12 research outputs found
Informe final de instalación y configuración distribución Linux NethServer y sus funciones
- Publication venue
- Publication date
- 10/07/2022
- Field of study
Este trabajo en grupo tiene como objetivo evidenciar de forma coordinada y rigurosa la descarga, instalación y configuración de la distribución NethServer, una repartición GNU/Linux basada en CentOs; especial para entornos o ámbitos empresariales, desarrollada para regir los servicios requeridos en las pymes, de simple utilización e implementación de los servicios de infraestructura para Intranet, todo en una sola plataforma.This group work aims to show in a coordinated and rigorous way the download, installation and configuration of the NethServer distribution, a GNU/Linux distribution based on CentOs; special for business environments or fields, developed to govern the services required in SMEs, simple use and implementation of infrastructure services for Intranet, all in a single platform
Global overview of the management of acute cholecystitis during the COVID-19 pandemic (CHOLECOVID study)
- Author
- A Hemadasa N.
- Abadia-Forcen M. T.
- Abawi L.
- Abd-Elsalam S.
- Abdallah H.
- Abdel-Elsalam W.
- Abdelkarim M.
- Abdelsaid K Abdul Aal Y.
- Abdul S. R.
- Abdulmula A.
- Aboazamazem H.
- Aboelkhair A.
- Aboulqasim I.
- Abusannuga M.
- Acosta Buitrago L. M.
- Adekoya A.
- Adepoju O.
- Adeyeye A.
- Adeyeye A.
- Adeyeye A.
- Adi H.
- Adu-Peprah E.
- Aeed M.
- Afzal A.
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- Agrawal M. K.
- Agresta F.
- Aguayo J. C.
- Aguirre N.
- Ahari D.
- Ahari D.
- Ahmad A.
- Ahmed A.
- Ahmed M.
- Ahmed Mohammed Al-Mahdi S.
- Ahmed W.
- Ahmed W. U.
- Ahn J. H.
- Aizza G.
- Akhter Rahman M. M.
- Akinmade A.
- Al Athath S.
- Al Dahabrh S.
- Al Gasi A. E. J.
- Al Madhloum Al Suwaidi F.
- Al Shafie A.
- Al Zaidi T. M.
- Al-Ameri S.
- Al-Ardah M.
- Al-Naggar H.
- Al-Naggar H.
- Al-Raimi I. M. N.
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- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2022
- Field of study
Background: This study provides a global overview of the management of patients with acute cholecystitis during the initial phase of the COVID-19 pandemic. Methods: CHOLECOVID is an international, multicentre, observational comparative study of patients admitted to hospital with acute cholecystitis during the COVID-19 pandemic. Data on management were collected for a 2-month study interval coincident with the WHO declaration of the SARS-CoV-2 pandemic and compared with an equivalent pre-pandemic time interval. Mediation analysis examined the influence of SARS-COV-2 infection on 30-day mortality. Results: This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. The pandemic was associated with reduced availability of surgical workforce and operating facilities globally, a significant shift to worse severity of disease, and increased use of conservative management. There was a reduction (both absolute and proportionate) in the number of patients undergoing cholecystectomy from 3095 patients (56.2 per cent) pre-pandemic to 1998 patients (46.2 per cent) during the pandemic but there was no difference in 30-day all-cause mortality after cholecystectomy comparing the pre-pandemic interval with the pandemic (13 patients (0.4 per cent) pre-pandemic to 13 patients (0.6 per cent) pandemic; P = 0.355). In mediation analysis, an admission with acute cholecystitis during the pandemic was associated with a non-significant increased risk of death (OR 1.29, 95 per cent c.i. 0.93 to 1.79, P = 0.121). Conclusion: CHOLECOVID provides a unique overview of the treatment of patients with cholecystitis across the globe during the first months of the SARS-CoV-2 pandemic. The study highlights the need for system resilience in retention of elective surgical activity. Cholecystectomy was associated with a low risk of mortality and deferral of treatment results in an increase in avoidable morbidity that represents the non-COVID cost of this pandemic
Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study
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- 'American Society of Clinical Oncology (ASCO)'
- Publication date
- 01/01/2021
- Field of study
PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks
Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.
- Author
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- Publication venue
- J Clin Oncol
- Publication date
- 01/01/2020
- Field of study
PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks
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
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- Vierboom Liam
- Villalba Villalba Araceli
- Villegas Silva Raúl
- Vinskaite Asta
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- Wafa Tamer
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- Wang Jinhu
- Wang Peng
- Waseem Basma
- Weeratunga Naveen
- Weiszewsk Alicja
- Wen Gang
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- Wester Tomas
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- 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
Global overview of the management of acute cholecystitis during the COVID-19 pandemic (CHOLECOVID study)
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- Publication venue
- 'Oxford University Press (OUP)'
- Publication date
- 01/01/2022
- Field of study
