36 results on '"Altibi, Ahmed M."'
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2. Impact of COVID-19 pandemic on the volume, cost, and outcomes of cardiac electrophysiology procedures in the United States
- Author
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Altibi, Ahmed M., Hashem, Anas, Ghanem, Fares, Sanghai, Saket, Nazer, Babak, Stecker, Eric C., and Henrikson, Charles A.
- Published
- 2024
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3. Impact of concomitant surgical interventions on outcomes of septal myectomy in obstructive hypertrophic cardiomyopathy
- Author
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Altibi, Ahmed M., Sapru, Abharika, Ghanem, Fares, Zhao, Yuanzi, Alani, Ahmad, Cigarroa, Joaquin, Nazer, Babak, Song, Howard K., and Masri, Ahmad
- Published
- 2024
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4. Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study
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Knight, Stephen R, Shaw, Catherine A, Pius, Riinu, Drake, Thomas M, Norman, Lisa, Ademuyiwa, Adesoji O, Adisa, Adewale O, Aguilera, Maria Lorena, Al-Saqqa, Sara W, Al-Slaibi, Ibrahim, Bhangu, Aneel, Biccard, Bruce M, Brocklehurst, Peter, Costas-Chavarri, Ainhoa, Chu, Kathryn, Dare, Anna, Elhadi, Muhammed, Fairfield, Cameron J, Fitzgerald, J Edward, Ghosh, Dhruv, Glasbey, James, van Berge Henegouwen, Mark I., Ingabire, J.C. Allen, Kingham, T Peter, Lapitan, Marie Carmela, Lawani, Ismaïl, Lieske, Bettina, Lilford, Richard, Martin, Janet, McLean, Kenneth A, Moore, Rachel, Morton, Dion, Nepogodiev, Dmitri, Ntirenganya, Faustin, Pata, Francesco, Pinkney, Thomas, Qureshi, Ahmad Uzair, Ramos-De la Medina, Antonio, Riad, Aya, Salem, Hosni Khairy, Simões, Joana, Spence, Richard, Smart, Neil, Tabiri, Stephen, Thomas, Hannah, Weiser, Thomas G, West, Malcolm, Whitaker, John, Harrison, Ewen M, Gjata, Arben, Modolo, Maria Marta, King, Sebastian, Chan, Erick, Nahar, Sayeda Nazmun, Waterman, Ade, Vervoort, Dominique, Bedada, Alemayehu Ginbo, De Azevedo, Bernardo, Figueiredo, Ana Gabriela, Sokolov, Manol, Barendegere, Venerand, Ekwen, Gerald, Agarwal, Arnav, Liu, Qinyang, Camilo Correa, Juan, Malemo, Kalisya Luc, Bake, Jacques, Mihanovic, Jakov, Kunčarová, Kamila, Orhalmi, Julius, Salem, Hosni, Teras, Jyri, Kechagias, Aristotelis, Arnaud, Alexis P, Lindert, Judith, Kalles, Vasileios, Aguilera-Arevalo, Maria-Lorena, Recinos, Gustavo, Baranyai, Zsolt, Kumar, Basant, Neelamraju Lakshmi, Harish, Zachariah, Sanoop Koshy, Alexander, Philip, Kumar Venkatappa, Sunil, Pramesh, C, Amandito, Radhian, Fleming, Christina, Ansaloni, Luca, Pellino, Gianluca, Altibi, Ahmed M., Nour, Ibrahim, Hamdun, Intisar, Ghellai, Ali M., Venskutonis, Donatas, Poskus, Tomas, Zilinskas, Justas, Malemia, Precious, Tew, Yong Yong, Borg, Elaine, Ellul, Sarah, Wafqui, fatima Zahraa, Borowski, David W, van Dalen, Anne Sophie, Wells, Cameron, Adamou, Harissou, Ademuyiwa, Adesoji, Adisa, Adewale, Søreide, Kjetil, Al Saqqa, Sara, Alser, Osaid, Tahboub, Haya, Segovia Lohse, Helmut Alfredo, Shu Yip, Sebastian, Major, Piotr, Sampaio Soares, António, Bratu, Matei Razvan, Litvin, Andrey, Vardanyan, Armen, Allen Ingabire, JC, Gudal, Ahmad, Albati, Naif, Juloski, Jovan, Rems, Miran, Rayne, Sarah, Van Straten, Stephanie, Moodley, Yoshan, Ortega Vázquez, Irene, Ruiz-Tovar, Jaime, Senanayake, Kithsiri Janakantha, Thalgaspitiya, Sujeewa Priyantha Bandara, Omer, Omer Abdelbagi, Homeida, Anmar, Cengiz, Yucel, Clerc, Daniel, Alshaar, Muhammad, Bouaziz, Hanen, Altinel, Yuksel, Doe, Matthew, Freigofer, Maryna, Teasdale, Ella, Kabariti, Rakan, Clements, Joshua Michael, Knight, Stephen Richard, Ashfaq, Ahsan, Azodo, Ijeoma, Wagner, Gabriela, Trostchansky, Ivan, Maimbo, Mayaba, Linyama, David, Nina, Helidon, Zeko, Amanda, Fermani, Claudio Gabriel, Villalobos, Santiago, Carballo, Federico, Farina, Pablo, Guckenheimer, Sebastian, Dickfos, Marilla, Ajmera, Ankit, Chong, Chester, Gourlay, Ralph, Hussaini, Sikandar, Lee, Yi Jia, Majid, Adeeb, Martin, Peter, Miles, Rebecca, Morris, Owen James, Phua, Jamie, Ridley, William, Saluja, Tarunpreet, Tan, Ryan Renxin, Teh, Jen, Wells, Anna, Arora, Bharti, Dollie, Qaasim, Ho, Debbie, Ma, Yanru, Perera, Omattage Mahasha, Truong, Anthony, Dawson, Amanda Caroline, Lim, Bryan, Pahalawatta, Upuli, Phan, Jacqueline, Woon-Shoo-Tong, Xiao-Ming Sarah, Yeoh, Andrea, Charman, Lillian, Drane, Andrew, Laura, Sharon, Lo, Charmaine Chu Wen, Mozes, Amy, Poon, Rita, Tan, Hao Han, Wall, Ellen, Chopra, Prakshi, De Giovanni, Jasmine, Dhital, Bal, Draganic, Brian, Duller, Alexander, Gani, Jonathan, Goh, Yao Kuan, Jeong, Jun Young, McManus, Brendan, Nagappan, Prakash, Pockney, Peter, Rugendyke, Anya, Sarrami, Mahsa, Smith, Stephen, Wills, Vanessa, Wong, Hsu Ven, Ye, Geoffrey, Zhang, Geoffrey, Brooker, Ethan, Feng, Daniel, Lau, Bonnie, Ngai, Carlin, Birks, Sarah, Gyorki, David, Otero de Pablos, Jaime, Abbosh, Ali, Gillespie, Chris, Mahmoud, Ahmed, Kwan, Bianca, Lawson, Joshua, Warwick, Andrea, Bingham, Janne, Cockbain, Andrew J, Dudi-Venkata, Nagendra Naidu, Ellaby-Hall, Jordan, Finlay, Ben, Humphries, Emily, Pisaniello, Jade, Pisaniello, Monique, Salih, Salma, Sammour, Tarik, Abd Wahab, Haidar Hadri, De Silva, April, Hayward, Nicola, Iyer, Kartik, Maddern, Guy, Prevost, Gian Andrea, Annapureddy, Naga, Settipalli, Krishna Pranathi, Yeo, Jeremy, Hempenstall, Lucy, Pham, Lily, Purcell, Shaun, Talavera, Cherry, Vaska, Ashish I, Chaggar, Gurpreet, Chrapko, Phillip, Cocco, Annelise, Coulter-Nile, Sarah Michelle Crystal Jade, Ctercteko, Grahame, French, James, Gong, Houchen, Gosselink, Martijn, Jegathees, Thuvarahan, Jin, Ivan, Kalachov, Michelle, Kiefhaber, Kathryn, Lee, Katherine, Luong, Jason, Phan, Steven, Pleass, Henry, Veale, Kelly, Zeng, Zhi, Au, Angela, DeBiasio, Ashe, Deng, Idy, Myooran, Jananee, Nair, Amrita, Stewart, Peter, Stift, Anton, Unger, Lukas Walter, Wimmer, Kerstin, Ahmed, Nabila, Hasan, Syed, Rahman, Saber, O'Shea, Margaret, Padmore, Greg, Peters, Adrian, Perduca, Pietro, Pulcina, Guenda, Tinton, Nicolas, Buxant, Frederic, Dabin, Elsa, Garofalo, Giulia, Dossou, Francis, Gnangnon, Freddy Houehanou Rodrigue, Imorou Souaibou, Yacoubou, Motlaleselelo, Pako, Tlhomelang, Omphile, Lima Buarque, Igor, Mendonça Ataíde Gomes, Gustavo, Vieira Barros, Aldo, Batashki, Ilia, Damianov, Nikolai, Stoyanov, Vladislav, Dardanov, Dragomir, Maslyankov, Svilen, Petkov, Plamen, Todorov, George, Zhivkov, Evgeni, Akisheva, Aygulya, Castilla Moreno, Miguel Angel, Genov, Geno, Ilieva, Ivelina, Ivanov, Tsvetomir, Karamanliev, Martin, Khan, Azhar, Mitkov, Emil, Yotsov, Tsanko, Atanasov, Boyko, Belev, Nikolay, Slavchev, Mihail, Nsengiyumva, Carlos, Jones, Elgan, Stock, Simon, Kyota, Steve, Brown, James, Mabanza K., Tresor, Nigo Samuel, Lemery, Otuneme, Chidi, Prosper, Ngwang, Umenze, Franklin, Boutros, Marylise, Caminsky, Natasha, Dumitra, Sinziana, Garfinkle, Richard, Morency, Dominique, Salama, Ebram, Banks, Alexander, Ferri, Lorenzo, He, Haitian, Katz, Amit, Liberman, Alexander Sender, Meterissian, Sarkis, Pang, Allison, Parvez, Elena, Hameed, Usmaan, Osman, Fahima, Sequeira, Sangita, Coburn, Natalie, Jaffer, Alisha, Karanicolas, Paul, Mosseler, Matthew, Musselman, Reilly, Liu, Xinyuan, Yip, Ching Wan, Garces-Otero, Juan Sebastian, Guzman, Carolina, Sierra, Sebastian, Uribe Valencia, Andres, Cabrera Rivera, Paulo Andrés, Camelo, Saul, Gonzalez, Andrea, González-Orozco, Alejandro, Mosquera Paz, Manuel Santiago, Perez Rivera, Carlos J, Gonzalez, Felipe, Isaza-Restrepo, Andres, Nino- Torres, Laura, Arias Madrid, Natalia, Mendoza Arango, Maria Clara, Tsandiraki, Justin, Jemendžić, Damir, Kocman, Branislav, Šuman, Oliver, Canic, Renata, Jurišić, Darko, Karakas, Ivana, Krizanovic Rupcic, Ana, Pitlovic, Vlatka, Samardžić, Josip, Kopljar, Mario, Bacic, Ivan, Domini, Edgar, Karlo, Robert, Miljanić, Danijela, Simic, Andrea, Ahmed, Mariam, Al Nassrallah, Majdi, Altaf, Rabiya, Amjad, Talal, Eltoum, Ruba, Haidar, Heba, Hassan, Alhassan, Khalil, Omar, Qasem, Marwan, Ramesh, Rommel, Sajith, Gautham, Wisal, Maham, Žatecký, Jan, Bujda, Michele, Jirankova, Katerina, Paclik, Ales, Abdallah, Aya, Abdulgawad Almogy, Mariam, Ayman El-sawy, Esraa, ElFayoumy, Ahmed Moustafa, Elghareeb, Nourhan, Esmat, Nourhan Ahmed, Fadel, Ahmed, Habater, Abdullah, Hamdy, Heba, Hefni, Amr, Kamal, Marwa, Mohamed Abobakr, Norhan, Sayed, Ahmed, Shaker, Nancy, Taha, Ehab, Tharwat, Hoda, Zakaria, Omar, Abdelmotaleb, Ibrahem, Al-Dhufri, Ali, Al-Himyari, Hamza S., El sheikh, Enas, Eldmaty, Asmaa, Elkhalawy, Aya, M.Elkhashen, Ahmed, Magdy, Kithara, Mostafa, Safa, Sadia, Habib Doutoum, Saleh, Mohamed mahmoud, Samir, Dina, Yahia Mohamed Ali, Mohamed, A. Nassar, Mahmoud, Abdelhady, Samar, Abdelrazek, Aly, Abdelsalam, Israa, El-Sawy, Aya, Essam, Eman, Gadelkarim, Mohamed, Ghaly, Khaled, Hassabalnaby, Mohamed, Masarani, Rana, Mohamed Shaaban, Nourhan, Sabry, Ahmed, Salem, Menatalla, Soliman, Nourhan Akram, Zahran, Diaaaldin, Abou El.soud, Moustafa Ramadan, Badr, Esraa Tarek, Borham, Hala, Elmeslemany, Nehal, Elsayed, Mohammad, Elsherif, Fawzia, Eslam, Sara, Gaber, Gehad, Ibrahim, Sondos, Kamh, Yara, Mahmoud, Abdelrahman, Mohamed, Shimaa gamal, Morshedy, Eman, Omar, Cinderella, Salem Soliman, Fatima, Abdelkawy, Shaza, Abdelmohsen, Naglaa, Abdelshakour, Mahmoud, Dahy, Ahmed, Gamal, Norhan, Gamal, Mohammed, Hasan, Ahmad, Hetta, Helal, Mousa, Nehad, Omar, Mohamed, Rabie, Somia, Saad, Mahmoud, Saleh, Bakeer, Sayed Mohamed, Marwa, Shawqi, Muhammad, Abdelhady Mousa, Heba, Alnoury, Mostafa, Elbealawy, Mohamed, Elshafey, Ahmed, Essam Ibrahim El Desouki Muhammad Ahmed, Muhammad, Ghonaim, Mennatullah, Hgag, Fawzy, Ibrahim, Mohamed, Morsy, Mahmoud, Reda Loaloa, Mohamed, Refaat, Ahmed, Samir, Hadeer, Shahien, Fatma, Sobhy, Mohamed, Sroor, Fathy, Abdellatif, Esraa, Adel, Marina, Afifi, Amr Abdelghani, Afifi, Eman, Antaky, Marco, Dawoud, Amr, El Zoghby, Naira, El-remaily, Amira, Elzanfaly, Ali Abdelazez, Gadallah, Ahmed, Gamal, Fatma Alzahraa, Hashem, Omar, Medhat Youssef, Shrouk, Muhammad Attyah, Aliaa, Munir, Malak, Shazly, Omar, Taha, Esraa, Wilson, Karim, Adel, Sawsan, Ali, Asmaa, Eid, Esraa, Elhelow, Esraa, Elmahdy, Marwa, Elshatby, Bassant, Hossam el-din Zakaria, Amany, Hossny, Ahmad, Ibrahim, Eman, M.Yonis, Ahmed, Metwalli, Maram, Yousry, Basant, Zid, Esraa, A Yacoub, Mina, Abdelhakim, Ahmed, Abouelsoad, Nervana, Alkhatib, Mo'min, Ashraf, Ahmed, Ashraf, Alaa, Elazab, Yasmin, Elfanty, Mahmoud, Elkabir, Osama, Elsayed, Mai, Elshimy, Ahmed, Elsobky, Hager, Eskander, John, Gad, Ahmed, Hamsho, Ward, Khaled Abdelwahed, Noura, Magdy, Menna, Moharam, Dalia, Osama, Abeer, Ramadan, Shereen, Roum, Radwa, Sayed, Taqwa, Shehada, Tarneem, Zidan, Ahmed Mohy, Abbas, Khalid, Ali, Amr, Attia, Mohamed, Balata, Mohamed, El Nakeeb, Ayman, Elewaily, Mohamed Ibrahim Elsayed, Elfallal, Ahmed, Elfeki, Hossam, Elkhadragy, Ahmed, Emile, Sameh, Ezzat, Helmy, Hosni, Hasnaa, Mansour, Islam, Omar, Waleed, Othman, Gehad, Sadek, Kareem, Shalaby, Mostafa, Shehab-Eldeen, Noura, Anas khalifa, Rawda, Badr, Helmy, Eldeep, Mostafa, Eldeep, Ahmed, Eldoseuky mohammed, Amany, Khallaf, Salwa, Magdy