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1. Thoracoscopic primary repair of esophageal atresia and tracheoesophageal fistula: Our early experience

Author

Eslam Adel Ali, Khaled M. El Asmar, Tarek A. Hassan, Mohamed Moussa Dahab, and Mostafa M. Elghandour

Subjects
Thoracoscopy, Esophageal atresia, Tracheoesophageal fistula, Thoracoscopic repair, Pediatrics, RJ1-570, Surgery, RD1-811
Abstract

Background: Thoracoscopic repair of esophageal atresia (EA) and tracheoesophageal fistula (TEF) has been practiced more frequently in the past two decades. This study focuses on assessing our early experience with implementing this minimally invasive technique in neonates. Methods: Neonates with EA/TEF who were admitted to the NICU at Ain Shams University hospitals during the period from 2021 to 2022 were enrolled in the study. Thoracoscopic primary repair was performed for neonates with a body weight exceeding 2 kg. Neonates with associated major cardiac, pulmonary, and neurological anomalies and long gap atresia were excluded from the study. Results: A total of 38 neonates presented with EA/TEF during the study period. Out of these neonates, 12 cases underwent thoracoscopic primary repair. The thoracoscopic approach was used to complete all necessary repairs, and no intraoperative complications occurred. The mean operating time was 125 minutes, ranging from 105 to 150 minutes. No evidence of leakage was found in any case, as determined by both clinical and radiological contrast swallow examinations. The mean ventilation time was 7.2 days, and the mean hospital stay was 21 days. There were four deaths attributed to complications related to barotrauma and sepsis. Conclusion: Thoracoscopic repair of EA can be performed safely, which yields favorable functional and cosmetic outcomes. However, it remains a challenging procedure that requires a long learning curve.

Published
2024
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2. ECG changes as Cardiac Toxicity of Concurrent Trustuzumab and Paclitaxel in Adjuvant Treatment of HER-2 positive Breast Cancer

Author

Tarek A. Hassan, Mostafa Elsayed Abd Elwanis, Mohammed M. Wahman, Mohammed AK, and Nahla Mostafa Bashank

Subjects
cardiac toxicity trustuzumab, paclitaxel her-2 breast cancer, Medicine
Abstract

Background: Breast cancer accounts for 10% of US female cancer cases and second in worldwide cancer fatalities. Overexpression of the ERBB2 oncogene in 20-25% of invasive breast tumors implies aggression. Trastuzumab improves outcomes via HER2. HER2-targeted chemotherapy with albumin-paclitaxel and Trastuzumab is used increasing survivability but may induce cardiotoxicity by blocking HER2. It works with chemotherapy for HER-2/neu positive breast cancer. Objectives: To evaluate Cardiac toxicity of concurrent Trustuzumab and Paclitaxel in Adjuvant treatment of HER-2 positive Breast Cancer Patients and methods: This was prospective hospital-based study at Qena University Hospital, with 30 participants post-radical surgery and anthracycline-based chemotherapy for unilateral ductal carcinoma, HER2-positive. Physical exams, lab tests, ECG, and Echo was done. Adjuvant trastuzumab administered with paclitaxel for 4 cycles, then continued for 1 year. Results: Age >55 (50%), obesity (43.3%), hypertension, hyperlipidemia (30%), diabetes (16.7%). Electrocardiogram (ECG) abnormalities increased after 4 cycles (16.7%), 6 months (23.3%), 9 months (33.3%), and 12 months with trastuzumab monotherapy (53.3%). ECG abnormalities were more common in trastuzumab monotherapy (46.7%) than in Paclitaxel (16.7%). P-wave, ST-segment, T-wave, and QRS changes were notable. Trastuzumab treatment increased T-wave alterations (20% vs. 0% baseline) and arrhythmias (33.3% vs. 3.3% baseline) after 12 months, but Paclitaxel did not (16.7% vs. 3.3% after 4 cycles). There was statistically significant decline in LVEF%, MAPSE, TAPSE, E/E and RV FAC and significant increase in LVESD, LVEDD, LVISD, LA, E/A after treatment by trastuzumab alone. Conclusion: LVEF% was significantly higher after 12 months of trastuzumab alone however, more patients developed ECG abnormalities.

Published
2024
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3. Bioequivalence Studies of Sildenafil Citrate Orodispersible Film Administered with and without Water vs ViagraⓇ Film-Coated Tablets in Healthy Male Volunteers

Author

Andrew Shaw, PhD, Tracey E. Lawrence, PhD, Tieliang Yan, MSc, Mark Liu, MSc, Nancy Summers, RN, BSN, Venkatesh Daggumati, M. Pharm, Sandy Tarr Austria, Juan Carlos Rondon, MD, Sarah Hackley, PhD, Shivani Ohri Vignesh, MD, and Tarek A. Hassan, MD, MSc

Subjects
Bioequivalence, Erectile dysfunction, Film-coated tablets, Orodispersible film, Pharmacokinetic parameters, Sildenafil, Therapeutics. Pharmacology, RM1-950
Abstract

ABSTRACT: Background: Orodispersible film (ODF) formulation offers ease of use, convenience of administration, and other advantages, especially for patients who have difficulty in swallowing or are on liquid restriction compared with conventional oral formulations for the treatment of erectile dysfunction. Objectives: These studies compared the bioequivalence of 50 mg sildenafil citrate ODF formulation (test drug) with the marketed 50 mg sildenafil citrate film-coated tablet (FCT) (ViagraⓇ; Pfizer, New York, NY) (reference drug), with and without water in 2 randomized cross-over studies. Methods: Two randomized cross-over studies were conducted. The first study explored the bioequivalence of test drug administered with and without water compared with the reference drug with water. The second study investigated the bioequivalence of test drug, without water, compared with the reference drug with water. Forty-two and 80 healthy male volunteers were recruited in the first and second study, respectively. All volunteers fasted for 10 hours pre-dose. A 1-day washout period between doses was observed. Blood samples were collected at both before (up to 120 minutes before dosing) and after dosing (at different intervals up to 14 hours) stages. Statistical analyses on pharmacokinetic parameters were performed. Safety and tolerability for both the formulations were evaluated. Results: In the first study, bioequivalence was demonstrated for sildenafil citrate ODF administered with water when compared with the ViagraⓇ FCT. The ratios of adjusted geometric means (90% confidence interval (CI)) were maximum plasma concentration: 1.02 (94.91–108.78) and area under the plasma concentration-time curve: 1.09 (104.49–113.21) for sildenafil citrate ODF administered with water vs ViagraⓇ FCT. These ratios were within the bioequivalence acceptance range of 80% to 125%, indicating that the bioequivalence criteria were met. The pharmacokinetic parameters for the second study also showed bioequivalence for sildenafil citrate ODF (without water) compared with ViagraⓇ FCT. The ratios of adjusted geometric means (90% CI) were maximum plasma concentration: 1.02 (95.47–109.36) and area under the plasma concentration-time curve: 1.06 (103.42–108.40) for sildenafil citrate ODF administered without water vs ViagraⓇ FCT. Adverse events in both the studies occurred at similar rates for the 2 formulations and were mild in intensity. Conclusions: These results suggest that the new ODF formulation can be used interchangeably with the marketed FCT formulation. Sildenafil citrate ODF administered with and without water met bioequivalence criteria compared with ViagraⓇ FCT administered with water under fasted conditions in healthy adult male volunteers. The new ODF formulation can be used as a suitable alternative to the conventional oral solid dosage form.

Published
2023
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4. Real-World Assessment of the Impact of Erectile Dysfunction on Sexual Planning Behavior and Health- and Treatment-Related Outcomes Among Men in 8 Countries

Author

Irwin Goldstein, MD, Annamaria Giraldi, MD, PhD, Martine C. Maculaitis, PhD, Vicky W. Li, MPH, Rose Hartzell-Cushanick, PhD, EdS, and Tarek A. Hassan, MD, MSc

Subjects
Erectile Dysfunction, Phosphodiesterase 5 Inhibitors, Sexual Activity Planning, Quality of Life, Global Male Sexual Habits Survey, Medicine
Abstract

Introduction: The effect of erectile dysfunction (ED) on sexual planning behaviors and outcomes in men taking phosphodiesterase type 5 inhibitors (PDE5Is) is not well studied. Aims: To assess sexual habits, behaviors, and treatment-related outcomes of PDE5I-treated men with ED. Methods: This cross-sectional observational study recruited men aged 30 to 70 years with mild-to-severe ED from 8 diverse countries (the United States, the United Kingdom, Italy, Russia, Turkey, Israel, China, and Japan) to complete an approximately 15-minute survey. Differences were evaluated using bivariate analyses, and data were summarized using descriptive statistics. Main Outcome Measures: Self-reported data were collected for demographics, health characteristics, treatment, sexual habits, ED severity, ED-specific quality of life, and treatment satisfaction. Results: The survey was completed by 1,575 men. Mean frequency of sexual intercourse was 5.7 times/month. Overall, 87.1% of men always, often, or sometimes planned for sexual activity. Of those planning in advance, 32.8% and 40.6% agreed or strongly agreed that they plan for specific days of the week and times of day, respectively. Sexual planning habits were similar for patients taking short-acting vs long-acting PDE5Is. The most commonly cited reasons for planning sexual activity were needing time to take medication (48.4%), needing to make sure medication has taken effect (43.4%), convenient time for sexual activity (34.9%), and needing the partner’s agreement (33.4%). Mean Self-Esteem and Relationship Questionnaire total score was 56.4. Conclusions: The differences in ED burden and sexual planning behavior observed across countries were not influenced by the type of PDE5I being taken, suggesting that cultural differences are an important factor when considering types of ED treatment. These findings provide a better understanding of burden, sexual habits, planning behaviors, quality of life, and treatment-related outcomes among PDE5I-treated men with ED in 8 Western and non-Western countries and may aid healthcare providers in selecting optimal treatments.Goldstein I, Giraldi A, Maculaitis MC, Real-World Assessment of the Impact of Erectile Dysfunction on Sexual Planning Behavior and Health- and Treatment-Related Outcomes Among Men in 8 Countries. J Sex Med 2020;8:338–349.

Published
2020
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5. Degree of Planning of Sexual Intercourse Among Men From China, Japan, and Taiwan Taking Medication for Erectile Dysfunction: Findings of an Observational, Cross-Sectional Survey

Author

Bang-Ping Jiann, MD, Koichi Nakajima, MD, PhD, Sonali Dighe, DNB, MSc, Chad D. Harshman-Smith, MSE, MBA, and Tarek A. Hassan, MD, MSc

Subjects
Medicine
Abstract

Introduction: Management of erectile dysfunction (ED) is beset with assumptions around spontaneity of sexual intercourse, requiring candor between the physician and patient if appropriate treatment is to be implemented. Aim: To evaluate the degree to which men who take ED medications plan for and have sex. Methods: Men from China, Japan, and Taiwan aged 40–70 years who had taken ED medications within the past 3 months were invited to participate anonymously in an online, self-administered survey that enquired about frequency and advance planning of sex, time between taking ED medication and intercourse, and treatment satisfaction. Data were analyzed using descriptive statistics. Main Outcome Measure: Frequency of planning of sexual intercourse, planning and ED medication dosing interval, and frequency of ED medication use. Results: Data from 604 respondents (mean age 50.8 years) from China (n = 254), Japan (n = 250), and Taiwan (n = 100) were collected. Men used ED medications a median of ≤4 times per month in all 3 territories. 76% who used ED medication during the past 3 months planned for sex on specific occasions, with 59% and 52% agreeing that they plan for sex on specific days of the week and times of the day, respectively. Most commonly, men planned for sex up to several hours to a day beforehand, with 94% taking ED medication within 4 hours of sex. Satisfaction with ED medication was generally high and related to erection rigidity, speed of onset, and safety. Conclusion: Knowledge of the degree to which individuals with ED plan for sex may have important implications for the appropriate prescription of ED medication. The high degree of planning around sexual activities exhibited by men taking ED medication suggests there is a need for appropriate counseling to ensure that treatment is aligned with patient behavior.Jiann B-P, Nakajima K, Dighe S, et al. Degree of planning of sexual intercourse among men from China, Japan, and Taiwan taking medication for erectile dysfunction: Findings of an observational, cross-sectional survey. Sex Med 2019;7:54–60. Key Words: Erectile Dysfunction, Phosphodiesterase Type 5 Inhibitor, Sexual Habits, Advance Planning, Sildenafil, Tadalafil, Vardenafil

Published
2019
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7. Leveraging Finite-Precision Errors in Chaotic Systems for Enhanced Image Encryption

Author

B. M. El-Den, Saad Aldosary, Haitham Khaled, Tarek M. Hassan, and Walid Raslan

Subjects
Chaotic systems, pseudorandom sequences, encryption, finite precision, cryptography, Electrical engineering. Electronics. Nuclear engineering, TK1-9971
Abstract

This research explores the application of chaotic systems in generating pseudo-random numbers for encryption protocols, offering a novel perspective on addressing the challenges posed by limited computer precision in cryptographic applications. Chaotic systems, while promising for encryption, often suffer from degradation in their chaotic properties when implemented on computers with finite precision. Previous studies have primarily aimed to mitigate this issue, with limited consideration of harnessing finite-precision errors as a potential source of randomness. In this study, we propose an innovative encryption method that leverages finite-precision errors within chaotic systems. The algorithm generates a keystream based on lower bound error and employs standard MATLAB routines to describe its main steps, including initialization and image factor addition, Chua’s circuit simulation, error sequence generation, normalization, reshaping of the normalized sequence, and the encryption process. Comprehensive performance evaluations were conducted using benchmark images, including Cameraman, Peppers, and Catherine, each with dimensions of $256\times 256$ pixels. Evaluation criteria encompassed key space analysis, pixel correlation, entropy of information, histogram analysis, and resistance to noise attacks. The results highlight the effectiveness and security of the proposed method, showcasing its practical utility in real-world encryption scenarios. This research not only contributes a novel approach to encryption but also provides valuable insights into the potential of utilizing finite-precision errors to enhance randomness generation in chaotic systems for cryptographic applications.

Published
2024
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8. BIM Implementation in Post-War Reconstruction of Ukraine

Author

Peter Demian, Tarek M. Hassan, Oleg Kalmykov, Ivan Demianenko, and Roman Makarov

Subjects
BIM, post-war reconstruction, Ukrainian construction industry, outsourcing companies, sociological research, Building construction, TH1-9745
Abstract

As of January 2024, Ukraine has suffered the extensive destruction of over 160,000 buildings, structures, and infrastructure objects due to the shelling resulting from the ongoing war. After the conflict, the country will undergo large-scale reconstruction, following European standards. However, Ukraine’s construction industry remains somewhat outdated, particularly in digital technologies like BIM (Building Information Modeling). Despite this, Ukraine has a growing number of young professionals providing BIM services to international clients. A collaborative study between Loughborough University (UK) and the O.M. Beketov National University of Urban Economy (Ukraine) examined the current state of BIM in Ukraine. The research aimed to develop a strategy for integrating BIM into post-war reconstruction, based on a review of the design and construction sectors. The findings showed that BIM use in Ukraine is driven by international market demands, requiring changes in how BIM is adopted locally. A survey of 234 employees from Ukrainian outsourcing companies and interviews with seven large construction firms in Eastern Ukraine revealed barriers to BIM adoption. These included low wages, a lack of incentives for large firms, bureaucratic inefficiencies, corruption, outdated construction management, and weak regulations. This study provides recommendations to accelerate BIM integration in Ukraine’s construction industry during the post-war rebuilding phase.

Published
2024
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14. Voluntary disclosure practices in emerging capital markets : the case of Egypt

Author

Abdel-Fattah, Tarek Mohamed Hassan

Subjects
658.150962
Abstract

Corporate governance is a crucial issue that is being addressed widely by regulators, and capital market participants around the world. Disclosure is identified as one of the challenges facing the implementation of corporate governance especially in developing countries. The current study aims to contribute to corporate governance and disclosure literature by oroviding empirical evidence of the relationship between corporate governance, ownership structure and the voluntary disclosure in an emerging capital market, namely Egypt. The study assesses the extent of total voluntary disclosure and its categories in the annual reports of the most active non financial companies m the Cairo and Alexandria Stock Exchange over four years that witnessed a remarkable initiatives to enhance transparency and corporate governance. It employs a wider theoretical framework based mainly on the political ach and benefits from institutional theory. Using a sample of 182 annual reports of the most active Egyptian listed companies, the findings indicate that while the extent of voluntary disclosure is low, there was a gradual increase in the extent of total voluntary disclosure and its categories over the examined period. However, there is no significant difference between the voluntary disclosure over the four years. This suggests that companies manage their voluntary disclosure policy which is not a random practice but subject to certain influences. The reRression results indicate the board characteristics; board size and board composition; do affect the extent of voluntary disclosure. Interestingly, the findings indicate that the existence of family members on the board has a positive association with the extent of total voluntary disclosure. This suggests that family led companies may have a litigation and reputation cost concern.

Published
2008

16. Use of Telemedicine for Post-discharge Assessment of the Surgical Wound. International Cohort Study, and Systematic Review with Meta-analysis

