4 research outputs found
El clima escolar y el aprendizaje colaborativo en los estudiantes del V ciclo de la I.E. Perú Japón - Carabayllo, 2018
- Publication venue
- 'Universidad Cesar Vallejo'
- Publication date
- 01/01/2018
- Field of study
La presente investigación que lleva por título: El Clima Escolar y el Aprendizaje
Colaborativo en los estudiantes del V ciclo la I.E. Perú Japón –Carabayllo, 2018, tiene
objetivo general Determinar la relación entre clima escolar y el aprendizaje
colaborativo en los estudiantes del V ciclo de la I.E. “Perú Japón” Carabayllo-2018.
En la presente tesis se utilizó un tipo de investigación básica, con el diseño de
investigación no experimental, descriptiva correlacional, que busca determinar el
grado de relación entre la variable independiente y la variable dependiente de nuestra
investigación. Para realizar dicho estudio se necesitó una muestra de 100 estudiantes
entre varones y mujeres del V ciclo del colegio Perú Japón a quienes se le aplico la
técnica de la encuesta, resolviendo un cuestionario anónimo que fue validado por los
expertos afirmando su confiabilidad a través del estadístico correlación de Spearman:
(0,805 y 0,831), que demuestra confiabilidad.
De acuerdo a los resultados obtenidos podemos decir que existe una baja entre
el clima escolar y el aprendizaje colaborativo de la I.E. Perú Japón, Carabayllo, 201
El clima escolar y el aprendizaje colaborativo en los estudiantes del V ciclo de la I.E. Perú Japón - Carabayllo, 2018
- Publication venue
- 'Universidad Cesar Vallejo'
- Publication date
- 01/01/2018
- Field of study
La presente investigación que lleva por título: El Clima Escolar y el Aprendizaje
Colaborativo en los estudiantes del V ciclo la I.E. Perú Japón –Carabayllo, 2018, tiene
objetivo general Determinar la relación entre clima escolar y el aprendizaje
colaborativo en los estudiantes del V ciclo de la I.E. “Perú Japón” Carabayllo-2018.
En la presente tesis se utilizó un tipo de investigación básica, con el diseño de
investigación no experimental, descriptiva correlacional, que busca determinar el
grado de relación entre la variable independiente y la variable dependiente de nuestra
investigación. Para realizar dicho estudio se necesitó una muestra de 100 estudiantes
entre varones y mujeres del V ciclo del colegio Perú Japón a quienes se le aplico la
técnica de la encuesta, resolviendo un cuestionario anónimo que fue validado por los
expertos afirmando su confiabilidad a través del estadístico correlación de Spearman:
(0,805 y 0,831), que demuestra confiabilidad.
De acuerdo a los resultados obtenidos podemos decir que existe una baja entre
el clima escolar y el aprendizaje colaborativo de la I.E. Perú Japón, Carabayllo, 201
Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study
- Author
- Adam Orengia
- Aditya Chowdary
- Aditya Kulkarni
- Adnan Kuvvetli
- Adolfo Navarro
- Adolfo Pisanu
- Adrian Smith
- Adriana Cavero Ibiricu
- Aeris Jane D Nacion
- Ahmad Alhazmi
- Ahmad Alsaleh
- Ahmad Elmabri
- Ahmet Rencuzogullari
- Aingeru Sarriugarte Lasarte
- Ainhoa Valle Rubio
- Ajaz Wani
- Akshay Bavikatte
- Akshay Kumar
- Al-Radjid Jamiri
- Alain Michel Alvarado Padilla
- Alban Cacurri
- Alberto de San Ildefonso
- Alberto Porcu
- Alberto Sartori
- Aldo Rocca
- Alejandro Becaria
- Alejandro Paz Yáñez
- Alejandro Solís-Peña
- Aleksandar Sretenović
- Alessandro De Luca
- Alex Boddy
- Alex Urbistondo
- Alexandros Charalabopoulos
- Alexios Tzivanakis
- Alfonso Amendola
- Alfonso Bandin
- Alfonso Najar
- Alfredo Ramirez-Gutierrez de Velasco
- Ali Cihat Yildirim
- Alice Frontali
- Alpha Oumar Toure
- Alvaro García-Granero
- Amaia Martínez Roldan
- Amaia Sanz Larrainzar
- Amila Sanjiva Ratnayake
- Ana Gonzales-Ganso
- Ana M Minaya-Bravo
- Ana María Gonzalez-Ganso
- Andre Das
- Andrea Bondurri
- Andrea Costanzi
- Andrea Lucchi
- Andrea Mazzari
- Andrea Musig
- Andrea Peloso
- Andrea Piano
- Andrea Police
- Andrei Mihailescu
- Andrés Pouy
- Angela Romano
- Angelo Iossa
- Anna Carmen Leonetti
- Anna Guariniello
- Anna Isaac
- Anna Pia Delli Bovi
- Antonella Chessa
- Antonella Tromba
- Antonino Tornambè
- Antonio Brillantino
- Antonio Caira
- Antonio Castaldi
- Antonio Ferronetti
- Antonio Giuliani
- Antonio Prestera
- Antonio Ramos-De la Medina
- Antonio Tarasconi
- Antonio Álvarez Martínez
- Arcangelo Picciariello
- Argyrios Ioannidis
- Ari Leppäniemi
- Arshad Khan
- Arshad Rashid
- Arteaga Luis Eduardo Pérez-Sánchez
- Ashok Mittal
- Ashrarur Rahman Mitul
- Asif Mehraj
- Asim Laharwal
- Asnel Dorismé
- Athanasios Marinis
- Atif Iqbal
- Augusto Moncada
- Bartolomeo Braccio
- Basim Alkhafaji
- Beatriz de Andrés Asenjo
- Beatriz Martin-Perez
- Belinda Sánchez Pérez
- Ben Creavin
- Benedetto Calì
- Benedetto Ielpo
- Beniamino Pascotto
- Benjamin Stubbs
- Benjamin Zavala Retes
- Branislav Jovanovic
- Brian K P Goh
- Brian Kp Goh
- Bruno Sensi
- Carlo Biddau
- Carlo Gazia
- Carlo Vallicelli
- Carlos Alberto Fagundes
- Carlos Cerdán Santacruz
- Carlos Chirico
- Carlos Javier Gómez
- Carlos Petrola
- Carlos Sánchez Rodriguez
- Carlos Yánez Benítez
- Carmelisa Dammaro
- Carmelo Lo Faro
- Caroline Reinke
- Casandra Dominguez Paez
- Catalina Oliva
- Charlotte Thomas
- Charudutt Paranjape
- Chi Fung Chia
- Chi Kwan Kong
- Chiara De Lucia
- Christian Ovalle Chao
- Claudio Arcudi
- Claudio Guerci
- Clement Chia
- Cristiano Parise
- Cristina Folliero
- Cristopher Varela
- Dalya M Ferguson
- Daniel Camacho
- Daniel Popowich
- Daniel Souza Lima
- Daniela Rega
- Daniele Delogu
- Daniele Zigiotto
- Danilo Vinci
- Dario D'Antonio
- Dario Parini
- David Alessio Merlini
- David DE Zimmerman
- David Moro-Valdezate
- Davide Pertile
- Deborah Maria Giusti
- Deborah S Keller
- Delko Tarik
- Denis Kalivaçi
- Dennis Mazingi
- Diana Gabriela Maldonado-Pintado
- Diego Sasia
- Dimitrios Linardoutsos
- Dixon Osilli
- Domenico Murrone
- Domenico Russello
- Edgar Rodas
- Edisson Alberto Acuña Roa
- Edoardo Ricciardi
- Edoardo Rosso
- Edoardo Saladino
- Eduardo Flores-Villalba
- Eduardo Ruiz Ajs
- Eduardo Smith-Singares
- Efstratia Baili
- Efstratios Kouroumpas
- Eirini Bourmpouteli
- Eleftheria Douka
- Elena Martin-Perez
- Eleonora Guaitoli
- Elgun Samadov
- Elisa Francone
- Elisa Vaterlini
- Emilio Morales
- Emilio Peña
- Eneko Del Pozo Andres
- Enhao Zhao
- Enrico Benzoni
- Enrico Erdas
- Enrico Pinotti
- Enrique Colás-Ruiz
- Erman Aytac
- Ernesto Laterza
- Ervis Agastra
- Esteban Foianini
- Esteban Moscoso
- Estefania Laviano
- Ester Marra
- Eugenia Cardamone
- Eugenio Licardie
- Eustratia Mpaili
- Eva Pinna
- Eva Pueyo
- Evaristo Varo
- Fabian Martín Navarro
- Fabio Marino
- Fabio Medas
- Fabio Romano
- Fatlum Maraska
- Fatmir Saliu
- Fausto Madrid
- Fausto Rosa
- Federica Mastella
- Federico Gheza
- Federico Luvisetto
- Felipe Alconchel
- Felipe Monge Vieira
- Felipe Pareja
- Ferdinando Agresta
- Fernanda Luna
- Fernando Bonilla
- Fernando Burdió
- Fernando Cordera
- Fernando Mendoza-Moreno
- Fernando Muñoz Flores
- Fernando Pardo Aranda
- Fiona Taylor
- Flavia L Ramos
- Flavio Fernandes
- Francesca Paola Tropeano
- Francesco Balestra
- Francesco Bianco
- Francesco Ceci
- Francesco Colombo
- Francesco Di Marzo
- Francesco Ferrara
- Francesco Lancellotti
- Francesco Lazzarin
- Francesco Litta
- Francesco Martini
- Francesco Palmieri
- Francesco Pata
- Francesco Pizza
- Francesco Roscio
- Francesco Virdis
- Francisco Blanco Antona
- Francisco Cervantes Ramírez
- Francisco Miguel Fernandez
- Francisco Oliver Llinares
- Francisco Quezada
- Francisco Schlottmann
- Gabriel Herrera-Almario
- Gabriel Massaferro
- Gabriele Bislenghi
- Gabrielle van Ramshorst
- Gaetano Gallo
- Gaetano Gallo
- Gaetano Luglio
- Georgios Bointas
- Georgios Kampouroglou
- Georgios Papadopoulos
- Gerardo Arredondo Manrique
- Giacomo Calini
- Giacomo Nastri
- Giampaolo Formisano
- Giampaolo Galiffa
- Gian Marco Palini
- Gianluca Colucci
- Gianluca Pagano
- Gianluca Pellino
- Gianluca Pellino
- Gianluca Vanni
- Gianmaria Casoni Pattacini
- Gianpiero Gravante
- Gianpiero Gravante
- Gilda De Paola
- Giorgio Lisi
- Giovanna Partida
- Giovanni Bellanova
- Giovanni De Nobili
- Giovanni Sammy Necchi
- Giovanni Sinibaldi
- Giovanni Tebala
- Giulia Bagaglini
- Giuliano Izzo
- Giulio Argenio
- Giuseppe Brisinda
- Giuseppe Candilio
- Giuseppe Di Grezia
- Giuseppe Esposito
- Giuseppe Faillace
- Giuseppe Frazzetta
- Giuseppe La Gumina
- Giuseppe Massimiliano de Luca
- Giuseppe Nigri
- Giuseppe Romeo
- Gloria Chocarro Amatriaín
- Gloria Ortega
- Gonzalo Martin-Martin
- Gregor A Stavrou
- Gunadi
- Gustavo Armand Ugon
- Gustavo Machain
- Gustavo Marcucci
- Gustavo Martínez-Mier
- Gustavo Miguel Machain
- Gustavo Nari
- Hamada Fathy
- Hamilto
- Haydée Calvo
- Hazem Ahmed
- Hazem Faraj
- Hector Nava
- Hector Ordas Macias
- Herald Nikaj
- Heriberto Solano
- Huma Ahmed Khan
- Humberto Sánchez Alarcón
- Husam Ebied
- Iacopo Giani
- Ibabe Villalabeitia Ateca
- Ignacio Neri
- Igor Alberdi San Roman
- Iliya Fidoshev
- Ionut Negoi
- Irene Ortega
- Irina Bernescu
- Iris Shari Russo