Hegazy, Eman, Mahmoud, Rokia, Mikhail, Pola, Morsi, Mahmoud, Mowafy, Sara, Raafat, Dina, Safy, Amina, Sera, Marwa, Sera, Ahmed shible, AbdAllah, Mostafa Salim Mohamed, Abdelkader, Muhammad, Abdou, Abdulrahman Osama, Ahmed, Ahmedgaber, Gaafar, Shireen, Ibrahim negm, Fatma, Lapic, Mina, Maher, Ahmed, Mahmoud, Hagar, Mostafa, Ahmed, Samir, Mohamed, Samy, Fatma, Semeda, Nourhan, Shalaby, Hind I., El-taweel, Alaa, Galal Elnagar, Ahmed, Hemidan, Ahmed Gamal, Hussein, Mohamed, Kandil, Ahmed.A., Moawad, Mf, Nasser Hamamah, Ayat Allah, Soliman, Mostafa, Abdelkhalek, Mohamed, Abdelmaksoud Tawakel, Noura, Abdelwahed, Ahmed Mohamed, Abdou, Alrawy, Atallah, Khalid, Elsherbeny, Mohammed Yasser, Emara, Eman, Hamdy, Mohamed, Hamdy, Omar, Haron, Amira, Ismail, Salma, Metwally, Islam Hany, Mohamed Hamed Elgaml, Nihal, Nassar, Ahmed, Refky, Basel, Sadek, Mirna, Saleh, Mahmoud, Yunes, Asmaa, Zakaria, Mai, Zuhdy, Mohammed, Fayed, Notila, Mohammed, Mohammed Mustafa Hassan, Kütner, Sander, Melnik, Priit, Seire, Indrek, Ümarik, Toomas, Ainoa, Eppu, Eerola, Verner, Koppatz, Hanna, Koskenvuo, Laura, Sallinen, Ville, Takala, Sini, Katunin, Jevgeni, Turunen, Arto, Christou, Niki, Mathonnet, Muriel, Lavoue, Vincent, Nyangoh Timoh, Krystel, Soulabaille, Lucie, Lesourd, Romain, Merdrignac, Aude, Sulpice, Laurent, André, Benoît, Chantalat, Elodie, Vaysse, Charlotte, Dousset, Bertrand, Gaujoux, Sebastien, Martin, Gregory, Clonda, Octavian, Juodis, Domantas, Kienle, Klaus, Mravik, Andras, Palmer, Samuel, Szabadhegyi, Gabor, Agbeko, Anita Eseenam, Gyabaah, Solomon, Gyamfi, Frank Enoch, Naabo, Nuhu, Owusu senior, Atta, Yorke, Joseph, Owusu, Frank, Abantanga, Francis, Anyomih, Theophilus Teddy Kojo, Muntaka, Abdul-Jalilu Mohammed, Owusu Abem, Emmanuel, Sheriff, Mohammed, Wondoh, Paul M., Balalis, Dimitrios, Korkolis, Dimitrios, Gkiokas, Georgios, Pantiora, Eirini, Theodosopoulos, Theodosios, Ioannidis, Argyrios, Konstantinidis, Konstantinos, Konstantinidou, Sofia, Machairas, Nikolaos, Paspala, Anna, Prodromidou, Anastasia, Chouliaras, Christos, Papadopoulos, Konstantinos, Baloyiannis, Ioannis, Mamaloudis, Ioannis, Tzovaras, George, Akrida, Ioanna, Argentou, Maria-Ioanna, Germanos, Stylianos, Iliopoulos, Evangelos, Maroulis, Ioannis, Skroubis, George, Theofanis, George, Chatzakis, Christos, Ioannidis, Orestis, Loutzidou, Lydia, Karathanasis, Panagiotis, Michalopoulos, Nikolaos, Theodoropoulos, Charalampos, Theodorou, Dimitrios, Triantafyllou, Tania, Garoufalia, Zoe, Hasemaki, Natasha, Kontos, Michalis, Kouraklis, Gregory, Kykalos, 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Vijaykumar, Malik, Kapil, Ravishankaran, Praveen, Tapkire, Ritesh, Moorthy, Guru, Abraham, Joyner, Muthuvel, Ramesh, Alapatt, John, Kattepur, Abhay, Pareekutty, Nizamudheen, Garod, Mebanshanbor, Harris, Caleb, Wanniang, Cliff, Gupta, Ashish, Nehra, Deepak, Parshad, Sanjeev, Acharya, Rajgopal, Badwe, Rajendra, Bhandare, Manish, Jain, Urvashi, Kirti, Karishma, Nair, Nita, Shrikhande, Shailesh, Thakkar, Purvi, Anandan, Premkumar, C S, Archana, Holenarasipur Narasannaiah, Arun, Jagarlamudi, Tejaswi, M R, Rashmi, Manangi, Mallikarjuna, Raghavendra, Abhishek, Rao, K. Seshagiri, S, Vinay, Sajjan, Vinay, Shenoy, Aneesh, Shivashankar Chikkanayakanahalli, Santhosh, Tharanath, Kavya, V, Sushmita, Adidharma, Peter, Agarwal, Raksheeth, Anggita Gultom, Phebe, Arifin, Ghafur Rasyid, Billy, Matthew, Elfizri, Zatira, Fahira, Alessa, Felicia, Devi, Gunardi, Triana Hardianti, Johanna, Nadya, Nugrahadi, Nadia Rahmadiani, Panigoro, Sonar Soni, Rahmayanti, Siti, Sihotang, Retta Catherina, Brata, Santi Yuanita, Winoto, Hadi, Barati, Nastaran, Karami, Manoochehr, Khorshidi, Hamidreza, Naderifar, Homa, Abdulla, Mazin A., Coleman, Maggie, Doherty, Ronan J, Hannon, Rob, Murphy, Brenda, Stakelum, Aine, Winter, Des, Aljohmani, Lylas, Farnan, Richard, Seldon, Yeshey, Tan, Tanna, Varghese, Shriya, Alherz, Mohammad, Ather, Muaaz, Bajilan, Mohammad, Graziadei, Vivien, Pilkington, Isobel, Quidwai, Omar, Ridgway, Paul, Shiwani, Haaris, Tahir, Abd al-Rahman, Blunnie, Eimear, Burke, Daniel, Kennedy, Niall, Macdonagh, Kate, O'Neill, Maeve, Rooney, Siobhan, Falco, Giuseppe, Ferrari, Guglielmo, Mele, Simone, Nita, Gabriela Elisa, Ugoletti, Lara, Zizzo, Maurizio, Confalonieri, Gianmaria, Pesenti, Giovanni, Tagliabue, Fulvio, Baronio, Gianluca, Ongaro, Deborah, Pata, Giacomo, Compagnoni, Bruno, Salvadori, Renato, Taglietti, Lucio, D'Alessandro, Nicola, Di Lascio, Pierpaolo, Pascale, Giovanni, Bortolasi, Luca, Campagnaro, Tommaso, Carlini, Massimo, Lisi, Giorgio, Lombardi, Davide, Pedrazzani, Corrado, Spoletini, Domenico, Turri, Giulia, Violi, Paola, Altomare, Donato Francesco, Aquilino, Fabrizio, Musa, Nicola, Papagni, Vincenzo, Picciariello, Arcangelo, Vincenti, Leonardo, Andreotti, Dario, Occhionorelli, Savino, Tondo, Matteo, Basso, Stefano Maria Massimiliano., Ubiali, Paolo, Cirelli, Riccardo, Maino, Marco Enrico Mario, Piozzi, Guglielmo Niccolò, Picone, Emanuele, Scaramuzzo, Rosa, Sinibaldi, Giovanni, Amendola, Alfonso, Anastasio, Lorenzo, Bucci, Luigi, Caruso, Emanuele, Castaldi, Antonio, Di Maso, Sara, Dinuzzi, Vincenza Paola, Esposito, Giovanni, Gaudiello, Maria, Giglio, Mariano Cesare, Greco, Paola Antonella, Luglio, Gaetano, Manfreda, Andrea, Marra, Ester, Mastella, Federica, Pagano, Gianluca, Peltrini, Roberto, Pepe, Vincenzo, Sacco, Michele, Sollazzo, Viviana, Spiezio, Giovanni, Cianchetti, Ettore, Menduni, Nunzia, Carvello, Michele Maria, Di Candido, Francesca, Spinelli, Antonino, Corsi, Fabio, Sorrentino, Luca, Marino, Fabio, Asti, Emanuele Luigi Giuseppe, Bonavina, Luigi, Rausa, Emanuele, Asta, Martina, Belli, Andrea, Bianco, Francesco, Cervone, Carmela, Delrio, Paolo, Falato, Armando, Fares Bucci, Andrea, Guarino, Rita, Pace, Ugo, Rega, Daniela, De Luca, Emilia, Gallo, Gaetano, Sammarco, Giuseppe, Sena, Giuseppe, Vescio, Giuseppina, Santandrea, Letizia, Ugolini, Giampaolo, Zattoni, Davide, Chetta, Nicola, Logrieco, Gaetano, Vanella, Serafino, Garulli, Gianluca, Zanini, Nicola, Bondurri, Andrea, Cammarata, Francesco, Colombo, Francesco, Foschi, Diego, Lamperti, Giulia Maria Beatrice, Maffioli, Anna, Sampietro, Gianluca Matteo, Yakushkina, Al'ona, Zaffaroni, Gloria, Cicuttin, Enrico, Sibilla, Maria Grazia, Impellizzeri, Harmony, Inama, Marco, Moretto, Gianluigi, Mochet, Sylvie, Ponte, Elisa, Usai, Antonella, Mancini, Stefano, Sagnotta, Andrea, Solinas, Luigi, Bolzonaro, Elisa, Tamini, Nicolò, Curletti, Gianluca, Galleano, Raffaele, Malerba, Michele, Campanella, Sofia, Cocorullo, Gianfranco, Colli, Francesco, De Marco, Paolino, Falco, Nicolò, Fontana, Tommaso, Kamdem Mambou, Leonel jospin, La Brocca, Antonella, Licari, Leo, Randisi, Brenda, Rizzo, Giovanna, Rotolo, Giulia, Salamone, Giuseppe, Tutino, Roberta, Venturelli, Paolina, Malabarba, Stefano, Sgrò, Alessandro, Vella, Ivan, Cirillo, Bruno, Crocetti, Daniele, De Toma, Giorgio, Lapolla, Pierfrancesco, Mingoli, Andrea, Sapienza, Paolo, Belvedere, Angela, Bianchini, Stefania, Binetti, Margherita, Birindelli, Arianna, Tonini, Valeria, Podda, Mauro, Pulighe, Fabio, De Rosa, Michele, Bono, Lorenzo, Borghi, Felice, Geretto, Paolo, Giuffrida, Maria Carmela, Lauro, Corrado, Marano, Alessandra, Pellegrino, Luca, Salusso, Paola, Sasia, Diego, Campanelli, Michela, Realis Luc, Alberto, Trompetto, Mario, Cardia, Roberto, Cillara, Nicola, Giordano, Antonio Nicola, Costanzo, Antonio, Giovilli, Mario Alessandro, Turati, Luca, Canonico, Silvestro, Sciaudone, Guido, Selvaggi, Francesco, Selvaggi, Lucio, Albsoul, Nader, AlBsoul, Ahmad, Alkhatib, Ala'a Aldeen, Alsallaq, Osama, Amarin, Justin Z., Ayoub, Rami, Bsisu, Isam, El Muhtaseb, M S, Jabaiti, Mohammad, Melhem, Jamal, Qwaider, Yasmeen Z., Salameh, Mohammad Hasan, Suleihat, Ahmad, Suradi, Haya H., Alammarin, Mohammad, Aljaafreh, Almoutuz, Bani hani, Mohammad, Bani hani, Zeina, Bani Hani, Farah, Fahmawee, Toqa, Hamouri, Shadi, Katanani, Cyrine, Tawalbeh, Ra'fat, Tawalbeh, Tamara, Zawahrah, Hassan, Abou Chaar, Mohamad K., Abusalem, Lana, Al-Masri, Mahmoud, Al-Najjar, Hani, Barghuthi, Lutfi, Ahmed, Zahra, Maulana, Adnan, Ngotho, Omar, Kamau, Charbel, Stanley Mwenda, Aruyaru, Bosire, Fridah, Mwachiro, Elizabeth, Parker, Robert, Simel, Ian, Sylvester, Kimutai, Althini, Abdulmunem Ahmed Mustafa, Elbarouni, Sofian, Elbeshina, Aya Elseed, Gwea, Ahmed, Malek, Ans, Masoud Farag, Wedad Albashir, Abdalei, Abdulwahab, Abdel Malik, Abu Baker, Abo-khammash, Areej, Abuhlaiga, Ma'aly, Adnan, Nour, Albaggar, Marwa, Alfitory, Asma, Aljanfi, Asma, Almuzghi, Fakhruddin, Altumei, Zohoor, Alzabti, Fatima, Ashoushan, Hana, Assalhi, Mohamed, Azzubia, Joma, Bnhameida, Sondos, Delhen, Malik, Elshafei, Houssein, Elteir, Hana, Esbaga, Fatima, Gobbi, Abdel Aziz, Hamouda, Fatma, Hilan, Hamdan, Ismail, Rania, Jebran, Fieruz, Kasbour, Muataz, Maderi, Galia, Mohammad, Saja, Mohammed, Burooj, Murtadi, Habib, Mustafa, Hamassat, Rajab, Mohamed, Trenba, Sarah, Wafaa, Mariam, Al Sagheir, Eman, Almigheerbi, Alabas, Alzahaf, Ahmed, Bahroun, Sumayyah Ghayth, Ben Dallah, Najah, Elshaibani, Mahmoud, Eswaye, Haitem, Karar, Maha, Omar, Samah, Younes, Eman, Younes, Maha, Zreeg, Dafer, Abujamra, Saleh, Ashour, Firas, Elgammudi, Mala, Omar F. Aljadidi, Wesal, Saddouh, Enas, Sharif, Randa, Alabuzidi, Aya, Alwerfally, AbdulMawlay, Aribi, Sarra, Bibas, Fatma, Elfaituri, Taha, Elhajjaji, Yasmine, Khaled, Ala, Khalil, Wegdan, Layas, Tesneem, Soula, Enas, Tarek, Ahmed, Abu hallalah, Muad fathi khalleefah, Ahmed, Hazem Abdelkarem, Alsharef, Tagwa, Ben Saoud, Abdulsalam Ali, El Gharmoul, Tasnim, Elhadi, Ahmed, Elrais, Safa, Shebani, Abdulhalim, Zarti, Heba, Zeiton, Asaid, Ambrazevicius, Marijus, Kaselis, Nerijus, Stakyte, Migle, Aliosin, Oleg, Cizauskaite, Agne, Dailidenas, Sarunas, Eismontas, Vitalijus, Kybransiene, Migle, Nutautiene, Vitalija, Samalavicius, Narimantas, Simcikas, Dainius, Slepavicius, Algirdas, Tamosiunas, Albinas, Ubartas, Nerijus, Zeromskas, Paulius, Bradulskis, Saulius, Dainius, Edvinas, Juočas, Juozas, Kubiliute, Egle, Kutkevičius, Juozas, Opolskis, Aurimas, Parseliunas, Audrius, Subocius, Andrejus, Virbickaite, Egle, Zuikyte, Diana, Bogusevicius, Algirdas, Buzaite, Kristina, Čepuliené, Daiva, Cesleviciene, Ieva, Cesna, Vaidotas, Gribauskaite, Jolanta, Ignatavicius, Povilas, Jokubauskas, Mantas, Liugailaitè, Monika, Margelis, Ernest, Mazelyte, Ruta, Pankratjevaitè, Lina, Pažusis, Matas, Rackeviciute, Agne, Saladyte, Justina, Škimelytè, Monika, Šlenfuktas, Vygintas, Sudeikyte, Monika, Tamelis, Algimantas, Vanagas, Tomas, Žumbakys, Žygimantas, Atkociunas, Aivaras, Dulskas, Audrius, Kuliavas, Justas, Birutis, Justas, Paškevičius, Sigitas, Šatkauskas, Mindaugas, Danys, Donatas, Jakubauskas, Matas, Jakubauskiene, Lina, Kryzauskas, Marius, Lipnickas, Vytautas, Makūnaitè, Gabija, Rasoaherinomenjanahary, Fanjandrainy, Rasolofonarivo, Herizo, Samison, Luc Hervé, Banda, Bitiel, Msosa, Vanessa, Ahmad Izzuddin, Ahmad Imran, Das, Andre, Gan, Ying Yee, Shong Sheng, Tan, Siaw, Jia yng, Ab Rahim, Mohd Fadliyazid, Abang Jamari, Dyg Zahratul Hamrak, Che Husin, Nurfariza, Kamarulzaman, Muhd Yusairi, Lim, Yi Ping, Mohamed Kamil, Nil Amri, Mohd Hassan, Mohd Razeen, Mohd Sahid, Saidah, Mustafa, Johari, Ng, Elaine