Author

James, Glasbey, Issi, Trout, Victoria, Adeyeye, Adesoji, Ademuyiwa, Adewale, Adisa, Alisha, Bhatt, Bruce, Biccard, Peter, Brocklehurst, Jean De La Croix Allen Ingabire, Francis Moïse Dossou, Irani, Durán, Rohini, Dutta, Dhruva, Ghosh, Frank, Gyamfi, Pollyanna, Hardy, Gabriella, Hyman, Ritu, Jain, Bryar, Kadir, Stephen, Knight, Oluwaseun, Ladipo-Ajayi, Ismail, Lawani, Souliath, Lawani, Rachel, Lillywhite, Rhiannon, Macefield, Laura, Magill, Janet, Martin, Jonathan, Mathers, Kenneth, Mclean, Punam, Mistry, Rohin, Mittal, Rachel, Moore, Dion, Morton, Faustin, Ntirenganya, Emmanuel, Ofori, Rupert, Pearse, Alberto, Peón, Thomas, Pinkney, Antonio Ramos de la Medina, Tubasiime, Ronald, David, Roman, Joana, Simoes, Anita, Slade, Stephen, Tabiri, Donna, Smith, Ewen, Harrison, Aneel, Bhangu, Azmina, Verjee, Emmy, Runigamugabo, Adesoji, O Ademuyiwa, Adewale, O Adisa, Maria Lorena Aguilera, Afnan, Altamini, Philip, Alexander, Sara, W Al-Saqqa, Giuliano, Borda-Luque, Jen, Cornick, Ainhoa, Costas-Chavarri, Thomas, M Drake, Stuart, J Fergusson, J Edward Fitzgerald, C Allen Ingabire, J, Lawani, Ismaïl, Zahra, Jaffry, Hosni Khairy Salem, Chetan, Khatri, Andrew, Kirby, Anyomih Theophilus Teddy Kojo, Marie Carmela Lapitan, Richard, Lilford, Andre, L Mihaljevic, Midhun, Mohan, Alphonse Zeta Mutabazi, Dmitri, Nepogodiev, Riinu, Ots, Pata, Francesco, Tomas, Poškus, Ahmad Uzair Qureshi, Antonio Ramos-De la Medina, Sarah, Rayne, Gustavo, Recinos, Kjetil, Søreide, Catherine, A Shaw, Sebastian, Shu, Richard, Spence, Neil, Smart, Ewen, M Harrison, Maria Marta Modolo, Dushyant, Iyer, Sebastian, King, Tom, Arthur, Sayeda Nazmum Nahar, Ade, Waterman, Michael, Walsh, Arnav, Agarwal, Zani, Augusto, Mohammed, Firdouse, Tyler, Rouse, Qinyang, Liu, Juan Camilo Correa, Peep, Talving, Mengistu, Worku, Alexis, Arnaud, Vassilis, Kalles, Basant, Kumar, Sunil, Kumar, Radhian, Amandito, Roy, Quek, Luca, Ansaloni, Ahmed, Altibi, Donatas, Venskutonis, Justas, Zilinskas, Tomas, Poskus, John, Whitaker, Vanessa, Msosa, Yong Yong Tew, Alexia, Farrugia, Elaine, Borg, Zineb, Bentounsi, Tanzeela, Gala, Ibrahim, Al-Slaibi, Haya, Tahboub, Osaid, H Alser, Diego, Romani, Sebestian, Shu, Piotr, Major, Aurel, Mironescu, Matei, Bratu, Amar, Kourdouli, Aliyu, Ndajiwo, Abdulaziz, Altwijri, Mohammed Ubaid Alsaggaf, Ahmad, Gudal, Al Faifi Jubran, Sam, Seisay, Bettina, Lieske, Irene, Ortega, Jenifa, Jeyakumar, Kithsiri, J Senanayake, Omar, Abdulbagi, Yucel Cengiz Dmitri Raptis, Yuksel, Altinel, Chia, Kong, Ella, Teasdale, Gareth, Irwin, Michael, Stoddart, Rakan, Kabariti, Sukrit, Suresh, Katherine, Gash, Ragavan, Narayanan, Mayaba, Maimbo, Besmir, Grizhja, Shpetim, Ymeri, Gezim, Galiqi, Roberto, Klappenbach, Diego, Antezana, Alvaro Enrique Mendoza Beleño, Cecilia, Costa, Belen, Sanchez, Susan, Aviles, Claudio Gabriel Fermani, Rubén, Balmaceda, Santiago, Villalobos, Juan Manuel Carmona, Daniel, Hamill, Peter, Deutschmann, Simone, Sandler, Daniel, Cox, Ram, Nataraja, Claire, Sharpin, Damir, Ljuhar, Demi, Gray, Morgan, Haines, Morvarid, Ashtari, Helena, Franco, Ashrarur Rahman Mitul, Sabbir, Karim, Nowrin, F Aman, Mahnuma Mahfuz Estee, Salma, UMM-E, Joyeta, Razzaque, Tasnia Hamid Kanta, Sayeeda Aktar Tori, Shadid, Alamin, Swapnil, Roy, Shadid Al Amin, Rezaul, Karim, Muhtarima, Haque, Amreen, Faruq, Farhana, Iftekhar, Margaret, O'Shea, Greg, Padmore, Ramesh, Jonnalagadda, Andrey, Litvin, Aliaksandr, Filatau, Dzmitry, Paulouski, Maryna, Shubianok, Tatsiana, Shachykava, Dzianis, Khokha, Vladimir, Khokha, Fernande, Djivoh, Francis, Dossou, Djifid Morel Seto, Dansou Gaspard Gbessi, Bruno, Noukpozounkou, Yacoubou Imorou Souaibou, Kpèmahouton René Keke, Fred, Hodonou, Ernest Yemalin Stephane Ahounou, Thierry, Alihonou, Max, Dénakpo, Germain, Ahlonsou, Alemayehu Ginbo Bedada, Carlos, Nsengiyumva, Sandrine, Kwizera, Venerand, Barendegere, Philip, Choi, Simon, Stock, Luai, Jamal, Georges, Azzie, Sameer, Kushwaha, Tzu-Ling, Chen, Chingwan, Yip, Irene, Montes, Felipe, Zapata, Sebastian, Sierra, Maria Isabel Villegas Lanau, Maria Clara Mendoza Arango, Ivan Mendoza Restrepo, Ruben Santiago Restrepo Giraldo, Edgar, Domini, Robert, Karlo, Jakov, Mihanovic, Mohamed, Youssef, Hossam, Elfeki, Waleed, Thabet, Aly, Sanad, Gehad, Tawfik, Ahmed, Zaki, Noran, Abdel-Hameed, Mohamed, Mostafa, Muhammad Fathi Waleed Omar, Ahmed, Ghanem, Emad, Abdallah, Adel, Denewar, Eman, Emara, Eman, Rashad, Ahmad, Sakr, Rehab, Elashry, Sameh, Emile, Toqa, Khafagy, Sara, Elhamouly, Arwa, Elfarargy, Amna Mamdouh Mohamed, Ghada Saied Nagy, Abeer, Esam, Eman, Elwy, Aya, Hammad, Salwa, Khallaf, Eman, Ibrahim, Ahmed, Saidbadr, Ahmed, Moustafa, Amany Eldosouky Mohammed, Mohammed, Elgheriany, Eman, Abdelmageed, Eman Abd Al Raouf, Esraa Samir Elbanby, Maha, Elmasry, Mahitab Morsy Farahat, Eman Yahya Mansor, Eman Magdy Hegazy, Esraa, Gamal, Heba, Gamal, Hend, Kandil, Doaa Maher Abdelrouf, Mohamed, Moaty, Dina, Gamal, Nada, El-Sagheer, Mohamed, Salah, Salma, Magdy, Asmaa, Salah, Ahmed, Essam, Ahmed, Ali, Mahmoud, Badawy, Sara, Ahmed, Mazed, Mohamed, Abdelrahman, Assal, Mohamed, Sleem, Mai, Ebidy, Aly Abd Elrazek, Diaaaldin, Zahran, Nourhan, Adam, Mohamed, Nazir, Adel, B Hassanein, Ahmed, Ismail, Amira, Elsawy, Rana, Mamdouh, Mohamed, Mabrouk, Lopna Ahmed Mohamed Ahmed, Mohamed Hassab Alnaby, Eman, Magdy, Manar, Abd-Elmawla, Marwan, Fahim, Bassant, Mowafy, Moustafa Ibrahim Mahmoud, Meran, Allam, Muhammad, Alkelani, Noran Halim El Gendy, Mariam Saad Aboul-Naga, Reham Alaa El-Din, Alyaa Halim Elgendy, Ismail, MOHAMED BADRELDIN MOHAMED, Mahmoud, Shalaby, Aya Adel Elsharkawy, Mahmoud Elsayed Moghazy, Khaled Hesham Elbisomy, Hend Adel Gawad Shakshouk, Mohamed Fouad Hamed, Mai Mohamed Ebidy, Mostafa, Abdelkader, Mohamed, Karkeet, Hayam, Ahmed, Israa, Adel, Mohammad Elsayed Omar, Mohamed, Ibrahim, Omar, Ghoneim, Omar, Hesham, Shimaa, Gamal, Karim, Hilal, Omar, Arafa, Sawsan Adel Awad, Menatalla, Salem, Fawzia Abdellatif Elsherif, Nourhan, Elsabbagh, Moustafa, R Aboelsoud, Ahmed Hossam Eldin Fouad Rida, Amr, Hossameldin, Ethar, Hany, Yomna Hosny Asar, Nourhan, Anwar, Mohamed, Gadelkarim, Samar, Abdelhady, Eman Mohamed Morshedy, Reham, Saad, Nourhan, Soliman, Mahmoud, Salama, Eslam, Ezzat, Arwa, Mohamed, Arwa, Ibrahim, Alaa, Fergany, Sara, Mohammed, Aya, Reda, Yomna, Allam, Hanan Adel Saad, Afnan, Abdelfatah, Aya Mohamed Fathy, Ahmed, El-Sehily, Esraa Abdalmageed Kasem, Ahmed Tarek Abdelbaset Hassan, Ahmed Rabeih Mohammed, Abdalla Gamal Saad, Yasmin, Elfouly, Nesma, Elfouly, Arij, Ibrahim, Amr, Hassaan, Mohammed Mustafa Mohammed, Ghada, Elhoseny, Mohamed, Magdy, Esraa Abd Elkhalek, Yehia, Zakaria, Tarek, Ezzat, Ali Abo El Dahab, Mohamed, Kelany, Sara, Arafa, Osama Mokhtar Mohamed Hassan, Nermin Mohamed Badwi, Ahmad Saber Sleem, Hussien, Ahmed, Kholoud, Abdelbadeai, Mohamed Abozed Abdullah, Muhammad Amsyar Auni Lokman, Suraya, Bahar, Anan Rady Abdelazeam, Abdelrahman, Adelshone, Muhammad Bin Hasnan, Athirah, Zulkifli, Siti Nur Alia Kamarulzamil, Abdelaziz, Elhendawy, Aliang, Latif, Ahmad Bin Adnan, Shahadatul, Shaharuddin, Aminah Hanum Haji Abdul Majid, Mahmoud, Amreia, Dina, Al-Marakby, Mahmoud, Salma, Mohamad Jeffrey Bin Ismail, Elissa Rifhan Mohd Basir, Citra Dewi Mohd Ali, Aya Yehia Ata, Maha, Nasr, Asmaa, Rezq, Ahmed, Sheta, Sherif, Tariq, Abd Elkhalek Sallam, Abdelrhman Kz Darwish, Sohaila, Elmihy, Shady, Elhadry, Farag, MAZEN MOHAMED AHMED HASSAN, Haidar, Hajeh, Abdelaziz, Abdelaal, Amro, Aglan, Ahmed, Zohair, Mahitab, Essam, Omar, Moussa, Esraa, El-Gizawy, Mostafa, Samy, Safia, Ali, Esraa, Elhalawany, Ahmed, Ata, Mohamed El Halawany, Mohamed, Nashat, Samar, Soliman, Alaa, Elazab, Mostada, Samy, Mohamed, A Abdelaziz, Khaled, Ibrahim, Ammar, Gado, Usama, Hantour, Esraa Alm Eldeen, Mohamed Reda Loaloa, Arwa, Abouzaid, Mostafa Ahmed Bahaa Eldin, Eman, Hashad, Fathy, Sroor, Doaa, Gamil, Eman Mahmoud Abdulhakeem, Mahmoud, Zakaria, Fawzy, Mohamed, Marwan, Abubakr, Elsayed, Ali, Hesham, Magdy, Menna Tallah Ramadan, ABDELATY MOHAMED AHMED, Neama, Salma, Mansour, Hager Abdul Aziz Amin, Ahmed Rabie Mohamed, Mahmoud, Saami, Nada Ahmed Reda Elsayed, Adham, Tarek, Sabry Mohy Eldeen Mahmoud, Islam Magdy El Sayed, Amira, Reda, Martina Yusuf Shawky, Mohammed Mousa Salem, Shahinaz Alaa El-Din, Noha Abdullah Soliman, Muhammed, Talaat, Shahinaz, Alaael-Dein, Ahmed Abd Elmoen Elhusseiny, Noha, Abdullah, Mohammed, Elshaar, Aya AbdelFatah Ibraheem, Hager, Abdulaziz, Mohammed Kamal Ismail, Mona Hamdy Madkor, Mohamed, Abdelaty, Sara Mahmoud Abdel-Kader, Osama Mohamed Salah, Mahmoud, Eldafrawy, Ahmed Zaki Eldeeb, Mostafa Mahmoud Eid, Attia, Attia, Khalid Salah El-Dien, Ayman, Shwky, Mohamed Adel Badenjki, Soliman, Abdelrahman, Samaa Mahmoud Al Attar, Farrag, Sayed, Fahd Abdel Sabour, Mohammed, G Azizeldine, Muhammad, Shawqi, Abdullah, Hashim, Ahmed, Aamer, Ahmed Mahmoud Abdelraouf, Mahmoud, Abdelshakour, Amal, Ibrahim, Basma, Mahmoud, Mohamed Ali Mahmoud, Mostafa, Qenawy, Ahmed, M Rashed, Ahmed, Dahy, Marwa, Sayed, Ahmed, W Shamsedine, Bakeer, 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Benevento, Angelo, Giavarini, Luisa, Cesare Giglio, Mariano, Bucci, Luigi, Pagano, Gianluca, Sollazzo, Viviana, Peltrini, Roberto, Luglio, Gaetano, Birindelli, Arianna, Di Saverio, Salomone, Tugnoli, Gregorio, Angel Paludi, Miguel, Mingrone, Pietro, Pata, Domenica, Selvaggi, Francesco, Selvaggi, Lucio, Pellino, Gianluca, DI MARTINO, Natale, Curletti, Gianluca, Aonzo, Paolo, Galleano, Raffaele, Berti, Stefano, Francone, Elisa, Boni, Silvia, Lorenzon, Laura, Lo Conte, Annalisa, Balducci, Genoveffa, Confalonieri, Gianmaria, Pesenti, Giovanni, Gavagna, Laura, Vasquez, Giorgio, Targa, Simone, Occhionorelli, Savino, Andreotti, Dario, Pata, Giacomo, Armellini, Andrea, Chiesa, Deborah, Aquilino, Fabrizio, Chetta, Nicola, Picciariello, Arcangelo, Abdelkhalek, Mohamed, Belli, Andrea, De Franciscis, Silvia, Bigaran, Annamaria, Favero, Alessandro, M Basso, Stefano M, Salusso, Paola, Perino, Martina, Mochet, Sylvie, Sasia, Diego, Riente, Francesco, Migliore, Marco, Merlini, David, Basilicò, Silvia, 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Milaksh, Goh, R, Tze, Ern, Abdul Wahhab Eusoffee Wan Ali, Syed, Yee Gan, Yiing, Ron Swire Ting, Jesse, Y Sii, Samuel S, Leong Koay, Kean, Koon Tan, Yi, Ee Zhiun Cheah, Alvin, Yee Wong, Chui, Nur'Azmah Tuan Mat, Tuan, Yern Nee Chow, Crystal, L Har, Prisca A, Der, Yishan, Henry, Fitjerald, Low, Xinwei, Theng Neo, Ya, Ee Heng, Hian, Ning Kong, Shu, Gan, Cheewei, Ting Mok, Yi, Wen Tan, Yee, Palayan, Kandasami, Deva Tata, Mahadevan, Jeng Cheong Kuhaendran Gunaseelan, Yih, Nurul 'Ain Wan Mohd Nasir, Wan, Yoganathan, Pigeneswaren, Xian Lee, Eu, Er Saw, Jian, Jing Yeang, Li, Ying Koh, Pei, Yee Lim, Shyang, Yi Teo, Shuang, Grech, Nicole, Magri, Daniela, Cassar, Kristina, Mizzi, Christine, Falzon, Malcolm, Shaikh, Nihaal, Scicluna, Ruth, Zammit, Stefan, Mizzi, Sean, Doris Brincat, Svetlana, Tembo, Thelma, Thanh Hien Le, Vu, Grima, Tara, Sammut, Keith, Carabott, Kurt, Zarb, Ciskje, Navarro, Andre, Dimech, Thea, Marie Camilleri, Georgette, Bertuello, Isaac, Dalli, Jeffrey, Bonavia, Karl, 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Sandra, Miyar de León, Alberto, Dorismé, Asnel, Rodicio, Joselui, Suarez, Aida, Stuva, Jessica, Diaz Vico, Tamara, Fernandez-Vega, Laura, Soldevila-Verdeguer, Carla, Sena-Ruiz, Fatima, Pujol-Cano, Natalia, Diaz-Jover, Paula, Maria Garcia-Perez, José, Jose Segura-Sampedro, Juan, Pineño-Flores, Cristina, Ambrona-Zafra, David, Craus-Miguel, Andrea, Jimenez-Morillas, Patricia, Mazzella, Angela, B Jayathilake, A, B Thalgaspitiya, S P, S Wijayarathna, L, N Wimalge, P M S, Ayomi Sanni, Hakeem, Okenabirhie, Ogheneochuko, Homeida, Anmar, Younis, Abobaker, Abdelbagi Omer, Omer, Abdulaziz, Mustafa, Mussad, Ali, Adam, Ali, Cengiz, Yucel, Björklund, Ida, Ahlqvist, Sandra, Thorell, Ander, Wogensen, Fredrik, Sokratous, Aresti, Breistrand, Michaela, Thorarinsdottir, Hildur, Sigurdadottir, Johanna, Nikberg, Maziar, Chabok, Abba, Hjertberg, Maria, Elbe, Peter, Saraste, Deborah, Rutkowski, Wiktor, Forlin, Louise, Niska, Karoliina, Sund, Malin, Oswald, Denni, Peros, Georgio, Bluelle, Rafael, Reinisch, Katharina, Frey, Daniel, Palma, Adrian, Aristotle Raptis, Dimitri, Zumbühl, Luciu, Zuber, Marku, Schmid, Roger, Werder, Gabriela, Nocito, Antonio, Gerosa, Alexandra, Mahanty, Silke, Werner Widmer, Luka, Müller, Julia, Gübeli, Alissa, Zuk, Grzegorz, Bilgin Gulcicek, Osman, Vartanoglu, Talar, Kose, Emin, Rustu Karahan, Servet, Can Aydin, Mehmet, Alper Sahbaz, Nuri, Halicioglu, Ilkay, Alis, Halil, Sapci, Ipek, Adıyaman, Can, Murat Pektaş, Ahmet, Bora Cengiz, Turgut, Tansoker, Ilkan, Işler, Vedatcan, Cevik, Muazzez, Mutlu, Deniz, Ozben, Volkan, Baris Ozmen, Berk, Bayram, Sefa, Yolcu, Sinem, Buse Kobal, Berna, Faruk Toto, Ömer, Cem Çakaloğlu, Haluk, Karabulut, Kagan, Mutlu, Vahit, Busra Ozkan, Bahar, Celik, Saban, Semiz, Anil, Bodur, Selim, Gül, Enisburak, Murutoglu, Busra, Yildirim, Reyyan, Emre Baki, Bahadir, Arslan, Ekin, Ulusahin, Mehmet, Guner, Ali, Walker, Nathan, Shrimanker, Nikhita, Cole, Simon, Breslin, Ryan, Srinivasan, Ravi, Elshaer, Mohamed, Hunter, Kristina, Al-Bahrani, Ahmed, Liew, Ignatiu, Grace Mairs, Nora, Rocke, Alistair, Dick, Lachlan, Qureshi, Mobeen, Chowdhury, Debkumar, Wright, Naomi, Skerritt, Clare, Kufeji, Dorothy, Ho, Adrienne, Dissanayake, Tharindra, Tennakoon, Athula, Ali, Wadah, Jane Lim, Shujing, Tan, Charlene, O'Neill, Stephen, Jones, Catrin, Nassif, Dima, Sharma, Abhishek, Warren, Oliver, White, Rebecca, Mehdi, Aia, Post, Nathan, Kalakouti, Eliana, Dashnyam, Enkhbat, Stourton, Frederick, Mykoniatis, Ioanni, Currow, Chelise, Wong, Francisca, Gupta, Ashish, Shatkar, Veeranna, Luck, Joshua, Kadiwar, Suraj, Smedley, Alexander, Wakefield, Rebecca, Herrod, Philip, Blackwell, Jame, Lund, Jonathan, Cohen, Fraser, Bandi, Ashwath, Giuliani, Stefano, Bond-Smith, Gile, Pezas, Theodore, Farhangmehr, Neda, Urbonas, Toma, Perenyei, Miklo, Ireland, Philip, Blencowe, Natalie, Bowling, Kirk, Bunting, David, Longstaff, Lydia, Keogh, Kenneth, Jeon, Hyunjin, Rafaih Iqbal, Muhammad, Khosla, Shivun, Jeffery, Anna, Perera, Jame, Aboelkassem Ibrahem, Ahmad, Alhammali, Tariq, Salama, Yahya, Oram, Shaun, Kidd, Thoma, Cullen, Fraser, Owen, Christopher, Wilson, Michael, Chiu, Seehui, Sarafilovi, Hannah, Ploski, Jennifer, Evans, Elizabeth, Abbas, Athar, Kamya, Sylvia, Ishak, Norzawani, Bisset, Carly, Andress, Cedar, Ru Chin, Ye, Patel, Priya, Evans, David, Haslegrave, Aidan, Boggon, Adam, Laurie, Kirsten, Connor, Katie, Mann, Thoma, Mansuri, Anahita, Davies, Rachel, Griffiths, Ewen, Raza Shahbaz, Aized, Eng, Calvin, Din, Farhat, L'Heveder, Ariadne, G Park, Esther H, Ravishankar, Ramanish, Mcintosh, Kirsten, Dar Yau, Jih, Chan, Luke, Mcgarvie, Susan, Tang, Lingshan, Lim, Hui, Yap, Suhhuey, Park, Jay, Herr Ng, Zhan, Mirza, Shahrukh, Lin Ang, Yun, Walls, Luke, Roy, Chloe, Paterson-Brown, Simon, Camilleri-Brennan, Julian, S D'Souza, Michelle, Pronin, Savva, Ewart Henshall, David, Zuling Ter, Eunice, Fouad, Dina, Minocha, Ashish, English, William, Morgan, Catrin, Townsend, Dominic, Maciejec, Laura, Mahdi, Shareef, Akpenyi, Onyinye, Hall, Elisabeth, Caydiid, Hanaan, Rob, Zakaria, Abbott, Tom, D Torrance, Hew, Johnston, Robin, Akil Gani, Mohammed, Gravante, Gianpiero, Rajmohan, Shivanchan, Majid, Kiran, Dindyal, Shiva, Smith, Christopher, Palliyil, Madanmohan, Patel, Sanjay, Nicholson, Luke, Harvey, Neil, Baillie, Katie, Shillito, Sam, Kershaw, Suzanne, Bamford, Rebecca, Orton, Peter, Reunis, Elke, Tyler, Robert, Cheong Soon, Wai, M Jama, Guled, Dhillon, Dharminder, Pate, Khyati, Nanthakumaran, Shayanthan, Heard, Rachel, Yan Chen, Kar, Barmayehvar, Behrad, Datta, Uttaran, K Kamarajah, Sivesh, Karandikar, Sharad, Iftekhar Tani, Sobhana, Monaghan, Eimear, Donnelly, Philippa, Walker, Michael, Parakh, Jehangirshaw, Blacker, Sarah, Kaul, Anil, Paramasivan, Arjun, Farag, Sameh, Nessa, Ashrafun, Awadallah, Salwa, Lim, Jieqi, Chean Khun Ng, Jame, P Kiran, Ravi, Murray, Alice, Etchill, Eric, Dasari, Mohini, Puyana, Juan, Haddad, Nadeem, Zielinski, Martin, Choudhry, Asad, Caliman, Celeste, Beamon, Mieshia, Duane, Therese, Swaroop, Mamta, Myers, Jonathan, Deal, Rebecca, Schadde, Erik, Hemmila, Mark, Napolitano, Lena, To, Kathleen, Makupe, Alex, Musowoya, Joseph, Van Der Naald, Niel, Kumwenda, Dayson, Reece-Smith, Alex, Otten, Kar, Verbeek, Anna, Prins, Marloe, Andres Baquero Suarez, Alibeth, Balmaceda, Ruben, Deane, Chelsea, Dijan, Emilio, Elfiky, Mahmoud, Koskenvuo, Laura, Thollot, Aurore, Limoges, Bernard, Capito, Carmen, Alexandre, Challine, Kotobi, Henri, Leroux, Julien, Pinnagoda, Kalitha, Henric, Nicola, Azzis, Olivier, Rosello, Olivier, Francois, Poddevin, Etienne, Sara, Buisson, Philippe, Hmila, Sophian, Clegg-Lamptey, Joe-Nat, Imoro, Osman, Emmanuel Abem, Owusu, Papageorgiou, Dimitrio, Soulou, Vasiliki, Asturias, Sabrina, Peña, Lenin, B O'Connor, Donal, Realis Luc, Alberto, Alessandro Russo, Alfio, Ruzzenente, Andrea, Taddei, Antonio, Cona, Camilla, Bottini, Corrado, Pascale, Giovanni, Rotunno, Giuseppe, Solaini, Leonardo, Maria Pascale, Marco, Notarnicola, Margherita, Corbellino, Mario, Sacco, Michele, Ubiali, Paolo, Cautiero, Roberto, Bocchetti, Tommaso, Muzio, Elena, Guglielmo, Vania, Morandi, Eugenio, Mao, Patrizio, De Luca, Emilia, Mahmoud Ali, Farah, Žilinskas, Justa, Strupas, Kestuti, Kondrotas, Pauliu, Baltrunas, Roberta, Kutkevicius, Juoza, Ignatavicius, Povila, Ling Tan, Choy, Yng Siaw, Jia, Young Yam, Sir, Wilson, Ling, Rezal Abdul Aziz, Mohamed, Bondin, John, Diaz Zorrilla, Carmina, Majbar, Ana, Sale, Danjuma, Abdullahi, Lawal, Osagie, Olabisi, Faboya, Omolara, Fatuga, Adedeji, Taiwo, Agboola, Nwabuoku, Emeka, Bliksøen, Marte, Ali Khan, Zain, Coronel, Jazmin, Miranda, Cesar, Vasquez, Idelso, M Helguero-Santin, Lui, Rickard, Jennifer, Adedeji, Adesina, Alqahtani, Saleh, Rath, Max, Van Niekerk, Michael, Zacharia Koto, Modise, Matos-Puig, Roel, Israelsson, Leif, Schuetz, Tobia, Arif Yuksek, Mahmut, Mericliler, Meric, Uluşahi, Mehmet, Wolf, Bernhard, Fairfield, Cameron, Liang Yong, Guo, Whitehurst, Katharine, Redgrave, Natalie, K Musyoka, Caroluce, Olivier, Jame, Lee, Kathryn, Cox, Michael, H Farhan-Alanie, Muhamed M, Callan, Rory, Chibuye, Chali, Hassanein Ahmed Ali, Tebian, Rekhis, Syrine, Rommaneh, Muna, Hao Sam, Zi, Hong Chieh Chen, Jacky, Roi, Dylan, Brunelli Pugliesi, Thay, Pardo, Gabriel, Blanco, Ruth, and Grasset Escobar, Eugenio

