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  1. Article ; Online: The liver and Chilaiditi’s syndrome

    Shamir O Cawich / Richard Spence / Fawwaz Mohammed / Michael T Gardner / Alex Sinanan / Vijay Naraynsingh

    SAGE Open Medical Case Reports, Vol

    Significance of hepatic surface grooves

    2017  Volume 5

    Abstract: Chilaiditi’s syndrome describes a symptomatic patient with radiographic findings of interposed colon between the diaphragm and right lobe of liver. It may mimic a pneumoperitoneum on plain radiographs. We present a case in which Chilaiditis’ syndrome was ...

    Abstract Chilaiditi’s syndrome describes a symptomatic patient with radiographic findings of interposed colon between the diaphragm and right lobe of liver. It may mimic a pneumoperitoneum on plain radiographs. We present a case in which Chilaiditis’ syndrome was entertained, delaying a decision for laparotomy. This case reinforces the diagnostic difficulty associated with Chilaiditi’s syndrome, and it increases awareness of an uncommon variation in the liver surface anatomy.
    Keywords Medicine (General) ; R5-920
    Language English
    Publishing date 2017-12-01T00:00:00Z
    Publisher SAGE Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Detection of Foot-and-Mouth Disease Virus in the Absence of Clinical Disease in Cattle and Buffalo in South East Asia

    Kelly Buckle / Rudolfo Bueno / Andrew McFadden / Mary van Andel / Richard Spence / Carolyn Hamill / Wendi Roe / Emilie Vallee / Fernanda Castillo-Alcala / Ronel Abila / Blesilda Verin / Bolortuya Purevsuren / Ashish Sutar / Htun Htun Win / Myo Thiha / Khin Ohnmar Lwin / Syseng Khounsy / Sengxay Phonthasy / Viliddeth Souriya /
    Chattouphone Keokhamphet / Jonathan Arzt / Anna Ludi / Valérie Mioulet

    Frontiers in Veterinary Science, Vol

    2021  Volume 8

    Abstract: Foot-and-mouth disease virus (FMDV) is widespread throughout much of the world, including parts of South East Asia. Surveillance is often limited in endemic areas, relying predominantly on passive outbreak reporting. As part of the World Organisation for ...

    Abstract Foot-and-mouth disease virus (FMDV) is widespread throughout much of the world, including parts of South East Asia. Surveillance is often limited in endemic areas, relying predominantly on passive outbreak reporting. As part of the World Organisation for Animal Health (OIE)'s South East Asia and China Foot-and-Mouth Disease Project (SEACFMD), field sampling was performed to help understand evidence of widespread virus exposure observed in previous studies. Serum and dry mucosal swabs were collected to evaluate the presence of FMDV RNA on the nasal, oral, and dorsal nasopharyngeal mucosal surfaces of 262 healthy cattle (n = 84 in Laos; n = 125 in Myanmar) and buffalo (n = 48 in Laos; n = 5 in Myanmar) immediately following slaughter in three slaughterhouses. Swabs and serum were tested by the OIE/FAO World Reference Laboratory for foot-and-mouth disease (WRLFMD) using pan-serotypic real-time reverse transcription-PCR (rRT-PCR) and serum was evaluated using the FMD PrioCHECK non-structural protein (NSP) ELISA. In total, 7.3% of animals had detectable FMDV RNA in one or more of the three sites including 5.3% of nasopharyngeal swabs, 2.3% of oral swabs, and 1.5% of nasal swabs. No FMDV RNA was detected in serum. Overall, 37.8% of animals were positive for NSP antibodies, indicating likely past natural exposure to FMDV. Results were comparable for Laos and Myanmar, and for both cattle and buffalo, and were not significantly different between age groups. Detectable FMDV RNA present on the oral and nasal mucosa of clinically-healthy large ruminants in Laos and Myanmar demonstrates the importance of sampling asymptomatic animals as part of surveillance, and may indicate that subclinical infection plays a role in the epidemiology of FMD in these countries.
    Keywords abattoirs ; surveillance ; buffaloes ; cattle ; foot-and-mouth disease ; foot-and-mouth disease virus ; Veterinary medicine ; SF600-1100
    Subject code 630
    Language English
    Publishing date 2021-07-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Effects of hospital facilities on patient outcomes after cancer surgery

