28 research outputs found
A Point Mutation in PDGFRB Causes Autosomal-Dominant Penttinen Syndrome
- Author
- Publication venue
- The American Society of Human Genetics. Published by Elsevier Inc.
- Publication date
- 03/09/2015
- Field of study
Penttinen syndrome is a distinctive disorder characterized by a prematurely aged appearance with lipoatrophy, epidermal and dermal atrophy along with hypertrophic lesions that resemble scars, thin hair, proptosis, underdeveloped cheekbones, and marked acro-osteolysis. All individuals have been simplex cases. Exome sequencing of an affected individual identified a de novo c.1994T>C p.Val665Ala variant in PDGFRB, which encodes the platelet-derived growth factor receptor β. Three additional unrelated individuals with this condition were shown to have the identical variant in PDGFRB. Distinct mutations in PDGFRB have been shown to cause infantile myofibromatosis, idiopathic basal ganglia calcification, and an overgrowth disorder with dysmorphic facies and psychosis, none of which overlaps with the clinical findings in Penttinen syndrome. We evaluated the functional consequence of this causative variant on the PDGFRB signaling pathway by transfecting mutant and wild-type cDNA into HeLa cells, and transfection showed ligand-independent constitutive signaling through STAT3 and PLCγ. Penttinen syndrome is a clinically distinct genetic condition caused by a PDGFRB gain-of-function mutation that is associated with a specific and unusual perturbation of receptor function
Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis
- Author
- Aahlin Eirik Kjus
- Aamer Ahmed
- Aaniana Kenneth
- Ababneh Ali
- Abaliksta Tomas
- Abantanga Francis
- Abbas Athar
- Abbasy Jibran
- Abbo Olivier
- Abbott Tom
- Abbouch Meryem
- Abd El-Latif Nadia Khalid
- Abd Elkhalek Esraa
- Abd-Elmawla Manar
- Abdallah Emad
- Abdel-Aty Abdulrahman
- Abdel-Hameed Noran
- Abdel-Kader Sara Mahmoud
- Abdelaal Abdelaziz
- Abdelaty Mohamed
- Abdelazeam Anan Rady
- Abdelazim Galaleldin
- Abdelaziz Mohamed A.
- Abdelbadeai Kholoud
- Abdelfatah Afnan
- Abdelhady Samar
- Abdelhamed Rasha
- Abdelhamid Amina
- Abdelhaq Aram
- Abdelkader Mostafa
- Abdelkader Omar
- Abdelkhalek Mohamed
- Abdelmageed Eman
- Abdelmotaleb Ibrahem
- Abdelraouf Ahmed Mahmoud
- Abdelrouf Doaa Maher
- Abdelshakour Mahmoud
- Abdrabou Abdulshafi Khaled
- Abdul-Latif Saiba
- Abdulaziz Hager
- Abdulaziz Mustafa
- Abdulbagi Omar
- Abdulhakeem Eman Mahmoud
- Abdullah Mohamed Abozed
- Abdullah Nik Azim Nik
- Abdullah Noha
- Abdullahi Lawal
- Abdurrazzaaq Abdussemiu
- Abem Owusu Emmanuel
- Abiola Olajide
- Aboelella Majed
- Aboelmagd Omnia
- Aboelsoud Moustafa R.
- Aboul-Naga Mariam Saad
- Abouzaid Arwa
- Abu Qumbos Amjad
- Abu-toyour Maram
- Abubakr Marwan
- Abuowda Yousef
- Abuqwaider Eman
- Abusalem Lana
- Abushamleh Soha
- Ackom Eric
- Acquah Emmanuel
- Adam Ali
- Adam Nourhan
- Adamu Ahmed
- Adawi Ihdaa
- Adawi Mohammad
- Adebanjo Ademola
- Adebola Oluwaseyi
- Adedeji Adesina
- Adel Badr Eldin
- Adel Israa
- Adella Fidelis Jacklyn
- Adelshone Abdelrahman
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji O.
- Ademuyiwa Adesoji O.
- Adenekan Babajide
- Adeniran James
- Adeniyi Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adeyeye Ademola
- Adeyeye Ademola
- Adhitama Novia
- Adil Muhammad
- Adisa Adewale O.
- Adiyaman Can
- Adu-Aryee Niiarmah
- Afana Samah
- Agalianos Christos
- Agarwal Arnav
- Agarwal Arnav
- Agbedinu Kwabena
- Aglan Amro
- Aguado Suarez Nuria
- Aguilera Maria Lorena
- Aguilera Maria Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahlonsou Germain
- Ahlqvist Sandra
- Ahlqvist Sandra
- Ahmed Asdaq
- Ahmed Ataa
- Ahmed Hayam
- Ahmed Hussien
- Ahmed Lopna Ahmed Mohamed
- Ahmed Sara
- Ahmed Saraibrahim
- Ahounou Ernest Yemalin Stephane
- Ajah Jonathan
- Ajai Olalekan
- Ajao Akinlabi
- Ajiboye Anthony
- Akoto Elliot
- Akpenyi Onyinye
- Al Amin Shadid
- Al Attar Samaa Mahmoud
- Al Barraw Fayez Elian
- Al Bastawis Fatema
- Al Meligy Amgad
- Al Rafati Ahmad Abdel Razaq
- Al Raouf Eman Abd
- Al Saied Ghiath
- Al Subaie Norah
- Al-Bahrani Ahmed
- Al-Buhaisi Alaa
- Al-Dakka Emad
- Al-faqawi Maha
- Al-farram Hadeel
- Al-khatib Ahmed
- Al-Marakby Dina
- Al-saqqa Sara
- Al-Saqqa Sara W.
- Al-Slaibi Ibrahim
- Al-taher Taher
- AlaaelDein Shahinaz
- Alada Muslimat
- Alakaloko Felix
- Alaloul Enas
- Alamin Shadid
- Alamoudi Mohammed
- Albiety Adel
- Alcca Ticona Willy
- Alejos Bermudez Ysabel Esthefany
- Alexander Philip
- Alexander Philip
- Alexandre Challine
- Alghamdi Ahmed
- Alghamdi Mohammed Saleh A.
- Alhady Khaled
- Alhammali Tariq
- Alhassan Basmah
- Alhazmi Wedyan
- Alherz Mohammad
- Ali Ahmed
- Ali Citra Dewi Mohd
- Ali Elsayed
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- Ali Syed Abdul Wahhab Eusoffee Wan
- Ali Tebian Hassanein Ahmed
- Ali Wadah
- Alihonou Thierry
- Alis Halil
- Aliyu Halima
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- Aljiffry Murad
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- Alnusairat Aseel
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- Drake Thomas M.
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- Hunter Kristina
- Husseiny Reem
- Iacono Calogero
- Iannone Immacolata
- Ibraheem Aya AbdelFatah
- Ibrahem Ahmad Aboelkassem
- Ibrahim Ahmed Mohamed
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- Ingabire J. C. Allen
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- Irwin Gareth
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- Ismail Lawani
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- Ismail Mohammed Kamal
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- Israelsson Leif
- Ivros Nikolaos
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- Jabal Mohamed Sobhi
- Jaber Sahar
- Jaffry Zahra
- Jaich Robert
- Jama Guled M.
- Jamal Luai
- Janardha K. C.
- Janik Michal
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- Kabariti Rakan
- Kabariti Rakan
- Kabongo Kalangu
- Kache Stephen
- Kaci Amir Ait
- Kadiwar Suraj
- Kalakouti Eliana
- Kalles Vasileios
- Kalles Vasileios
- Kalles Vassilis
- Kamarajah Sivesh K.
- Kamarulzamil Siti Nur Alia
- Kamya Sylvia
- Kanani Arezo
- Kandil Ahmedali M.
- Kandil Hend
- Kanta Tasnia Hamid
- Karabelias Georgios
- Karabulut Kagan
- Karahan Servet Rustu
- Karandikar Sharad
- Kariem Nazmie
- Karim Rezaul
- Karim Sabbir
- Karismaningtyas Herlin
- Karjiker Parveen
- Karkeet Mohamed
- Karlo Robert
- Kaselis Nerijus
- Kasem Esraa Abdalmageed
- Kasputyte Simona
- Kaul Anil
- Kedar Asaf
- Keke Kpemahouton Rene
- Kelany Mohamed
- Keogh Kenneth
- Kershaw Suzanne
- Khafagy Toqa
- Khalifah Eyad
- Khallaf Salwa
- Khamajeet Arvin
- Khan Maryam Ali
- Khan Roaa
- Khan Zain Ali
- Khatri Chetan
- Khoja Ahmad
- Khokha Dzianis
- Khokha Vladimir
- Khosla Shivun
- Khreishi Reem
- Khreishi Rose
- Khulu Lawrence Bongani
- Kidd Thomas
- Kinandu Kamau
- King Sebastian
- Kiran Ravi P.