Subjects
surgical site infection , surgical complications , global surgery , global health , research methodology , outcome assessment, surgical wound, Surgery, telemedicine, postdischarge
Abstract

Objective: This study aimed to determine whether remote wound reviews using telemedicine can be safely upscaled, and if standardised assessment tools are needed. Summary background data: Surgical site infection is the most common complication of surgery worldwide, and frequently occurs after hospital discharge. Evidence to support implementation of telemedicine during postoperative recovery will be an essential component of pandemic recovery. Methods: The primary outcome of this study was surgical site infection reported up to 30-days after surgery (SSI), comparing rates reported using telemedicine (telephone and/or video assessment) to those with in-person review. The first part of this study analysed primary data from an international cohort study of adult patients undergoing abdominal surgery who were discharged from hospital before 30-days after surgery. The second part combined this data with the results of a systematic review to perform a meta-analysis of all available data conducted in accordance with PRIMSA guidelines (PROSPERO:192596). Results: The cohort study included 15,358 patients from 66 countries (8069 high, 4448 middle, 1744 low income). Of these, 6907 (45.0%) were followed up using telemedicine. The SSI rate reported using telemedicine was slightly lower than with in-person follow-up (13.4% vs. 11.1%, P

Published
2023

17. Carbapenem-Resistant Klebsiella pneumoniae Among Patients with Ventilator-Associated Pneumonia: Evaluation of Antibiotic Combinations and Susceptibility to New Antibiotics

Author

Raghdaa A Ramadan, Aya M Bedawy, Essamedin M Negm, Tarek H Hassan, Dalia A Ibrahim, Somia M ElSheikh, and Rania M Amer

Subjects
Pharmacology, Infectious Diseases, Infection and Drug Resistance, Pharmacology (medical), bacterial infections and mycoses
Abstract

Raghdaa A Ramadan,1 Aya M Bedawy,1 Essamedin M Negm,2 Tarek H Hassan,3 Dalia A Ibrahim,3 Somia M ElSheikh,1 Rania M Amer1 1Department of Medical Microbiology and Immunology, Faculty of Medicine, Zagazig University, Zagazig, Egypt; 2Department of Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Zagazig University, Zagazig, Egypt; 3Department of Chest Diseases, Faculty of Medicine, Zagazig University, Zagazig, EgyptCorrespondence: Aya M Bedawy, Department of Medical Microbiology and Immunology Faculty of Medicine, Zagazig University, Zagazig, Egypt, Tel +20 1061259955, Email ayabedawy12@gmail.comBackground: Carbapenemase-producing Gram-negative bacteria, particularly Klebsiella pneumoniae (K. pneumoniae), are at the forefront of the list of causative agents of ventilator-associated pneumonia (VAP). The treatment options for such infections are limited, and various antimicrobial combinations have been suggested as alternatives in clinical practice. New antibiotics, such as ceftazidime/avibactam, ceftolozane/tazobactam and cefiderocol, have shown advantages in both in vitro and clinical studies.Purpose: To evaluate the in vitro effect of meropenem–ciprofloxacin and meropenem–colistin combinations on carbapenem-resistant (CR) K. pneumoniae VAP isolates and to determine their susceptibility to new antibiotics.Methods: Seventy-three K. pneumoniae isolates from 176 endotracheal samples from VAP cases were studied. Antibiotic susceptibility testing and phenotypic detection of extended-spectrum β lactamase (ESBL) and carbapenemase production were done. CR K. pneumoniae isolates were tested for the five predominant carbapenemase genes (blaKPC, blaOXA-48, blaNDM, blaVIM, and blaIMP). In vitro evaluation of meropenem–ciprofloxacin and meropenem–colistin combinations was done by MIC test strips. Susceptibility to new antibiotics was tested by disk diffusion method.Results: Sixty-three (86.3%) of the isolates were ESBL producers and 52 (71.2%) were carbapenem resistant. BlaNDM was the most prevalent carbapenemase gene (50%), followed by blaOXA-48, (36.5%) then blaKPC in (11.5%). BlaVIM and blaIMP were not detected. Meropenem–ciprofloxacin combination showed indifferent effect on all isolates, while meropenem–colistin combination showed 25% synergism, 15.4% addition and 59.6% indifference. All (100%) CR K. pneumoniae isolates were resistant to ceftolozane/tazobactam and 79% were resistant to ceftazidime/avibactam, while 96% were sensitive to cefiderocol.Conclusion: A high rate of carbapenem resistance exists among VAP K. pneumoniae isolates. Meropenem–colistin combination and cefiderocol appear to be potential treatment options for infections caused by CR K. pneumoniae. Resistance to the tested new β-lactam/β-lactamase inhibitors was high, signifying a major threat.Keywords: ventilator-associated pneumonia, Klebsiella pneumoniae, carbapenem resistant, carbapenemases, combination, new antibiotics

Published
2022
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18. A Risk-based Theory of Exchange Rate Stabilization

Author

Tarek A Hassan, Thomas M Mertens, and Tony Zhang

Subjects
Economics and Econometrics
Abstract

We develop a novel, risk-based theory of the effects of exchange rate stabilization. In our model, the choice of exchange rate regime allows policymakers to make their currency, and by extension, the firms in their country, a safer investment for international investors. Policies that induce a country’s currency to appreciate when the marginal utility of international investors is high lower the required rate of return on the country’s currency and increase the world-market value of domestic firms. Applying this logic to exchange rate stabilizations, we find a small economy stabilizing its bilateral exchange rate relative to a larger economy can increase domestic capital accumulation, domestic wages, and even its share in world wealth. In the absence of policy coordination, small countries optimally choose to stabilize their exchange rates relative to the currency of the largest economy in the world, which endogenously emerges as the world’s “anchor currency”, Larger economies instead optimally choose to float their exchange rates. The model therefore predicts an equilibrium pattern of exchange rate arrangements that is remarkably similar to the one in the data.

Published
2022
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19. Evaluation of serum ferritin level in patients with fever of unknown origin

Author

Raed Hamed Mansour, Shaban Salah Abd El-moneum, Tarek Aly Hassan, Ahmed Abdelalim Abuo Elhassan, Mohamed Hasan Elnadry, and Wlid Mohamed Elbakrawy

Subjects
ferritin, fever, fuo, Internal medicine, RC31-1245
Abstract

Background Diagnosis of the cause of fever of unknown origin (FUO) is a great challenge. Serum ferritin may be a useful index for differentiating between infectious and noninfectious causes of FUO (malignant disease or collagen disease). In this respect, serum ferritin has the advantage of decreasing the number of unnecessary tests and helping to exclude infectious disease. Objective This study aimed to evaluate serum ferritin levels among patients suffering from FUO. Methods A comparison was made between infectious, noninfectious, and undiagnosed cases of FUO as regards serum ferritin level using an in-vitro enzyme-linked immunosorbent assay. Results The most common causes of FUO were infectious diseases (120/300, 40%), followed by noninfectious diseases such as malignant (61/300, 20.4%) and autoimmune causes (49/300, 16.3%). Undiagnosed cases constituted 70/300 (23.3%). The mean serum ferritin level in the infectious group, noninfectious group, and undiagnosed group was 99.25±49.58, 1098.94±284.54, and 112.40±183.23, respectively, with highly significant difference between infectious and noninfectious causes of FUO (P559 ng/ml) helps in differentiation between infectious and noninfectious causes of FUO. In undiagnosed cases of FUO we must direct our thinking to infectious diseases.

Published
2017
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20. The key audit matters and the audit cost: does governance matter?

Author

Elmarzouky, Mahmoud, Hussainey, Khaled, AbdelFattah, Tarek Mohamed Hassan, Elmarzouky, Mahmoud, Hussainey, Khaled, and AbdelFattah, Tarek Mohamed Hassan

Abstract

Purpose: This paper aims to investigate the relationship between key audit matters (KAMs) and audit costs and whether board size and independence affect this relationship. Furthermore, this paper examines the moderating effect of corporate governance on the relationship between KAMs and audit costs. Design/methodology/approach: The authors hypothesise that disclosing more KAMs in the audit report is positively associated with audit costs because of the greater effort. The agency theory suggests that firms with good governance will mitigate the agency conflict of interest and improve financial reporting quality. Thus, good governance might moderate the relationship between reported KAMs and audit costs. The authors use a quantitative approach. The authors are using a sample of the UK FTSE all-share non-financial firms from 2014 to 2018 for the UK Financial Times Stock Exchange all-share non-financial firms. Findings: The authors provide evidence of a significant positive relationship between KAMs and audit costs. The relationship is relatively higher when considering the independent directors' percentage as a moderating factor. These results came consistent with the agency theory literature. However, the authors found no empirical evidence to support a moderating effect of board size on the relationship between KAMs and audit cost. Practical implications: The finding benefits the regulatory setters to better understand the consequences of the new auditing standards. This paper has theoretical and practical implications for regulators, standard setters, professional bodies, shareholders and academics. Originality/value: This paper contributes to the literature assessing the regulatory changes related to audit reform and adds to the debate on the impact on audit costs. This paper underlines governance factors as a moderating role in this relationship between KAMs and audit costs.

Published
2023

21. LONG-TERM VISUAL OUTCOMES AND THE TIMING OF SURGICAL REPAIR OF FOVEA-SPLITTING RHEGMATOGENOUS RETINAL DETACHMENTS

Author

Antonio Capone, Christianne A Wa, Jeremy D. Wolfe, Sandeep Randhawa, Ramon Lee, Alan J. Ruby, Cire Nemeth, Tamer H. Mahmoud, George A. Williams, Tarek S Hassan, Kimberly A. Drenser, Bruce R. Garretson, Michael J. Maywood, Ryan A Shields, and Lisa J. Faia

Subjects
Male, Fovea Centralis, medicine.medical_specialty, Visual acuity, genetic structures, Sulfur Hexafluoride, Visual Acuity, Endotamponade, Single Center, Cryosurgery, Time-to-Treatment, chemistry.chemical_compound, Primary outcome, Vitrectomy, Ophthalmology, Humans, Medicine, Aged, Retrospective Studies, Surgical repair, Fluorocarbons, business.industry, Significant difference, Retinal Detachment, Retinal, General Medicine, Middle Aged, eye diseases, Scleral Buckling, chemistry, Cohort, Female, sense organs, medicine.symptom, business, Tomography, Optical Coherence, Follow-Up Studies
Abstract

To evaluate the visual outcomes and the affect of timing of surgical repair of fovea-splitting rhegmatogenous retinal detachments.A retrospective, consecutive cohort from multiple surgeons at a single center. Fovea status (fovea-on, fovea-splitting, or fovea-off) was classified by preoperative optical coherence tomography. The primary outcome measure was the visual acuity at the last follow-up that was further correlated with the timing of surgical repair.One hundred and ninety-five eyes were included with 62 fovea-on, 65 fovea-splitting, and 68 fovea-off detachments. The mean preoperative logarithm of the minimum angle of resolution visual acuity for fovea-on, fovea-splitting, and fovea-off groups was 0.16 ± 0.21, 0.70 ± 0.56, and 1.67 ± 0.87, respectively (P =0.001). Mean postoperative logarithm of the minimum angle of resolution visual acuity for fovea-on, fovea-splitting, and fovea-off groups were 0.07 ± 0.13, 0.10 ± 0.15, and 0.20 ± 0.22, respectively (P =0.001). A statistically significant difference in mean postoperative logMAR visual acuity was found between fovea-off and fovea-on groups (P = 0.003) and between fovea-off and fovea-splitting groups (P = 0.013), however not between fovea-on and fovea-splitting groups (P = 0.827). Visual acuity improved when repair was performed earlier after presentation for fovea-on (R = 0.378, P = 0.002) and fovea-off groups (R = 0.277, P = 0.022), but not for the fovea-splitting group (R = 0.089, P = 0.481).We described the favorable visual outcomes of surgery for fovea-splitting rhegmatogenous retinal detachment and correlated these with the timing of surgical repair, which may help guide the management of this urgent, vision-threatening condition.

Published
2022
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24. Smart grid (SG) properties and challenges: an overview

Author

Ahmed A. Abdullah and Tarek M. Hassan

Abstract

The electric power system is undergoing considerable changes in operation, maintenance, and planning as a result of the integration of Renewable Energy Resources (RERs). The transition to a smart grid (SG), which employs advanced automation and control techniques, brings with it new difficulties and possibilities. This paper provides an overview of next-generation smart grids by presenting the most current and cutting-edge developments in the SG sector. This paper discusses the benefits, drawbacks, and prospects of smart grids. The difficulties of integrating RERs into the grid, as well as alternative energy storage solutions, are discussed. The unpredictable nature of resources has an impact on RER output. The energy storage system is critical in dealing with RERs’ unpredictable nature and ensuring a smooth and reliable supply to load demand. Smart energy systems provide a number of problems and possibilities in terms of developing, integrating, and implementing electrical grids that incorporate network and communication technologies, as well as important privacy and security concerns for various components within the grid. This paper also shows the influence of SGs on distributed energy generation, as well as a comparative analysis on electric cars (EVs), including classification, i.e., battery, and hybrid electric vehicles, as well as current difficulties and challenges in EV technology. A discussion of SG protection concerns and their resolution is also included.

Published
2022
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26. New Strategies to Improve Patient Adherence to Medications for Noncommunicable Diseases During and After the COVID-19 Era Identified via a Literature Review

Author

Joseph S. Imperato, Tarek A Hassan, Kelly H. Zou, Danute Ducinskiene, Joseph P Cook, and Jorge Enrique Sáenz

Subjects
medicine.medical_specialty, Telemedicine, noncommunicable diseases, ehealth, business.industry, COVID-19, Review, persistence, General Medicine, Disease, medicine.disease, patients, Vaccination, Diabetes mellitus, Pandemic, Health care, medicine, eHealth, adherence, telemedicine, Social determinants of health, Intensive care medicine, business, General Nursing
Abstract

Noncommunicable diseases (NCDs) place a huge burden on healthcare systems and society as a whole. Relatively early in the coronavirus disease 2019 (COVID-19) pandemic, clinicians became aware that in individuals infected with COVID-19, those with preexisting NCDs such as diabetes mellitus and cardiovascular disease (CVD) were at a greater risk of poor outcomes and mortality than those without. The importance of adherence to medications and lifestyle changes to control and prevent NCDs has been a major focus for many years, but with limited success – the proportion of patients adherent and persistent to their medications remains very low. There are many facets to adherence and persistence. Recent evidence suggests that a patient-centric approach is important, and ensuring that a patient is both motivated and empowered is critical to improving adherence/persistence. The COVID-19 pandemic has brought many changes to the way in which patients with NCDs are managed, with telemedicine and ehealth becoming more common. Changes have also occurred in the way in which patients can gain access to medications during the pandemic. The potential for these changes forms the basis of improving the management of patients with NCDs both during and after the pandemic. Over the coming months, a huge amount of work will be put into initiatives to promote adherence to COVID-19 vaccination programs. Those at highest risk of severe COVID-19, such as people aged 80 years and older, are likely to receive the vaccine first in some parts of world. Finally, social determinants of health are critical elements that can impact not just the likelihood of having an NCD or becoming infected with COVID-19, but also access to healthcare, and a patient’s adherence and persistence with their treatments.

Published
2021
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27. The Economics of Currency Risk

Author

Tarek Alexander Hassan and Tony Zhang

Subjects
Economics and Econometrics
Abstract

This article reviews the literature on currency and country risk with a focus on their macroeconomic origins and implications. A growing body of evidence shows that countries with safer currencies enjoy persistently lower interest rates and a lower required return to capital. As a result, they accumulate relatively more capital than countries with currencies that international investors perceive as risky. Whereas earlier research focused mainly on the role of currency risk in generating violations of uncovered interest parity and other financial anomalies, more recent evidence points to important implications for the allocation of capital across countries, the efficacy of exchange rate stabilization policies, the sustainability of trade deficits, and the spillovers of shocks across international borders.

Published
2021
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28. The substance and form of Islamic Finance instruments: an accounting perspective

Author

Tarek Mohamed Hassan AbdelFattah and Ahmed M. Ebrahim

Subjects
Service (business), Substance over form, business.industry, Strategy and Management, Subject (philosophy), Islam, Accounting, Usury, Conceptual framework, Economic substance, Sharia, Business, Business and International Management
Abstract

Purpose This study aims to critically analyze the fundamentals of the current major Islamic Finance (IF) instruments and contracts in light of both the foundations of IF and the concept of substance over form in the accounting conceptual framework. Such analysis is believed to be necessarily for the IF institutions to provide better and more genuine service to their customers. Design/methodology/approach To achieve the study purpose, the methodology is based on theoretical analysis and analytical review of the major IF contracts. Findings The IF industry needs to focus on the economic substance of the products offered to their clients. In developing and promoting their products, IF institutions need to focus on the ultimate and substantial goals of Islamic Sharia rather than re-packaging existing conventional products under different arrangements and formats to make them appear as Sharia-compliant to their clients. Both religious scholars and IF professionals need to engage in much deeper analysis and understanding of the substantial design of IF instruments and the concept of usury in modern economy. Research limitations/implications This paper does not intend to develop a comprehensive framework for the design of IF instruments to meet the economic substance and ultimate goals of IF principles or measure such economic substance. However, that is definitely a subject for further research. Originality/value By applying concepts like substance over form from other business fields such as the accounting theoretical framework to the IF instruments and contracts, we should gain better understanding and practical implications of these instruments and figure out ways to improve their design to be more consistent with and better serve the ultimate goals of the Islamic Sharia.