Background: This study provides a global overview of the management of patients with acute cholecystitis during the initial phase of the COVID-19 pandemic. Methods: CHOLECOVID is an international, multicentre, observational comparative study of patients admitted to hospital with acute cholecystitis during the COVID-19 pandemic. Data on management were collected for a 2-month study interval coincident with the WHO declaration of the SARS-CoV-2 pandemic and compared with an equivalent pre-pandemic time interval. Mediation analysis examined the influence of SARS-COV-2 infection on 30-day mortality. Results: This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. The pandemic was associated with reduced availability of surgical workforce and operating facilities globally, a significant shift to worse severity of disease, and increased use of conservative management. There was a reduction (both absolute and proportionate) in the number of patients undergoing cholecystectomy from 3095 patients (56.2 per cent) pre-pandemic to 1998 patients (46.2 per cent) during the pandemic but there was no difference in 30-day all-cause mortality after cholecystectomy comparing the pre-pandemic interval with the pandemic (13 patients (0.4 per cent) pre-pandemic to 13 patients (0.6 per cent) pandemic; P = 0.355). In mediation analysis, an admission with acute cholecystitis during the pandemic was associated with a non-significant increased risk of death (OR 1.29, 95 per cent c.i. 0.93 to 1.79, P = 0.121). Conclusion: CHOLECOVID provides a unique overview of the treatment of patients with cholecystitis across the globe during the first months of the SARS-CoV-2 pandemic. The study highlights the need for system resilience in retention of elective surgical activity. Cholecystectomy was associated with a low risk of mortality and deferral of treatment results in an increase in avoidable morbidity that represents the non-COVID cost of this pandemic
International Nosocomial Infection Control Consortiu (INICC) report, data summary of 43 countries for 2007-2012. Device-associated module
- Author
- Abdullah Mufareh Assiri
- Abeer Ahmed Mohmed
- Abeer Aly Omar
- Abhijeet Raha
- Abizer Nuruddin Manked
- Achilleas Gikas
- Adela Arguello Ruiz
- Adem Karbuz
- Adrian M. Puello Guerrero Glenny Mirabal
- Adriana Montanini
- Adriana Romani
- Afzal Azim
- Agamenon Alves Oliveira
- Agreta Gecaj-Gashi
- Ahmed Hakawi
- Ahmet Dilek
- Aisha Mubarak
- Ajoy Krishna Sarkar
- Alexander Molkov
- Alexander Tchekulaev
- Alfredo Lagares Guzman
- Alfredo Paucar
- Algirdas Dagys
- Ali Kaya
- Ali Metin Otkun
- Ali Omer Abdul Aziz
- Ali Pekcan Demiroz
- Aline Besen
- Aliye Yasayacak
- Alka Thool
- Alka Thool
- Alper Sener
- Altaf Ahmed
- Alysia Faye Giani
- Alzbeta Marcekova
- Amani Ali El-Kholy
- Amani Fouad Sayed
- Amaury Mielle Filho
- Ameurfina Curioso Silo
- Amine Ali Zeggwagh
- Amjad Mahboob
- Amna Mostafa Mohamed
- Amol Harshe
- Ana Lucía Bonilla Escudero
- Ana Marãa Perez Fernandez
- Ana Paula Fontes Pinheiro
- Ana Paula Vasconcelos Carneiro
- Ana Silvia Rearte
- Anahita Sanaei
- Analen Fabros Cabato
- Andrea Peña Padilla
- Andres Eduardo Mindiola Rochel
- Andres H. Corchuelo Martinez
- Andrzej Kubler
- Angel Gonzalez Vargas
- Angel Orlando Flores Alvarado
- Angelina Mendonca
- Anil Bilolikar
- Anil Karlekar
- Anirban Karmakar
- Anis Shiham Zainal Abidin
- Anju Mathew
- Anna Lesnakova
- Annalyn Amor Malificio
- Antigona Hasani
- Antonio Claudio do Amaral Baruzzi
- Antonio Martinez Mulia
- Antonio Solano Chinchilla
- Anu Kurian
- Anucha Apisarnthanarak
- Anuja Kedar Kulkarni
- Anuradha Agarwal
- Anwar Al Souheil
- Anzar Thair
- Aparajita Panda
- Aparecida Camacho
- Apsia Musa Molano
- Araceli Martinez Martinez
- Areej Dhafer Alshehri
- Arifa Hafeez
- Arjun Rajalakshmi
- Arlu Marie Casuyon Pahilanga
- Arnab Dasgupta
- Arnaldo Rodríguez-Sánchez
- Arnefelina S. Tamayo
- Arpita Bhakta
- Arpita Dwivedy
- Aseem Mahajan
- Ashoo Wadhera
- Ashraf Ali Khan
- Ashraf El Houfi
- Ashwin Kumar Mani
- Asmita Kamble
- Asmita Sagar Sakle
- Asu Ozgultekin
- Asuman Inan
- Ata Nevzat Yalcin
- Atefeh Yousefipour
- Atila Kilic
- Atilla Ramazanoglu
- Aun Raza
- Avigail M. Tan
- Ayhan Yaman
- Aynur Engin
- Ayse Danis
- Ayse Erbay
- Ayşe Willke
- Azra Parveen
- B.N. Gokul
- Babu Kuruvilla Abraham
- Baby Padmini
- Badaruddin A. Memon
- Bala Ramachandran
- Balkys Alvarez
- Banambar Ray
- Barbara Barteczko-Grajek
- Barbara Dragan
- Barkat Amina
- Basak Ceyda Meco
- Basanta Kumar Pati
- Bassel Molaeb
- Begum Atasay
- Behzad Maghsudi
- Bel Hadj Sarra
- Bhabani Shankar Pati
- Bhagyesh Shah
- Bijie Hu
- Biju John
- Bikas Mishra
- Bilge Aldemir Kocabaş
- Binesh Badyal
- Biraj Mohan Mishra
- Borgi Aida
- Bouziri Asma
- Braulio Matias De Carvalho
- Burhanuddin Qutbuddin Jawadwala
- Byambadorj Batkhuu
- Camila Almeida Silva
- Camilla Rodrigues
- Canan Aygun
- Cansu Yilmaz
- Caphiane Batista
- Carlos Alvarez-Moreno
- Carlos Enrique La Hoz Vergara
- Carlos F. Linares Calderon
- Carlos Gonzalez Fuentes
- Caroline Batista Cardoso
- Caroline Lazzarini
- Celia Flores Baldonado
- Celso Zaruma
- Cemal Bulut
- Cemal Ustun
- Cengiz Uzun
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- Chandramouli Bhattacharya
- Chaohua Wang
- Charulata Pamnani
- Chin Seng Gan
- Christian Mendoza-Mujica
- Christianne F.V. Takeda
- Chunli Guo
- Cigdem Ataman Hatipoglu
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- Clara Morales Perez
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- Dale Fisher
- Dang Thi Van Trang
- Daniela V. Da Silva Escudero
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- Fernando Martin Ramirez Wong
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- Germán Camacho Moreno
- Ghada A. Ismail
- Gilda Tolari
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- Gladys Edith Correa
- Gladys Tatiana Sánchez
- Glaydson A. Ponte
- Golnar Sabetian
- Goran Ristic
- Grace Sindayen
- Greta Gailiene
- Guadalupe Aguirre-Avalos
- Guadalupe Gomez Flores
- Gul Hassan Bhutto
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- Gunay Tuncer Ertem
- Gunes Senol
- Gustavo Jorge Chaparro
- Guxiang Ye
- H. Sunil
- Haifaa Hassan Al-Mousa
- Hakan Erdem
- Hakan Leblebicioglu
- Halil Ozdemir
- Hammad Nazeer
- Hanamant Kashinath Sale
- Hanan Balkhy
- Hanan Mesfer Al Ghamdi
- Harvinder Wasan
- Hasan Akduman
- Hasan Ayash
- Hasimah Zainol
- Hatice Cabadak
- Hava Yilmaz
- Hayrettin Akdeniz
- Hector Armando Rincon Leon
- Hector Raul Perez-Gomez
- Hector Vidal
- Heidi Johanna Munoz
- Hena Francis
- Herlidia Taboada Hernandez
- Hessa Abdullah Al Enizy
- Hilario Coronado Magaña
- Hugo Alberto Gonzalez Flores
- Hulya Sungurtekin
- Humberto Guanche Garcell
- Humeyra Zengin
- Huseyn Turgut
- Hussain Al-Rahma
- Ianick Souto Martins
- Ibrahim A.M. Al-Zaydani Asiri
- Ider Bat-Erdene
- Iftihar Koksal
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- Ilham Bulos Abu-Khader
- Ilhan Ozgunes
- Indranil Roy
- Isaura Beatriz Sauceda Castañeda
