11 research outputs found
PERCEPTION AND USAGE OF HEALTH INFORMATION SOURCES AND SERVICES AMONG THE URBAN COMMUNITY USERS OF PUBLIC LIBRARIES: A CASE STUDY OF BHADRAVATHI
- Publication venue
- DigitalCommons@University of Nebraska - Lincoln
- Publication date
- 03/05/2019
- Field of study
The study examined the perception and usage of health information sources and services by the urban community users of public libraries. The study investigated 110 users from two public libraries in Bhadravathi. Findings revealed that majority of the users not enrolling library membership. 44.54% of users were visit library daily and large numbers of respondents were get health information through newspaper followed by television, advertisements and pamphlet/brochures. Education and sports were the most frequently preferred topics by the users. Arogya column published by Prajavani Kannada newspaper was most preferred newspaper column for getting health information by the users followed by VK Health column published by Vijaya Karnataka was stood in 2nd position to get health information by the users. Most of the users preferred Sudha, Gruhashobha and Taranga magazines to get health information. Stimulatingly, large number of the users frequently listen health related programs in Radio. The study also revealed that most of the users were aware about H1N1, DPT, Polio, BCG, TT, AIDS Control, 108 Arogya Kavacha, Malaria Cholera Dengue, Family Planning, Chicken Gunya district health programs of Karnataka state
SCIENTOMETRIC ANALYSIS OF LITERATURE ON GRAVITY
- Publication venue
- DigitalCommons@University of Nebraska - Lincoln
- Publication date
- 20/02/2020
- Field of study
The present study explores the quantitative analysis of literature on gravity from 2015 to 2019 based on INSPEC database. Scientometric is the study of quantitative analysis of scientific documents. For the present study data was collected from the INSPEC database published by Elsevier during the period from 2015 to 2019. The study evaluated the different dimensions of the scientometric analysis like, growth of literature, institution wise distribution, most prolific author, relative growth rate and doubling time etc. Highest number (7562) of articles published in the year 2018. The relating growth rate is decreasing and doubling time is increasing over the period. Majority of the articles are in the form of journals, China is the most productive country in global level, Sharif, M is the most prolific author in the field of gravity for the period of 2015 to 2019
PERCEPTION AND USAGE OF HEALTH INFORMATION SOURCES AND SERVICES AMONG THE URBAN COMMUNITY USERS OF PUBLIC LIBRARIES: A CASE STUDY OF BHADRAVATHI
- Publication venue
- DigitalCommons@University of Nebraska - Lincoln
- Publication date
- 03/05/2019
- Field of study
The study examined the perception and usage of health information sources and services by the urban community users of public libraries. The study investigated 110 users from two public libraries in Bhadravathi. Findings revealed that majority of the users not enrolling library membership. 44.54% of users were visit library daily and large numbers of respondents were get health information through newspaper followed by television, advertisements and pamphlet/brochures. Education and sports were the most frequently preferred topics by the users. Arogya column published by Prajavani Kannada newspaper was most preferred newspaper column for getting health information by the users followed by VK Health column published by Vijaya Karnataka was stood in 2nd position to get health information by the users. Most of the users preferred Sudha, Gruhashobha and Taranga magazines to get health information. Stimulatingly, large number of the users frequently listen health related programs in Radio. The study also revealed that most of the users were aware about H1N1, DPT, Polio, BCG, TT, AIDS Control, 108 Arogya Kavacha, Malaria Cholera Dengue, Family Planning, Chicken Gunya district health programs of Karnataka state
SCIENTOMETRIC ANALYSIS OF LITERATURE ON GRAVITY
- Publication venue
- DigitalCommons@University of Nebraska - Lincoln
- Publication date
- 20/02/2020
- Field of study
