Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

-Redescription-of-Panonychus caglei Mellott,-1968,- with-ontogenetic-development- (Acari:-Tetranychidae)-

Negm, Mohamed W., Gotoh, Tetsuo (2021): -Redescription-of-Panonychus caglei Mellott,-1968,- with-ontogenetic-development- (Acari:-Tetranychidae)-. Zootaxa 5086 (1): 157-173, DOI: 10.11646/zootaxa.5086.1.1

Mites of the family Parasitidae Oudemans, 1901 (Acari: Mesostigmata) from Japan: a new species of Vulgarogamasus Tichomirov, 1969, and a key to Japanese species

Negm, Mohamed W., Gotoh, Tetsuo (2018): Mites of the family Parasitidae Oudemans, 1901 (Acari: Mesostigmata) from Japan: a new species of Vulgarogamasus Tichomirov, 1969, and a key to Japanese species. Zootaxa 4429 (2): 379-389, DOI: 10.11646/zootaxa.4429.2.1

Androlaelaps casalis

<i>Androlaelaps casalis</i> (Berlese) <p> <i>Iphis casalis</i> Berlese, 1887: 8.</p> <p> <i>Androlaelaps casalis</i>.— Zaher, 1986: 181; Basha & Yousef, 2000: 396.</p> <p> <i>Androlaelaps casalis casalis</i>.— Hughes, 1976: 288.</p> <p> <b>Specimens examined.</b> Five females; 26°59”N, 31°24’ E, Elbadary, Assiut; 30 April 2015; coll. A.S. Abdelgayed; ex. soil under citrus trees.</p>Published as part of <i>Joharchi, Omid & Negm, Mohamed W., 2020, Soil-inhabiting mites of the family Laelapidae (Acari: Mesostigmata) from Assiut Governorate, Egypt, pp. 488-510 in Zootaxa 4759 (4)</i> on page 489, DOI: 10.11646/zootaxa.4759.4.2, <a href="http://zenodo.org/record/3741001">http://zenodo.org/record/3741001</a&gt

Hypoaspisella asperatus Joharchi & Negm 2020, new combination

<i>Hypoaspisella asperatus</i> (Berlese), new combination <p>Figures 34–37.</p> <p> <i>Laelaps</i> (<i>Hypoaspis</i>) <i>asperatus</i> Berlese, 1904a: 17.</p> <p> <i>Hypoaspis</i> (<i>Hypoaspisella</i>) <i>procerus</i> Karg, 1965: 277 (synonymy by Bregetova, 1977: 506).</p> <p> <i>Hypoaspis asperatus</i>.— Costa, 1968: 3.</p> <p> <i>Hypoaspis</i> (<i>Geolaelaps</i>) <i>asperatus</i>.— Bregetova, 1977: 506</p> <p> <i>Hypoaspis</i> (<i>Pneumolaelaps</i>) <i>asperata</i>.— Karg, 1979: 90; Karg, 1982: 245; Karg, 1993: 149; Faraji <i>et al</i>., 2008: 208. <i>Pneumolaelaps asperatus</i>.— Kazemi & Rajaei, 2013: 93.</p> <p> <b>Specimens examined</b>. Two females; 27°11’ N, 31°09’ E, Assiut University, Assiut; 18 July 2016; coll. M.W. Negm; ex. soil under pomegranate.</p> <p> <b>Remarks.</b> <i>Hypoaspisella asperatus</i> was described from Italy (Berlese, 1904a). It has been found from litter and is now recorded from Egypt for the first time, from the soil. Many authors have been considered this species as a member of <i>Hypoaspis</i> (<i>Pneumolaelaps</i>) or <i>Pneumolaelaps</i>. We consider this species as a member of <i>Hypoaspisella</i> based on the most significant morphological character states of the genus: (1) dorsal shield sub-oval, completely covering dorsal idiosoma, bearing 39 pairs of smooth setae (including two pairs of <i>Zx</i> setae between <i>J</i> and <i>Z</i> setae, without unpaired supernumerary seta <i>Jx</i> between <i>J</i> series) (Fig. 34); (2) presternal platelets present, both sternal and genital shields faintly reticulated (Fig. 35); (3) peritremes long extending to coxa I; (4) epistome curved and smooth (Fig. 36); (5) hypostomal groove with five transverse rows of denticles, each row with about 3–5 small teeth (Fig. 37), (6) lateral branches of the internal malae absent (Fig. 37); (7) genu IV with nine setae (2 2/1 3/0 1). Our specimens agree very well with the description given by Costa (1968).</p>Published as part of <i>Joharchi, Omid & Negm, Mohamed W., 2020, Soil-inhabiting mites of the family Laelapidae (Acari: Mesostigmata) from Assiut Governorate, Egypt, pp. 488-510 in Zootaxa 4759 (4)</i> on page 501, DOI: 10.11646/zootaxa.4759.4.2, <a href="http://zenodo.org/record/3741001">http://zenodo.org/record/3741001</a&gt