- Irune Vincente Rodríguez
- Irving Palomares
- Isaac Baltazar
- Isabel Jaén Torrejimeno
- Isabel María Cornejo Jurado
- Isabella Reccia
- Ishtiyaq Hussain
- Ismael Brito Toledo
- Ismael Mora-Guzmán
- Iulia Dogaru
- Ivan Romic
- Izaskun Balciscueta
- Iñaki Martinez Rodriguez
- J Cleo Kenington
- Jackison Sagolsem
- Jae Y Jang
- James Olivier
- Jan Lammel-Lindemann
- Jana Dziakova
- Javier Ismael Roldán Villavicencio
- Javier Salinas
- Jelena Pejanovic
- Jeny Rincón Pérez
- Jeryl AsReyes
- Jesus Antonio Medina Luque
- Jesus Silva
- Joanna Mak
- Joanne Salas Rodriguez
- Johnn Henry Herrera Kok
- Jon Krook
- Jose Antonio Diaz-Elizondo
- Jose Castell
- Jose Gustavo Parreira
- Jose Mauro Silva Rodrigues
- José Eduardo García-Flores
- José María Jover Navalón
- José Pereira
- José Tomas Castell Gómez
- Jovanovic
- Juan Bellido Luque
- Juan Carlos Martín Del Olmo
- Juan Carlos Salamea
- Juan Francisco Coronel Olivier
- Juan Luis Blas Laina
- Juliana Maria Ordoñez
- Julieta Gutierrez
- Julio Abba
- Junaid Ahmad Sofi
- Kapil Sahnan
- Kashaf Sherafgan
- Katsuhiko Yanaga
- Ken Min Chin
- Kevin Beatson
- Laharwal Asim
- Laura Alvarez
- Leandro Siragusa
- Lee Farber
- Lester Ong
- Liarakos Athanasios
- Lorena García-Bruña
- Luca De Martino
- Luca Ferrario
- Luca Giordano
- Luca Gordini
- Luca Pio
- Luca Ponchietti
- Lucia Moletta
- Luciano Curella
- Luciano Poggi
- Lucio Taglietti
- Luigi Bonavina
- Luigi Conti
- Luigi Goffredi
- Luis Angel Garcia Ruiz
- Luis Barrionuevo
- Luis Enrique Fregoso
- Luis F Cabrera
- Luis G Rodriguez
- Luis Grande
- Luis Gregorio Osoria
- Luis Javier Kantun Gonzalez
- Luis Sánchez-Guillén
- Luis Tallon-Aguilar
- Luis Tresierra
- Luisa Giavarini
- Mahmoud Hasabelnabi
- Maja Odovic
- Mamoru Uemura
- Mansoor Khan
- Manuel Artiles-Armas
- Mara David
- Marcello Di Martino
- Marcello Giuseppe Spampinato
- Marcelo A F Ribeiro
- Marcelo Viola
- Marco Angrisani
- Marco Calussi
- Marco Cannistrà
- Marco Catarci
- Marco Cereda
- Marco Conte
- Marco Giordano
- Marco Pellicciaro
- Marco Vito Marino
- Maria E Vaterlini
- Maria Irene Bellini
- Maria Lemma
- Maria Michela Chiarello
- Maria Nicola
- Maria Victoria Diago
- Mario Arrigo
- Mario Caneda Mejia
- Mario Montes Manrique
- Mario Rodriguez-Lopez
- Mario Serradilla-Martín
- Mario Zambrano Lara
- Marisa Martínez
- Mark Bagnall
- Mark Peter
- Marta Cañón Lara
- Marta Jimenez Gomez
- Marta Paniagua-Garcia-Señorans
- Marta Perez Gonzalez
- Martin Rutegård
- Martin Salö
- Marzia Franceschilli
- María F Jiménez
- María Giulia Lolli
- Massimiliano Silveri
- Massimiliano Veroux
- Massimo Pezzulo
- Matteo Nardi
- Matteo Rottoli
- Matti Tolonen
- Mauricio Pedraza Ciro
- Mauricio Zuluagua
- Maurizio Cannavò
- Maurizio Cervellera
- Maurizio Iacobone
- Mauro Montuori
- Mauro Podda
- Mauro Podda
- Melody García Domínguez
- Meltem Bingol-Kologlu
- Mian Tahir
- Michael Lim
- Michael Sj Wilson
- Michael Wilson
- Michela Campanelli
- Michele Bisaccia
- Michele De Rosa
- Michele Maruccia
- Michele Paterno
- Michele Pisano