The present study explores the quantitative analysis of literature on gravity from 2015 to 2019 based on INSPEC database. Scientometric is the study of quantitative analysis of scientific documents. For the present study data was collected from the INSPEC database published by Elsevier during the period from 2015 to 2019. The study evaluated the different dimensions of the scientometric analysis like, growth of literature, institution wise distribution, most prolific author, relative growth rate and doubling time etc. Highest number (7562) of articles published in the year 2018. The relating growth rate is decreasing and doubling time is increasing over the period. Majority of the articles are in the form of journals, China is the most productive country in global level, Sharif, M is the most prolific author in the field of gravity for the period of 2015 to 2019
MAPPING OF SCIENTIFIC ARTICLES ON LEUKEMIA: A SCIENTOMETRIC STUDY
- Publication venue
- DigitalCommons@University of Nebraska - Lincoln
- Publication date
- 01/04/2019
- Field of study
The study analyses the Leukemia research publications in India during 2009 to 2018 based on the Web of Science database. The objectives of the study were to perform a scientometric analysis of all Leukemia research publications by Indian scientist. The parameters studies include growth of publications, document-wise distribution of records, country-wise distribution of publications, identification of most prolific authors, highly preferred journals and highly productive institutions. The result showed that 16794 of records were published in 2016 and 575 of records were published in India. Most of the articles were published in the form of articles, meeting abstracts, review and letter. USA was the most productive country on Leukemia. The study also found that only 4 authors were contributed above 100 numbers of articles and the author Bakhshi a with 121 publication has occupied the first position. The All India Institute of Medical Sciences was top most contributed institution on Leukemia research with 349 record
Dye-Sensitized Solar Cells Employing Extracts from Four Cassia Flowers as Natural Sensitizers: Studies on Dye Ingredient Effect on Photovoltaic Performance
- Author
- A Mishra
- AA Al-Ghamdi
- AI Maldonado-Valdivia
- AKK Kyaw
- Arun Kumar Gupta
- B O’regan
- D Yu
- G Calogero
- GRA Kumara
- H Chang
- IC Maurya
- IC Maurya
- IC Maurya
- Ishwar Chandra Maurya
- J Leyrer
- K Maabong
- K Wongcharee
- KV Hemalatha
- L Wei
- L Zhang
- L Zhang
- Lal Bahadur
- M Alhamed
- M Grätzel
- MK Nazeeruddin
- MR Narayan
- N Gokilamani
- NA Ludin
- Neetu
- Neetu
- NM Gomez-Ortiz
- P Luo
- Pankaj Srivastava
- RS Shelke
- S Hao
- S Mathew
- S Shalini
- SA Mozaffari
- SA Taya
- Shalini Singh
- T Ono
- V Shanmugam
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Effect of metal ions and metal nanoparticles encapsulated in porous silica on biphenyl biodegradation by Rhodococcus erythropolis T902.1
- Author
- A Arun
- A Bunescu
- A Iwanade
- A Kaiser
- A Saito
- Alaa Eddin Al-Ahmad
- AR Shahverdi
- B Bagchi
- B Heinrichs
- B Heinrichs
- B Heinrichs
- B Heinrichs
- Benoît Heinrichs
- C Alié
- C Alié
- C Chorao
- CE Dandie
- CI Nair
- CJ Carrano
- CJ Gommes
- CW Kuo
- CW Lin
- D Kotresha
- DCL Vasconcelos
- DH Nies
- E Díaz
- E Tsormpatsidis
- EC Santos
- F Alkurdi
- F Davoodi-Dehaghani
- F Esen
- F Weekers
- Frédéric Weekers
- G Wei
- H Chua
- H Mu
- H Suenaga
- H Takeda
- J Borja
- JG Mahy
- JM Aldric
- K Kasemets
- K Murugesan
- K Watanabe
- KC Loh
- L Beckers
- L Rehmann
- L Wang
- Ludivine Tasseroul
- M Bosello
- M Kumara
- M Luna-del Risco
- M Sakai
- M Takeo
- MM Bradford
- NH Nadaf
- Philippe Thonart
- Q Hong
- R Tandlich
- RM Rajapaksha
- S Eduok
- S Pirard
- S Zaki
- SD Lambert
- SD Lambert
- SD Lambert
- SD Lambert
- Serge Hiligsmann
- SH Yeom
- SJ Kim
- SJ Kim
- SM Kraemer
- Stéphanie D. Lambert
- SW Wong
- T Ohmori
- Thibaut Masy
- TM Roanne
- V Sridevi
- VG Grishchenkov
- Wissal Wannoussa
- WX Zhang
- Publication venue
- 'Springer Science and Business Media LLC'
- Publication date
- Field of study
Reactions of Amino Acids with Acids
- Author
- A Aarthy
- A Aravindan
- A Aravindan
- A Cherouana
- A Chiba
- A Cyrac Peter
- A Cyrac Peter
- A Deepthy
- A Deepthy
- A Fischer
- A Grandin
- A Hempel
- A Hempel
- A Kirfel
- A Li
- A Mazumder
- A Mostad
- A Mostad
- A Mostad
- A Mostad
- A Ruby
- A Senthil
- A Sequeira
- A Sharma
- A Waśkowska
- A Yokotani
- A Yokotani
- A Zalkin
- AA Ennan
- AA Ennan
- AA Joseph
- AA Joseph
- AA Joseph
- AA Shternberg
