Trial
- Author
- A Barceló
- Abdul Rahman Yong-Rafidah
- American Diabetes Association
- Anis Safura Ramli
- AS Ramli
- AS Ramli
- Asrul Akmal Shafie
- Boon How Chew
- C Davy
- C Davy
- Chun W. Chan
- D Si
- F Baum
- Farnaza Ariffin
- GA Piatt
- GF Moore
- GM Ku
- GMV Ku
- Hasidah Abdul-Hamid
- Health Technology Assessment Section Medical Development Division Ministry of Health, Malaysia
- Health Technology Assessment Section Medical Development Division Ministry of Health, Malaysia
- HR Bogner
- I Mastura
- Institute for Public Health Ministry of Health, Malaysia
- International Diabetes Federation
- Jamaiyah Haniff
- JP Barber
- K Imai
- K Imai
- Kien Keat Ng
- L Rampal
- M Campbell
- M Godwin
- M Minkman
- M Stellefson
- M Zwarenstein
- Maryam Hannah Daud
- Mastura Ismail
- Md Yasin Mazapuspavina
- MH Chin
- MJ Davies
- MK Campbell
- MK Campbell
- ML Pearson
- Mohamad Adam Bujang
- N Wright
- Nafiza Mat-Nasir
- National Committee for Clinical Research Ministry of Health Malaysia
- O Mimi
- R Lozano
- RL Reed
- S Prato Del
- S Puffer
- Seng Fah Tong
- Sharmila Lakshmanan
- Sharmini Selvarajah
- SM Breitenstein
- Suraya Abdul-Razak
- T Bodenheimer
- T Bodenheimer
- Tg Mohd Ikhwan Tg-Abu-Bakar-Sidik
- The Task Force on diabetes pre-diabetes, and cardiovascular diseases of the European Society of Cardiology (ESC) and developed in collaboration with the European Association for the Study of Diabetes (EASD)
- Thuhairah Rahman
- Verna K. M. Lee
- WHH Low
- Wilson H. H. Low
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Characterization of greater middle eastern genetic variation for enhanced disease gene discovery
- Author
- Abdel Hadi Sawsan
- Abdel Salam Ekram
- Abdel Salam Ghada
- Abdou Mohammed
- Abel Laurent
- Abhytankar Avinash
- Adimi Parisa
- Ahmad Jamil
- Akcakus Mustafa
- Aksu Guside
- Al Aama Jumana
- Al Allawi Nasir
- Al Baradie Raidah
- Al Gazali Lihadh
- Al Hajjar Sami
- Al Hashem Amal
- Al Herz Waleed
- Al Jeaid Deema
- Al Juamaah Suliman
- Al Muhsen Saleh
- Al Sannaa Nouriya
- Al Tameni Salem
- Al Tawari Asma
- Alangari Abdullah
- Alcais Alexandre
- Alfawaz Tariq S.
- Alsediq Najla Sameer
- Alsum Zobaida
- Ammar Khodja Aomar
- Amouian Sepideh
- Arikan Cigdem
- Aryani Omid
- Aslanger Ayca
- Aydogmus Cigdem
- Aytekin Caner
- Azab Mostafa Abdellateef
- Azam Matloob
- Bansagi Boglarka
- Barbouche Mohamed Rhida
- Bastaki Laila
- Belkadi Aziz
- Ben Omran Tawfeg
- Bindu Parayil Sankaran
- Blancas Lizbeth
- Boisson Dupuis Stéphanie
- Boisson Bertrand
- Bonnet Damien
- Bousfiha Aziz
- Boussafara Lobna
- Boutros Jeannette
- Bustamante Jacinta
- Caksen Huseyin
- Camcioglu Yildiz
- Catherinot Emilie
- Celik Fatma C.
- Ciancanelli Michael
- Cipe Funda E.
- Clark Andrew G.
- Clark Gary
- Cobat Aurélie
- Comu Sinan
- Condie Angela
- Condino Neto Antonio
- Desai Mukesh
- Dobyns William
- Dogu Figen
- Domaia Mohamed
- Dorum Meltem
- Egritas Odul
- El Azbaoui Safa
- El Baghdadi Jamila
- El Harouni Ashraf
- El Ruby Mona
- Elfeky Reem A.
- Elghazali Gehad
- Faqeih Eissa
- Fenerci Elif
- Fieschi Claire
- Funda Cipe
- Gabriel Stacey B.
- Gamal Iman
- Gelik Umit
- Genel Fetah
- Gezdirici Alper
- Girisha Katta M.
- Goldstein Amy
- Grattan Smith Padraic
- Gupta Neerja
- Hahn Jin
- Halees Anason
- Hatipoglu Nevin
- He Yupeng
- Hennekam Raoul
- Houshmand Massoud
- Ichai Philippe
- Ikinciogullari Aydan
- Ismail Samira
- Itan Yuval
- Jalas Chaim
- Jouanguy Emmanuelle
- Kabra Madhulika
- Kalkan Göknur
- Kara Majdi
- Karaca Neslihan
- Karaer Kadri
- Kariminejad Ariana
- Kayserili Hulya
- Keser Emiroglu Melike
- Kilic Sara S.