- Islam Abdullorziz Ghazi
- Ismael A. Valderrama MarquezClaudia Linares
- Ismet Jusufi
- Ivan Utkin
- Ivar Calvo Hernandez
- J.V. Divatia
- Jaime Martínez Rodriguez
- Janet E. Pichilingue Chagray
- Javier Ospina Martinez
- Javier Soto Pastrana
- Jayant Shelgaonkar
- Jegathesan Manikavasagam
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- Jelena Kojovic
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- Jesús Alfonso Galindo Olmeda
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- Jigar Patel
- Jinzhi Zhang
- Joelene Lim
- Johanna Osorio
- Jorge Horacio Portillo-Gallo
- Jorge Ivan Marin Uribe
- Jorge Velez
- Jose Maria Harystoy
- Josephine Anne Navoa-Ng
- Juan Carlos Torres Millan
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- Julia Rosa Valdez
- Julianne Da Luz Lima
- Julio Cesar Mijangos Méndez
- Kabiri Meryem
- Kamal Berechid
- Karina Cabezas
- Karina M. Nogueira Napoles
- Karla Reyna Navarro Fuentes
- Karthikeya Varma
- Kashmira Limaye Joshi
- Katarina Furova
- Katerina Jankovska
- Katia Arruda Guimaraes
- Katja Popovska
- Katya Fernanda Aibar Yaranga
- Kavita Sandhu
- Kerinjeet Kaur
- Keyla Harten Pinto Coelho
- Keyur Parikh
- Khaldi Ammar
- Khalid Abidi
- Kotturathu Mammen Cherain
- Kushlani Jayatilleke
- Lailane D. Bergosa
- Lakshmi Ranganathan
- Lamia Jurdi
- Lamiaa Abdel-Fatteh Ahmed
- Le Thi Anh Thu
- Le Thi Diem Tuyet
- Leema Pushparaj
- Leena Steephen
- Leonardo N. Pazmino
- Leonardo Passos de Souza
- Levent Gorenek
- Li Changan
- Li Ruisheng
- Li Yimin
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- Lilian De Jesus Machuca
- Liliana Alina Dragomirescu
- Lilibeth G. Salvio
- Lin Meiyi
- Lindalva Pino Da Silva Neta
- Ling Zhu
- Liu Kun
- Ljubica Nikolic
- Lorena Luiza Silva Neto Avelar
- Lorena Matta Cortes
- Lorena Paola Cardena
- Lorenzo Santiago Marcos
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- Lucio Alberto Aguilar Angel
- Lucy Chai See-Lum
- Luis Carlos Fernandez Alvarez
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- Luis Isidro Castillo Bravo
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- Luis Martin Santivanez Monge
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- Lul Raka
- Lusayda Sanchez Corrales
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- Madhavi Latha Bommala
- Madhu Gupta
- Madhupriya Vijay Suryawanshi
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- Magdalena Kosmider-Zurawska
- Mahuya Bhattacharyya
- Maithili Satish Kavathekar
- Maithili Satish Kavathekar
- Malgorzata Anna Mikaszewska-Sokolewicz
- Malik Abdo Ali
- Mammen Chandy
- Manas Roy
- Manoj Agarwal
- Mansoor Masjedi
- Manuel Jesus Mayorga Espichan
- Manuela Amaral
- Mao Pu
- Marcela Maria Sousa Colares
- Marcelo Mendonca
- Marcia Maria De Paula Bessa
- Marcia Valle
- Marco A. Trujillo Juarez
- Marco Montell Garcia
- Marco Tulio Luque Torres
- Marco Tulio Luque-Torres
- Marena Rodriguez Ferrer
- Margarete Villins
- Margarita Delgado
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- Maria C. Ferreira De Souza
- Maria Caridi
- Maria Carmen Sg Buenaflor
- Maria Catalina Pirez Garcia
- Maria Constanza Chavez
- Maria Daganou
- Maria del Rosario Vázquez Olivas
- Maria Elena Calisto Pazos
- Maria Fernanda Garcia
- Maria Fernanda Garcia
- Maria Isabel Colqui
- Maria Jose Monteiro De Assis
- Maria Kartsonaki
- Maria Laura Spadaro
- Maria Lilian Maciel Canuto
- Maria Silvia Olivieri
- Maria Teresa Blanco-Abuy
- Maria Tereza Freitas Tenório
- Maria V. Changano Rodriguez
- Mariana Andrade Oliveira Reis
- Marianina Brenda V. Valisto
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- Mario Arboleda
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- Marisa Liliana Bernan
- Marisela del Rocío González Martínez
- Marisol Sanchez Vargas
- Marius Papurica
- Marjan Rashidan
- Marlene Tasayco Ramos
- Martha Cecilia Culebro Burguet
- Martha Y. Martinez-Marroquin
- Maryam Razaghi
- Maryam Razaghi
- Marzena Zielinska
- Marãa E. Cruz Saldarriaga
- María Eugenia Guzmán Siritt
- María Guadalupe Villa González
- María Magdalena Gutierrez Castillo
- María Marcela Bovera
- Masoud Alebouyeh
- Masoud Alebouyeh
- May Abd El-Fattah
- May Osman Gamar Elanbya
- May Osman Gamar-Elanbya
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- Mayur Harshadrai Patel
- Megha Mehrotra
- Mehmet Bakir
- Mehmet Faruk Geyik
- Mehmet Oral
- Meliha Meriç Koç
- Melike Cengiz
- Menekse Ozcelik
- Mercy V. Joseph
- Michael M. Petrov
- Milena Petrovska
- Miriam de Lourdes-Dueñas
- Miriam Patricia Brito
- Misbah Rehman Aziz
- Mohamad Ftouni
- Mohamed Hassan
- Mohammad El-Dossoky Noweir
- Mohammad Mukhit Abdul Gaffar Kazi
- Mohammad Reza Sarbazi
- Mohammad Reza Zali
- Mohammed Abdullah Al Raey
- Mohd Shahnaz Hasan
- Mohit Kharbanda
- Mona Foda Salama
- Mona Mohiedden Abdel-Halim
- Monica Espinosa Valencia
- Monica Sorina Licker
- Monica Viegas
- Montri Luxsuwong
- Mrinmoy Bej
- Mrunalini Subhash Potdar
- Murali Chakravarthy
- Murali Karpagam
- Mustafa Sunbul
- Myrna T. Mendoza
- Nabeela Abdullah Al-Abdullah
- Nada Kara Zahreddine
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- Nadia Lynette Demaisip
- Nagamani Sen
- Nagarajan Ramakrishnan
- Naheed Elahi
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- Naresh Parmar
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- Nassya Hadjieva
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- Parichart Phainuphong
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- Paulina Alma Ulloa Camacho
- Pedro Fernández González
- Perihan Gunasan
- Phan Thi Hang
- Philip Annamma
- Pornpheth Prasan
- Prafulla Sahoo
- Pravin Kumar Nair
- Preeti Rajeev Mehta
- Priscila Botta
- Prokopis Kithreotis
- Purnima Mukherjee
- Purva Mathur
- R. Kelkar
- R. Sukanya
- Rajesh Kakkar
- Ram Gopalakrishnan
- Ramesh Venkatraman
- Ramona Severino
- Rasha Hamed Elsherif
- Ravikumar Krupanandan
- Rayo Morfin-Otero
- Regina Berba
- Reham Ali Dewdar
- Reham Hamed
- Reinaldo Salomao
- Renata Amaral De Moraes
- Reshma Naik
- Rhoda Gay Rayco
- Ricardo Arteaga Mora
- Ricardo De Souza Kuchenbecker
- Rimantas Kevalas
- Rimita Dey
- Riya Thakkar
- Roaa Hasan Basri
- Roberto Carlos Mares Morales
- Roberto Espinoza Atarama