Published
2021
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30. Clinical Practice Management of Primary Open-Angle Glaucoma in the United States: An Analysis of Real-World Evidence

Author

Joseph S Imperato, Kelly H Zou, Jim Z Li, and Tarek A Hassan

Subjects
Patient Preference and Adherence, Health Policy, Medicine (miscellaneous), Pharmacology, Toxicology and Pharmaceutics (miscellaneous), Social Sciences (miscellaneous)
Abstract

Joseph S Imperato,1 Kelly H Zou,1 Jim Z Li,1 Tarek A Hassan2 1Global Medical Analytics and Real-World Evidence, Viatris Inc., Canonsburg, PA, USA; 2Global Medical Affairs, Ophthalmology, Viatris Inc, Canonsburg, PA, USACorrespondence: Tarek A Hassan, Global Medical Affairs, Ophthalmology, Viatris Inc, 1000 Mylan Boulevard, Canonsburg, PA, 15317, USA, Tel +1 347 443 2850, Email tarek.hassan@viatris.comPurpose: To investigate clinical management of primary open-angle glaucoma (POAG) in the United States using real-world evidence and to examine healthcare resource utilization (HCRU), medication adherence/persistence, and procedure use.Design: A cross-sectional, retrospective analysis of Optum’s de-identified Market Clarity Dataset (July 1, 2013–December 31, 2019).Patients and Methods: Patients ≥ 18 years with POAG diagnosis and continuous enrollment for 1-year pre- and post-index were eligible and categorized into four mutually exclusive cohorts: CH1, treated with antiglaucoma medication(s) only; CH2, underwent glaucoma procedure(s) only; CH3, treated with antiglaucoma medication(s) and underwent procedure(s); and CH4, received no treatment for POAG. Adherence and persistence with antiglaucoma medications, and disease-specific HCRU were analyzed. Pairwise two-sample comparisons and multivariate regressions were conducted.Results: Examined 232,572 eligible patients (CH1=60,895; CH2=4330; CH3=6027; CH4=161,320). Prostaglandin analogs were most prescribed antiglaucoma medications (CH1: 69.7%; CH3: 62.7%), of which latanoprost was most common (CH1: 51.3%; CH3: 46.1%). Disease-specific office visits occurred in 26.3%, 78.2%, 75.0%, 23.8%, and surgical services visits occurred in 3.8%, 36.3%, 42.5%, 3.3%, in CH1-CH4, respectively. Adherence was higher (medication possession ratio: 47.1% vs 39.4%; P< 0.0001), and more patients remained persistent across 1-year post-index period in CH1 vs CH3 (25.4% vs 16.1%; P< 0.0001). Positive predictors of medication persistence included being female, ≥ 55 years, and history of dyslipidemia or thyroid disease (all P≤ 0.0003).Conclusion: Overall, 70% POAG patients might not have received antiglaucoma treatment. Since POAG is a slowly progressive blinding disease, the lack of antiglaucoma treatment and suboptimal adherence/persistence with medications are of major concerns. Targeted screening and educational approaches are needed to improve POAG management.Keywords: adherence, antiglaucoma, health care resource utilization, persistence, real-world evidence