- Michele Torre
- Michele Treviño
- Michele Zuolo
- Miguel A Hernandez Bartolome
- Miguel Farina
- Miguel Pera
- Miguel Prieto Calvo
- Milagros Sotelo
- Min Myat Thway
- Mohamed Hassan
- Mohamed Salah Eldin Hassan
- Mohammad Azfar
- Mohammad Bouhuwaish
- Mohammad Taha
- Mohammad Zaieem
- Mohammed Korkoman
- Montserrat Guraieb
- Mostafa Shalaby
- Muhammad Asif Raza
- Muhammad Umar Younis
- Muhammed Elhadi
- Mujahid Zulfiqar Ali
- Nadeem Quazi
- Nagendra N Dudi-Venkata
- Nahar Alselaim
- Natasha Loria
- Nathalie Villan Ramírez
- Nay Win Than
- Neil Smart
- Nelson Trelles
- Nicanor Pinto
- Niccolo Petrucciani
- Niccolò Allievi
- Nicholas Syn
- Nicola Antonacci
- Nicola Cillara
- Nicolae Gica
- Nicolaescu Diana Cristiana
- Nicolás Nicolás
- Nicolò Falco
- Nicolò Pecorelli
- Nicolò Tamini
- Nikolaos Andreas Dallas
- Nikolaos Machairas
- Noelia Brito
- Nura Ahmed Fieturi
- Nuria Ortega
- Octavio AvilaMercado
- Oktay Irkorucu
- Omar Alsherif
- Orestes Valles
- Orestis Ioannidis
- Oscar Hernández Palmas
- Oscar Isaac Hernandez Palmas
- Oscar Sanz Guadarrama
- Osman Bozbiyik
- Pablo Omelanczuk
- Pablo Ottolino
- Pablo Rodrigues
- Pablo Ruiz
- Paola Campenni
- Paola Chiarade
- Paola Prieto Olivares
- Paolo Baroffio
- Paolo Baroffio
- Pascal Wintringer
- Pasquale Di Fronzo
- Pasquale Talento
- Pasqualino Favoriti
- Patricia Mifsut
- Patricia Sendino
- Patrizia Marsanic
- Pawel Ajawin
- Paúl Andrade
- Pedro Abadía-Barnó
- Pedro Alfonso Najar Castañeda
- Pedro Omar Sillas Arevalos
- Pedro Palazón Bellver
- Peng Soon Koh
- Petry Souza
- Piotr Major
- Rajandeep Singh Bali
- Rakesh Mohan Khattar
- Rashid Lui
- Renato Bessa Melo
- Reza Ebrahiminia
- Ricardo Azar
- Ricardo López Murga
- Riccardo Caruso
- Riccardo Pirolo
- Richard Brady
- Richard Justin Davies
- Rishi Dholakia
- Rishi Rattan
- Rishi Singhal
- Robert Lim
- Roberta Angelico
- Roberta Maria Isernia
- Roberta Tutino
- Roberto Faccincani
- Roberto Peltrini
- Rocío Carrera-Ceron
- Rodrigo Tejos
- Rohit Kashyap
- Roosevelt Fajardo
- Rosa Lozito
- Royer Madariaga Pareja
- Sabrina Garbarino
- Salomone Di Saverio
- Salomone Di Saverio
- Salvador Morales-Conde
- Sami Benli
- Sami Mansour
- Samir Flores
- Samuel Limon Suarez
- Santiago Lopez Ben
- Sara Fuentes
- Sara Ingallinella
- Sara Napetti
- Sara Ortiz de Guzmán
- Selmy Awad
- Sergio A Weckmann Luján
- Sergio Gentilli
- Sergio Grimaldi
- Sergio Olivares Pizarro
- Serkan Tayar
- Shakeeb Nabi
- Shannon M Chan
- Sheikh Junaid
- Sidney Rojas
- Silvana Monetti
- Silvia García
- Silvia Salvans
- Silvia Tenconi
- Simon Shaw
- Simone Santoni
- Sofia Andrea Parra
- Sofía Cárdenas
- Sonia Pérez-Bertólez
- Sonja Chiappetta
- Sophie Dessureault
- Spiros Delis
- Stefano Amore Bonapasta
- Stefano Rausei
- Stefano Scaringi
- Sundeep Keswani
- Syed Muhammad Ali
- Süleyman Cetinkunar
- Tak Lit Derek Fung
- Tariq Rawashdeh
- Tatiana Nicolás López
- Tercio De Campos
- Teresa Calderon Duque
- Teresa Perra
- Theodore Liakakos
- Theodoros Daskalakis
- Theodoros Liakakos