- Kirby Andrew
- Kiudelis Mindaugas
- Klappenbach Roberto
- Knight Stephen
- Koay Kean Leong
- Kobal Berna Buse
- Koh Pei Ying
- Koh Sharon
- Kojo Anyomih Theophilus Teddy
- Kojo Anyomih Theophilus Teddy
- Kondrotas Paulius
- Kong Chia
- Kong Shu Ning
- Kong Victor
- Konstantina Kolonia
- Kordorwu Hope Edem Kofi
- Korkolis Dimitrios
- Kosai Nik Ritza
- Kose Emin
- Koskenvuo Laura
- Koto Modise Zacharia
- Kotobi Henri
- Kourdouli Amar
- Kourdouli Amar
- Kufeji Dorothy
- Kuliavas Justas
- Kumar Basant
- Kumar Basant
- Kumar Basant
- Kumar Sandip
- Kumar Sunil
- Kumar Sunil
- Kumwenda Dayson
- Kushwaha Sameer
- Kusi Kwasi
- Kutkevicius Juozas
- Kwakyeafriyie Prince
- Kwatiwani Chimwemwe
- Kwizera Sandrine
- Kwok Stephanie Hiu-wai
- Kyereh Martin
- Kyriazanos Ioannis
- Kyrou Georgios
- Kyziridis Dimitrios
- L'Heveder Ariadne
- La Brocca Antonella
- Ladukas Adomas
- Lagunavicius Karolis
- Lai Anthony Chuk-Him
- Lam Justin Chak Yiu
- Lam Wai Him
- Lanau Maria Isabel Villegas
- Lando Justus
- Landolfo Giovanni
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- Paulouski Dzmitry
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- Pellino Gianluca
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- Perenyei Miklos
- Perera James
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- Picardo Antonio
- Picciariello Arcangelo
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- Pinkney Thomas
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- Pinnagoda Kalitha
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- Prudhomme Thomas
- Psarianos Kyriakos
- Pugliesi Thays Brunelli
- Pujol-Cano Natalia
- Purwaningsih Nurlaila Ayu
- Puyana Juan
- Qaissieh Ahmad
- Qawasmi Israa
- Qenawy Mostafa
- Quek Roy
- Qureshi Ahmad Uzair
- Qureshi Ahmad Uzair
- Qureshi Mobeen
- Qurie Khalid
- Rackauskas Rokas
- Radkowiak Dorota
- Radojkovic Milan
- Rahantasoa Finaritra Casimir Fleur Prudence
- Rahmah Dina Faizatur
- Rajan Reynu
- Rajmohan Shivanchan
- Rakha Ibrahim
- Ramadan Menna Tallah
- Ramos Perez Virginia
- Ramos-De la Medina Antonio
- Ramos-De la Medina Antonio
- Ramos-De la Medina Antonio
- Raptis Dimitri Aristotle
- Raptis Dmitri
- Rashad Eman
- Rashed Ahmed M.
- Rasoaherinomenjanahary Fanjandrainy
- Rath Max
- Ravishankar Ramanish
- Rayne Sarah
- Rayne Sarah
- Rayne Sarah
- Rayne Sarah
- Raza Ahmed
- Raza Awais
- Raza Ibrahim
- Razuri Cesar
- Razzaque Joyeta
- Reali Claudia
- Recinos Gustavo
- Recinos Gustavo
- Reda Amira
- Reda Aya
- Redgrave Natalie
- Redota Menold Archee P.
- Reece-Smith Alex
- Reinisch Katharina
- Reinsoo Arvo
- Rekhis Syrine
- Renaux-Petel Mariette
- Restrepo Ivan Mendoza
- Reunis Elke
- Rezq Asmaa
- Riauka Romualdas
- Riaz Muhammed Masood
- Ribaldi Sergio
- Rickard Jennifer
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- Riente Francesco
- Rinaldi Anna
- Ringressi Maria Novella
- Ripa Matteo
- Riswan Nur Zulaika
- Rob Zakaria
- Robert Elsa
- Robledo-Rabanal Alina
- Rocke Alistair
- Rod Julien
- Rod Julien
- Rodicio Joseluis
- Rodriguez Xianelle
- Roman Velasquez Armando Jose
- Romani Diego
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- Rommaneh Muna
- Roodt Liana
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- Rossi Davide
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- Ruiz Panez Walter
- Ruiz-Tova Jaime
- Rulie Anthonius Santoso
- Runigamugabo Emmy
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- Ruzzenente Andrea
- Saad Abdalla Gamal
- Saad Hala
- Saad Hanan Adel
- Saad Mahmoud M.
- Saad Reham
- Saadeh Rana
- Saami Mahmoud
- Saar Sten
- Sabe Ahmad
- Sabe Ahmad Khaled
- Sabour Fahd Abdel
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- Sacco Rosario
- Saeed Manar
- Sahbaz Nuri Alper
- Sahel Sarah
- Saidbadr Ahmed
- Sakr Ahmad
- Salah Asmaa
- Salah Maram
- Salah Mohamed
- Salah Osama Mohamed
- Salama Mahmoud
- Salama Yahya
- Salamone Giuseppe
- Salcedo Jannin
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- Salem Menatalla
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- Salma Mahmoud
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- Salusso Paola
- Sam Zi Hao
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- Samison Luc Herve
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- Segovia Lohse Helmut Alfredo
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- Selvaggi Lucio
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- Senanayake Kithsiri J.
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- Shaw Catherine A.
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- Sii Samuel S. Y.
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- Soliman Abdelrahman
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- Soliman Yasmin
- Sollazzo Viviana
- Soon Wai Cheong
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- Souaibou Yacoubou Imorou
- Soulou Vasiliki
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- Sproule Lorraine
- Srinivasan Ravi
- Sroor Fathy
- Sruogiene Elena Zdanyte
- Steccanella Francesca
- Stefanopoulos Anastasios
- Stock Simon
- Stoddart Michael
- Stoddart Michael
- Stourton Frederick
- Strupas Kestutis
- Stuva Jessica
- Styles Kristian
- Suarez Aida
- Subocius Andrejus
- Sund Malin
- Suresh Sukrit
- Sutandi Nathania
- Suyadi Arlindawati
- Swaroop Mamta
- Syibrah Khuzaimah Zahid
- Tabiri Stephen
- Tabiri Stephen
- Tabiri Stephen
- Tabiri Stephen
- Tackie Enoch
- Taddei Antonio
- Tahboub Haya
- Taher Ayman
- Taher Mustafa Mohammed
- Taieb Chouikh
- Taiwo Agboola
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- Talaat Muhammed
- Tale Luis
- Talving Peep
- Talving Peep
- Tan Charlene
- Tan Choy Ling
- Tan Joel Kin
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- Tan Ryan Choon Kiat
- Tan Yee Wen
- Tan Yi Koon
- Tang Lingshan
- Tani Sobhana Iftekhar
- Tansoker Ilkan
- Tarek Adham
- Tarek Dina
- Targa Simone
- Tariq Sherif
- Tata Mahadevan Deva
- Tawfik Badreldin Adel
- Tawfik Gehad
- Teasdale Ella
- Teasdale Ella
- Teasdale Ella
- Tedeschi Umberto
- Tembo Thelma
- Tennakoon Athula
- Teo Shuang Yi
- Ter Eunice Zuling
- Tew Yong Yong
- Tew Yong Yong
- Thabet Waleed
- Thalgaspitiya S. P. B.
- Theodosopoulos Theodosios
- Thollot Aurore
- Thorarinsdottir Hildur
- Thorell Anders
- Timothy Oyediran Kehinde
- Ting Jesse Ron Swire
- To Kathleen
- Tolonen Matti
- Tolotra Todisoa Emmanuella Christina
- Tomas Kadir
- Tori Sayeeda Aktar
- Toribio Orbegozo Pedro Angel
- Torrance Hew D.
- Torres Cardozo Jorge
- Torres Rodriguez Servio Tulio
- Toto Omer Faruk
- Townsend Dominic
- Trompetto Mario
- Tselos Angelos
- Tshisola Serge Kapenda
- Tugnoli Gregorio
- Tun Myint
- Turati Luca
- Turkustani Sondos
- Turpo Espinoza Kenny
- Turpo Espinoza Kevin
- Tutino Roberta
- Tverskis Zygimantas
- Tyler Robert
- Tze R. Goh Ern
- Tzikos Georgios
- Ubiali Paolo
- Ukwenya Yahaya
- ul Razi Syed Asaat
- Ulusahin Mehmet
- Upadhyaya Vijaid
- Urbonas Tomas
- Urniezius Zigmantas
- Uscinas Laimonas
- Uzabumwana Norbert
- Vaicius Arturas
- Valcarcel-Saldana Maria
- Valioulis Ioannis
- Van Der Naald Niels
- Van Niekerk Michael
- Van Straten Stephanie
- Vargas Marvin
- Vartanoglu Talar
- Vartic Mihaela
- Vasquez Giorgio
- Vasquez Idelso
- Veen Torhild
- Velasquez Ricardo
- Venclauskas Linas
- Vendramin Elena
- Venskutonis Donatas
- Venskutonis Donatas
- Verbeek Anna
- Vergara Mejia Angelica Genoveva
- Verjee Azmina
- Vermaas Maarten
- Vicario Erika
- Vicenta Collado Maria
- Vida Lucian Corneliu
- Vilcinskas Mantas
- Villalobos Santiago
- Violi Paola
- Visinskas Petras
- Voulgaris Evangelos
- Wael Noha
- Wakefield Rebecca
- Waledziak Maciej
- Walker Michael
- Walker Nathan
- Walls Luke
- Walsh Michael
- Waqar Muhammad
- Warren Oliver
- Waterman Ade
- Werder Gabriela
- Whitaker John
- White Rebecca
- Whitehurst Katharine
- Wiborg Joachim
- Widiastini T. Ariani
- Widmer Lukas Werner
- Wijayarathna L. S.
- Williams Omolara
- Wilson Ling
- Wilson Michael
- Wilson Michael
- Wimalge P. M. S. N.
- Wogensen Fredrik
- Wolf Bernhard
- Wondoh Paul
- Wondoh Paul
- Wong Chui Yee
- Wong Francisca
- Wong Hong Yee
- Wood Greta
- Worku Mengistu
- Worku Tewodros
- Wright Naomi
- Yahaya Muhammad Taqiyuddin
- Yakubu Musah
- Yam Sir Young
- Yang James
- Yap Suhhuey
- Yau Jih Dar
- Ye Joselyn
- Yeang Li Jing
- Yeung Man Hon Andrew
- Yifieyeh Abiboye
- Yildirim Reyyan
- Yip Chingwan
- Ymeri Shpetim
- Yoganathan Pigeneswaren
- Yolcu Sinem
- Yong Guo Liang
- Younis Abobaker
- Youssef Mohamed
- Yuksek Mahmut Arif
- Yusufali Taha
- Zaa'treh Rula
- Zadoroznas Antanas
- Zahran Diaaaldin
- Zakaria Esraay
- Zakaria Mahmoud
- Zakaria Yehia
- Zaki Ahmed
- Zammit Stefan
- Zampitis Nikolaos
- Zani Augusto
- Zani Augusto
- Zanini Nicola
- Zapata Felipe
- Zarb Ciskje
- Zeta Solis Ludwing Alexander
- Zielinski Martin
- Zilinskas Justas
- Zilinskas Justas
- Zilinskas Justas
- Zilinskiene Reda
- Ziubryte Greta
- Zohair Ahmed
- Zuber Markus
- Zuk Grzegorz
- Zulkifli Athirah
- Zumbuhl Lucius
- Publication venue
- Elsevier
- Publication date
- 01/06/2003
- Field of study
BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London
Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study
- Author
- A Yacoub M.