- AA Udovenko
- AA Udovenko
- AA Udovenko
- AB Ahmed
- AB Ahmed
- AB Ahmed
- AB Ahmed
- AB Ilyukhin
- AIP
- AJA Pragasam
- AJA Pragasam
- AJA Pragasam
- AK Mishra
- AM Beja
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AM Petrosyan
- AN Lazar
- AP Jeyakumari
- AR Al-Karaghouli
- AR Al-Karaghouli
- AR Kalyanaraman
- AS Chimpri
- AS Haja Hameed
- AS Haja Hameed
- AS Haja Hameed
- AS Haja Hameed
- AS Haja Hameed
- AS Haja Hameed
- AS Haja Hameed
- AS Haja Hameed
- ASJ Lucia Rose
- ASJ Lucia Rose
- ASJ Lucia Rose
- AV Gerasimenko
- AV Gerasimenko
- AV Shtemenko
- B Andriyevsky
- B Andriyevsky
- B Andriyevsky
- B Andriyevsky
- B Blasio Di
- B Blasio Di
- B Blasio Di
- B Dawson
- B Dawson
- B Dhanalakshmi
- B Dittrich
- B Edwin
- B Edwin
- B Kirkwood
- B Ravikumar
- B Ravikumar
- B Ravikumar
- B Ravikumar
- B Ravikumar
- B Ravikumar
- B Ravikumar
- B Riscob
- B Riscob
- B Riscob
- B Sridhar
- B Sridhar
- B Sridhar
- B Sridhar
- B Sridhar
- B Sridhar
- B Sridhar
- B Sridhar
- B Sridhar
- B Sridhar
- B Yan
- BA Fuchs
- BA Strukov
- BA Zakharov
- BA Zakharov
- BA Zakharov
- BA Zakharov
- BA Zakharov
- BD Santarsiero
- BJM Rajkumar
- BJM Rajkumar
- BJM Rajkumar
- BJM Rajkumar
- BJM Rajkumar
- BL Davydov
- BL Davydov
- BL Davydov
- BN Moolya
- BN Moolya
- BN Moolya
- BN Moolya
- BN Moolya
- BP Mukhopadhyay
- BT Matthias
- C Owens
- C Preethy Menon
- CA Gonsago
- CA Gonsago
- CA Langhoff
- CB Aakeröy
- CB Hübschle
- CC Wang
- CE Barker
- CE Jeyanthi
- CG Suresh
- CG Suresh
- CG Suresh
- CG Suresh
- CGB Garret
- CH Görbitz
- CH Görbitz
- CH Görbitz
- CR Ramanathan
- CT Preema
- CT Preema
- CZ Liao
- D Balasubramanian
- D Balasubramanian
- D Bhaduri
- D Braga
- D Chwaleba
- D Chwaleba
- D Eimerl
- D Eimerl
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- D Garfinkel
- D Godzisz
- D Godzisz
- D Godzisz
- D Henschel
- D Isakov
- D Kalaiselvi
- D Kalaiselvi
- D Kalaiselvi
- D Kalaiselvi
- D Manimaran
- D Philip
- D Rajan Babu
- D Sajan
- D Sajan
- D Sankar
- D Syamala
- D Xu
- D Xu
- D Xu
- DA Kleinman
- DA Wright
- DM Salunke
- DM Salunke
- DM Salunke
- DM Salunke
- DT Qui
- DT Qui
- E Bye
- E Espinosa
- E Espinosa
- E Espinosa
- E Espinosa
- E Gómez
- E Haussühl
- E Haussühl
- E Matos Gomes de
- E Matos Gomes de
- E Subramanian
- E Tillmanns
- E Zobetz
- EA Losev
- EA Sudbeck
- EV Balashova
- EV Balashova
- EV Balashova
- F Berrah
- F Guenifa
- F Guenifa
- F Pan
- F Shikanai
- F Yogam
- F Yogam
- F Zernike
- F Zernike
- FH Cano
- FH Herbstein
- FH Herbstein
- FLA Machado
- G Anandha Babu
- G Arunmozhi
- G Arunmozhi
- G Bhagavannarayana
- G Bhagavannarayana
- G Dhanaraj
- G Dhanaraj
- G Dhanaraj
- G Harbison
- G Portalone
- G Puccetti
- G Ramesh Kumar
- G Ravi
- G Robertson
- G Schaak
- GC Bhar
- GH Sun
- GH Sun
- GH Sun
- GH Sun
- GL Gartland
- GN Nabakhtiani
- GP Sousa De
- GR Kinsel
- GS Prasad
- GS Prasad
- GS Prasad
- GS Prasad
- H Bhat
- H Bhatt
- H Chen
- H Fuess
- H Hiramatsu
- H Kimoto
- H Krummeck
- H Minemoto
- H Nagata
- H Ratajczak
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- H Yoshida
- H Zhang
- HA Karapetyan
- HA Petrosyan
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- HA Petrosyan
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- HG Unruh
- HO Marcy
- HO Marcy
- HS Wilkinson
- I Bennett
- I Fehst
- I Fujii
- I Fujii
- I Fujii
- I Fujii
- I Hubert Joe
- I Hubert Joe
- I Majerz
- I Mata
- I Němec
- I Němec
- I Němec
- I Němec
- I Němec
- I Němec
- I Němec
- I Němec
- I Vayá
- IL Botto
- IL Karle
- IM Silvestrova
- J Albers
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- J Baran
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- J Chandrasekaran
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- J Packiam Julius
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- J Ramajothi
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- J Venkatraman
- JA Giordmaine
- JA Giordmaine
- JA Krause
- JA Paixão
- JA Paixão
- JC MacDonald
- JF Carvalho
- JJ Madden
- JJ Madden
- JLB Faria
- JM Zheng
- JM Zheng
- JMA Almeida
- JMA Almeida
- JP Salvestrini
- JR Su
- JR Su
- JR Su
- JS Rani
- JV Pratap
- JW Faamau
- K Ambujam
- K Ambujam
- K Anitha
- K Anitha
- K Anitha
- K Anitha
- K Anitha
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- K Anitha
- K Anitha
- K Aoki
- K Boopathi
- K Di
- K Gesi
- K Hasebe
- K Hasebe
- K Hasegawa
- K Kirubavathi
- K Kirubavathi