Ololaelaps Berlese

Genus <i>Ololaelaps</i> Berlese <p> <i>Ololaelaps</i> Berlese, 1904b: 260.</p> <p> <i>Pristolaelaps</i> Womersley, 1956: 571 (Synonymy by Ryke, 1962).</p> <p> Type species: <i>Laelaps</i> (<i>Hypoaspis</i>) <i>venetus</i> Berlese, 1903b by original designation.</p> <p> <b>Diagnosis</b>. The concept of <i>Ololaelaps</i> used here is based on that of Beaulieu <i>et al</i>. (2019).</p>Published as part of <i>Joharchi, Omid & Negm, Mohamed W., 2020, Soil-inhabiting mites of the family Laelapidae (Acari: Mesostigmata) from Assiut Governorate, Egypt, pp. 488-510 in Zootaxa 4759 (4)</i> on page 503, DOI: 10.11646/zootaxa.4759.4.2, <a href="http://zenodo.org/record/3741001">http://zenodo.org/record/3741001</a&gt

Androlaelaps Berlese

Genus <i>Androlaelaps</i> Berlese <p> <i>Laelaps</i> (<i>Androlaelaps</i>) Berlese, 1903a: 14.</p> <p> Type species <i>Laelaps</i> (<i>Iphis</i>) <i>hermaphrodita</i> Berlese, 1887; by original designation.</p> <p> <b>Diagnosis.</b> The diagnosis of <i>Androlaelaps</i> used here is based on that of Evans & Till (1966) [in part] and Shaw (2014).</p> <p> <b>Remarks.</b> Until now, eight species considered to belong to <i>Androlaelaps</i> have been reported from Egypt: <i>Androlaelaps casalis</i> (Berlese, 1887), <i>A</i>. <i>aegypticus</i> Hafez, Elbadry & Nasr, 1982, <i>A</i>. <i>zaheri</i> Hafez, Elbadry & Nasr, 1982, <i>A</i>. <i>reticulus</i> Hafez, Elbadry & Nasr, 1982, <i>A</i>. <i>kifli</i> Metwally & Ibrahim, 1985, <i>A</i>. (<i>Haemolaelaps</i>) <i>orientalis</i> Ibrahim & Abdel-Samad, 1990, <i>A</i>. <i>lehfeni</i> Oyoun & El Kady, 1995; <i>A</i>. <i>bayoumi</i> Basha & Yousef, 2000. Basha & Yousef (2000) provided a key to the Egyptian species of <i>Androlaelaps</i>, but the species <i>A</i>. <i>bayoumi</i>, <i>A</i>. <i>kifli</i> and <i>A</i>. <i>lehfeni</i> were not included in their key. We had no opportunity to examine the type material of these species.</p>Published as part of <i>Joharchi, Omid & Negm, Mohamed W., 2020, Soil-inhabiting mites of the family Laelapidae (Acari: Mesostigmata) from Assiut Governorate, Egypt, pp. 488-510 in Zootaxa 4759 (4)</i> on page 489, DOI: 10.11646/zootaxa.4759.4.2, <a href="http://zenodo.org/record/3741001">http://zenodo.org/record/3741001</a&gt

Hypoaspisella Bernhard 1971

Genus <i>Hypoaspisella</i> Bernhard <p> <i>Hypoaspis</i> (<i>Hypoaspisella</i>) Bernhard, in Karg, 1962: 64. Type species <i>Hypoaspis</i> (<i>Hypoaspisella</i>) <i>heyi</i> Karg, 1962, by monotypy.</p> <p> <i>Hypoaspis</i> (<i>Hypoaspisella</i>) Bernhard, 1971: 6. Type species <i>Hypoaspisella berlesei</i> Bernhard, in Hirschmann <i>et al</i>., 1969, by original designation.</p> <p> <b>Diagnosis</b>. The concept of <i>Hypoaspisella</i> used here is based on that of Joharchi <i>et al</i>. (2018).</p>Published as part of <i>Joharchi, Omid & Negm, Mohamed W., 2020, Soil-inhabiting mites of the family Laelapidae (Acari: Mesostigmata) from Assiut Governorate, Egypt, pp. 488-510 in Zootaxa 4759 (4)</i> on page 501, DOI: 10.11646/zootaxa.4759.4.2, <a href="http://zenodo.org/record/3741001">http://zenodo.org/record/3741001</a&gt

Gaeolaelaps Evans & Till

Genus <i>Gaeolaelaps</i> Evans & Till <p> <i>Hypoaspis</i> (<i>Gaeolaelaps</i>) Evans & Till, 1966: 159.</p> <p> Type species <i>Laelaps aculeifer</i> Canestrini, 1884; by original designation (Evans & Till, 1966).</p> <p> <b>Diagnosis</b>. The concept of <i>Gaeolaelaps</i> used here is based on that of Beaulieu (2009) with modifications by Kazemi <i>et al</i>. (2014).</p>Published as part of <i>Joharchi, Omid & Negm, Mohamed W., 2020, Soil-inhabiting mites of the family Laelapidae (Acari: Mesostigmata) from Assiut Governorate, Egypt, pp. 488-510 in Zootaxa 4759 (4)</i> on page 498, DOI: 10.11646/zootaxa.4759.4.2, <a href="http://zenodo.org/record/3741001">http://zenodo.org/record/3741001</a&gt

Gaeolaelaps queenslandicus

<i>Gaeolaelaps queenslandicus</i> (Womersley) <p> <i>Androlaelaps queenslandicus</i> Womersley, 1956: 577.</p> <p> <i>Geolaelaps queenslandicus</i>.— Ryke, 1963: 13; Walter & Oliver, 1989: 295; Farrier & Hennessey, 1993: 73.</p> <p> <i>Gaeolaelaps queenslandicus</i>.— Hyatt, 1964: 472; Beaulieu, 2009: 37; Nemati <i>et al</i>., 2018: 713; Joharchi <i>et al</i>., 2019d: 6, 2019e: 569.</p> <p> <i>Hypoaspis queenslandicus</i>.— Costa, 1966: 141; Zeman, 1982: 233; Zaher, 1986: 191.</p> <p> <i>Hypoaspis tripodiger</i> Berlese, 1916: 167 (synonymy by Nemati <i>et al</i>., 2018b: 713).</p> <p> <i>Gaeolaelaps tripodiger</i>.— Nemati <i>et al</i>., 2018b: 716.</p> <p> <i>Androlaelaps trifurcatus</i> Wang & Li, 1965: 238 (synonymy by Nemati <i>et al</i>., 2018b: 713).</p> <p> <i>Gaeolaelaps trifurcatus</i>.— Nemati <i>et al</i>., 2018b: 716.</p> <p> <i>Androlaelaps trifurcatoides</i>.— Yan & Ma, 1999 (synonymy by Nemati <i>et al</i>., 2018b: 713).</p> <p> <i>Gaeolaelaps trifurcatoides</i>.— Nemati <i>et al</i>., 2018b: 717.</p> <p> <i>Hypoaspis</i> (<i>Hypoaspis</i>) <i>angustus</i> Karg, 1965: 274 (synonymy by Nemati <i>et al</i>., 2018b: 713).</p> <p> <b>Specimens examined.</b> Three females; 27°03’ N, 31°20’ E, Sahel Seleim, Assiut; 17 June 2015; coll. A.S. Abdelgayed; ex. soil under mandarin trees.</p> <p> <b>Remarks</b>. <i>Gaeolaelaps queenslandicus</i> was originally described as a species of <i>Androlaelaps</i>, based on a single specimen collected from litter at Taringa, Queensland, Australia (Womersley, 1956). <i>G</i>. <i>queenslandicus</i> has been recorded many times, from North America, Europe, Asia, and Africa. Zaher (1986) recorded this species from soil in Egypt for the first time and we have had the opportunity to examine specimens to confirm this identification. Our newly collected material agrees very well with the description given by Costa (1966) with modifications by Nemati <i>et al</i>. (2018b). The species is recognised by the presence of 37 pairs of simple setae on the dorsal shield (with variation, sometimes 38 pairs) (Nemati <i>et al</i>., 2018), with three-tined palp tarsal claw, peritreme long (reaching to coxa I) and with spine-like setae on femur and tarsus II.</p>Published as part of <i>Joharchi, Omid & Negm, Mohamed W., 2020, Soil-inhabiting mites of the family Laelapidae (Acari: Mesostigmata) from Assiut Governorate, Egypt, pp. 488-510 in Zootaxa 4759 (4)</i> on pages 499-501, DOI: 10.11646/zootaxa.4759.4.2, <a href="http://zenodo.org/record/3741001">http://zenodo.org/record/3741001</a&gt