- Kissani Najib
- Koc Zeynep Peker
- Kokron Cristina
- Koul Roshan
- Kutukculer Necil
- Lanternier Fanny
- Mahdaviani Alireza
- Mahlaoui Nizar
- Mansour Lobna
- Mansouri Davood
- MARGARI Lucia
- Marzouki Naima
- Masri Amira
- Megahed Amina
- Megahed Hisham
- Mekki Najla
- Mesdaghi Mehrnaz
- Mikati Mohd
- Mojahedi Faezeh
- Mulley John
- Nampoothiri Sheela
- Navarrete Carmen
- Omar Tarek
- Oraby Azza
- Pandaluz Ayse
- Parvaneh Nima
- Patiroglu Turkan
- Pellier Isabelle
- Picard Capucine
- Puel Anne
- Raas Rothschild Annick
- Rahim Sohair Abdel
- Rajab Anna
- Raoult Didier
- Reisli Ismail
- Rezaei Nima
- Sabri Ayoub
- Sahin Yasin
- Saleem Laila
- Salem Fadia
- Sanal Ozden
- Sanger Terry
- Scott Eric M.
- Shakankiry Hanan
- Shang Lei
- Shehata Nabil
- Shembesh Nuri
- Shkalim Vared
- Softah Ameen
- Sogaty Sameera
- Soliman Neveen
- Sonmez Aunaci Fatma
- Spencer Emily G.
- Stambouli Omar Boudghene
- Sztriha Laszlo
- Taibi Berrah Lynda
- Temtamy Samia
- Tonekaboni Hasan
- Trauner Doris
- Tuysuz Beyhan
- Valente Enza Maria
- Varan Ali
- Vogt Guillaume
- Walsh Christopher
- Woods Geoffrey
- Yesil Gozde
- Yildiran Alisan
- Yildiz Basak
- Yuksel Adnan
- Zaki Maha
- Zhang Shen Ying
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2016
- Field of study
The Greater Middle East (GME) has been a central hub of human migration and population admixture. The tradition of consanguinity, variably practiced in the Persian Gulf region, North Africa, and Central Asia1-3, has resulted in an elevated burden of recessive disease4. Here we generated a whole-exome GME variome from 1,111 unrelated subjects. We detected substantial diversity and admixture in continental and subregional populations, corresponding to several ancient founder populations with little evidence of bottlenecks. Measured consanguinity rates were an order of magnitude above those in other sampled populations, and the GME population exhibited an increased burden of runs of homozygosity (ROHs) but showed no evidence for reduced burden of deleterious variation due to classically theorized ‘genetic purging’. Applying this database to unsolved recessive conditions in the GME population reduced the number of potential disease-causing variants by four- to sevenfold. These results show variegated genetic architecture in GME populations and support future human genetic discoveries in Mendelian and population genetics
Infected pancreatic necrosis: outcomes and clinical predictors of mortality. A post hoc analysis of the MANCTRA-1 international study
- Author
- Ababneh Hazim
- Abbas Kinan
- Abdalah Haidar M.
- Abdelsalam Wafaa
- Abdullaev Abakar
- Abid Izza
- Abradelo Manuel
- Acheimastos Vasileios
- Afzal Ameer
- Agarwal Rajendra
- Agnoletti Vanni
- Agresta Ferdinando
- Ahmed Salma
- Aiolfi Alberto
- Akalin Murat
- Akbar Ali
- Akin Emrah
- Aktimur Yunus Emre
- Al-Raimi Ibrahim
- Al-Shami Khayry
- Alawadhi Kamel
- Alconchel Felipe
- Alexandridou Eirini
- Ali Iyad
- Ali Syed Muhammad
- Aljaiuossi Osama
- Alla-Angelina Volovich
- Alshaikh Abdulrahman
- Alshargabi Haneen
- Altinel Yuksel
- Altintoprak Fatih
- Alvarez Fernando Andrés
- Ammendola Michele
- Anania Gabriele
- Andreotti Dario
- Andreuccetti Jacopo
- Anestiadou Elissavet
- Ani Mohd Firdaus Che
- Ansaloni Luca
- Anwaar Muhammad Hassan
- Aonzo Paolo
- Aparicio Antonio Carlos Maya
- Apollos Jeyakumar
- Argenio Giulio
- Arina Tsurbanova
- Armellino Mariano Fortunato
- Assenza Marco
- Atanasov Boyko
- Atici Semra Demirli
- Ausania Fabio
- Awad Ahmed
- Awadi Sajeda
- Azamat Ibrahim Fethi
- Álvarez-Torrado Andrea
- Badran Ali
- Bagaglini Giulia
- Baili Efstratia
- Bains Lovenish
- Balla Andrea
- Barone Mirko
- Bayhan Hüseyin
- Bayo Jose Muros
- Beasley Daniel
- Belev Nikolay
- Bellato Vittoria
- Belloni Elena
- Benuzzi Laura
- Bergamini Carlo
- Beristain-Hernandez Jose-Luis
- Bianchi Valentina
- Bianchini Matteo
- Biffl Walter
- Biloslavo Alan
- Bilyak Andriy
- Bini Roberto
- Bogoni Selene
- Bombardini Cristina
- Bona Davide
- Bond-smith Giles
- Bono Dario
- Bottari Andrea
- Bozkurt Mehmet Abdussamet
- Bracale Umberto
- Brachet Contul Riccardo
- Brachini Gioia
- Bradley Alison
- Butturini Giovanni
- Buwaitel Mohammad Musallam Khalil
- Cabrera Vicente Herrera
- Cabrera Zamiara Solange Leon
- Cal Fernando Bonilla
- Calderan Thiago R. A.