- K Kirubavathi
- K Lamberts
- K Meera
- K Molčanov
- K Moovendaran
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- K Oda
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- K Ozga
- K Rajagopal
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- K Rajagopal
- K Rajagopal
- K Rajagopal
- K Rajagopal
- K Rajagopal
- K Sangeetha
- K Sangeetha
- K Sangeetha
- K Sangwal
- K Sangwal
- K Sangwal
- K Sangwal
- K Sangwal
- K Sangwal
- K Sangwal
- K Sangwal
- K Sangwal
- K Sankaranarayanan
- K Selvaraju
- K Selvaraju
- K Selvaraju
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- K Stewart
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- K Vasantha
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- K Wu
- K Yamada
- K Łukaszewicz
- K Łukaszewicz
- KC Kumara Swamy
- KE Rieckhoff
- KI Varughese
- KI Varughese
- KJ Arun
- KJ Arun
- KJ Arun
- KJ Arun
- KK Chacko
- KR Raj
- KR Raj
- KR Raj
- KRK Easwaran
- KS Aleksandrov
- KV Rajendran
- KV Rajendran
- KV Rajendran
- KV Rajendran
- L Andersen
- L Bendheif
- L Book
- L Golič
- L Levintow
- L Padmaja
- L Panicker
- L Panicker
- L Panicker
- L Ruby Nirmala
- L Wang
- LA Zemnukhova
- LB Andreas
- LCR Andrade
- LCR Andrade
- LD DeLoach
- LG Koreneva
- LG Koreneva
- LN Rashkovich
- LN Wang
- M Akkurt
- M Alagar
- M Alagar
- M Alagar
- M Alagar
- M Alagar
- M Alagar
- M Alagar
- M Alagar
- M Alagar
- M Alagar
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- M Amalanathan
- M Amalanathan
- M Amalanathan
- M Anbuchezhiyan
- M Anbuchezhiyan
- M Bass
- M Bass
- M Briget Mary
- M Briget Mary
- M Briget Mary
- M Briget Mary
- M Chruszcz
- M Delfino
- M Delfino
- M Delfino
- M Drozd
- M Dörffel
- M Esthaku Peter
- M Fleck
- M Fleck
- M Fleck
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- M Gulam Mohamed
- M Ilczyszyn
- M Ilczyszyn
- M Ilczyszyn
- M Ilczyszyn
- M Ilczyszyn
- M Kitamura
- M Klussmann
- M Kulik
- M Machida
- M Meena
- M Meena
- M Periasamy
- M Prakash
- M Prakash
- M Ramos Silva
- M Ramos Silva
- M Ramos Silva
- M Ramos Silva
- M Ramos Silva
- M Ramos Silva
- M Ramos Silva
- M Ramos Silva
- M Ramos Silva
- M Ramos Silva
- M Ramos Silva
- M Selvaraj
- M Sethuram
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- M Shakir
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- M Shakir
- M Shkir
- M Sivabarathy
- M Strohmeier
- M Szafran
- M Vimalan
- M Vimalan
- M Śledź
- MA Pushilin
- MC Li
- MD Aggarwal
- MD Aggarwal
- MJ Buerger
- MJ Colaneri
- MK Marchewka
- MK Marchewka
- MK Marchewka
- ML Caroline
- ML Caroline
- ML Caroline
- MM Ilczyszyn
- MM Ilczyszyn
- MM Ilczyszyn
- MM Ilczyszyn
- MM Ilczyszyn
- MM Ilczyszyn
- MM Khandpekar
- MM Khandpekar
- MM Khandpekar
- MM Prabu
- MMA Jinnah
- MMA Jinnah
- MN Frey
- MN Johnson
- MN Johnson
- MN Johnson
- MO Chaney
- MR Hudson
- MR Srinivasan
- MS Fischer
- MS Lehmann
- MS Nandhini
- MS Nandhini
- MS Nandhini
- MS Nandhini
- MS Nandhini
- MT Averbuch-Pouchot
- MT Averbuch-Pouchot
- MT Averbuch-Pouchot
- MT Averbuch-Pouchot
- MT Averbuch-Pouchot
- MT Averbuch-Pouchot
- MT Averbuch-Pouchot
- MT Averbuch-Pouchot
- MT Averbuch-Pouchot
- MY Antipin
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- N Elleuch
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- N Renuka
- N Shamala
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- N Srinivasan
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- N Srinivasan
- N Vijayan
- N Vijayan
- N Vijayan
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- NA Tumanov
- NF Evlanova
- NM Slimane
- NR Chandra
- NT Saraswathi
- NT Saraswathi
- NT Saraswathi
- NT Saraswathi
- NT Saraswathi
- NV Andreeva
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- Field of study
The surgical safety checklist and patient outcomes after surgery: a prospective observational cohort study, systematic review and meta-analysis
- Author
- Ab Majid Mohd Azuan
- Ab Rahman Ahmad Sufian
- Ab Rahman Rusnah
- Abayasinghe Chamika
- Abbas Muntadhar
- Abbott T. E. F.
- Abbott Tom
- Abd Ghafar Fara Nur Idayu
- Abd Hadi Husni Zaeem
- Abdel Goad Ehab Helmy
- Abdullah Noor Hairiza
- Abdur-Rahman Lukman
- Abeloos Jacques
- Abernethy Caroline
- Abidin Ucu Nurhadiat
- Abrunhosa Alexandra
- Absar Mohammed
- Adam Suwayba
- Adams David
- Adams George
- Adamson Michael
- Adekola Oyebola
- Adelaja Yemi
- Ademola Adeyinka
- Adenekan Anthony
- Adenike Odewabi
- Adeolu Augustine A.