Hui Been, Wan Khazim, Wan Khamizar, Chang Ern, Ng, Lingeshan, P.g., Sulaiman, Syariz Ezuan, Ang, Sue Ean, Bin Mohamad Sithik, Muhammad Navid, Cheong, Yih Jeng, Deva Tata, Mahadevan, Jia Xian, Law, Kadravello, Aravinthan, Koh, I-Ern, Ng, Li-Yen, Ng We Yong, Yuki Julius, Palayan, Kandasami, Sam, Chi Xuan, Siow Jin, Phuah, Tan Ern Hwei, Jeremy, Tang, Yita, Ter, Alvin Zubin, Wong, Michael Pak-Kai, Zakaria, Andee Dzulkarnaen, Zakaria, Zaidi, Henry, Fitjerald, Kalaiselvan, Thyivya, Abd Karim, Muhammad Fairuz Shah, Abdul Aziz, Mohamed Rezal, Abdul Aziz, Nora, Khong, Tak Loon, Lau, Peng Choong, Lim, Hiong Chin, Roslani, April Camilla, Seak, Jonathan Chen Ken, Wong, Sui-Weng, Wong, Lai Fen, Yeen Chin, Leow, Anyanwu, Mercy Chinemerem, Busuttil, Zachary, Calleja, Thomas, Chircop, Kurt Lee, Cutajar, Ruth, Dimech, Andrew Michael, Galea, Joseph, Gascon Perai, Kiara, Gatt, Ruth, Kelman, Lisa, Micallef, Elizabeth, Nwolu, Favour, Sammut, Kim, Thompson, Joanna, Warwicker, Sean, Zammit, Matthew, Cordera, Fernando, Cruz González, Efraín, Sánchez-García, Jorge, Barbosa Camacho, Francisco José, Barrera López, Francisco Javier, Zuloaga Fernandez del Valle, Carlos Jose, Acosta, Eric, González Espinoza, Iván Romarico, Moreno, Perla, Cortes-Flores, Ana Olivia, Fuentes Orozco, Clotilde, Gonzalez Ojeda, Alejandro, Corro Díaz González, Samantha, Martinez, Laura, Mosqueda Amador, Bonifacio, Novoa, Armando, Olazo Espejo, Dennet Arturo, Jimenez, Alejandro, Lopez Rosales, Federico, Vanoye, Elva Gabriela, Garcia Gonzalez, Luis Alberto, Miranda-Ackerman, Roberto Carlos, Solano-Genesta, Manuel, Alvarez-Cano, Alethia, Romero-Garza, Hector Hugo, Medina-Franco, Heriberto, Mejía-Fernández, Lorelí, Salgado-Nesme, Noel, Vergara-Fernandez, Omar, Gutiérrez-Mota, Guadalupe Montserrat, Hernandez Vera, Francisco Xavier, Llantada Lopez, Anabella, Morgan Villela, Gilberto, Ramirez Padilla, Felipe de Jesus, Tapia Marin, Walezka, Martínez Maldonado, Mónica, Sánchez Suárez, Ramses, Troche, José Manuel, Benyaiche, Chaymae, Outani, Oumaima, Amine, Souadka, Benkabbou, Amine, Majbar, Anass Mohammed, Mohsine, Raouf, Rafik, Ali, Oung, Thida, Tin, Moe Moe, Plarre, Philipp, Alberga, Anna, Sluiter, Nina, Tuynman, Jurriaan, Blok, Robin, Cömert, Didem, Hompes, Roel, Kalff, Marianne, Stellingwerf, Merel Elisabeth, Tanis, Pieter, van Berge Henegouwen, Mark, van Praag, Elise Maria, Wisselink, Daan, Gerhards, Michael, Lopes Cardozo, Josephine, Westerduin, Emma, de Jonge, Joske, van Geloven, Aaw, van Schilt, Kaz, den Boer, Frank, Stoots, Simone, Vlek, Stijn, Adams, Jamie, Al-Busaidi, Ibrahim S., Budd, Gabrielle, Choi, Seung il, Chu, Michael Jen Jie, Ganugapati, Anurag, McKinstry, Lucy, Pascoe, Rebecca, Richards, Simon, Rosser, Kenrick, Stevenson, Annie, White, Rebecca, Farik, Shebani, Kwun, Jin, Murad, Ahmed, Cowan, Sarah, Hall, Timothy, Hayton, Michael, Malam Sani, Laminou, Oumarou Garba, Souleymane, Amadou Magagi, Ibrahim, Habou, Oumarou, Aliyu, Halima, Daniyan, Muhammad, Sholadoye, Tunde T., Abdullahi, Lawal, Anyanwu, Lofty-John, Mohammad Mohammad, Aminu, Muhammad, Abubakar Bala, Sheshe, Abdurrahman Abba, Suleiman, Ibrahim, Adesina, Alaba, Awolowo, Ajibola, Onuoha, Clement, Salami, Omotayo, Taiwo, Ogechukwu, Taiwo, Agboola, Kache, Stephen, Makama, Jerry Godfrey, Sale, Danjuma, Abiola, Olajide, Ajao, Akinlabi, Ajiboye, Anthony, Etonyeaku, Amarachukwu, Olaogun, Julius, Adebanjo, Ademola, Adesanya, Opeoluwa, Afolayan, Michael Olatunji, Balogun, Olanrewaju, Makanjuola, Ayomide, Nwokocha, Samuel, Ojewola, Rufus Wale, Olajide, Thomas Olagboyega, Aderounmu, Adewale, Adesunkanmi, Abdul-Rashid, Agbakwuru, Augustine, Akeem Aderogba, Adeleke, Alatise, Olusegun Isaac, Arowolo, Olukayode, Lawal, Oladejo, Mohammed, Tajudeen, Ndegbu, Chinedu, Olasehinde, Olalekan, Wuraola, Funmilola, Akinkuolie, Akinbolaji, Mosanya, Arinzechukwu, Ayandipo, Omobolaji, Elemile, Peter, Lawal, Taiwo Akeem, Ali SANI, Samuel, Garba, Stephen, Hauwa SANI, Rebecca, Olori, Samson, Onyebuashi, Henry, Umoke, Ifeanyi, Adenuga, Adedire, Adeyeye, Ademola, Habeeb, Olufemi, Lawal, Bashir, Nasir, Abdulrasheed, Aahlin, Eirik Kjus, Kjønås, Didrik, Myrseth, Elisabeth, Abbasy, Jibran, Alvi, Abdul, Saleem, Omair, Afzal, Asma, Nazir, Anam, Farooq, Muhammad, Liaqat, Ayesha, Naqi, Syed Asghar, Raza, Ali, Sarfraz, Muzna, Sarwar, Muhammad, Banglani, Muntaha, Munir, Ambreen, Sehrish, Rahmat, Ayub, Bushra, Sayyed, Raza, Altaf, Amna, Ayub, Saima, Saeed, Komal, Syed, Bilal, Akbar, Sana Amir, Anwer, Abdul Wahid, Khan, Ruqayya Naheed, Khan, Amina Iqbal, Khattak, Shahid, Mohtasham, Sameen, Parvaiz, Muhammad Asad, Syed, Aamir Ali, Ansari, Abdul Basit, Shahzad, Noman, Khaliq, Tanwir, Rashid, Isbah, Waqar, Shahzad Hussain, Abu Al-saleem, Hasan, Abu Alqumboz, Amjad, Alqadi, Mohammad, Amro, Adham, Assa, Rawan, Awesat, Eman, Ayyad, Rawan, Hammad, Mohammed, Haymony, Ayat, Hijazi, Bassel, Hmeidat, Bara, Lahaseh, Rowaa, Qawasmi, Aseel, Rajabi, Alaa, Shehada, Mohammed, Shkokani, Sundus, Yaghi, Yasmine, Yaghi, Nadine, AlZohour, Mohammad, Farid, Mohammad, Habes, Yousef Mahmoud, Juba, Wesam, Nubani, Yanal, Rabee, Abdelrahman, Sa'deh, Mohammad, Abed, Saeed, Al basos, Iyad, Alswerki, Mohammad, Ashour, Dina, Awad, Israa, Diab, Samar, El Jamassi, Alaa, El-Kahlout, Sahar, Elhout, Somaya, Hajjaj, Ahmed N K, Hasanain, Doaa, Nabil hajjaj, Baraa, Obaid, Mohammed, Saikaly, Eman, Salhi, Ahmed, Al-Tammam, Hiba, Almasri, Murad, Baniowda, Muath, Beshtawi, Doha, Horoub, Ali, Misk, Rami, Mohammad, Bayan, Qasrawi, Rami, Sholi, Tasnim, Abu-Nimeh, Samar, Abu-srour, Abrar, Abukhalaf, Sadi A., Adawi, Samer, Alsalameh, Barah, Ayesh, Kholoud, Elqadi, Muawiyah, Hammouri, Ahmad, Karim Mustafa, Fatima, Marzouqa, Natalie, Melhem, Shatha, Miqdad, Dima, Mohamad, Balqees, Rawhi, Mhammed, Abu Ahammala, Ayman B., Abu Ataya, Ahmed, Abu Jayyab, Israa, Al-Shwaikh, Samar, Alagha, Othman, Alasttal, Mohammed, Awadallah, Haneen, Elblbessy, Mahmood, Fares, Jehad, Jarbou, Akram, Mahfouz, Ibtisam, Albahnasawi, Moath A., Abo mahadi, Asmaa', Abuelhatal, Hasan, Abuelqomboz, Ayham, Almoqayyad, Abdelrahman, Alwali, Abdallah, Balaawi, Reem, Hamouda, Mahmoud, Humeid, Mohammed, Jedyan, Abdullah, Mahmoud Abu hamam, Tasneem, Matar, Ghadeer, Salem, Ali, Samra, Tahani, Shaheen, Nureddin, Shihada, Karam, A.Nemer, Ayoob, Abu Al Amrain, Mahmoud, Abu Alamrain, Abdulwhhab, Abu Jamie, Najlaa, Abu-Rous, Mohammed R., Alfarra, Nada, AlTaweel, Mohammed, Alwhaidi, Noor, Hamed, Ramadan, Saqqa, Bader, Shaheen, Ahmad, Aljaber, Dana, Aljaberi, Loay, Alwaheidi, Malak, Jawaada, Assef, Khaldi, Hani, Qahoush, Rami, Qari, Jalil, Saadeh, Rana, Salim, Ahlam, Yacoub, Aseel, Abbas, Abbas, Abu shua'ib, Rana, Abu Zainah, Baraa, AbuSirrees, Mahmoud, Babaa, Basheer, Barhoush, Ola, Belal qadomi, Asef, Daraghmeh, Laith, Haji, Reema, Khatatbeh, Alaa, Khatib, Lana, Qarariah, Salsabeel, Quzmar, Yara, Safadi, Khalil, Salameh, Roqaya, Hassan, Mohammad, Herzallah, Shifaa, Massad, Loai, Nazzal, Ahmed, Nazzal, Ranin, Escobar, Dennis, Machain V, Gustavo Miguel, Rodriguez Gonzalez, Agustin, Chachaima Mar, Jorge Emerson, Chinchihualpa Paredes, Nathaly Olga, Cuba, Vicente, Lopez, Walter, Niquen Jimenez, Maria Milagros, Sanchez Bartra, Nestor Alberto, Sapallanay Ojeda, Olenka, Sequeiros, Diego, Toscano Pacheco, Andrea, Vergara, María, Abarca, Sol, Alcorta, Rodrigo, Borda-Luque, Giuliano, Eusebio Zegarra, Ivan Edward, Luján López, Claudia, Marrufo, Mirella, Mogrovejo, Cinthya, Nomura, Andrea, Rodríguez Angeles, Yamile, Vidal Meza, Maitza Rosario, Zavala, Gabriela, Castillo Arrascue, José Neiser, Hidrogo Cabrera, Jomara Caroline, Larrea vera, José Julio Mariano, Osorio, Miguel, Ylatoma Díaz, Edgar Alcides, Fontanilla, Mark Anthony, Fuentes, Joseph Roy, Salazar, Anna Leah, Dominguez, Genieve, Lopez, Marc Paul, Macalindong, Shiela, Onglao, Mark Augustine, Ramirez, Arjel, Sacdalan, Marie Dione, Tampo, Mayou Martin, Uy, Gemma Leonora, Mangahas, Jeremiah, Yabut, Kenneth, Cañete, Joannes Paul, Cansana, Bernalynn Eris, Castro, Ernes John, Lipana, Maria Kaiserin, Roxas, Manuel Francisco, Zara, Vlu Jean, Chroł, Maciej, Franczak, Paula, Orłowski, Michał, Budzyński, Piotr, Budzyński, Andrzej, Bury, Pawel, Czerwińska, Agata, Dworak, Jadwiga, Dziedzic, Jacek, Kisielewski, Michał, Kulawik, Jan, Lasek, Anna, Małczak, Piotr, Migaczewski, Marcin, Pędziwiatr, Michał, Pisarska, Magdalena, Radkowiak, Dorota, Rubinkiewicz, Mateusz, Rzepa, Anna, Skoczylas, Tomasz, Stanek, Maciej, Truszkiewicz, Katarzyna, Wierdak, Mateusz, Winiarski, Marek, Zarzycki, Piotr, Zub-Pokrowiecka, Anna, Kowalewski, Piotr, Roszkowski, Rafał, Walędziak, Maciej, Tomé, Miguel, Patrocinio, Sara, Guerreiro, Ines, Almeida, Filipe, de Sousa, Xavier, Monteiro, Nuno, Costa Santos, Maria Teresa, de Oliveira, Daniela, Lopes Serra, Marta, Morgado, Daniela, Neves, Christian, Oliveira, Ana Carolina, Pimentel, Alice, Silva, Sofia, Carvalho, Márcia, Carvalho, Lúcia, Magalhães, Joana, Matos, Leonor, Monteiro, Tânia, Ramos, Carlota, Santos, Vanessa, Barbosa, José, Costa-Maia, Jose, Devezas, Vítor, Fareleira, Ana, Fernandes, Cristina, Gonçalves, Diana, Mora, Henrique, Morais, Marina, Silva de Sousa, Fabiana, Catarino Santos, Sara, Logrado, Ana, Tojal, André, Amorim, Edgar, Cunha, Miguel F., Fazenda, Ana, Melo Neves, João Pedro, Sampaio da Nóvoa Gomes Miguel, Inês Isabel, Veiga, Diogo, Azevedo, José, Cardoso Louro, Hugo, Leite, Mariana, Bairos Menezes, Maria, Gama, Bárbara, Brito, Diana, Cruz Martins, Marta Cristina, Graça e Magalhães, André, Longras, Ana Catarina, Lourenço, Rita, Matos, Diana, Castro, Luis, Policarpo, Filipa, Romano, Joana, Monteiro, Cristina, Pinto, Diogo, Duarte, Marina, Fortuna Martins, Sónia, Oliveira, Mariline, Galvão, Diogo, Martins, Lisandra, Silva, Anaisa, Taranu, Viorel, Vieira, Bárbara, Neves, Jessica, Oliveira, Simone, Ribeiro, Hugo, Cinza, Margarida, Felix, Rosa, Machado, Arnaldo, Oliveira, Joana, Patrício, Joana, Pedroso de Lima, Rita, Pereira, Mário, Rocha Melo, Miguel, Velez, Cristina, Abreu da Silva, Alberto, Claro, Mariana, Costa Santos, Daniel, Ferreira, Andreia, Capote, Hugo, Rosado, Daniela, Taré, Filipa, Nogueira, Oriana, Ângelo, Miguel, Baiao, José Miguel, Guimarães, Andreia, Marques, João, Nico Albano, Miguel, Silva, Marta, Valente da Costa, Ana, Vieira Caroço, Teresa, Almeida Braga, Sara, Capunge, Ines, Fragoso, Marta, Guimarães, João, Pinto, Bruno, Ribeiro, João, Angel, Miguel, Fialho, Guilherme, Guerrero, Monica, Campos Costa, Filipa, Cardoso, Diogo, Cardoso, Vasco, Alves, Magda, Estalagem, Inês, Louro, Tiago, Marques, Cláudia, Martelo, Rita, Morgado, Miguel, Canotilho, Rita, Correia, Ana Margarida, Martins, Pedro, Peyroteo, Mariana, Gomes, João, Monteiro, Rita, Romano, Manuela, Alves, Daniela Macedo, Peixoto, Rita, Quintela, Catarina, Jervis, Maria João, Melo, Débora, Pacheco, André, Paixão, Valter, Pedro, Vera, Pimenta, Joana, Pimenta de Castro, João, Rocha, Ana, Beuran, Mircea, Ciubotaru, Cezar, Diaconescu, Bogdan, Hostiuc, Sorin, Negoi, Ionut, Stoica, Bogdan, Anokhin, Evgeny, Kuznetsov, Georgy, Oganezov, Giorgi, Paramzin, Fedor, Romanova, Ekaterina, Rutkovskii, Valeryan, Rutkovskii, Vasilii, Shushval, Mikhail, Zabiyaka, Mikhail, Dzhumabaev, Khasan, Ivanov, Valerii, Mamedli, Zaman, Achkasov, Sergey, Balkarov, Artem, Nabiev, Elnur, Nagudov, Marat, Rybakov, Evgeny, Saifutdinova, Karina, Sushkov, Oleg, Joseph, Lule, Ndayishimiye, Isaac, Faustin, Ntirenganya, Mutabazi, Alphonse