- Rodolfo Toomey
- Rodrigo Pires Dos Santos
- Rohini Dhawale
- Rosalia Fernández-Hidalgo
- Rosana Richtmann
- Rosita Gasmin Aromin
- Ruby Jose Ramapurath
- Rungratchanee Pimathai
- Rédouane Abouqal
- S. Muralidharan
- S. Sampat
- S. Saranya
- S.K. Biswas
- S.N. Myatra
- Saadet Arsan
- Saban Esen
- Saeed Ali Al Darani
- Salih Cesur
- Sameeh Salem Ghazal
- Samir Sahu
- Samir Sahu
- Sandra Liliana Romero Torres
- Sandra Milena Bonilla
- Sanghamitra Mishra
- Sanjay Bhattacharya
- Sanjay Singhal
- Sanjeev Singh
- Sanjeev Sood
- Sankar Sengupta
- Santosh Singh
- Sarika Juneja
- Saroj Kumar Patnaik
- Sasheela Sri La Sri Ponnampala
- Saswati Sinha
- Seelas Blessymole
- Sehnaz Kaya
- Selene Manga Chavez
- Selin Bardak
- Selvi Yener Erdogan
- Senthilkumar Rajagopal
- Sergey Puzanov
- Sergio Blecher
- Sergio Esparza-Ahumada
- Serhat Unal
- Sevim Karacorlu
- Shamsher Dalal
- Sheena Binu
- Sheena Mary Sibin
- Shefali Bhattacharya
- Shirley Tenorio López
- Shobhana Kumari Kadankunnel
- Shoeb Nizamuddin Kardekar
- Shufang Wang
- Shufang Zhuo
- Sibel Bolukcu
- Silom Jamulitrat
- Simasadat Seyedjavadi
- Simone Amorim
- Siva Kumar
- Sladjana Vasiljevic
- Sneha Mary George
- Snezana Tufekcievska Guroska
- Socorro Torres Zegarra
- Sohini Arora
- Solange Regina Oliveira Castro
- Somayeh Jahani-Sherafat
- Sona Hlinkova
- Sonali Khamkar
- Sonay Incesoy Ozdemir
- Song Liqiang
- Sonia Joseph
- Soniya Thorat
- Souha Sami Kanj
- Soumya Samal
- Srdjan Pasic
- Srinivas Samavedam
- Subhash Kumar Todi
- Subodh Kumar
- Sudhir Gupta
- Sudhiranjan Misra
- Suga Thomas Varghese
- Suha Sen
- Suhas Nirkhiwale
- Sujata Malik
- Sujith Sujith
- Sujoy Mukherjee
- Sukanya Rangaswamy
- Suman Singh
- Sumana Baidya
- Sumi Nandwani
- Summiya Nizamuddin
- Sumru Ozkan
- Suneeta Sahu
- Sunil Bhamare
- Sunil Sharma
- Suo Yao
- Supriya Chabukswar
- Suresh Kumar
- Susana Gutierrez-Martinez
- Susmita Basu
- Suthinee Wanitanukool
- Suvin Shetty
- Suwara Somabutr
- Suzan Sacar
- Suzette A. Bunsay
- Swarna Banergee
- Swathy Sathish
- Sweta Shah
- Syed Faisal Mahmood
- Syed Zahid Bukhari
- Tahsine Mahfouz
- Tala Kardas
- Tamiris Moreira
- Tanıl Kendirli
- Tanja Anguseva
- Tanu Singhal
- Tao Lili
- Tarek Dendane
- Tarquino Eristidesg Sanchez
- Tatiane T. Rodrigues
- Tenzin Zompa
- Teodora Atencio-Espinoza
- Tereza De Jesus Pinheiro Gomes Bandeira
- Thara Francis
- Thejas Vini
- Tomas Kondratas
- Tomasz Lazowski
- Tran Thi My Hanh
- Tran Thi Thuy Hang
- Trudell Mapp
- Truong Anh Thu
- Tânia Mara Lima De Barros Araújo
- Ufuk Cakir
- Umesh Gupta
- V. Raut
- V.R. Ramanan
- Vaibhavi R. Subhedar
- Vaidotas Gurskis
- Valentina Tulupova
- Valter Furlan
- Vanessa A. Marquez Mondalgo
- Vanessa Bermudez
- Vatsal Kothari
- Velmira Angelova Velinova
- Velu Pandi Suresh Kumar
- Vempati Venkateshwar
- Victor Dumitrascu
- Victoria D. Villanueva
- Vikram Padbidri
- Vineya Rai
- Violeta Jivkova Dicheva
- Visanu Thamlikitkul
- Vladimir Kretov
- Vladimir Shalapuda
- Vladislav Belskiy
- Vo Thi Hong Thoa
- Víctor Daniel Rosenthal
- Walter Enrique Prudencio Leon
- Walter Enrique Prudencio Leon
- Wan Nurbayah Wan Yusoff
- Wania Vasconcelos de Freitas
- Wieslawa Duszynska
- Wilmer Villamil-Gomez
- Wong Kang Kwong
- Wu Kangxiong
- Xihua Geng
- Xiuqin Guo
- Xu Ziqin
- Xuesong Yang
- Yasemin Gelebek
- Yassir Khidir Mohammed
- Yatin Mehta
- Yazmin Leon Vega
- Yiang Shumei
- Yuet-Meng Cheong
- Yuri Mariela Perez Hernandez
- Yvis Ruiz
- Zan Mitrev
- Zaneta Bogoevska-Miteva
- Zeina Kanafani
- Zeinab Salah Seliem
- Zenaida Durán Gil De Añez
- Zeynel Gokmen
- Zeynep Kaya
- Ziad Ahmed Memish
- Zoila Rosa Diaz Tavera
- Zoila Rosa Diaz Tavera
- Çağlar Ödek
- Publication venue
- Elsevier Inc
- Publication date
- 01/09/2014
- Field of study
We report the results of an International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2007-December 2012 in 503 intensive care units (ICUs) in Latin America, Asia, Africa, and Europe. During the 6-year study using the Centers for Disease Control and Prevention's (CDC) U.S. National Healthcare Safety Network (NHSN) definitions for device-associated health care–associated infection (DA-HAI), we collected prospective data from 605,310 patients hospitalized in the INICC's ICUs for an aggregate of 3,338,396 days. Although device utilization in the INICC's ICUs was similar to that reported from ICUs in the U.S. in the CDC's NHSN, rates of device-associated nosocomial infection were higher in the ICUs of the INICC hospitals: the pooled rate of central line–associated bloodstream infection in the INICC's ICUs, 4.9 per 1,000 central line days, is nearly 5-fold higher than the 0.9 per 1,000 central line days reported from comparable U.S. ICUs. The overall rate of ventilator-associated pneumonia was also higher (16.8 vs 1.1 per 1,000 ventilator days) as was the rate of catheter-associated urinary tract infection (5.5 vs 1.3 per 1,000 catheter days). Frequencies of resistance of Pseudomonas isolates to amikacin (42.8% vs 10%) and imipenem (42.4% vs 26.1%) and Klebsiella pneumoniae isolates to ceftazidime (71.2% vs 28.8%) and imipenem (19.6% vs 12.8%) were also higher in the INICC's ICUs compared with the ICUs of the CDC's NHSN
Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries
- Author
- A Yacoub Mina
- A. Adam Mohammed
- A. Nassar Mahmoud
- A.Nemer Ayoob
- Aahlin Eirik Kjus
- Ab Rahim Mohd Fadliyazid
- Abad Gurumeta Alfredo
- Abad-Motos Ane
- Abang Jamari Dyg Zahratul Hamrak
- Abantanga Francis
- Abarca Sol
- Abazid Eias
- Abbas Abbas
- Abbas Khalid
- Abbas Mohammad Monir
- Abbasy Jibran
- Abbosh Ali
- Abd Karim Muhammad Fairuz Shah
- Abd Wahab Haidar Hadri
- Abd Barook
- Abdalei Abdulwahab
- Abdalla Ahmed Elkamel Ahmed
- Abdallah Aya
- AbdAllah Mostafa Salim Mohamed
- Abdel Malik Abu Baker
- Abdelhady Mousa Heba
- Abdelhady Samar
- Abdelhakim Ahmed
- Abdelkader Muhammad
- Abdelkawy Shaza
- Abdelkhalek Mohamed
- Abdellatif Esraa
- Abdelmaksoud Tawakel Noura
- Abdelmohsen Naglaa
- Abdelmotaleb Ibrahem
- Abdelrazek Aly
- Abdelsalam Israa
- Abdelshakour Mahmoud
- Abdelwahed Ahmed Mohamed
- Abdou Abdulrahman Osama
- Abdou Alrawy
- Abdou Hossam
- Abdul Aziz Mohamed Rezal
- Abdul Aziz Nora
- Abdulgawad Almogy Mariam
- Abdulla Mazin A.
