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Torborg A, Meyer H, El Fiky M, Fawzy M, Elhadi M, Ademuyiwa AO, Osinaike BB, Hewitt-Smith A, Nabukenya MT, Bisegerwa R, Bouaoud S, Abdoun M, El Adib AR, Kifle Belachew F, Gebre M, Taye DB, Kechiche N, Fadalla T, Abdallah B, Chaibou MS, Nyarko MYA, Ki KB, Shalongo S, Mulwafu W, Thomson E, Traore MM, Ndonga A, Bittaye M, Samateh AL, Munlemvo DM, Kalongo JJ, Coulibaly Y, Coulibaly Y, Ravelojaona V, ANDRIAMANARIVO L, RAHERISON AR, RANDRIAMIZAO HMR, RAMKALAWAN K, Omar MA, Ndikontar R, Joseph D, Dahir S, Mohamed M, Ali Daoud H, Ndarukwa P, OTIOBANDA GF, Banguti P, Neil K, Derbew M, Fanny M, Smalle I, Taylor EH, Duvenage H, Hardy A, Kluyts H, Pearse R, Biccard B, AARON OI, Abd Elazeem Mohammed HAS, Abdalkarim B, Abdalla A, Abdallah MAA, Abdeewi S, Abdel Ghafar T, Abdelaleem A, Abdelaleem IA, Abdelgader K, Abdelgadir W, Abdelhafez M, Abdelhalim A, Abdelkabir M, Abdelkader Osman M, Abdelkarim M, Abdelkarim M, Abdelmohsen SM, Abdelnassir M, Abdelrahman ASM, Abdelwahed AE, Abdelzaher M, Abderrahim BA, Abdoulaye T, Abdulai S, Abdulghaffar YA, Abdullah F, Abdullahi LB, Abdullahi M, Abdulrazik S, Abdulsalam KI, Abdulwahed E, Abdus-Salam R, ABE TOLUSHE, Abera Mulugeta G, Aboelghait AA, Abol Oyoun N, Aboubekr B, Abraham M, Abu M, Abuagila AA, Abubakar M, Abugilah M, Abuzeid IA, Achouri D, Acquah SA, Adam NBA, ADAMU AUWAL, Adamu KM, ADAMU MUHAMMAD, ADAMU S, Adane SG, Adeaga M, Adebayo S, Adedire A, Adegoke PA, Ademuyiwa AO, Adeniyi AA, Adeoye I, Aderibigbe G, ADEROUNMU A, ADEYEMI WILLIAMS, ADEYEMO A, Adigun T, Adika ED, ADISA AO, Adjei E, Adjepong-Tandoh EK, Ads AM, ADUMAH DCC, ADUMAH LO, Adzamli I, Afari J, Afedo W, Affan A, AFOLAYAN AO, Agaba S, Agbeno E, Agbonrofo P, Aghadi I, AGU EDITH, Agyen T, Agyen-Mensah K, Ahensan D, Ahmad MH, AHMED A, Ahmed L, Ahmed NYAA, Ahmed R, Ahmed Jroush M, ahmed maghur H, AHOGNI GG, Ait Yahia S, Aji N, Aji SA, Akerele W, Akhideno I, Akinmokun I, AKINNIYI AT, Akinniyi A, AKINYEMI S, Akitoye OA, AKPAETTE IC, Akuma TJ, Akuokor D, Akwei CNA, Al Bashir RBH, Al Gharyani MF, al Islam ben Jouira R, Aladelusi T, Alakaloko F, Alameen H, Alameen Moheyaldeen M, Alaogaly M, Alarabi R, Alawami M, Alazabi BM, Alazabi M, Albakosh BA, ALBDULRRAZIQ HUSAYNMOHAMMEDE, Aldieb A, Aldressi W, Alegbeleye GE, Alfa Y, Alhadad Q, Alhaddad AR, Alhaddad HF, Alhadi A, Alhamali A, Alharam A, Alhlafi M, Alhouwasi B, Alhudhairy S, Ali AMA, Ali AJ, Ali A, Ali A, Ali E, Ali M, Ali S, Ali YY, Ali Ahmed A, Aliozor S, Aljamal S, Alkaseek A, Alkhalifa E, Alkoni S, Allie A, Almelyan K, Almugaddami A, Almujreesi A, Alqady E, Alragheai AA, Alshareea E, Alshareef A, Alsori M, Altomy SA, Al-Touny A, Al-Touny SA, Alum Aguma R, Alwaer NM, Al-zletni H, Alzwai M, Amaambo N, Amah CC, Amary M, Amengle LA, Amesho SLO, Ametepe M, Amkhatirah E, Amnaina MG, Amoah B, Amoah JK, Amo-Aidoo NAS, Amoako-Boateng M, Ampong J, Anane-Fenin B, Anarfi S, Andriamanarivo ML, Aniakwo L, Aniteye E, Ankrah LNA, Anno A, Anyanwu LJC, Anyigba E, Appeadu-Mensah W, Appiah-Thompson P, Apraku-Peprah EL, Aremu SK, Arinaitwe M, Armah R, Arthur A, Arthur D, Asah-Opoku K, Asante M, Asante-Asamani A, Asare A, Asasira L, Ashfersh M, ASHINDOITIANG JA, Ashong J, Ashraf Salah M, Asiedu C, Asiedu I, Asiyanbi K, Asla A, Asman W, Asoegwu EJ, Assalhi M, Assim C, Asudo FD, Atai AG, Ateeqa SB, Atim T, Atindama S, ATIQUI IJLAL, Atrih Z, Attah RA, Awad AK, Awedew AF, Awedew AF, Aween H, Awere-Kyere L, Awindaogo J, Awori Achani M, Ayad K, Azab A, Azas A, Aziza B, Azize DA, AZOUI A, Azouz J, Baba S, Babalola OF, Babiker M, Baddoo D, Badi A, BADMUS SA, Badr H, Bah A, Bah FY, Bah K, Bah MT, Bahroun S, Baidoo E, Baidoo K, Baidoo R, Bakare A, Bakeer HB, Baky Fahmy MA, Balogun J, Bamigboye B, Bankah P, Banson M, Barhouma YE, Barongo M, BASHIR RABIU MOHAMMED, Bassem A, Bedair MAA, Beeharry HR, Beeharry S, Bekele S, Belie O, Belkhair A, Ben Ahmed Y, Ben Ashur A, Ben Hamida B, Benade C, BENMANSEUR S, Bensebti AA, BERDAI MA, Beyuo V, Biala M, Bilson-Amoah E, Bin wali SS, Binnawara M, Birlie Chekol W, Birqeeq G, Biyase T, Blankson PK, Boakye B, Boakye B, Boakye-Acheampong K, Boakye-Yiadom K, Boateng J, Bobaker S, Bode C, Bogoslovskiy A, Bolarinwa ES, Boretti L, Botchway MT, Botha C, BOUDA BD, BOURENANE H, BOUZBID S, Boye J, Branny M, Brown GD, Brown W, Bua E, BWALA KEFASJOHN, Camara B, Camara ML, Carol T, Ceesay W, Chafee K, Chaklie Agegnehu B, Chamir C, Chaziya PYC, Chellan C, Cheniki N, Chennouf S, Chepkoech E, Chilango C, Chinda JY, Chokwe TM, Choutri H, Christian NA, Chukwu I, Chummun G, Cilliers C, Cloete E, Collison C, Cronje L, Daary D, DAD B, Daddy H, Dahilo EA, Dairam J, Dalaf MS, Damson P, Daneji SM, Daniel A, Daoud A, Daoud H, Darat TD, Darko KO, Darko K, Davidson K, Davies A, Dawang YD, Dayal K, Dayie M, de Goede A, de Goede A, Deelawar BW, Derwish K, Desalu I, Dessalegn Beza A, Dhege C, Dhilraj D, Diallo TS, Diaw M, Diaw Diop A, DIENE M, Dieng M, Dippenaar