- Thomas Barnes
- Tijmen Koëter
- Tiku Zalla
- Tommaso Campagnaro
- Tommy Brown
- Tomás E González
- Tomás Elosua
- Topi Luoto
- Touré Alpha Oumar
- Ugo Giustizieri
- Ugo Grossi
- Umberto Bracale
- Uriel Rivas
- Valentina Ferri
- Valentina Sosa
- Valentina Testa
- Valeria Andriola
- Valeria Tonini
- Valeria Tonini
- Valerio Balassone
- Valerio Celentano
- Valerio Progno
- Vanessa Carroni
- Varun Raju
- Venera Cavallaro
- Venkateswara Rao Katta
- Veronica De Simone
- Vicent Primo Romaguera
- Vicente Simó
- Victor Hugo García Orozco
- Victor Luraschi
- Victor Rachkov
- Victor Turrado-L
- Victor Visag-Castillo
- Victoria Dowling
- Victoria Graham
- Vincenzo Papagni
- Vincenzo Vigorita
- Vinicius Cordeiro Fonseca
- Virginia Jimenez Carneros
- Vittoria Bellato
- Walyson Gonçalves
- William F Powers
- William Grigg
- Wolf O Bechstein
- Ye Xin Koh
- Yu Bing Lim
- Yuksel Altinel
- Zoran Golubović
- Zutoia Balciscueta
- Publication venue
- 'Wiley'
- Publication date
- 01/01/2020
- Field of study
Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis.
Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic.
Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe.
Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2
Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries
- Author
- Aarts Frits
- Ababneh Hazim
- Abad-Motos Ane
- Abaidalla Ahmed
- Abbakar Malaz
- Abd El Aal Ahmed
- Abd-Errazik Mohammad Ahmad
- Abdalradiy Abdalrahmman G
- Abdelkhalek Mohamed
- Abdelkhalek Mostafa
- Abdellatif Ahmed
- Abdellatif Mohamed
- Abdelsaid Kirolas
- Abdou Khaled
- Abdulfatah Mustapha
- Abdullah Mohammad Amer
- Abdullahi Mustapha Miko Mohammed
- Abellán Antonio Melero
- Abeysinghe Nayana
- Abiyere Henry
- Achimas-Cadariu Patriciu Andrei
- Adakaya Sıla
- Adam Nicolas
- Adams Benita
- Adams Ferdinand
- Adegboye Kazeem
- Adeyeye Ademola
- Adra Lama
- Adu-Poku Patricia
- Afuwape Oludolapo
- Afzal Ameer
- Afzal Muhammad Farooq
- Agapov Mihail
- Agara Daniel
- Aggarwal Manisha
- Agger Erika
- Aghadi Ifeanyi Kene
- Ahmed Amjed Yassir
- Ahmed Haleemasahdia
- Ahmed Khalil
- Ahmed Manar
- Ahmed Masood
- Ahmed Safia
- Ahn Hong Min
- Aibe Raquel
- Aigner Felix
- Aissat Abdenour
- Aitbaeva Arai
- Akay Omer
- Akbar Ali
- Akbas Ahmet
- Akere Abidemi
- Akesen Selcan
- Akgun Erhan
- Akhtar Naseem
- Akın Emrah
- Akova Elif
- Aktas Serhat
- Akçay Özlem
- Al Masri Mahmoud
- Al-Alnsi Ahmed
- Al-Hutheifi Roqia'A
- Al-Jarrah Amar
- Al-Naggar Hamza
- Al-Shehari Mohammed
- Alamin Nadeen
- Alawi Raneen
- Alawlaqi Dina
- Alawneh Fade
- Alberola Maria José
- Albers Michael
- Alcolea Natalia González
- Aleem Muhammad
- Alegre Inês
- Alegre Javier Martinez
- Alexandre Flavia
- Alexandrescu Corina
- Alexnder Abelevich
- Alexopoulou Kalliopi
- Alfonso Beatriz Amorós
- Ali Ahmed
- Ali Che Saniati Che
- Ali Danish
- Ali Madeeha
- Ali Mahmoud Abdelwahab
- Ali Manhal Hashim
- Ali Noura Al
- Alikhanli Jhale
- Aliyeva Zumrud
- Aliyu Mohammed
- Aljawder Hasan
- Allen Kate
- Almahmeed Ebrahim
- Alonso Alfredo
- Alonso Javier Etreros
- Alsamneh Muneer
- Alsayadi Ramzi
- Altinel Yuksel
- Altintoprak Fatih
- Altomare Donato F
- Alvarenga Isabella
- Alvarez Laura Jimenez
- Alvarez-Bautista Francisco Emmanuel
- Alvarez-Díez Marcos
- Alves Brenda Chayanny
- Amadigwe Rita
- Amado Andreia
- Amado Fabíola
- Amador Cristina García
- Amanullah Nazli
- Amaral Hélida Aline Tomacheski
- Amaral Luis
- Amin-Tai Hizami
- Aminu Bashiru
- Amir Ahmad Suhaimi
- Ammar Ahmed Siddique
- Ammar Mona Ahmed
- Ammendola Michele
- Ammerata Giorgio
- Amorim Edgar
- Ancans Guntis
- Anderson Tom
- Andrade Diogo
- Andrejevic Predrag
- Andrés Beatriz Díaz San
- Anestiadou Elissavet
- Ang Chin Wee
- Angelo Franceschi
- Anokhin Evgeny
- Anoldo Pietro
- Antakia Ramez
- Anton Majd
- Antonelli Serena
- Antropoli Carmine
- Anula Rocio
- Anwar Jamal
- Anyadike Florence
- Apostolakidou Magda
- Apostolidi Eirini
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- Volturo Lino
- Vural Ummuhan
- Vázquez-Fernández Andrea
- Väyrynen Antti
- Wagdy Michael
- Waha James
- Waheed Mariam
- Waindeskar Vaishali
- Wakkaf Habib
- Walsh Adam
- Walędziak Maciej
- Wang Jaw Yuan
- Wani Rauf
- Wanshantha Dinamulla
- Waqar Usama
- Ward Nicholas
- Watanabe Jun
- Wells Johanna
- Westzaan Natalia
- Wickramarathne Rasika
- Wickramasinghe Dakshitha
- Widatalla Abu Bakr H
- Widyaningsih Rizky
- Wijenayake Wasantha
- Wilson Jeremy
- Wilson Kasmira
- Windels An
- Witjes Caroline
- Wong Siew Ching
- Woodward Andrew
- Wright Deborah
- Wright Jonathan
- Wu Scott
- Wątroba Anna
- Xanthis Athanasios
- Xavier Ruben
- Xenaki Sofia
- Xynos Evangelos
- Yadav Ram Kishan
- Yadev I P
- Yague Julio
- Yakout Nadia
- Yakunina Natalia
- Yalkin Ömer
- Yanishev Alexey
- Yao Hongwei
- Yazici Pinar
- Yemez Kursat
- Yew Chor Kuan
- Yılmaz Gülseren
- Yilmazlar Tuncay
- Yiğit Direnç
- Yoldas Tayfun
- Yonekura Hiroshi
- Yorkmui Liu
- Yoshino Kenji
- Younes Lina
- Young Trudi
- Yule Michael
- Yusoff Zakiah Mohd
- Zaari Fatimazahraa
- Zabiyaka Mikhail
- Zadrożna Monika
- Zafar Madiha
- Zagaynov Eugeny
- Zaidi Syed-Nadeem
- Zaimis Tilemachos
- Zain Wan Zainira Wan
- Zainy Rhendra Hardy Mohamad
- Zakaria Andee Dzulkarnaen
- Zakaria Maheen
- Zakaria Zaidi
- Zamudio-Bautista Jorge Luis
- Zanc Loredana
- Zanoni Andrea
- Zanus Giacomo
- Zapparoli Alessandro
- Zappone Anna
- Zarzava Eirini
- Zatari Dirar
- Zawadzki Marek
- Zayakov Georgi
- Zaycev Andrey
- Zazo Aya
- Zazo Rama
- Zdravkovic Maja
- Zengin Abdullah Kağan
- Zeringa Georgia
- Zimmerman David D E
- Zuhdy Mohammad
- Zvirych Vitalii
- Zywicka Ewa
- Álvarez-Llano Laura
- Ângelo Miguel Duarte
- ÓSullivan Sara Nuñez
- Özçelik Mehmet Faik
- Ćoza Ivo
- Şanlı Ahmet Necati
- Publication venue
- Publication date
- 01/01/2023
- Field of study
Background
Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks.
Methods
The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned.
Results
A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31).
Conclusion
Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)