Published
2022

33. Global economic burden of unmet surgical need for appendicitis

Author

Reuter, Anna, Rogge, Lisa, Monahan, Mark, Kachapila, Mwayi, Morton, Dion G, Davies, Justine, Vollmer, Sebastian, A A Essam, Abd Elkhalek Sallam, Abd Elrahman Elshafay, Abd El-Rahman Hegazy Khedr, Abdalla Gamal Saad, Abdalla Gharib, Abdalla Kenibar, Abdallah Salah Elsherbiny, Abdalrahman Adel, Abdelaziz Abdelaal, Abdelaziz Osman Abdelaziz Elhendawy, Abdelfatah Hussein, Abdelkader Belkouchi, Abdelmalek Hrora, Abdelrahman Adelshone, Abdelrahman Alkammash, Abdelrahman Assal, Abdelrahman Geuoshy, Abdelrahman Haroun, Abdelrahman Mohammed, Abdelrahman Sayed, Abdelrahman Soliman, Abdelrhman Essam Elnemr, Abdelrhman Kz Darwish, Abdelrhman Osama Elsebaaye, Abdul Khalique, Abdul Rehman Alvi, Abdul Wahid Anwar, Abdulaziz Altwijri, Abdullah Al-Mallah, Abdullah Almoflihi, Abdullah Altamimi, Abdullah Daqeeq, Abdullah Dwydar, Abdullah Gouda, Abdullah Hashim, Abdulmalik Altaf, Abdulmalik Huwait, Abdulrahman Abdel-Aty, Abdulrahman M Altwigry, Abdulrahman Sheshe, Abdulrasheed A Nasir, AbdulRazzaq Oluwagbemiga Lawal, Abdulshafi Khaled Abdrabou, Abdurrahaman Sheshe, Abdussemiu Abdurrazzaaq, Abebe Bekele Zerihun, Abeer Al-Shammari, Abeer El Gendy, Abeer Esam, Abeer Marey, Abhishek Mittal, Abiboye Yifieyeh, Abid Bin Mahamood, Abidemi Adesuyi, Abouelatta Khairy Aly, Abrar Nawawi, Adam Gyedu, Ade Waterman, Adedapo Osinowo, Adedeji Fatuga, Adel Albiety, Adel B Hassanein, Adel Denewar, Adeleke Adekoya, Ademola Adebanjo, Ademola Adeyeye, Ademola Popoola, Adesina Adedeji, Adesoji O Ademuyiwa, Adesoji Tade, Adewale Adeniyi, Adewale O Adisa, Adham Tarek, Adomas Ladukas, Adrian F Palma, Afifatun Hasanah, Afizah Salleh, Afnan Abdelfatah, Afnan Altamimi, Afnan Altamini, Agazi Fitsum, Agboola Taiwo, Ahamed Hassan, Ahed Ghaben, Ahmad Abdel Fattah, Ahmad Abdel Razaq Al Rafati, Ahmad Aboelkassem Ibrahem, Ahmad Aldalaq, Ahmad Ali, Ahmad Almallah, Ahmad Alrifaie, Ahmad Ashour, Ahmad Bakr, Ahmad Bani-Sadar, Ahmad Bin Adnan, Ahmad Elbatahgy, Ahmad Faraz, Ahmad Gudal, Ahmad Hasan, Ahmad Khaled Sabe, Ahmad Khoja, Ahmad Nashaat, Ahmad Qaissieh, Ahmad Sabe, Ahmad Saber Sleem, Ahmad Sakr, Ahmad Shalabi, Ahmad Uzair Qureshi, Ahmed Aamer, Ahmed Abd El Galeel, Ahmed Abd Elmoen Elhusseiny, Ahmed Abd Elsameea, Ahmed Abdelkareem, Ahmed Abdelmotaleb Ghazy, Ahmed Abo El Magd, Ahmed Abo Elazayem, Ahmed Adamu, Ahmed Adel, Ahmed Afandy, Ahmed Ahmed, Ahmed Alghamdi, Ahmed Ali, Ahmed Al-Khatib, Ahmed Altibi, Ahmed Alzahrani, Ahmed Ata, Ahmed Badr, Ahmed Dahy, Ahmed Diab, Ahmed El Kashash, Ahmed El Kholy, Ahmed Elgaili Khalid Musa, Ahmed Elgebaly, Ahmed Elkelany, Ahmed Elkholy, Ahmed El-Sehily, Ahmed Essam, Ahmed Fahiem, Ahmed Farag, Ahmed Fawzy, Ahmed Fouad, Ahmed Gad, Ahmed Ghanem, Ahmed Gheith, Ahmed Gomaa, Ahmed Hafez El-Badri Kotb, Ahmed Hammad, Ahmed Hassan, Ahmed Hossam Eldin Fouad Rida, Ahmed Ismail, Ahmed Karim, Ahmed Khyrallh, Ahmed Lasheen, Ahmed M Rashed, Ahmed Magdy, Ahmed Mahmoud Abdelraouf, Ahmed Menshawy, Ahmed Meshref, Ahmed Mohamed Afifi, Ahmed Mohamed Ibrahim, Ahmed Mohameden, Ahmed Mohammed, Ahmed Mokhtar, Ahmed Mosad, Ahmed Moustafa, Ahmed Moustafa Saeed, Ahmed Negida, Ahmed Rabeih Mohammed, Ahmed Rabie Mohamed, Ahmed Ragab Nayel, Ahmed Ragab Soliman, Ahmed Raslan, Ahmed Raza, Ahmed Refaat, Ahmed Rslan, Ahmed Sabry, Ahmed Sabry El-Hamouly, Ahmed Safwan Marey, Ahmed Saidbadr, Ahmed Sakr, Ahmed Samir, Ahmed Shahine, Ahmed Sheta, Ahmed Soliman, Ahmed Tammam, Ahmed Tarek Abdelbaset Hassan, Ahmed W Shamsedine, Ahmed Zaki, Ahmed Zaki Eldeeb, Ahmed Zohair, Ahmedali M Kandil, Ahmedglal Elnagar, Ahsan Zil-E-Ali, Aijaz Jabbar, Ailsa Claire Snaith, Ainhoa Costas-Chavarri, Aiste Austraite, Ajayesh Mistry, Akin Olaolorun, Akinlabi E Ajao, Al Faifi Jubran, Ala Shamasneh, Alaa Abouelnasr, Alaa Al-Buhaisi, Alaa Bowabsak, Alaa El Jamassi, Alaa Elazab, Alaa Elhadad, Alaa Fergany, Alaa Habeebullah, Alaa Hassan, Alaa Shabkah, Alaa Shaheen, Alaba Adesina, Alan Baird, Alan Grant, Alasdair Ball, Alban Cacurri, Albert Mohale Mphatsoe, Alberto Realis Luc, Alejandro Matheu, Alejandro Munera, Alemayehu Ginbo Bedada, Alessandro Favero, Alessio Maniscalco, Alexander Canta Calua, Alexander J Fowler, Alexandra Gerosa, Alexandre Horobjowsky, Alexandre Venancio De Sousa, Alexia Farrugia, Alexis Pierre Arnaud, Alfio Alessandro Russo, Alfredo Gulielmi, Ali Ababneh, Ali Abo El Dahab, Ali Amin Ahmed Ata, Ali Khan Niazi, Ali Kiasat, Ali Mohamed Hammad, Ali Zardab, Ali Zeynel Abidin Balkan, Aliaa Gamal Toeema, Aliaa Sadek, Aliaksandr Filatau, Aliang Latif, Alibeth Andres Baquero Suarez, Alice Faure, Alice Niragire, Alina Robledo-Rabanal, Aline Broch, Alireza Hasheminia, Alisdair Macdonald, Aliyu Ndajiwo, Allan Novak, Alphonse Zeta Mutabazi, Alvaro Enrique Mendoza Beleño, Alvin Ee Zhiun Cheah, Aly Abd Elrazek, Aly Nasr, Aly Sanad, Alyaa Halim Elgendy, Alyne Daltri Lazzarini Cury, Amal Ibrahim, Amandine Martin, Amani Althwainy, Amany Abouzahra, Amany Eldosouky Mohammed, Amar Kourdouli, Amel Hashish, Amerdip Birring, Amgad Al Meligy, Amina Abdelhamid, Aminah Hanum Haji 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Arlindawati Suyadi, Armando José Román Velásquez, Arnaud Bonnard, Arnav Agarwal, Aroub Alkaaki, Arturas Vaicius, Arvin Khamajeet, Arvo Reinsoo, Arwa Abouzaid, Arwa Elfarargy, Arwa Ibrahim, Arwa Mohamed, Asaf Kedar, Asdaq Ahmed, Ased Ali, Aseel Alnusairat, Aseel Hamarshi, Aseel Musleh, Ash Prabhudesai, Ashraf A Maghrabi, Ashraf Morsi, Ashrarur Rahman Mitul, Asmaa Abdelgelil, Asmaa Abdel-Rahman Al-Aarag, Asmaa Rezq, Asmaa Salah, Aspasia Papailia, Assmaa Badwy, Astrid Leusink, Ata Khan, Ataa Ahmed, Athanasia Bamicha, Athar Eysa, Athirah Zulkifli, Atif Mahdi, Attia Attia, Attia Mohamed Attia, Audrey Clarissa, Audrius Dulskas, Audrius Parseliunas, Augusto Zani, Aung Kyaw Tun, Aurel Mironescu, Aurel Sandu Mironescu, Aurelien Scalabre, Aurora Mariani, Aurore Haffreingue, Aurore Thollot, Ausrine Usaityte, Austė Skardžiukaitė, Awais Raza, Aya Abdel Fatah Ibraheem, Aya Aboarab, Aya Adel Elsharkawy, Aya El-Sawy, Aya Elwaey, Aya Firwana, Aya Hagar, Aya Hammad, Aya Mohamed Fathy, Aya Reda, Aya Yehia Ata, Ayah Hamdan, Ayat Hassaan, Ayman And Taher, Ayman Elwan, Ayman Nabawi, Ayman Salman, Ayman Shwky, Ayokunle Ogunyemi, Azher Herebat, Azmina Verjee, Babajide Adenekan, Babatunde Odeyemi, Badr Eldin Adel, Badreldin Adel Tawfik, Bahar Busra Ozkan, Bakeer Mohamed, Bakhtiar Nighat, Bandar Albeladi, Bárbara Málaga, Barbara Mijuskovic, Barbara Pereira Silvestre, Basant Kumar, Basem Sieda, Bashir Bello, Basim Alghamdi, Basma Magdy, Basma Mahmoud, Basmah Alhassan, Bassant Mowafy, Beatrice Brunoni, Beatrix Weber, Belen Sanchez, Ben Thompson, Benoît Parmentier, Bernard Limoges, Bernard Van Duren, Bernhard Wolf, Bertrand Dousset, Besmir Grizhja, Bettina Lieske, Betty Maillot, Billal Mansour, Bjorn Frisk, Bogdan Diaconescu, Bogdan-Valeriu Martian, Boris Marinkovic, Brendan Skelly, Brian Cameron, Britta Dedekind, Bruno Noukpozounkou, Bryon Frankie Hon Khi Chong, Bylapudi Seshu Kumar, Caio Vinícius Barroso de Lima, Calogero Iacono, Cameron Fairfield, Camila Sanchez Samaniego, Camilla Cona, 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Zachariades, Dina Al-Marakby, Dina Faizatur Rahmah, Dina Gamal, Dina Tarek, Dineshwary Periasammy, Diogo Vinicius Dos Santos, Dion Morton, Diya Mirghani, Djifid Morel Seto, D M Cocker, Dmitri A Raptis, Dmitri Nepogodiev, Dmitri Raptis, Doaa Emadeldin, Doaa Gamil, Doaa Hasan, Doaa Hasanain, Doaa Maher Abdelrouf, Domenica Pata, Domingos Mapasse, Dominic Charles Marshall, Donal B O'Connor, Donatas Danys, Donatas Venskutonis, Dorota Radkowiak, Doug Bowley, Dovilè Majauskyté, Dulan Irusha Samaraweera, Durvesh Lacthman Jethwani, Dush Iyer, Dushyant Iyer, Dzianis Khokha, Dzmitry Paulouski, Ebenezer Takyi Atkins, Echaieb Anis, Edgar Domini, Edilberto Temoche, Eduardo Huaman, Edvard Grisin, Edvinas Dainius, Efeson Thomas, Egle Preckailaite, Ehab Alnawam, Ehab Mamdouh, Eirik Kjus Aahlin, Eirini Kefalidi, Ekow Mensah, Elaine Borg, Eldaa Prisca Refianti Sutanto, Eleanor Marks, Elena Goldin, Elena Muzio, Elena Vendramin, Elena Zdanyte Sruogiene, Eleonora Ciccioli, Elio Jovine, Elisa Francone, Elisabeth Jensen, Elissa Rifhan Mohd Basir, Elizabeth Snyder, Ella Teasdale, Elliot Akoto, Elodie Gaignard, Elodie Haraux, Elsa Robert, Elsayed Ali, Elsayed Gamaly, Emad Abdallah, Emad Al-Dakka, Emad Ali Ahmed, Emad Aljohani, Emad Mohamed Saeed Taha, Eman Abd Al Raouf, Eman Abdelmageed, Eman Abuqwaider, Eman Adel Sayma, Eman Elwy, Eman Emara, Eman Hashad, Eman Ibrahim, Eman Magdy, Eman Magdy Hegazy, Eman Mahmoud Abdulhakeem, Eman Mohamed Ibrahim, Eman Mohamed Morshedy, Eman Nofal, Eman Rashad, Eman Yahya Mansor, Emanuel Barrios, Emanuele Rausa, Emeka Nwabuoku, Emilia De Luca, Emilie Eyssartier, Emilio Dijan, Emma Blower, Emma Jurdell, Emma Upchurch, Emmanuel Acquah, Emmanuel Akatibo, Emmanuel Barrios, Emmy Runigamugabo, Enas Alaloul, Enas Alqahtani, Enoch Dagoe, Enoch Tackie, Eriberto Farinella, Eric Ackom, Eric Kofi Appiah, Erick Samuel Florez Farfan, Erik Hervieux, Erik Schadde, Erika Vicario, Erikas Laugzemys, Ernest Yemalin Stephane Ahounou, Eslam Elbanby, Eslam Ezzat, Esraa Abd 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Ferdy Iskandar, Fernanda Altoe, Fernanda Frade, Fernande Djivoh, Fernando Espinoza, Fernando Fernandez-Bueno, Fernando Tale, Ferry Fitriya Ayu Andika, Fidelis Jacklyn Adella, Filippo Di Franco, Finaritra Casimir Fleur Prudence Rahantasoa, Fitjerald Henry, Fitriana Nur Rahmawati, Florence Dedey, Florian Primavesi, Florin-Mihail Iordache, Fong Yee Lam, Foteini Koumpa, Francesca Steccanella, Francesco Pata, Francesco Riente, Francesco Ruben Giardino, Francesco Selvaggi, Francis Abantanga, Francis Dossou, Francisco Fujii, Francisco Regalado, Francois-Coridon Helene, Françoise Schmitt, Frank Enoch Gyamfi, Frank Owusu, Fred Alexander Naranjo Aristizã Bal, Fred Hodonou, Frederick Du Toit, Frederique Sauvat, Fredrik Wogensen, Frehun Ayele Asele, Fridiz Saravia, Gabriel Pardo, Gabriela Elisa Nita, Gaetano Gallo, Gaetano Luglio, Gaetano Tessera, Galaleldin Abdelazim, Gamal Shimy, Gandau Naa Barnabas, Garba Samson, Gareth Irwin, Gehad El Ashal, Gehad Samir El Sayed, Gehad Tawfik, Gemma Humm, Genoveffa Balducci, George Christian Manrique Sila, George Ihediwa, George Manrique Sila, Georges Azzie, Georgette Marie Camilleri, Georgios Gemenetzis, Georgios Gkiokas, Georgios Karabelias, Georgios Kyrou, Georgios Tzikos, Gerardo Perrotta, Gerfried Teufelberger, Germain Ahlonsou, German Minguez, Geta Maharaj, Gezim Galiqi, Ghada Elhoseny, Ghada Saied Nagy, Ghiath Al Saied, Ghina Shamim Shamsi, Giacomo Nastri, Giacomo Pata, Gianfranco Cocorullo, Gianluca Curletti, Gianluca Pagano, Gianluca Pellino, Gianmaria Confalonieri, Gianpiero Gravante, Giedrius Lauzikas, Giles Dawnay, Gintaras Simutis, Giorgio Vasquez, Giovanni Landolfo, Giovanni Lazzari, Giovanni Luca Lamanna, Giovanni Pascale, Giovanni Pesenti, Giovanni Sgroi, Giridhar H Devadasar, Gisele Moreira, Giuliano Borda-Luque, Giuseppe Clerico, Giuseppe Rotunno, Giuseppe Salamone, Giuseppe Sammarco, Gokhan Lap, Greg Padmore, Gregorio Tugnoli, Gregory Kouraklis, Greta Mclachlan, Greta Wood, Greta Žiubrytė, Guillaume Podevin, Guillermo Sanchez Rosenberg, Guo Liang Yong, Gurdeep Singh Mannu, Gurpreet Singh Banipal, Gustavo Miguel Machain Vega, Gustavo Peixoto Soares Miguel, Gustavo Pereira Fraga, Gustavo Recinos, Gustavo Rodolfo Pertersen Servin, Haaris A Shiwani, Hadeel Al-Farram, Hafiz Hakim, Hagar Zidan, Hager Abdul Aziz Amin, Hager Abdulaziz, Hager Ahmed El-Badawy, Hager Elwakil, Hager Tolba, Hagir Zain Elabdin, Haidar Hajeh, Hala Ahmed, Hala Saad, Halima Aliyu, Hamdi Ebdewi, Hamza Asumah, Hamza Waleed, Hanan Adel Saad, Haney Youssef, Hani Natalie, Hanna Royson, Hannah Anderson-Knight, Hannah Burns, Hannah S Thomas, Hans-Ivar Pahlsson, Harish Neelamraju Lakshmi, Harriet Jordan, Hasan Ismael Ibraheem, Hasan Ismael Ibraheem Al-Hameedi, Hasbi Maulana Arsyad, Hasnain Abbas Dharamshi, Hassan Ali Mostafa, Hatem El-Sheemy, Haya Tahboub, Hayam Ahmed, Hayden Kretzmann, Hayssam Rashwan, Haytham Abudeeb, Hazem Khaled, Hazmi Dwinanda Nurqistan, Heather Bougard, Heba Baraka, Heba Gamal, Heba Shaker, Hector Shibao Miyasato, Helen Mohan, Helen Woodward, Helena Franco, Helene Francois-Coridon, Helmut Alfredo Segovia Lohse, Hend Adel Gawad Shakshouk, Hend Kandil, Hend Mahmoud, Henri Kotobi, Henry Mendel, Henry Nnaj, Herlin Karismaningtyas, Herman Cruz, Hesham Magdy, Hesham Mohammed Bakry, Hian Ee Heng, Hildur Thorarinsdottir, Hisham Safa, Hisham Samih, Hogea Mircea, Hong Kong Sar, Hong Yee Wong, Hoong-Yin Chong, Hope Edem Kofi Kordorwu, Hope Glover-Addy, Horacio Paredes Decoud, Hosni Khairy Salem, Hossam Dawoud, Hossam Elfeki, Hossam Emadeldin, Houda Bachri, Hunain Shiwani, Hussein Ali, Hussein El-Kashef, Hussein Mohammed, Hussien Ahmed, Iason-Antonios Papaskarlatos, Ibrahem Abdelmotaleb, Ibrahim AbdelFattah, Ibrahim Alhabli, Ibrahim Al-Slaibi, Ibrahim AlYoussef, Ibrahim Elzayat, Ibrahim Elzayyat, Ibrahim N Alomar, Ibrahim Rakha, Ibrahim Raza, Ida Björklund, Idelso Vasquez, Ignas Rakita, Ihab Hassan, Ihdaa Adawi, Iloba Njokanma, Iman Elkadsh, Immacolata Iannone, Ingemar Havemann, Ioannis Kyriazanos, Ioannis Patoulias, Ioannis Valioulis, Ionasc Dan, Ionut Negoi, Ionut-Bogdan Diaconescu, Irene Montes, Irene Ortega-Vazquez, Isaac Amole, Isaac Bertuello, Isaac Hanley, Isam Bsisu, Islam Magdy El Sayed, Ismael Isaac Zelada Alvarez, Ismail Lawani, Israa Abdullah Aziz Al-Azraqi, Israa Adel, Israa Awad, Israa Qawasmi, Ivan Mendoza Restrepo, J Edward Fitzgerald, Jack Almy, Jacqueline Sheehan, Jaime Andres Montoya Botero, Jaime Herrera-Matta, Jakeline Restrepo, Jakov Mihanovic, James Adeniran, James Brown, James Davies, James Giles, James Glasbey, James Olivier, James Pape, James Richards, James Wheeler, James Yang, Jamie Shah, Janet Pagnozzi, Jannin Salcedo, Jasim Amin, Jason Brown, Javier Pastora, Javier Rosales, Jazmin Coronel, Jean Bréaud, Jean De La Croix Allen Ingabire, Jean-Baptiste Marret, Jean-Francois Colombani, Jean-François Lecompte, Jeffrey Dalli, Jehad Hassan Youssif, Jehad Meqbil, Jemina Onimowo, Jen Cornick, Jenifa Jeyakumar, Jennifer Nowers, Jennifer Rickard, Jennifer Skehan, Jerry Makama, Jesse Ron Swire Ting, Jessica Juliana Tan, Jessica Patricia Gonzales Stuva, Jessica Roth, Jessica Souza Luiz, Jia Hao Law, Jia Yng Siaw, Jian Er Saw, Jibran Abbasy, Jiheon Song, Jimy Harold Jara Quezada, Joachim Amoako, Joachim Wiborg, Joanna Swann, Jo-Anne Carreira, Joanne Edwards, Joe Vincent, Joel Kin Tan, Joe-Nat Clegg-Lamptey, Johanna Joosten, Johanna Nyberg, Johannes Kurt Schultz, Johannes Wiik Larsen, John Bondin, John F Camilleri-Brennan, John Jemuel V Mora, John Lee Y Allen, John Whitaker, Jolanta Gribauskaite, Jon Arne Søreide, Jon Kristian Narvestad, Jonathan Ajah, Jonathan Dakubo, Jonathan Heath, Jonathan R L Wild, Jonny Setiawan, Jorge Armando Chungui Bravo, Jorge Torres Cardozo, Jose Aguilar-Jimenez, Jose Andres Garcia-Marin, Jose Antonio Cabala Chiong, Jose Costa-Maia, José Hamasaki, José Luis Hamasaki Hamaguchi, Jose Luis Rodicio, Jose María Vergara Celis, José René Arévalo Azmitia, Joselyn Ye, Joseph Awuku-Asabre, Josephine Psaila, Joshua Luck, Joshua Michael Clements, Joyeta Razzaque, Juan Camilo Correa, Juan Carpio, Juan Gouws, Juan Jaime Herrera Matta, Juan Manuel Carmona, Juan Marcelo Delgado, Juana Kabba, Jubran J Al-Faifi, Julia Guasti Pinto Vianna, Julian Camilleri-Brennan, Juliana Menegussi, Julien Leroux, Julien Rod, Juliette Hascoet, Julio Jimenez, Junyeong Oh, Juozas Kutkevicius, Justas Kuliavas, Justas Žilinskas, Justin Chak Yiu Lam, Justus Lando, Ka Hin Gabriel Li, Ka Wai Leung, Kai Yin Lee, Kalangu Kabongo, Kalitha Pinnagoda, Kalon Hewage, Kamau Kinandu, Kamran Faisal Bhopal, Kandasami Palayan, Kareem Dabbour, Kareem Elshaer, Karen Bailey, Karim Hilal, Karl Bonavia, Karolis Lagunavicius, Karolis Varkalys, Kate Cross, Kate Yu-Ching Chang, Katharina Beate Reinisch, Katharine Whitehurst, Katherine Gash, Kathryn Chu, Kathryn Lee, Katie Connor, Katrin Gudlaugsdottir, Kaustuv Das, Kazeem Atobatele, K C Janardha, Kean Leong Koay, Keat-Seong Poh, Keiran David Clement, Keith Sammut, Keith Say Kwang Tan, Kenneth Aaniana, Kenneth Johnson, Kenneth Mealy, Kenneth Thorsen, Kenny Turpo Espinoza, Kent Pluke, Kestutis Strupas, Kevin C Conlon, Kevin Turpo Espinoza, Khaled Abozeid, Khaled Alhady, Khaled Aljboor, Khaled Dawood, Khaled Hesham Elbisomy, Khaled Ibrahim, Khaled Khattab, Khaled Naser El Deen, Khalid Mahmud, Khalid Qurie, Khalid Salah El-Dien, Khalil Abdul Bassit, Khaoula Boukhal, Khlood Ashour, Kholod Tarek Lasheen, Kholoud Abdelbadeai, Khurram Khan, Khuzaimah Zahid Syibrah, Kieran Atkinson, Kieran Ka Kei Li, Kirsten Lafferty, Kjetil Søreide, Knut Magne Augestad, Kolonia Konstantina, Konstantinos Farmakis, Konstantinos Gasteratos, Kornelija Maceviciute, Kpèmahouton René Keke, Kresimir Zamarin, Kristian Styles, Kristijonas Jasaitis, Kristijonas Jokubonis, Kristina Cassar, Kuet Jun Chung, Kuhaendran Gunaseelan, Kuok Chung Lee, Kurt Carabott, Kwabena Agbedinu, Kwaku Boakye-Yiadom, Kwame Maison, Kwasi Asare-Bediako, Kwasi Kusi, Kyaw Phyo Aung, Kylie Joan-Yi Szeto, Kyriakos Psarianos, Laimonas Uščinas, Lalith Asanka Jayasooriya Jayasooriya Arachchige, Lana Abusalem, Larissa Ines Páez Lopez, Lau Wen Liang Joel, Laura Gavagna, Laura Koskenvuo, Laura Lorenzon, Laura Luque, Laurent Fourcade, Lawal Abdullahi, Lawani Ismaïl, Lawrence Bongani Khulu, Layza-Alejandra Mercado Rodriguez, Lee Shi Yeo, Leif Israelsson, Lemuel Davies Bray, Lenin Peña, Leo Licari, Leonardo Solaini, Li Jing Yeang, Liam Henderson, Liam Richardson, Liana Roodt, Lillian Reza, Linas Urbanavicius, Linas Venclauskas, Linda Alvi Madrid Barrientos, Linda Andersson, Ling Wilson, Linn Nymo, Linnea Mauro, Liviu Iuliu Muntean, Liviu Muntean, Ljiljana Jeremic, Lofty-John Anyanwu, Lopna Ahmed Mohamed Ahmed, Lorena Fuentes-Rivera, Lorena Rodriguez, Lorena Solar García, Lorraine Sproule, Lotfy Eldamaty, Luai Jamal, Luana Ayres Da Silva, Lubna Sabeeh, Luc Hervé Samison, Luca Ansaloni, Luca Bortolasi, Luca Turati, Lucia Duinhouwer, Lucian Corneliu Vida, Lucile Fievet, Lucio Selvaggi, Ludwing Alexander Zeta Solis, Luen Shaun Chew, Luigi Bonavina, Luigi Bucci, Luigi Maria Cloro, Luis Alberto Valente Laufer, Luis Barneo, Luis Joaquín García Florez, Luis M Helguero-Santin, Luis Miguel Alvarez Barreda, Luis Tale, Luisa Giavarini, Luiz Carlos Barros De Castro Segundo, Luiza Sarmento Tatagiba, Lukas Eisner, Lusi Padma Sulistianingsih Mata, Maarten Vermaas, Mabel Amoako-Boateng, Maciej Walędziak, Madan Jha, Madelaine Gimzewska, Mads Gran, Maeve O'neill, Magdalini Mitroudi, Magnus Boijsen, Maha Al-Faqawi, Maha Elmasry, Maha Gamal Mohamad Hamad, Maha Nasr, Mahadevan Deva Tata, Mahitab Essam, Mahitab Morsy Farahat, Mahmoud A Elnajjar, Mahmoud Abdelshafy, Mahmoud Abdelshakour, Mahmoud Abdulgawad, Mahmoud Ahmed Fathi Abozyed, Mahmoud Alrahawy, Mahmoud Amreia, Mahmoud Badawy, Mahmoud Eldafrawy, Mahmoud Elfiky, Mahmoud Elkhadragy Maher, Mahmoud Elkhadrawi, Mahmoud Elsayed Moghazy, Mahmoud Gomah, Mahmoud M Saad, Mahmoud Mohamed Metwally, Mahmoud Morsi, Mahmoud Saad, Mahmoud Saami, Mahmoud Salama, Mahmoud Salma, Mahmoud Shalaby, Mahmoud Warda, Mahmoud Zakaria, Mahmut Arif Yuksek, Mahnoor Javaid, Mahnuma Mahfuz Estee, Mai Ebidy, Mai Mohamed Ebidy, Mai Salama, Maíra Cassa Careta, Maja Marcus, Majd Dabboor, Majed Aboelella, Makafui Dayie, Makki Elsayed, Malcolm Falzon, Maleeha Hassan, Malin Sund, Man Fung Leung, Man Hon Andrew Yeung, Manar Abd-Elmawla, Manar Saeed, Mantas Drungilas, Mantas Jokubauskas, Mantas Vilčinskas, Manuel Francisco Roxas, Manuel Hache-Marliere, Manuel Lopez, Manuel Rodriguez Castro, Manuela Mendez, Manzoor Dar, Maram Abu-Toyour, Maram Salah, Marcelo O Higgins Roche, Marco Catani, Marco Maria Pascale, Marco Migliore, Mardelangel Zapata Ponze De Leon, Margaret O'Shea, Margarita Montrimaite, Margherita Notarnicola, Margub Hussain, Maria Clara Mendoza Arango, Maria Giovanna Grella, Maria Hjertberg, Maria Isabel Villegas Lanau, Maria Jesusa B Maño, Maria Lorena Aguilera, Maria Marta Modolo, Maria Mayasari, Maria Novella Ringressi, Maria Soledad Gonzales Montejo, Maria Soledad Merlo, Maria Utter, María Valcarcel-Saldaña, Maria-Lorena Aguilera-Arevalo, Mariam Darweesh, Mariam O Gad, Mariam Saad Aboul-Naga, Mariano Cesare Giglio, Mariastella Malavenda, Marie Carmela Lapitan, Marie Dione Parreno-Sacdalan, Marie Paul, Mariette Renaux-Petel, Marija Agius, Marilia Del Carmen Escalante Salas, Marilla Dickfos, Marina Luiza Pimenta, Mario Contreras Urquizu, Mario Corbellino, Mário