    Stephen R Knight / Catherine A Shaw / Riinu Pius / Thomas M Drake / Lisa Norman / Adesoji O Ademuyiwa / Adewale O Adisa / Maria Lorena Aguilera / Sara W Al-Saqqa / Ibrahim Al-Slaibi / Aneel Bhangu / Bruce M Biccard / Peter Brocklehurst / Ainhoa Costas-Chavarri / Kathryn Chu / Anna Dare / Muhammed Elhadi / Cameron J Fairfield / J Edward Fitzgerald /
    Dhruv Ghosh / James Glasbey / Mark I. van Berge Henegouwen / J.C. Allen Ingabire / T Peter Kingham / Marie Carmela Lapitan / Ismaïl Lawani / Bettina Lieske / Richard Lilford / Janet Martin / Kenneth A McLean / Rachel Moore / Dion Morton / Dmitri Nepogodiev / Faustin Ntirenganya / Francesco Pata / Thomas Pinkney / Ahmad Uzair Qureshi / Antonio Ramos-De la Medina / Aya Riad / Hosni Khairy Salem / Joana Simões / Richard Spence / Neil Smart / Stephen Tabiri / Hannah Thomas / Thomas G Weiser / Malcolm West / John Whitaker / Ewen M Harrison / Arben Gjata

    The Lancet Global Health, Vol 10, Iss 7, Pp e1003-e

    an international, prospective, observational study

    2022  Volume 1011

    Abstract: Summary: Background: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of ... ...

    Abstract Summary: Background: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery ...
    Keywords Public aspects of medicine ; RA1-1270
    Subject code 616
    Language English
    Publishing date 2022-07-01T00:00:00Z
    Publisher Elsevier
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article: Capacity constraints and the propects for external adjustment and economic growth

    Hilton, Richard Spence

    Quarterly review // Federal Reserve Bank of New York 13 ,4 / 14 (1989),1, S. 52-68

    1989 - 90

    1989  

    Author's details R. Spence Hilton
    Keywords Produktionspotenzial ; Wirtschaftswachstum ; Wirtschaftsprognose ; USA
    Language English
    Size Graph. Darst
    Publishing place New York, NY
    Document type Article
    ZDB-ID 750374x ; 2067558-6
    ISSN 1932-0604 ; 0147-6580
    ISSN (online) 1932-0604
    ISSN 0147-6580
    Database ECONomics Information System

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  5. Article ; Online: Surgical site infection after gastrointestinal surgery in children

    Sèbastien Gaujoux / Nebyou Seyoum / Ville Sallinen / Ari Leppäniemi / Andrea Belli / Clare Skerritt / Naomi Wright / Savva Pronin / Azmina Verjee / Thomas Pinkney / Neil Smart / Oliver Warren / Michele Sacco / Arnav Agarwal / Simon Paterson-Brown / David Evans / Philip Choi / Ashish Gupta / Jonathan Myers /
    Victor Kong / Michael Wilson / Ewen M Harrison / Mircea Beuran / Zahra Jaffry / Leonardo Solaini / Thomas M Drake / Dmitri Nepogodiev / Adesoji O Ademuyiwa / Philip Alexander / Sara W Al-Saqqa / Sule Burger / Kathryn Chu / Dhruv Ghosh / Hosni Khairy Salem / Marie Carmela Lapitan / Ismail Lawani / Maria Lorena Aguilera / Mayaba Maimbo / Alex Makupe / Rachel Moore / Vanessa Msosa / Alphonse Zeta Mutabazi / Riinu Ots / Ahmad Uzair Qureshi / Sarah Rayne / Marie Dione Parreno-Sacdalan / Richard Spence / Stephen Tabiri / Richard Lilford / Dion Morton

    BMJ Global Health, Vol 5, Iss

    an international, multicentre, prospective cohort study

    2020  Volume 12

    Abstract: Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study ... ...

    Abstract Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings.Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI).Results Of 1159 children across 181 hospitals in 51 countries, 523 (45·1%) children were from high HDI, 397 (34·2%) from middle HDI and 239 (20·6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12·8% (51/397) in middle HDI and 24·7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI.Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.
    Keywords Medicine (General) ; R5-920 ; Infectious and parasitic diseases ; RC109-216
    Subject code 360
    Language English
    Publishing date 2020-12-01T00:00:00Z
    Publisher BMJ Publishing Group
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Book ; Thesis: An estimatable model of the commodity version of trade

    Hilton, Richard Spence

    1981  

    Author's details by R. Spence Hilton
    Keywords Außenwirtschaftstheorie ; Faktorproportionentheorem ; Theorie
    Language English
    Size XI, 323 S
    Document type Book ; Thesis
    Thesis / German Habilitation thesis @Madison, Univ. of Wisconsin, Diss., 1981
    Database ECONomics Information System

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  7. Book: Exchange rate uncertainty and international trade

    Akhtar, Michael Akbar / Hilton, Richard Spence

    some conceptual issues and new estimates for Germany and the United States

    (Research paper : Federal Reserve Bank of New York ; 8403)

    1984  

    Author's details M. A. Akhtar and R. Spence Hilton
    Series title Research paper : Federal Reserve Bank of New York ; 8403
    Keywords Wechselkurs ; Internationale Wirtschaft ; USA ; Deutschland ; 13*31*14*41*23*32*24*42
    Language English
    Size 78 Bl
    Document type Book
    Note Kopie
    Database ECONomics Information System

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