- Abdullah Muhammad Tariq
- Abdullahi Lawal
- Abdullayev Seymur
- Abed Saeed
- Abelló David
- Abiola Olajide
- Abo mahadi Asmaa'
- Abo-khammash Areej
- Abou Chaar Mohamad K.
- Abou El.soud Moustafa Ramadan
- Abouelsoad Nervana
- Abraham Joyner
- Abreu da Silva Alberto
- Abu Ahammala Ayman B.
- Abu Al Amrain Mahmoud
- Abu Al-saleem Hasan
- Abu Alamrain Abdulwhhab
- Abu Alqumboz Amjad
- Abu Ataya Ahmed
- Abu hallalah Muad fathi khalleefah
- Abu Jamie Najlaa
- Abu Jayyab Israa
- Abu shua'ib Rana
- Abu Zainah Baraa
- Abu-Nimeh Samar
- Abu-Rous Mohammed R.
- Abu-srour Abrar
- Abuelhatal Hasan
- Abuelqomboz Ayham
- Abuhilal Baseel
- Abuhlaiga Ma'aly
- Abujamra Saleh
- Abukhalaf Sadi A.
- Abusalem Lana
- AbuSirrees Mahmoud
- Acevedo Veronica
- Acharya Rajgopal
- Achkasov Sergey
- Acosta Eric
- Adamo Karin
- Adamou Harissou
- Adams Jamie
- Adams Lawrence
- Adawi Samer
- Adebanjo Ademola
- Adel Marina
- Adel Sawsan
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji
- Adenuga Adedire
- Aderounmu Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adesunkanmi Abdul-Rashid
- Adeyeye Ademola
- Adidharma Peter
- Adisa Adewale O
- Adnan Nour
- Afifi Amr Abdelghani
- Afifi Eman
- Afolayan Michael Olatunji
- Afzal Asma
- Agarwal Arnav
- Agarwal Raksheeth
- Agbakwuru Augustine
- Agbeko Anita Eseenam
- Aguilar Martinez Maria Del Mar
- Aguilera Maria Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahlqvist Sandra
- Ahmad Izzuddin Ahmad Imran
- Ahmad Kasim
- Ahmad Sarwat
- Ahmed Ahmedgaber
- Ahmed Hazem Abdelkarem
- Ahmed Mariam
- Ahmed Nabila
- Ahmed Zahra
- Ainoa Eppu
- Aithie Joanna M S
- Ajani Costanza
- Ajao Akinlabi
- Ajiboye Anthony
- Ajmera Ankit
- Akande Oluwatosin
- Akaydin Elif
- Akbaba Ata Cem
- Akbar Sana Amir
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- Zaffaroni Gloria
- Zahra Baryab
- Zahran Diaaaldin
- Zakaria Andee Dzulkarnaen
- Zakaria Mai
- Zakaria Omar
- Zakaria Zaidi
- Zambrana Campos Vanesa
- Zammit Matthew
- Zanini Nicola
- Zara Vlu Jean
- Zara Vlu Jean
- Zarti Heba
- Zarzycki Piotr
- Zattoni Davide
- Zavala Gabriela
- Zawahrah Hassan
- Zeiton Asaid
- Zeko Amanda
- Zeng Zhi
- Zeromskas Paulius
- Zhang Geoffrey
- Zhivkov Evgeni
- Zid Esraa
- Zidan Ahmed Mohy
- Zielasek Christian
- Zilinskas Justas
- Zimmermann Bernd
- Ziprin Paul
- Zizzo Maurizio
- Zografos George
- Zoikas Athanasios
- Zorrilla Matilla Laura Patricia
- Zoulamoglou Menelaos
- Zreeg Dafer
- Zub-Pokrowiecka Anna
- Zubiaurre Vanessa
- Zuhdy Mohammed
- Zuikyte Diana
- Zuloaga Fernandez del Valle Carlos Jose
- Zulu Stanley
- Ângelo Miguel
- Älgå Andreas
- Çolak Elif
- Ümarik Toomas
- Šatkauskas Mindaugas
- Škimelyte Monika
- Šlenfuktas Vygintas
- Šuman Oliver
- Žatecký Jan
- Žumbakys Žygimantas
- Župan Domagoj
- Publication venue
- 'Elsevier BV'
- Publication date
- 30/01/2021
- Field of study
© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit
Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study
- Author
- A Yacoub Mina
- A. Adam Mohammed
- A. Nassar Mahmoud
- A.Nemer Ayoob
- Aahlin Eirik Kjus
- Ab Rahim Mohd Fadliyazid
- Abad Gurumeta Alfredo
- Abad-Motos Ane
- Abang Jamari Dyg Zahratul Hamrak
- Abantanga Francis
- Abarca Sol
- Abazid Eias
- Abbas Abbas
- Abbas Khalid
- Abbas Mohammad Monir
- Abbasy Jibran
- Abbosh Ali
- Abd Karim Muhammad Fairuz Shah
- Abd Wahab Haidar Hadri
- Abd Barook
- Abdalei Abdulwahab
- Abdalla Ahmed Elkamel Ahmed
- Abdallah Aya
- AbdAllah Mostafa Salim Mohamed
- Abdel Malik Abu Baker
- Abdelhady Mousa Heba
- Abdelhady Samar
- Abdelhakim Ahmed
- Abdelkader Muhammad
- Abdelkawy Shaza
- Abdelkhalek Mohamed
- Abdellatif Esraa
- Abdelmaksoud Tawakel Noura
- Abdelmohsen Naglaa
- Abdelmotaleb Ibrahem
- Abdelrazek Aly
- Abdelsalam Israa
- Abdelshakour Mahmoud
- Abdelwahed Ahmed Mohamed
- Abdou Abdulrahman Osama
- Abdou Alrawy
- Abdou Hossam
- Abdul Aziz Mohamed Rezal
- Abdul Aziz Nora
- Abdulgawad Almogy Mariam
- Abdulla Mazin A.
- Abdullah Muhammad Tariq
- Abdullahi Lawal
- Abdullayev Seymur
- Abed Saeed
- Abelló David
- Abiola Olajide
- Abo mahadi Asmaa'
- Abo-khammash Areej
- Abou Chaar Mohamad K.
- Abou El.soud Moustafa Ramadan
- Abouelsoad Nervana
- Abraham Joyner
- Abreu da Silva Alberto
- Abu Ahammala Ayman B.
- Abu Al Amrain Mahmoud
- Abu Al-saleem Hasan
- Abu Alamrain Abdulwhhab
- Abu Alqumboz Amjad
- Abu Ataya Ahmed
- Abu hallalah Muad fathi khalleefah
- Abu Jamie Najlaa
- Abu Jayyab Israa
- Abu shua'ib Rana
- Abu Zainah Baraa
- Abu-Nimeh Samar
- Abu-Rous Mohammed R.
- Abu-srour Abrar
- Abuelhatal Hasan
- Abuelqomboz Ayham
- Abuhilal Baseel
- Abuhlaiga Ma'aly
- Abujamra Saleh
- Abukhalaf Sadi A.
- Abusalem Lana
- AbuSirrees Mahmoud
- Acevedo Veronica
- Acharya Rajgopal
- Achkasov Sergey
- Acosta Eric
- Adamo Karin
- Adamou Harissou
- Adams Jamie
- Adams Lawrence
- Adawi Samer
- Adebanjo Ademola
- Adel Marina
- Adel Sawsan
- Ademuyiwa Adesoji
- Ademuyiwa Adesoji O
- Adenuga Adedire
- Aderounmu Adewale
- Adesanya Opeoluwa
- Adesina Alaba
- Adesunkanmi Abdul-Rashid
- Adeyeye Ademola
- Adidharma Peter
- Adisa Adewale
- Adisa Adewale O
- Adnan Nour
- Afifi Amr Abdelghani
- Afifi Eman
- Afolayan Michael Olatunji
- Afzal Asma
- Agarwal Arnav
- Agarwal Raksheeth
- Agbakwuru Augustine
- Agbeko Anita Eseenam
- Aguilar Martinez Maria Del Mar
- Aguilera Maria Lorena
- Aguilera-Arevalo Maria-Lorena
- Ahlqvist Sandra
- Ahmad Izzuddin Ahmad Imran
- Ahmad Kasim
- Ahmad Sarwat
- Ahmed Ahmedgaber
- Ahmed Hazem Abdelkarem
- Ahmed Mariam
- Ahmed Nabila
- Ahmed Zahra
- Ainoa Eppu
- Aithie Joanna M S
- Ajani Costanza
- Ajao Akinlabi
- Ajiboye Anthony
- Ajmera Ankit
- Akande Oluwatosin
- Akaydin Elif
- Akbaba Ata Cem
- Akbar Sana Amir
- Akeel Nouf
- Akeem Aderogba Adeleke
- Akin Alp
- Akinkuolie Akinbolaji
- Akisheva Aygulya
- Akitikori Mabel Temisanren
- Akrida Ioanna
- Aktas Melik Kagan
- Al basos Iyad
- Al Farsi Maryam
- Al Nassrallah Majdi
- Al Sagheir Eman
- Al Saqqa Sara
- Al Saqqa Sara
- Al-Allaf Omar
- Al-Busaidi Ibrahim S.
- Al-Dhufri Ali
- Al-Himyari Hamza S.
- Al-Masri Mahmoud
- Al-Najjar Hani
- Al-Sabbagh Yusra
- Al-Shwaikh Samar
- Al-Slaibi Ibrahim
- Al-Taher Raed
- Al-Tammam Hiba
- Alabuzidi Aya
- Alagha Othman
- Alammarin Mohammad
- Alapatt John
- Alasttal Mohammed
- Alatise Olusegun Isaac
- Albaggar Marwa
- Albahnasawi Moath A.
- Albati Naif
- Alberga Anna
- Alberts Justin
- AlBsoul Ahmad
- Albsoul Nader
- Alcorta Rodrigo
- Alejandre Villalobos Cristina
- Alemdağ Gökçe nur
- Alexander Philip
- Alfarra Nada
- Alfitory Asma
- Alhabil Belal
- Alhaj Ahmad
- Alherz Mohammad
- Alhimyar Maryam
- Ali Ahmad Syed Mustafa
- Ali SANI Samuel
- Ali Amr
- Ali Asmaa
- Ali Mahmoud
- Ali Shabina
- Alimi Marjan
- Aliosin Oleg
- Aliyu Halima
- Aljaafreh Almoutuz
- Aljaber Dana
- Aljaberi Loay
- Aljanfi Asma
- Aljiffry Murad
- Aljohmani Lylas
- Alkhaledi Ahmad
- Alkhatib Ala'a Aldeen
- Alkhatib Haya
- Alkhatib Mo'min
- Allen Ingabire J.C.
- Almasri Murad
- Almeida Braga Sara
- Almeida Filipe
- Almigheerbi Alabas
- Almoqayyad Abdelrahman
- Almuzghi Fakhruddin
- Alnoury Mostafa
- Alonso Batanero Ester
- Alqadi Mohammad
- Alsaid Bayan
- Alsalameh Barah
- Alsallaq Osama
- Alser Osaid
- Alshaar Muhammad
- Alsharef Tagwa
- Alsharqawi Nourah
- Alswerki Mohammad
- Altaf Amna
- Altaf Rabiya
- AlTaweel Mohammed
- Althini Abdulmunem Ahmed Mustafa
- Altibi Ahmed M.
- Altinel Yuksel
- Altiner Saygin
- Altomare Donato Francesco
- Altumei Zohoor
- Alvarez Rivera Alvaro Eduardo
- Alvarez-Cano Alethia
- Alves do Canto Brum Homero
- Alves Daniela Macedo
- Alves Magda
- Alvi Abdul
- Alwaheidi Malak
- Alwali Abdallah
- Alwerfally AbdulMawlay
- Alwhaidi Noor
- Alyafi Amr
- Alzabti Fatima
- Alzahaf Ahmed
- AlZohour Mohammad
- Amadou Magagi Ibrahim
- Amandito Radhian
- Amarin Justin Z.
- Amaro Margarida
- Ambrazevicius Marijus
- Amendola Alfonso
- Amin Leila
- Amine Souadka
- Amjad Talal
- Amorim Edgar
- Amro Adham
- Anandan Premkumar
- Anas khalifa Rawda
- Anastasio Lorenzo
- Andersson Yvette
- Andreotti Dario
- Andrew David
- André Benoît
- Ang Sue Ean
- Angel Miguel
- Anggita Gultom Phebe
- Annapureddy Naga
- Anokhin Evgeny
- Ansaloni Luca
- Ansarei Dhirar
- Ansari Abdul Basit
- Antaky Marco
- Anthony Natasha
- Anthoulakis Christos
- Antonopoulou Maria Ioanna
- Anwar Mohamed
- Anwer Abdul Wahid
- Anyanwu Chikamuche
- Anyanwu Lofty-John
- Anyanwu Mercy Chinemerem
- Anyomih Theophilus Teddy Kojo
- Appukuttan Akhila
- Aquilino Fabrizio
- Archibald Jess
- Arciénega Yañez María del pilar
- Argentou Maria-Ioanna
- Argudo Nuria
- Argyriou Eleftherios Orestis
- Arias Madrid Natalia
- Aribi Sarra
- Arifin Ghafur Rasyid
- Arizpe Daniel
- Arnaud Alexis P
- Arora Bharti
- Arora Deeksha
- Arowolo Olukayode
- Arrangoiz Rodrigo
- Arslan Ekin
- Artigau Eva
- Ashfaq Ahsan
- Ashour Dina
- Ashour Firas
- Ashoushan Hana
- Ashraf Ahmed
- Ashraf Alaa
- Asif Ashar
- Asnel Dorisme
- Asok Anjitha
- Assa Rawan
- Assalhi Mohamed
- Asta Martina
- Asti Emanuele Luigi Giuseppe
- Atakul Onur
- Atallah Khalid
- Atanasov Boyko
- Atawneh Mohammad
- Athamneh Sarah
- Ather Muaaz
- Athisayaraj Thomas
- Atkociunas Aivaras
- Attia Mohamed
- Au Angela
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- Forero-Torres Alexander
- Fortuna Martins Sónia
- Foschi Diego
- Foster Deshka S
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- García Flórez Luis Joaquín
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- Garden O James
- Garfinkle Richard
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- Ghonaim Mennatullah
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- Gnintedeme Olivier Tchianze
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- Zaffaroni Gloria
- Zahra Baryab
- Zahran Diaaaldin
- Zakaria Andee Dzulkarnaen
- Zakaria Mai
- Zakaria Omar
- Zakaria Zaidi
- Zambrana Campos Vanesa
- Zammit Matthew
- Zanini Nicola
- Zara Vlu Jean
- Zarti Heba
- Zarzycki Piotr
- Zattoni Davide
- Zavala Gabriela
- Zawahrah Hassan
- Zeiton Asaid
- Zeko Amanda
- Zeng Zhi
- Zeromskas Paulius
- Zhang Geoffrey
- Zhivkov Evgeni
- Zid Esraa
- Zidan Ahmed Mohy
- Zielasek Christian
- Zilinskas Justas
- Zimmermann Bernd
- Ziprin Paul
- Zizzo Maurizio
- Zografos George
- Zoikas Athanasios
- Zorrilla Matilla Laura Patricia
- Zoulamoglou Menelaos
- Zreeg Dafer
- Zub-Pokrowiecka Anna
- Zubiaurre Vanessa
- Zuhdy Mohammed
- Zuikyte Diana
- Zuloaga Fernandez del Valle Carlos Jose
- Zulu Stanley
- Ângelo Miguel
- Älgå Andreas
- Çolak Elif
- Ümarik Toomas
- Čepuliené Daiva
- Şahin Can
- Šatkauskas Mindaugas
- Škimelytè Monika
- Šlenfuktas Vygintas
- Šuman Oliver
- Žatecký Jan
- Žumbakys Žygimantas
- Župan Domagoj
- Publication venue
- 'Elsevier BV'
- Publication date
- 01/07/2022
- Field of study
© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: 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. Funding: National Institute for Health and Care Research
Delaying surgery for patients with a previous SARS-CoV-2 infection
- Author
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- R Athayde Nemésio
- R Atherton
- R Athwal
- R Atta
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- R Baron
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- R Jocson
- R Jones
- R Jorba
- R K Sriram
- R Kassir
- R Kaur
- R Kulkarni
- R Laurente
- R Lee
- R Leon
- R Lunevicius
- R M Terra
- R Mahmoud
- R Mannion
- R Marques
- R Martins
- R Martins
- R Massobrio
- R Massoud
- R May
- R McEwen
- R McGregor
- R McKinney
- R Memba Ikuga
- R Mihai
- R Mithany
- R Mohsine
- R Morgan
- R Myatt
- R Nafees Ahmed
- R Nath
- R O'Neill
- R Oliva
- R Ooi
- R Palaia
- R Parreira
- R Patrone
- R Peevor
- R Pereira
- R Persiani
- R Picón Rodríguez
- R Piper
- R Potter
- R Pujol Pina
- R Rahman
- R Ramamoorthy
- R Reehal
- R Reis
- R Ribeiro
- R Rimonda
- R Robles
- R S Martins
- R S Prichard
- R Sales Mallafré
- R Salvia
- R Salvioni
- R Sanchez Jimenez
- R Sanchez-Santos
- R Santos
- R Sanz-Lopez
- R Sayyed
- R Scheri
- R Schiavina
- R Schiemer
- R Schneider
- R Schwab
- R Scott
- R Scurrah
- R Shaw
- R Silva
- R Singh
- R Skipworth
- R Smeets
- R Smillie
- R Smith
- R Sousa
- R Talwar
- R Thomas
- R Torné
- R Tucci
- R Tudisco
- R Turkington
- R V Iosifescu
- R V Vives
- R Valero
- R Van den Eynde
- R Vaz Pereira
- R Vergari
- R Vidya
- R Vinayagam
- R Wade
- R Wilkin
- R Young
- R Zakaria
- R Çapoğlu
- Rachel A Khaw
- Rachel Moore
- Raghavan Vidya
- Raghavan Vidya
- Raghavan Vidya
- Rahel Ghebre
- Ravi Barod
- Raza Sayyed
- Rene Pareja
- Richard Jw Wilkin
- Richard Pt Evans
- Richard Shaw
- Richard Shaw
- Richard Shaw
- Risk Obf
- Rob Bristow
- Rohan R Gujjuri
- Rory J Piper
- Ruth A Benson
- Ruth A Benson
- Ruth Blanco-Colino
- S A Güler
- S A Landeo Agüero
- S Abdel Al
- S Ahad
- S Al Awwad
- S Alaa
- S Alfieri
- S Ali
- S Alkarak
- S Alshammari
- S Alsobhi
- S Amonkar
- S Andrijasevic
- S Annamalai
- S Antic
- S Anwar
- S Aribi
- S Banting
- S Barnard
- S Bhasin
- S Bonnet
- S Boucher
- S Boussedra
- S Bowman
- S Bradulskis
- S Brown
- S Brown
- S Bulathsinhala
- S Burg
- S Cadwell-Sneath
- S Caird
- S Cavaleiro
- S Cenciarelli
- S Chen
- S Chidambaram
- S Chopra
- S Clatworthy
- S Coiro
- S Corbin
- S Correia
- S D'Ugo
- S Dakpé
- S Demirli Atıcı
- S Demyttenaere
- S Di Maria Grimaldi
- S Domingo
- S Duff
- S Dumitra
- S Dwerryhouse
- S E Xyda
- S Elwatidy
- S Ergün
- S Evans
- S F Fulginiti
- S F Hon
- S Ferrero
- S Folli
- S Ford
- S Fordington
- S Frade
- S Fraser
- S Fusetti
- S G Aoun
- S Gacic
- S Gahunia
- S Gananadha
- S Garrido
- S Gennari
- S Gentilli
- S Goodrum
- S Gore
- S Gortázar
- S Granieri
- S Green
- S Guadagni
- S H Waqar
- S Hamrang-Yousefi
- S Handa
- S Henriques
- S Higgs
- S Humphries
- S Ibrahim
- S Iwata
- S Jang
- S Jog
- S Jordan
- S Kadija
- S Kapoor
- S Karandikar
- S Kazzaz
- S Killeen
- S Klimopoulos
- S Kmezić
- S Krajnak
- S Kudchadkar
- S Lam
- S Latinčić
- S Lawday
- S Laws
- S Leeson
- S Lester
- S Liau
- S M Isolani
- S M Lucchini
- S Macina
- S Majrashi
- S Mancini
- S Manfredelli
- S Mastoridis
- S Math
- S Matić
- S Mccluney
- S Melghazaly
- S Meneghini
- S Millar
- S Mills
- S Mochet
- S Moug
- S Mukherjee
- S Munot
- S Murphy
- S N Zafar
- S N Zafar
- S Nazir
- S Nikolic
- S Nobile
- S Novello
- S O'Brien
- S O'Malley
- S Ojha
- S Oosterling
- S Paiella
- S Palagi
- S Pandanaboyana
- S Pantovic
- S Parini
- S Parmar
- S Pasquali
- S Patauner
- S Patil
- S Pina
- S Politis
- S Ponce
- S Powell
- S Prabhu
- S Preston
- S Price
- S Pringle
- S Rakhshani-Moghadam
- S Ramcharan
- S Rapaport
- S Rathinam
- S Rattizzato
- S Ravindrakumar
- S Ravindran
- S Rayamajhi
- S Reijers
- S Ricci
- S Robertson
- S Rodimov
- S Rooney
- S Rossi
- S Roy Mahapatra
- S Rozwadowski
- S S Uludağ
- S Saeed
- S Salimoğlu
- S Salindera
- S Santarrufina Martinez
- S Saso
- S Saudí
- S Scabini
- S Scasso
- S Shah
- S Shaikh
- S Shanbhag
- S Sharabiany
- S Shaw
- S Shehata
- S Simmonds
- S Singh
- S Singh
- S Sousa
- S Sravanam
- S Srinathan
- S Srishankar
- S St John
- S Subramaniam
- S Sumrak
- S Sundar
- S Sánchez-García
- S Talukder
- S Tayeh
- S Testelin
- S Tezas
- S Thole
- S Thrumurthy
- S Timbrell
- S Tingle
- S Titu
- S Tormey
- S Tornese
- S Torretta
- S Truant
- S Tzedakis
- S V Thulasiraman
- S Valverde
- S Vaz
- S Velagapudi
- S Vidakovic
- S Waheed
- S Ward
- S Waseem
- S Winter
- S Wolfer
- S Wong
- S Xenaki
- S Yordanov
- S Zani
- S Zanotti
- S Zonta
- S Zourntou
- Salomone Di Saverio
- Sameh Emile
- Sampaio da Nóvoa Gomes Miguel 2nd
- Samuel Ford
- Samuel Ford
- Samuel Lawday
- Santos Pmdd
- Sattar Alshryda
- Schelto Kruijff
- Sean Dowdy
- Sebastian Shu
- Sef Jones
- Sezai Leventoglu
- Shebani Farik
- Shelley Hwang
- Shylasree Ts Rajkumar
- Sinziana Dumitra
- Siobhan C Mckay
- Siobhan McKay
- Sivesh K Kamarajah
- Sivesh K Kamarajah
- Sohei Satoi
- Sohei Satoi
- Sohini Chakrabortee
- Ssa Qadri
- Stephen J Price
- Stephen Tabiri
- Steve Bromage
- Stuart C Winter
- Sudha Sundar
- Sudha Sundar
- Susan Moug
- Susan Moug
- Syed Was
- Symeon Metallidis
- T A Lawal
- T Abbott
- T Aiken
- T Alnumani
- T Arif
- T Armao
- T Avlund
- T Bin Traiki
- T Boyle
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- T Bright
- T Bächler
- T Campagnaro
- T Casiraghi
- T Chase
- T Colloc
- T Combellack
- T Connelly
- T Correia de Sá
- T Cuming
- T Curl-Roper
- T Derksen
- T Drake
- T E Topczewski
- T Elmoslemany
- T Erol
- T Fahmawee
- T Fontana
- T Frisoni
- T Fullmer
- T Gala
- T Gallagher
- T Garmanova
- T Golda
- T Gould
- T Grassi
- T Grivas
- T Grove
- T Gómez Sanz
- T Hilton
- T Hossain
- T Hovhannisyan
- T Janjic
- T Jones
- T K Madhuri
- T Karahasanoğlu
- T Kato
- T Kaya
- T Khan
- T Klatte
- T Liakakos
- T M Sorour
- T Maccabe
- T Marina Martin
- T Martin
- T Miguel
- T Nambirajan
- T Nelli
- T Newman
- T Nicolás-López
- T Nouh
- T Nugent
- T O Klatte
- T Perra
- T Pina-Vaz
- T Pissanou
- T Poli
- T Raymond
- T Reinhard
- T Revez
- T Richards
- T Routledge
- T Royle
- T Saafan
- T Sammour
- T Santarius
- T Schiergens
- T Sehgal
- T Shortland
- T Sian
- T Sidiropoulos
- T T Sholadoye
- T Tammaro
- T Theodosopoulos
- T Tsirlis
- T Uson-Bouthelier
- T Van Wyngaard
- T Vanounou
- T Vieira Caroço
- T Violante
- T Vollkommer
- T Walton
- T Wasim
- T Welsch
- T Williams
- Tabassum Khan
- Tatiana Garmanova
- Thomas D Pinkney
- Thomas Konney
- Thomas M Drake
- Tobias Klatte
- Tom Ef Abbott
- U Akgor
- U Andaleeb
- U Bork
- U Bumbasirevic
- U Butt
- U De Andres Olabarria
- U Fernandes
- U Fumagalli Romario
- U G Vo
- U Grossi
- U Jayarajah
- U M Jariod Ferrer
- U Ribeiro Junior
- U Ronellenfitsch
- U Selbong
- U Speth
- V Alexoudi
- V Annessi
- V Bascarevic
- V Capizzi
- V Chiarella
- V Cozza
- V D Mandato
- V De Simone
- V Devezas
- V Drubay
- V Duque-Mallén
- V Fernandes
- V Garcia Soria
- V García Pineda
- V Gata
- V Granata
- V H Baptista
- V Hudson
- V I Ribeiro
- V Irvine
- V J García Porcel
- V Javurkova
- V Jimenez
- V Jokic
- V Kakotkin
- V Kantola
- V Kasivisvanathan
- V Konstantinovic
- V Kubyshkin
- V Lago
- V Linz
- V Lizzi
- V Luoma
- V Mahendran
- V Markovic
- V Mastrofilippo
- V Mazzaferro
- V Milutinović
- V Miu
- V Muñoz-Atienza
- V Ng
- V Ng
- V Oktseloglou
- V Ozben
- V Papadopoulos
- V Picotti
- V Pinto
- V Pla-Marti
- V Pérez Simón
- V Quintodei
- V Rizzo
- V Rossi
- V S Ban
- V S Kolli
- V S Rodrigo
- V Testa
- V Tonini
- V Tsaousis
- V Turrado-Rodriguez
- V Valbuena Jabares
- V Valtzoglou
- V Velchuru
- V Vigorita
- V Vujanac
- V Yip
- V Zamvar
- V Šćepanović
- Veeru Kasivisvanathan
- W Butt
- W Campbell
- W Cymes
- W Garrett
- W H Khan
- W J Wong
- W Knight
- W Lee
- W Marx
- W McCormick
- W McGahan
- W Mugla
- W Oosterlinck
- W Raby-Smith
- W Smolka
- W Van Houdt
- W Yang
- Willemijn van der Plas
- Wong Mpk
- X De Sousa
- X Morales
- X S Tan
- Y Aawsaj
- Y Al-Tamimi
- Y Arkha
- Y Ayasra
- Y Bashir
- Y El Bouazizi
- Y Fayed
- Y H Lam
- Y Kanemitsu
- Y Kara
- Y Kirmizi
- Y Levy-Zauberman
- Y Litvina
- Y Perez
- Y T Liew
- Y Tanase
- Y Viswanath
- Y Ying
- Z Al-Ishaq
- Z Aldayri
- Z Aliyeva
- Z Bayhan
- Z Chia
- Z Dzamic
- Z H Belkhadir
- Z Inic
- Z Jawad
- Z Jezdic
- Z Katusic
- Z Krivokapic
- Z Lakkis
- Z Li
- Z M Barrett-Brown
- Z Mahasin
- Z Seymour
- Z Vilendecic
- Z Zakaria
- Á De la Hoz Rodríguez
- Á Fernández Camuñas
- É Ryan
- Ž Grubač
- А Камалов
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2020
- Field of study
Not availabl