- Adetoye Adedapo
- Adewale Badru
- Adigun Tinuola
- Adolfsson Anne
- Africander Cucu
- Afshari Arash
- Agarwal Vandana
- Agodirin Olayide
- Aguzzoli Crisitiano
- Ahamed khader null
- Ahmad Azam Ummi Azmira
- Ahmad Abdurrahman
- Ahmad Norfaizan
- Ahmad T.
- Ahmad Tahania
- Ahmad Yousra
- Ahmed Ahmed
- Ahmed Jamil
- Ahmed Tahania
- Ai Yanqiu
- Aignatoaie Mariana
- Aimoniotou-Georgiou Eleni
- Akanmu Olanrewaju
- Akerman Nik
- Akinwale Mukaila
- Al Anizi Mashel
- Al hussaini Sabah
- Al'Amri Khalid
- Al-Soudaine Yassr
- Aladin Hafiz
- Alagbe-Briggs Olubusola
- Albaj Safauldeensalem
- Alberto Lisi Zaheer Moolla
- AlbertoVolta Carlo
- Alcock David
- Alcock Liam
- Aldecoa Cesar
- Aleixo Fábia Berganton
- Alexander Hazel
- Alexander Maini
- Alexander-Sefre Farhad
- Alherz Fadhel
- Ali Hani
- Ali Marlynn
- Ali Sarah
- Alias Abdul Hafiz
- Alias Anita
- Alit Mahaalit Aribawa
- Allen Samantha
- Allen Sara Jane
- Allison Joanna
- Alloj Chiara
- Allorto Nikki Leigh
- Allsop Joanne
- Almeida William
- Alonso Eduardo
- Alonso José Ignacio
- Alphonsus Christella
- Alvares Danielle
- Alves Maria Joao
- Amador Juan Carlos Bravo
- Ameer Yusuf
- Amendola Cristina Prata
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- Yagnik Anmol
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- Yeh Erlinda
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- Yuan Jing
- Yuan Yazhuo
- Yuliana Annika
- Zaimi Donika
- Zakynthinos Spyros
- Zamudio Diana
- Zangrillo Alberto
- Zapata Darcy Danitza Mari
- Zbitnew Geoff
- Zeidan Lisa
- Zeng Qiuting
- Zerman Luiza
- Zettergren Jan
- Zhang Baoling
- Zhang Enman
- Zhang Hongyan
- Zhang Huaigen
- Zhang Huan
- Zhang Jie
- Zhang Kai
- Zhang Lina
- Zhang Min
- Zhang Mingxiao
- Zhang Qin
- Zhang Ruilin
- Zhang Shihai
- Zhang Weiwei
- Zhang Xiaoguang
- Zhang Xiaolin
- Zhang Xiaoyan
- Zhang Xuekang
- Zhang Yan
- Zhang Yapping
- Zhang Ye
- Zhang Yuan
- Zhao Bing
- Zhao Bo
- Zhao Chong
- Zhao Jiashi
- Zhao Jinning
- Zhao Lei
- Zhao Lili
- Zhao Shuna
- Zhao Ting
- Zhao Weihong
- Zhao Weilu
- Zhao Xiaoying
- Zhen Jungang
- Zheng Kang
- Zheng Lina
- Zheng Tianzhao
- Zhong Yi
- Zhou Ce
- Zhou Dachun
- Zhou Haidong
- Zhou Haiyan
- Zhou Jiali
- Zhou Jialong
- Zhou Jing
- Zhou Xian-jin
- Zhu Xiaomao
- Zhu Xiaoping
- Zhu Yi
- Zhu Zhipeng
- Zhuang Xiuxiu
- Zilis Georgios
- Zingerle Nicolette
- Zingg Urs
- Zoerner Frank
- Zonneveldt Harry
- Zou Xiaohua
- Zoulamoglou Menelaos
- Zsisku Lajos
- Åkring Irene
- Ögren Katrin
- Publication venue
- Health Sciences Research Commons
- Publication date
- 30/10/2017
- Field of study
© 2017 British Journal of Anaesthesia Background: The surgical safety checklist is widely used to improve the quality of perioperative care. However, clinicians continue to debate the clinical effectiveness of this tool. Methods: Prospective analysis of data from the International Surgical Outcomes Study (ISOS), an international observational study of elective in-patient surgery, accompanied by a systematic review and meta-analysis of published literature. The exposure was surgical safety checklist use. The primary outcome was in-hospital mortality and the secondary outcome was postoperative complications. In the ISOS cohort, a multivariable multi-level generalized linear model was used to test associations. To further contextualise these findings, we included the results from the ISOS cohort in a meta-analysis. Results are reported as odds ratios (OR) with 95% confidence intervals. Results: We included 44 814 patients from 497 hospitals in 27 countries in the ISOS analysis. There were 40 245 (89.8%) patients exposed to the checklist, whilst 7508 (16.8%) sustained ≥1 postoperative complications and 207 (0.5%) died before hospital discharge. Checklist exposure was associated with reduced mortality [odds ratio (OR) 0.49 (0.32–0.77); P\u3c0.01], but no difference in complication rates [OR 1.02 (0.88–1.19); P=0.75]. In a systematic review, we screened 3732 records and identified 11 eligible studies of 453 292 patients including the ISOS cohort. Checklist exposure was associated with both reduced postoperative mortality [OR 0.75 (0.62–0.92); P\u3c0.01; I2=87%] and reduced complication rates [OR 0.73 (0.61–0.88); P\u3c0.01; I2=89%). Conclusions: Patients exposed to a surgical safety checklist experience better postoperative outcomes, but this could simply reflect wider quality of care in hospitals where checklist use is routine
Prospective observational cohort study on grading the severity of postoperative complications in global surgery research
- Author
- Abayasinghe Chamika
- Abbas Muntadhar
- Abbott T. E. F.