- A. Adam M.
- A. Nassar M.
- A. Nemer A.
- Aahlin E. K.
- Ab Rahim M. F.
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- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2022
- Field of 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
Cabbage and fermented vegetables : From death rate heterogeneity in countries to candidates for mitigation strategies of severe COVID-19
- Author
- Abdul Latiff Amir Hamzah
- Abdullah Baharudin
- Aberer Werner
- Abusada Nancy
- Adcock Ian
- Afani Alejandro
- Agache Ioana
- Aggelidis Xenofon
- Agustin Jenifer
- Akdis Cezmi A.
- Akdis Cezmi A.
- Akdis Mubeccel
- Al-Ahmad Mona
- Al-Zahab Bassam Abou
- Alburdan Hussam
- Aldrey-Palacios Oscar
- Alvarez Cuesta Emilio
- Alwan Salman Hiba
- Alzaabi Ashraf
- Amade Salma
- Ambrocio Gene
- Angles Rosana
- Annesi-Maesano Isabella
- Ansotegui Ignacio J.
- Anto Josep M.
- Anto Josep M.
- Ara Bardajo Paula
- Arasi Stefania
- Arrais Margarete
- Arshad Hasan
- Artesani Maria-Cristina
- Asayag Estrella
- Avolio Francesca
- Azhari Khuzama
- Bachert Claus
- Bagnasco Diego
- Baiardini Ilaria
- Bajrovic Nissera
- Bakakos Petros
- Bakeyala Mongono Sergio
- Balotro-Torres Christine
- Barba Sergio
- Barbara Cristina
- Barbosa Elsa
- Barreto Bruno
- Bartra Joan
- Basagana Xavier
- Bateman Eric D.
- Battur Lkhagvaa
- Bedbrook Anna
- Bedolla Barajas Martin
- Beghe Bianca
- Bekere Antra
- Bel Elizabeth
- Ben Kheder Ali
- Bennoor Kazi S.
- Benson Mikael
- Berghea Elena-Camelia
- Bergmann Karl-Christian
- Bernardini Roberto
- Bernstein David
- Bewick Mike
- Bialek Slawomir
- Bialoszewski Artur
- Bieber Thomas
- Billo Nils E.
- Bilo Maria-Beatrice
- Bindslev-Jensen Carsten
- Bjermer Leif
- Blain Hubert
- Blain Hubert
- Bobolea Irina
- Bochenska Marciniak Malgorzata
- Bond Christine
- Boner Attilio
- Bonini Matteo
- Bonini Sergio
- Bosnic-Anticevich Sinthia
- Bosse Isabelle
- Botskariova Sofia
- Bouchard Jacques
- Boulet Louis-Philippe
- Bourret Rodolphe
- Bousquet Jean
- Bousquet Philippe
- Braido Fulvio
- Briggs Andrew
- Brightling Christopher E.
- Brozek Jan
- Brussino Luisa
- Buhl Roland
- Bumbacea Roxana
- Buquicchio Rosalva
- Burguete Cabanas Maria-Teresa
- Bush Andrew
- Busse William W.
- Buters Jeroen
- Caballero-Fonseca Fernan
- Calderon Moises A.
- Calvo Mario
- Camargos Paulo
- Camuzat Thierry
- Canevari F. R.
- Cano Antonio
- Canonica G. Walter
- Capriles-Hulett Arnaldo
- Caraballo Luis
- Cardona Vicky
- Carlsen Kai-Hakon
- Carmona Pirez Jonas
- Caro Jorge
- Carr Warner
- Carreiro-Martins Pedro
- Carreon-Asuncion Fredelita
- Carriazo Ana-Maria
- Carrion y Ribas Carme
- Casale Thomas
- Castor Mary-Ann
- Castro Elizabeth
- Caviglia A. G.
- Cecchi Lorenzo
- Cepeda Sarabia Alfonso
- Chalubinski Maciej
- Chandrasekharan Ramanathan
- Chang Yoon-Seok
- Chato-Andeza Victoria
- Chatzi Lida
- Chatzidaki Christina
- Chavannes Niels H.
- Chaves Loureiro Claudia
- Chavez Garcia Aurora-Alejandra
- Chelninska Marta
- Chen Yuzhi
- Cheng Lei
- Chinthrajah Sharon
- Chivato Tomas
- Chkhartishvili Ekaterine
- Christoff George
- Chrystyn Henry
- Chu Derek K.
- Chua Antonio
- Chuchalin Alexander
- Chung Kian Fan
- Ciceran Alberto
- Cingi Cemal
- Ciprandi Giorgio
- Cirule Ieva
- Coelho Ana-Carla
- Compalati Enrico
- Constantinidis Jannis
- Correia de Sousa Jaime
- Costa David
- Costa Elisio Manuel
- Coste Andre
- Cottini M.
- Cox Linda
- Crisci Carlos
- Crivellaro Maria Angiola
- Cruz Alvaro A.
- Cullen John
- Custovic Adnan
- Cvetkovski Biljana
- Czarlewski Wienczyslawa
- Czarlewski Wienczyslawa
- D'Amato Gennaro
- da Silva Jane
- Dahl Ronald
- Dahlen Sven-Erik
- Daniilidis Vasilis
- Darjazini Nahhas Louei
- Darsow Ulf
- Davies Janet
- de Blay Frederic
- De Feo Giulia
- De Guia Eloisa
- de la Luz Hortensia Garcia Cruz Maria
- de la Torre Navarrete Jose-Ricardo
- de los Santos Chato
- De Manuel Keenoy Esteban
- De Vries Govert
- De Wang Yun
- del Carmen Costa Dominguez Maria
- Deleanu Diana
- Demoly Pascal
- Denburg Judah
- Devillier Philippe
- Didier Alain
- Dimic Janjic Sanja
- Dimou Maria
- Dinh-Xuan Anh Tuan
- Djukanovic Ratko
- Do Ceu Texeira Maria
- Dokic Dejan
- Dominguez Silva Margarita Gabriela
- Douagui Habib
- Douladiris Nikolaos
- Doulaptsi Maria
- Dray Gerard
- Dubakiene Ruta
- Dupas Eve
- Durham Stephen
- Duse Marzia
- Dykewicz Mark
- Ebo Didier
- Edelbaher Natalija
- Eiwegger Thomas
- Eklund Patrik
- El-Gamal Yehia
- El-Sayed Shereen S.
- El-Sayed Zeinab A.
- El-Seify Magda
- Emuzyte Regina
- Enecilla Lourdes
- Erhola Marina
- Espinoza Contreras Jesus Guillermo
- Espinoza Heidilita
- Farrell John
- Fernandez Lenora
- Fimbres Jimenez Paola
- Fink Wagner Antje
- Fiocchi Alessandro
- Fokkens Wytske J.
- Folletti Lenia
- Fonseca Joao A.
- Fonseca Susana C.
- Fontaine Jean-Francois
- Forastiere Francesco
- Fuentes Perez Jose Miguel
- Gaerlan-Resureccion Emily
- Gaga Mina
- Galvez Romero Jose Luis
- Gamkrelidze Amiran
- Garcia Cobas Cecilia Yvonne
- Garcia Alexis
- Gayraud Jacques
- Gelardi Matteo
- Gemicioglu Bilun
- Gennimata Dimitra
- Genova Sonya
- Gereda Jose
- Gerth van Wijk Roy
- Giuliano Antonio
- Gomez Rene-Maximiliano
- Gonzalez Ballester Miguel-Ange
- Gonzalez Diaz Sandra
- Gotua Maia
- Grigoreas Christos
- Grisle Ineta
- Guidacci Marta
- Guldemond Nick
- Gutter Zdenek
- Guzman Antonieta
- Haahtela Tari
- Haahtela Tari
- Halloum Ramsa
- Halpin David
- Hamelmann Eckard
- Hammadi Suleiman
- Harvey Richard
- Heffler Enrico
- Heinrich Joachim
- Hejjaoui Adnan
- Hellquist-Dahl Birthe
- Hernandez Velazquez Luiana
- Hew Mark
- Hossny Elham
- Howarth Peter
- Hrubisko Martin
- Huerta Villalobos Yunuen Rocio
- Humbert Marc
- Husain Salina
- Hyland Michael
- Iaccarino Guido
- Iaccarino Guido
- Ibrahim Moustafa
- Ilina Nataliya
- Illario Maddalena
- Incorvaia Cristoforo
- Infantino Antonio
- Irani Carla
- Ispayeva Zhanat
- Ivancevich Juan Carlos
- Jares Edgardo E. J.
- Jarvis Deborah
- Jassem Ewa
- Jenko Klemen
- Jimeneracruz Uscanga Ruben Dario
- Johnston Sebastian L.
- Joos Guy
- Jost Maja
- Julge Kaja
- Jung Ki-Suck
- Just Jocelyne
- Jutel Marek
- Kaidashev Igor
- Kalayci Omer
- Kalyoncu Fuat
- Kapsali Jeni
- Kardas Przemyslaw
- Karjalainen Jussi
- Kasala Carmela A.
- Katotomichelakis Michael
- Kavaliukaite Loreta
- Keil Thomas
- Keith Paul
- Khaitov Musa
- Khaltaev Nikolai
- Kim You-Young
- Kirenga Bruce
- Kleine-Tebbe Jorg
- Klimek Ludger
- Ko Fanny W.
- Koffi N'Goran Bernard
- Kompoti Evangelia
- Kopac Peter
- Koppelman Gerard
- Koren Jeverica Anja
- Koskinen Seppo
- Kosnik Mitja
- Kostka Tomasz
- Kostov Kosta V.
- Kowalski Marek L.
- Kralimarkova Tanya
- Kramer Vrscaj Karmen
- Kraxner Helga
- Kreft Samo
- Kritikos Vicky
- Kudlay Dmitry
- Kuitunen Mikael
- Kull Inger
- Kuna Piotr
- Kupczyk Maciej
- Kvedariene Violeta
- Kyriakakou Marialena
- Lalek Nika
- Landi Massimo
- Lane Stephen
- Larenas-Linnemann Desiree E.