Zeta, Mvukiyehe, Jean Paul, Nsengimana, Vizir J.P, Uwakunda, Carine, Abbas, Mohammad Monir, Akeel, Nouf, Aljiffry, Murad, Awaji, Kholoud, Farsi, Ali, Jamjoum, Ghader, Khoja, Ahmad, Maghrabi, Ashraf, Malibary, Nadim, Nassif, Mohammed, Saleem, Abdulaziz, Sultan, Abdullah, Tashkandi, Wail, Tashkandi, Hanaa, Trabulsi, Nora, Ba, Mouhamadou Bachir, Diallo, Adja Coumba, Ndong, Abdourahmane, Cuk, Vladica, Janković, Uroš, Koh, Sharon Zhiling, Koh, Frederick, Lee, Kuok Chung, Lee, Kai Yin, Lee, Sean, Leong, Wei Qi, Lui, Su Ann, Prakash, Prajwala, Grosek, Jan, Norcic, Gregor, Tomazic, Ales, Fitchat, Nicolas, Jaich, Robert, Wineberg, Devorah, Koto, Modise Zacharia, Baiocchi, Daniella, Clarke, Damian, Steenkamp, Christina Johanna, Bannister, Sharon, Boutall, Adam, Chinnery, Galya, Coccia, Anna, Dell, Angela, Karjiker, Parveen, Kloppers, Christo, Loxton, Nicholas, Mabogoane, Tumi, Malherbe, Francois, Panieri, Eugenio, Rayamajhi, Shreya, van Wyngaard, Tirsa, Warden, Claire, Madiba, T E, Pillay, Nivashen, Brooks, Savannah, Kruger, Charlise, Van Der Merwe, Lisa Hannah, Gool, Ferhana, Kariem, Maahir, Bougard, Heather, Kariem, Nazmie, Noor, Fazlin, Pillay, Reantha, Steynfaardt, Leandi, González González, Lucía, Marín Santos, José Miguel, Martín-Borregón, Paula, Martínez Caballero, Javier, Nevado García, Cristina, Rodriguez Fraga, Pastora, De Castro Parga, Gonzalo, Fernández Veiga, Maria Pilar, Garrido López, Lucía, Infante Pino, Hugo, Lages Cal, Irene, López Otero, Marta, Nogueira Sixto, Manuel, Paniagua García Señorans, Marta, Rodríguez Fernández, Laura, Ruano Poblador, Alejandro, Rufo Crespo, Erika, Sanchez-Santos, Raquel, Vigorita, Vincenzo, Alonso Batanero, Ester, Asnel, Dorisme, Cifrian Canales, Isabel, Contreras Saiz, Elisa, De Santiago Alvarez, Irene, Díaz Vico, Tamara, Fernandez Arias, Sebastian, Fernández Martínez, Daniel, García Bernardo, Carmen, García Flórez, Luis Joaquín, Garcia Gutierrez, Carmen, García Munar, Manuel, Márquez Zorrilla Molina, Carlos Alberto, Merayo, Marta, Michi Campos, José Luis, Moreno Gijon, Maria, Otero-Diez, Jorge L., Rodicio Miravalles, Jose Luis, Solar-Garcia, Lorena, Suárez Sánchez, Aida, Truan, Nuria, Alejandre Villalobos, Cristina, Caballero Díaz, Yurena, Jimenez, Marta, Montesdeoca, Dacil, Navarro-Sánchez, Antonio, Vega, Victor, Beltrán de Heredia, Juan, Gómez, Zahira, Jezieniecki, Carlos, Legido Morán, Ana Patricia, Montes-Manrique, Mario, Rodriguez-Lopez, Mario, Ruiz Soriano, María, Trujillo Díaz, Jeancarlos, Vazquez Fernandez, Andrea, Argudo, Nuria, Pera, Miguel, Torrent Jansà, Laia, García Domínguez, Melody, Goded, Ignacio, Roldón Golet, Marta, Talal El-Abur, Issa, Utrilla Fornals, Alejandra, Zambrana Campos, Vanesa, Aguilar Martinez, Maria Del Mar, Bosch, Marina, García-Catalá, Luis, Sánchez-Guillén, Luis, Artigau, Eva, Gomez Romeu, Nuria, Julià Bergkvist, David, Espina Perez, Beatriz, Morató, Olga, Olona, Carles, Diéguez, Beatriz, Forero-Torres, Alexander, Losada, Manuel, Gomez-Abril, Segundo, Gonzálvez, Paula, Martinez, Rosario, Navarro Martínez, Sergio, Payá-Llorente, Carmen, Pérez Rubio, Álvaro, Santarrufina Martinez, Sandra, Sebastián Tomás, Juan Carlos, Trullenque Juan, Ramon, Gegúndez Simón, Alberto, Maté, Paloma, Prieto-Nieto, Maria Isabel, Rubio-Perez, Ines, Urbieta, Aitor, Vicario Bravo, Marina, Abelló, David, Frasson, Matteo, Garcia-Granero, Alvaro, Abad Gurumeta, Alfredo, Abad-Motos, Ane, Lucena-de Pablo, Elena, Nozal, Beatriz, Ripollés-Melchor, Javier, Salvachúa, Rut, Ferrero, Esther, Garcia-Sancho Tellez, Luis, Picardo, Antonio L., Rojo López, Jose Alberto, Zorrilla Matilla, Laura Patricia, Cagigas Fernandez, Carmen, Castanedo Bezanilla, Sonia, Estevez Tesouro, José, Fernandez-Diaz, Maria Jose, García Cardo, Juan, Gomez Ruiz, Marcos, Gonzalez-Tolaretxipi, Erik, Jimeno Fraile, Jaime, Poch, Cristobal, Rodriguez-Aguirre, Montserrat, Troche Pesqueira, Noemí, Trugeda-Carrera, Maria Soledad, de la Torre, Javier, Blanco-Colino, Ruth, Espin-Basany, Eloy, Espinosa-Bravo, Martin, Morales Comas, Clara, Reyes Afonso, Eduardo, Rivero Déniz, Joaquín, Siso Raber, Christian, Verdaguer Tremolosa, Mireia, Chandrasinghe, Pramodh, Kumarage, Sumudu, Wijekoon Arachchilage, Nimeshi, Abdalla Ahmed Elkamel, Ahmed, A. Adam, Mohammed, Blomme, Nina, Thorell, Anders, Wogensen, Fredrik, Älgå, Andreas, Ansarei, Dhirar, Celebioglu, Fuat, Heinius, Göran, Nigard, Linda, Pieniowski, Emil, Ahlqvist, Sandra, Björklund, Ida, Frånberg, Andreas, Håkansson, Martina, Adamo, Karin, Franklin, Oskar, Sund, Malin, Wiberg, Rebecca, Andersson, Yvette, Chabok, Abbas, Nikberg, Maziar, Kugelberg, Alexander, Canonica, Claudia, Christoforidis, Dimitrios, Fasolini, Fabrizio, Gaffuri, Paolo, Giuliani, Mauro, Meani, Francesco, Popeskou, Sotirios Georgios, Pozza, Silvia, Wandschneider, Wiebke, Peterer, Lorenz, Widmer, Lukas Werner, Zimmermann, Bernd, Bakoleas, Panagiotis, Chanousi, Iris, Charalampidou, Lydia, Grochola, Lukasz Filip, Heid, Franziska, Ntaoulas, Sotirios, Outos, Michail, Peros, Georgios, Podolska-Skoczek, Hanna, Reinisch, Katharina Beate, Zielasek, Christian, Demartines, Nicolas, Gilgien, Jérôme, Kefleyesus, Amaniel, St-Amour, Pénélope, Toussaint, Arnaud, Alhimyar, Maryam, Alsaid, Bayan, Alyafi, Amr, Alkhaledi, Ahmad, Kouz, Basel, Omarain, Ahmad, Al-Sabbagh, Yusra, Alkhatib, Haya, Sara, Samer, Alhaj, Ahmad, Danial, Aghyad, Kadoura, Lama, Maa Albared, Sarah, Monawar, Yamen, Nahas, Louei, Abd, Barook, Saad, Ahmad, Wakkaf, Habib, Bouzaiene, Hatem, Ghalleb, Montassar, Akaydin, Elif, Akbaba, Ata Cem, Atakul, Onur, Baltaci, Ege, Besli, Sevval, Burgu, Gökçen, Cenal, Ulukan, de Muijnck, Cansu, Demirkaya, Hasan Can, Dogruoz, Alper, Gezer, Zeynep Ipek, Gündoğdu, Yasemin, Kara, Merve, Korkmaz, Hasan Kürşad, Kurtoğlu, Gökalp Kağan, Ozben, Volkan, Ozmen, Berk Baris, Pektaş, Ahmet Murat, Sel, Eda Kübra, Yenidünya, Nilüfer, Bengur, Fuat Baris, Oral, Berke Mustafa, Yozgatli, Tahir Koray, Abdullayev, Seymur, Gunes, Mehmet Emin, Sahbaz, Nuri Alper, Banaz, Tuba, Kargici, Kübra, Kuyumcu, Omer Faruk, Yanikoğlu, Erkan, Yeşilsancak, Merve, Yilmaz, Duygu, Aktas, Melik Kagan, Rencuzogullari, Ahmet, Isik, Arda, Leventoğlu, Sezai, Yalçinkaya, Ali, Yüksel, Osman, Kalayci, Mustafa U, Kara, Yasin, Sarici, Inanc Samil, Akin, Alp, Alemdağ, Gökçe nur, Arslan, Ekin, Baki, Bahadir Emre, Bodur, Muhammed Selim, Calik, Adnan, Candas Altinbas, Bahar, Cihanyurdu, Irem, Erkul, Oğuz, Gül, Burak, Guner, Ali, Köse, Beyza, Semiz, Anil, Sevim, Şule, Tayar, Serkan, Tomas, Kadir, Tüfek, Ozan yavuz, Türkyilmaz, Serdar, Uluşahin, Mehmet, Usta, Arif, Yildirim, Reyyan, Güler, Sertaç Ata, Tatar, Ozan Can, Varol, Ecenur, Kirimtay, Busenur, Uysal, Muhammed, Yildiz, Alp, Kose, Emin, Ciftci, Ahmet Burak, Çolak, Elif, Eraslan, Huseyin, Kucuk, Gultekin Ozan, Yemez, Kürşat, Lule, Herman, Bienfait, Mumbere, Bua, Emmanuel, Okalany, Noella, Basarab, Maksym, Bielosludtsev, Oleksii, Kolhanova, Kateryna, Perepelytsia, Kateryna, Romanukha, Kateryna, Savenkov, Dmytro, Siryi, Stanislav, Tereshchenko, Maksym, Viacheslav, Nezamai, Volovetskyi, Anton, Kebkalo, Andrey, Tryliskyy, Yegor, Tyselskiy, Volodimir, Bruce, Eilidh, Chow, Bing Lun, Iddles, Emma, McGuckin, Sarah, Newall, Nicola, Ramsay, George, Sharma, Parivrudh, Stewart, Caitlin, Wong, Jeremy, Badran, Abdul, Bath, Michael, Belais, Fanny, Butt, Eman, Joshi, Kaustuv, Kapur, Milan, Shaw, Mike, Townson, Adam, Williams, Christopher Yee Khang, Gray, Timothy, Greig, Robert, Husain, Mansoor, Murray, Elspeth, Mustafa, Ahmed, Asif, Ashar, Gokul, Arya, Shah, Max, Akitikori, Mabel Temisanren, Charalabopoulos, Alexandros, Davidson, Sophie, McNally, Sinead, Rupani, Shamil, Juma, Fatema, Mills, Sarah Catherine, Muirhead, Laura, Sellars, Kate, Walsh, Una, Warren, Oliver, Chambers, Alice, Hunt, Richard, Boyce, Stephen, Cornwall, Hannah, Tol, Isabel, Argyriou, Eleftherios Orestis, Eardley, Nicola, Povey, Meical, Aithie, Joanna M S, Irfan, Ahmer, McGuigan, Mari-Claire, Starr, Robert, Warren, Craig Russell, Archibald, Jess, Kirby, Georgia, Kisyov, Ivan, Khoo, Chun Kheng, Lee, Rachel, Photiou, Dana, Davis, Rowan, Prasad, Uday, Yang, P Zichu, Bird, Jonathan, Leung, Edmund, Summerour, Virginia, Currow, Chelise, Kiam, Jianshen, Tan, Gerald Jack Soon, Muthusami, Anitha, Pegba-Otemolu, Ibifunke, Urbonas, Tomas, Nunoo-Mensah, Joseph, Smolskas, Edgaras, Boddy, Alex, Gravante, Gianpiero, Hunter, David, Andrew, David, Koh, Amanda, Thompson, Amari, Adams, Lawrence, Clements, Hollie A, De Silva, Kasun, Ekpete, Ogbonnia, Haque, Seraj, Henderson, Scott, Ibrahim, Bilal, Jayasinghe, Thummini, Livie, Jennifer, Mailley, Keir, Nair, Gopikrishnan, Tan, Daniel, Baggaley, Caitlin, Dawidziuk, Aleksander, Szyszka, Bartosz, Barter, Charlotte, Gandhi, Nirav, Hassell, Karen, Hitchin, Samantha, Kelsall, Jennett, Nagy, Eva, Nessa, Ashrafun, Whisker, Lisa, Yanni, Fady, Ali, Mahmoud, Arora, Deeksha, Hediwattege, Sunanda, Kumarasinghe, Navam, Rathore, Munir, Tennakoon, Athula, Ali Ahmad, Syed Mustafa, Bajomo, Oreoluwa, Nadira, Fahema, Celentano, Valerio, Griffiths, Ewen, Karri, Rama Santhosh, Mak, Jason Kei Chak, Pipe, Michelle, Bhatti, Muhammad Iqbal, Rabie, Mohamed, Boyle, Connor, Hamilton, David, Mihuna, Aishath, Ng, James Chean Khun, Nicholson, Gary, Oliwa, Agata, Pearson, Robert, Rose, Anna, Yong, Shun Qi, Boereboom, Catherine, Hanna, Michael, Walter, Catherine, Greensmith, Thomas Samuel, Mitchell, Rachel, Monaghan, Eimear, Crawford, James, Moug, Susan, Blackwell, James, Boyd-Carson, Hannah, Herrod, Philip, Al-Allaf, Omar, Beattie, Miriam, Bullock, Cameron, Burman, Shivang, Clark, Gemma, Flamey, Nicolas, Flannery, Oliver, Harding, Alexander, Kodiatt, Ben, Lawday, Samuel, Mahapatra, Shivani, Mukundu Nagesh, Navin, Ng, Michael, Rye, Dupinderjit, Yoong, Andrel, Clark, Laura, Deans, Chris, Edirisooriya, Monisha, Carrington, Emma Victoria, Wong, Tsz Lun Ernest, Yusuf, Baasil, Chamberlain, Carla, Duke, Kathryn, Kmiotek, Elizabeth, Botes, Azel, Condie, Natalie, Schrire, Timothy, Shah, Reena, Thomas-Jones, Iolo, Yates, Charlotte, Anthony, Natasha, Matthews, Edward, Sahnan, Kapil, Tankel, James, Tucker, Sally, Winter Beatty, Jasmine, Ziprin, Paul, Duggan, William, Kantartzi, Anastasia, Sridhar, Shruthi, Khaw, Rachel Alys, Srivastava, Prakhar, Underwood, Charlotte, Alves do Canto Brum, Homero, Chopra, Sharat, Davis, Laura, Hughes, Rebecca, Tulley, Joshua, Alberts, Justin, Athisayaraj, Thomas, Olugbemi, Mojolaoluwa, Ahmad, Kasim, Chan, Claudia, Chapman, Gavin, Fleming, Hannah, Fox, Benjamin, Grewar, Julia, Hulse, Kate, Rutherford, Duncan, Sinead, Mackay, Smith, Scott, Speake, Doug, Vaughan-Shaw, Peter G, Christodoulides, Natasha, Kudhail, Simrit, Welch, Matthew, Husaini, Syed Muhibullah, Lambracos, Simon, Anyanwu, Chikamuche, Suresh, Rishi, Thomas, Jimmy Scott, Gleeson, Elizabeth, Platoff, Rebecca, Saif, Areeba, Enumah, Zachary, Etchill, Eric, Gabre-Kidan, Alodia, Bernstein, Mitchell, Carrano, Francesco Maria, Connors, Joseph, Lynn, Patricio, Melis, Marcovalerio, Newman, Elliot, Foster, Deshka