- Abbott Tom
- Abdullah Noor Hairiza
- Abdur-Rahman Lukman
- Abeloos Jacques
- Abernethy Caroline
- Abidin Ucu Nurhadiat
- Abrunhosa Alexandra
- Absar Mohammed
- Adam Suwayba
- Adams George
- Adamson Michael
- Adekola Oyebola
- Adelaja Yemi
- Ademola Adeyinka
- Adenekan Anthony
- Adenike Odewabi
- Adeolu Augustine A
- Adetoye Adedapo
- Adewale Badru
- Adigun Tinuola
- Adolfsson Anne
- Aflori Laura
- Africander Cucu
- Afshari Arash
- Agarwal Vandana
- Agodirin Olayide
- Aguzzoli Crisitiano
- Ahmad Abdurrahman
- Ahmad Norfaizan
- Ahmad T.
- Ahmad Tahania
- Ahmad Yousra
- Ahmed Ahmed
- Ahmed Jamil
- Ahmed Tahania
- Ai Yanqiu
- Aignatoaie Mariana
- Aimoniotou-Georgiou Eleni
- Akanmu Olanrewaju
- Akerman Nik
- Akinwale Mukaila
- Al Amri Khalid
- Al Hussaini Sabah
- Al-Soudaine Yassr
- Aladin Hafiz
- Alagbe-Briggs Olubusola
- Albaj Safauldeensalem
- Alcock David
- Alcock Liam
- Aldecoa Cesar
- Aldecoa Cesar
- Aleixo Fábia Berganton
- Alexander Hazel
- Alexander Maini
- Alexander-Sefre Farhad
- Alherz Fadhel
- Ali Hani
- Ali Marlynn
- Ali Sarah
- Alias Abdul Hafiz
- Alias Anita
- Alias Raja Liza Raja
- Allen Samantha
- Allen Sara Jane
- Allison Joanna
- Alloj Chiara
- Allorto Nikki Leigh
- Allsop Joanne
- Almeida William
- Alonso Eduardo
- Alonso José Ignacio
- Alphonsus Christella
- Alvares Danielle
- Alves Maria Joao
- Amador Juan Carlos Bravo
- Ameer Yusuf
- Amendola Cristina Prata
- Ami Noam
- Amstrup-Hansen Louise
- Anagnou Athina
- Andersen Cheme
- Anderson Charlotte
- Anderson Colette
- Anderson Frank
- Anderson Philip
- Andreadaki Evangelia
- Andreou Alexandros
- Andreou Prematie
- Andrew Alyson
- Andrews Emma
- Angel Miguel Paludi
- Angermair Stefan
- Angus Kirsty
- Anillo Victor
- Anizi Mashel Al
- Antal Oana
- Antill Philip
- Antoniadou Eleni
- Apagaki Eymorfia
- Apostolou Konstantinos
- Applewhaite Christopher
- Applewhaite Christopher
- Aquino Laura Patricia González
- Ar Praburaj
- Araujo Daniela Marques
- Arawwawala Dilshan
- Ardern Diane
- Argue Ruth
- Aribawa Mahaalit Alit
- Arkalaki Eleni
- Armaganidis Apostolos
- Armstrong John
- Armstrong Richard
- Arnaoutoglou Christina
- Arnaoutoglou Elena
- Arnold Glenn
- Arrandale Lindsay
- Arrich James
- Arrigo Mario
- Arshad Homa
- Arshad Mohammed Asif
- Artiles Tania Socorro
- Arumugam Swarna
- Arustei Mirela
- Arvaniti Kostoula
- Arvaniti Kostoula
- Arya Aryabiantara
- Arya Shobhit
- Asimakos Andreas
- Aslam M
- Asudo Felicia
- Athanasakis Elias
- Atiku Mamuda
- Attrill Elizabeth
- Attwood Clare
- Auer Patrick
- Avidan Michael
- Avila Erendira Jocelin Dominguez
- Avis Joanne
- Awad Hadi
- Axioti Elena
- Azam Ummi Azmira Ahmad
- Azambuja Pedro
- Azevedo Caroline
- Aziz Faizal Zuhri
- Baas Peter
- Baghirzada Leyla
- Bai Hui-Ping
- Baillie Shelley
- Baines Duncan
- Baio Thalissa Hermínia
- Bairaktari Aggeliki
- Baker Gerard
- Baker Katie-Anne
- Baker Paul
- Balain Birender
- Balajonda Naraida
- Balanescu Andreea
- Balasubramaniam Madhu
- Baldisserotto Sérgio
- Baldwin Jacqueline
- Baldwin Matthew
- Balfoussia Danai
- Bali Christina
- Bandeira Maria Expedito
- Banerjee Robin
- Bankewitz Carla
- Banner-Goodspeed Valerie
- Bao Qi
- Barcraft-Barnes Helena
- Barneto Lisa
- Barnett Andrew
- Barraclough James
- Barras Jean-Pierre
- Barrett Stephen
- Barrett Wendy Joan
- Basanth Sujith
- Batchelor Nick
- Bateman Brian
- Bates Alexander
- Bates Sarah
- Batista Hugo Dias
- Bauchmuller Kris
- Bauer Marlene
- Baumgarten Georg
- Baxter Linden
- Beaton Ceri
- Beattie Scott
- Beattie Scott
- Beattie Scott
- Beavis Vanessa
- Beavis Vanessa
- Bechan Sudha
- Beer Johan
- Bejia Tarek
- Belciu Ioana
- Belda Margarita Tormo
- Bell Gillian
- Bell Rachel
- Bell Rachel
- Bell Stephanie
- Bellandi Mattia
- Bello Jibril
- Beloeil Helene
- Belskiy Vladislav
- Beltran Anna Valle
- Ben-Menachem Erez
- Benavent Pau
- Benevento Angelo
- Bengeri Sheshagiri
- Bennett Cambell
- Bennett Michael
- Bennett Rachael
- Bennett Victoria
- Bentley Conor
- Beretta Luigi
- Berg Andrew
- Berg Bianca
- Bergin Colin
- Bernard Andre
- Bernard Andre
- Bernard Andre
- Bernat Maria Jose
- Berntsen Emer
- Berntsen Emer
- Bertram Wendy
- Bester Delia
- Bester Marlet
- Bettega Fernanda
- Bettinelli Alessandra
- Bhardwaj Neeraj
- Bhatia Kailash
- Bhula Chettan
- Bi Yanbing
- Biais M.