- Lau Susanne
- Laune Daniel
- Lavrut Jorge
- Le Lan
- Lenzenhuber Martina
- Leo Gualtiero
- Lessa Marcus
- Levin Michael
- Li Jing
- Lieberman Philip
- Liotta Giuseppe
- Lipworth Brian
- Liu Xuandao
- Lobo Rommel
- Lodrup Carlsen Karin C.
- Lombardi Carlo
- Louis Renaud
- Loukidis Stelios
- Lourenco Olga
- Luna Pech Jorge A.
- Madjar Bojan
- Maggi Enrico
- Magnan Antoine
- Mahboub Bassam
- Mair Alpana
- Maitland van der Zee Anke-Hilse
- Makela Mika
- Makris Michael
- Malling Hans-Jorgen
- Mandajieva Mariana
- Manning Patrick
- Manousakis Manolis
- Maragoudakis Pavlos
- Marseglia Gianluigi
- Marshall Gailen
- Masjedi Mohammad Reza
- Maspero Jorge F.
- Matta Campos Juan Jose
- Maurer Marcus
- Mavale-Manuel Sandra
- Meco Cem
- Melen Erik
- Melioli Giovanni
- Melo-Gomes Elisabete
- Meltzer Eli O.
- Menditto Enrica
- Menzies-Gow Andrew
- Merk Hans
- Michel Jean-Pierre
- Micheli Yann
- Miculinic Neven
- Midao Luis
- Mihaltan Florin
- Mikos Nikolaos
- Milanese Manlio
- Milenkovic Branislava
- Mitsias Dimitrios
- Moalla Bassem
- Moda Giuliana
- Mogica Martinez Maria Dolores
- Mohammad Yousser
- Moharra Frances-Montserrat
- Moin Mostafa
- Molimard Mathieu
- Momas Isabelle
- Mommers Monique
- Monaco Alessandro
- Montefort Stephen
- Montenegro Lucia-Elvira
- Monti Riccardo
- Mora Dory
- Morais-Almeida Mario
- Mosges Ralph
- Mostafa Badr Eldin
- Mullol Joaquim
- Munter Lars
- Muraro Antonella
- Murray Ruth
- Musarra Antonio
- Mustakov Tihomir
- Naclerio Robert
- Nadeau Kari C.
- Nadif Rachel
- Nakonechna Alla
- Namazova-Baranova Leyla
- Navarro-Locsin Gretchen
- Neffen Hugo
- Nekam Kristof
- Neou Angelos
- Nettis Eustachio
- Neuberger Daniel
- Nicod Laurent
- Nicola Stefania
- Niederberger-Leppin Verena
- Niedoszytko Marek
- Nieto Antonio
- Novellino Ettore
- Nunes Elizabete
- Nyembue Dieudonne
- O'Hehir Robyn E.
- Odjakova Cvetanka
- Ohta Ken
- Okamoto Yoshitaka
- Okubo Kimi
- Oliver Brian
- Onorato Gabrielle L.
- Orru Maria Pia
- Ortiz Valeria Garcia
- Ouedraogo Solange
- Ouoba Kampadilemba
- Padilla Francisco-Javier
- Paggiaro Pier Luigi
- Pagkalos Aris
- Pajno Giovanni
- Pala Gianni
- Palaniappan S. P.
- Pali-Scholl Isabella
- Palkonen Susanna
- Palmer Stephen
- Panaitescu Bunu Carmen
- Panzner Petr
- Papadopoulos Nikos G.
- Papanikolaou Vasilis
- Papi Alberto
- Paralchev Bojidar
- Paraskevopoulos Giannis
- Park Hae-Sim
- Passalacqua Giovanni
- Patella Vincenzo
- Pavord Ian
- Pawankar Ruby
- Pedersen Soren
- Peleve Susete
- Pellegino Simona
- Pereira Ana
- Pereira Mariana
- Perez Tamara
- Perna Andrea
- Peroni Diego
- Pfaar Oliver
- Pham-Thi Nhan
- Pigearias Bernard
- Pin Isabelle
- Pinto Barnaro Sousa
- Piskou Konstantina
- Pitsios Constantinos
- Plavec Davor
- Poethig Dagmar
- Pohl Wolfgang
- Poplas Susic Antonija
- Popov Todor A.
- Portejoie Fabienne
- Potter Paul
- Poulsen Lars
- Prados-Torres Alexandra
- Prarros Fotis
- Price David
- Prokopakis Emmanuel
- Puggioni Francesca
- Puig-Domenech Elisa
- Puy Robert
- Rabe Klaus
- Rabotti Silvia
- Raciborski Filip
- Ramos Josephine
- Recalcati Cristina
- Recto Marysia T.
- Reda Shereen M.
- Regateiro Frederico S.
- Reider Norbert
- Reitsma Sietze
- Repka-Ramirez Susana
- Ridolo Erminia
- Rimmer Janet
- Rivero Yeverino Daniela
- Rizzo Jose Angelo
- Robalo-Cordeiro Carlos
- Roberts Graham
- Robles Karen
- Roche Nicolas
- Rodriguez Gonzalez Monica
- Rodriguez Zagal Erendira
- Rolla Giovanni
- Rolland Christine
- Roller-Wirnsberger Regina
- Roman Rodriguez Miguel
- Romano Antonino
- Romantowski Jan
- Rombaux Philippe
- Romualdez Joel
- Rosado-Pinto Jose
- Rosario Nelson
- Rosenwasser Lanny
- Rossi Oliviero
- Rottem Menachem
- Rouadi Philip W.
- Rovina Nikoleta
- Rozman Sinur Irma
- Ruiz Segura Lucy Tania
- Ruiz Mauricio
- Ryan Dermot
- Sagara Hironori
- Sakai Daiki
- Sakurai Daiju
- Saleh Wafaa
- Salimaki Johanna
- Samitas Konstantinos
- Samolinski Boleslaw
- Sanchez Coronel Maria Guadalupe
- Sanchez-Borges Mario
- Sanchez-Lopez Jaime
- Sansonna Melissa
- Sarafoleanu Codrut
- Sarquis Serpa Faradiba
- Sastre Joaquin
- Savi Eleonora
- Savonyte Agne
- Sawaf Bisher
- Scadding Glenis K.
- Scheire Sophie
- Schmid-Grendelmeier Peter
- Schuhl Juan Francisco
- Schunemann Holger
- Schvalbova Maria
- Schwarze Jorgen
- Scichilone Nicola
- Senna Gianenrico
- Sepulveda Cecilia
- Serrano Elie
- Shamai Sara
- Sheikh Aziz
- Sheikh Aziz
- Shields Mike
- Shishkov Vasil
- Siafakas Nikos
- Simeonov Alexander
- Simons Estelle F. E. R.
- Sisul Juan Carlos
- Sitkauskiene Brigita
- Skrindo Ingelbjorg
- Soklic Kosak Tanja
- Sole Dirceu
- Sondermann Martin
- Sooronbaev Talant
- Soto-Martinez Manuel
- Soto-Quiros Manuel
- Sova Milan
- Soyka Michael
- Specjalski Krzysztof
- Sperl Annette
- Spranger Otto
- Stamataki Sofia
- Stefanaki Lina
- Stellato Cristiana
- Stelmach Rafael
- Strandberg Timo
- Stute Petra
- Subramaniam Abirami
- Suppli Ulrik Charlotte
- Sutherland Michael
- Sylvestre Silvia
- Syrigou Aikaterini
- Taborda Barata Luis
- Takovska Nadejda
- Tan Frances
- Tan Rachel
- Tan Vincent
- Tang Ing Ping
- Taniguchi Masami
- Tannert Line
- Tantilipikorn Pongsakorn
- Tattersall Jessica
- Tesi Filippo
- Thieme Uta
- Thijs Carel
- Thomas Mike
- To Teresa
- Todo-Bom Ana Maria
- Togias Alkis
- Tomazic Peter-Valentin
- Tomic-Spiric Vesna
- Toppila-Salmi Sanna
- Torres Jaen Maria-Jose
- Toskala Elina
- Tran Thien Quan Vu
- Triggiani Massimo
- Triller Katja
- Triller Nadja
- Tsiligianni Ioanna
- Uberti M.
- Ulmeanu Ruxandra
- Urbancic Jure
- Urrutia Pereira Marilyn
- Vachova Martina
- Valdes Felipe
- Valenta Rudolf
- Valentin Rostan Marylin
- Valero Antonio
- Valiulis Arunas
- Vallianatou Mina
- Valovirta Erkka
- Van Eerd Michiel
- Van Ganse Eric
- van Hage Marianne
- Vandenplas Olivier
- Vasankari Tuula
- Vassileva Dafina
- Velasco Munoz Cesar
- Ventura Maria Teresa
- Vera-Munoz Cecilia
- Viart Frederic
- Vicheva Dilyana
- Vichyanond Pakit
- Vidal Alain
- Vidgren Petra
- Viegi Giovanni
- Vogelmeier Claus
- Von Hertzen Leena
- Vontetsianos Theodoros
- Vourdas Dimitris
- Wagenmann Martin
- Walker Samantha
- Wallace Dana
- Waserman Susan
- Wehner Katrin
- Wickman Magnus
- Williams Dennis
- Williams Sian
- Wilson Nicola
- Wong Gary
- Woo Kent
- Wozniak Lucyna
- Wright John
- Wroczynski Piotr
- Xepapadaki Paraskevi
- Yakovliev Plamen
- Yamaguchi Masao
- Yan Kwok
- Yap Yoke Yeow
- Yassin Mais
- Yawn Barbara
- Yiallouros Panayiotis
- Yorgancioglu Arzu
- Yoshihara Shigemi
- Young Ian
- Yusuf Osman B.
- Zaidi Asghar
- Zaitoun Fares
- Zalud Petra
- Zar Heather
- Zedda M. T.
- Zernotti Mario E.