S, Perrone, Kenneth, Titan, Ashley, Ahmad, Sarwat, Bafford, Andrea Chao M.D., Dal Molin, Marco, Hanna, Nader, Zafar, Syed Nabeel, Hemmila, Mark, Napolitano, Lena, Wong, Jane J, Chandler, Julia, Wood, Lauren, Wren, Sherry, Ottesen, Taylor, You, Lucia, Yu, Kristin, Arciénega Yañez, María del pilar, Ferreira Fernandes, Martin, González, Daniel, Cubas, Santiago, González, María Catalina, Zubiaurre, Vanessa, Demolin, Rodrigo, Giroff, Nicolas, Sciuto, Pablo, Campos, Maite, Rodríguez Cantera, Gabriela, Deepika, Garg, Simuchimba, Elliot, Bulaya, Anadi, Chibuye, Chali, Chirengendure, Bright, Kabale, Mary-Rose, Kabongo, Kizito, Munthali, James, Mweso, Oliver, Pikiti, Francis, Otieno, James, Lai, Log Tung, Blackman, Brighid, Richards, Sophie, Subramaniam, Suren, Karim, Rafid, Kok, Nathan, Lee, Yanni Dion, Ali, Shabina, Sinha, Aanjaneya, Corrigan, Robert, Barnes, Nicole, Wong, Florence, Dennis, Grace, Jedamzik, Julia, Phillips, Emil, Piette, Wivine, Van hentenryck, Marie, Koco, Houenoukpo, Lawani, Souliath, Kassa, Mamo Woldu, Santos Bezerra, Tainá, Gribnev, Petar, Dimitrov, Dobromir, Krastev, Panche, Oum, Sovannarith, Bonghaseh, Divine Tim, Al Farsi, Maryam, Alsharqawi, Nourah, Acevedo, Veronica, Castillo Barbosa, Andrea Carolina, Giron, Felipe, Leon Rodriguez, Jimmy Paul, Kučan, Darko, Rosko, Damir, Barsic, Neven, Župan, Domagoj, Hegazi, Amgad, Trunčíková, Vendula, Fryba, Vladimir, Mohamed, Mostafa, Sultan, Ahmed, Nagi, Ahmed, Rashad Temerik, Abdallah, Elshawy, Mohamed Elemam, Mahmoud, Moustafa Ibrahim, Omar, Shrouk, Anwar, Mohamed, Rageh, Tarek, Elmokadem, Aya, Gaballa, Khaled, Teppo, Sandra, Turunen, Antti, Pengermä, Pasi, Ballouhey, Quentin, Bergeat, Damien, Weyl, Ariane, Hain, Elisabeth, Gyedu, Adam, Yenli, Edwin, Osei-Poku, Dorcas, Rompou, Vaia-Aliki, Zoikas, Athanasios, Gaitanidis, Apostolos, Koukis, Georgios, Perivoliotis, Konstantinos, Tavlas, Panagiotis, Galanos-Demiris, Konstantinos, Zografos, George, Karavokyros, Ioannis, Xanthopoulou, Georgia, Iordanidou, Eirini, Ayau, Fernanda, Garcia, Allan, Damján, Pekli, Wason, Deepender, B L, Ashika, Rangganata, Ervandy, Kamath, Prerna, O'Connor, Donal B, Pinto, Margherita, Perrone, Fabrizio, Tropeano, Francesca Paola, Troilo, Francesca, Bossi, Daniela, Scala, Dario, Pulitanò, Lucrezia, Carella, Marcella, Pietrabissa, Andrea, Gori, Alice, Giraudo, Giorgio, De Simone, Veronica, Russo, Alfio Alessandro, Braccio, Bartolomeo, Al-Taher, Raed, Athamneh, Sarah, Parker, Andrea, Sawiee, Adnan, Kattia, Amina, Salem, Malik, Tababa, Osama, Shaeeb, Zuhour, Syminas, Vilius, Jurgaitis, Jonas, Damulevičienè, Gytè, Svagzdys, Saulius, Razafimanjato, Narindra Njarasoa Mihaja, Chieng Loo, Ling, Tiong, Ing Ching, Wan Muhmad, Wan Farahiyah, Vijeyan, Harinthiran, Li Ying, Teoh, Grech, Gabriella, Arrangoiz, Rodrigo, Jimenez Ley, Vania Brickelia, Arizpe, Daniel, Lagunes Lara, Elizabeth, Castro López, Elizabeth Victoria, Eaazim, Jose, Gordinou de Gouberville, Marije, Bastiaenen, Vivian, Rottier, Simone, Nahab, Fouad, Ji, Maria Yeonhee, Seyoji, Mohammed, Nwachukwu, Callistus, Emeghara, Okechukwu, Muhammed, Sayyid Egbunu, Idowu, Ayodeji, Sowemimo, Olamiposi, Ogundoyin, Olakayode, Akande, Oluwatosin, Lott, Alexander, Nadeem, Maliha, Laghari, Ahsan Ali, Loya, Asif, Mushtaq, Hassan, Abdullah, Muhammad Tariq, Abuhilal, Baseel, Atawneh, Mohammad, Hamdan, Hamdan, Alhabil, Belal, Srour, Abedelrahman, Mousa, Ibrahim, Da Silva Medina, Luis, Bartosiak, Katarzyna, Ferreira, Pedro, Francisco, Vítor, Lemos, Ricardo, Frutuoso, Luísa, Fernandes, Sara, Fonseca, Telma, Pereira, Jorge, Rachadell, Juan, Torre, Ana, Madeira Martins, Filipe, Carvalho, Ana Cristina, Rodrigues Ferreira, Joana, Ribeiro da Silva, Bruno, Devesa, Helena, Vieira, Ana, Mónica, Inês, Amaro, Margarida, Sousa, Diogo, Reia, Marta, Louro, João, Martins, Ana, Dominguez, Joaquina, Santos, Inês, Freitas Oliveira, Nuno Miguel, Pereira, José Carlos, Silva-Vaz, Pedro, Freire, Ligia, Escrevente, Ricardo, Negoita, Valentina Madalina, Shakhmatov, Dmitry, Nezerwa, Yves, Radulovic, Radosav, Obery, Gareth, Viljoen, Francois, Mendes, Tome, Suarez, Antonio, Moncada, Enrique, Fernandez-Hevia, Maria, Curtis Martínez, Carolina, Gil Garcia, Julia Maria, González Zunzarren, Mariana, Idris, Tarig, Eklöv, Karolina, Grahn, Oskar, Amin, Leila, Blomqvist, Malin, Ajani, Costanza, Kraus, Rebecca, Seeger, Nico, Willemin, Melissa, Rayya, Fadi, Ayash, Mohammad, Msouti, Raneem, Kannas, Israa, Abazid, Eias, Esper, Asil, Slim, Skander, Kavcar, Akil Serdar, Aytac, Erman, Dural, Ahmet Cem, Ilker, Ayse, Eray, Ismail Cem, Kurnaz, Eray, Altiner, Saygin, Tepe, Mustafa Deniz, Şahin, Can, Savli, Evrim, Innocent, Aryon, Babirye, Lilian, Diachenko, Andrii, Hordoskiy, Vladislav, Curry, Heather, Chau, Charlene Yat Che, Robertson, Harry, Mahmoud, Arin, Lennon, Hannah, Loi, Lynette, Kirkham, Emily, McCann, Cameron, Watts, Daniel, Gurung, Binay, Wilson, Michael, Tribedi, Thomas, Garofalo, Eleonora, Zahra, Baryab, MacDonald, Scott, Daniels, Ian, Ng, Nathan, Khosla, Shivun, Olivier, James, Yue, Sum Yu Pansy, Suresh, Gayathri, Wellington, Jack, Lorejo, Emmanuel, Mossaad, Mafdi, Crutcher, Madison, Alimi, Marjan, Baiu, Ioana, Abdou, Hossam, Conway, Alison, Peck, Connor, Perdomo Perez, Mauro Andres, Zulu, Stanley, Nakazwe, Mildred, Burger, Sule, Davies, Justine, Donaldson, Rachel, Ede, Chikwendu, Garden, O James, Lesetedi, Chiapo, Mabedi, Charles, Magill, Laura, Makinde Alakaloko, Felix, Makupe, Alex, Monahan, Mark, Mulira, Soloman, Muller, Elmi, Musowoyo, Jospeh, Olory-Togbe, Jean Léon, Roberts, Tracey, Smith, Martin, Tayler, Viki, Windsor, John, Yepez, Raul, Sundar, Sudha, Runigamugabo, Emmy, Verjee, Azmina, Chen, José, Daya, Leonid, El Aroussi, Nouhaila, Farina, Valeria, Gnintedeme Olivier, Tchianze, Gonzales Nacarino, Mauricio, Hammani, Aamr, Honjo, Sarah, Jacobs, Rebecca, Kimura, Hitomi, Nkoronko, Mugisha, Oscullo Yepez, Jasson Javier, Pin Hung, Wei, Raj, Ankit, Romani Pozo, Alina, Rommaneh, Muna, Sassamela Fabiano, Samuel Chimbioputo, Shiroma Gago, Camila Milagros, Srinivas, Abhishekh, Sung, Chia-Yen, Tai, Aswan, Valle Aranda, Yener Cristyell, Venturini, Sara, and Wilguens Lartigue, Jean
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- 2022
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5. Cerebral embolic protection device utilization and outcomes in transcatheter aortic valve replacement: A nationally representative propensity matched analysis.
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Altibi, Ahmed M., Alhuneafat, Laith, Jabri, Ahmad, Al-Abdouh, Ahmad, and Ghanem, Fares
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PROPENSITY score matching , *STROKE , *ACUTE kidney failure , *CARDIOGENIC shock , *HOSPITAL mortality - Abstract
In patients undergoing transcatheter aortic valve replacement (TAVR), cerebral embolic protection devices (CEPD) are used to possibly diminish the risk of periprocedural stroke. Trends and outcomes of CEPD usage in TAVR are not well characterized. National readmission databases (NRD) 2017–2019 was used to identify hospital admissions for TAVR using ICD-10 codes, with versus without Sentinel CEPD. Primary outcomes of the study were in-hospital and 30-day stroke. Secondary outcomes include in-hospital mortality, 30-day mortality, 30-day readmission rate, and other procedural complications. We matched both cohorts using propensity score matching (PSM) and performed logistic regression to compute the odds ratios (ORs) and corresponding 95 % confidence intervals (CI). Out of 190,837 TAVR admissions in the United States, 10,643 (5.6 %) patients had TAVR with Sentinel CEPD. After propensity score matching, our cohort included 10,503 patients with CEPD and 10,541 without CEPD. Trends in CEPD utilization are noted in Fig. 1. In the PSM cohort, Sentinel CEPD was not associated with decreased risk of in-hospital stroke (1.9 % vs. 1.8 %, OR: 0.98, 95 % CI: 0.76–1.26, p = 0.88), 30-day stroke (2.1 % vs. 2.1 %, OR: 1.01, 95 % CI: 0.78–1.30, p = 0.96), or 30-day mortality (1.3 % vs. 1.0 %, OR: 0.74, 95 % CI: 0.51–1.07, p = 0.11) when compared to TAVR without CEPD. Other in-hospital and short-term outcomes post-TAVR were not impacted by Sentinel CEPD usage, including acute kidney injury, vascular complications, paravalvular leak, cardiogenic shock, circulatory support, or permanent pacemaker (Table 1). In this nationally representative cohort, Sentinel CEPD utilization during transfemoral TAVR for stroke prevention was not associated with reduced odds of in-hospital stroke, 30-day stroke, or 30-day mortality. Future studies should focus on optimizing patient selection for CEPD and establishing predictive models to identify the subset of TAVR patients with higher risk for periprocedural stroke who might benefit from CEPD. [ABSTRACT FROM AUTHOR]
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- 2024
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6. Characteristics and comparative clinical outcomes of prisoner versus non-prisoner populations hospitalized with COVID-19
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Altibi, Ahmed M., Pallavi, Bhargava, Liaqat, Hassan, Slota, Alexander A., Sheth, Radhika, Al Jebbawi, Lama, George, Matthew E., LeDuc, Allison, Abdallah, Enas, Russell, Luke R., Jain, Saniya, Shirvanian, Nariné, Masri, Ahmad, and Kak, Vivek
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- 2021
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7. Wearable Cardioverter-Defibrillator Therapy for the Prevention of Sudden Cardiac Death: A Systematic Review and Meta-Analysis
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Masri, Ahmad, Altibi, Ahmed M., Erqou, Sebhat, Zmaili, Mohammad A., Saleh, Ala, Al-Adham, Raed, Ayoub, Karam, Baghal, Moaaz, Alkukhun, Laith, Barakat, Amr F., Jain, Sandeep, Saba, Samir, and Adelstein, Evan
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- 2019
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8. Cardiac Dysfunction Among People Living With HIV: A Systematic Review and Meta-Analysis
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Erqou, Sebhat, Lodebo, Bereket Tessema, Masri, Ahmad, Altibi, Ahmed M., Echouffo-Tcheugui, Justin B., Dzudie, Anastase, Ataklte, Feven, Choudhary, Gaurav, Bloomfield, Gerald S., Wu, Wen-Chih, and Kengne, Andre Pascal
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- 2019
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9. Protocol registration issues of systematic review and meta-analysis studies: a survey of global researchers
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Tawfik, Gehad Mohamed, Giang, Hoang Thi Nam, Ghozy, Sherief, Altibi, Ahmed M., Kandil, Hend, Le, Huu-Hoai, Eid, Peter Samuel, Radwan, Ibrahim, Makram, Omar Mohamed, Hien, Tong Thi Thu, Sherif, Mahmoud, Hossain, As-Saba, Thang, Tai Luu Lam, Puljak, Livia, Salem, Hosni, Numair, Tarek, Moji, Kazuhiko, and Huy, Nguyen Tien
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- 2020
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10. Hospital Procedural Volume and Clinical Outcomes Following Septal Reduction Therapy in Obstructive Hypertrophic Cardiomyopathy.