- Biais Matthieu
- Biais Matthieu
- Biccard Bruce
- Biccard Bruce M
- Bidd Heena
- Bidd Heena
- Bidgoli Jawad
- Biffen Andrew
- Bignami Elena
- Bilolikar Anjali
- Birch Julie
- Bishop David Gray
- Biyase Thuli
- Bizios Christol
- Blackwell Clare
- Blackwood Douglas
- Blaj Mihaela
- Blakemore Stephen P
- Bland Martin
- Blunt Mark
- Blyth Katharine
- Bocchino Speranza
- Bodansky Daniella
- Bodger Phoebe
- Boer Christa
- Boer Hans Donald
- Boereboom Catherine
- Boggiano Victoria
- Bokkel-Andela Janneke
- Bolaji Benjamin
- Bolton David
- Boone Myles
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- De Oliveira Mirella Cristine
- Deacon Matthew
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- Deepak Shantal
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- Deja Maria
- Del Valle Santiago Garcia
- Delgado García David R
- Demartines Nicolas
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- Dempster Angie
- Denham Samuel
- Dent Kathy
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- Futier Emmanuel
- Gaitanakis Stylianos
- Gall Lewis
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- Ganter Donna Louise
- Ganter Michael T
- Gao Hong
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- Glover Lyn
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- Goebel Ulrich
- Goga Ismail E
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- Goldberg Olivia
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- Gray Carol
- Gray Catherine
- Gray Sophie
- Greaves K. E.
- Greaves Rosanna
- Green Garyth M
- Green-Thompson Randolph
- Greene Michael
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- Griffiths Ewen
- Grigoras Ioana
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- Haddow James
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- Hamzah Zulkarnain
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- Hariharan Vimal
- Harrichandparsad R
- Harries Rhiannon
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- Hennings Charles
- Hering Jens Peter
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- Hitchcock Rachael
- Hoare Siobhan
- Hobrok Maria
- Hodgkiss Tracey
- Hodgson Richard E
- Hodzovic Emil
- Hoedt Marielle
- Hoeft Andreas
- Hoeft Andreas
- Hofer Christoph
- Hofer Christoph
- Hoffer Franz
- Hoffmann João
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- Hosdurga Gurunath
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- Janssen Bruno
- Januszewska Marta
- Januszewska Marta
- Jaquet Yves
- Jardim Jaquelline
- Jawad Monir
- Jee Chiun Chen
- Jeeraz Mohammud A
- Jeffery Holly
- Jeffs Carol
- Jehosua Brillyan
- Jelschen Florian
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- Joory Kavita
- Jordaan J
- Joseph James
- Jowitt Tom
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- Keenan Samantha
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- Legashov Kirill
- Legaspi Regina
- Legouge Marie Lim
- Legutko Dagmara A
- Lehur Paul
- Lei Min
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- Lena Arian
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- Lobo Suzana
- Lobo Suzana M
- Lockwood Geoffrey
- Lofting Amanda
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- Looi Ji Keon
- Looseley Alex
- Loots Emil
- Lopes Marcel
- Lopez Acela G
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- Wang Jiaxing
- Wang Jin
- Wang Jun
- Wang Junkai
- Wang Junlu
- Wang Kenru
- Wang Leilei
- Wang Li
- Wang Lijun
- Wang Sheng
- Wang Shenhui
- Wang Shun
- Wang Tianlong
- Wang Weixing
- Wang Xiu-Li
- Wang Yuelan
- Wang Yuting
- Wang Zhen
- Wang Zhen
- Wang Zhi
- Wang Zhipeng
- Ward Jackie
- Wasmund Christina
- Wassall Richard