- Calik Bulent
- Calì Matteo
- Calleja-Lozano Rafael
- Calu Valentin
- Campanella Gaetano
- Candio Giulio
- Cannavera Alessandro
- Cantafio Stefano
- Caravaca Iban
- Caronna Roberto
- Casadei Massimiliano
- Catena Fausto
- Ceresoli Marco
- Cerioli Alessandra
- Cervellera Maurizio
- Chan Shannon Melissa
- Charalabopoulos Alexandros
- Chiara Osvaldo
- Chiarugi Massimo
- Chidumije Nnaemeka
- Chirletti Piero
- Chiuyari José Ríos
- Chooklin Serge
- Choudhary Hasham
- Chouillard Elie
- Chouliaras Christos
- Chuklin Serhii
- Ciabatti Giulia
- Cianci Pasquale
- Cicako Atea
- Cicuttin Enrico
- Cillara Nicola
- Cioffi Stefano
- Cioffi Stefano Piero Bernardo
- Ciuró Felipe Parej
- Clarizia Guglielmo
- Coccolini Federico
- Colak Elif
- Condoy Jefferson Nieves
- Conti Lorenzo
- Coretti Guido
- Cossa Alessandra
- Costea Radu Virgil
- Couto Gomes Felipe
- Cozzani Federico
- Cremonini Camilla
- Crespi Michele
- Cristaudi Alessandra
- Currò Giuseppe
- Dakis Konstantinos
- Damaskos Dimitrios
- Danna Riccardo
- Dardanov Dragomir
- Das Koray
- Davies Brooke
- de Araujo Jorann
- De Francisco Mario
- De Manzini Nicolo’
- De Nicola Enrico
- de Santibañes Martin
- de Sá Tiago Correia
- De Simone Belinda
- de Villar José Manuel Perez
- del Alamo Yaiza García
- del Pozo Eduardo Perea
- Delis Spiros
- Delogu Daniele
- Demetrashvili Zaza
- Deserra Antonello
- Devi Jalpa
- Di Bella Annamaria
- Di Carlo Isidoro
- Di Donato Luca
- Di Lascio Pierpaolo
- Di Lorenzo Nicola
- Di Martino Marcello
- Di Menno Stavron Juliana
- Di Nuzzo Maria Michela
- Di Saverio Salomone
- Dinuzzi Vincenza Paola
- Domenico Lacavalla
- Domingo-Gonzalez Marta
- Domínguez Fabiana
- Doria Emanuele
- Doulias Triantafyllos
- Draghici Andreea Diana
- Drigo Davide
- Durán Manuel
- Duval Jean-Luc
- D’Acapito Fabrizio
- D’Ambrosio Giancarlo
- Ebied Husam
- Elbadawy Merihan
- Elbahnasawy Mohamed
- Elfallal Ahmed
- Elfeki Hossam
- Elghadban Hosam
- Elmehrath Ahmed
- Elserafy Amr
- Elshami Mohamedraed
- Emile Sameh
- Ercolani Giorgio
- Estevez Sergio
- Estraviz-Mateos Begoña
- Fabbri Nicolò
- Farazi-Chongouki Christos
- Farguell Jordi
- Farid Ahmed
- Fathil Ida Nadiah Ahmed
- Favi Francesco
- Feijóo Eva Pont
- Feo Carlo Vittorio
- Ferrara Francesco
- Ferrari Luca
- Ferrario Luca
- First Necattin
- Fleres Francesco
- Fontana Tommaso
- Fortuna Laura
- Fox Katherine
- Fraga Gustavo
- Fransvea Pietro
- Fratini Geri
- Frontali Alice
- Gaber Mohannad
- Gachabayov Mahir
- Galleano Raffaele
- Garcia-Meza Alejandro
- García Francisco C. Becerra
- García Haydée Calvo
- García-Moreno-Nisa Francisca
- Garino Mauro
- Garzali Ibrahim-Umar
- Gendrikson George
- Genovese Valerio
- Gerardi Chiara
- Germani Paola
- Gerogiannis Ioannis
- Gessa Emanuela
- Ghazouani Omar
- Gianazza Simone
- Giannarakis Miltiadis
- Gioco Rossella
- Giordano Alessio
- Giraudo Giorgio
- Giuffrida Mario
- Giuliani Antonio
- Gomes Carlos Augusto
- González-Abós Carolina
- Gourgiotis Stavros
- Grande Michele
- Grigorean Valentin Titus
- Grimaldi Sergio
- Guadagni Simone
- Guerci Claudio
- Guerci Claudio
- Guerrieri Mario
- Guida Anna
- Gumbs Andrew
- Gundara Justin
- Gupta Amit
- Hamdan Alaa
- Hamed Emad Fawzi
- Hamid Hytham K. S.
- Hanafy Asmaa
- Hasan Layla
- Hernández Edgard Efren Lozada
- Hirano Elcio S.
- Hudson Victoria
- Huei Jih
- Ielpo Benedetto
- Iiritano Elena
- Ilzarbe Lucas
- Inama Marco
- Ioannidis Argyrios
- Ioannidis Orestis
- Ioia Giovanna
- Ippoliti Massimo
- Isik Arda
- Jayant Kumar
- Jovine Elio
- Julianov Alexander
- Julianov Alexander
- Kadir Bushra
- Kalaitzakis Evangelos
- Kalaitzakis Evangelos
- Kaldarov Ayrat
- Kaldarov Ayrat
- Kamar Jubin
- Kapiris Stylianos
- Kara Yasin
- Karamarkovic Milovan
- Kaur Mandeep
- Kchaou Ali
- Kefili Despoina
- Khalil Usama Ahmed
- Khamees Almu’atasim
- Khan Mansoor
- Khutsishvili Kakhi
- Kocataş Ali
- Kokoropoulos Panagiotis
- Komaei Iman
- Konstantinidis Konstantinis
- Konstantinidou Sofia
- Kotecha Pinky
- Kovacevic Bojan
- Kovachev Nikola
- Kozadinos Alexandros
- Kruger Yoram
- Kunitsyna Maria
- Kurtenkov Mikhail
- Kwiatkowski Andrzej
- Kykalos Stylianos
- Lagouvardou Elpiniki
- Lal Pawan
- Lancellotti Francesco
- Landaluce-Olavarria Aitor
- Lapolla Pierfrancesco
- Lasithiotakis Konstantinos
- Leo Cosimo Alex
- Lepiane Pasquale
- Leppaniemi Ari
- Lesko Dusan
- Lezama Tamara
- Liakakos Theodore
- Liaño Julian Ezequiel
- Licitra Edelweiss
- Litvin Andrey
- Lohse Helmut Segovia
- Lohse Herald Segovia
- Lok Hon-Ting
- Lombardo Francesca
- Lostoridis Eftychios
- Loutzidou Lydia
- Lui Rashid
- Lunghi Elia Giuseppe
- Luppi Davide
- Mabilia Andrea
- Machain Gustavo M
- Machairas Nikolaos
- Magee Conor
- Magnoli Matteo
- Manak Jan
- Manatakis Dimitrios
- Manca Roberto
- Manoochehri Farshad
- Marafante Chiara
- Marchese Tiziana Rita Lucia
- Mariani Nicolò Maria
- Marino Marco Vito
- Maroulis Ioannis
- Marra Ester
- Martellucci Jacopo
- Martines Gennaro
- Martín Belén
- Mastrangelo Laura
- Mastronardi Manuela
- Mathur Pawan
- Matías-García Belén
- Mawlichanów Maciej
- Mazza Oscar
- McCormack Kieran
- Medappil Noushif
- Meead Abdullah
- Meléndez Blas Durán
- Mendoza-Moreno Fernando
- Meric Serhat
- Metaxas Panagiotis
- Michalopoulos Nikolaos
- Miglietta Claudio
- Milentijevic Milica
- Millo Paolo
- Mingoli Andrea
- Moggia Elisabetta
- Mohamad Ikhwan Sani
- Mohamad Ikhwan Sani
- Mohamed Salem
- Mole Damian
- Molina Víctor
- Monti Marco
- Morán Laura Álvarez
- Morelli Luca
- Moretto Gianluigi
- Morino Mario
- Morrison Tamsin
- Mouzakis Odysseas
- Mucilli Felice
- Mulita Francesk
- Muñoz-Cruzado Virginia Duran
- Muratore Andrea
- Murgese Alessandra
- Murgia Raimondo
- Murzi Valentina
- Muthukrishnan Vijayanand
- Muttillo Edoardo Maria
- Muttillo Irnerio Angelo
- Nafea Ahmed
- Naffa’ Mo’taz Fawzat Naief
- Nagliati Carlo
- Nagorni Eleni-Aikaterini
- Navarra Giuseppe
- Nicolás-López Tatiana
- Nicotera Antonella
- Nigri Giuseppe
- Noel Colin
- null null
- Occhionorelli Savino
- Olmi Stefano
- Omarov Nail
- Oms Luis
- Oppici Dario
- Orantia Abigail Cheska C.
- Orantia-Carlos Abigail Cheska C.
- Ordemar Jorge
- Ortenzi Monica
- Ozer Nazmi
- Pacella Daniela
- Pachajoa Diana Alejandra Pantoja
- Palacios Andrea Masiá
- Palepa Anna
- Palmieri Francesco
- Palmisano Silvia
- Panyko Arpád
- Papa Gennaro
- Papa Mario Virgilio
- Papadoliopoulou Maria
- Papadopoulos Aristeidis
- Papagni Vincenzo
- Pata Francesco
- Paul Michaela
- Pellino Gianluca
- Peltrini Roberto
- Penalba-Palmí Rafael
- Perotti Bruno
- Perra Elena Sofia
- Perrone Gennaro
- Perrone Stefano
- Pesce Antonio
- Petra Giorgia
- Petracca Gabriele Luciano
- Petrakis George
- Pérez-Bru Susana
- Picardi Biagio
- Picariello Erika
- Picchetto Andrea
- Picciariello Arcangelo
- Pignata Giusto
- Pilia Tiziana
- Pimentel Samuel
- Pinto Margherita
- Pinzón Camilo Levi Acuña
- Piras Enrico
- Pisanu Adolfo
- Pizarro Sergio Olivares
- Podda Mauro
- Poillucci Gaetano
- Police Andrea
- Ponte Elisa
- Porfidia Raffaele
- Portale Giuseppe
- Prasanti Alekhya Kotta
- Prieto Calvo Mikel
- Prioriello Concetta
- Puccioni Caterina
- Quispe-Cruz Darwin Artidoro
- Quitoy Margie Antionette
- Radonak Jozef
- Radulescu Raluca Bievel
- Ralon Sergio
- Ramírez Pablo
- Rampini Alessia
- Riboni Cristiana
- Ricci Claudio
- Rizzi Andrea
- Robayo Diana
- Roccamatisi Linda
- Rocha Mónica
- Rodríguez Martha
- Roesel Raffaello
- Rojas-Bonet Noel
- Rossi Stefano
- Rossini Matteo
- Rottoli Matteo
- Rubicondo Carolina
- Russo Iris Shari
- Saad Ahmed
- Sadik Mohammad
- Sahani Saaz
- Sahani Saaz
- Salah Alzhraa Abbas
- Salcedo Diego
- Salomone Sara
- Salvetti Francesco
- Samhouri Ahmad
- Sammartano Fabrizio
- Sandhar Pardip
- Santini Andrea
- Saroglu Azize
- Sarro Giuliano
- Sartarelli Lodovico
- Sartelli Massimo
- Sartori Alberto
- Sasia Diego
- Saullo Paolina
- Savino Grazia
- Sawalha Hatem
- Sánchez Lianet
- Sánchez-Cabús Santiago
- Sánchez-Guillén Luis
- Scaravilli Luca
- Schizas Dimitrios
- Scifo Giovanna
- Sederino Mariagrazia
- Seerani Nandlal
- Segalini Edoardo
- Seker Ahmet
- Sensi Bruno
- Sepulveda-Rdriguez Rafael
- Sergi William
- Serventi Alberto
- Seth Shatadru
- Sethi Ananya
- Seto Gaby Susana Yamamoto
- Sganga Gabriele
- Sheikh Zara
- Sherief Ghozy
- Sheth Hemant
- Shetiwy Mohamed
- Shoma Ashraf
- Sica Giuseppe
- Siragusa Leandro
- Soares Carlos
- Soggiu Fiammetta
- Sohail-Asghar Mohammad
- Solaini Leonardo
- Soltes Marek
- Sotiropoulou Maria
- Spolini Alessandro
- Stamopoulos Paraskevas
- Stella Marco
- Stoian Alexandru Rares
- Syllaios Athanasios
- Synekidou Eirini
- Tartaglia Dario
- Tasis Nikolaos
- Tebala Giovanni
- Tefay Joan
- Tejedor-Tejada Javier
- Theodorou Dimitrios
- Tlili Ahmed
- Tomasi Ivan
- Tonello Alice Sabrina
- Tonini Valeria
- Tourountzi Paraskevi
- Triantafyllou Tania
- Trigiante Giuseppe
- Triguero-Cánovas Daniel
- Triviño María Alejandra
- Troian Marina
- Troiano Raffaele
- Tsouknidas Ioannis
- Tur-Martínez Jaume
- Türkoğlu Mehmet Akif
- Tvaladze Anano
- Uccelli Matteo
- Ullah Syed Osama Zohaib
- Uymaz Derya Salim
- Uzunoglu Mustafa Yener
- Vailas Michail
- Valenzuela José Ignacio
- Vega Pilar Suárez
- Veroux Gastone
- Veroux Massimiliano
- Viganò Jacopo
- Villalabeitia Ibabe
- Vincenti Leonardo
- Virdis Francesco
- Visconti Diego
- Walędziak Maciej
- Wilson Michael
- Yusoff Ahmad Ramzi
- Zafar Noman
- Zago Marcello
- Zainab null
- Zarnescu Eugenia Claudia
- Zarnescu Narcis Octavian
- Zarnescu Narcis Octavian
- Zuin Matteo
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2023
- Field of study
: The identification of high-risk patients in the early stages of infected pancreatic necrosis (IPN) is critical, because it could help the clinicians to adopt more effective management strategies. We conducted a post hoc analysis of the MANCTRA-1 international study to assess the association between clinical risk factors and mortality among adult patients with IPN. Univariable and multivariable logistic regression models were used to identify prognostic factors of mortality. We identified 247 consecutive patients with IPN hospitalised between January 2019 and December 2020. History of uncontrolled arterial hypertension (p = 0.032; 95% CI 1.135-15.882; aOR 4.245), qSOFA (p = 0.005; 95% CI 1.359-5.879; aOR 2.828), renal failure (p = 0.022; 95% CI 1.138-5.442; aOR 2.489), and haemodynamic failure (p = 0.018; 95% CI 1.184-5.978; aOR 2.661), were identified as independent predictors of mortality in IPN patients. Cholangitis (p = 0.003; 95% CI 1.598-9.930; aOR 3.983), abdominal compartment syndrome (p = 0.032; 95% CI 1.090-6.967; aOR 2.735), and gastrointestinal/intra-abdominal bleeding (p = 0.009; 95% CI 1.286-5.712; aOR 2.710) were independently associated with the risk of mortality. Upfront open surgical necrosectomy was strongly associated with the risk of mortality (p < 0.001; 95% CI 1.912-7.442; aOR 3.772), whereas endoscopic drainage of pancreatic necrosis (p = 0.018; 95% CI 0.138-0.834; aOR 0.339) and enteral nutrition (p = 0.003; 95% CI 0.143-0.716; aOR 0.320) were found as protective factors. Organ failure, acute cholangitis, and upfront open surgical necrosectomy were the most significant predictors of mortality. Our study confirmed that, even in a subgroup of particularly ill patients such as those with IPN, upfront open surgery should be avoided as much as possible. Study protocol registered in ClinicalTrials.Gov (I.D. Number NCT04747990)
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
- Al-Baw Mahmoud
- Al-Dahdouh Mosheer
- Al-Haek Safa’
- 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
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- Alnour Ammar
- Alomar Rabiaa
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- Alqaarh Aya
- Alragig Zahra
- Alrifae Ghaliya Mohamed H
- Alrosan Risan
- Alsagoff Sharifah Nor Amirah Syed Abdul Latiff
- Alsaid Hamza
- Alsaify Esmat
- Alsaih Sawsan
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- 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
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- Astal Mohammed
- Asudo Felicia
- Atadag Yildiz Buyukdereli
- Atef Dina
- Athamneh Tayseer
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- Ather M Hammad
- Atherton Kristy
- Atia Ahmed
- Atici Semra Demirli
- Atilhan Ridvan
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- Yuzgec Ayse Nilufer
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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
- Aladna Abdallah
- Aljoumaa Abdullah
- Nawfal Hamdi
- Niazi Ammar
- 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
Ischaemic conditioning and reperfusion injury
- Author
- A Araszkiewicz
- A Krug
- A Prasad
- A Skyschally
- A Tsang
- AC Merlocco
- AD Sloth
- AJ Ludman
- AK Chakrabarti
- B Günaydin
- B Ibanez
- BC Gho
- BL Croal
- BW McCrindle
- C Moretti
- C Touboul
- CE Murry
- D Atar
- D Erlinge
- DA Healy
- DA Jones
- DA Liem
- DE Hofsten
- Derek J. Hausenloy
- Derek M. Yellon
- DJ Hausenloy
- DJ Hausenloy
- DJ Hausenloy
- DJ Hausenloy
- DJ Hausenloy
- DJ Hausenloy
- DJ Hausenloy
- DJ Hausenloy
- DJ Hausenloy
- DJ Hausenloy
- DJ Hausenloy
- DJ Hausenloy
- DJ Hausenloy
- DM Hong
- DM Yellon
- DM Yellon
- DM Yellon
- DM Yellon
- DM Yellon
- E Braunwald
- E Favaretto
- E Kottenberg
- E Lucchinetti
- E Marongiu
- EK Iliodromitis
- EK Iliodromitis
- EK Kim
- EW Dickson
- EW Dickson
- F D'Ascenzo
- F D'Ascenzo
- F Kerendi
- F Okamoto
- F Roubille
- F Roubille
- FC Serejo
- FJ Bernink
- G Andreka
- G Crimi
- G Heusch
- G Heusch
- G Heusch
- G Pizarro
- G Tarantini
- GG Babu
- H Bulluck
- H Khalili
- H Pei
- H Sato
- H Thibault
- HE Bøtker
- HM Piper
- HS Na
- I Eitel
- I Eitel
- I Rentoukas
- IA Rahman
- J Bogaert
- J Li
- J Lonborg
- J Lonborg
- J Lonborg
- J Vinten-Johansen
- JM Downey
- JM Pickard
- JM Pilcher
- JS Woo
- JY Hahn
- K Przyklenk
- K Thygesen
- KA Reimer
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- L Breivik
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- L Candilio
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- LL Schwartz
- M Basalay
- M Donato
- M Fujita
- M Kitakaze
- M Shimizu
- M Thielmann
- M Thielmann
- M Wei
- MM Cheung
- MR Schmidt
- MS Marber
- MV Cohen
- N Siddiqi
- NA Haji Mohd Yasin
- NB Dwyer
- P Ferdinandy
- P Ferdinandy
- P Karuppasamy
- P Meybohm
- P Sorensson
- P Staat
- PJ Young
- R Bolli
- R Wagner
- RA Kloner
- RA Kloner
- RA Kloner
- RA Kloner
- RB Jennings
- RG Schoemaker
- RK Kharbanda
- RM Ahmed
- RP Williams
- RV Jensen
- S Hoole
- S Kathiresan
- S Lavi
- S Lecour
- S Mastitskaya
- S Pichot
- S Tamareille
- S Wolfrum
- SB Ong
- SC Lang
- SJ Luo
- SK White
- SK White
- SM Davidson
- SR Mehta
- SR Walsh
- SY Lim
- T Kuzuya
- T McClanahan
- T Oxman
- T Rassaf
- T Steensrud
- TA Zografos
- TK Wang
- TT Cung
- V Roolvink
- V Sivaraman
- V Sivaraman
- V Venugopal
- V Venugopal
- W Luo
- W Luo
- W Shi
- WR Davies
- X Freixa
- X Ma
- X Xu
- XC Yang
- XM Yang
- Y Birnbaum
- YF Ding
- Z Liu
- Z Wang
- ZQ Zhao
- ZV Varga
- Publication venue
- NATURE PUBLISHING GROUP
- Publication date
- 01/04/2016
- Field of study
The 30-year anniversary of the discovery of 'ischaemic preconditioning' is in 2016. This endogenous phenomenon can paradoxically protect the heart from acute myocardial infarction by subjecting it to one or more brief cycles of ischaemia and reperfusion. Apart from complete reperfusion, this method is the most powerful intervention known for reducing infarct size. The concept of ischaemic preconditioning has evolved into 'ischaemic conditioning', a term that encompasses a number of related endogenous cardioprotective strategies, applied either directly to the heart (ischaemic preconditioning or postconditioning) or from afar, for example a limb (remote ischaemic preconditioning, perconditioning, or postconditioning). Investigations of signalling pathways underlying ischaemic conditioning have identified a number of therapeutic targets for pharmacological manipulation. Over the past 3 decades, a number of ischaemic and pharmacological cardioprotection strategies, discovered in experimental studies, have been examined in the clinical setting of acute myocardial infarction and CABG surgery. The results from many of the studies have been disappointing, and no effective cardioprotective therapy is currently used in clinical practice. Several large, multicentre, randomized, controlled clinical trials on cardioprotection have highlighted the challenges of translating ischaemic conditioning and pharmacological cardioprotection strategies into patient benefit. However, a number of cardioprotective therapies have shown promising results in reducing infarct size and improving clinical outcomes in patients with ischaemic heart disease
Evaluation of appendicitis risk prediction models in adults with suspected appendicitis
- Author
- Abbas Sh
- Abbas Sh
- Abbassi Oa
- Abbott T
- Abdelgadir Am
- Abdelrahman A
- Abdelrahman M
- Abdelrahman M
- Abdelwahed A
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- Patel N
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- Peiris Gb
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- Peleki A
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- Perin A
- Pertile D
- Pertile D
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- Photiou D
- Pierre R
- Pietrabissa A
- Pigem A
- Pila U
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- Pinillos-Somalo A
- Pinkney Td
- Pinkney Td
- Pinkney Td
- Pinna E
- Pino-Perez O
- Pirari Pf
- Pisanu A
- Piu F
- Planellas P
- Plua-Muniz Kt
- Poacher A
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- Podda M
- Podda M
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- Pollard H
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- Poudevigne M
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- Prideaux A
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- Provenza G
- Puerta E
- Pulighe F
- Pullabatla-Venkata Up
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- Rabie Ma
- Rabie Mr
- Radwan Rw
- Radwan Rw
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- Rahman M
- Rahmani Ls
- Rajagopal S
- Rajaram R
- Rajaretnam N
- Rajjoub Y
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- Ramos Xh
- Ramos-Bernado Mi
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- Ranathunga S
- Rangarajan K
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- Rao V
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- Rashid M
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- Ravindran R
- Raymond M
- Raza Ss
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- Redondo E
- Redondo-Calvo Fj
- Reese G
- Regina G
- Rehman S
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- Renzi Cr
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- Rezacova M
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- Roscio F
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- Rubbini M
- Rudland I
- Ruffolo C
- Rufo E
- Ruggiu Gv
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- Ruiz-Marín M
- Rupani S
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- Rupasinghe Sn
- Rutherford Dg
- Ruzvidzo F
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- Saad M
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- Saba A
- Sabia D
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- Salandini Mc
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- Salim S
- Salva Ab
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- Sasia D
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- Savino G
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- Scabini S
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- Sena-Ruiz F
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- Sepe C
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- Serventi F
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- Shah Sm
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- Soares As
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- Sooriyamoorthy T
- Soria-Aledo V
- Soria-Aledo V
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- Spaziani A
- Speake D
- Speake D
- Springate El
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- Stecca T
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- Stevenson R
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- Stubbs Bm
- Stupalkowska W
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- Sánchez-Fuentes Mn
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- Vallve-Bernal M
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- Vannucchi A
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- Velho R
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- Venugopal R
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- Veres T
- Veres T
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- Vescio G
- Vettoretto N
- Vigorita V
- Vijay V
- Vila-Zarate C
- Villarejo-Campos P
- Vinnicombe Z
- Viscosi F
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- Viviani E
- Viñas Nl
- Vohra R
- Vohra R
- Vulcano I
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- Weaver J
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- Whittaker L
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- Wijesundera K
- Wilcox G
- Wilkin R
- Wilkin R
- Wilkin R
- Wilkin R
- Wilkin R. J. W.
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- Williams M
- Williams R
- Williams S
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- Wong J
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- Wong Sy
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- Woodrow C
- Woodward A
- Woodward B
- Woodward B
- Worku D
- Worku D
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- Wright Hl
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- Yalamarthi S
- Yang P
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- Yasin T
- Yen Sk
- Yeung K
- Yeung K
- Yoganathan S
- Yoong S
- Youssef H
- Yow L
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- Zaborowski A
- Zadi Az
- Zalla T
- Zarka Za
- Zarka Za
- Zarog Ma
- Zelazek M
- Zerpa C
- Zhang Ay
- Zhou S
- Zorrilla L
- Zuin M
- Zurleni Tz
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2019
- Field of study
Background
Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis.
Methods
A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis).
Results
Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent).
Conclusion
Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified
Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries
- Author
- Abad-Motos Ane
- Abbas Ahmed M.
- Abbas Mostafa
- Abbasi Mujeeb
- Abbott Tom
- Abd Karim Muhammad Fairuz Shah
- Abdalaal Ibrahim
- Abdel-Galil Khalid
- Abdelemam Rania
- Abdelgawad Abdalrahman
- Abdelkarim Maryam
- Abdelkhalek Mohamed
- Abdelmageed Abdelfatah
- Abdelmawgoud Sherif
- Abdelmohsen Sarah
- Abdelrahman Ahmed Saber
- Abdelrahman Mostafa
- Abdelwahab Khaled
- Abdou Hossam
- Abdulai Darling Ramatu
- Abdulkhaleq Marwa
- Abdullah Bahiyah
- Abdulsalam Khalifa
- Abdulsalam Shuaib
- Abdur-Rahman Lukman
- Abdus-Salam Rukiyat
- Abdussalam Hameedat Opeyemi
- Abebrese John Tabiri
- Abeldaño Ariel
- Abou-Khalil Jad
- Abou-Taleb Hisham
- Abozid Anwaar
- Abozied Hesham
- Abrate Alberto
- Abu-Zaid Ahmed
- Abubakar Mohammed Kabir
- Abud Burçin
- Abuzaid Mohammed
- Adam Albushra Altayeb
- Adamina Michel
- Adamou Harissou
- Adamu Auwal
- Adamu Kabir Musa
- Adanu Kekeli
- Adebara Idowu
- Adebola Oluwaseyi
- Ademuyiwa Adesoji
- Adeniran Abiodun
- Adepiti Akinfolarin
- Aderogba Adeleke Akeem
- Adesunkanmi Abdulhafiz
- Adeyeye Ademola
- Adisa Adewale
- Adjeso Theophilus Justus Kofi
- Ads Adel Mohamed
- Ads Alaa Mohamed
- Adu-Aryee Nii Armah
- Adumah Collins
- Afzal Irrum
- Agapov Mikhail
- Agarwal Gaurav
- Agarwal Ravi
- Agbeko Anita Eseenam
- Agbeno Evans Kofi
- Agbonrofo Peter
- Agboola Oluseyi
- Aggarwal Gaurav
- Aghadi Ifeanyi
- Aghtarafi Natasha
- Agrawal Amit
- Agresta Ferdinando
- Aguado Héctor J.
- Aguilera-Arevalo Maria-Lorena
- Aherne Thomas
- Ahmad Aline
- Ahmad Maleeha
- Ahmad Misbahu
- Ahmad Sarwat
- Ahmad Shahzaib
- Ahmad Shoaib
- Ahmed Hayat Tarig Abdelhafiz
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- Meead Adullah
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- Rokohl Alexander Christopher
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- Rolinger Jens
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- Shaddad Ebrahim
- Shaerf Daniel
- Shah Faaiz Ali
- Shah Hemina
- Shah Jaffer
- Shah Karishma
- Shah Pritik A
- Shah Vinay
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- Shalaby Mostafa
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- Shiota Masaki
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- Shmukler Daniel
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- Sholadoye Tunde T.
- Shoukrie Shoukrie I. M.
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- Siboe Mark
- Sica Giuseppe
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- Singer Georg
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- Sinnerton Robert
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- Skipworth Richard Je
- Slavchev Mihail
- Sleem Adham
- Smati Ismail
- Smelt Jeremy
- Smith A.
- Smolle-Juettner Freyja-Maria
- Sodhai Vivek
- Sofi Khalid
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- Sokolov Manol
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- Soljic Martina
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- Soon Wai Cheong
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- Sotiropoulou Maria
- Sotudeh Mohadeseh
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- Squiers John
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- Stogowski Piotr Tomasz
- Stoleriu Mircea Gabriel
- Stoyanov Vladislav
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- Stroumpoulis Konstantinos
- Su Yu-Xiong
- Suarez Sara Busto
- Subramani Yamini
- Subramaniam Sentilnathan
- Sue-Chue-Lam Colin
- Suer Muhammed Salih
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- Sultania Mahesh
- Sundarraju Shalini
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- Williams Shekinah
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- Wolde Amanuel
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- Wong Enoch
- Wong Evan G.
- Wong George Kwok Chu
- Wong Ho Ying Flora
- Wong Kai Yuen
- Wormald Justin
- Wright Deborah
- Wright Joshua
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- Yebes Alvaro
- Yenli Edwin Mwintiereh Ta-Ang
- Yeoh Tien
- Yeung Justin
- Yiallourou Anneza
- Yigit Banu
- Yildirim Asif
- Yim Guang
- Yiu Andrew
- Yonekura Hiroshi
- Yotsov Tsanko
- Younis Muhammad Umar
- Yunus Alif
- Yusefi Hossein
- Zabaleta Jon
- Zabkiewicz Catheriner
- Zaccaria Giulia
- Zacharia Bincy
- Zafar Syed Nabeel
- Zago Mauro
- Zaheen Zakia
- Zahid Zahra
- Zaimis Tilemachos
- Zakaria Andee Dzulkarnaen
- Zambon Martina
- Zamora Lindsey
- Zampogna Biagio
- Zancana Giuseppa
- Zani Augusto
- Zanin Luca
- Zanini Nicola
- Zapardiel Ignacio
- Zapata Carlos Shiraishi
- Zarif Pierre
- Zaránd Attila
- Zehnder Philipp
- Zenger Serkan
- Zenha Horácio
- Zhu Michael Z. L.
- Ziemann Sebastian
- Zimak Danijela Mrazovac
- Zimak Zoran
- Zivkovic Dragana
- Zizzo Maurizio
- Zucker Benjamin
- Zwain Yasir
- Zyskowski Michael
- Ávila Clara Castro
- Älgå Andreas
- Çakici Mehmet Çaǧlar
- Çelik Enes
- Çelik Meryem Nur
- Özçay Necdet
- Şevik Hüsnü
- Šantak Goran
- Šimko Kristián
- Žatecký Jan
- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2023
- Field of study
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
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