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Altibi, Ahmed M., Ghanem, Fares, Yuanzi Zhao, Elman, Miriam, Cigarroa, Joaquin, Nazer, Babak, Song, Howard K., and Masri, Ahmad
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- 2023
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11. Cardiac magnetic resonance for prophylactic implantable-cardioverter defibrillator therapy international study: prognostic value of cardiac magnetic resonance-derived right ventricular parameters substudy.
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Al'Aref, Subhi J, Altibi, Ahmed M, Malkawi, Abdallah, Mansour, Munthir, Baskaran, Lohendran, Masri, Ahmad, Rahmouni, Hind, Abete, Raffaele, Andreini, Daniele, Aquaro, Giovanni, Barison, Andrea, Bogaert, Jan, Camastra, Giovanni, Carigi, Samuela, Carrabba, Nazario, Casavecchia, Grazia, Censi, Stefano, Cicala, Gloria, Conte, Edoardo, and Cecco, Carlo N De
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ECHOCARDIOGRAPHY ,CAUSES of death ,VENTRICULAR ejection fraction ,CONFIDENCE intervals ,MAGNETIC resonance imaging ,IMPLANTABLE cardioverter-defibrillators ,RIGHT ventricular dysfunction ,KAPLAN-Meier estimator ,DESCRIPTIVE statistics ,RESEARCH funding ,HEART failure ,LONGITUDINAL method ,PROPORTIONAL hazards models - Abstract
Aims Right ventricular systolic dysfunction (RVSD) is an important determinant of outcomes in heart failure (HF) cohorts. While the quantitative assessment of RV function is challenging using 2D-echocardiography, cardiac magnetic resonance (CMR) is the gold standard with its high spatial resolution and precise anatomical definition. We sought to investigate the prognostic value of CMR-derived RV systolic function in a large cohort of HF with reduced ejection fraction (HFrEF). Methods and results Study cohort comprised of patients enrolled in the CarDiac MagnEtic Resonance for Primary Prevention Implantable CardioVerter DefibrillAtor ThErapy registry who had HFrEF and had simultaneous baseline CMR and echocardiography (n = 2449). RVSD was defined as RV ejection fraction (RVEF) <45%. Kaplan–Meier curves and cox regression were used to investigate the association between RVSD and all-cause mortality (ACM). Mean age was 59.8 ± 14.0 years, 42.0% were female, and mean left ventricular ejection fraction (LVEF) was 34.0 ± 10.8. Median follow-up was 959 days (interquartile range: 560–1590). RVSD was present in 936 (38.2%) and was an independent predictor of ACM (adjusted hazard ratio = 1.44; 95% CI [1.09–1.91]; P = 0.01). On subgroup analyses, the prognostic value of RVSD was more pronounced in NYHA I/II than in NYHA III/IV, in LVEF <35% than in LVEF ≥35%, and in patients with renal dysfunction when compared to those with normal renal function. Conclusion RV systolic dysfunction is an independent predictor of ACM in HFrEF, with a more pronounced prognostic value in select subgroups, likely reflecting the importance of RVSD in the early stages of HF progression. [ABSTRACT FROM AUTHOR]
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- 2023
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12. Cardiogenic shock in autoimmune rheumatologic diseases: an insight on etiologies, management, and treatment outcomes.
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Battisha, Ayman, Sawalha, Khalid, Altibi, Ahmed M., Madoukh, Bader, Al-Akchar, Mohammad, and Patel, Brijesh
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CARDIOGENIC shock ,ETIOLOGY of diseases ,AUTOIMMUNE diseases ,TAKAYASU arteritis ,GRANULOMATOSIS with polyangiitis ,SYSTEMIC lupus erythematosus - Abstract
Autoimmune rheumatological disorders are known to have an increased risk for cardiovascular diseases including coronary artery disease (CAD), myocarditis, pericarditis, valvulopathy, and in consequence cardiogenic shock. Data on cardiogenic shock in rheumatological diseases are scarce; however, several reports have highlighted this specific entity. We sought to review the available literature and highlight major outcomes and the management approaches in each disease. Systematic literature search, including PubMed, Ovid/Medline, Cochrane Library, and Web of Science, was conducted between January 2000 and December 2009. We reviewed all cases reporting cardiogenic shock with rheumatologic conditions, including systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), Takayasu's arteritis (TA), granulomatosis with polyangiitis (GPA), giant cell arteritis (GCA), and antiphospholipid syndrome (APS). We selected 45 papers reporting a total of 48 cases. Mean age was 39 ± 7.3 years and 68.8% were females. Most common rheumatologic conditions associated with cardiogenic shock were SLE (31%), GPA (23%), TA (14.6%), APA (10.4%), and RA (8.3%). Cardiogenic shock was found to be caused by eosinophilic myocarditis in 58% of cases, CAD in 19% of cases, and valvulopathy in 6% of cases. Most patient required high-dose steroids and second immunosuppressant therapy. Mechanical circulatory supported was required in 23 cases, IABP in 16 cases, and ECMO in 12 cases. Complete recovery occurred in 37 patients while 9 patients died and 2 required heart transplant. Responsible for two-thirds of cases, eosinophilic myocarditis should be suspected in young cardiogenic shock patients with underlying rheumatologic conditions. Lupus and GPA are the two most common conditions. [ABSTRACT FROM AUTHOR]
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- 2022
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13. Characteristics And Procedural Complications Of Septal Myectomy For Obstructive Hypertrophic Cardiomyopathy In The United States.
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Altibi, Ahmed M., Elman, Miriam, Zhao, Yuanzi, Chehab, Jad, Butzner, Michael, Heitner, Stephen, Jacoby, Daniel, Sohn, Regina, and Masri, Ahmad
- Abstract
Septal myectomy (SM) outcomes in patients with obstructive hypertrophic cardiomyopathy (oHCM) are derived from experienced centers' reports or survey data. In this study, we report the characteristics and procedural outcomes of SM in an all-payer oHCM cohort. An observational study using individual-level healthcare claims data (Symphony Health, covers ˃280 million enrollees). Adult patients with oHCM diagnosis who underwent SM (2016-2021) were included. Patients had to have ≥ 1 diagnosis claim (continuous enrollment) in the 120 days prior to SM. Baseline characteristics were derived from claims codes in the 90 days prior to SM. Inpatient complications (within 30 days post-SM) included a composite of: repeat SM, cardiac arrest, CPR, TIA/stroke, anoxic brain damage, hemothorax, tracheotomy, emergency intubation, ECMO, new dialysis, and ventricular septal defect. We identified 5,324 patients who underwent SM for oHCM (median age 62.0, 53.5% female, 70% with commercial insurance). Baseline characteristics are shown (Table 1). Concomitant mitral valve repair occurred in 33.4%, mitral valve replacement in 13.2%, papillary muscle intervention in 11.8%, and left atrial appendage clipping/excision in 11.8%. There were 48 (0.9%) patients without claims following SM. Inpatients events occurred in 627 (11.8%) patients. New atrial fibrillation/flutter occurred in 1498 (28.1%) patients and heart block requiring pacemaker implantation occurred in 526 (9.9%) patients. Repeat septal myectomy within 30 days was required in 43 (0.8%) patients. Predictors of inpatients complications are shown in Table 2. In a large cohort of patients with oHCM undergoing SM, morbidity resulting from SM complications was substantial. Further representative nationwide studies are needed to understand the long-term non-fatal outcomes of HCM patients post-SM. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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14. Readmission-free period and in-hospital mortality at the time of first readmission in acute heart failure patients-NRD-based analysis of 40,000 heart failure readmissions.
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Altibi, Ahmed M, Prousi, George, Agarwal, Manyoo, Shah, Mahek, Tripathi, Byomesh, Ram, Pradhum, and Patel, Brijesh
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CARDIOGENIC shock ,HOSPITAL mortality ,HEART failure patients ,HEART failure ,PERCUTANEOUS coronary intervention ,HEART assist devices ,INTRA-aortic balloon counterpulsation ,HEART failure treatment ,TIME ,MEDICAL care ,PATIENT readmissions ,CARDIOVASCULAR system ,TREATMENT effectiveness - Abstract
The 30-day readmission rates, predictors, and outcomes for acute heart failure (AHF) patients are well published, but data beyond 30 days and the association between readmission-free period (RFP) and in-hospital readmission-related mortality remain unknown. We queried the National Readmission Database to analyze comparative outcomes of AHF. Patients were divided into three groups based on their RFP: group 1 (1-30 days), group 2 (31-90 days), and group 3 (91-275 days). AHF cases and clinical variables were identified using ICD-9 codes. The primary outcome was in-hospital mortality at the time of readmission. A total of 39,237 unplanned readmissions occurred within 275 days; 15,181 within group 1, 11,925 within group 2, and 12,131 within group 3. In-hospital mortality in groups 1, 2, and 3 were 7.4%, 5.1%, and 4.1% (p < 0.001). Group 1 had higher percentages of patients with cardiogenic shock (1.3% vs. 0.9% vs. 0.9%; p < 0.001), acute kidney injury (30.2% vs. 25.9% vs. 24.0%; p < 0.001), dialysis use (8.6% vs. 7.5% vs. 6.9%; p < 0.001), and non-ST elevation myocardial infarction (4.4% vs. 3.8% vs. 3.6%; p < 0.001), but there was no statistical difference among the three groups for ST-elevation myocardial infarction, percutaneous coronary intervention (PCI), or ventricular assist device use at the time of index admission. However, group 3 had higher PCI (1.7%) compared with groups 1 and 2 (p < 0.001). In multivariable logistic regression, groups 2 and 3 had odd ratio of 0.70 and 0.55, respectively, for in-hospital mortality compared with group 1. Longer RFP is associated with decreased risk of in-hospital mortality at the time of first readmission. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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15. Assessment of right ventricular function following left ventricular assist device (LVAD) implantation—The role of speckle‐tracking echocardiography: A meta‐analysis.
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Barssoum, Kirolos, Altibi, Ahmed M., Rai, Devesh, Kharsa, Adnan, Kumar, Ashish, Chowdhury, Medhat, Elkaryoni, Ahmed, Abuzaid, Ahmed Sami, Baibhav, Bipul, Parikh, Vishal, Masri, Ahmad, Amsallem, Myriam, and Nanda, Navin C.
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HEART ventricle diseases , *CONFIDENCE intervals , *ECHOCARDIOGRAPHY , *RIGHT heart ventricle , *HEART failure , *META-analysis , *RISK assessment , *SYSTEMATIC reviews , *HEART assist devices , *ODDS ratio - Abstract
Background: Right ventricular failure (RVF) following left ventricular assist device (LVAD) implantation is associated with worse outcomes. Prediction of RVF is difficult with routine transthoracic echocardiography (TTE), while speckle‐tracking echocardiography (STE) showed promising results. We performed systematic review and meta‐analysis of published literature. Methods: We queried multiple databases to compile articles reporting preoperative or intraoperative right ventricle global longitudinal strain (RVGLS) or right ventricle free wall strain (RVFWS) in LVAD recipients. The standard mean difference (SMD) in RVGLS and RVFWS in patients with and without RVF postoperatively was pooled using random‐effects model. Results: Seventeen studies were included. Patients with RVF had significantly lower RVGLS and RVFWS as compared to non‐RVF patients; SMD: 2.79 (95% CI: −4.07 to −1.50; P: <.001) and −3.05 (95% CI: −4.11 to −1.99; P: <.001), respectively. The pooled odds ratio (OR) for RVF per percentage increase of RVGLS and RVFWS were 1.10 (95 CI: 0.98–1.25) and 1.63 (95% CI 1.07–2.47), respectively. In a subgroup analysis, TTE‐derived GLS and FWS were significantly lower in RVF patients as compared to non‐RVF patients; SMD of −3.97 (95% CI: −5.40 to −2.54; P: <.001) and −3.05 (95% CI: −4.11 to −1.99; P: <.001), respectively. There was no significant difference between RVF and non‐RVF groups in TEE‐derived RVGLS and RVFWS. Conclusion: RVGLS and RVFWS were lower in patients who developed RVF as compared to non‐RVF patients. In a subgroup analysis, TTE‐derived RVGLS and RVFWS were reduced in RVF patients as compared to non‐RVF patients. This difference was not reported with TEE. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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16. Speckle tracking echocardiography can predict subclinical myocardial involvement in patients with sarcoidosis: A meta‐analysis.
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Barssoum, Kirolos, Altibi, Ahmed M., Rai, Devesh, Kumar, Ashish, Kharsa, Adnan, Chowdhury, Medhat, Thakkar, Samarthkumar, Shahid, Sara, Abdelazeem, Mohamed, Abuzaid, Ahmed Sami, Baibhav, Bipul, Parikh, Vishal, Feitell, Scott C., Balmer‐Swain, Mallory, Rao, Mohan, Amsallem, Myriam, and Nanda, Navin C.
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HEART ventricle diseases , *CONFIDENCE intervals , *ECHOCARDIOGRAPHY , *LEFT heart ventricle , *META-analysis , *MYOCARDIUM , *SARCOIDOSIS , *DESCRIPTIVE statistics - Abstract
Background: This meta‐analysis aims to evaluate the utility of speckle tracking echocardiography (STE) as a tool to evaluate for cardiac sarcoidosis (CS) early in its course. Electrocardiography and echocardiography have limited sensitivity in this role, while advanced imaging modalities such as cardiac magnetic resonance (CMR) and 18F‐fluorodeoxyglucose positron emission tomography (FDG‐PET) are limited by cost and availability. Methods: We compiled English language articles that reported left ventricular global longitudinal strain (LVGLS) or global circumferential strain (GCS) in patients with confirmed extra‐cardiac sarcoidosis versus healthy controls. Studies that exclusively included patients with probable or definite CS were excluded. Continuous data were pooled as a standard mean difference (SMD), comparing sarcoidosis group with healthy controls. A random‐effect model was adopted in all analyses. Heterogeneity was assessed using Q and I2 statistics. Results: Nine studies were included in our final analysis with an aggregate of 967 patients. LVGLS was significantly lower in the extra‐cardiac sarcoidosis group as compared with controls, SMD −3.98, 95% confidence interval (CI): −5.32, −2.64, P <.001, also was significantly lower in patients who suffered major cardiac events (MCE), −3.89, 95% CI −6.14, −1.64, P <.001. GCS was significantly lower in the extra‐cardiac sarcoidosis group as compared with controls, SMD: −3.33, 95% CI −4.71, −1.95, P <.001. Conclusion: LVGLS and GCS were significantly lower in extra‐cardiac sarcoidosis patients despite not exhibiting any cardiac symptoms. LVGLS correlates with MCEs in CS. Further studies are required to investigate the role of STE in the early screening of CS. [ABSTRACT FROM AUTHOR]
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- 2020
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17. The Utility of Intraoperative Lateral Spread Recording in Microvascular Decompression for Hemifacial Spasm: A Systematic Review and Meta-Analysis.
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Thirumala, Parthasarathy D, Altibi, Ahmed M, Chang, Robert, Saca, Eyad E, Iyengar, Pragnya, Reddy, Rajiv, Anetakis, Katherine, Crammond, Donald J, Balzer, Jeffrey R, and Sekula, Raymond F
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- 2020
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18. Cutaneous Fusariosis in a Patient with Job's (Hyper-IgE) Syndrome.
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Altibi, Ahmed M., Sheth, Radhika, Battisha, Ayman, and Kak, Vivek
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FUSARIOSIS , *DERMATOMYCOSES , *OPPORTUNISTIC infections , *SYNDROMES , *IMMUNOCOMPROMISED patients , *HYPERTROPHIC scars , *MUCORMYCOSIS - Abstract
Fusarium is a filamentous fungus that is ubiquitous in nature and can cause severe opportunistic infections in immunocompromised hosts. The association between Fusarium and hyper-IgE syndrome is exceedingly rare and has only been documented in a single report previously. A 44-year-old male, working as marijuana grower, with prior diagnosis of hyper-IgE syndrome and recurrent infections presented with enlarging right knee ulcer that did not respond to antimicrobial treatment. The patient was diagnosed with cutaneous fusariosis, confirmed with punch biopsy and positive wound cultures. The patient was managed with extended antifungal therapy (i.e., posaconazole) and surgical debridement resulting in remarkable improvement with wound healing leaving a pale scar. Fusarium should be considered in differential for cutaneous and invasive fungal infections in presence of cutaneous manifestations. Exposure to Cannabis plants is a noticeable risk factor. Multimodal approach involving systemic antifungals and wound debridement is essential for favorable outcome. Posaconazole was demonstrated to be a highly efficacious antifungal choice. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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19. Global longitudinal strain assessment of the left ventricle by speckle tracking echocardiography detects acute cellular rejection in orthotopic heart transplant recipients: A systematic review and meta‐analysis.