- Watson Anthony
- Watson Nicholas
- Watt Philip
- Waugh Darren
- Waweru Peter
- Waworuntu Neil
- Waymouth Ellen
- Weatherall Lucie
- Weatherill J
- Webb Stephen
- Weber Eric
- Webombesa Antonina
- Wei Jianfeng
- Weimann Joerg
- Weller Debbie
- Welsh Sarah
- Wen Xiao Hong
- Wen Yazhou
- Wen Zhiting
- Wendling Paulo Rafael
- Weng Cheng Wong
- Wessels Joseph D
- Wet Jacques
- Wetzel Peter
- Weyland Andreas
- White Steve
- White Stuart
- Whitehouse Arlo
- Whitman Zoe
- Whittle Nicola
- Whitworth Helen
- Whysall Karen
- Wibrandt Ida
- Wickboldt Nadine
- Wickenhauser Reinhart
- Wid Widnyana Made
- Widmark Carl
- Wiegand-Loehnert Carola
- Wighton Elinor
- Wigmore Geoffrey
- Wijeysundera Duminda
- Wijeysundera Duminda
- Wijeysundera Duminda
- Wikner Matthew
- Wilberforce-Turton Edwin
- Wild Jonathan
- Wildes Troy
- Wildi Stefan
- Williams Alexandra
- Williams Sarah
- Wilscott-Davids Candice
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- Wilson Debbie
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- Winstone Ulrika
- Winterton Dario
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- Wittmann Maria
- Wolfer Alexandra
- Wolfer Alexandra
- Wollaston Julie
- Wong Christopher
- Wong Juan Yong
- Wong Kate
- Wong Kin Wai Kevin
- Wong Sze Meng
- Wong Tony
- Woodgate Andrew
- Woolsey Adrianna
- Woolsey Adrianna
- Woon Yuan Liang
- Worreth Marc
- Wouters Patrick
- Wouters Patrick
- Wrench Ian
- Wright Sally
- Wu Chao
- Wu Chi
- Wu Jie
- Wu Jie
- Wu Qiong
- Wu Shuijing
- Wyffels Piet
- Wyk Steyn
- Wylie Katharine
- Xia Jiangyan
- Xia Yanfei
- Xia Zhong-yuan
- Xiao Wangpin
- Xiao Wei
- Xie Guohao
- Xie Jue
- Xie Junjie
- Xie Keliang
- Xifara Archontoula
- Xiong Xiapei
- Xiong Yingfen
- Xouplidis Kyriakos
- Xu Guan-Jie
- Xu Lin
- Xu Liyuan
- Xu Qiong
- Xu Shixia
- Xue Rui
- Yagnik Anmol
- Yan Yixiu
- Yang Jian
- Yang Lu
- Yang Qiuhong
- Yang Shuangjia
- Yang Tianqin
- Yang Yang
- Yao Shanglong
- Yao Yurui
- Yap Huey Ling
- Yarwood Jamie
- Yassaee Arrash
- Ye Haiwang
- Ye Hui
- Yegnaram Shashikant
- Yeh Erlinda
- Yin Ning
- Yip Chi Pang
- Yong Johnny
- Yu Hai Chuan
- Yu Shuchun
- Yu Tian
- Yu Yonghao
- Yuan Dajiang
- Yuan Fang
- Yuan Jiaqi
- Yuan Jing
- Yuan Yazhuo
- Yuliana Annika
- Yun Bai
- Zaane Bas
- Zaimi Donika
- Zakynthinos Spyros
- Zamudio Diana
- Zangrillo Alberto
- Zapata Darcy Danitza Mari
- Zbitnew Geoff
- Zeggeren Laura
- Zeidan Lisa
- Zeng Qiuting
- Zettergren Jan
- Zhang Baoling
- Zhang Enman
- Zhang Huaigen
- Zhang Huan
- Zhang Jie
- Zhang Kai
- Zhang Lina
- Zhang Min
- Zhang Mingxiao
- Zhang Qin
- Zhang Ruilin
- Zhang Shihai
- Zhang Weiwei
- Zhang Xiaoguang
- Zhang Xiaolin
- Zhang Xiaoyan
- Zhang Yan
- Zhang Yapping
- Zhang Ye
- Zhang Yuan
- Zhao Bing
- Zhao Bo
- Zhao Chong
- Zhao Jiashi
- Zhao Jinning
- Zhao Lei
- Zhao Shuna
- Zhao Ting
- Zhao Weihong
- Zhao Weilu
- Zhao Xiaoying
- Zhen Jungang
- Zheng Kang
- Zheng Lina
- Zheng Tianzhao
- Zhong Yi
- Zhou Ce
- Zhou Dachun
- Zhou Haidong
- Zhou Haiyan
- Zhou Jiali
- Zhou Jialong
- Zhou Jing
- Zhou Xian-jin
- Zhu Xiaomao
- Zhu Yi
- Zhu Zhipeng
- Zhuang Xiuxiu
- Zilis Georgios
- Zin Nor Hafizah Mohd
- Zingerle Nicolette
- Zingg Urs
- Zoerner Frank
- Zonneveldt Harry
- Zou Xiaohua
- Zoulamoglou Menelaos
- Zsisku Lajos
- Zundert Tom
- Zyl Rebekka
- åkring Irene
- Ögren Katrin
- Publication venue
- 'Wiley'
- Publication date
- 22/10/2018
- Field of study
Background
The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs).
Methods
This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs.
Results
A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59).
Conclusion
Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally