26 research outputs found
Impact of clinical phenotypes on management and outcomes in European atrial fibrillation patients: a report from the ESC-EHRA EURObservational Research Programme in AF (EORP-AF) General Long-Term Registry
- Author
- ?liwi?ski A.
- ?zin B.
- Aalborg University
- Aalborg University Hospital
- Aarup A.
- Abalea J.
- Abela E.
- Acimovic T.
- Adamczewski J.
- Adams C.
- Adams L.
- Adams M.
- Adrag?o P.
- Ahadi N.
- Ahmad S.
- Ahyt B.
- Akin Serdar Serdar O.
- Alam I.
- Alcalde O.
- Alin D.
- Alina-Ramona N.
- Allison J.
- Almeida S.
- Alves M.
- Andersen K.
- Andersen M.
- Andrews N.
- Andric A.
- Anguita M.
- Anneken L.
- Antoniades L.
- Antovski A.
- Arandjelovic A.
- Arend C.
- Arhipova T.
- Ari H.
- Aring J.
- Arnaud D.
- Arnault I.
- Arnold M.
- Asanin M.
- Asanovic D.
- Ashton A.
- Atar D.
- Atar D.
- Atmaca Y.
- Austin R.
- Axthelm C.
- Ayarra M.
- Azhari A.
- B?aszczyk H.
- Badenco N.
- Bader H.
- Badila E.
- Bahadur S.
- Bairamukova A.
- Bajraktarova Proseva Proseva T.
- Bakalska-Georgieva S.
- Bakrecheski N.
- Bal Z.
- Balachandran K.
- Balian L.
- Ballant E.
- Ballesteros G.
- Balsam P.
- Baluta M.
- Barth A.
- Bartholome S.
- Bartos D.
- Baumer A.
- Baytok G.
- Beacock D.
- Beckendorf C.
- Beech S.
- Beer A.
- Beerachee Y.
- Beitar T.
- Belcher G.
- Bell L.
- Benham L.
- Berger M.
- Bernardo R.
- Bernucci D.
- Bertomeu Gonzalez Gonzalez V.
- Beveridge M.
- Bhagwandien R.
- Bicescu G.
- Biedron M.
- Biffi M.
- Bijsterveld N.
- Binnema R.
- Blicharz J.
- Block M.
- Blommaert D.
- Board S.
- Bobescu E.
- Boismal S.
- Bolger A.
- Boni S.
- Boos C.
- Boreux J.
- Boriani Giuseppe
- Boros F.
- Borowiec A.
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- Boscher D.
- Boskovic A.
- Bouckaert N.
- Bouet J.
- Boury F.
- Boussy T.
- Bowring A.
- Boyer M.
- Brady R.
- Brand?o Alves Alves L.
- Brendel M.
- Brennan O.
- Breukers W.
- Broadley A.
- Brockway L.
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- Brunello I.
- Brunn J.
- Bryce M.
- Buchanan L.
- Buckley C.
- Budnik M.
- Bujak W.
- Bulatovic N.
- Burg M.
- Burg M.R.
- Burkhardt D.
- Button H.
- Buzea A.
- Cachia M.
- Canpolat U.
- Carmo P.
- Carol Davila University of Medicine and Pharmacy
- Carpintero M.
- Casta?o S.
- Catanescu G.
- Celentano C.
- Celic V.
- Chastre T.
- Cheggour S.
- Chlebu? M.
- Chua Y.
- Cichocka M.
- Cimaglia P.
- Cinteza M.
- Ciobanu A.
- Ciudad M.
- Ciurus T.
- Ciutea M.
- Clinical Center of Serbia
- Coborosanu O.
- Coles D.
- Collins S.
- Cope C.
- Cordeiro A.
- Corina A.
- Costa A.
- Costa F.
- Cottam V.
- Cotterill D.
- Cozma A.
- Cozma D.
- Cretu D.
- Crijns H.
- Crijns H.
- Crowther H.
- Cusack E.
- Czapla W.
- D?u?niewski M.
- Da Costa Costa A.
- Dabrowski R.
- Daha I.
- Damiano P.
- Dan A.
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- Dan G.-A.
- Dan Gheorghe-Andrei
- Dan R.
- Daniela R.
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- Degenhardt R.
- Dejanovic B.
- Delarche N.
- Delgado A.
- Deljanin Ilic Ilic M.
- Demir M.
- Demirtas B.
- Denart M.
- Department of Anaesthesiology and Intensive Care
- Department of Cardiology
- Department of Clinical Medicine
- Department of Gastroenterology and Hepatology
- Desai H.
- Desteghe L.
- Di Chiara Chiara A.
- Dickinson C.
- Diemberger I.
- Dietz D.
- Diker E.
- Diker E.
- Dimkovic S.
- Dinesen P.
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- Djikic D.
- Djouadi K.
- Dodos F.
- Doka B.
- Dolu A.K.
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- Ekmek?iu U.
- el Husseini Husseini Z.
- Elbaz N.
- Englmann E.
- Engset I.
- Erglis A.
- Erglis A.
- Erk?ner O.
- Esakia A.
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- Fortomaroska Milevska Milevska B.
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- Fragtrup Hellum Hellum C.
- Friart A.
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- Gabelmann M.
- Gabor A.
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- Gandhi N.
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- Garc?a Bolao Bolao I.
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- Gelev V.
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- Georgiana C.
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- Gerlach A.
- Gerth A.
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- Giannini I.
- Gibbs C.
- Gibson E.
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- Hagens V.
- Haim M.
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- Hardman C.
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- Hospital Virgen de la Arrixaca
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- Hughes D.
- Hunt A.
- Hunt J.
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- Hussain S.
- Hvilsted Rasmussen Rasmussen L.
- Hôpital Trousseau CHU de Tours
- Ilic S.
- Ilic V.
- Ille M.
- Ingram T.
- Investigators on behalf of the ESC-EHRA EORP-AF Long-Term General Registry
- Ionac A.
- Ionescu G.
- Iqbal R.
- IRCCS Istituti Clinici Scientifici Maugeri S.p.A. SB - Pavia
- Iric-Cupic V.
- Isakova N.
- Jacob P.
- Jakubowski P.
- James K.
- Jan A.
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- Jeewooth A.
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- Kisheva A.
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- Kliesch A.
- Klinik Anæstesi Børn, Kredsløb og Kvinder
- Klinik Medicin og Akut
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- Ludwig Maximilian University of Munich
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- University of Belgrade
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- Wood D.
- Wozakowska-Kaplon B.
- Wrigley B.
- Wrigley M.
- Xhaet O.
- Xuereb R.
- Yakova D.
- Yilmaz K.
- Yilmaz M.B.
- Yncheva T.
- Yotov Y.
- Young E.
- Yuksel S.
- Yuksel Y.
- Z?ra E.
- Zajac P.
- Zakrzewski M.
- Zaman J.
- Zavyalova O.
- Zdravkovic M.
- Zhigalov S.
- Ziacchi M.
- Zieli?ski L.
- Ziemi?ska-?u? M.
- Zink M.
- Zlatanovik N.
- Zlatar M.
- Zoccali C.
- Zubova T.
- Zuzans R.
- Zycinski P.
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2021
- Field of study
Get PDFBackground: Epidemiological studies in atrial fibrillation (AF) illustrate that clinical complexity increase the risk of major adverse outcomes. We aimed to describe European AF patients\u2019 clinical phenotypes and analyse the differential clinical course. Methods: We performed a hierarchical cluster analysis based on Ward\u2019s Method and Squared Euclidean Distance using 22 clinical binary variables, identifying the optimal number of clusters. We investigated differences in clinical management, use of healthcare resources and outcomes in a cohort of European AF patients from a Europe-wide observational registry. Results: A total of 9363 were available for this analysis. We identified three clusters: Cluster 1 (n = 3634; 38.8%) characterized by older patients and prevalent non-cardiac comorbidities; Cluster 2 (n = 2774; 29.6%) characterized by younger patients with low prevalence of comorbidities; Cluster 3 (n = 2955;31.6%) characterized by patients\u2019 prevalent cardiovascular risk factors/comorbidities. Over a mean follow-up of 22.5 months, Cluster 3 had the highest rate of cardiovascular events, all-cause death, and the composite outcome (combining the previous two) compared to Cluster 1 and Cluster 2 (all P <.001). An adjusted Cox regression showed that compared to Cluster 2, Cluster 3 (hazard ratio (HR) 2.87, 95% confidence interval (CI) 2.27\u20133.62; HR 3.42, 95%CI 2.72\u20134.31; HR 2.79, 95%CI 2.32\u20133.35), and Cluster 1 (HR 1.88, 95%CI 1.48\u20132.38; HR 2.50, 95%CI 1.98\u20133.15; HR 2.09, 95%CI 1.74\u20132.51) reported a higher risk for the three outcomes respectively. Conclusions: In European AF patients, three main clusters were identified, differentiated by differential presence of comorbidities. Both non-cardiac and cardiac comorbidities clusters were found to be associated with an increased risk of major adverse outcomes
Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.
- Author
- Abantanga F
- Abbas M
- Abbo O
- Abd El Galeel A
- Abd El Hameed OS
- Abd El Hamid N
- Abd El Salam Y
- Abd El Slam M
- Abd El-Salam F
- Abd Elrasoul Y
- Abd-Elrasoul Y
- Abdallah E
- Abdel-Wahab NYE
- AbdelFattah I
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- Abdelkader M
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- Abdulgawad M
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- Abebe NS
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- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2018
- Field of study
Get PDFBACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112
Clinical complexity and impact of the ABC (Atrial fibrillation Better Care) pathway in patients with atrial fibrillation: a report from the ESC-EHRA EURObservational Research Programme in AF General Long-Term Registry
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- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- 01/01/2022
- Field of study
Get PDFBackground: Clinical complexity is increasingly prevalent among patients with atrial fibrillation (AF). The ‘Atrial fibrillation Better Care’ (ABC) pathway approach has been proposed to streamline a more holistic and integrated approach to AF care; however, there are limited data on its usefulness among clinically complex patients. We aim to determine the impact of ABC pathway in a contemporary cohort of clinically complex AF patients. Methods: From the ESC-EHRA EORP-AF General Long-Term Registry, we analysed clinically complex AF patients, defined as the presence of frailty, multimorbidity and/or polypharmacy. A K-medoids cluster analysis was performed to identify different groups of clinical complexity. The impact of an ABC-adherent approach on major outcomes was analysed through Cox-regression analyses and delay of event (DoE) analyses. Results: Among 9966 AF patients included, 8289 (83.1%) were clinically complex. Adherence to the ABC pathway in the clinically complex group reduced the risk of all-cause death (adjusted HR [aHR]: 0.72, 95%CI 0.58–0.91), major adverse cardiovascular events (MACEs; aHR: 0.68, 95%CI 0.52–0.87) and composite outcome (aHR: 0.70, 95%CI: 0.58–0.85). Adherence to the ABC pathway was associated with a significant reduction in the risk of death (aHR: 0.74, 95%CI 0.56–0.98) and composite outcome (aHR: 0.76, 95%CI 0.60–0.96) also in the high-complexity cluster; similar trends were observed for MACEs. In DoE analyses, an ABC-adherent approach resulted in significant gains in event-free survival for all the outcomes investigated in clinically complex patients. Based on absolute risk reduction at 1 year of follow-up, the number needed to treat for ABC pathway adherence was 24 for all-cause death, 31 for MACEs and 20 for the composite outcome. Conclusions: An ABC-adherent approach reduces the risk of major outcomes in clinically complex AF patients. Ensuring adherence to the ABC pathway is essential to improve clinical outcomes among clinically complex AF patients
Impact of renal impairment on atrial fibrillation: ESC-EHRA EORP-AF Long-Term General Registry
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- Publication date
- 01/01/2022
- Field of study
Get PDFBackground: Atrial fibrillation (AF) and renal impairment share a bidirectional relationship with important pathophysiological interactions. We evaluated the impact of renal impairment in a contemporary cohort of patients with AF. Methods: We utilised the ESC-EHRA EORP-AF Long-Term General Registry. Outcomes were analysed according to renal function by CKD-EPI equation. The primary endpoint was a composite of thromboembolism, major bleeding, acute coronary syndrome and all-cause death. Secondary endpoints were each of these separately including ischaemic stroke, haemorrhagic event, intracranial haemorrhage, cardiovascular death and hospital admission. Results: A total of 9306 patients were included. The distribution of patients with no, mild, moderate and severe renal impairment at baseline were 16.9%, 49.3%, 30% and 3.8%, respectively. AF patients with impaired renal function were older, more likely to be females, had worse cardiac imaging parameters and multiple comorbidities. Among patients with an indication for anticoagulation, prescription of these agents was reduced in those with severe renal impairment, p <.001. Over 24 months, impaired renal function was associated with significantly greater incidence of the primary composite outcome and all secondary outcomes. Multivariable Cox regression analysis demonstrated an inverse relationship between eGFR and the primary outcome (HR 1.07 [95% CI, 1.01–1.14] per 10 ml/min/1.73 m2 decrease), that was most notable in patients with eGFR <30 ml/min/1.73 m2 (HR 2.21 [95% CI, 1.23–3.99] compared to eGFR ≥90 ml/min/1.73 m2). Conclusion: A significant proportion of patients with AF suffer from concomitant renal impairment which impacts their overall management. Furthermore, renal impairment is an independent predictor of major adverse events including thromboembolism, major bleeding, acute coronary syndrome and all-cause death in patients with AF
Global economic burden of unmet surgical need for appendicitis
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- Zapata F.
- Zarb C.
- Zardab A.
- Zegarra S.
- Zerihun A. B.
- Zhang Z.
- Zheng F.
- Zidan H.
- Zidan M.
- Ziff O.
- Zil-E-Ali A.
- Zilinskas J.
- Zilinskiene R.
- Ziubryte G.
- Zohair A.
- Zuber M.
- Zulkifli A.
- Publication venue
- Oxford University Press
- Publication date
- 01/01/2022
- Field of study
Get PDFBackground: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US 92492millionusingapproach1and73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was 95004millionusingapproach1and75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially
Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy
- Author
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- Aamer A
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- Publication venue
- Publication date
- 15/10/2018
- Field of study
Get PDFBackground The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe
Mortality of emergency abdominal surgery in high-, middle- and low-income countries
- Author
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- A A Ibrahem
- A A Maghrabi
- A A Nasir
- A A Ne'ma Abdullah
- A Abd El Galeel
- A Abdel-Rahman Al-Aarag
- A AbdelFattah
- A Abdelgelil
- A Abdelkareem
- A Abdelmotaleb Ghazy
- A Aber
- A Abo El Magd
- A Abo Elazayem
- A Aboarab
- A Abouelnasr
- A Abouzahra
- A Adebanjo
- A Adekoya
- A Adel
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- A Ademuyiwa
- A Adeniyi
- A Adesina
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- A Afandy
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- N Zanini
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- T Akeem Lawal
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- T F Jones
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- T Farooq
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- T Fozard
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- U Alamoudi
- U Gunnarsson
- U Gustafsson
- U Hantour
- U Karabacak
- U Walsh
- V Ambrozeviciute
- V Beisa
- V D Palomino Castillo
- V Despotidis
- V Gadhvi
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- V Graffieille
- V Grassi
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- W J Lossius
- W L Messa Aguilar
- W L Messa Aguilar
- W Milligan
- W Milligan
- W Pino
- W S Li
- W S M Kithsiri Janakantha Senanayake
- Y Abd El Salam
- Y Abd Elrasoul
- Y Abd-Elrasoul
- Y Aigrain
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- Y Elfouly
- Y Hegazy
- Y Ibrahim
- Y Imorou Souaibou
- Y Macchitella
- Y N Neo
- Y P Mogan
- Y Rajjoub
- Y Reddy
- Y Salama
- Y Sinha
- Z Chan
- Z Dambrauskas
- Z Hassan
- Z Iftikhar
- Z Jaffry
- Z Mikwar
- Z Oof
- Z Urniezius
- Z Zhang
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2016
- Field of study
Get PDFBackground: Surgical mortality data are collected routinely in high-income countries, yet virtually no low- or middle-income countries have outcome surveillance in place. The aim was prospectively to collect worldwide mortality data following emergency abdominal surgery, comparing findings across countries with a low, middle or high Human Development Index (HDI).
Methods: This was a prospective, multicentre, cohort study. Self-selected hospitals performing emergency surgery submitted prespecified data for consecutive patients from at least one 2-week interval during July to December 2014. Postoperative mortality was analysed by hierarchical multivariable logistic regression.
Results: Data were obtained for 10 745 patients from 357 centres in 58 countries; 6538 were from high-, 2889 from middle- and 1318 from low-HDI settings. The overall mortality rate was 1⋅6 per cent at 24 h (high 1⋅1 per cent, middle 1⋅9 per cent, low 3⋅4 per cent; P < 0⋅001), increasing to 5⋅4 per cent by 30 days (high 4⋅5 per cent, middle 6⋅0 per cent, low 8⋅6 per cent; P < 0⋅001). Of the 578 patients who died, 404 (69⋅9 per cent) did so between 24 h and 30 days following surgery (high 74⋅2 per cent, middle 68⋅8 per cent, low 60⋅5 per cent). After adjustment, 30-day mortality remained higher in middle-income (odds ratio (OR) 2⋅78, 95 per cent c.i. 1⋅84 to 4⋅20) and low-income (OR 2⋅97, 1⋅84 to 4⋅81) countries. Surgical safety checklist use was less frequent in low- and middle-income countries, but when used was associated with reduced mortality at 30 days.
Conclusion: Mortality is three times higher in low- compared with high-HDI countries even when adjusted for prognostic factors. Patient safety factors may have an important role. Registration number: NCT02179112 (http://www.clinicaltrials.gov)
Global variation in anastomosis and end colostomy formation following left-sided colorectal resection
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- Carmona Jm
- Carneros Vj
- Carpio J
- Carrasco N
- Carreira Ja
- Cassar K
- Castillo Vdp
- Castro Mr
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- Caydiid H
- Cecilia T
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- Cengiz Y
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- Charles A
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- Chen Cy
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- Cheong Yj
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- Cheung Yhe
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- Chhabra S
- Chibuye C
- Chidambaram S
- Chiesa D
- Chilton G
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- Chiu S
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- Choi J
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- Chong Bfhk
- Chong Cl
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- Chow Cyn
- Chowdhury A
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- Ciubotaru C
- Claire R
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- Clegg-Lampety Jn
- Clegg-Lamptey Jn
- Clement Kd
- Clements Jm
- Clerico G
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- Cocorullo G
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- Colombani Jf
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- Da Silva LA
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- Dainius E
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- Dan I
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- Daniels I
- Daniyan M
- Danys D
- Dao W
- Daqeeq A
- Dar M
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- Dardenne S
- Darweesh M
- Darwish Ak
- Das A
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- De Castro Segundo LCB
- De Franciscis S
- De Freitas AVC
- De La Medina AR
- de Leó
- De Leon MZP
- De Leon MZP
- de Lima CVB
- De Luca E
- De Marco P
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- Deal R
- Dean R
- Deane C
- Debrah S
- Deckelbaum Dl
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- Dedekind B
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- Deichsel F
- Del Basso C
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- Delforge X
- Delgado Jm
- Delgado Msftl
- Dell A
- Dempster E
- Denewar A
- Depalma N
- Deputy M
- Der Y
- Dervenis C
- Despotidis V
- Desta S
- Deutschmann P
- Devadasar Gh
- Dharamshi Ha
- Dhillon D
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- Di Martino N
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- Di Saverio S
- Diab A
- Diaconescu B
- Diaconescu Ib
- Dias S
- Diaz-Jover P
- Diaz-Zorrilla C
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- Dickfos M
- Dickson L
- Dijan E
- Dimech T
- Din F
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- Dissanayake T
- Djivoh F
- Domini E
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- Donnelly P
- Donoghue D
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- Doughty J
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- Driscoll A
- Drungilas M
- Du Plessis D
- du Plooy F
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- Dubois A
- Dueñ
- Duffy L
- Duhoranenayo D
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- Dulskas A
- Durand Sya
- Dwydar A
- Ebdewi H
- Ebidy M
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- Ebrahim Os
- Eduard P
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- El Deen KN
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- El Hameed OSA
- El Hamid NA
- El Jamassi A
- El Kashash A
- El Kholy A
- El Magd AA
- El Mesery S
- El Salam YA
- El Sayed GS
- El Sayed IM
- El Shoura Y
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- El-Dien Ks
- El-Din Ra
- El-Din Sa
- El-Gizawy E
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- El-Kashef H
- El-Latif Nka
- El-Ma&apos
- El-Rabaa S
- El-Sagheer N
- El-Salam Fa
- El-Sawy A
- El-Sehily A
- El-Shahat Ns
- El-Sheemy H
- El-Taher E
- Elabdin Hz
- Elashmawy M
- Elashry R
- Elazab A
- Elazayem Aa
- Elazoul M
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- Elbatahgy A
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- Elbermawy M
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- Eldeen Ea
- Eldin Mab
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- Elebute O
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- Elfeki H
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- Elgendy Fi
- Elgheriany M
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- Elkolaly Ss
- Elkorashy Am
- Ellison Q
- Elmashala A
- Elmasry M
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- Elmihy S
- Elnagar A
- Elnajjar Ma
- Elnemr Ae
- Elrasoul Ya
- Elrazek Aa
- Elsabbagh N
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- Elsawahly Dme
- Elsawy A
- Elsayed M
- Elsayed M
- Elsayed N
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- Elsehimy M
- Elsemelawy R
- Elshaar M
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- Elshafay Ae
- Elshami M
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- Elsheikh S
- Elsherbiney S
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- Elsherif Fa
- Elshobary M
- Elsiddig M
- Elsobky S
- Elsorogy Deaa
- Elwaey A
- Elwakil H
- Elwan A
- Elwan A
- Elwy E
- Elzahed N
- Elzayat I
- Elzayat M
- Elzayyat I
- Elzowawi F
- Emadeldin D
- Emadeldin H
- Emara E
- Emile S
- Eng C
- English W
- Esam A
- Escobar Eg.
- Espin-Basany E
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- Espinoza Kt
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- Essam A
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- Essam M
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- Estupinian S
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- Etchill E
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- Etman M
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- Evans E
- Eysa A
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- Ezzat E
- Ezzat T
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- Fahiem A
- Fahim M
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- Fairfield C
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- Faraz A
- Fares M
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- Farhan-Alanie Mmh
- Farhangmehr N
- Farinella E
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- Farouk Sam
- Farquharson A
- Farrugia A
- Farrugia A
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- Fathy Am
- Fattah Aa
- Fatuga A
- Faturoti O
- Faturoti O
- Faure A
- Fautz T
- Favero A
- Fawzy A
- Feidantsis T
- Felipe Co
- Fergany A
- Fergusson Sj
- Fergusson Sj
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- Fermani C
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- Fernandes C
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- Ferousis C
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- Ferrero E
- Fievet L
- Filatau A
- Findlay-Cooper K
- Firdouse M
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- Firdouse M
- Firwana A
- Fitsum A
- Fitzgerald Je
- Florez Ljg
- Foco M
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- Foo Cc
- Forlin L
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- Fouad A
- Fouad D
- Fouad D
- Fourcade L
- Fowler Aj
- Fozard T
- Fozard T
- Frade F
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- Francois P
- Francois-Coridon H
- Francone E
- Freitas Av
- Frey D
- Frisk B
- Fuentes-Rivera L
- Fujii F
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- Gaarder T
- Gad A
- Gad Mo
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- Gado A
- Gaiž
- Gaignard E
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- Gala T
- Gala T
- Galiqi G
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- Galvez Cp
- Gamal D
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- Gamal H
- Gamal S
- Gamaly E
- Gamil D
- Gan C
- Gan Yy
- Gani Ma
- Garaycochea O
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- Garcia-Marin Ja
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- Garland A
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- Gemeah M
- Gemenetzis G
- Gemenetzis G
- George R
- Germanos S
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- Gerosa A
- Gerosa A
- Geuoshy A
- Ghaben A
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- Ghanem S
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- Ghannam M
- Gharib A
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- Ghazy Aa
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- Ghetia M
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- Ghonaim Ma
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- Giardino Fr
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- Giuriato Tf
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- Golding D
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- Grandinetti Pp
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- Grassi V
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- Griffiths E
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- Grizhja B
- Grobler Dc
- Grosos C
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- Gudal A
- Gudal A
- Gudal A
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- Guevara R
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- Gui D
- Gulbinas A
- Gulcicek Ob
- Gulielmi A
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- Gustafsson U
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- Gyedu A
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- Haddad N
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- Halicioglu I
- Hall E
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- Hamarshi A
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- Hasanah A
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- Hasheminia A
- Hashim A
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- Haslegrave A
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- Hassaan A
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- Iannone I
- Ibraheem Aa
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- Ibrahem Aa
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- Ibrahim A
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- Ibrahim I
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- Imoro O
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- Iordache Fm
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- Irwin G
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- Lawal Ta
- Lawani I
- Lawther R
- Lazzari G
- Lazzari V
- Leal A
- Leal M
- Lecompte Jf
- Lee C
- Lee Ex
- Lee F
- Lee K
- Lee Kc
- Lee Ky
- Lee Tsb
- Lemaire Sb
- Leone N
- Leong Fqh
- Leppä
- Leppä
- Leroux J
- Leung Kw
- Leung Mf
- Leusink A
- Lewis J
- Li Ws
- Licari L
- Lieske B
- Lieske B
- Liew I
- Liew I
- Lilford R
- Lilford R
- Lilford Rj
- Lim G
- Lim H
- Lim J
- Lim Pj
- Lim Sj
- Lim Sj
- Lim Sy
- Limache S
- Limaye N
- Limoges B
- Lintin L
- Lipnickas V
- Litvin A
- Liu Q
- Liu Q
- Livesey A
- Livingston M
- Ljuhar D
- Lo Conte A
- Loaloa Mr
- Lockey J
- Lohse Has
- Lohse Has
- Loizides S
- Lokman Maa
- Longstaff L
- Lopez Ce
- Lopez Lip
- Lopez M
- Lopez M
- Lopez-Arevalo C
- Lorenzon L
- Lossius Wj
- Loughran D
- Low X
- Luc Ar
- Luck J
- Luck J
- Luck J
- Luglio G
- Lund J
- Lund J
- Lundgren Po
- Luque Gb
- Luque L
- Luque L
- Lytras D
- Lytras D
- Má
- Mé
- Mü
- Mañ
- Ma J
- Mabitsela Me
- Mabrouk M
- Macchiavello R
- Macchitella Y
- Macchitella Y
- Macdermid E
- Macdonald A
- Macdonald E
- Macdonald L
- Maceviciute K
- Macfarlane A
- Machaca M
- Maciejec L
- Madiba T
- Madkor Mh
- Maffioli A
- Maffioli A
- Magdy A
- Magdy B
- Magdy E
- Magdy H
- Magdy M
- Magdy S
- Magee C
- Maghrabi A
- Maghrabi Aa
- Magri D
- Mahamood Ab
- Mahanty S
- Maharaj G
- Mahdi A
- Mahdi S
- Mahdi S
- Maher Me
- Mahmoud B
- Mahmoud H
- Mahmoud M
- Mahmoud Ma
- Mahmoud Mi
- Mahmoud S
- Mahmoud Sme
- Mahmud K
- Maillot B
- Maimbo M
- Maimbo M
- Mairs Ng
- Maison K
- Maistry N
- Majauskyté
- Majbar A
- Majid Ahha
- Majid K
- Major Cp
- Major P
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- Mak T
- Mak T
- Makama J
- Makinde M
- Makupe A
- Malavenda M
- Malik K
- Malik P
- Malik Ta
- Mamdouh E
- Mamdouh R
- Manatakis Dk
- Manfreda S
- Mangan C
- Mangan C
- Mangiapane M
- Manipal Ce
- Maniscalco A
- Mann T
- Mannu Gs
- Manriquez-Reyes M
- Mansor Ey
- Mansour B
- Mansour S
- Mansuri A
- Mao P
- Mapasse D
- Maple N
- Maraie N
- Marey A
- Marey As
- Margaritis M
- Mariani A
- Marinkovic B
- Marinos C
- Marks E
- Marples L
- Marret Jb
- Marshall Dc
- Martian Bv
- Martin A
- Mas R
- Mason C
- Mata Lps
- Matheu A
- Mathew Sw
- Matos-Puig R
- Matta Jjh
- Mattar O
- Matter Sm
- Mauro L
- Mayasari M
- Mazelyte R
- Mazrimas P
- Mazzella A
- Mcaleer E
- Mcaleer S
- Mccarthy K
- Mccarthy M
- Mccarthy M
- McCullagh D
- Mcdonald R
- McGarvie S
- Mcguigan A
- McIntosh K
- Mcintosh R
- Mcintyre Cj
- Mcintyre N
- Mcintyre R
- Mckechnie D
- Mclachlan G
- Mclean Al
- Mclean K
- McMorran D
- Mcnish D
- Mcphee A
- Mealy K
- Mehdi A
- Mehrez S
- Mejia Agv
- Melo R
- Melo R
- Mendel H
- Mendez M
- Mendez N
- Mendizabal Caa
- Mendoza I
- Menegussi J
- Mensah E
- Menshawy A
- Mentula P
- Meqbil J
- Mericliler M
- Merlini D
- Merlini D
- Merlo Ms
- Mesbah N
- Meshref A
- Metwally Mm
- Migliore M
- Miguel Gps
- Mihaljevic Al
- Mihanovic J
- Mihanovic J
- Mijuskovic B
- Mikalauskas S
- Mikalauskas S
- Mikuckyte D
- Mikwar Z
- Milligan W
- Milligan W
- Mingrone P
- Minguez G
- Minocha A
- Minocha A
- Miranda C
- Mircea H
- Mirghani D
- Mironescu A
- Mironescu A
- Mironescu As
- Mironescu As
- Mirza A
- Mirza S
- Mistry A
- Mitrasinovic S
- Mitroudi M
- Mitroudis N
- Mittal A
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- Mitul Ar
- Miyasato Hs
- Mizzi C
- Mizzi S
- Mlotshwa M
- Moaty M
- Mochet S
- Modolo Mm
- Modolo Mm
- Modolo Mm
- Moe Tt
- Mogan Yp
- Moghazy Me
- Mohamed A
- Mohamed A
- Mohamed Am
- Mohamed Ar
- Mohamed B
- Mohamed F
- Mohamed I
- Mohamed M
- Mohamed Ma
- Mohamed Maeh
- Mohamed Mm
- Mohamed O
- Mohamed Sr
- Mohameden A
- Mohammad A
- Mohammad A
- Mohammed A
- Mohammed A
- Mohammed Ae
- Mohammed Ar
- Mohammed H
- Mohammed Mm
- Mohammed Mmh
- Mohammed S
- Mohan H
- Mohan M
- Mohan M
- Mok Yt
- Mokhtar A
- Molina G
- Mollo Mc
- Monaghan E
- Monaghan E
- Monrad-Hansen Pw
- Montejo Msg
- Monteleone M
- Monteleone M
- Montes I
- Montes I
- Montrimaite M
- Montrimaite M
- Moodley Y
- Moore R
- Moore R
- Mora Jjv
- Morais Pab
- Morales C
- Moran Aer
- Morandi E
- Moreira G
- Moreno Sc
- Morgan C
- Morgan C
- Morshedy Em
- Morsi A
- Morsi M
- Morton D
- Morton D
- Morton R
- Mosad A
- Mosalum O
- Mostafa Ha
- Mostafa M
- Mostafa M
- Mousa M
- Moussa O
- Moustafa A
- Mouttalib S
- Mowafy B
- Mphatsoe Am
- Mshelbwala P
- Msiska N
- Msosa V
- Msosa V
- Muddebihal U
- Mukin Adf
- Muktar U
- Mukuzunga C
- Muller C
- Muller C
- Munera A
- Munhoz Mm
- Munipalle Pc
- Muntean L
- Muntean Li
- Muralha N
- Murphy J
- Murray A
- Murutoglu B
- Musa Aek
- Musleh A
- Musowoya J
- Mussad A
- Mustafa M
- Mustafa M
- Mustafa Ma
- Musyoka Ck
- Mutabazi Az
- Mutabazi Az
- Mutlu D
- Mutlu V
- Muzio E
- Myers J
- Mykoniatis I
- Næ
- Nabawi A
- Nada F
- Nadeem N
- Nadkarni S
- Nagy Gs
- Nahar Sn
- Nair H
- Nanthakumaran S
- Napolitano L
- Napolitano L
- Naqvi Sa
- Naqvi T
- Naranjo Aristizã
- Narayanan R
- Narayanan R
- Narvestad Jk
- Nashaat A
- Nashat M
- Nasher O
- Nashidengo P
- Nasir A
- Nasir Aa
- Nasr A
- Nasr M
- Nasr M
- Nassif D
- Nastri G
- Natalie H
- Nataraja R
- Natili A
- Navarro A
- Nawara C
- Nawawi A
- Nawawi A
- Nayel Ar
- Nazir M
- Ndajiwo A
- Ndajiwo A
- Ndegwa W
- Ndlovu Sr
- Ndwambi P
- Ne&apos
- Negida A
- Negoi I
- Nel D
- Nemeth K
- Neo Yn
- Neo Yt
- Neophytou C
- Nepogodiev D
- Nepogodiev D
- Nepogodiev D
- Nepogodiev D
- Nesaratnam A
- Nessa A
- Nestorovic M
- Nevieraite V
- Newton T
- Ng S
- Ng Yk
- Ng Zh
- Ngayu N
- Ngwa Te
- Niazi Ak
- Nicholson L
- Nighat B
- Nigo S
- Nikberg M
- Nikoloudis N
- Nikoloudis N
- Niragire A
- Niranjan N
- Nirumal Mk
- Niska K
- Nita Ge
- Nita Ge
- Niyirera E
- Njokanma I
- Nnajiuba H
- Nocito A
- Nocito A
- Nofal E
- Noor F
- Normile C
- Normile C
- North As
- Notarnicola M
- Notarnicola M
- Nouh T
- Nouh T
- Noukpozounkou B
- Novak A
- Nowers J
- Nsengimana Vjp
- Nsengiyumva C
- Ntirenganya F
- Nur&apos
- Nurqistan Hd
- Nwabuoku E
- Nwinee V
- Nwokoro C
- Nyberg J
- Nymo L
- O&apos
- O&apos
- O&apos
- O&apos
- O&apos
- O&apos
- Obute Rd
- Occhionorelli S
- Odeyemi B
- Odeyemi B
- Odutola O
- Ogunsua O
- Ogunyemi A
- Oh J
- Oh J
- Ohene-Yeboah M
- Ojeda Rrb
- Okenabirhie O
- Olajide To
- Olaolorun A
- Olivier J
- Olori S
- Olori S
- Oludara M
- Oludara M
- Olugbemi M
- Omar Aa
- Omar Me
- Omar Mfw
- Omara S
- Omer Oa
- Onimowo J
- Onuoha C
- Oosterkamp A
- Opoku-Agyeman R
- Oram S
- Orbegozo Pat
- Orchard M
- Ortega I
- Ortega I
- Ortega-Vazquez I
- Ortiz N
- Orton P
- Osagie O
- Osei-Nketiah S
- Oshati O
- Oshodi O
- Osinowo A
- Osinowo A
- Osman M
- Osman N
- Osman O
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- Oswald D
- Otero-Dí
- Othman M
- Ots R
- Otten K
- Oumer R
- Owen C
- Owusu F
- Owusu F
- Ozben V
- Ozkan Bb
- Ozkan Bb
- Ozkan Bb
- Ozmen Bb
- Pé
- Paž
- Pabla G
- Pacheco Rda
- Padmore G
- Pagano G
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- Pagnozzi J
- Pahlsson Hi
- Pai S
- Palayan K
- Palkhi Eya
- Palliyil M
- Palliyil Mm
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- Palma Af
- Paludi Ma
- Paludi Ma
- Panait N
- Panez Wr
- Panieri E
- Panteli C
- Papageorgiou D
- Papailia A
- Papandrea M
- Papaskarlatos Ia
- Pape J
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- Parakh J
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- Parasyris S
- Pardo G
- Parent V
- Park Eh
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- Parmentier B
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- Parreno-Sacdalan Md
- Parseliunas A
- Parthiban S
- Pascale G
- Pascale Mm
- Pasini M
- Pasquali S
- Pastora J
- Pata D
- Pata D
- Pata F
- Pata F
- Pata F
- Pata F
- Pata F
- Pata F
- Pata G
- Pata G
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- Patel K
- Patel P
- Patel P
- Patel S
- Patel V
- Paterson-Brown S
- Patoulias I
- Paul M
- Paul S
- Paulouski D
- Peñ
- Peck Fs
- Pektaş
- Pellino G
- Peltrini R
- Pereira B
- Perenyei M
- Perera J
- Perera J
- Periasammy D
- Perino M
- Peros G
- Perrotta G
- Pesenti G
- Petrikenas S
- Peycelon M
- Peycelon M
- Pezas T
- Pezas T
- Pezelj N
- Phillips N
- Picardo A
- Picciariello A
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- Pineñ
- Pinkney T
- Pinkney Td
- Pinnagoda K
- Pino W
- Pitt Sk
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- Pluke K
- Poš
- Podevin G
- Podevin G
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- Popa M
- Popoola A
- Popoola A
- Porter J
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- Poskus T
- Poskus T
- Poskus T
- Post N
- Powell A
- Pozo Dar
- Prabhudesai A
- Pranevicius R
- Prasad Ss
- Preckailaite E
- Primavesi F
- Prins M
- Proctor Vk
- Pronin S
- Prudhomme T
- Psaila J
- Psarianos K
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- Pugliesi Tb
- Pujol-Cano N
- Puma Cmh
- Punja V
- Purwaningsih Na
- Puttick M
- Puttick M
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- Qawasmi I
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- Quayle J
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- Quezada Jhj
- Qumbos Aa
- Qureshi Au
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- Radkowiak D
- Radojkovic M
- Rahantasoa Fcfp
- Rahmah Df
- Rahmawati Fn
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- Rajmohan S
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- Ramadan Mt
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- Rangarajan M
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- Rashwan H
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- Rasoaherinomenjanahary F
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- Rayne S
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- Raza A
- Raza I
- Raza I
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- Razmdjou S
- Razuri C
- Razzaque J
- Reali C
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- Recinos G
- Recinos G
- Recinos G
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- Reddy Y
- Redgrave N
- Redota Map
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- Renaux-Petel M
- Restrepo Im
- Restrepo J
- Reunis E
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- Riaza Vmq
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- Ripa M
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- Robert E
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- Roche Mo
- Rocke A
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- Rodriguez X
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- Rubinkiewicz M
- Rudzenskaite A
- Ruiz-Tovar J
- Rulie As
- Runigamugabo E
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- Saad Ha
- Saad M
- Saad Mm
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- Saar S
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- Sabour Fa
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- Sahel S
- Saidbadr A
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- Salama M
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- Saleh O
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- Salleh A
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- Sallinen V
- Sallinen V
- Salma M
- Salma M
- Salma U
- Salman A
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- Sam Zh
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- Samaniego Cs
- Samaraweera Di
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- Sammarco G
- Sammut K
- Sampson C
- Samson G
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- Sanz S
- Sapci I
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- Sarafilovic H
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- Saravia F
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- Sasia D
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- Scalabre A
- Schadde E
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- Schiavone R
- Schivo D
- Schmid R
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- Schultz Jk
- Scicluna R
- Scott M
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- Semeda N
- Semiz A
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- Senanayake Kj
- Senanayake Mkj
- Senanayake W
- Septiem Jg
- Servin Grp
- Setiawan J
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- Shaalan M