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Elkaryoni, Ahmed, Altibi, Ahmed M., Khan, Muhammad Shahzeb, Okasha, Osama, Ellakany, Karim, Hassan, Adil, Singh, Annapoorna, Qarajeh, Raed, Mehta, Shrushti, and Nanda, Navin C.
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BIOPSY , *CONFIDENCE intervals , *ECHOCARDIOGRAPHY , *ENDOCARDIUM , *GRAFT rejection , *LEFT heart ventricle , *HEART transplantation , *MEDICAL databases , *INFORMATION storage & retrieval systems , *MEDICAL information storage & retrieval systems , *MEDLINE , *META-analysis , *ONLINE information services , *QUALITY assurance , *TRANSPLANTATION of organs, tissues, etc. , *SYSTEMATIC reviews - Abstract
Background: In orthotopic heart transplant recipients, surveillance with endomyocardial biopsy is crucial to detect acute cellular rejection (ACR) early. ACR is a common and serious complication of transplantation with substantial morbidity and mortality. Speckle tracking echocardiography with global longitudinal strain (GLS) assessment of the left ventricle has emerged as a possible noninvasive screening modality. We have conducted a systematic literature review and meta‐analysis to evaluate the role of GLS in diagnosing ACR. Methods: The following databases were queried: PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Scopus, and Embase. We compiled all articles evaluating changes in GLS in comparison to endomyocardial biopsy in ACR dated prior to September 2019. Weighted mean differences (WMD) and 95% confidence intervals (CIs) were pooled by using a random effects model. In order to determine the risk of bias, we used the revised version of the Quality Assessment of Diagnostic Accuracy Studies (QUADAS‐2) tool. Results: Twelve studies met inclusion criteria of which ten were chosen. These studies encompassed 511 patients and 1267 endomyocardial biopsies. There was a significant difference in GLS between patients who did and did not have ACR proven by biopsy (WMD = 2.18; 95% CI: 1.57‐2.78, P = <.001; I2 = 76%). The overall sensitivity for GLS in detecting ACR was 78% (CI: 63%‐90%, P =.123; I2 = 52.2%) while the overall specificity was 68% (CI: 50%‐83%, P = <.001; I2 = 88.3%). Conclusion: Global longitudinal strain assessment of the left ventricle by speckle tracking echocardiography is useful in detecting ACR and could potentially reduce the burden of frequent endomyocardial biopsies in heart transplant recipients. [ABSTRACT FROM AUTHOR]
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- 2020
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20. Native valve endocarditis caused by Erysipelothrix Rhusiopathiae: presenting with refractory heart failure and requiring surgical valve replacement—report on a rare zoonosis.
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Altibi, Ahmed M., Khalid, Mohammed, Kak, Vivek, and Patel, Brijesh
- Abstract
Erysipelothrix Rhusiopathiae is a Gram-positive bacillus that is ubiquitous in nature. The bacterium is a zoonotic pathogen known to infect wild and domestic animals. Human infections, however, are uncommon and typically present with localised or generalised cutaneous lesions. Systemic infection in the form of bacteraemia with seeding to various organs is the least common form of the disease. Infections in humans tend to be associated with occupational exposure and close contact with animals. Clinical data of a 61-year-old male patient with Gram-positive bacilli bacteraemia and E.Rhusiopathiae-induced endocarditis are presented here. The patient presented with refractory congestive heart failure secondary to severe acute aortic regurgitation mandating surgical valve replacement. The described case has special clinical merit given the lack of fever and leukocytosis, absence of erysipeloid cutaneous manifestations and refractoriness to medical management. E. Rhusiopathiae should be considered in the differential diagnosis for Gram-positive bacilli bacteraemia and endocarditis. In the proper clinical setting, occupational exposure and animal contacts are helpful clues to raise suspicion for this bacillus. The high mortality associated with the pathogen should urge for early identification and initiation of antimicrobial treatment. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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21. Perioperative Stroke in Carotid Artery Stenting as a Surrogate Marker and Predictor for 30-day Postprocedural Mortality - A Pooled Analysis of 156,000 Patients with Carotid Artery Disease.
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Altibi, Ahmed, Saca, Eyad, Dhillon, Harbir, Thirumala, Parthasarathy, Altibi, Ahmed M, Saca, Eyad E, and Thirumala, Parthasarathy D
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TRANSIENT ischemic attack ,CAROTID endarterectomy ,NEUROPHYSIOLOGIC monitoring ,CAROTID artery diseases ,CAROTID artery ,BIOMARKERS ,STROKE ,CEREBRAL ischemia ,STROKE-related mortality ,CARDIOVASCULAR surgery ,COMPARATIVE studies ,RESEARCH methodology ,MEDICAL cooperation ,META-analysis ,PROGNOSIS ,RESEARCH ,SURGICAL stents ,SURGICAL complications ,EVALUATION research ,CAROTID artery stenosis ,TREATMENT effectiveness - Abstract
Background: Carotid artery stenosis (CAS) is being recognized as an effective alternative for carotid endarterectomy (CEA). CAS is especially preferred over CEA in high-risk surgical patients with severe carotid stenosis. However, CAS carries an increased risk of stroke and transient ischemic attack (TIA).Objective: To assess the association between periprocedural stroke/TIA and 30-day mortality in carotid stenosis patients undergoing CAS.Methods: We searched PubMed, Embase, and World Science for relevant publications. Studies reporting on perioperative neurologic status (stroke/TIA) and 30-day mortality in patients undergoing CAS were included. Sensitivity, specificity, pooled odds ratio (OR), and relative risk (RR) of perioperative stroke in predicting 30-day mortality following CAS were calculated.Results: 146 studies with 156,854 patients were included in the meta-analysis. The mean patient age was 70.7 years, and 57.6% were males. Only 26.5% of the CAS cohort were symptomatic and 15.2% had bilateral carotid disease. The incidence of perioperative TIA and stroke were 2.4 and 2.7 per 100 CAS procedure, respectively. Around 11.8% of stroke-events were fatal. The pooled OR of 30-day mortality after perioperative stroke was 24.58 (95% CI, 19.92-30.32) and the pooled RR was 21.65 (95% CI, 17.87-26.22). Perioperative stroke had a sensitivity of 42.0% (95% CI 37.8-46.4%) and specificity of 97.0% (95% CI 96.7-97.3%) in predicting 30-day mortality.Conclusions: Perioperative stroke drastically increases the risk of 30-day mortality. The occurrence of perioperative stroke exhibited high specificity but modest sensitivity in predicting 30-day mortality following CAS. This highlights the importance of neurophysiologic monitoring to detect intraoperative cerebral ischemia and perform timely interventions. [ABSTRACT FROM AUTHOR]- Published
- 2019
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22. Discrepant Volume-cost Relationship Of Septal Reduction Therapies For The Treatment Of Obstructive Hypertrophic Cardiomyopathy.
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Altibi, Ahmed M, Ghanem, Fares, and Masri, Ahmad
- Abstract
Septal reduction therapy (SRT), with septal myectomy (SM) or alcohol septal ablation (ASA), is performed for obstructive hypertrophic cardiomyopathy (oHCM) patients who remain symptomatic despite medical therapy. The cost of SRT procedures is substantial with limited data addressing how cost is impacted by hospital procedural volume. The aim of this study was to evaluate the national trends in the hospitalization cost of alcohol septal ablation (ASA) and septal myectomy (SM). National Readmission Databases (NRD) 2010-2019 were queried to identify hospital admissions for SRT using ICD-9 and ICD-10 codes. Based on annual procedural volume, hospitals were stratified into tertiles of low, medium, and high-volume centers for ASA or SM. Inflation-adjusted average annual charges related to SRT were estimated for each year between 2010-2019. We identified a total of 12,064 patients who underwent SM for oHCM between 2010-2019 (mean age 59.9 ± 13.9 years, 56.2% were female) and 6,943 patients who underwent ASA in the same period (mean age 64.1 ± 13.7 years, 53.8% were females). The average annual charge for SM between 2010-2019 was 215k ± 216k USD with an uptrend from 188k USD in 2010-2012, to 218k USD between 2013-2016, and 240k USD between 2017-2019 (p<0.01). For SM procedures, the average inflation-adjusted annual charges were significantly lower in high-volume centers when stratified by first, second, and third tertiles of hospital volume (264k vs. 219k vs. 162k USD, p<0.01), figure 1. The average annual charge for ASA between 2010-2019 was 105K ± 118K USD with no significant uptrend over years; annual charge of 100K between 2010-2012, 113K between 2013-2016, and 103K between 2017-2019, p= 0.19. However, the annual inflation-adjusted charge for ASA was also significantly lower in high-volume centers compared to low-volume centers when stratified by tertiles of hospital volume (123k vs. 114k vs. 83k, p<0.01). In the United States, an inverse volume-cost relationship was observed for SM and ASA procedures performed between 2010 through 2019; high-volume centers had a significantly lower average charges related to SRT compared to low-volume centers. While the average annual charges for SM had up-trended between 2010-2019, the annual charges of admissions related to ASA had not markedly changed over the same period. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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23. Diagnostic accuracy of dobutamine stress echocardiography in the detection of cardiac allograft vasculopathy in heart transplant recipients: A systematic review and meta‐analysis study.
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Elkaryoni, Ahmed, Abu‐Sheasha, Ghada, Altibi, Ahmed M., Hassan, Adil, Ellakany, Karim, and Nanda, Navin C.
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CARDIOVASCULAR diseases ,CHI-squared test ,CONFIDENCE intervals ,DOBUTAMINE ,ECHOCARDIOGRAPHY ,HEART transplantation ,INFORMATION storage & retrieval systems ,MEDICAL databases ,MEDICAL information storage & retrieval systems ,MEDLINE ,META-analysis ,ONLINE information services ,TRANSPLANTATION of organs, tissues, etc. ,SYSTEMATIC reviews ,RECEIVER operating characteristic curves ,ODDS ratio - Abstract
Background: Dobutamine stress echocardiography (DSE) is a well‐established imaging modality used to screen patients with mild‐to‐moderate risk for coronary artery disease. In heart transplantation recipients, cardiac allograft vasculopathy (CAV) is a common and lethal complication. The use of DSE to detect CAV showed promising results initially, but later studies showed limitation in its use to detect CAV. It is unclear if this cohort of patients derives benefit from DSE. Methods: We searched PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Embase, and Scopus from inception through March 2018 for studies examining the accuracy of DSE in correlation to coronary angiography (CA) or intravascular ultrasound (IVUS) to detect CAV. Original studies comparing the ability of DSE to detect CAV in comparison with CA or IVUS were included. Relevant data were extracted and hierarchical summary receiver operating characteristic analysis was conducted to test the overall diagnostic accuracy of DSE for patients with CAV. Results: Eleven studies (749 participants) met the inclusion criteria. The sensitivity of DSE varied from 1.7% to 93.8%, and specificity, from 54.8% to 98.8%. Pooled sensitivity was 60.2% (95% confidence interval (CI), 33.0%–82.3%) and specificity 85.7% (95% CI, 73.8%–92.7%). DSE had an overall diagnostic odds ratio (OR) of 9.1 (95% CI, 4.6–17.8), positive likelihood ratio (LR+) of 4.1 (95% CI, 2.8–6.1), negative likelihood ratio (LR−) of 0.47 (95% CI: 0.23–0.73), and area under curve (AUC) of 0.73 (95% CI, 0.72–0.75). Heterogeneity among studies was not statistically significant (τ2 = 0.32, Cochran's Q = 9.5, P = 0.483). Conclusion: Dobutamine stress echocardiography has a limited sensitivity to detect early CAV but its specificity is much higher. There remains a need for an alternative noninvasive modality which will have both high sensitivity and high specificity for detecting CAV. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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24. Definitions for warning signs and signs of severe dengue according to the WHO 2009 classification: Systematic review of literature.
- Author
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Morra, Mostafa Ebraheem, Altibi, Ahmed M. A., Iqtadar, Somia, Minh, Le Huu Nhat, Elawady, Sameh Samir, Hallab, Asma, Elshafay, Abdelrahman, Omer, Omer Abedlbagi, Iraqi, Ahmed, Adhikari, Purushottam, Labib, Jonair Hussein, Elhusseiny, Khaled Mosaad, Elgebaly, Ahmed, Yacoub, Sophie, Huong, Le Thi Minh, Hirayama, Kenji, and Huy, Nguyen Tien
- Abstract
Summary: Since warning signs and signs of severe dengue are defined differently between studies, we conducted a systematic review on how researchers defined these signs. We conducted an electronic search in Scopus to identify relevant articles, using key words including dengue, “warning signs,” “severe dengue,” and “classification.” A total of 491 articles were identified through this search strategy and were subsequently screened by 2 independent reviewers for definitions of any of the warning or severe signs in the 2009 WHO dengue classification. We included all original articles published in English after 2009, classifying dengue by the 2009 WHO classification or providing the additional definition or criterion of warning signs and severity (besides the information of 2009 WHO). Analysis of the extracted data from 44 articles showed wide variations among definitions and cutoff values used by physicians to classify patients diagnosed with dengue infection. The establishment of clear definitions for warning signs and severity is essential to prevent unnecessary hospitalization and harmonizing the interpretation and comparability of epidemiological studies dedicated to dengue infection. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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25. BRAF Mutation is Associated with an Improved Survival in Glioma—a Systematic Review and Meta-analysis.
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Vuong, Huy Gia, Altibi, Ahmed M. A., Duong, Uyen N. P., Ngo, Hanh T. T., Pham, Thong Quang, Fung, Kar-Ming, and Hassell, Lewis
- Abstract
Newly emerged molecular markers in gliomas provide prognostic values beyond the capabilities of histologic classification.
BRAF mutation, especiallyBRAF V600E, is common in a subset of gliomas and may represent a potential prognostic marker. The aim of our study is to investigate the potential use ofBRAF mutations on prognosis of glioma patients. Four electronic databases were searched for potential articles, including PubMed, Scopus, ISI Web of Science, and Virtual Health Library (VHL). Data of hazard ratio (HR) for overall survival (OS) and progression-free survival (PFS) were directly obtained from original papers or indirectly estimated from Kaplan Meier curve (KMC). A random effect model weighted by inverse variance method was used to calculate the pooled HR. From 705 articles, we finally included 11 articles with 1308 glioma patients for the final analysis. The overall estimates showed thatBRAF V600E was associated with an improved overall survival (OS) in glioma patients (HR = 0.60; 95% CI = 0.44-0.80). Results for progression-free survival (PFS), however, were not statistically significant (HR = 1.39; 95% CI = 0.82-2.34). In subgroup analyses,BRAF V600E showed its effect in improving survival in pediatric and young adult gliomas (under 35 years) but did not have prognostic value in old adult. Additionally,BRAF V600E was only associated with a favorable prognosis in lower grade glioma. Our meta-analysis provides evidence thatBRAF mutation has a favorable prognostic impact in gliomas and its prognostic value might be dependent on patient age and tumor grade. This mutation can be used as a prognostic factor in glioma but additional studies are required to clarify its prognostic value taking into account other confounding factors. [ABSTRACT FROM AUTHOR]- Published
- 2018
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26. Clinical outcomes of current medical approaches for Middle East respiratory syndrome: A systematic review and meta‐analysis.
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Morra, Mostafa Ebraheem, Van Thanh, Le, Kamel, Mohamed Gomaa, Ghazy, Ahmed Abdelmotaleb, Altibi, Ahmed M. A., Dat, Lu Minh, Thy, Tran Ngoc Xuan, Vuong, Nguyen Lam, Mostafa, Mostafa Reda, Ahmed, Sarah Ibrahim, Elabd, Sahar Samy, Fathima, Samreen, Le Huy Vu, Tran, Omrani, Ali S., Memish, Ziad A., Hirayama, Kenji, and Huy, Nguyen Tien
- Abstract
Summary: Middle East respiratory syndrome (MERS) is a respiratory disease caused by MERS coronavirus. Because of lack of vaccination, various studies investigated the therapeutic efficacy of antiviral drugs and supportive remedies. A systematic literature search from 10 databases was conducted and screened for relevant articles. Studies reporting information about the treatment of MERS coronavirus infection were extracted and analyzed. Despite receiving treatment with ribavirin plus IFN, the case fatality rate was as high as 71% in the IFN‐treatment group and exactly the same in patients who received supportive treatment only. Having chronic renal disease, diabetes mellitus and hypertension increased the risk of mortality (P < .05), and chronic renal disease is the best parameter to predict the mortality. The mean of survival days from onset of illness to death was 46.6 (95% CI, 30.5‐62.6) for the IFN group compared with 18.8 (95% CI, 10.3‐27.4) for the supportive‐only group (P = .001). Delay in starting treatment, older age group, and preexisting comorbidities are associated with worse outcomes. In conclusion, there is no difference between IFN treatment and supportive treatment for MERS patients in terms of mortality. However, ribavirin and IFN combination might have efficacious effects with timely administration and monitoring of adverse events. Large‐scale prospective randomized studies are required to assess the role of antiviral drugs for the treatment of this high mortality infection. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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27. Progressive cutaneous Cryptococcosis complicated with meningitis in a myasthenia gravis patient on long-term immunosuppressive therapy - a case report.
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Nguyen Thi Cam Huong, Altibi, Ahmed M. A., Nguyen My Hoa, Le Anh Tuan, Salman, Samar, Morsy, Sara, Nguyen Thi Bich Lien, Nguyen Thanh Truong, Nguyen Thi Hoang Mai, Pham Thi Le Hoa, Nguyen Ba Thang, Van The Trung, Huong, Nguyen Thi Cam, Hoa, Nguyen My, Tuan, Le Anh, Lien, Nguyen Thi Bich, Truong, Nguyen Thanh, Mai, Nguyen Thi Hoang, Hoa, Pham Thi Le, and Thang, Nguyen Ba
- Subjects
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CRYPTOCOCCOSIS , *CRYPTOCOCCUS neoformans , *HIV-positive persons , *MYASTHENIA gravis , *THYMOMA , *IMMUNOSUPPRESSIVE agents - Abstract
Background: Cryptococcosis is an opportunistic infection caused by the encapsulated yeast Cryptococcus neoformans and most remarkably manifests in HIV-infected individuals, especially in the settings of very low CD4 count. Development of cryptococcosis in HIV-uninfected individuals is exceedingly rare and usually signifies a marked immunodeficiency. Cryptococcosis in association with myasthenia gravis or thymoma has been previously documented in only very few cases in the literature.Case Presentation: We reported a complicated case of severe cutaneous cryptococcosis in a 39-year-old Vietnamese male patient with myasthenia gravis on long-term immunosuppressive therapy. The patient presented with a five month history of recurrent and progressive skin lesions that later on progressed into cryptococcal meningitis.Conclusion: Through this case, we aimed to emphasize the importance of including cutaneous cryptococcosis in the differential diagnosis of cutaneous lesions in patients on chronic immunosuppressive therapy. The cutaneous manifestations of cryptococcosis can be the first clue for a disseminated disease, which makes early recognition crucial and life-saving. [ABSTRACT FROM AUTHOR]- Published
- 2017
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28. Clinical Outcomes of Revascularization with Percutaneous Coronary Intervention Prior to Transcatheter Aortic Valve Replacement: A Comprehensive Meta-Analysis.
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Altibi, Ahmed M., Ghanem, Fares, Hammad, Faris, Patel, Jeentendra, Song, Howard K., Golwala, Harsh, Zahr, Firas E., and Rahmouni, Hind
- Abstract
Background: Prior studies on revascularization prior to transcatheter aortic valve replacement (TAVR), in patients with significant coronary artery disease (CAD), have reported mixed results.Aim: We sought to perform a meta-analysis combining current evidence by investigating outcomes of revascularization in patients who undergo TAVR with coexisting CAD.Methods: We searched literature for studies reporting on outcomes following TAVR performed with versus without pre-TAVR PCI, for coexisting CAD. Random-effect model was used to pool estimates of odds ratios (ORs).Results: Twenty-four reports with 12,182 TAVR patients were included: 22 observational and 2 clinical trials. 4,110 (33.7%) were in the pre-TAVR PCI group, 51.4% were females, and mean age was 81.9 years. The 30-day mortality was 5.2% versus 5.0% in patients with versus without pre-TAVR PCI, respectively [OR= 1.19 (95% CI: 0.91-1.55, P= 0.20)]. Pooled 1-year mortality was 18.1% versus 19.1% in patients with versus without pre-TAVR PCI (OR= 1.12, 95% CI: 0.95-1.31, P= 0.61). There was no significant difference between the groups for myocardial infarction, stroke, acute kidney injury, pacemaker implantation, or re-hospitalization. Pre-TAVR PCI was associated with an increased risk of life-threatening bleeding at 30 days.Conclusion: Pre-TAVR revascularization with PCI was not associated with improved 30-day or 1-year mortality; however, it was associated with an increased risk of life-threatening bleeding at 30-day post-TAVR. Our results do not support routine revascularization with PCI prior to TAVR with coexisting CAD. Future trials addressing anatomical complexity and symptom burden may help better risk stratify patients who may benefit from pre-TAVR revascularization. [ABSTRACT FROM AUTHOR]- Published
- 2022
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29. Primary cerebral echinoccocosis in a child: Case report - Surgical technique, technical pitfalls, and video atlas.
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A. Altibi, Ahmed M., H. Qarajeh, Raed A., B. Belsuzarri, Telmo A., Maani, Walid, and A. Kanaan, Tareq M.
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ECHINOCOCCOSIS ,JUVENILE diseases ,MAGNETIC resonance imaging ,COMPUTED tomography ,PATIENTS ,THERAPEUTICS - Abstract
Background: Hydatid disease is a life-threatening parasitic infestation caused by Echinococcus granulosus. Infection with E. granulosus typically results in the formation of hydatid cysts in the liver, lungs, kidney, and spleen. Primary intracranial hydatid cyst disease is extremely rare. Here, we are reporting an unusual case of Echinococcus, where the only identifiable lesion was a hydatid cyst in the brain without liver or lung involvement. We are also providing a description for the surgical technique used to remove the cyst, highlighting the possible surgical pitfalls. Case Description: The patient is a 13-year-old male with a history of progressive headache for 1 month. Intracranial hydatid cyst was suspected based on computed tomography and magnetic resonance imaging findings. The cyst was delivered without rupture using hydrostatic dissection (Dowling's technique), and pathological analysis confirmed the diagnosis. Postoperatively, the patient showed marked neurological improvement and all signs and symptoms resolved. Conclusion: Intracranial hydatid cyst is very rare. Nevertheless, it should always be considered as a differential diagnosis in cerebral cystic lesions, especially in children. The surgical technique used to remove the cyst appears to be safe. However, several precautions must be applied intraoperatively to avoid the catastrophe of cyst rupture. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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30. In Reply: The Utility of Intraoperative Lateral Spread Recording in Microvascular Decompression for Hemifacial Spasm: A Systematic Review and Meta-Analysis.
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Chang, Robert, Reddy, Rajiv, Altibi, Ahmed M, Iyengar, Pragnya, Anetakis, Katherine, Crammond, Donald J, Balzer, Jeffrey R, Sekula, Raymond, and Thirumala, Parthasarathy D
- Published
- 2020
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31. Utility of Intraoperative Lateral Spread Recording in Microvascular Decompression for Hemifacial Spasm: A Systematic Review and Meta-Analysis.
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Thirumala, Parthasarathy D, Altibi, Ahmed M, Chang, Robert, Saca, Eyad E, Iyengar, Pragnya, Reddy, Rajiv, Anetakis, Katherine, Crammond, Donald J, Balzer, Jeffrey R, and Sekula, Raymond F
- Published
- 2021
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32. Correction to: Readmission-free period and in-hospital mortality at the time of first readmission in acute heart failure patients-NRD-based analysis of 40,000 heart failure readmissions.
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Altibi, Ahmed M, Prousi, George, Agarwal, Manyoo, Shah, Mahek, Tripathi, Byomesh, Ram, Pradhum, and Patel, Brijesh
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HOSPITAL mortality ,HEART failure patients ,HEART failure - Abstract
The original version of this article unfortunately contained a mistake. Unfortunately, the name of one of the authors (Dr. Pradhum Ram) has been misspelled as (Prathaum Ram) instead. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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33. Abstract 11295: Diagnostic Accuracy of Dobutamine Stress Echocardiography in the Detection of Cardiac Allograft Vasculopathy in Heart Transplant Recipients: A Systematic Review and Meta-Analysis Study.
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Elkaryoni, Ahmed, Altibi, Ahmed M, Hassan, Adil, Elgebaly, Ahmed, Elsabbagh, Eman M, and Nanda, Navin C
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STRESS echocardiography , *HEART transplant recipients , *META-analysis , *INTRAVASCULAR ultrasonography , *DOBUTAMINE , *KIDNEY diseases - Abstract
Introduction: Cardiac allograft vasculopathy (CAV) is an important cause of death after the first year following cardiac transplantation. The absence of classic signs of myocardial ischemia because of cardiac denervation and the presence of concentric hypertrophy tend to prevent early recognition. Currently, cardiac catheterization (CC) and intravascular ultrasound represent the gold standard for identifying CAV but their use is limited due to high cost, limited number of trained professionals, and risk of contrast toxicity in patients with underlying kidney disease especially those using nephrotoxic immunosuppressive medication. Hence, there is a need to find a noninvasive alternative to CC. Dobutamine stress echocardiography (DSE), a noninvasive technique, initially showed promise but later studies showed limitations in predicting CAV. Hypothesis: We conducted a systematic literature review and meta-analysis to assess the effectiveness of DSE in detecting CAV Methods: We searched PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), and Embase from inception till January 2018. Original articles that compared the diagnostic accuracy of DSE for early CAV detection were included. Relevant data were extracted and analyzed using RevMan version 5.3 for window and summary receiver-operating characteristic (SROC) curve was constructed. Results: Seven studies with 606 patients were included. The study quality ranged from low to high according to QUADAS-2 tool. The sensitivity and specificity of DSE varied greatly, the sensitivity range was 15 to 99%, and the specificity 83 to 99%. In a SROC model, the area under curve was 0.88 (SE =0.05) and index Q* value was 0.812 (SE =0.059). Overall, the pooled sensitivity of DSE was 15.27% (95% CI 11.14% to 20.20%) and the pooled specificity was 95.47 % (95% CI 92.64% to 97.44%). The pooled effect estimates were significantly heterogeneous (p <0.01). Conclusions: DSE has a limited sensitivity to detect early CAV but its specificity is very high. There remains a need for an alternative noninvasive modality which will have both high sensitivity and high specificity for detecting CAV. [ABSTRACT FROM AUTHOR]
- Published
- 2018
34. Role of molecular markers to predict distant metastasis in papillary thyroid carcinoma: Promising value of TERT promoter mutations and insignificant role of BRAF mutations—a meta-analysis.
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Vuong, Huy Gia, Altibi, Ahmed M. A., Duong, Uyen N. P., Ngo, Hanh T. T., Pham, Thong Quang, Tran, Hung Minh, Oishi, Naoki, Mochizuki, Kunio, Nakazawa, Tadao, Hassell, Lewis, Katoh, Ryohei, and Kondo, Tetsuo
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THYROID cancer ,METASTASIS ,PAPILLARY carcinoma ,BRAF genes ,TELOMERASE reverse transcriptase ,GENETIC mutation ,GENETIC markers ,PROGNOSIS - Abstract
The presence of distant metastasis is associated with an adverse outcome in papillary thyroid cancer. We performed a meta-analysis to investigate the role of molecular markers as predictors for distant metastasis in papillary thyroid cancer. Four electronic databases including PubMed, Web of Science, Scopus, and Virtual Health Library were searched, and odds ratio and its 95% confidence interval concerning the association of BRAF, RAS, and TERT promoter mutations and RET/PTC rearrangements with distant metastasis were calculated using random-effects model. In total, 42 studies with 11,109 papillary thyroid cancers were included for meta-analyses. Overall, the presence of TERT promoter (odds ratio = 5.95; 95% confidence interval = 2.95–11.99), RAS mutations (odds ratio = 2.5; 95% confidence interval = 1.00–6.22), and RET/PTC rearrangements (odds ratio = 1.92; 95% confidence interval = 1.03–3.56) were found to be associated with a significantly increased risk for distant metastasis. BRAF mutations were not associated with an elevated risk for distant metastasis (odds ratio = 0.79; 95% confidence interval = 0.54–1.16). In conclusion, our study demonstrated the promising value of few molecular biomarkers, especially TERT promoter mutations in predicting distant metastasis in papillary thyroid cancers, while BRAF mutations showed no association with distant metastasis. Our study affirms the value of selected mutations for tumor risk stratification and assessment of patients’ prognosis. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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35. GLOBAL LONGITUDINAL STRAIN ASSESSMENT OF THE LEFT VENTRICLE BY SPECKLE TRACKING ECHOCARDIOGRAPHY DETECTS ACUTE CELLULAR REJECTION IN ORTHOTOPIC HEART TRANSPLANT RECIPIENTS: A SYSTEMATIC REVIEW AND META-ANALYSIS.
- Author
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Elkaryoni, Ahmed, Ellakany, Karim, Altibi, Ahmed M., Okasha, Osama, Abdelkarim, Islam, and Nanda, Navin
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META-analysis , *HEART transplant recipients - Published
- 2019
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36. F114. Utility of intraoperative electromyography in microvascular decompression for hemifacial spasm: Systematic review and meta-analysis.
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Thirumala, Parthasarathy, Chang, Robert, Iyengar, Pragyna, Reddy, Rajiv, Altibi, Ahmed M., Saca, Eyad, Saleh, Ala, Anetakis, Katherine, Crammond, Donald, Balzer, Jeffrey, and Sekula, Raymond
- Subjects
- *
SPASMS , *ELECTROMYOGRAPHY , *SURGICAL decompression , *META-analysis , *PATIENT monitoring - Abstract
Introduction Microvascular decompression (MVD) is the surgical treatment of choice for hemifacial spasm (HFS). During MVD, monitoring of the pathognomonic abnormal lateral spread muscle response (LSR), an evoked electromyographic response to CN VII stimulation, has been traditionally used to monitor adequacy and success of facial nerve decompression and postoperative relief of HFS. In this study, we aim to assess the utility of LSR monitoring in predicting the surgical outcomes after MVDs at discharge, three-months, and one-year. Methods We searched PubMed, Web of Science, and Embase for relevant publications. We included studies reporting on intraoperative LSR monitoring during MVD for HFS and the spasm-free status after the procedure. We calculated the sensitivity, specificity, diagnostic odd ratio, and conditional probability of HFS persistence after post-operative LSR persistence. Forest plot and a summary ROC curve were used for presentation of sensitivity and specificity. Newcastle-Ottawa Scale (NOS) tool was used to assess the quality of included articles. Publication bias was assessed using funnel plots. Results From 146 studies, 24 studies with 7821 patients were ultimately included in the meta-analysis. The mean age of patients was 53 years. At discharge, postoperative LSR status predicted the clinical outcome of MVD with a specificity (95% CI) of 0.93 (0.87–0.96) and a sensitivity of 0.45 (0.31–0.59). The specificity at three-months and one-year was 0.90 (0.83–0.94) and 0.90 (0.85–0.93) respectively. The sensitivity was found to be 0.43 (0.32–0.55) at three-months and 0.41 (0.29–0.53) at one-year. In addition, the diagnostic odds ratio was found to be 4.71 (3.88–5.71) at discharge, 3.85 (2.96–5.01) at three-months, and 3.18 (2.49–4.08) at one-year. When LSR persisted after MVD, the probability for HFS symptoms persistence was 40% (95% CI, 0.20–0.61) at discharge, 37% (0.14–0.59) at three-months, and 27% (0.11–0.42) at one-year. Conclusion Intraoperative EMG monitoring for LSR resolution has high specificity but modest sensitivity in predicting the spasm-free status following MVDs for HFS. Post-operative LSR persistence carries a high risk for HFS persistence, therefore, adequacy of decompression should be investigated before closing in cases where intraoperative LSR fails to disappear. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
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