- Zhang Luo
- Zhong Nanshan
- Zidarn Mihaela
- Zuberbier Torsten
- Zuberbier Torsten
- Zubrinich Celia
- Publication venue
- Publication date
- 01/01/2020
- Field of study
Large differences in COVID-19 death rates exist between countries and between regions of the same country. Some very low death rate countries such as Eastern Asia, Central Europe, or the Balkans have a common feature of eating large quantities of fermented foods. Although biases exist when examining ecological studies, fermented vegetables or cabbage have been associated with low death rates in European countries. SARS-CoV-2 binds to its receptor, the angiotensin-converting enzyme 2 (ACE2). As a result of SARS-CoV-2 binding, ACE2 downregulation enhances the angiotensin II receptor type 1 (AT(1)R) axis associated with oxidative stress. This leads to insulin resistance as well as lung and endothelial damage, two severe outcomes of COVID-19. The nuclear factor (erythroid-derived 2)-like 2 (Nrf2) is the most potent antioxidant in humans and can block in particular the AT(1)R axis. Cabbage contains precursors of sulforaphane, the most active natural activator of Nrf2. Fermented vegetables contain many lactobacilli, which are also potent Nrf2 activators. Three examples are: kimchi in Korea, westernized foods, and the slum paradox. It is proposed that fermented cabbage is a proof-of-concept of dietary manipulations that may enhance Nrf2-associated antioxidant effects, helpful in mitigating COVID-19 severity.Peer reviewe
Nrf2-interacting nutrients and COVID-19 : time for research to develop adaptation strategies
- Author
- Abdul Latiff Amir Hamzah
- Abdullah Baharudin
- Aberer Werner
- Abusada Nancy
- Adcock Ian
- Afani Alejandro
- Agache Ioana
- Aggelidis Xenofon
- Agustin Jenifer
- Akdis Cezmi A.
- Akdis Cezmi A.
- Akdis Mubeccel
- Al-Ahmad Mona
- Al-Zahab Bassam Abou
- Alburdan Hussam
- Aldrey-Palacios Oscar
- Alvarez Cuesta Emilio
- Alwan Salman Hiba
- Alzaabi Ashraf
- Amade Salma
- Ambrocio Gene
- Angles Rosana
- Annesi-Maesano Isabella
- Ansotegui Ignacio J.
- Anto Josep M.
- Anto Josep M.
- Ara Bardajo Paula
- Arasi Stefania
- Arrais Margarete
- Arshad Hasan
- Artesani Maria-Cristina
- Asayag Estrella
- Avolio Francesca
- Azhari Khuzama
- Bachert Claus
- Bagnasco Diego
- Baiardini Ilaria
- Bajrovic Nissera
- Bakakos Petros
- Bakeyala Mongono Sergio
- Balotro-Torres Christine
- Barba Sergio
- Barbara Cristina
- Barbosa Elsa
- Barreto Bruno
- Bartra Joan
- Basagana Xavier
- Bateman Eric D.
- Battur Lkhagvaa
- Bedbrook Anna
- Bedolla Barajas Martin
- Beghe Bianca
- Bekere Antra
- Bel Elizabeth
- Ben Kheder Ali
- Bennoor Kazi S.
- Benson Mikael
- Berghea Elena-Camelia
- Bergmann Karl-Christian
- Bernardini Roberto
- Bernstein David
- Bewick Mike
- Bialek Slawomir
- Bialoszewski Artur
- Bieber Thomas
- Billo Nils E.
- Bilo Maria-Beatrice
- Bindslev-Jensen Carsten
- Bjermer Leif
- Blain Hubert
- Blain Hubert
- Bobolea Irina
- Bochenska Marciniak Malgorzata
- Bond Christine
- Boner Attilio
- Bonini Matteo
- Bonini Sergio
- Bosnic-Anticevich Sinthia
- Bosse Isabelle
- Botskariova Sofia
- Bouchard Jacques
- Boulet Louis-Philippe
- Bourret Rodolphe
- Bousquet Jean
- Bousquet Philippe
- Braido Fulvio
- Briggs Andrew
- Brightling Christopher E.
- Brozek Jan
- Brussino Luisa
- Buhl Roland
- Bumbacea Roxana
- Buquicchio Rosalva
- Burguete Cabanas Maria-Teresa
- Bush Andrew
- Busse William W.
- Buters Jeroen
- Caballero-Fonseca Fernan
- Calderon Moises A.
- Calvo Mario
- Camargos Paulo
- Camuzat Thierry
- Canevari F. R.
- Cano Antonio
- Canonica G. Walter
- Canonica G. Walter
- Capriles-Hulett Arnaldo
- Caraballo Luis
- Cardona Vicky
- Carlsen Kai-Hakon
- Carmona Pirez Jonas
- Caro Jorge
- Carr Warner
- Carreiro-Martins Pedro
- Carreon-Asuncion Fredelita
- Carriazo Ana-Maria
- Carrion y Ribas Carme
- Casale Thomas
- Castor Mary-Ann
- Castro Elizabeth
- Caviglia A. G.
- Cecchi Lorenzo
- Cepeda Sarabia Alfonso
- Chalubinski Maciej
- Chandrasekharan Ramanathan
- Chang Yoon-Seok
- Chato-Andeza Victoria
- Chatzi Lida
- Chatzidaki Christina
- Chavannes Niels H.
- Chaves Loureiro Claudia
- Chavez Garcia Aurora-Alejandra
- Chelninska Marta
- Chen Yuzhi
- Cheng Lei
- Chinthrajah Sharon
- Chivato Tomas
- Chkhartishvili Ekaterine
- Choi Hak-Jong
- Christoff George
- Chrystyn Henry
- Chu Derek K.
- Chua Antonio
- Chuchalin Alexander
- Chung Kian Fan
- Ciceran Alberto
- Cingi Cemal
- Ciprandi Giorgio
- Cirule Ieva
- Coelho Ana-Carla
- Compalati Enrico
- Constantinidis Jannis
- Correia de Sousa Jaime
- Costa David
- Costa Elisio Manuel
- Coste Andre
- Cottini M.
- Cox Linda
- Crisci Carlos
- Cristol Jean-Paul
- Crivellaro Maria Angiola
- Cruz Alvaro A.
- Cullen John
- Custovic Adnan
- Cvetkovski Biljana
- Czarlewski Wienczyslawa
- Czarlewski Wienczyslawa
- D'Amato Gennaro
- da Silva Jane
- Dahl Ronald
- Dahlen Sven-Erik
- Daniilidis Vasilis
- Darjazini Nahhas Louei
- Darsow Ulf
- Davies Janet
- de Blay Frederic
- De Feo Giulia
- De Guia Eloisa
- de la Luz Hortensia Garcia Cruz Maria
- de la Torre Navarrete Jose-Ricardo
- de los Santos Chato
- De Manuel Keenoy Esteban
- De Vries Govert
- De Wang Yun
- del Carmen Costa Dominguez Maria
- Deleanu Diana
- Demoly Pascal
- Denburg Judah
- Devillier Philippe
- Didier Alain
- Dimic Janjic Sanja
- Dimou Maria
- Dinh-Xuan Anh Tuan
- Djukanovic Ratko
- Do Ceu Texeira Maria
- Dokic Dejan
- Dominguez Silva Margarita Gabriela
- Douagui Habib
- Douladiris Nikolaos
- Doulaptsi Maria
- Dray Gerard
- Dubakiene Ruta
- Dupas Eve
- Durham Stephen
- Duse Marzia
- Dykewicz Mark
- Ebo Didier
- Edelbaher Natalija
- Eiwegger Thomas
- Eklund Patrik
- El-Gamal Yehia
- El-Sayed Shereen S.
- El-Sayed Zeinab A.
- El-Seify Magda
- Emuzyte Regina
- Enecilla Lourdes
- Erhola Marina
- Espinoza Contreras Jesus Guillermo
- Espinoza Heidilita
- Farrell John
- Fernandez Lenora
- Fimbres Jimenez Paola
- Fink Wagner Antje
- Fiocchi Alessandro
- Fiocchi Alessandro
- Fokkens Wytske J.
- Folletti Lenia
- Fonseca Joao A.
- Fonseca Joao A.
- Fonseca Susana C.
- Fontaine Jean-Francois
- Forastiere Francesco
- Fuentes Perez Jose Miguel
- Gaerlan-Resureccion Emily
- Gaga Mina
- Galvez Romero Jose Luis
- Gamkrelidze Amiran
- Garcia Cobas Cecilia Yvonne
- Garcia Alexis
- Gayraud Jacques
- Gelardi Matteo
- Gemicioglu Bilun
- Gennimata Dimitra
- Genova Sonya
- Gereda Jose
- Gerth van Wijk Roy
- Giuliano Antonio
- Gomez Rene-Maximiliano
- Gonzalez Ballester Miguel-Ange
- Gonzalez Diaz Sandra
- Gotua Maia
- Grigoreas Christos
- Grisle Ineta
- Guidacci Marta
- Guldemond Nick
- Gutter Zdenek
- Guzman Antonieta
- Haahtela Tari
- Haahtela Tari
- Halloum Ramsa
- Halpin David
- Hamelmann Eckard
- Hammadi Suleiman
- Harvey Richard
- Heffler Enrico
- Heinrich Joachim
- Hejjaoui Adnan
- Hellquist-Dahl Birthe
- Hernandez Velazquez Luiana
- Hew Mark
- Hossny Elham
- Howarth Peter
- Hrubisko Martin
- Huerta Villalobos Yunuen Rocio
- Humbert Marc
- Husain Salina
- Hyland Michael
- Iaccarino Guido
- Iaccarino Guido
- Ibrahim Moustafa
- Ilina Nataliya
- Illario Maddalena
- Incorvaia Cristoforo
- Infantino Antonio
- Irani Carla
- Ispayeva Zhanat
- Ivancevich Juan Carlos
- Jares Edgardo E. J.
- Jarvis Deborah
- Jassem Ewa
- Jenko Klemen
- Jimeneracruz Uscanga Ruben Dario
- Johnston Sebastian L.
- Joos Guy
- Jost Maja
- Julge Kaja
- Jung Ki-Suck
- Just Jocelyne
- Jutel Marek
- Kaidashev Igor
- Kalayci Omer
- Kalyoncu Fuat
- Kapsali Jeni
- Kardas Przemyslaw
- Karjalainen Jussi
- Kasala Carmela A.
- Katotomichelakis Michael
- Kavaliukaite Loreta
- Keil Thomas
- Keith Paul
- Khaitov Musa
- Khaltaev Nikolai
- Kim Hyun Ju
- Kim You-Young
- Kirenga Bruce
- Kleine-Tebbe Jorg
- Klimek Ludger
- Ko Fanny W.
- Koffi N'Goran Bernard
- Kompoti Evangelia
- Kopac Peter
- Koppelman Gerard
- Koren Jeverica Anja
- Koskinen Seppo
- Kosnik Mitja
- Kostka Tomasz
- Kostov Kosta V.
- Kowalski Marek L.
- Kralimarkova Tanya
- Kramer Vrscaj Karmen
- Kraxner Helga
- Kreft Samo
- Kritikos Vicky
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- Maurer Marcus
- Mavale-Manuel Sandra
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- Mustakov Tihomir
- Naclerio Robert
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- Nadif Rachel
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- Ouedraogo Solange
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- Sondermann Martin
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- Spranger Otto
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- Suppli Ulrik Charlotte
- Sutherland Michael
- Sylvestre Silvia
- Syrigou Aikaterini
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- Taniguchi Masami
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- Tattersall Jessica
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- Thieme Uta
- Thijs Carel
- Thomas Mike
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- Todo-Bom Ana Maria
- Togias Alkis
- Tomazic Peter-Valentin
- Tomic-Spiric Vesna
- Toppila-Salmi Sanna
- Torres Jaen Maria-Jose
- Toskala Elina
- Tran Thien Quan Vu
- Triggiani Massimo
- Triller Katja
- Triller Nadja
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- Ulmeanu Ruxandra
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- Valovirta Erkka
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- Van Ganse Eric
- van Hage Marianne
- Vandenplas Olivier
- Vasankari Tuula
- Vassileva Dafina
- Velasco Munoz Cesar
- Ventura Maria Teresa
- Vera-Munoz Cecilia
- Viart Frederic
- Vicheva Dilyana
- Vichyanond Pakit
- Vidal Alain
- Vidgren Petra
- Viegi Giovanni
- Vogelmeier Claus
- Von Hertzen Leena
- Vontetsianos Theodoros
- Vourdas Dimitris
- Wagenmann Martin
- Walker Samantha
- Wallace Dana
- Waserman Susan
- Wehner Katrin
- Wickman Magnus
- Williams Dennis
- Williams Sian
- Wilson Nicola
- Wong Gary
- Woo Kent
- Wozniak Lucyna
- Wright John
- Wroczynski Piotr
- Xepapadaki Paraskevi
- Yakovliev Plamen
- Yamaguchi Masao
- Yan Kwok
- Yap Yoke Yeow
- Yassin Mais
- Yawn Barbara
- Yiallouros Panayiotis
- Yorgancioglu Arzu
- Yoshihara Shigemi
- Young Ian
- Yusuf Osman B.
- Zaidi Asghar
- Zaitoun Fares
- Zalud Petra
- Zar Heather
- Zedda M. T.
- Zernotti Mario E.
- Zhang Luo
- Zhong Nanshan
- Zidarn Mihaela
- Zuberbier Torsten
- Zuberbier Torsten
- Zubrinich Celia
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2020
- Field of study
There are large between- and within-country variations in COVID-19 death rates. Some very low death rate settings such as Eastern Asia, Central Europe, the Balkans and Africa have a common feature of eating large quantities of fermented foods whose intake is associated with the activation of the Nrf2 (Nuclear factor (erythroid-derived 2)-like 2) anti-oxidant transcription factor. There are many Nrf2-interacting nutrients (berberine, curcumin, epigallocatechin gallate, genistein, quercetin, resveratrol, sulforaphane) that all act similarly to reduce insulin resistance, endothelial damage, lung injury and cytokine storm. They also act on the same mechanisms (mTOR: Mammalian target of rapamycin, PPAR gamma:Peroxisome proliferator-activated receptor, NF kappa B: Nuclear factor kappa B, ERK: Extracellular signal-regulated kinases and eIF2 alpha:Elongation initiation factor 2 alpha). They may as a result be important in mitigating the severity of COVID-19, acting through the endoplasmic reticulum stress or ACE-Angiotensin-II-AT(1)R axis (AT(1)R) pathway. Many Nrf2-interacting nutrients are also interacting with TRPA1 and/or TRPV1. Interestingly, geographical areas with very low COVID-19 mortality are those with the lowest prevalence of obesity (Sub-Saharan Africa and Asia). It is tempting to propose that Nrf2-interacting foods and nutrients can re-balance insulin resistance and have a significant effect on COVID-19 severity. It is therefore possible that the intake of these foods may restore an optimal natural balance for the Nrf2 pathway and may be of interest in the mitigation of COVID-19 severity
Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU
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- A. Abougabal
- A. Akcan-Arikan
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- W. Xu
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- Y. Corcia-Palomo
- Y. Dolgikova
- Y. F. Chang
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- Y. Inagaki
- Y. Ince
- Y. Ince
- Y. Ince
- Y. J. Chang
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- Y. J. Cho
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- Y. K. Jee
- Y. Kang
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- Y. Onodera
- Y. Palmeiro
- Y. R. Kang
- Y. R. Kang
- Y. S. Kim
- Y. S. Lin
- Y. Sutherasan
- Z. A. Puthucheary
- Z. Costa e Silva
- Z. Costa Silva
- Z. Güllü
- Z. Jian
- Z. Kokot
- Z. Marutyan
- Z. Molnár
- Z. Molnár
- Z. Tang
- Z. Tang
- Z. Trogrlic
- Z. Trogrlic
- Z. Uz
- Z. Xie
- Z. Yan
- Z. Yu xiang
- Z. Ülger
- Á. Fernández Martínez
- Á. J. Roldán Reina
- Å. Askim
- Å. Askim
- Å. Norberg
- Å. Norberg
- Å. Valsø
- Ø. Sundin
- Ü. Gaygısız
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2016
- Field of study
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Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015
- Author
- Aasvang Gunn Marit
- Abajobir Amanuel Alemu
- Abate Kalkidan Hassen
- Abbafati Cristiana
- Abbas Kaja M.
- Abd-Allah Foad
- Abdulle Abdishakur M.
- Abera Semaw Ferede
- Abraham Biju
- Abu-Raddad Laith J.
- Abyu Gebre Yitayih
- Adebiyi Akindele Olupelumi
- Adedeji Isaac Akinkunmi
- Ademi Zanfina
- Adou Arsene Kouablan
- Adsuar Jose C.
- Afshin Ashkan
- Agardh Emilie Elisabet
- Agarwal Arnav
- Agrawal Anurag
- Ahmad Kiadaliri Aliasghar
- Ajala Oluremi N.
- Akinyemiju Tomi F.
- Al-Aly Ziyad
- Alam Khurshid
- Alam Noore K. M.
- Aldhahri Saleh Fahed
- Aldridge Robert William
- Alemu Zewdie Aderaw
- Alexander Lily T.
- Ali Raghib
- Alkerwi Ala’a
- Alla Francois
- Allebeck Peter
- Alsharif Ubai
- Altirkawi Khalid A.
- Alvarez Martin Elena
- Alvis-Guzman Nelson
- Amare Azmeraw T.
- Amberbir Alemayehu
- Amegah Adeladza Kofi
- Amini Heresh
- Ammar Walid
- Amrock Stephen Marc
- Andersen Hjalte H.
- Anderson Benjamin O.
- Anderson H. Ross
- Antonio Carl Abelardo T.
- Anwari Palwasha
- Arnlov Johan
- Artaman Al
- Asayesh Hamid
- Asghar Rana Jawad
- Assadi Reza
- Atique Suleman
- Avokpaho Euripide Frinel G. Arthur
- Awasthi Ashish
- Ayala Quintanilla Beatriz Paulina
- Azzopardi Peter
- Bacha Umar
- Badawi Alaa
- Bahit Maria C.
- Balakrishnan Kalpana
- Barac Aleksandra
- Barber Ryan M.
- Barker-Collo Suzanne L.
- Barnighausen Till
- Barquera Simon
- Barregard Lars
- Barrero Lope H.
- Basu Sanjay
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- Beardsley Justin
- Bedi Neeraj
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- Bello Aminu K.
- Bennett Derrick A.
- Bensenor Isabela M.
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- Bernabe Eduardo
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- Bhatt Samir
- Bhutta Zulfiqar A.
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- Bisanzio Donal
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- Brainin Michael
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- Breitborde Nicholas J. K.
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- Burnett Richard
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- Cardenas Rosario
- Carpenter David O.
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- Castaneda-Orjuela Carlos A.
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- Catala-Lopez Ferran
- Cercy Kelly
- Chang Jung-Chen
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- Chitheer Abdulaal A.
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- Dargan Paul I.
- das Neves Jose
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- de Castro E Filipa
- De la Cruz-Gongora Vanessa
- De Leo Diego
- Degenhardt Louisa
- Del Gobbo Liana C.
- del Pozo-Cruz Borja
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- Driscoll Tim R.
- Duan Leilei
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- Estep Kara
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- Fereshtehnejad Seyed-Mohammad
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- Forouzanfar Mohammad H.
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- Gebremedhin Amanuel Tesfay
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- Goto Atsushi
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- Gugnani Harish Chander
- Guillemin Francis
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- Gupta Rahul
- Gupta Rajeev
- Gutierrez Reyna A.
- Haagsma Juanita A.
- Hafezi-Nejad Nima
- Haile Demewoz
- Hailu Gessessew Bugssa
- Halasa Yara A.
- Hamadeh Randah Ribhi
- Hamidi Samer
- Handal Alexis J.
- Hankey Graeme J.
- Hao Yuantao
- Harb Hilda L.
- Harikrishnan Sivadasanpillai
- Haro Josep Maria
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- Hassen Tahir Ahmed
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- Heredia-Pi Ileana Beatriz
- Hernandez-Llanes Norberto Francisco
- Heydarpour Pouria
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- Horino Masako
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- Huybrechts Inge
- Iburg Kim Moesgaard
- Idrisov Bulat T.
- Ileanu Bogdan Vasile
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- Jacobsen Kathryn H.
- Jahanmehr Nader
- Jakovljevic Mihajlo B.
- Jansen Henrica A. F. M.
- Jassal Simerjot K.
- Javanbakht Mehdi
- Jayaraman Sudha P.
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- Jee Sun Ha
- Jeemon Panniyammakal
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- Jiang Ying
- Jibat Tariku
- Jin Ye
- Johnson Catherine O.
- Jonas Jost B.
- Kabir Zubair
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- Kasaeian Amir
- Kaul Anil
- Kawakami Norito
- Kazi Dhruv S.
- Keiyoro Peter Njenga
- Kemmer Laura
- Kemp Andrew Haddon
- Kengne Andre Pascal
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- Khubchandani Jagdish
- Kieling Christian
- Kim Cho-il
- Kim Daniel
- Kimokoti Ruth W.
- Kinfu Yohannes
- Kissoon Niranjan
- Kivipelto Miia
- Knibbs Luke D.
- Kokubo Yoshihiro
- Kopec Jacek A.
- Koul Parvaiz A.
- Koyanagi Ai
- Kravchenko Michael
- Kromhout Hans
- Krueger Hans
- Ku Tiffany
- Kuate Defo Barthelemy
- Kuchenbecker Ricardo S.
- Kucuk Bicer Burcu
- Kuipers Ernst J.
- Kumar G. Anil
- Kwan Gene F.
- Kyu Hmwe H.
- Lal Dharmesh Kumar
- Lalloo Ratilal
- Lallukka Tea
- Lan Qing
- Larson Heidi J.
- Larsson Anders
- Latif Asma Abdul
- Lawrynowicz Alicia Elena Beatriz
- Leasher Janet L.
- Leigh James
- Leung Janni
- Levi Miriam
- Li Xiaohong
- Li Yichong
- Liang Juan
- Liang Xiaofeng
- Lim Stephen S.
- Liu Patrick Y.
- Liu Shiwei
- Lloyd Belinda K.
- Logroscino Giancarlo
- Lopez Alan D.
- Lotufo Paulo A.
- Lozano Rafael
- Lunevicius Raimundas
- MacIntyre Michael
- Mahdavi Mahdi
- Majdan Marek
- Majeed Azeem
- Malekzadeh Reza
- Malta Deborah Carvalho
- Manamo Wondimu Ayele Ayele
- Mapoma Chabila C.
- Marcenes Wagner
- Marczak Laurie
- Martin Randall V.
- Martinez-Raga Jose
- Masiye Felix
- Matsushita Kunihiro
- Matzopoulos Richard
- Mayosi Bongani M.
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- McKee Martin
- Meaney Peter A.
- Medina Catalina
- Mehari Alem
- Mejia-Rodriguez Fabiola
- Mekonnen Alemayehu B.
- Melaku Yohannes Adama
- Memish Ziad A.
- Mendoza Walter
- Mensah George A.
- Mensink Gert B. M.
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- Meretoja Tuomo J.
- Mesfin Yonatan Moges
- Mhimbira Francis Apolinary
- Millear Anoushka
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- Mills Edward J.
- Mirarefin Mojde
- Misganaw Awoke
- Mock Charles N.
- Mohammadi Alireza
- Mohammed Shafiu
- Mokdad Ali H.
- Mola Glen Liddell D.
- Monasta Lorenzo
- Montanez Hernandez Julio Cesar
- Montico Marcella
- Moradi-Lakeh Maziar
- Morawska Lidia
- Mori Rintaro
- Mozaffarian Dariush
- Mueller Ulrich O.
- Mullany Erin
- Mumford John Everett
- Murray Christopher J. L.
- Murthy Gudlavalleti Venkata Satyanarayana
- Nachega Jean B.
- Naghavi Mohsen
- Naheed Aliya
- Nangia Vinay
- Nassiri Nariman
- Neal Bruce
- Newton John N.
- Ng Marie
- Nguyen Quyen Le
- Nisar Muhammad Imran
- Nkamedjie Pete Patrick Martial
- Norheim Ole F.
- Norman Rosana E.
- Norrving Bo
- Nyakarahuka Luke
- Obermeyer Carla Makhlouf
- Ogbo Felix A. (S31810)
- Oh In-Hwan
- Oladimeji Olanrewaju
- Olivares Pedro R.
- Olsen Helen
- Olusanya Bolajoko Olubukunola
- Olusanya Jacob Olusegun
- Opio John Nelson
- Oren Eyal
- Orozco Ricardo
- Ortiz Alberto
- Ota Erika
- Pa Mahesh
- Pana Adrian
- Park Eun-Kee
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- Parsaeian Mahboubeh
- Patel Tejas
- Paternina Caicedo Angel J.
- Patil Snehal T.
- Patten Scott B.
- Patton George C.
- Pearce Neil
- Pereira David M.
- Perico Norberto
- Pesudovs Konrad
- Petzold Max
- Phillips Michael Robert
- Piel Frederic B.
- Pillay Julian David
- Plass Dietrich
- Polinder Suzanne
- Pond Constance D.
- Pope C. Arden
- Pope Daniel
- Popova Svetlana
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- Pourmalek Farshad
- Prasad Noela M.
- Qorbani Mostafa
- Rabiee Rynaz H. S.
- Radfar Amir
- Rafay Anwar
- Rahimi-Movaghar Vafa
- Rahman Mahfuzar
- Rahman Mohammad Hifz Ur
- Rahman Sajjad Ur
- Rai Rajesh Kumar
- Rajsic Sasa
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- Ram Usha
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- Razo Garcia Christian Aspacia
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- Rothenbacher Dietrich
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- Saleh Muhammad Muhammad
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- Sheth Kevin N.
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- Shibuya Kenji
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- Shiri Rahman
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- Silveira Dayane Gabriele Alves
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- Simard Edgar P.
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- Szoeke Cassandra E. I.
- Tabares-Seisdedos Rafael
- Takahashi Ken
- Talongwa Roberto Tchio
- Tandon Nikhil
- Tanne David
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- Taye Belaynew Wasie
- Taylor Hugh R.
- Tedla Bemnet Amare
- Tefera Worku Mekonnen
- Tegegne Teketo Kassaw
- Tekle Dejen Yemane
- Terkawi Abdullah Sulieman
- Thakur J. S.
- Thomas Bernadette A.
- Thomas Matthew Lloyd
- Thomson Alan J.
- Thorne-Lyman Andrew L.
- Thrift Amanda G.
- Thurston George D.
- Tillmann Taavi
- Tobe-Gai Ruoyan
- Tobollik Myriam
- Topor-Madry Roman
- Topouzis Fotis
- Towbin Jeffrey Allen
- Tran Bach Xuan
- Tsala Dimbuene Zacharie
- Tsilimparis Nikolaos
- Tura Abera Kenay
- Tuzcu Emin Murat
- Tyrovolas Stefanos
- Ukwaja Kingsley N.
- Undurraga Eduardo A.
- Uneke Chigozie Jesse
- Uthman Olalekan A.
- van Donkelaar Aaron
- van Os Jim
- Varakin Yuri Y.
- Vasankari Tommi
- Veerman J. Lennert
- Venketasubramanian Narayanaswamy
- Violante Francesco S.
- Vollset Stein Emil
- Vos Theo
- Wagner Gregory R.
- Wagner Joseph A.
- Waller Stephen G.
- Wang Haidong
- Wang Jian Li
- Wang Linhong
- Wang Yanping
- Weichenthal Scott
- Weiderpass Elisabete
- Weintraub Robert G.
- Werdecker Andrea
- Westerman Ronny
- Whiteford Harvey A.
- Wijeratne Tissa
- Wiysonge Charles Shey
- Wolfe Charles D. A.
- Won Sungho
- Woolf Anthony D.
- Wubshet Mamo
- Xavier Denis
- Xu Gelin
- Yadav Ajit Kumar
- Yakob Bereket
- Yalew Ayalnesh Zemene
- Yano Yuichiro
- Yaseri Mehdi
- Ye Pengpeng
- Yip Paul
- Yonemoto Naohiro
- Yoon Seok-Jun
- Younis Mustafa Z.
- Yu Chuanhua
- Zaidi Zoubida
- Zaki Maysaa El Sayed
- Zhao Yi
- Zhou Maigeng
- Zhu Jun
- Zipkin Ben
- Zodpey Sanjay
- Zuhlke Liesl Joanna
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2016
- Field of study
Forouzanfar MH, Afshin A, Alexander LT, et al. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. LANCET. 2016;388(10053):1659-1724.Background The Global Burden of Diseases, Injuries, and Risk Factors Study 2015 provides an up-to-date synthesis of the evidence for risk factor exposure and the attributable burden of disease. By providing national and subnational assessments spanning the past 25 years, this study can inform debates on the importance of addressing risks in context. Methods We used the comparative risk assessment framework developed for previous iterations of the Global Burden of Disease Study to estimate attributable deaths, disability-adjusted life-years (DALYs), and trends in exposure by age group, sex, year, and geography for 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks from 1990 to 2015. This study included 388 risk-outcome pairs that met World Cancer Research Fund-defined criteria for convincing or probable evidence. We extracted relative risk and exposure estimates from randomised controlled trials, cohorts, pooled cohorts, household surveys, census data, satellite data, and other sources. We used statistical models to pool data, adjust for bias, and incorporate covariates. We developed a metric that allows comparisons of exposure across risk factors-the summary exposure value. Using the counterfactual scenario of theoretical minimum risk level, we estimated the portion of deaths and DALYs that could be attributed to a given risk. We decomposed trends in attributable burden into contributions from population growth, population age structure, risk exposure, and risk-deleted cause-specific DALY rates. We characterised risk exposure in relation to a Socio-demographic Index (SDI). Findings Between 1990 and 2015, global exposure to unsafe sanitation, household air pollution, childhood underweight, childhood stunting, and smoking each decreased by more than 25%. Global exposure for several occupational risks, high body-mass index (BMI), and drug use increased by more than 25% over the same period. All risks jointly evaluated in 2015 accounted for 57.8% (95% CI 56.6-58.8) of global deaths and 41.2% (39.8-42.8) of DALYs. In 2015, the ten largest contributors to global DALYs among Level 3 risks were high systolic blood pressure (211.8 million [192.7 million to 231.1 million] global DALYs), smoking (148.6 million [134.2 million to 163.1 million]), high fasting plasma glucose (143.1 million [125.1 million to 163.5 million]), high BMI (120.1 million [83.8 million to 158.4 million]), childhood undernutrition (113.3 million [103.9 million to 123.4 million]), ambient particulate matter (103.1 million [90.8 million to 115.1 million]), high total cholesterol (88.7 million [74.6 million to 105.7 million]), household air pollution (85.6 million [66.7 million to 106.1 million]), alcohol use (85.0 million [77.2 million to 93.0 million]), and diets high in sodium (83.0 million [49.3 million to 127.5 million]). From 1990 to 2015, attributable DALYs declined for micronutrient deficiencies, childhood undernutrition, unsafe sanitation and water, and household air pollution; reductions in risk-deleted DALY rates rather than reductions in exposure drove these declines. Rising exposure contributed to notable increases in attributable DALYs from high BMI, high fasting plasma glucose, occupational carcinogens, and drug use. Environmental risks and childhood undernutrition declined steadily with SDI; low physical activity, high BMI, and high fasting plasma glucose increased with SDI. In 119 countries, metabolic risks, such as high BMI and fasting plasma glucose, contributed the most attributable DALYs in 2015. Regionally, smoking still ranked among the leading five risk factors for attributable DALYs in 109 countries; childhood underweight and unsafe sex remained primary drivers of early death and disability in much of sub-Saharan Africa. Interpretation Declines in some key environmental risks have contributed to declines in critical infectious diseases. Some risks appear to be invariant to SDI. Increasing risks, including high BMI, high fasting plasma glucose, drug use, and some occupational exposures, contribute to rising burden from some conditions, but also provide opportunities for intervention. Some highly preventable risks, such as smoking, remain major causes of attributable DALYs, even as exposure is declining. Public policy makers need to pay attention to the risks that are increasingly major contributors to global burden. Copyright (C) The Author(s). Published by Elsevier Ltd
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
- Author
- A. Mohammed Kalakwa
- A. Nemer Ayoub
- Abantanga Francis A.
- Abatli Safa' Jamal
- Abbas Wisam
- Abbo Olivier
- Abdelbaqi Reem
- Abdelhady Dina Sobhy
- Abdelhafez Mohammad Omar Mohammad
- Abdelhamid Sultan S.
- Abdelmaksoud Sherif
- Abdelmoumen Roua
- Abdelmutalib Fakereldeen
- Abdul-Mumin Alhassan
- Abduljawad Fatima Mousa
- Abdullah Fizan
- Abdullah Mohd Yusof bin
- Abdulraheem Nurudeen
- Abdulrahman Alaa
- Abdulsalam Moruf Adekunle
- Abdunomonovich Dekhkonboev Avazjon
- Aboelela Ahmed
- Abouheba Mohamed
- Abrahamsson Kate
- Abrunhosa Matias Marcia
- Abu-Nejmah Fawzi
- Abuajaila Abdulsalam
- Abuattaya Adham Ashraf
- Abubakar Auwal M
- Abueideh Ahmad
- Abuhayyeh Husam Aldean
- Abuhlega Ma'aly A.
- Abukhalaf Sadi
- Abumunshar Ali Abdelhay
- Acuna Gaston
- Adams Stephen
- Adamu Sani
- Adanan Mohd Fitri Shukri bin Mohamed
- Adawi Ihda
- Adawi Samer
- Adawy Ahmad
- Ade-Ajayi Niyi
- Adegboyega Rilwan
- Ademuyiwa Adesoji
- Adesanya Opeoluwa
- Adhiwidjaja Cathline Freya
- Adofo-Ansong Nana
- Agboola Titiloye Hannah
- Agelebe Efeturi
- Aguilar Aguilar Faye
- Aguilar Gargurevich Prince Pamela
- Aguirre-Lopez Pastor
- Agulham Miguel Angelo
- Ahmad Hira
- Ahmad Zahidah Adlynee Haji
- Ahmed Hazem
- Ahmed Mahmoud Abdelfattah
- Ajai Olalekan Temitope
- Ajao Emmanuel Akinlabi
- Ajiboye Olalekan S.
- Ajrami Yara
- Ajwa Ahmad Elian Abu
- Akan M. Eren
- Akhbari Melika
- Akhter Nadeem
- Akova Fatih
- Al-Attar Hala M.
- Al-Halbouni Layana
- Al-Mamun Abdullah
- Al-Mayoof Ali Farooq
- Al-Momani Hashem M.
- Al-Mouakeh Ahmad
- Al-Rayyes Maisara
- Al-saleem Hasan Subhi Hasan Abu
- Al-Salhi Ashraf Ayman
- Al-Shwaikh Samar H.
- Al-Slaibi Ibrahim
- Al-Taher Raed Nael
- Al-Taher Raed Nael
- Al-Tammam Hiba
- Alakaloko Felix
- Alamrain Abdulwhhab Ayman Abu
- Alanguia Chipana Cathy Lee
- Alattas Khalid
- Alberto Carlos
- Albozidi Aya
- Alcántara Elvyn
- ALDIRAWI MOHAMMED A. M.
- Alebbini Mohanad Mutasem
- Alfoghi Mabroka
- Algabri Hayder Nadhim Obaid
- Alglaib Mohammed Meftah
- Alhamid Ahmad
- Alhamid Aos
- Alhassan Priscilla
- Ali Hassan
- Ali Karim Osamy
- Ali Liza
- Ali Mansour
- Alijla Sharif
- Alijla Sharif S.
- Aliwisat Ahmad Hasan
- Aljaboo Hajir
- Aljadidi Wesal Omar F. Saied
- Aljarad Ziad
- Alkareem Raghad mohammad abdu
- Almada Suad Ahmed
- Almadhoun Walaa
- Almasri Murad
- Almeida Aguiar Arthur
- Almeida Giovana
- Almengar Inas
- Almohamady Hisham
- Almosaibli Mohammad
- Almusleh Tasneem Fathi Hasan
- Alnaeri Ali
- Alnahhal Khaled
- Alonso Verónica
- Alosta Hasan Mustafa
- Alqarajeh Firas
- Alqor Mohammad Omar Ibrahim
- Alsaadi Nijmeh Nasser
- Alsaggaf Ameen
- Alsaied Amer
- Alser Mohammed
- Alser Osaid H.
- Alshaikhkhalil Haya Abdulnasser Ali
- Alshehri Abdullah
- Altaweel Ahmed
- Altın Merve
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- Dass Anthony
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- Sherzad Ajmal
- Shiha Eman Abu
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- Solanki Meghna
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- Song Eung song
- Soomro Aqil
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- Ugwu Jideofor O
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- Ulasi Ikechukwu
- Ullrich Sarah
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- Vaquila Justo
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- Vatta Fabrizio
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- Vida Lucian
- Vidal Cristian R. Zalles
- Vierboom Liam
- Villalba Villalba Araceli
- Villegas Silva Raúl
- Vinskaite Asta
- Vos Corné de
- Vosoughi Armin
- Wafa Tamer
- Walker Gregor
- Wang Jinhu
- Wang Peng
- Waseem Basma
- Weeratunga Naveen
- Weiszewsk Alicja
- Wen Gang
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- Wester Tomas
- Wijekoon Naveen
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- Win Win Sabai Phyu
- Wishah Bisan D. M.
- Wishah Nidal
- Wissanji Hussein
- Wolak Przemyslaw
- Wolny Agnieszka
- Wong Janice
- Wong Marilyn
- Wright Naomi Jane
- Wu Guowei
- Wyrzykowski Dariusz
- Xiaodong Guo
- Xie Hua
- Yacoub Mina A.
- Yaghi Bashar
- Yaghi Dua Hasan
- Yalcinkaya Ali
- Yang Hee-Beom
- Yanis Ahmad H.
- Yanowsky Reyes Guillermo
- Yao Yang
- Yapo Benjamin
- Yarza Fernández Jessica
- Yeniay Aslı Öztürk
- Yola Mariya Mukhtar
- Yong Feng
- Youn Joong Kee
- Yousuf Hina
- Yu Mengnan
- Yu Raisa
- Yuen Quah Soong
- Yuldashev Rustam Z.
- Yunus Aayenah
- Za'nouneh Faris J. Abu
- Zaghlol Louay Y.
- Zahari Dato' Dr Zakaria bin
- Zain Mostafa
- Zaman Azrina SK
- Zanellato Josiane Bernartt
- Zarwawi Ahmad Zulhisyam bin
- Zea-Salazar Luis Enrique
- Zeinelabdeen Ali
- Zhao Xiaoxia
- Zhu Jianming
- Zhu Libin
- Zidan Mazen
- Zivanovic Dragoljub
- Zottis Barcelos Fabricio
- Zreeg Dafer abdulhakim . S.
- Zurikat Rajai O.
- Zvizdic Nada
- Zvizdic Zlatan
- Çekiç Bahanur
- Çelik Müge
- Özçelik Zerrin
- Şeref Kıvanç
- Šafus Antonín
- Škvařil Jan
- Štichhauer Radek
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/01/2021
- Field of study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
A Point Mutation in PDGFRB Causes Autosomal-Dominant Penttinen Syndrome
- Author
- Allen
- Arts
- Barrientos
- Cheung
- Demoulin
- Hayashi
- Iwayama
- Jennifer J. Johnston
- Julie Sapp
- Keating
- Kim M. Keppler-Noreuil
- Leslie G. Biesecker
- Lim
- MacArthur
- Martignetti
- Molly Crenshaw
- Monica Y. Sanchez-Contreras
- Nicolas
- NiCole A. Finch
- Penttinen
- Rosa Rademakers
- Sanchez-Contreras
- Takenouchi
- Teer
- Teer
- Valerie Cormier-Daire
- Virginia P. Sybert
- Zufferey
- Publication venue
- 'Elsevier BV'
- Publication date
- Field of study
Tremor in progressive supranuclear palsy
- Author
- Publication venue
- 'Elsevier BV'
- Publication date
- Field of study