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- Shah A
- Shah J
- Shah R
- Shaharuddin S
- Shahbaz Ar
- Shaheen A
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- Shaikh N
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- Shalabi A
- Shalaby A
- Shalaby M
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- Shamasneh A
- Shamsedine Aw
- Shamsi G
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- Shaw Ca
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- Shehata S
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- Sheshe A
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- Shillito S
- Shimy G
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- Shrimanker N
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- Shukla J
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- Siguantay M
- Sigurdadottir J
- Sii Ssy
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- Sila Gm
- Sila Gm
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- Silvani P
- Silvestri V
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- Simutis G
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- Sinha Y
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- Sivaganesh S
- Skardž
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- Smart N
- Smart Nj
- Smedley A
- Smith C
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- Snyder E
- Sobnach S
- Sodde P
- Soeselo Da
- Sokratous A
- Solaini L
- Soldevila-Verdeguer C
- Soley R
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- Soliman N
- Soliman Na
- Soliman S
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- Solis Laz
- Sollazzo V
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- Souaibou Yi
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- Srinivasan R
- Sriram A
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- Suarez A
- Suarez Aab
- Subocius A
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- Summerour V
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- Sunderland G
- Sundstrom Sm
- Suresh S
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- Swann J
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- Sykes M
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- Tabiri S
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- Tade A
- Tafazal H
- Taha Ems
- Tahboub H
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- Taiwo A
- Taiwo O
- Taiwo O
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- Tan C
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- Tan Cy
- Tan Jj
- Tan Jk
- Tan Ksk
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- Tan Yk
- Tan Yw
- Tanase A
- Tanase A
- Tang A
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- Tani Si
- Tansoker I
- Tarek A
- Tarek A
- Tarek D
- Targa S
- Tariq S
- Tata Md
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- Tawfik G
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- Taylor F
- Teasdale E
- Teasdale E
- Teasdale E
- Teasdale E
- Tedeschi U
- Tedjaatmadja C
- Telfah Mm
- Tembo T
- Temoche E
- Tennakoon A
- Teo Sy
- Ter Ez
- Tessera G
- Teufelberger G
- Tew Yy
- Tew Yy
- Tewari S
- Th&apos
- Thabet W
- Thalgaspitiya Spb
- Tham Jc
- Thanusan V
- Tharmalingam S
- Theodosopoulos T
- Thollot A
- Thomas E
- Thompson B
- Thomson P
- Thorarinsdottir H
- Thorarinsdottir H
- Thorell A
- Thorell A
- Thorsen K
- Thurairaja R
- Ticona Wa
- Tierney G
- Tilston Tw
- Timothy Ok
- Ting Jrs
- To K
- To K
- Todd O
- Toeema Ag
- Tolba H
- Tolg C
- Tolonen M
- Tolotra Tec
- Tori Sa
- Torrance Hd
- Torrance Hd
- Torres Cpg
- Torres Sg
- Toto Ö
- Tou S
- Townsend D
- Tracy J
- Trompetto M
- Tselos A
- Tshisola Sk
- Tugnoli G
- Tugnoli G
- Tun Ak
- Tun M
- Tun M
- Turati L
- Turati L
- Turkustani S
- Turner M
- Tutino R
- Tverskis Z
- Tyler R
- Tyler R
- Tze Rge
- Tze Rge
- Tzikos G
- Uš
- Ubhi Hk
- Ubiali P
- Ugalde P
- Ukwenya Y
- Uluş
- Ulusahin M
- Upadhyaya V
- Upchurch E
- Urbanavicius L
- Urbonas T
- Urbonas T
- Urniež
- Urniezius Z
- Urquizu Mc
- Usaityte A
- Utter M
- Uzabumwana N
- Vaicius A
- Valcarcel-Saldañ
- Valioulis I
- Van Der Naald N
- Van Duren B
- Van Niekerk M
- Van Straten S
- Varcada M
- Vargas M
- Varkalys K
- Vartanoglu T
- Vartic M
- Vartic M
- Vasquez G
- Vasquez I
- Veen T
- Vega Gmm
- Vega Gmm
- Velá
- Velá
- Velasquez R
- Vella-Baldacchino M
- Venclauskas L
- Vendramin E
- Venskutonis D
- Venskutonis D
- Venskutonis D
- Venskutonis D
- Venugopal C
- Verbeek A
- Vergara Alc
- Verjee A
- Vermaas M
- Veronese E
- Viš
- Vianna P
- Vicario E
- Vico Td
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- Vida Lc
- Vilč
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- Villegas Mi
- Vimalachandran D
- Vincent J
- Violi P
- Vivekanantham S
- Vlachogiorgos A
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- Waleed H
- Walker M
- Walker N
- Walls L
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- Walsh U
- Waqar M
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- Ward S
- Warda M
- Warren O
- Warren O
- Warwick Am
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- Weinstein Ms
- Werder G
- Wheeler J
- Whewell H
- Whitaker J
- White R
- White T
- Whitehurst K
- Wiborg J
- Widiastini Ta
- Widmer Lw
- Wijayarathna Ls
- Wild Jrl
- Williams E
- Williams G
- Williams O
- Williams O
- Williamson A
- Wilson A
- Wilson L
- Wilson M
- Wilson M
- Wilson Ms
- Wilson Msj
- Wimalge Pmsn
- Winstanley J
- Witherspoon P
- Wogensen F
- Wogensen F
- Wogensen F
- Woin E
- Wold Tb
- Wolf B
- Wolf B
- Wondimu S
- Wondoh P
- Wondoh P
- Wong Cs
- Wong Cy
- Wong F
- Wong Hy
- Wood G
- Woodward H
- Worku M
- Worku M
- Worku T
- Wredberg C
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- Wright Nj
- Xerri T
- Xerri T
- Yahaya Mt
- Yakubu M
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- Yaseen Tm
- Yau Jd
- Yavuz Ma
- Ye J
- Yeang Lj
- Yee J
- Yeo Ls
- Yeung En
- Yeung Mha
- Yifieyeh A
- Yildirim R
- Yip C
- Yip Sbs
- Ymeri S
- Yoganathan P
- Yolcu S
- Yong Co
- Yong Gl
- Younis A
- Youssef D
- Youssef H
- Youssef M
- Youssif Jh
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- Yusufali T
- Zaa&apos
- Zachariades Dc
- Zadoroznas A
- Zahran D
- Zakaria E
- Zakaria M
- Zakaria Y
- Zaki A
- Zakir M
- Zalabia Mf
- Zamarin K
- Zammit S
- Zampitis N
- Zani A
- Zani A
- Zani A
- Zanini N
- Zanini N
- Zapata F
- Zarb C
- Zardab A
- Zegarra S
- Zeidan S
- Zerihun Ab
- Zhang Z
- Zheng F
- Zidan H
- Zidan H
- Zidan M
- Zielinski M
- Ziff O
- Zikry M
- Zil-E-Ali A
- Zilinskas J
- Zilinskas J
- Zilinskas J
- Zilinskas J
- Zilinskiene R
- Zimmermann Ef
- Zohair A
- Zorrilla Cd
- Zuber M
- Zuber M
- Zuk G
- Zulkifli A
- Zumbü
- Publication venue
- 'Wiley'
- Publication date
- 27/11/2018
- Field of study
Get PDFBackground
End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection.
Methods
This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model.
Results
In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001).
Conclusion
Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone
Health Behaviors Among High School Girls
- Author
- Publication venue
- 'International Neuroscience Institute'
- Publication date
- Field of study
No full textObservation of variations in cosmic ray single count rates during thunderstorms and implications for large-scale electric field changes
- Author
- Abbasi R.???U.
- Abu-Zayyad T.
- Allen M.
- Arai Y.
- Arimura R.
- Barcikowski E.
- Belz J.???W.
- Bergman D.???R.
- Blake S.???A.
- Buckland I.
- Cady R.
- Cheon B.???G.
- Chiba J.
- Chikawa M.
- Fujii T.
- Fujisue K.
- Fujita K.
- Fujiwara R.
- Fukushima M.
- Fukushima R.
- Furlich G.
- Globus N.
- Gonzalez R.
- Hanlon W.
- Hayashi M.
- Hayashida N.
- Hibino K.
- Higuchi R.
- Honda K.
- Husseini N.
- Ikeda D.
- Inadomi T.
- Inoue N.
- Ishii T.
- Ito H.
- Ivanov D.
- Iwakura H.
- Iwasaki A.
- Jeong H.???M.
- Jeong S.
- Johnson H.
- Jui C.???C.???H.
- Kadota K.
- Kakimoto F.
- Kalashev O.
- Kasahara K.
- Kasami S.
- Kawai H.
- Kawakami S.
- Kawana S.
- Kawata K.
- Kharuk I.
- Kido E.
- Kim H.???B.
- Kim J.???H.
- Kim J.???H.
- Kim M.???H.
- Kim S.???W.
- Kimura Y.
- Kishigami S.
- Kubota Y.
- Kurisu S.
- Kuzmin V.
- Kuznetsov M.
- Kwon Y.???J.
- Lee K.???H.
- LeVon R.
- Lubsandorzhiev B.
- Lundquist J.???P.
- Machida K.
- Matsumiya H.
- Matsuyama T.
- Matthews J.???N.
- Mayta R.
- Mazich J.
- Minamino M.
- Mukai K.
- Myers I.
- Myers P.
- Nagataki S.
- Nakai K.
- Nakamura R.
- Nakamura T.
- Nakamura T.
- Nakamura Y.
- Nakazawa A.
- Nishio E.
- Nonaka T.
- O???Brien K.
- Oda H.
- Ogio S.
- Ohnishi M.
- Ohoka H.
- Oku Y.
- Okuda T.
- Omura Y.
- Ono M.
- Onogi R.
- Oshima A.
- Ozawa S.
- Park I.???H.
- Potts M.
- Pshirkov M.???S.
- Remington J.
- Rodriguez D.???C.
- Rubtsov G.???I.
- Ryu Dongsu
- Sagawa H.
- Sahara R.
- Saito Y.
- Sakaki N.
- Sako T.
- Sakurai N.
- Sano K.
- Sato K.
- Seki T.
- Sekino K.
- Shah P.???D.
- Shibasaki Y.
- Shibata F.
- Shibata N.
- Shibata T.
- Shimodaira H.
- Shin B.???K.
- Shin H.???S.
- Shinto D.
- Smith J.???D.
- Sokolsky P.
- Sone N.
- Stokes B.???T.
- Stroman T.???A.
- Takagi Y.
- Takahashi Y.
- Takamura M.
- Takeda M.
- Takeishi R.
- Taketa A.
- Takita M.
- Tameda Y.
- Tanaka H.
- Tanaka K.
- Tanaka M.
- Tanoue Y.
- Thomas S.???B.
- Thomson G.???B.
- Tinyakov P.
- Tkachev I.
- Tokuno H.
- Tomida T.
- Troitsky S.
- Tsuda R.
- Tsunesada Y.
- Uchihori Y.
- Udo S.
- Uehama T.
- Urban F.
- Wong T.
- Yamamoto M.
- Yamazaki K.
- Yang J.
- Yashiro K.
- Yoshida F.
- Yoshioka Y.
- Zhezher Y.
- Zundel Z.
- Publication venue
- 'American Physical Society (APS)'
- Publication date
- 18/11/2021
- Field of study
No full textWe present the first observation by the Telescope Array Surface Detector (TASD) of the effect of thunderstorms on the development of cosmic ray single count rate intensity over a 700 km2 area. Observations of variations in the secondary low-energy cosmic ray counting rate, using the TASD, allow us to study the electric field inside thunderstorms, on a large scale, as it progresses on top of the 700 km2 detector, without dealing with the limitation of narrow exposure in time and space using balloons and aircraft detectors. In this work, variations in the cosmic ray intensity (single count rate) using the TASD, were studied and found to be on average at the ~(0.5-1)% and up to 2% level. These observations were found to be both in excess and in deficit. They were also found to be correlated with lightning in addition to thunderstorms. These variations lasted for tens of minutes; their footprint on the ground ranged from 6 km to 24 km in diameter and moved in the same direction as the thunderstorm. With the use of simple electric field models inside the cloud and between cloud to ground, the observed variations in the cosmic ray single count rate were recreated using CORSIKA simulations. Depending on the electric field model used and the direction of the electric field in that model, the electric field magnitude that reproduces the observed low-energy cosmic ray single count rate variations was found to be approximately between 0.2 GV-0.4 GV. This in turn allows us to get a reasonable insight on the electric field and its effect on cosmic ray air showers inside thunderstorms