Jacobe, Mario Lopez, Mario Pasini, Mario Trompetto, Marisa Leal, Marisol Manriquez-Reyes, Mariuca Popa, Mark Ian Hampton, Mark Sykes, Mark Wagener, Markus Zuber, Marte Bliksøen, Martha Glynn, Martin Jarmin, Martin Kyereh, Martina Perino, Martina Yusuf Shawky, Martinique Vella-Baldacchino, Marvin Vargas, Marwa Altarayra, Marwa Elashmawy, Marwa Elshobary, Marwa Hamdan, Marwa Sayed, Marwan Abubakr, Marwan Fahim, Marwan Shawki, Maryam Ali Khan, Maryna Shubianok, Mashael Al-Mousa, Masood Alghamdi, Masood Jawaid, Massiell Machaca, Massimiliano Dal Canto, Massimo Coletti, Matas Pažuskis, Matei Bratu, Matei Razvan Bratu, Mateusz Rubinkiewicz, Matteo Papandrea, Matteo Ripa, Mattew Ekow, Matthew Baldacchino, Matthew Billy, Matthew Young-Han Kim, Matthieu Peycelon, Matti Tolonen, Maureen Bezzina, Maurizio Foco, Mawaddah Alrajraji, Max Dénakpo, Max Rath, Mayaba Maimbo, Mazed Mohamed, Mazen Hassanain, Megan Turner, Mehmet Ali Yavuz, Mehmet Gumar, Mehmet Uluşahin, Melanie Castro Mollo, Melanie Zapata Ponze De Leon, Menatalla Salem, Mengistu Worku, Menna Tallah Ramadan, Mennaallah Hafez, Mennat-Allah Mustafa, Menold Archee P Redota, Meran Allam, Meric Mericliler, Merna Mostafa, Meryem Abbouch, Metwally Aboraya, Michael Amoah, Michael Cox, Michael Edye, Michael Gillespie, Michael Hanrahan, Michael Livingston, Michael Puttick, Michael Stoddart, Michael Van Niekerk, Michael Walsh, Michael Wilson, Michail Kontos, Michail Margaritis, Michał Janik, Micheal Ohene-Yeboah, Michela Monteleone, Michele Carlucci, Michele Sacco, Michelle Mccarthy, Midhun Mohan, Miguel Angel Paludi, Miguel Siguantay, Mihael Radic, Mihaela Vartic, Miklosh Bala, Milaksh Kumar Nirumal, Milan Radojkovic, Milica Nestorovic, Millika Ghetia, Mindaugas Kiudelis, Mircea Beuran, Mircea Hogea, Mirko Mangiapane, Mitchelle Solange De Fã Tima Linares Delgado, Moayad Othman, Mobolaji Oludara, Modise Zacharia Koto, Mohamad Baheeg, Mohamad Bakhaidar, Mohamad Jeffrey Bin Ismail, Mohamed A Abdelaziz, Mohamed A Amer, Mohamed A Baky Fahmy, Mohamed Abbas, Mohamed Abd El Slam, Mohamed Abdelaty, Mohamed Abdelaty Mohamed, Mohamed Abdelkhalek, Mohamed Abdelraheim, Mohamed Abozaid, Mohamed Abozed Abdullah, Mohamed Abuseif, Mohamed Adel Badenjki, Mohamed Ali Ghonaim, Mohamed Ali Mahmoud, Mohamed Ameen, Mohamed Ammar, Mohamed Asal, Mohamed Awad Elkarim Hamad Mohamed, Mohamed Dablouk, Mohamed El Halawany, Mohamed Elazoul, Mohamed Elbermawy, Mohamed Elfil, Mohamed Elsehimy, Mohamed Elzayat, Mohamed Etman, Mohamed F Zalabia, Mohamed Fares, Mohamed Fawzy Mahrous Badr, Mohamed Fouad Hamed, Mohamed Gadelkarim, Mohamed Ghoneem, Mohamed Gulamhussein, Mohamed Hafez, Mohamed Hashish, Mohamed Hassab Alnaby, Mohamed Husseini, Mohamed Ibrahim, Mohamed Ismail, Mohamed Karkeet, Mohamed Kelany, Mohamed Mabrouk, Mohamed Magdy, Mohamed Mahmoud, Mohamed Moamen Mohamed, Mohamed Moaty, Mohamed Mostafa, Mohamed Mustafa, Mohamed Nashat, Mohamed Nazir, Mohamed Reda Loaloa, Mohamed Rezal Abdul Aziz, Mohamed Sabry Ammar, Mohamed Salah, Mohamed Salah Elhelbawy, Mohamed Seisa, Mohamed Shaalan, Mohamed Sleem, Mohamed Sobhi Jabal, Mohamed Youssef, Mohamed Zidan, Mohamedraed Elshami, Mohammad Abdulkhalek Habeeb, Mohammad Aboraya, Mohammad Adawi, Mohammad Alherz, Mohammad Aliyu, Mohammad Elsayed Omar, Mohammad Ghannam, Mohammad Ghassan Alwafai, Mohammad Mohsin Arshad, Mohammad Rashid, Mohammadasim Amjad, Mohammed Alamoudi, Mohammed Alhendy, Mohammed AlRowais, Mohammed Alsaggaf, Mohammed Alzahrani, Mohammed Bukari, Mohammed Deputy, Mohammed Elgheriany, Mohammed Elsayed, Mohammed Elshaar, Mohammed Elsiddig, Mohammed Firdouse, Mohammed G Azizeldine, Mohammed Hanafy, Mohammed Ismail, Mohammed Kamal Ismail, Mohammed Mousa, Mohammed Mousa Salem, Mohammed Mustafa Hassan Mohammed, Mohammed Mustafa Mohammed, Mohammed Najjar, Mohammed Nasr, Mohammed Osman, Mohammed Osman Dablouk, Mohammed Saeed, Mohammed Saleh A Alghamdi, Mohammed Ubaid Alsaggaf, Mohammed Yahia Mohamed Aly, Mohannad Aledrisy, Mojolaoluwa Olugbemi, Mona Hamdy Madkor, Mona Hosh, Mona Rashad, Monica Bassem, Monique Moron Munhoz, Monty Khajanchi, Morgan Haines, Morvarid Ashtari, Mostada Samy, Mostafa Abdelkader, Mostafa Ahmed Bahaa Eldin, Mostafa Allam, Mostafa Gemeah, Mostafa Mahmoud Eid, Mostafa Qenawy, Mostafa Samy, Mostafa Seif, Mostafa Shalaby, Mousa Mustafa, Moustafa Ibrahim Mahmoud, Moustafa R Aboelsoud, Msafiri Kimaro, Muayad Ahmed Alfarsi, Muhamed M H Farhan-Alanie, Muhammad Adil, Muhammad Alkelani, Muhammad Amsyar Auni Lokman, Muhammad Bin Hasnan, Muhammad Daniyan, Muhammad El-Saied Ahmad Muhammad Gohar, Muhammad Fathi Waleed Omar, Muhammad Habib Ibrahim, Muhammad Mohsin Furqan, Muhammad Rashid Minhas Qadir, Muhammad Saqlain, Muhammad Shawqi, Muhammad Talha Butt, Muhammad Taqiyuddin Yahaya, Muhammad Waqar, Muhammed Masood Riaz, Muhammed Talaat, Muhtarima Haque, Muna Rommaneh, Murad Aljiffry, Murat Karakahya, Musah Yakubu, Muslimat Alada, Mustafa Farhad, Mustafa Mohammed Taher, Muthukumaran Rangarajan, Muwaffaq Mezeil Telfah, Myint Tun, Myranda Attard, Nada Ahmed Reda Elsayed, Nada El-Sagheer, Nada Elzahed, Nada Mohamed Bekhet, Nader Abd El Hamid, Nadia Khalid Abd El-Latif, Nadia Ortiz, Nadin Elsayed, Nadya Johanna, Nahilia Carrasco, Najwa Nadeem, Naomi J Wright, Napoleon Mendez, Narimantas E Samalavicius, Nashat Ghandora, Nasir Bustangi, Natale Di Martino, Natalie Blencowe, Natalie Redgrave, Nathalie Botto, Nathania Sutandi, Nawal Sadig, Nazmie Kariem, Nebil Behar, Nebiyou Seyoum Abebe, Nebyou Seyoum, Nebyou Seyoum Abebe, Neel Gobin, Neel Limaye, Neerav Aruldas, Nehal Yosri Elsayed Abdel-Wahab, Neil Smart, Nelson Manuel Urbina Rojas, Nelson Msiska, Nerijus Kaselis, Nermeen Soubhy El-Shahat, Nermin M Badwi, Nermin Mohamed Badwi, Nesma Elfouly, Nicholas Phillips, Nichole Starr, Nicola Chetta, Nicola Zanini, Nicolas Henric, Nicole D'aguzan, Nicole Grech, Nicoleta Panait, Nicoletta Leone, Nicolò Falco, Nidhi Gyanchandani, Nigel J Hall, Nihaal Shaikh, Niiarmah Adu-Aryee, Nik Azim Nik Abdullah, Nik Ritza Kosai, Nikica Pezelj, Nikki Green, Nikolaos Gouvas, Nikolaos Ivros, Nikolaos Mitroudis, Nikolaos Nikoloudis, Nikolaos Zampitis, Nithya Niranjan, Niveshni Maistry, Noha Abdullah, Noha Abdullah Soliman, Noha Maraie, Noha Wael, Nohad Osman, Noman Shahzad, Nora Abdul Aziz, Norah Al Subaie, Noran Abdel-Hameed, Noran Halim El Gendy, Norbert Uzabumwana, Norberto Herrera, Norma Depalma, Nosisa Sishuba, Nouf Akeel, Noura A Attallah, Nourhan Adam, Nourhan Anwar, Nourhan Elsabbagh, Nourhan Medhat Elhadary, Nourhan Mesbah, Nourhan Semeda, Nourhan Soliman, Novia Adhitama, Nowrin F Aman, Nuno Muralha, Nur Zulaika Riswan, Nurlaila Ayu Purwaningsih, Nyawira Ngayu, Octavio Garaycochea, Oday Halhouli, Ogechukwu Taiwo, Ola Sherief Abd El Hameed, Olabisi Osagie, Olabode Oshodi, Olajide Abiola, Olalekan Ajai, Oliver Warren, Oliver Ziff, Olivier Abbo, Olivier Azzis, Olivier Rosello, Olubukola Faturoti, Olufemi Habeeb, Olumide Elebute, Oluseyi Ogunsua, Oluwaseyi Adebola, Oluwatomi Odutola, Omar Abdelkader, Omar Abdulbagi, Omar Aguilera, Omar Alahmady, Omar Arafa, Omar Ghoneim, Omar Hesham, Omar Mattar, Omar Moussa, Omar Osman, Omar Salah, Omar Saleh, Omnia Aboelmagd, Omnia Mosalum, Omobolaji O Ayandipo, Omolara Faboya, Omolara Williams, Opeoluwa Adesanya, Orestis Ioannidis, Osaid H Alser, Osama Algohary, Osama Mohamed, Osama Mohamed Salah, Osama Mokhtar Mohamed Hassan, Osama Saadeldeen Ebrahim, Osama Seifelnasr, Osman Imoro, Ossama Al-Obaedi, Otto Coyoy-Gaitan, Ourdia Bouali, Owusu Emmanuel Abem, Oyediran Kehinde Timothy, Oyindamola Oshati, Pablo Ramazzini, Pål Aksel Næss, Pamphile A Assouto, Panchali Sarmah, Pandi Eduard, Panu Mentula, Paola Salusso, Paola Violi, Paolino De Marco, Paolo Aonzo, Paolo Silvani, Paolo Ubiali, Patrizio Mao, Paul Kielty, Paul Sutton, Paul Ugalde, Paul Witherspoon, Paul Wondoh, Pauline Gastaldi, Paulius Karumnas, Paulius Kondrotas, Paulo Alves Bezerra Morais, Pedro Angel Toribio Orbegozo, Peep Talving, Pei Ying Koh, Per Weber, Per-Olof Lundgren, Peter Deutschmann, Peter Labib, Peter Wiel Monrad-Hansen, Petras Višinskas, Phebe Anggita Gultom, Philip Alexander, Philip Choi, Philip Mshelbwala, Philip Taah Amoako, Philippe Buisson, Phoebe De Bono, Phumudzo Ndwambi, Pier Paolo Grandinetti, Piergiorgio Danelli, Pierpaolo Sileri, Pietra Ligure, Pietro Mingrone, Pigeneswaren Yoganathan, Piotr Major, Poddevin Francois, Povilas Ignatavicius, Povilas Mazrimas, Prasad Pitigala Arachchi, Pratik Jain, Prince Kwakyeafriyie, Prisca A L Har, Pui Xin Chin, Puneet Malik, Puyearashid Nashidengo, Qinyang Liu, Quentin Alimi, Quentin Ballouhey, Quinn Ellison, R Goh Ern Tze, Rachel King, Rachel Moore, Radhian Amandito, Radin Mohd Nurrahman Radin Dorani, Rafael Araujo, Rafael Soley, Rafał Roszkowski, Raffaele Galleano, Ragavan Narayanan, Ragnar Herikstad, Rahma Kamil, Rajeev Satoskar, Rakan Kabariti, Ralph F Staerkle, Ram Nataraja, Ramadan Oumer, Ramadan Shaker, Ramdan Shaker, Ramesh Jonnalagadda, Ramon Alvarado Jaramillo, Ramón Augusto Melo Cardozo, Rana Mamdouh, Rana Saadeh, Raquel Rodríguez-Uría, Raquillet Claire, Rasha Abdelhamed, Razvan-Matei Bratu, Reda Žilinskienė, Redouane Mammar Bennai, Reem Alyahya, Reem Fakher, Reem Husseiny, Reem Khreishi, Reem Mohammed Hassan Balila, Rehab Elashry, Reham Alaa El-Din, Reham Alshareef, Reham Saad, Renato Melo, Reuban D'cruz, Reuben Goh Ern Tze, Reynu Rajan, Rezaul Karim, Ricardo Velasquez, Richard Gilbert, Richard Lilford, Richard Opoku-Agyeman, Richard Spence, Richard William Gilbert, Richmond Hagan, Rifan Alyami, Riinu Ots, Ritauras Rakauskas, Roaa Khan, Robert George, Robert Karlo, Robert Kerley, Robert Mcintyre, Robert Morton, Robert Parker, Robert Tyler, Roberta Bugeja, Roberta Tutino, Roberta Villa, Robertas Baltrunas, Robertas Pranevicius, Roberto Cautiero, Roberto Cirocchi, Roberto Faccincani, Roberto Klappenbach, Roberto Macchiavello, Roberto Peltrini, Roberto Schiavone, Robinson Mas, Roel Matos-Puig, Rofida Elsemelawy, Roger Lawther, Roger Schmid, Rohan Ardley, Rohi Shah, Rokas Rackauskas, Rokayah Julaihi, Rokia Sakr, Roland Osuoji, Romeo Guevara, Romeo Lages Simoes, Romualdas Riauka, Ronald Coasaca Huaraya, Ronald Renato Barrionuevo Ojeda, Ronan Cahill, Rony Camacho, Rory Callan, Rosario Sacco, Rose Khreishi, Rosie Mcdonald, Ross Bowe, Ross Coomber, Rowida Elmelegy, Roxanne Chenn, Roy Quek, Rubén Balmaceda, Rubén Darío Arias Pacheco, Ruben Rivas, Ruben Santiago Restrepo Giraldo, Rudy Gunawan, Rula Zaa'treh, Ruqaya Kadhim Mohammed Jawad Al-Hasani, Ruta Mazelyte, Ruth Blanco, Ruth Gratton, Ruth Scicluna, Ryan Adams, Ryan Choon Kiat Tan, Ryan Mcintosh, S V Kinnera, Saad Al Awwad, Sabbir Karim, Sabine Irtan, Sabrina Asturias, Sabrina Dardenne, Sabry Mohy Eldeen Mahmoud, Safia Ali, Safwat Al-Nahrawi, Saged Elsherbiney, Sahar Abdoun Ishag Idris, Sahar Jaber, Sahlu Wondimu, Saiba Abdul-Latif, Said Alyacoubi, Sakhaa Hanoun, Saleem El-Rabaa, Saleh A Alnuqaydan, Saleh Alqahtani, Salim Anderson Khouri Ferreira, Sally Elshanwany, Sally Hallam, Salma Magdy, Salma Mansour, Salma Said Elkolaly, Salman Aldhafeeri, Salomone Di Saverio, Salwa Khallaf, Sam Arman, Sam Debrah, Sam Seisay, Samaa Mahmoud Al Attar, Samah Afana, Samantha Corro-Diaz Gonzalez, Samar Abdelhady, Samar Adel Ismail, Samar Saad, Samar Soliman, Sameer Kushwaha, Sameh Emile, Sameh Sarsik, Sami Martin Sundstrom, Samson Olori, Samuel Essoun, Samuel Nigo, Samuel Osei-Nketiah, Samuel S Y Sii, Samuel Sani Ali, Sandip Kumar, Sandra Ahlqvist, Sandrine Kwizera, Sandro Pasquali, Sani Ali Samuel, Sanju Sobnach, Santiago Villalobos, Sara Abd Elmageed Barakat, Sara Ahmed, Sara Al-Saqqa, Sara Amr Mohamed Farouk, Sara Arafa, 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Hosh, Mona, Rashad, Mona, Bassem, Monica, Moron Munhoz, Monique, Khajanchi, Monty, Haines, Morgan, Ashtari, Morvarid, Samy, Mostada, Abdelkader, Mostafa, Ahmed Bahaa Eldin, Mostafa, Allam, Mostafa, Gemeah, Mostafa, Mahmoud Eid, Mostafa, Qenawy, Mostafa, Samy, Mostafa, Seif, Mostafa, Shalaby, Mostafa, Mustafa, Mousa, Ibrahim Mahmoud, Moustafa, R Aboelsoud, Moustafa, Kimaro, Msafiri, Ahmed Alfarsi, Muayad, H Farhan-Alanie, Muhamed M, Adil, Muhammad, Alkelani, Muhammad, Amsyar Auni Lokman, Muhammad, Bin Hasnan, Muhammad, Daniyan, Muhammad, El-Saied Ahmad Muhammad Gohar, Muhammad, Fathi Waleed Omar, Muhammad, Habib Ibrahim, Muhammad, Mohsin Furqan, Muhammad, Rashid Minhas Qadir, Muhammad, Saqlain, Muhammad, Shawqi, Muhammad, Talha Butt, Muhammad, Taqiyuddin Yahaya, Muhammad, Waqar, Muhammad, Masood Riaz, Muhammed, Talaat, Muhammed, Haque, Muhtarima, Rommaneh, Muna, Aljiffry, Murad, Karakahya, Murat, Yakubu, Musah, Alada, Muslimat, Farhad, Mustafa, Mohammed Taher, Mustafa, Rangarajan, 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A.B., Al-Shammari A., Gendy A.E., Esam A., Marey A., Mittal A., Yifieyeh A., Bin Mahamood A., Adesuyi A., Aly A.K., Nawawi A., Gyedu A., Waterman A., Osinowo A., Fatuga A., Albiety A., Hassanein A.B., Denewar A., Adekoya A., Adebanjo A., Adeyeye A., Popoola A., Adedeji A., Ademuyiwa A.O., Tade A., Adeniyi A., Adisa A.O., Tarek A., Ladukas A., Palma A.F., Hasanah A., Salleh A., Abdelfatah A., Altamini A., Fitsum A., Taiwo A., Hassan A., Ghaben A., Fattah A.A., Al Rafati A.A.R., Ibrahem A.A., Aldalaq A., Ali A., Almallah A., Alrifaie A., Ashour A., Bakr A., Bani-Sadar A., Bin Adnan A., Elbatahgy A., Faraz A., Gudal A., Hasan A., Sabe A.K., Khoja A., Nashaat A., Qaissieh A., Sabe A., Sleem A.S., Sakr A., Shalabi A., Qureshi A.U., Aamer A., El Galeel A.A., Elhusseiny A.A.E., Elsameea A.A., Abdelkareem A., Ghazy A.A., El Magd A.A., Elazayem A.A., Adamu A., Afandy A., Ahmed A., Alghamdi A., Al-Khatib A., Altibi A., Alzahrani A., Ata A., Badr A., Dahy A., Diab A., Kashash A.E., Kholy A.E., Musa A.E.K., Elgebaly A., Elkelany A., Elkholy A., El-Sehily A., Essam A., Fahiem A., Farag A., Fawzy A., Fouad A., Gad A., Ghanem A., Gheith A., Gomaa A., El-Badri Kotb A.H., Hammad A., Rida A.H.E.F., Ismail A., Karim A., Khyrallh A., Lasheen A., Rashed A.M., Magdy A., Abdelraouf A.M., Menshawy A., Meshref A., Afifi A.M., Ibrahim A.M., Mohameden A., Mokhtar A., Mosad A., Moustafa A., Saeed A.M., Negida A., Mohammed A.R., Mohamed A.R., Nayel A.R., Soliman A.R., Raslan A., Raza A., Refaat A., Rslan A., Sabry A., El-Hamouly A.S., Marey A.S., Saidbadr A., Samir A., Shahine A., Sheta A., Tammam A., Hassan A.T.A., Shamsedine A.W., Zaki A., Eldeeb A.Z., Zohair A., Kandil A.M., Elnagar A., Zil-E-Ali A., Jabbar A., Snaith A.C., Costas-Chavarri A., Austraite A., Mistry A., Olaolorun A., Ajao A.E., Jubran A.F., Shamasneh A., Abouelnasr A., Al-Buhaisi A., Bowabsak A., Jamassi A.E., Elazab A., Elhadad A., Fergany A., Habeebullah A., Shabkah A., Shaheen A., Adesina A., Baird A., Grant A., Ball A., Cacurri A., Mphatsoe A.M., Luc A.R., Matheu A., Munera A., Bedada A.G., Favero A., Maniscalco A., Calua A.C., Fowler A.J., Gerosa A., Horobjowsky A., De Sousa A.V., Farrugia A., Arnaud A.P., Russo A.A., Gulielmi A., Ababneh A., El Dahab A.A., Ata A.A.A., Niazi A.K., Kiasat A., Hammad A.M., Zardab A., Balkan A.Z.A., Toeema A.G., Sadek A., Filatau A., Latif A., Suarez A.A.B., Faure A., Niragire A., Robledo-Rabanal A., Broch A., Hasheminia A., Macdonald A., Ndajiwo A., Novak A., Mutabazi A.Z., Beleno A.E.M., Cheah A.E.Z., Elrazek A.A., Nasr A., Sanad A., Elgendy A.H., Cury A.D.L., Ibrahim A., Martin A., Althwainy A., Abouzahra A., Mohammed A.E., Kourdouli A., Hashish A., Birring A., Al Meligy A., Abdelhamid A., Majid A.H.H.A., Mohammad A., Kaci A.A., Omar A.A., Elsawy A., Bekhet A.H., Reda A., Qumbos A.A., Elmashala A., Gado A., Mohamed A.M., Mohamed A., Rasendran A., Saleh A.A., Fadel A., Hassaan A., Hossameldin A., Elkorashy A.M., Hafez A.T., Faruq A., Aglan A., Bautista A.C.M., Contreras-Vergara A.L., Barrantes A.M.S., De Freitas A.V.C., Freitas A.V., Rashid A., Abdelazeam A.R., Kirishnan A., Majbar A., Bamicha A., Stefanopoulos A., Thorell A., Das A., Dubois A., Mihaljevic A.L., Navarro A., Allegri A., Armellini A., Belli A., Bondurri A., Moran A.E.R., Natili A., Ruzzenente A., Simioni A., Haloho A., Tanase A., Kolosov A., Subocius A., Robertson A.G.N., Kirby A., McGuigan A., Spina A., Litvin A., Burmistrovas A., Strazdas A., Arenas A., Bhangu A., Rudzenskaite A., Rojas A.D.P., Dell A., Mejia A.G.V., Charles A., Antoniozzi A., Benevento A., Tselos A., El-Ma'doul A.S., Sreedharan A., Bhatnagar A., Kjellin A., Lasek A., Maffioli A., Powell A., Rinaldi A., Watts A., lo Conte A., Bigaran A., Ashton A., Mukin A.D.F., Gulbinas A., Zadoroznas A., Rulie A.S., Ajiboye A., Avoka A., Lai A.C.-H., Davor A., Sander A., Oosterkamp A., Bediako-Bowan A., Brocca A.L., Leal A., Nocito A., La Medina A.R.-D., Taddei A., Atiyeh A., Kojo A.T.T., Driscoll A., Shah A., Vlachogiorgos A., Roslani A.C., Abdelhaq A., del Pilar Paucar A., Picciariello A., Kanani A., Leppaniemi A., Birindelli A., Nesaratnam A., Suyadi A., Velasquez A.J.R., Bonnard A., Agarwal A., Alkaaki A., Vaicius A., Khamajeet A., Reinsoo A., Abouzaid A., Elfarargy A., Kedar A., Alnusairat A., Hamarshi A., Musleh A., Prabhudesai A., Maghrabi A.A., Morsi A., Mitul A.R., Abdelgelil A., Al-Aarag A.A.-R., Rezq A., Salah A., Papailia A., Badwy A., Leusink A., Khan A., Eysa A., Zulkifli A., Mahdi A., Attia A., Attia A.M., Clarissa A., Dulskas A., Parseliunas A., Zani A., Tun A.K., Mironescu A., Mironescu A.S., Scalabre A., Mariani A., Haffreingue A., Thollot A., Usaityte A., Skardziukaite A., Ibraheem A.A.F., Aboarab A., Elsharkawy A.A., El-Sawy A., Elwaey A., Firwana A., Hagar A., Fathy A.M., Ata A.Y., Hamdan A., Taher A.A., Elwan A., Nabawi A., Salman A., Shwky A., Ogunyemi A., Herebat A., Verjee A., Adenekan B., Odeyemi B., Adel B.E., Tawfik B.A., Ozkan B.B., Mohamed B., Nighat B., Albeladi B., Malaga B., Mijuskovic B., Silvestre B.P., Kumar B., Sieda B., Bello B., Alghamdi B., Magdy B., Mahmoud B., Alhassan B., Mowafy B., Brunoni B., Weber B., Sanchez B., Thompson B., Parmentier B., Limoges B., Van Duren B., Wolf B., Dousset B., Grizhja B., Lieske B., Maillot B., Mansour B., Frisk B., Diaconescu B., Martian B.-V., Marinkovic B., Skelly B., Cameron B., Dedekind B., Noukpozounkou B., Chong B.F.H.K., Kumar B.S., de Lima C.V.B., Iacono C., Fairfield C., Samaniego C.S., Cona C., Lopez-Arevalo C., Normile C., Venugopal C., Cabrera C.C.R., Torres C.P.G., Corbellini C., Basto C.A.A., Velasquez C.I.P., Morales C., Nsengiyumva C., Galvez C.P., Capito C., Fernandez C., Diaz-Zorrilla C., Duenas C.G., Felipe C.O., Clifford C., Musyoka C.K., Shaw C.A., Magee C., Muller C., Costa C., Tolg C., Wredberg C., Del Basso C., Grosos C., Mendizabal C.A.A., Miranda C., Razuri C., Ciubotaru C., Chibuye C., Alexandre C., Szeto C.C.L., Dally C., McIntyre C.J., Benyaiche C., Chong C.L., Wong C.S., Gan C., Currow C., Deane C., Goh C.C., Koh C., Yong C.O., Khatri C., Foo C.C., Fok C.Y.J., Kong C., Ceriani C., Kwatiwani C., Yip C., Tedjaatmadja C., Chong C.S., Taieb C., Tan C.L., Bode C., Lee C., Almanon C.L., Hinojosa C., Coompson C.L., Schoewe C., Neophytou C., Major C.P., Panteli C., Mizzi C., Ferousis C., Agalianos C., Anthoulakis C., Barkolias C., Dervenis C., Chai C.-A., Wong C.Y., Fahy C., Evajelista C.V., De Emergencia C., Zarb C., Ali C.D.M., Sharpin C., Puma C.M.H., Rees C.M., Morgan C., Reali C., Arcudi C., Fermani C., Fermani C.G., Nawara C., Onuoha C., Mangan C., Sampson C., Nwokoro C., Jean-Francois C., Marinos C., Mukuzunga C., Bottini C., Gouldthorpe C., Lopez C.E., Fernandes C., Chow C.Y.N., Manipal C.E., Vimalachandran D., Alkhabbaz D., Hemeda D., Brown D., Ljuhar D., Deckelbaum D.L., Jaradat D., Du Plessis D., Soeselo D.A., Cox D., Dabessa D., Rodriguez D.E.M., Hamill D., Nel D., Youssef D., Magri D., Angelieri D., Gui D., Cruz D.H., Sale D., Gbessi D.G., Andreotti D., Kazanavicius D., McCullagh D., McNish D., Merlini D., Cohen D.M., De Boni D., Rossi D., Aziz D.N.A., Grobler D.C., Schivo D., Chiesa D., Mikuckyte D., Dragatas D., Gray D., Elsorogy D.E.A.A., Elsawahly D.M.E., Zahran D., Cadogan D.D., Sanchez D., Bandoh D., Pozo D.A.R., Antezana D., Coletta D., Romani D., Sasia D., Ofner D., Duhoranenayo D., Raptis D.A., Balalis D., Manatakis D.K., Karousos D., Korkolis D., Kyziridis D., Lytras D., Papageorgiou D., Sfougaris D., Zachariades D.-C., Al-Marakby D., Rahmah D.F., Gamal D., Tarek D., Periasammy D., dos Santos D.V., Morton D., Mirghani D., Seto D.M., Cocker D.M., Nepogodiev D., Raptis D., Emadeldin D., Gamil D., Hasan D., Hasanain D., Abdelrouf D.M., Pata D., Mapasse D., Marshall D.C., O'Connor D.B., Danys D., Venskutonis D., Radkowiak D., Bowley D., Majauskyte D., Samaraweera D.I., Jethwani D.L., Iyer D., Khokha D., Paulouski D., Atkins E.T., Anis E., Domini E., Temoche E., Huaman E., Grisin E., Dainius E., Thomas E., Preckailaite E., Alnawam E., Mamdouh E., Aahlin E.K., Kefalidi E., Mensah E., Borg E., Sutanto E.P.R., Marks E., Goldin E., Muzio E., Vendramin E., Sruogiene E.Z., Ciccioli E., Jovine E., Francone E., Jensen E., Basir E.R.M., Snyder E., Teasdale E., Akoto E., Gaignard E., Haraux E., Robert E., Ali E., Gamaly E., Abdallah E., Al-Dakka E., Ahmed E.A., Aljohani E., Taha E.M.S., Al Raouf E.A., Abdelmageed E., Abuqwaider E., Sayma E.A., Elwy E., Emara E., Hashad E., Ibrahim E., Magdy E., Hegazy E.M., Abdulhakeem E.M., Ibrahim E.M., Morshedy E.M., Nofal E., Rashad E., Mansor E.Y., Barrios E., Rausa E., Nwabuoku E., De Luca E., Eyssartier E., Dijan E., Blower E., Jurdell E., Upchurch E., Acquah E., Akatibo E., Runigamugabo E., Alaloul E., Alqahtani E., Dagoe E., Tackie E., Farinella E., Ackom E., Appiah E.K., Farfan E.S.F., Hervieux E., Schadde E., Vicario E., Laugzemys E., Ahounou E.Y.S., Elbanby E., Ezzat E., Elkhalek E.A., Kasem E.A., Eldeen E.A., El-Gizawy E., Elhalawany E., El-Taher E., Gamal E., Ghanem E., Kasem E., Elbanby E.S., Zakaria E., Hany E., Courboin E., Lee E.X., Macdonald E., Niyirera E., Grasset E., Morandi E., Panieri E., Borin E., Voulgaris E., Slapelyte E., Woin E., Macdermid E., Harrison E.M., Khalifah E., Veronese E., Deichsel F., Aquilino F., Sabour F.A., Idris F., Leong F.Q.H., Rasoaherinomenjanahary F., Ali F.M., Iftekhar F., Sayed F., Balogun F., Al Bastawis F., Asi F., Nada F., Elzowawi F., El-Salam F.A., Sroor F., Baluch F., Elgendy F.I., Elkady F., Ntirenganya F., Elsherif F.A., Mohamed F., Al Barrawi F.E., Noor F., Bianco F., Falaschi F., Coccolini F., Zheng F., Zapata F., Alakaloko F., Lee F., Chai F.Y., Iskandar F., Altoe F., Frade F., Djivoh F., Espinoza F., Fernandez-Bueno F., Tale F., Andika F.F.A., Adella F.J., Di Franco F., Rahantasoa F.C.F.P., Henry F., Rahmawati F.N., Dedey F., Primavesi F., Iordache F.-M., Lam F.Y., Koumpa F., Steccanella F., Pata F., Riente F., Giardino F.R., Selvaggi F., Abantanga F., Dossou F., Fujii F., Regalado F., Helene F.-C., Schmitt F., Gyamfi F.E., Owusu F., Aristizabal F.A.N., Hodonou F., Du Toit F., Sauvat F., Wogensen F., Asele F.A., Saravia F., Pardo G., Nita G.E., Gallo G., Luglio G., Tessera G., Abdelazim G., Shimy G., Barnabas G.N., Samson G., Irwin G., El Ashal G., El Sayed G.S., Tawfik G., Humm G., Balducci G., Sila G.C.M., Ihediwa G., Sila G.M., Azzie G., Camilleri G.M., Gemenetzis G., Gkiokas G., Karabelias G., Kyrou G., Tzikos G., Perrotta G., Teufelberger G., Ahlonsou G., Minguez G., Maharaj G., Galiqi G., Elhoseny G., Nagy G.S., Al Saied G., Shamsi G.S., Nastri G., Pata G., Cocorullo G., Curletti G., Pagano G., Pellino G., Confalonieri G., Gravante G., Lauzikas G., Dawnay G., Simutis G., Vasquez G., Landolfo G., Lazzari G., Lamanna G.L., Pascale G., Pesenti G., Sgroi G., Devadasar G.H., Moreira G., Borda-Luque G., Clerico G., Rotunno G., Salamone G., Sammarco G., Lap G., Padmore G., Tugnoli G., Kouraklis G., McLachlan G., Wood G., Ziubryte G., Podevin G., Rosenberg G.S., Yong G.L., Mannu G.S., Banipal G.S., Vega G.M.M., Miguel G.P.S., Fraga G.P., Recinos G., Servin G.R.P., Shiwani H.A., Al-Farram H., Hakim H., Zidan H., Amin H.A.A., Abdulaziz H., El-Badawy H.A., Elwakil H., Tolba H., Elabdin H.Z., Hajeh H., Ahmed H., Saad H., Aliyu H., Ebdewi H., Asumah H., Waleed H., Saad H.A., Youssef H., Natalie H., Royson H., Anderson-Knight H., Burns H., Thomas H.S., Pahlsson H.-I., Lakshmi H.N., Jordan H., Ibraheem H.I., Al-Hameedi H.I.I., Arsyad H.M., Dharamshi H.A., Mostafa H.A., El-Sheemy H., Tahboub H., Kretzmann H., Rashwan H., Abudeeb H., Khaled H., Nurqistan H.D., Bougard H., Baraka H., Gamal H., Shaker H., Miyasato H.S., Mohan H., Woodward H., Franco H., Francois-Coridon H., Lohse H.A.S., Shakshouk H.A.G., Kandil H., Mahmoud H., Kotobi H., Mendel H., Nnaj H., Karismaningtyas H., Cruz H., Magdy H., Bakry H.M., Heng H.E., Thorarinsdottir H., Safa H., Samih H., Mircea H., Sar H.K., Wong H.Y., Chong H.-Y., Kordorwu H.E.K., Glover-Addy H., Decoud H.P., Salem H.K., Dawoud H., Elfeki H., Emadeldin H., Bachri H., Shiwani H., Ali H., El-Kashef H., Mohammed H., Papaskarlatos I.-A., Abdelmotaleb I., AbdelFattah I., Alhabli I., Al-Slaibi I., AlYoussef I., Elzayat I., Elzayyat I., Alomar I.N., Rakha I., Raza I., Bjorklund I., Vasquez I., Rakita I., Hassan I., Adawi I., Njokanma I., Elkadsh I., Iannone I., Havemann I., Kyriazanos I., Patoulias I., Valioulis I., Dan I., Negoi I., Diaconescu I.-B., Montes I., Ortega-Vazquez I., Amole I., Bertuello I., Hanley I., Bsisu I., El Sayed I.M., Alvarez I.I.Z., Lawani I., Al-Azraqi I.A.A., Adel I., Awad I., Qawasmi I., Restrepo I.M., Fitzgerald J.E., Almy J., Sheehan J., Botero J.A.M., Herrera-Matta J., Restrepo J., Mihanovic J., Adeniran J., Brown J., Giles J., Glasbey J., Olivier J., Pape J., Richards J., Wheeler J., Yang J., Shah J., Pagnozzi J., Salcedo J., Amin J., Pastora J., Rosales J., Coronel J., Breaud J., De La Croix Allen Ingabire J., Marret J.-B., Colombani J.-F., Lecompte J.-F., Dalli J., Youssif J.H., Meqbil J., Onimowo J., Cornick J., Jeyakumar J., Nowers J., Rickard J., Skehan J., Makama J., Ting J.R.S., Tan J.J., Stuva J.P.G., Roth J., Luiz J.S., Law J.H., Siaw J.Y., Saw J.E., Abbasy J., Song J., Quezada J.H.J., Amoako J., Wiborg J., Swann J., Carreira J.-A., Edwards J., Vincent J., Tan J.K., Clegg-Lamptey J.-N., Joosten J., Nyberg J., Schultz J.K., Larsen J.W., Bondin J., Camilleri-Brennan J.F., Mora J.J.V., Allen J.L.Y., Whitaker J., Gribauskaite J., Soreide J.A., Narvestad J.K., Ajah J., Dakubo J., Heath J., Wild J.R.L., Setiawan J., Bravo J.A.C., Cardozo J.T., Aguilar-Jimenez J., Garcia-Marin J.A., Chiong J.A.C., Costa-Maia J., Hamasaki J., Hamaguchi J.L.H., Rodicio J.L., Celis J.M.V., Azmitia J.R.A., Ye J., Awuku-Asabre J., Psaila J., Luck J., Clements J.M., Razzaque J., Correa J.C., Carpio J., Gouws J., Matta J.J.H., Carmona J.M., Delgado J.M., Kabba J., Al-Faifi J.J., Vianna J.G.P., Camilleri-Brennan J., Menegussi J., Leroux J., Rod J., Hascoet J., Jimenez J., Oh J., Kutkevicius J., Kuliavas J., Zilinskas J., Lam J.C.Y., Lando J., Li K.H.G., Leung K.W., Lee K.Y., Kabongo K., Pinnagoda K., Hewage K., Kinandu K., Bhopal K.F., Palayan K., Dabbour K., Elshaer K., Bailey K., Hilal K., Bonavia K., Lagunavicius K., Varkalys K., Cross K., Chang K.Y.-C., Reinisch K.B., Whitehurst K., Gash K., Chu K., Lee K., Connor K., Gudlaugsdottir K., Das K., Atobatele K., Janardha K.C., Koay K.L., Poh K.-S., Clement K.D., Sammut K., Tan K.S.K., Aaniana K., Johnson K., Mealy K., Thorsen K., Espinoza K.T., Pluke K., Strupas K., Conlon K.C., Abozeid K., Alhady K., Aljboor K., Dawood K., Elbisomy K.H., Ibrahim K., Khattab K., El Deen K.N., Mahmud K., Qurie K., El-Dien K.S., Bassit K.A., Boukhal K., Ashour K., Lasheen K.T., Abdelbadeai K., Khan K., Syibrah K.Z., Atkinson K., Li K.K.K., Lafferty K., Soreide K., Augestad K.M., Konstantina K., Farmakis K., Gasteratos K., Maceviciute K., Keke K.R., Zamarin K., Styles K., Jasaitis K., Jokubonis K., Cassar K., Chung K.J., Gunaseelan K., Lee K.C., Carabott K., Agbedinu K., Boakye-Yiadom K., Maison K., Asare-Bediako K., Kusi K., Aung K.P., Szeto K.J.-Y., Psarianos K., Uscinas L., Arachchige L.A.J.J., Abusalem L., Lopez L.I.P., Joel L.W.L., Gavagna L., Koskenvuo L., Lorenzon L., Luque L., Fourcade L., Abdullahi L., Ismail L., Khulu L.B., Rodriguez L.-A.M., Yeo L.S., Israelsson L., Bray L.D., Pena L., Licari L., Solaini L., Yeang L.J., Henderson L., Richardson L., Roodt L., Reza L., Urbanavicius L., Venclauskas L., Barrientos L.A.M., Andersson L., Wilson L., Nymo L., Mauro L., Muntean L.I., Muntean L., Jeremic L., Anyanwu L.-J., Ahmed L.A.M., Fuentes-Rivera L., Rodriguez L., Garcia L.S., Sproule L., Eldamaty L., Jamal L., Da Silva L.A., Sabeeh L., Samison L.H., Ansaloni L., Bortolasi L., Turati L., Duinhouwer L., Vida L.C., Fievet L., Selvaggi L., Solis L.A.Z., Chew L.S., Bonavina L., Bucci L., Cloro L.M., Laufer L.A.V., Barneo L., Florez L.J.G., Helguero-Santin L.M., Barreda L.M.A., Tale L., Giavarini L., De Castro Segundo L.C.B., Tatagiba L.S., Eisner L., Mata L.P.S., Vermaas M., Amoako-Boateng M., Dziak M.W., Jha M., Gimzewska M., Gran M., O'neill M., Mitroudi M., Boijsen M., Al-Faqawi M., Elmasry M., Hamad M.G.M., Nasr M., Tata M.D., Essam M., Farahat M.M., Elnajjar M.A., Abdelshafy M., Abdelshakour M., Abdulgawad M., Abozyed M.A.F., Alrahawy M., Amreia M., Badawy M., Eldafrawy M., Elfiky M., Maher M.E., Elkhadrawi M., Moghazy M.E., Gomah M., Saad M.M., Metwally M.M., Morsi M., Saad M., Saami M., Salama M., Salma M., Shalaby M., Warda M., Zakaria M., Yuksek M.A., Javaid M., Estee M.M., Ebidy M., Ebidy M.M., Careta M.C., Marcus M., Dabboor M., Aboelella M., Dayie M., Elsayed M., Falzon M., Hassan M., Sund M., Leung M.F., Yeung M.H.A., Abd-Elmawla M., Saeed M., Drungilas M., Jokubauskas M., Vilcinskas M., Roxas M.F., Hache-Marliere M., Lopez M., Castro M.R., Mendez M., Dar M., Abu-Toyour M., Salah M., Higgins Roche M.O., Catani M., Pascale M.M., Migliore M., De Leon M.Z.P., O'Shea M., Montrimaite M., Notarnicola M., Hussain M., Arango M.C.M., Grella M.G., Hjertberg M., Lanau M.I.V., Mano M.J.B., Aguilera M.L., Modolo M.M., Mayasari M., Ringressi M.N., Montejo M.S.G., Merlo M.S., Utter M., Valcarcel-Saldana M., Aguilera-Arevalo M.-L., Darweesh M., Gad M.O., Aboul-Naga M.S., Giglio M.C., Malavenda M., Lapitan M.C., Parreno-Sacdalan M.D., Paul M., Renaux-Petel M., Agius M., Del Carmen Escalante Salas M., Dickfos M., Pimenta M.L., Urquizu M.C., Corbellino M., Jacobe M., Pasini M., Trompetto M., Leal M., Manriquez-Reyes M., Popa M., Hampton M.I., Sykes M., Wagener M., Zuber M., Bliksoen M., Glynn M., Jarmin M., Kyereh M., Perino M., Shawky M.Y., Vella-Baldacchino M., Vargas M., Altarayra M., Elashmawy M., Elshobary M., Hamdan M., Sayed M., Abubakr M., Fahim M., Shawki M., Khan M.A., Shubianok M., Al-Mousa M., Alghamdi M., Jawaid M., Machaca M., Dal Canto M., Coletti M., Pazuskis M., Bratu M., Bratu M.R., Rubinkiewicz M., Papandrea M., Ripa M., Ekow M., Baldacchino M., Billy M., Kim M.Y.-H., Peycelon M., Tolonen M., Bezzina M., Foco M., Alrajraji M., Denakpo M., Rath M., Maimbo M., Mohamed M., Hassanain M., Turner M., Yavuz M.A., Gumar M., Ulusahin M., Mollo M.C., Salem M., Worku M., Ramadan M.T., Hafez M., Mustafa M.-A., Redota M.A.P., Allam M., Mericliler M., Mostafa M., Abbouch M., Aboraya M., Amoah M., Cox M., Edye M., Gillespie M., Hanrahan M., Livingston M., Puttick M., Stoddart M., Van Niekerk M., Walsh M., Wilson M., Kontos M., Margaritis M., Janik M., Ohene-Yeboah M., Monteleone M., Carlucci M., Sacco M., McCarthy M., Mohan M., Paludi M.A., Siguantay M., Radic M., Vartic M., Bala M., Nirumal M.K., Radojkovic M., Nestorovic M., Ghetia M., Kiudelis M., Beuran M., Hogea M., Mangiapane M., De Fa Tima Linares Delgado M.S., Othman M., Oludara M., Koto M.Z., Baheeg M., Bakhaidar M., Bin Ismail M.J., Abdelaziz M.A., Amer M.A., Baky Fahmy M.A., Abbas M., El Slam M.A., Abdelaty M., Mohamed M.A., Abdelkhalek M., Abdelraheim M., Abozaid M., Abdullah M.A., Abuseif M., Badenjki M.A., Ghonaim M.A., Mahmoud M.A., Ameen M., Ammar M., Asal M., Mohamed M.A.E.H., Dablouk M., El Halawany M., Elazoul M., Elbermawy M., Elfil M., Elsehimy M., Elzayat M., Etman M., Zalabia M.F., Fares M., Badr M.F.M., Hamed M.F., Gadelkarim M., Ghoneem M., Gulamhussein M., Hashish M., Alnaby M.H., Husseini M., Ibrahim M., Ismail M., Karkeet M., Kelany M., Mabrouk M., Magdy M., Mahmoud M., Mohamed M.M., Moaty M., Mustafa M., Nashat M., Nazir M., Loaloa M.R., Aziz M.R.A., Ammar M.S., Elhelbawy M.S., Seisa M., Shaalan M., Sleem M., Jabal M.S., Youssef M., Zidan M., Elshami M., Habeeb M.A., Adawi M., Alherz M., Aliyu M., Omar M.E., Ghannam M., Alwafai M.G., Arshad M.M., Rashid M., Amjad M., Alamoudi M., Alhendy M., AlRowais M., Alsaggaf M., Alzahrani M., Bukari M., Deputy M., Elgheriany M., Elshaar M., Elsiddig M., Firdouse M., Azizeldine M.G., Hanafy M., Ismail M.K., Mousa M., Salem M.M., Mohammed M.M.H., Mohammed M.M., Najjar M., Osman M., Dablouk M.O., Alghamdi M.S.A., Alsaggaf M.U., Aly M.Y.M., Aledrisy M., Olugbemi M., Madkor M.H., Hosh M., Rashad M., Bassem M., Munhoz M.M., Khajanchi M., Haines M., Ashtari M., Samy M., Abdelkader M., Eldin M.A.B., Gemeah M., Eid M.M., Qenawy M., Seif M., Mahmoud M.I., Aboelsoud M.R., Kimaro M., Alfarsi M.A., Farhan-Alanie M.M.H., Adil M., Alkelani M., Lokman M.A.A., Bin Hasnan M., Daniyan M., Gohar M.E.-S.A.M., Omar M.F.W., Ibrahim M.H., Furqan M.M., Qadir M.R.M., Saqlain M., Shawqi M., Butt M.T., Yahaya M.T., Waqar M., Riaz M.M., Talaat M., Haque M., Rommaneh M., Aljiffry M., Karakahya M., Yakubu M., Alada M., Farhad M., Taher M.M., Rangarajan M., Telfah M.M., Tun M., Attard M., Elsayed N.A.R., El-Sagheer N., Elzahed N., Bekhet N.M., El Hamid N.A., El-Latif N.K.A., Ortiz N., Elsayed N., Johanna N., Carrasco N., Nadeem N., Wright N.J., Mendez N., Samalavicius N.E., Ghandora N., Bustangi N., Di Martino N., Blencowe N., Redgrave N., Botto N., Sutandi N., Sadig N., Kariem N., Behar N., Abebe 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Elebute O., Ogunsua O., Adebola O., Odutola O., Abdelkader O., Abdulbagi O., Aguilera O., Alahmady O., Arafa O., Ghoneim O., Hesham O., Mattar O., Moussa O., Osman O., Salah O., Saleh O., Aboelmagd O., Mosalum O., Ayandipo O.O., Faboya O., Williams O., Adesanya O., Ioannidis O., Alser O.H., Algohary O., Mohamed O., Salah O.M., Hassan O.M.M., Ebrahim O.S., Seifelnasr O., Imoro O., Al-Obaedi O., Coyoy-Gaitan O., Bouali O., Abem O.E., Timothy O.K., Oshati O., Ramazzini P., Naess P.A., Assouto P.A., Sarmah P., Eduard P., Mentula P., Salusso P., Violi P., De Marco P., Aonzo P., Silvani P., Ubiali P., Mao P., Kielty P., Sutton P., Ugalde P., Witherspoon P., Wondoh P., Gastaldi P., Karumnas P., Kondrotas P., Morais P.A.B., Orbegozo P.A.T., Talving P., Koh P.Y., Weber P., Lundgren P.-O., Deutschmann P., Labib P., Monrad-Hansen P.W., Visinskas P., Gultom P.A., Alexander P., Choi P., Mshelbwala P., Amoako P.T., Buisson P., De Bono P., Ndwambi P., Grandinetti P.P., Danelli P., Sileri P., Ligure P., Mingrone P., Yoganathan P., Major P., Francois P., Ignatavicius P., Mazrimas P., Arachchi P.P., Jain P., Kwakyeafriyie P., Har P.A.L., Chin P.X., Malik P., Nashidengo P., Liu Q., Alimi Q., Ballouhey Q., Ellison Q., Tze R.G.E., King R., Moore R., Amandito R., Dorani R.M.N.R., Araujo R., Soley R., Roszkowski R., Galleano R., Narayanan R., Herikstad R., Kamil R., Satoskar R., Kabariti R., Staerkle R.F., Nataraja R., Oumer R., Shaker R., Jonnalagadda R., Jaramillo R.A., Cardozo R.A.M., Mamdouh R., Saadeh R., Rodriguez-Uria R., Claire R., Abdelhamed R., Bratu R.-M., Zilinskiene R., Bennai R.M., Alyahya R., Fakher R., Husseiny R., Khreishi R., Balila R.M.H., Elashry R., El-Din R.A., Alshareef R., Saad R., Melo R., D'cruz R., Rajan R., Karim R., Velasquez R., Gilbert R., Lilford R., Opoku-Agyeman R., Spence R., Gilbert R.W., Hagan R., Alyami R., Ots R., Rakauskas R., Khan R., George R., Karlo R., Kerley R., McIntyre R., Morton R., Parker R., Tyler R., Bugeja R., Tutino R., Villa R., Baltrunas R., Pranevicius R., Cautiero R., Cirocchi R., Faccincani R., Klappenbach R., Macchiavello R., Peltrini R., Schiavone R., Mas R., Matos-Puig R., Elsemelawy R., Lawther R., Schmid R., Ardley R., Shah R., Rackauskas R., Julaihi R., Sakr R., Osuoji R., Guevara R., Simoes R.L., Riauka R., Huaraya R.C., Ojeda R.R.B., Cahill R., Camacho R., Callan R., Sacco R., McDonald R., Bowe R., Coomber R., Elmelegy R., Chenn R., Quek R., Balmaceda R., Pacheco R.D.A., Rivas R., Giraldo R.S.R., Gunawan R., Zaa'treh R., Al-Hasani R.K.M.J., Mazelyte R., Blanco R., Gratton R., Scicluna R., Adams R., Tan R.C.K., McIntosh R., Kinnera S.V., Al Awwad S., Karim S., Irtan S., Asturias S., Dardenne S., Mahmoud S.M.E., Ali S., Al-Nahrawi S., Elsherbiney S., Idris S.A.I., Jaber S., Wondimu S., Abdul-Latif S., Alyacoubi S., Hanoun S., El-Rabaa S., Alnuqaydan S.A., Alqahtani S., Ferreira S.A.K., Elshanwany S., Hallam S., Magdy S., Mansour S., Elkolaly S.S., Aldhafeeri S., Di Saverio S., Khallaf S., Arman S., Debrah S., Seisay S., Al Attar S.M., Afana S., Gonzalez S.C.-D., Abdelhady S., Ismail S.A., Saad S., Soliman S., Kushwaha S., Emile S., Sarsik S., Sundstrom S.M., Olori S., Essoun S., Nigo S., Osei-Nketiah S., Sii S.S.Y., Ali S.S., Kumar S., Ahlqvist S., Kwizera S., Pasquali S., Samuel S.A., Sobnach S., Villalobos S., Barakat S.A.E., Ahmed S., Al-Saqqa S., Farouk S.A.M., Arafa S., Ayad S., Elhamouly S., Etienne S., Ghanem S., Kharsa S., Abdel-Kader S.M., Matter S.M., Merida S.M.C., Mehrez S., Mohammed S., Al-Saqqa S.W., Abdelghany S., Antar S., Benammi S., Braungart S., Hafez S., Rayne S., Sahel S., Samy S., Highcock S., Aljohani S., Bradulskis S., Mikalauskas S., Occhionorelli S., Satoskar S., Awad S.A., Sarwary S., Nahar S.N., Tori S.A., Vivekanantham S., D'amours S.K., Mizzi S., Yip S.B.S., King S., Shu S., Sierra S., Gaujoux S., Mahdi S., Chiu S., Chiu S.M.Y., Desta S., Manfreda S., Tshisola S.K., Estupinian S., Ribaldi S., Zegarra S., Rodriguez S.T.T., Al Amin S., Alamin S., Elhadry S., Hussein S., Mahmoud S., Talukder S., Shaharuddin S., El-Din S.A., Aql S., Torres S.G., Aliyu S., Karandikar S., Koh S., Mohamed S.R., Elsheikh S., Shehata S., Tariq S., Gamal S., Elkholy S.S., Gaafar S., Tewari S., Dindyal S., Tharmalingam S., El Mesery S., Ymeri S., Nadkarni S., Ayyar S., Kong S.N., Teo S.Y., Gokani S., Lim S.Y., Holte S., Basilico S., Boni S., De Franciscis S., Gosling S.G., Gosling S., Ng S., Stock S., Juciute S., Kasputyte S., Conci S., Sandler S., Targa S., Yam S.Y., Asilah S.M.D., Kamarulzamil S.N.A., Sivaganesh S., Suleiman S.I., Chung S., Elsobky S., Mouttalib S., Abushamleh S., Elmihy S., Ahmed S.M., Turkustani S., Hmila S., Africa S., Pai S., Bhat S., Prasad S.S., Paul S., Parasyris S., Botes S., Breitenstein S., Zammit S., Berti S., Cucumazzo S., Basso S.M.M., Roncali S., Kim S.B., Saar S., Kwok S.H.-W., Van Straten S., Dias S., Chapman S.J., Kache S., McAleer S., Knight S.R., Tabiri S., Petrikenas S., Fergusson S.J., Parpoudi S., Germanos S., Roy S., Suresh S., Burger S., Baba S., Almuallem S., Kim S.-H., Das S., Bahar S., Aviles S., Limache S., Mathew S.W., Durand S.Y.A., Brincat S.D., Kruspi S., Ali S.A.W.E.W., Naqvi S.A., ul Razi S.A., Lemaire S.B., Mochet S., Rekhis S., Widiastini T.A., Ngwa T.E., Yusufali T., Al-Taher T., Yaseen T.M., Yaseen T., Naqvi T., Lawal T.A., Lawal T., Arulampalam T., Gala T., Kumar T., Grima T., Ezzat T., Razek T., Idress T., Kanta T.H., Shachykava T., Khan T., Ali T.H.A., Fautz T., Worku T., Nouh T., Pugliesi T.B., Dimech T., Tembo T., Xerri T., Pezas T., Theodosopoulos T., Giuriato T.F., Alihonou T., Feidantsis T., Fozard T., Weiser T.G., Drake T.M., Olajide T.O., Pinkney T., Prudhomme T., Sherman T., Moe T.T., Alzayat T., Hettiarachchi T.S., Lee T.S.B., White T., Gaarder T., Schuetz T., Tolotra T.E.C., Cecilia T., Malik T.A.M., Arthur T., Hall T.F., Abaliksta T., Jankus T., Poskus T., Bocchetti T., Campagnaro T., Fontana T., Mak T., Khafagy T., Veen T., Wold T.B., Chan T.-Y.K., Mat T.N.T., Sholadoye T., Mak T.W.C., Rouse T., Chen T.-L., Muddebihal U., Karabacak U., Gunnarsson U., Gustafsson U., Muktar U., Tedeschi U., Salma U., Hantour U., Alamoudi U., Jotautas V., Parent V., Castillo V.D.P., Msosa V., Guglielmo V., Silvestri V., Despotidis V., Kalles V., Soulou V., Shatkar V., Barendegere V., Grassi V., Lazzari V., Jennings V., Dassah V., Etwire V., Kong V., Riaza V.M.Q., Nwinee V., Proctor V.K., Upadhyaya V., Gadhvi V., Ambrozeviciute V., Nevieraite V., Sallinen V., Thanusan V., Banaitis V.J., Beisa V., Sollazzo V., Graffieille V., Nsengimana V.J.P., Khokha V., Le V.T.H., Gaizauskas V., Lipnickas V., Anwer W., Soon W.C., Lam W.H., Ndegwa W., Thabet W., Adham W., Forno W., Panez W.R., Nasir W.N.A.W.M., Senanayake W.S.M.K.J., Hamsho W., Dar W., Alhazmi W., Guo W., Ho W., Dao W., Aguilar W.L.M., Goh W., Jeo W.S., Pino W., Appeadu-Mensah W., Beasley W., Bonney W., Hutch W., Lossius W.J., Milligan W., Ticona W.A., Li W.S., Chachulski W., Delforge X., Rodriguez X., Low X., Chan X.W., Neo Y.T., Souaibou Y.I., Ukwenya Y., Salama Y., Rajjoub Y., Ibrahim Y., Abd-Elrasoul Y., Elfouly Y., Hegazy Y., Soliman Y., El Salam Y.A., Tan Y.W., Zakaria Y., Reddy Y., Tan Y.K., Mok Y.T., Cheong Y.J., Gan Y.Y., Der Y., Mogan Y.P., Allam Y., Asar Y.H., Tew Y.Y., Abuowda Y., Shoura Y.E., Bermudez Y.E.A., Cengiz Y., Cheung Y.H.E., Altinel Y., Ng Y.K., Macchitella Y., Aigrain Y., Mikwar Z., Jaffry Z., Khan Z.A., Iftikhar Z., Elsayed Z.M., Zhang Z., Sam Z.H., Urniezius Z., Dambrauskas Z., Bentounsi Z., and Tverskis Z.

Subjects
surgical unmetneed, no keywords listed, appendicitis, global surgery, Financial Stress, Health Care Costs, Appendicitis, Financial Stre, Health Care Cost, Cost of Illness, Humans, appendicitis,economic burden, surgery, Surgery, Appendiciti, Human
Abstract

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and $73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and $75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially.

Published
2022

35. Autologous Retinal Transplantation for Primary and Refractory Macular Holes and Macular Hole Retinal Detachments

Author

Ogugua Ndubuisi Okonkwo, Ninel Z. Gregori, Mitsunori Yamada, Nicole Koulisis, Shunji Kusaka, Jay Chhablani, Keiko Yamada, Takatoshi Maeno, Alberto La Mantia, Odette M. Houghton, Stavros N. Moysidis, Mohamed M Mahgoub, Virgilio Morales-Canton, Marcin Stopa, Steve Charles, Hisham Hassaan, Sergio Rojas, Hany S. Hamza, Tarek S Hassan, An Lun Wu, Xhevat Lumi, Ahmed M. Habib, Carmelina Gordon, Sean D. Adrean, Sherif Nabil Embabi, Izabela Rogalinska, Barbara Parolini, Mohamed Nowara, Flavio A. Rezende, Naren Chetty, Tamer H. Mahmoud, Chi Chun Lai, Samir Mohamed El Baha, David H. W. Steel, Kazuaki Kadonosono, and Javier Cisneros Cortes

Subjects
Pars plana, medicine.medical_specialty, Visual acuity, genetic structures, business.industry, medicine.medical_treatment, Retinal detachment, Vitrectomy, Retinal, medicine.disease, eye diseases, Transplantation, Ophthalmology, chemistry.chemical_compound, medicine.anatomical_structure, chemistry, medicine, medicine.symptom, business, External limiting membrane, Macular hole
Abstract

Purpose To report the anatomic and functional outcomes of autologous retinal transplantation (ART). Design Multicenter, retrospective, interventional, consecutive case series. Participants One hundred thirty eyes of 130 patients undergoing ART for the repair of primary and refractory macular holes (MHs), as well as combined MH-rhegmatogenous retinal detachment (MH-RRD), between January 2017 and December 2019. Methods All patients underwent pars plana vitrectomy and ART, with surgeon modification of intraoperative variables. A large array of preoperative, intraoperative, and postoperative data was collected. Two masked reviewers graded OCT images. Multivariate statistical analysis and subgroup analysis were performed. Main Outcome Measures Macular hole closure rate, visual acuity (VA), external limiting membrane and ellipsoid zone (EZ) band integrity, and alignment of neurosensory layers (ANL) on OCT. Results One hundred thirty ART surgeries were performed by 33 vitreoretinal surgeons worldwide. Patient demographics were: mean age of 63 ± 6.3 years, 58% female, 41% White, 23% Black, 19% Asian, and 17% Latino. Preoperative VA was 1.37 ± 0.12 logarithm of the minimum angle of resolution (logMAR; Snellen equivalent, approximately 20/500), which improved significantly to 1.05 ± 0.09 logMAR (Snellen equivalent, approximately 20/225; P Conclusions In this global experience, patients undergoing ART for large primary and refractory MHs and MH-RRDs achieved good anatomic and functional outcomes, with low complication rates despite complex surgical pathologic features.

Published
2021
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41. Understanding social constructions of becoming an academic through women’s collective career narratives

Author

Anthea Rose, Andrew R.J. Dainty, Tarek M. Hassan, and Sarah Barnard

Subjects
ComputingMilieux_GENERAL, ComputingMilieux_THECOMPUTINGPROFESSION, Face (sociological concept), Identity (social science), Gender studies, Citizen journalism, Narrative, Sociology, Representation (arts), Early career, Social constructionism, Identity formation, Education
Abstract

The transition of early career researchers into academic posts is understood to be a crucial career step and marks a point at which representation of women declines significantly. The research adopts a participatory qualitative research methodology through career narrative interviews and group discussions with women engineers recently appointed into academic posts. It was found that academic careers are ‘hoped for’, but not described as a straightforward option in terms of either securing tenure or future career development. The collective career paths outlined were rarely linear and featured key moments of crisis and self-doubt, culminating in ‘tentative’ career identity formation in the face of gendered career structures. There is evidence of a pre-emptive and continuing uncertainty about the feasibility of an academic career that begins years before embarking on a PhD. The distinctive contribution of the study is the consideration of gendered early processes of forming an academic identity and ongoing collective experiences of becoming an academic.

Published
2021
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44. REFRACTIVE OUTCOMES AFTER SUTURELESS INTRASCLERAL FIXATION OF INTRAOCULAR LENS WITH PARS PLANA VITRECTOMY

Author

Tarek S Hassan, George A. Williams, Jeremy D. Wolfe, Viren K. Govindaraju, Christianne A Wa, Ramon Lee, Lisa J. Faia, Ryan A Shields, Ashkan M. Abbey, Maxwell S. Stem, and Nathan Farley

Subjects
Male, Pars plana, medicine.medical_specialty, Visual acuity, Pseudophakia, genetic structures, medicine.medical_treatment, Visual Acuity, Intraocular lens, Spherical equivalent, Vitrectomy, Refraction, Ocular, Single Center, 03 medical and health sciences, Fixation (surgical), 0302 clinical medicine, Lens Implantation, Intraocular, Ophthalmology, medicine, Humans, Aged, Retrospective Studies, Aged, 80 and over, Lenses, Intraocular, business.industry, General Medicine, Middle Aged, Sutureless Surgical Procedures, eye diseases, medicine.anatomical_structure, Intraocular lens power, 030221 ophthalmology & optometry, Female, sense organs, medicine.symptom, business, Sclera, 030217 neurology & neurosurgery
Abstract

PURPOSE To evaluate the refractive outcomes of sutureless intrascleral fixation of intraocular lens with pars plana vitrectomy. METHOD A retrospective, consecutive cohort from multiple surgeons of a single center. Primary outcomes included spherical equivalent (SEQ) and change in SEQ (ΔSEQ) from preoperative intraocular lens power calculations. Secondary outcomes included refractive outcomes of fixation at 1.5 mm, 2 mm, and 2.5 mm posterior to the limbus. RESULTS In total, 84 eyes of 80 patients were included. Preoperative logarithm of the minimum angle of resolution visual acuity was 1.21 ± 0.68 (20/320). The mean follow-up time was 2.33 ± 1.36 years. At 3 months, SEQ was -0.50 ± 1.59 D and ΔSEQ was 0.58 ± 1.49 D. At 1 year, SEQ was -0.55 ± 1.32 D and ΔSEQ was 0.39 ± 1.42 D. At the last follow-up, logarithm of the minimum angle of resolution visual acuity was 0.34 ± 0.34 (20/40), SEQ was -0.51 ± 1.44 D, and ΔSEQ was 0.57 ± 1.27 D. There was no difference between SEQ or ΔSEQ throughout follow-up (P = 0.97 and P = 0.96, respectively). At fixation distances more posterior to the limbus, mean ΔSEQ was more hyperopic at 3 months, 1-year, and the last follow-up (P = 0.02, P = 0.01, and P = 0.006, respectively). CONCLUSION Refractive outcomes for sutureless intrascleral fixation of intraocular lens with pars plana vitrectomy were favorable and showed stability postoperatively. These results may aid surgeons achieve better desired refractive outcomes for this technique.

Published
2020
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45. The Geography of New Technologies

Author

Tarek A. Hassan, Nicholas Bloom, Josh Lerner, Aakash Kalyani, and Ahmed Tahoun

Subjects
Stylized fact, Labour economics, Earnings, Emerging technologies, media_common.quotation_subject, 0502 economics and business, 05 social sciences, Wage, 050207 economics, 050205 econometrics, media_common, Newspaper
Abstract

We identify novel technologies using textual analysis of earnings conference calls, newspapers, announcements, and patents. Our approach enables us to document the rollout of 20 new technologies across firms and labor markets in the U.S. Four stylized facts emerge from our data. First, as technologies develop, the number of new positions related to them grows, but the average education requirements and wage levels of the positions drop. Second, as technologies develop, their employment impact diffuses across the country: initially, technologies are concentrated in local hubs, but over time, their adoption diffuses geographically. Third, despite this diffusion, the initial hubs retain a disproportionate share employment in the technology, particularly at the high-skill end of the spectrum. Finally, technology hubs are more likely to arise in areas with universities and high skilled labor pools.

Published
2020
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46. Integrated care for the management of ageing-related non-communicable diseases: current gaps and future directions

Author

Alessandro Monaco, Stefania Maggi, Shaantanu Donde, Tarek A. Hassan, Alessandra Marengoni, and Katie Palmer

Subjects
Gerontology, Aging, Psychological intervention, Clinical practice, Chronic disease, 03 medical and health sciences, 0302 clinical medicine, Integrated, Activities of Daily Living, Health care, Ageing, Integrated care, NCD, Successful ageing, Aged, Aged, 80 and over, Frailty, Humans, Multimorbidity, Polypharmacy, Delivery of Health Care, Integrated, Noncommunicable Diseases, 80 and over, Medicine, 030212 general & internal medicine, Functional ability, business.industry, Mental health, Information and Communications Technology, Original Article, Geriatrics and Gerontology, business, Delivery of Health Care, 030217 neurology & neurosurgery
Abstract

Due to the increase in the older population in Europe and associated rise in the absolute number of persons with Non-Communicable Diseases (NCDs), it is becoming increasingly important to find ways to promote healthy ageing, which is defined as the process of developing and maintaining the functional ability that enables well-being in older age. Older persons with NCDs can have complex care needs due to the increased risk of frailty, multimorbidity, and polypharmacy. However, current health systems in Europe often provide fragmented care for older people with NCDs; many receive disjointed care from numerous specialists or via different levels of care. In the current article, we discuss barriers and challenges in implementing integrated care models in European settings for older NCD patients. Specifically, we discuss the need for greater use of case managers in the care and treatment persons with complex care needs as well as the lack of training and education in healthcare professionals on topics related to multimorbidity, frailty, and polypharmacy. We discuss the limitations that arise from the current focus on disease-specific guidelines and care models that do not take comorbid conditions into account, and the lack of good quality evidence that evaluates the effectiveness of integrated care interventions, especially in European health settings. We highlight the importance of evaluating and monitoring mental health in conjunction with somatic symptoms in NCD patients and discuss the integral role of information and communication technology in healthcare to streamline integrated care processes and help to achieve better outcomes for patients.

Published
2020
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47. Phosphodiesterase Type-5 Inhibitor Prescription Patterns in the United States Among Men with Erectile Dysfunction: An Update

Author

Wing Yu Tang, Ishveen Chopra, John P. Mulhall, Dipen Patel, and Tarek A. Hassan

Subjects
Adult, Male, medicine.medical_specialty, Sildenafil, Urology, Endocrinology, Diabetes and Metabolism, 030232 urology & nephrology, Medicare, Piperazines, Sildenafil Citrate, Article, Tadalafil, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, Endocrinology, Erectile Dysfunction, Vardenafil Dihydrochloride, Internal medicine, medicine, Humans, Sulfones, Medical prescription, Aged, Retrospective Studies, 030219 obstetrics & reproductive medicine, Phosphoric Diester Hydrolases, Triazines, business.industry, Imidazoles, Retrospective cohort study, Middle Aged, Phosphodiesterase 5 Inhibitors, medicine.disease, United States, Psychiatry and Mental health, Prescriptions, Erectile dysfunction, Reproductive Medicine, chemistry, Purines, Vardenafil, cGMP-specific phosphodiesterase type 5, Cohort, business, Carbolines, medicine.drug
Abstract

Background While phosphodiesterase type-5 inhibitors (PDE5Is) are highly effective for the treatment of erectile dysfunction (ED) and well tolerated, updated data on prescription patterns have been limited in real-world settings. Aim To describe men in the United States who are prescribed PDE5Is for ED treatment and to evaluate patterns of initiation, switching, and treatment overlap. Methods This retrospective claims study used MarketScan Commercial and Medicare Supplement Databases from January 1, 2010, to December 31, 2015, to identify initial PDE5I claims (index date) for sildenafil, tadalafil, and/or vardenafil. Adults aged ≥18 years with ED were identified between July 1, 2010, and December 31, 2014, allowing for a 6-month preindex and 12-month follow-up period from the index date. Outcomes Outcomes included patient demographics and treatment-related patterns after treatment initiation. Results A total of 106,206 identified patients met all inclusion criteria. Of these, 51,694, 40,193, and 14,319 had initial claims for sildenafil, tadalafil, and vardenafil, respectively. Mean age was 50.35 years, and comorbidities included dyslipidemia (44.17%), hypertension (43.09%), diabetes (15.32%), and depression (10.61%). More patients (48.67%) initiated on sildenafil than tadalafil (37.85%) or vardenafil (13.48%). Rate of switching was lower in the 60 days after the end of day supply of the initial prescription in the sildenafil cohort (2.71%) compared with the tadalafil (2.81%) and vardenafil (3.88%) cohorts (P Clinical Implications These findings provide insight into updated patterns of PDE5I prescriptions in the United States and may aid in clinical decision-making. Strengths & Limitations Strengths include the large sample size, long data coverage period, and the real-world nature of the study. Limitations include the retrospective study design, use of data collected with a primary focus of claims, and lack of further details regarding reasons that drive switching. Actual rates of ED and impact on prescription patterns may be underestimated because the claims database only captured patients electing to visit a health-care provider. Conclusion Among men with ED in the United States, rates of switching and treatment overlap were low for all PDE5Is but were found to be the lowest for sildenafil compared with tadalafil and vardenafil.

Published
2020
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48. Impact of single-pill combination therapy on adherence, blood pressure control, and clinical outcomes: a rapid evidence assessment of recent literature

Author

Joris van Vugt, Reinhold Kreutz, Tarek A. Hassan, Georgia Sykara, and Konstantinos Tsioufis

Subjects
medicine.medical_specialty, hypertension, Combination therapy, Physiology, medicine.drug_class, fixed-dose combination therapy, MEDLINE, Calcium channel blocker, 030204 cardiovascular system & hematology, Cochrane Library, single-pill combination therapy, Persistence (computer science), Medication Adherence, 03 medical and health sciences, 0302 clinical medicine, Internal medicine, Internal Medicine, medicine, Humans, 030212 general & internal medicine, adherence, Antihypertensive Agents, business.industry, blood pressure, persistence, cardiovascular outcomes, Regimen, Drug Combinations, Blood pressure, Reviews and Meta-Analyses, Observational study, Cardiology and Cardiovascular Medicine, business
Abstract

Objective The 2018 European Society of Cardiology/European Society of Hypertension Guidelines for the management of arterial hypertension raised the need for evidence to support the use of single-pill combination (SPC) therapy in preference to free-dosed therapy for hypertension. This systematic rapid evidence assessment sought to determine if initiating SPC therapy improves adherence, blood pressure (BP) control and/or cardiovascular outcomes vs. initiation of free-dose combination therapy. Methods Rapid evidence assessment conducted in MEDLINE, EMBASE, and Cochrane Library (1 January 2013-11 January 2019) to identify studies investigating SPC therapy for adults with hypertension. Information on adherence/persistence, BP lowering/goal attainment, and cardiovascular outcomes/events were extracted via two-phase screening process. Studies not focusing on adherence, persistence, or compliance with SPC therapy were excluded. Methodological quality was assessed using appropriate scales. Results Of 863 citations, 752 failed to meet inclusion or were duplicates. Twenty-nine studies remained following full-text screening. Just four studies (14%) were randomized controlled studies; 25 (86%) were observational. A range of SPC therapies were studied, with calcium channel blocker/angiotensin receptor blocker combinations most common (11/29 studies). Adherence and persistence were generally higher with SPC vs. free-dose combination therapy; 15 studies (54%) directly compared adherence and four (14%) compared persistence. Patients achieving BP targets ranged from 25 to 89%. Despite all studies investigating patients with hypertension only 16 (55%) reported change in BP. Few studies reported on cardiovascular outcomes. Methodological reporting was often suboptimal. Conclusion Adherence and/or persistence were generally higher in patients taking antihypertensives as SPC vs. free-dose combination; however, methodological reporting was suboptimal to facilitate comparison. Specifically designed, well reported studies are required to determine if the increased adherence/persistence seen in patients on SPC regimen leads to improved BP control and/or cardiovascular outcomes.

Published
2020

49. Carbapenem-Resistant

Author

Raghdaa A, Ramadan, Aya M, Bedawy, Essamedin M, Negm, Tarek H, Hassan, Dalia A, Ibrahim, Somia M, ElSheikh, and Rania M, Amer

Abstract

Carbapenemase-producing Gram-negative bacteria, particularlyTo evaluate the in vitro effect of meropenem-ciprofloxacin and meropenem-colistin combinations on carbapenem-resistant (CR)Seventy-threeSixty-three (86.3%) of the isolates were ESBL producers and 52 (71.2%) were carbapenem resistant.A high rate of carbapenem resistance exists among VAP

Published
2022

50. Feasibility, safety and effectiveness of laparoscopic transperitoneal pyeloplasty in children: Ain Shams University early experience

Author

Hany Emad Mohamed, Khaled Mohamed EL-Asmar, Tarek Ahmed Hassan, Ehab Abd El-Aziz EL-Shafei, Mohamed Hisham Soliman, and Ayman Mostafa Allam

Subjects
Pediatrics, Perinatology and Child Health, Surgery
Abstract

Background/purpose Laparoscopic pyeloplasty (LP) is now widely recognized as a minimally invasive alternative for the surgical repair of ureteropelvic junction obstruction (UPJO) in paediatrics. In this work, we aim to evaluate the feasibility, safety and effectiveness of LP in our early experience. Patients and methods Between April 2019 and April 2020, patients presented with indication for surgical repair of UPJO were offered laparoscopic transperitoneal Anderson-Hynes pyeloplasty. Demographic data, preoperative investigations, operative data and intra- or postoperative complications, as well as short and mid-term follow-ups were recorded. Results During the specified period, 13 patients underwent LP (8 girls and 5 boys) with a median age of 12 months (range from 5 to 150 months). There was no conversion to open approach with operative time ranging from 120 to 240 min (mean = 175 ± 34 min). No intra- or postoperative complications were encountered. One to 2 years postoperative follow-up was performed (median = 18 months) in 11 patients. One patient discontinued follow-up after 1 month and another after 6 months. Follow-up PAUS showed a reduction in the anteroposterior diameter of the renal pelvis in all cases. Postoperative diuretic renal scans (DTPA renography) were done for three patients with a persistent anteroposterior diameter of the renal pelvis greater than 20 mm which showed improvement in the washout. All patients had a good cosmetic outcome. Conclusion In our early experience in LP, we found the procedure a safe, feasible and effective technique in managing UPJO in children and infants with good cosmetic outcome. Level of evidence This is a case series study (level IV evidence).

Published
2022
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