T, Djagbletey R, Djedid NK, Djouonang KT, Dominique S, Drammeh B, Drissi H, du Bruyn A, Dube T, Dufe R, Dung D, Earl E, Ebrahem OKA, Ebrahim Z, Edena ME, Effa Ngono R, Egbuchulem K, Egdeer A, Eguma SA, Ehimhantie M, EJIOFOR OC, Ejuma LO, Ekenze S, Ekhmaj RA, Ekor O, EKPA S, Ekpemo CS, Ekudo J, Ekwunife OH, El Koraichi A, El Magrahi H, El Mejrab M, El Sadek R, El YOUBI H, Eladani O, Elamesh SAH, Elamien M, Elamin Elnour MA, Elbadawy MA, Elbaseet H, Elderwy AA, Elebute O, Elgamal M, Elgenidy A, Elghareeb A, Elgherwi L, Elhadad R, Elhadi A, Elhassan M, Elkhouly AM, Ellebedy M, ELMAJRI MOHAMEDFUAD, Elmandouh O, Elmandouh R, Elmorsi R, ELOMBILA M, Elsadek M, Elsalhawy S, Elsayem K, Elshafiey M, El-Sharkawi M, Elshazly M, Eltaub D, Eltayeb AA, Eltayeb MEZ, Eltegani Abdalla A, ElWakeel M, Embu H, Emoru A, Enicker B, Enti D, Entsua-Mensah K, Eseile SI, Essuman VA, Et-taghy H, Etwire V, Eyaman KD, Ezbeida M, EZEKIEL ANTHONYSABO, Ezidiegwu SU, Ezomike UO, FABOYA O, Fadlalmola H, FAGBAYIMU OM, Faida H, FALL K, Farahat S, Faraj A, Faraj N, Farghaly A, Farhat KOA, Farinyaro AU, Fathi Bani G, Fattah A, Fawzy M, Fening N, Fentahun Emrie A, Fidieley M, Fikadu Keneni D, Fischer M, Flint M, Fodo N, Fofana N, Fokeerah N, Folami E, Folokwe S, Fonternel D, Fosi Kamga G, Fotso LK, Fourtounas M, Frankish L, Gabier I, Gacii VM, Gaffoor MS, Gagara M, GALADIMA HA, Gamubaka R, Ganey M, Ganiyu OO, Gasa N, Gatheru AP, Gawu VS, Gaya SSD, GAYE I, Gebremichael Ganta A, Gelaw KG, Geldenhuys L, Getachew Tegegn A, Ghemmied M, Ghmagh R, GILES AHEREZA, Ginsburg RG, Girma K, Gjam F, Glover-Addy H, Gobin V, Gomeh P, Gomez D, Gorelyk A, Gossaye A, Govender V, Grant J, Grayson BL, Grobbelaar M, Gueye KR, GUIRO H, Gumede S, Gurure D, Gusibat A, Gyeke-Boafo NK, HACHEMI S, Haddis K, Haidar A, Haif A, Hameed-Ikram S, Hamid H, Hamukwaya D, Hanson NA, Hanzi J, Hardcastle T, Harissou A, Hasan A, Hasan HB, Hasan NB, Hashi AS, Hashish AA, Hassaan I, Hassan S, Hassan SA, Hassan T, Hassan Z, Hassane ML, Hassanein M, Hawu Y, Haywood D, Heelan H, Hendricks N, Hillah A, Hlela Q, HMAMOUCHI B, Hoko Z, Honny D, Honore S, Houidi S, Human T, Hussain E, Hussain Kona MH, Hussein Y, Ibekwe TS, Ibiyemi A, IBIYEYE TAIBAT, Ibrahim IA, Ibrahim LI, Ibrahim S, Ibrahim Abubakar A, Ibrahim Alain T, Idipo F, Idoko G, Idowu O, Idris MEA, Igaga EN, Iindongo E, IITULA P, IKOTUN O, ILLE G, Imposo DH, Invernizzi J, Irungu E, Isbayqah AM, Isbayqah EM, Ismael G, Ismail AM, Itambi AM, Jabang JN, Jaga R, Jaganath U, Jaiteh L, Jallow CS, James O, Javed S, Jithoo S, Jlidi S, Joel L, Johnson M, JONES TAIWO, Jooma Z, Joomye S, Joosab M, JOUINI R, Jubail MJ, Juggoo C, Jumbi TM, Kaabar N, Kabirou M, Kabiru AM, Kabre BY, Kache S, Kacimi SEO, KADAS ABUBAKARSAIDU, KAHANSIM B, Kalipa M, Kalongo JJK, Kalu NE, Kamate B, Kamwangen GM, Kandjimi M, Kanjana-Zondo N, Kankpeyeng L, Kapalamula T, Karadji S, Kargbo MA, Karghul M, Kaskar R, Kasker R, Kasobya F, Kassem O, Kateregga G, Kayima P, Kedwany AM, Ken-Amoah S, Kenneth TK, KERISSE ANEH, KERKENI Y, Khairi R, Khaled M, Khalifa E, Khalifa MS, Khalil MK, Khattab MSI, Khodary AR, Khumalo BF, Khumalo P, Kigayi JP, Kimutai TK, KINDO B, KIRFI ABDULLAHIMUSA, Koggoh P, Koko AA, Kopieniak M, Kotagiri C, Kotey E, Kouicem AT, Kpangkpari R, Kudoh V, Kufonya N, Kuhn W, Kutor J, Kwakye A, Kynes JM, Lambrechts L, Lamiri R, LANRE OLOKONASIRUDEEN, Larvie P, Lateef AK, LATRECHE S, Lawal T, Leballo G, Lebereki S, Lee D, Leeb G, Leonard T, LEYONO-MAWANDZA PDG, Likongo TB, Limalia Z, LIMAN HARUNAUSMAN, Loae N, Lompoli BNE, Lusungu D, M.Mokhtar FALZ, Madany MEDM, Maddy RJ, Madombwe G, Mafabi S, Magashi MK, Maharaj S, Mahfouz SM, Mahlare KRV, Mahmoud F, Maikassoua M, Maison P, Maiwald D, Makhoba P, Makinita SG, Makou epse Tolefac M, Malau TK, Mamathuntsha TG, Mamo TN, Mamuda A, Mandundzo P, Mangray H, Mani S, Manneh EK, Mansour NM, Manyere DV, Mapurisa A, Mare P, Martin ME, Mashaal A, Mashaya S, Masilela PB, Mathebula R, Mathinya T, Matlala TK, Matlou M, Matos-Puig R, Matoug S, Maudarbocus MJ, Mavesere HP, Mavila J, Mayet S, Maygag M, Mbatha N, Mbatudde R, Mbiya Kapinga A, Mbuyamba J, Mbuyi AT, Mdlalose N, Prowling M, Mejeni N, Mekonnen Ejigu Y, Merghani S, Metogo JEN, Mhiri R, Mhone L, Michael A, Miko AM, Milad A, Mishra R, Mjadu L, Mkhontwana N, Mlambo N, Mncwango Z, Mngoma G, Mnguni M, Modekwe VI, Mogane P, Moghazy R, Mogotsi K, Mohalal MS, Mohamed AAA, Mohamed M, Mohamed MEE, Mohamed SA, Mohamedkheir MA, Mohammad AL, Mohammad AD, Mohammad AM, Mohammed A, Mohammed M, Mohammed RI, Mohammed R, Mohammed TSA, Mohammedosman D, Mohsen SM, Molla Getahun A, Moloisi M, Monib FA, Moodley K, Moopanar M, Morgan F, Moris B, Morna M, Moses V, Mostafa MM, Motiang M, Motseoile T, Motshabi P, MOUSSAOUI N, Mpoto DB, MPOY EMY MONKESSA CM, MRARA BUSISIWE, Mshelbwala PM, Msherghi A, Msibi T, Mubunda RK, Muhammad AB, Muhammad S, Muhanguzi J, Muhindo R, Mukenga MM, Mukuna PM, Mulewa D, Munanzvi KS, Mungur L, Munubi A, Munyalo FS, Muriithi JM, Musa AA, Musa K, Musa MAE, Musana F, Musewu TD, Musiitwa AK, Mwangi CM, Mwepu IM, Mwepu MI, Mwika PM, Mwiti TM, Myeni P, Mzoneli N, Naana R, Nabukenya G, Nabunya S, Naidoo A, Naidoo V, Naidu P, Nakyanzi C, Nambi E, Nampawu MJ, Nampiina G, Namutebi H, Nana B, Nanda JSY, Nanimambi J, Nantongo B, Napolitano L, Naser A, Nassar AS, Nassar MS, Nasser N, Nawezo JG, NDIAYE A, NDIAYE CAT, Ndiaye F, Ndibarekera SH, Ndjoko SM, Ndlovu M, Nduwayezu R, Negash S, Nehema S, Neil K, Neizer M, NEJMI S, Nezam-Parast M, Ng How Tseung K, Ngcelwane T, Ngene I, Nghidinwa H, Ngissah R, Ngock GFFN, Ngouane D, Ngumi Z, Nibret Y, NIENGO OUTSOUTA G, Njie M, NJOKANMA RA, Nkhata L, Nkhuna NT, Nkosi N, Nkosi S, Nkwembe CM, Nnaji C, Nneji-Akazie T, Nongqo N, Nortey M, Noutakdie Tochie J, Nsaful J, Nsimire BB, Nte SK, Ntshingila C, Ntsie NP, Ntsoane D, Ntumy MY, Nuer-Allornuvor G, Nuhu S, Nutsuklo P, Nwachukwu CU, NWAFULUME NNAEMEKA, Nwangwu E, Nwankwo EP, Nyame CA, Nyamekye E, Nyankah E, Nyoka-Mokgalong C, Oase D, Obande JO, Obbeng A, Obeng-Adjei GI, Obianyo I, Obianyo NE, Obiechina S, OBRI AI, ODI TEMITOPE, Odingo J, Oelofsen S, Ofori E, Ofori-Adjei D, Ogaji IM, Ogundoyin OO, OGUNLEYE OLABISI, OGUNS A, Ogunsua O, Ohemeng-Mensah E, Ojediran O, Ojediran O, Ojewuyi A, Ojewuyi O, Ojo A, OJO OO, Ojo O, Okedare A, Okenwa SC, Oko AG, Okojie N, Okonkwo LN, Okoth P, Okunlola AI, Okunlola CK, Okurut M, Oladimeji M, Oladiran A, Olagunju GR, Olajide ARL, Olajide AT, Olang PR, Olayinka O, Olori S, Olulana D, Olulana DI, Olusanya B, Omar DE, Omar MA, Onakpoya U, ONeil M, Onen H, ONYEKA C, Oosthuizen A, Opandoh I, Opiyo S, Oppong J, Orewole TO, Orji M, Osagie O, Osagie OT, Osaheni O, Osama Sleem A, Osawa FO, Osei F, Osei-Nketiah S, Osei-Poku D, Osman A, Osman Ahmed M, Osman Suliman SO, Otchere K, Othman AAA, Othman E, Othman M, Otim P, Otim T, Otman RH, Otoki V, OUDJHIH M, OUEDRAOGO I, OUEDRAOGO PJ, Ousmane Hamady I, Ouyahia A, OWOJUYIGBE A, Owoo C, Owoo P, Owusu Boamah M, Oyedele A, Oyedepo O, Oyegbola C, Panday J, Parker EUE, Parker I, Parker RK, Pembe JN, Percivale B, Pereko J, Pérez M, Perumal N, Pillay L, Pretorius R, Prinsloo R, Pryce C, Puryag A, QUADRI OR, Quansah 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Abdalgadir E, Saad A, Saad MM, Saad El-Tanekhy A, Saadi C, Saadu T, Saber M, Sabir Yassin FM, Sabo VY, Sabra TA, Saeid DA, Safar A, Sagboze S, Sahnoun L, Salahu BM, Salami K, Salawu AI, Saleh H, Saleh IA, Saleh KM, Salele AM, Salem F, Salem O, Salih MAIA, Salisu I, Sall M, SAMB CF, Sangak IA, Sanoussi NM, Sanya D, Sanyang AB, Sarpong P, SARR JN, Schnaubelt R, Searyoh K, SECK NF, Secka AS, Seif M, Seilbea Y, Semret Hailu B, Sepenu P, Sewlall J, Seyi-Olajide J, Shai S, Shalaby AMO, SHAPHAT IBRAHIM, Shava G, Sheidu Owuda A, Sheshe AA, Shetiwy M, Shezi N, Shihab MH, Shitakumuna H, Shitaye N, Shitta AH, Sholadoye TT, Shouasha P, Shu'aibu NG, Shuiap NM, Sibeko B, Sikhakhane S, Sikwete G, Sime Gizaw H, Simelane N, Simon E, Singh U, SIRAJALDIN A, Siriboe E, Siyothula T, Siyotula T, Smart-Yeboah A, SMITH S, Solala S, Soliman EA, Solo CE, Sombéwendin Charles I, Sonaike M, Songden DZ, Sottie D, Soualili Z, Soula E, Souleymane S, SOWANDE OA, Spytko A, Srir DOM, Ssebuguzi L, Stegmann GF, Strauss L, Struwig E, Succi M, Suleiman AR, Suliman M, Swartz M, Taha TM, Takai IU, Takou BH, Takrouney MH, Takure A, TALABI AO, Tall M, Taute C, Tawfik M, Taylor J, Tembe DS, Temesgen F, Tesfaye E, Theko D, Thiart M, Thompson R, Thuer L, Tientcheu Fabrice T, Tilahun ZB, Tilahun Woldetsadik T, Timo M, Timotews N, Tjiyokola D, Tolani MA, TOUABTI S, Traoré D, Tsegha LJ, Tseli M, Tumuhimbise C, Tumukunde J, Tunkara SFS, Turshan L, Turton E, Uchendu CC, UDIE GU, UDOSEN JE, Ugalahi M, Ugwu EM, UGWU IE, Ugwu JO, Ugwunne CA, Ukpabio UE, Umar AM, UMEH CL, Ungen R, Usang U, Usenbo T, Usman MI, UWAYESU R, Van Aswegen B, van der Byl A, van der Linde P, van der Walt S, van Schalkwyk HP, van Tonder C, van Vuuren S, van Wyk J, van Zyl S, Wabule A, Wacays A, Waheed Mowafy G, Waisiko B, Walawah D, Walithandia E, Wamwaki J, Wataaka N, Wessels N, Wessels N, Williams E, WILLIAMS O, Woldegiorgis A, Wolfaardt G, Wondossen M, Woodun R, Workineh ST, Wubetu S, Yahia M, Yakubu H, Yakubu SY, Yalewu DZ, YAMEOGO TAC, Yeboah F, YENYI AHUKA LONGOMBE T, Younes E, Young C, Younis N, Younus TYI, YUSUF STEPHEN, Zaki F, Zbida I, Zenda T, ZERIZER Y, Zingoni K, Zitouni H, ZONGO PV, Zubi A, Zulu N, Zulu N, Yakubu H, Yakubu SY, Yalewu DZ, YAMEOGO TAC, Yeboah F, YENYI AHUKA LONGOMBE T, Younes E, Young C, Younis N, Younus TYI, YUSUF STEPHEN, Zaki F, Zbida I, Zenda T, ZERIZER Y, Zingoni K, Zitouni H, ZONGO PV, Zubi A, Zulu N, Zulu N. Outcomes after surgery for children in Africa (ASOS-Paeds): a 14-day prospective observational cohort study. Lancet 2024;403:1482-1492. [PMID: 38527482 DOI: 10.1016/s0140-6736(24)00103-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 01/09/2024] [Accepted: 01/18/2024] [Indexed: 03/27/2024]

Abstract

BACKGROUND

Safe anaesthesia and surgery are a public health imperative. There are few data describing outcomes for children undergoing anaesthesia and surgery in Africa. We aimed to get robust epidemiological data to describe patient care and outcomes for children undergoing anaesthesia and surgery in hospitals in Africa.

METHODS

This study was a 14-day, international, prospective, observational cohort study of children (aged <18 years) undergoing surgery in Africa. We recruited as many hospitals as possible across all levels of care (first, second, and third) providing surgical treatment. Each hospital recruited all eligible children for a 14-day period commencing on the date chosen by each participating hospital within the study recruitment period from Jan 15 to Dec 23, 2022. Data were collected prospectively for consecutive patients on paper case record forms. The primary outcome was in-hospital postoperative complications within 30 days of surgery and the secondary outcome was in-hospital mortality within 30 days after surgery. We also collected hospital-level data describing equipment, facilities, and protocols available. This study is registered with ClinicalTrials.gov, NCT05061407.

FINDINGS

We recruited 8625 children from 249 hospitals in 31 African countries. The mean age was 6·1 (SD 4·9) years, with 5675 (66·0%) of 8600 children being male. Most children (6110 [71·2%] of 8579 patients) were from category 1 of the American Society of Anesthesiologists Physical Status score undergoing elective surgery (5325 [61·9%] of 8604 patients). Postoperative complications occurred in 1532 (18·0%) of 8515 children, predominated by infections (971 [11·4%] of 8538 children). Deaths occurred in 199 (2·3%) of 8596 patients, 169 (84·9%) of 199 patients following emergency surgeries. Deaths following postoperative complications occurred in 166 (10·8%) of 1530 complications. Operating rooms were reported as safe for anaesthesia and surgery for neonates (121 [54·3%] of 223 hospitals), infants (147 [65·9%] of 223 hospitals), and children younger than 6 years (188 [84·3%] of 223 hospitals).

INTERPRETATION

Outcomes following anaesthesia and surgery for children in Africa are poor, with complication rates up to four-fold higher (18% vs 4·4-14%) and mortality rates 11-fold higher than high-income countries in a crude, unadjusted comparison (23·15 deaths vs 2·18 deaths per 1000 children). To improve surgical outcomes for children in Africa, we need health system strengthening, provision of safe environments for anaesthesia and surgery, and strategies to address the high rate of failure to rescue.

FUNDING

Jan Pretorius Research Fund of the South African Society of Anaesthesiologists and Association of Anesthesiologists of Uganda.

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Luu MN, Imoto A, Matsuo Y, Huy NT, Qarawi A, Alhady STM, Truong LV, Yoshino R, Duc NTM, Tabei K, Lu Y, Singh MK, Truong MP, Dumre SP, Rocha ICN, Hung IC, Fudo A, Sato M, Kansakar S, Tsukamoto A, Komatsu A, Cai G, Moji K, Khongyot T, Mogan S, Soukdavone S, Hartuti ED, Thidatheb K, Honda S, Woo H, Lama N, Huynh VTN, Khoa HLA, Abbas KS, Monib FA, Omran HAM, Rezq CS, Qatora MS, Jia Ng S, Morena GJV, Miranda AV, Ngo Huynh MT, Ota J, Minjung K, An J, Vorlasane L, Gunasegaran K, Zulkefli F, Lima Girón BDJ, Bhattachan PG, Dumre RB, Pandey K, Yamashita S, Seposo AKC, Zabala J, Riva-Moscoso A, Ordóñez JNP, Uitrakul S, Principe-Meneses FS, Dila KAS. Anxiety and its risk factors among non-Japanese residents living in Japan undergoing COVID-19 situation: A cross-sectional survey. PLoS One 2024;19:e0280144. [PMID: 38489310 PMCID: PMC10942066 DOI: 10.1371/journal.pone.0280144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Accepted: 12/21/2022] [Indexed: 03/17/2024] Open

Affiliation(s)

Mai Ngoc Luu Department of Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
Atsuko Imoto School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
Yoshimi Matsuo NPO Treasures of The Planet, Japan
Nguyen Tien Huy School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
Ahmad Qarawi Essen Healthcare, Bronx, NY, United States of America
Shamael Thabit Mohammed Alhady Faculty of Medicine, University of Gezira, Wad Medani, Sudan
Le Van Truong Traditional Medicine Hospital, Ministry of Public Security, Hanoi, Vietnam
Ryuji Yoshino School of Global Humanities and Social Sciences, Nagasaki University, Nagasaki, Japan
Nguyen Tran Minh Duc Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
Kozue Tabei Save the Children Japan, Japan
Yixiao Lu Department of Public Health, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Manmeet Kaur Singh American University of the Caribbean Medical School, Cupe Coy, Sint Maarten
Mai Phuong Truong American University of the Caribbean Medical School, Cupe Coy, Sint Maarten
Shyam Prakash Dumre Central Department of Microbiology, Tribhuvan University, Kathmandu, Nepal
Ian Christopher Naungayan Rocha School of Medicine, Centro Escolar University, Manila, Philippines
I-Chun Hung Online Research Club, Nagasaki, Japan
Akane Fudo Independent Researcher, Nagasaki Prefecture, Japan
Miho Sato School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan School of Global Humanities and Social Sciences, Nagasaki University, Nagasaki, Japan
Sajog Kansakar Department of Internal Medicine, Maimonides Medical Center, Brooklyn, New York, United States of America
Akiko Tsukamoto School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
Aiko Komatsu School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
Guoxi Cai Nagasaki Prefectural Institute of Environment and Public Health, Nagasaki, Japan
Kazuhiko Moji School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan School of Global Humanities and Social Sciences, Nagasaki University, Nagasaki, Japan
Thanawat Khongyot School of Pharmacy, Walailak University, Nakhon Si Thammarat, Thailand
Saruveish Mogan Faculty of Medicine and Health Science, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia
Souksavath Soukdavone School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
Endah Dwi Hartuti Graduate School of Biomedical Sciences, Program for Nurturing Global Leader, Nagasaki University, Nagasaki, Japan
Kounnavong Thidatheb School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
Shiho Honda Nagasaki International Student Support Center, Nagasaki University, Nagasaki, Japan
Hyunjae Woo Department of Cardiopulmonary Rehabilitation Science, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan
Nitu Lama Dr. M. V. Shetty College of Physiotherapy, Rajiv Gandhi University of Health Sciences, Mangalore, India
Vy Thi Nhat Huynh University of Debrecen, Debrecen, Hungary
Huynh Le Anh Khoa Department of Biostatistics, Virginia Commonwealth University School of Medicine, Richmond, VA, United States of America
Kirellos Said Abbas Faculty of Medicine, Alexandria University, Alexandria, Egypt
Fatma A. Monib Faculty of Medicine, Assiut University, Assiut, Egypt
Hoda Aly Mohamed Omran Faculty of Medicine, Alexandria University, Alexandria, Egypt
Chiristine Samuel Rezq Faculty of Medicine, Alexandria University, Alexandria, Egypt
Mostafa Shehata Qatora Faculty of Medicine, Alexandria University, Alexandria, Egypt
Sze Jia Ng Faculty of Medicine, Crozer-Chester Medical Center, Upland, Pennyslvania, United States of America
Graca Jaqueline Vanessa Morena Faculty of Medicine, Trisakti University, Jakarta, Indonesia America Evangelical University, Los Angeles, CA, United States of America
Adriana Viola Miranda Faculty of Medicine, University of Indonesia, Jakarta, Indonesia
Minh-Trang Ngo Huynh University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
Junko Ota School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
Kim Minjung Independent Researcher, Nagasaki, Japan
Jaemin An Osaka Ohtani University, Osaka, Japan
Latdavanh Vorlasane Savannakhet Provincial Hospital, Savannakhet, Lao PDR
Kesshinee Gunasegaran School of Medicine, University Putra Malaysia, Malaysia, Serdang, Selangor, Malaysia
Fazureen Zulkefli School of Medicine, University Putra Malaysia, Malaysia, Serdang, Selangor, Malaysia
Belen de Jesús Lima Girón School of Medicine, Autonomous University of Baja California, Mexicali, México
Punita Gauchan Bhattachan Graduate School of Biomedical Sciences, Center for Bioinformatics and Molecular Medicine, Nagasaki University, Nagasaki, Japan
Renu Bhandari Dumre School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
Kishor Pandey Central Department of Zoology, Tribhuvan University, Kathmandu, Nepal
Sarina Yamashita School of Medicine, Nagasaki University, Nagasaki, Japan
Aden Kay Celis Seposo Independent Researcher, Nagasaki, Japan
Jayson Zabala Quezon City Science High School, Naruto University of Education, Naruto, Japan
Adrián Riva-Moscoso School of Medicine, Universidad Peruana de Ciencias Aplicadas (UPC), Lima, Peru
Joyce Nicole Pineda Ordóñez Faculty of Medicine, Catholic University of Honduras, Tegucigalpa, Honduras
Suriyon Uitrakul School of Pharmacy, Walailak University, Nakhon Si Thammarat, Thailand
Fortunato S. Principe-Meneses School of Medicine, Universidad Peruana de Ciencias Aplicadas (UPC), Lima, Peru
Kadek Agus Surya Dila Giri Emas Hospital, Singaraja City, Buleleng, Bali, Indonesia

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Ali AK, Elagan M, Monib FA, Sabra TA. Spontaneous evisceration of infantile umbilical hernia. Int J Surg Case Rep 2023;107:108352. [PMID: 37247608 DOI: 10.1016/j.ijscr.2023.108352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2023] [Revised: 05/19/2023] [Accepted: 05/20/2023] [Indexed: 05/31/2023] Open

Abstract

INTRODUCTION AND IMPORTANCE

Infantile umbilical hernia is common in children. It has a regressive course in most cases. Conservative management is the standard in most cases before the age of 3 years unless there are complications such as incarceration, rupture with evisceration which are extremely rare and warrants emergency surgery.

CASE PRESENTATION

Our case was a full term 6-month-old male of normal birth weight with history of umbilical hernia but with no obvious risk factors to develop complications. The loops evisceration was spontaneous with a small umbilical skin damage. The poor parental consultation on early surgical management and delayed presentation of the infant after evisceration could be the possible risks for ischemic changes and shock state at the time of presentation, however, prompt medical resuscitation and surgical management relatively improved postoperative outcomes.

CLINICAL DISCUSSION

Infantile umbilical hernia is considered one of the most encountered abnormalities of infancy. Most umbilical hernias are asymptomatic and discovered after birth. Complications of infantile umbilical hernia as incarceration or spontaneous evisceration are very rare but fatal. Certain factors increase the risk for developing spontaneous rupture of infantile umbilical hernia including the age of the infant or child, the defect size, umbilical sepsis or ulceration and any condition which raises intra-abdominal pressure, i.e., crying, coughing or positive ventilation.

CONCLUSION

Although infantile umbilical hernia is clinically benign condition with a regressive course in majority of cases, the risk of rupture of an umbilical hernia is exceedingly rare in pediatric population; physicians should be warranted with the possible risk factors for spontaneous rupture and in these patients expedite surgical repair.

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Motawea KR, Monib FA, Shaheen N. Acute Vertigo in a Patient Following COVID-19 Infection: A Case Report and Literature Review. Indian J Otolaryngol Head Neck Surg 2023:1-5. [PMID: 37362121 PMCID: PMC10116458 DOI: 10.1007/s12070-023-03745-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Accepted: 03/27/2023] [Indexed: 06/28/2023] Open

Motawea KR, Monib FA, Abbas KS, AbdelQadir YH, Elhalag RH, Swed S, Nashwan AJ. A rare case of newly diagnosed diabetes mellitus following COVID-19 infection. J Clin Transl Endocrinol Case Rep 2023;27:100141. [PMID: 36718471 PMCID: PMC9876009 DOI: 10.1016/j.jecr.2023.100141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2022] [Revised: 01/20/2023] [Accepted: 01/24/2023] [Indexed: 01/26/2023] Open

Gachabayov M, Sharun K, Felsenreich DM, Nainu F, Anwar S, Yufika A, Ophinni Y, Yamada C, Fahriani M, Husnah M, Raad R, Khiri NME, Abdalla RYA, Adam RY, Ismaeil MIH, Ismail AY, Kacem W, Teyeb Z, Aloui K, Hafsi M, Ferjani M, Dahman NBH, Deeb DA, Emad D, Abbas KS, Monib FA, Sami FS, Ramanarayanan S, Panchawagh S, Anandu S, Haque MA, Ferreto LED, Briones MFC, Morales RBI, Lazcano-Díaz S, Aburto JTO, Rojas JET, Balogun EO, Kusuma HI, Yeni CM, Utami NA, Enitan SS, Yomi AR, Durosinmi A, Adejumo EN, Ezigbo ED, Babadi E, Kakemam E, Ullah I, Malik NI, Rosiello F, Emran TB, Imelda E, Wendt GW, Arab-Zozani M, Dhama K, Mudatsir M, Harapan H. Perceived risk of infection and death from COVID-19 among community members of low- and middle-income countries: A cross-sectional study. F1000Res 2022;11:345. [PMID: 36128553 PMCID: PMC9468621 DOI: 10.12688/f1000research.109575.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/05/2022] [Indexed: 12/02/2022] Open

Abstract

Background: Risk perceptions of coronavirus disease 2019 (COVID-19) are considered important as they impact community health behaviors. The aim of this study was to determine the perceived risk of infection and death due to COVID-19 and to assess the factors associated with such risk perceptions among community members in low- and middle-income countries (LMICs) in Africa, Asia, and South America.

Methods: An online cross-sectional study was conducted in 10 LMICs in Africa, Asia, and South America from February to May 2021. A questionnaire was utilized to assess the perceived risk of infection and death from COVID-19 and its plausible determinants. A logistic regression model was used to identify the factors associated with such risk perceptions.

Results: A total of 1,646 responses were included in the analysis of the perceived risk of becoming infected and dying from COVID-19. Our data suggested that 36.4% of participants had a high perceived risk of COVID-19 infection, while only 22.4% had a perceived risk of dying from COVID-19. Being a woman, working in healthcare-related sectors, contracting pulmonary disease, knowing people in the immediate social environment who are or have been infected with COVID-19, as well as seeing or reading about individuals infected with COVID-19 on social media or TV were all associated with a higher perceived risk of becoming infected with COVID-19. In addition, being a woman, elderly, having heart disease and pulmonary disease, knowing people in the immediate social environment who are or have been infected with COVID-19, and seeing or reading about individuals infected with COVID-19 on social media or TV had a higher perceived risk of dying from COVID-19.

Conclusions: The perceived risk of infection and death due to COVID-19 are relatively low among respondents; this suggests the need to conduct health campaigns to disseminate knowledge and information on the ongoing pandemic.

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Affiliation(s)

Mahir Gachabayov Department of Abdominal Surgery, Vladimir City Emergency Hospital, Vladimir, 600014, Russian Federation
Khan Sharun Division of Surgery, ICAR-Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
Daniel M. Felsenreich Division of General Surgery, Department of Surgery, Medical University of Vienna, Vienna, 1090, Austria
Firzan Nainu Department of Pharmacy, Faculty of Pharmacy, Hasanuddin University, Makassar, 90245, Indonesia
Samsul Anwar Department of Statistics, Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia
Amanda Yufika Department of Family Medicine, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia
Youdiil Ophinni Ragon Institute of MGH, MIT and Harvard, Cambridge, 02139, USA Laboratory of Host Defense, WPI Immunology Frontier Research Center (IFReC), Osaka University, Osaka, 565-0874, Japan
Chika Yamada Department of Environmental Coexistence, Center for Southeast Asian Studies, Kyoto University, Kyoto, 606-8304, Japan
Marhami Fahriani Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia
Milda Husnah Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia Master Program of Biology, Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, BAnda Aceh, 23111, Indonesia
Rawan Raad Faculty of Medicine and General Surgery, Sudan University of Science and Technology, Khartoum, 407, Sudan
Namareg ME. Khiri Faculty of Medicine, University of Khartoum, Omdurman, 11111, Sudan
Rashed YA. Abdalla Faculty of Medicine, University of Bahri, Khartoum, 11111, Sudan
Rashed Y. Adam Omdurman Teaching Hospital, Khartoum, 00000, Sudan
Mohajer IH. Ismaeil Faculty of Medicine, Alzaiem Alazhari University, Khartoum, 13311, Sudan
Asma Y. Ismail Department of Internal Medicine, Faculty of Medicine, Sudan International University, Khartoum, 12769, Sudan
Wajdi Kacem Department of Emergency Medicine, Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, 2074, Tunisia
Zeineb Teyeb Department of Internal Medicine, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, 2074, Tunisia
Khaoula Aloui Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, 2074, Tunisia
Montacer Hafsi Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, 2074, Tunisia
Manel Ferjani Faculty of Dental Medicine, University of Monastir, Monastir, 4180, Tunisia
Nasrine Ben Hadj Dahman Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, 2074, Tunisia
Dalia A. Deeb Faculty of Medicine, Zagazig University, El-sharkia, 44519, Egypt
Dina Emad Faculty of Medicine, Ain Shams University Nasr City, Cairo, 1181, Egypt
Kirellos Said Abbas Faculty of Medicine, Alexandria University, Alexandria, 21131, Egypt
Fatma A. Monib Faculty of Medicine, Assiut University, Assiut, 71515, Egypt
Farah S. Sami Faculty of Medicine, Ain Shams University Nasr City, Cairo, 1181, Egypt
Subramaniam Ramanarayanan Department of Public Health Dentistry, Indira Gandhi Institute of Dental Sciences, Nellikuzhi, Kothamangalam, Kerala, 686691, India
Suhrud Panchawagh Department of General Medicine, Smt. KashibaiNavale Medical College and General Hospital, Pune, Maharashtra, 411041, India
Sunil Anandu Division of Veterinary Parasitology, ICAR-Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
Md Ariful Haque Department of Orthopedic Surgery, Yan’an Hospital Affiliated to Kunming Medical University, Kunming, Yunnan, 650000, China
Lirane ED. Ferreto Department of Public Health and Postgraduate Program in Applied Health Sciences, Faculty of Medicine, Western Paraná State University, Francisco Beltrão, 85601-970, Brazil
María FC. Briones Faculty of Medicine, University of La Frontera, Temuco, 4781218, Chile
Rocío BI. Morales Faculty of Medicine, University of La Frontera, Temuco, 4781218, Chile
Sebastián Lazcano-Díaz Faculty of Medicine, University of La Frontera, Temuco, 4781218, Chile
José TO. Aburto Faculty of Medicine, University of La Frontera, Temuco, 4781218, Chile
Jorge ET. Rojas Faculty of Medicine, University of La Frontera, Temuco, 4781218, Chile
Emmanuel O. Balogun Department of Biochemistry, Faculty of Life Sciences, Ahmadu Bello University, Zaria, Kaduna State, 2222, Nigeria
Hendrix I. Kusuma Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia Master Program of Biology, Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, BAnda Aceh, 23111, Indonesia Department of Biology Education, Faculty of Tarbiyah and Teacher Training, Universitas Islam Negeri Ar-Raniry, Banda Aceh, 23111, Indonesia
Cut Meurah Yeni Department of Obstetrics and Gynecology, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia Department of Obstetrics and Gynecology, Dr. Zainoel Abidin Hospital, Banda Aceh, 24415, Indonesia
Niken Asri Utami Department of Obstetrics and Gynecology, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia Department of Obstetrics and Gynecology, Dr. Zainoel Abidin Hospital, Banda Aceh, 24415, Indonesia
Seyi S. Enitan Department of Medical Laboratory Science, Babcock University, Ilishan-Remo, Ogun State, 121103, Nigeria
Akele R. Yomi Afe Babalola University, Ado Ekiti, 360102, Nigeria
Abiodun Durosinmi State Hospital, Ijebu Ode, Ogun State, 120101, Nigeria
Esther N. Adejumo Department of Medical Laboratory Science, Babcock University, Ilishan-Remo, Ogun State, 121103, Nigeria
Eyiuche D. Ezigbo Department of Medical Laboratory Sciences, Faculty of Health Sciences & Technology, University of Nigeria, Nsukka, Enugu State, 40006, Nigeria
Elham Babadi Research Fellow, Mayo Clinic, Rochester, 14604, USA
Edris Kakemam Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, 516599001, Iran
Irfan Ullah Department of Internal Medicine, Kabir Medical College, Gandhara University, Peshawar, 25000, Pakistan
Najma I. Malik Department of Psychology, University of Sargodha, Sargodha, 40100, Pakistan
Francesco Rosiello Department of Public Health and Infectious Disease, Sapienza-University of Rome, Rome, 00185, Italy
Talha B. Emran Department of Pharmacy, BGC Trust University Bangladesh, Chittagong, 4381, Bangladesh
Eva Imelda Department of Ophthalmology, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia
Guilherme W. Wendt Department of Life Sciences, Faculty of Medicine, Western Paraná State University, Francisco Beltrão, 85601-970, Brazil
Morteza Arab-Zozani Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, 97, Iran
Kuldeep Dhama Division of Surgery, ICAR-Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, 243122, India Division of Pathology, ICAR-Indian Veterinary Research Institute,, Izatnagar, Bareilly, Uttar Pradesh, 243122, India
Mudatsir Mudatsir Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia Tropical Disease Centre, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia Department of Microbiology, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia
Harapan Harapan Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia Tropical Disease Centre, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia Department of Microbiology, School of Medicine, Universitas Syiah Kuala, Banda Aceh, 23111, Indonesia Tsunami and Disaster Mitigation Research Centre, Universitas Syiah Kuala, Banda Aceh, 231111, Indonesia

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Motawea KR, Varney J, Gamal M, Abbas KS, Monib FA, Albuni MK, Battikh E, Sawaf B, Khairy LT, Bakkour A, Muwaili AHH, Abdelmajid FAA, Ahmed EMS, Muwaili DHH, Ahmed SMA, Swed S. Meta-analysis of the relation between irritable bowel syndrome and antibodies against endogenous gonadotropin-releasing hormone and its receptor. Proc (Bayl Univ Med Cent) 2022;36:61-65. [PMID: 36578611 PMCID: PMC9762813 DOI: 10.1080/08998280.2022.2093588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open

Sallam M, Anwar S, Yufika A, Fahriani M, Husnah M, Kusuma HI, Raad R, Khiri NME, Abdalla RYA, Adam RY, Ismaeil MIH, Ismail AY, Kacem W, Teyeb Z, Aloui K, Hafsi M, Dahman NBH, Ferjani M, Deeb D, Emad D, Sami FS, Abbas KS, Monib FA, R S, Panchawagh S, Sharun K, Anandu S, Gachabayov M, Haque MA, Emran TB, Wendt GW, Ferreto LED, Castillo-Briones MF, Inostroza-Morales RB, Lazcano-Díaz SA, Ordóñez-Aburto JT, Troncoso-Rojas JE, Balogun EO, Yomi AR, Durosinmi A, Adejumo EN, Ezigbo ED, Arab-Zozani M, Babadi E, Kakemam E, Ullah I, Malik NI, Dababseh D, Rosiello F, Enitan SS. Willingness-to-pay for COVID-19 vaccine in ten low-middle-income countries in Asia, Africa and South America: A cross-sectional study. Narra J 2022;2:e74. [PMID: 38450393 PMCID: PMC10914042 DOI: 10.52225/narra.v2i1.74] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 03/23/2022] [Indexed: 03/08/2024]

Abstract

Vaccine hesitancy is considered as one of the greatest challenges to control the ongoing coronavirus disease 2019 (COVID-19) pandemic. A related challenge is the unwillingness of the general public to pay for vaccination. The objective of this study was to determine willingness-to-pay (WTP) for COVID-19 vaccine among individuals from ten low- middle-income countries (LMICs) in Asia, Africa, and South America. Data were collected using an online questionnaire distributed during February - May 2021 in ten LMICs (Bangladesh, Brazil, Chile, Egypt, India, Iran, Nigeria, Pakistan, Sudan, and Tunisia). The major response variable of in this study was WTP for a COVID-19 vaccine. The assessment of COVID-19 vaccine hesitancy was based on items adopted from the World Health Organization (WHO) Strategic Advisory Group of Experts (SAGE) vaccine hesitancy scale constructs. In this study, 1337 respondents included in the final analysis where the highest number of respondents was from India, while the lowest number was from Egypt. A total of 88.9% (1188/1337) respondents were willing to pay for the COVID-19 vaccination, and 11.1% (149/1337) were not. The average WTP for COVID-19 vaccination was 87.9 US dollars ($), (range: $5-$200). The multivariate model analysis showed that the country, monthly household income, having a history of respiratory disease, the agreement that routine vaccines recommended by health workers are beneficial and having received the flu vaccination within the previous 12 months were strongly associated with the WTP. Based on the country of origin, the highest mean WTP for COVID-19 vaccine was reported in Chile, while the lowest mean WTP for the vaccine was seen among the respondents from Sudan. The availability of free COVID-19 vaccination services appears as a top priority in the LMICs for successful control of the ongoing pandemic. This is particularly important for individuals of a lower socio- economic status. The effects of complacency regarding COVID-19 extends beyond vaccine hesitancy to involve less willingness to pay for COVID-19 vaccine and a lower value of WTP for the vaccine.

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Affiliation(s)

Malik Sallam Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman, Jordan Department of Clinical Laboratories and Forensic Medicine, Jordan University Hospital, Amman, Jordan Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, Sweden
Samsul Anwar Department of Statistics, Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia
Amanda Yufika Department of Family Medicine, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia
Marhami Fahriani Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia
Milda Husnah Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Darussalam Banda Aceh, Aceh, Indonesia
Hendrix I. Kusuma Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Aceh, Indonesia Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Darussalam Banda Aceh, Aceh, Indonesia Faculty of Tarbiyah and Teacher Training, Universitas Islam Negeri Ar-Raniry, Banda Aceh, Aceh, Indonesia
Rawan Raad Faculty of Medicine and General Surgery, Sudan University of Science and Technology, Khartoum, Sudan
Namareg ME. Khiri Faculty of Medicine, University of Khartoum, Omdurman, Sudan
Rashed YA. Abdalla Faculty of Medicine, University of Bahri, Khartoum, Sudan
Rashed Y. Adam Omdurman Teaching Hospital, Omdurman, Sudan
Mohajer IH. Ismaeil Faculty of Medicine, Alzaeim Alazhari University, Khartoum, Sudan
Asma Y. Ismail Department of Internal Medicine, Faculty of Medicine, Sudan International University, Khartoum, Sudan
Wajdi Kacem Department of Emergency Medicine, Faculty of Medicine of Tunis, University Tunis el Manar, Tunisia
Zeineb Teyeb Department of Internal Medicine, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
Khaoula Aloui Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Montacer Hafsi Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Nesrine Ben Hadj Dahman Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Manel Ferjani Faculty of Dental Medicine Monastir, University of Monastir, Monastir, Tunisia
Dalia Deeb Faculty of Medicine, Zagazig University, El-sharkia, Egypt
Dina Emad Faculty of Medicine, Ain Shams university Nasr City, Cairo, Egypt
Farah S. Sami Faculty of Medicine, Ain Shams university Nasr City, Cairo, Egypt
Kirellos Said Abbas Faculty of Medicine, Alexandria University, Alexandria, Egypt
Fatma A. Monib Faculty of Medicine, Assiut University, Assiut, Egypt
Subramaniam R Department of Public Health Dentistry, Indira Gandhi Institute of Dental Sciences, Kothamangalam, India
Suhrud Panchawagh Department of General Medicine, Smt. Kashibai Navale Medical College and General Hospital, Pune, India
Khan Sharun Division of Surgery, ICAR-Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, India
Sunil Anandu Division of Veterinary Parasitology, ICAR-Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, India
Mahir Gachabayov Department of Abdominal Surgery, Vladimir City Emergency Hospital, Vladimir, Russia
Md A. Haque Department of Orthopedic Surgery, Yan an Jospital Affiliated to Kunming Medical University, Kunming, Kunming, Yunnan, China
Talha B. Emran Department of Pharmacy, BGC Trust University Bangladesh, Chittagong, Bangladesh
Guilherme W. Wendt Department of Life Sciences, Faculty of Medicine, Western Paraná State University, Brazil
Lirane ED. Ferreto Department of Public Health and Postgraduate Program in Applied Health Sciences, Faculty of Medicine, Western Paraná State University, Brazil
María F. Castillo-Briones Faculty of Medicine, University of La Frontera, Temuco, Chile
Rocío B. Inostroza-Morales Faculty of Medicine, University of La Frontera, Temuco, Chile
Sebastián A. Lazcano-Díaz Faculty of Medicine, University of La Frontera, Temuco, Chile
José T. Ordóñez-Aburto Faculty of Medicine, University of La Frontera, Temuco, Chile
Jorge E. Troncoso-Rojas Faculty of Medicine, University of La Frontera, Temuco, Chile
Emmanuel O. Balogun Department of Biochemistry, Faculty of Life Sciences, Ahmadu Bello University, Zaria, Kaduna State, Nigeria
Akele R. Yomi Medical Laboratory Science Department, College of Medicine and Health Science, Afe Babalola University, Ado Ekiti, Nigeria
Abiodun Durosinmi State Hospital, Ijebu Ode, Ogun, Nigeria
Esther N. Adejumo Department of Medical Laboratory Science, Babcock University, Ilishan-Remo, Ogun State, Nigeria
Eyiuche D. Ezigbo Department of Medical Laboratory Science, Babcock University, Ilishan-Remo, Ogun State, Nigeria
Morteza Arab-Zozani Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
Elham Babadi Mayo Clinic, Rochester, USA
Edris Kakemam Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
Irfan Ullah Department of Internal Medicine, Kabir Medical College, Gandhara University, Peshawar, Pakistan
Najma I. Malik Department of Psychology, University of Sargodha, Sargodha, Pakistan
Deema Dababseh School of Dentistry, The University of Jordan, Amman, Jordan
Francesco Rosiello Department of Public Health and Infectious Disease, Sapienza-University of Rome, Rome, Italy
Seyi S. Enitan Department of Medical Laboratory Science, Babcock University, Ilishan-Remo, Ogun State, Nigeria

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Harapan H, Anwar S, Yufika A, Sharun K, Gachabayov M, Fahriani M, Husnah M, Raad R, Abdalla RY, Adam RY, Khiri NM, Ismaeil MI, Ismail AY, Kacem W, Dahman NB, Teyeb Z, Aloui K, Hafsi M, Ferjani M, Deeb DA, Emad D, Abbas KS, Monib FA, Sami FS, Subramaniam R, Panchawagh S, Anandu S, Haque MA, Ferreto LE, Briones MF, Morales RB, Díaz SA, Aburto JT, Rojas JE, Balogun EO, Enitan SS, Yomi AR, Durosinmi A, Ezigbo ED, Adejumo EN, Babadi E, Kakemam E, Malik NI, Ullah I, Rosiello DF, Emran TB, Wendt GW, Arab-Zozani M, Wagner AL, Mudatsir M. Vaccine hesitancy among communities in ten countries in Asia, Africa, and South America during the COVID-19 pandemic. Pathog Glob Health 2021;116:236-243. [PMID: 34928187 DOI: 10.1080/20477724.2021.2011580] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open

Abstract

Vaccine hesitancy is considered one of the greatest threats to the ongoing coronavirus disease 2019 (COVID-19) vaccination programs. Lack of trust in vaccine benefits, along with concerns about side effects of the newly developed COVID-19 vaccine, might significantly contribute to COVID-19 vaccine hesitancy. The objective of this study was to determine the level of vaccine hesitancy among communities in particular their belief in vaccination benefits and perceived risks of new vaccines. An online cross-sectional study was conducted in 10 countries in Asia, Africa, and South America from February to May 2021. Seven items from the WHO SAGE Vaccine Hesitancy Scale were used to measure a construct of belief in vaccination benefit, and one item measured perceived riskiness of new vaccines. A logistic regression was used to determine which sociodemographic factors were associated with both vaccine hesitancy constructs. A total of 1,832 respondents were included in the final analysis of which 36.2% (range 5.6-52.2%) and 77.6% (range 38.3-91.2%) of them were classified as vaccine hesitant in terms of beliefs in vaccination benefits and concerns about new vaccines, respectively. Respondents from Pakistan had the highest vaccine hesitancy while those from Chile had the lowest. Being females, Muslim, having a non-healthcare-related job and not receiving a flu vaccination during the past 12 months were associated with poor beliefs of vaccination benefits. Those who were living in rural areas, Muslim, and those who did not received a flu vaccination during the past 12 months had relatively higher beliefs that new vaccines are riskier. High prevalence of vaccine hesitancy in some countries during the COVID-19 pandemic might hamper COVID-19 vaccination programs worldwide. Programs should be developed to promote vaccination in those sociodemographic groups with relatively high vaccine hesitancy.

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Affiliation(s)

Harapan Harapan Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.,Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.,Department of Microbiology, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
Samsul Anwar Department of Statistics, Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Banda Aceh, Indonesia
Amanda Yufika Department of Family Medicine, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
Khan Sharun Division of Surgery, ICAR-Indian Veterinary Research Institute, Bareilly, India
Mahir Gachabayov Department of Abdominal Surgery, Vladimir City Emergency Hospital, Vladimir, Russia
Marhami Fahriani Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
Milda Husnah Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.,Master Program of Biology, Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Banda Aceh, Indonesia
Rawan Raad Faculty of Medicine and General Surgery, Sudan University of Science and Technology, Sudan
Rashed Ya Abdalla Faculty of Medicine, University of Bahri, Sudan
Rashed Y Adam Omdurman Teaching Hospital, Sudan
Namareg Me Khiri Faculty of Medicine, University of Khartoum, Omdurman, Sudan
Mohajer Ih Ismaeil Faculty of Medicine, Alzaiem Alazhari University, Sudan
Asma Y Ismail Department of Internal Medicine, Faculty of Medicine, Sudan International University, Sudan
Wajdi Kacem Department of Emergency Medicine, Faculty of Medicine of Tunis, University Tunis El Manar, Tunisia
Nesrine Bh Dahman Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Zeineb Teyeb Department of Internal Medicine, Faculty of Medicine of Tunis, University of Tunis El Manar, Tunis, Tunisia
Khaoula Aloui Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Montacer Hafsi Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Manel Ferjani Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Dalia A Deeb Faculty of Medicine, Zagazig University, Egypt
Dina Emad Faculty of Medicine, Ain Shams University, Nasr City, Cairo, Egypt
Kirellos Said Abbas Faculty of Medicine, Alexandria University, Egypt
Fatma A Monib Faculty of Medicine, Assiut University, Assiut, Egypt
Farah S Sami Faculty of Medicine, Ain Shams University, Nasr City, Cairo, Egypt
R Subramaniam Department of Public Health Dentistry, Indira Gandhi Institute of Dental Sciences, India
Suhrud Panchawagh Department of General Medicine, Smt. Kashibai Navale Medical College and General Hospital, Pune, India
Sunil Anandu Division of Veterinary Parasitology, ICAR-Indian Veterinary Research Institute, Bareilly, India
Md Ariful Haque Division of Veterinary Parasitology, ICAR-Indian Veterinary Research Institute, Bareilly, India.,Department of Orthopedic Surgery, Yanan Hospital Affiliated to Kunming Medical University, Kunming, Yunnan, China
Lirane Ed Ferreto Department of Public Health and Postgraduate Program in Applied Health Sciences, Faculty of Medicine, Western Paraná State University, Brazil
María Fc Briones Faculty of Medicine, University of La Frontera, Temuco, Chile
Rocío Bi Morales Faculty of Medicine, University of La Frontera, Temuco, Chile
Sebastián Al Díaz Faculty of Medicine, University of La Frontera, Temuco, Chile
José To Aburto Faculty of Medicine, University of La Frontera, Temuco, Chile
Jorge Et Rojas Faculty of Medicine, University of La Frontera, Temuco, Chile
Emmanuel O Balogun Department of Biochemistry, Faculty of Life Sciences, Ahmadu Bello University, Zaria, Nigeria
Seyi S Enitan Babcock University, Ibadan, Nigeria
Akele R Yomi Afe Babalola University, Ado Ekiti, Nigeria
Abiodun Durosinmi Covenant University Medical Center, Ota, Nigeria
Eyiuche D Ezigbo Department of Medical Laboratory Sciences, Faculty of Health Sciences & Technology University of Nigeria, Nigeria
Esther N Adejumo Babcock University, Ibadan, Nigeria
Elham Babadi Research Fellow, Mayo Clinic, Rochester, NY, USA
Edris Kakemam Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
Najma I Malik Department of Psychology, University of Sargodha, Sargodha, Pakistan
Irfan Ullah Department of Internal Medicine, Kabir Medical College, Gandhara University, Peshawar, Pakistan
Dott F Rosiello Department of Public Health and Infectious Disease, Sapienza-University of Rome, Rome, Italy
Talha B Emran Department of Pharmacy, Bgc Trust University Bangladesh, Bangladesh
Guilherme W Wendt Department of Life Sciences, Faculty of Medicine, Western Paraná State University, Brazil
Morteza Arab-Zozani Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
Abram L Wagner Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA
Mudatsir Mudatsir Medical Research Unit, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia.,Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.,Department of Microbiology, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia

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Rosiello DF, Anwar S, Yufika A, Adam RY, Ismaeil MIH, Ismail AY, Dahman NBH, Hafsi M, Ferjani M, Sami FS, Monib FA, Subramaniam R, Anandu S, Haque MA, Ferreto LED, Aburto JTO, Rojas JET, Enitan SS, Yomi AR, Ezigbo ED, Babadi E, Kakemam E, Malik NI, Ullah I, Sallam M. Acceptance of COVID-19 vaccination at different hypothetical efficacy and safety levels in ten countries in Asia, Africa, and South America. Narra J 2021;1:e55. [PMID: 38450212 PMCID: PMC10914086 DOI: 10.52225/narra.v1i3.55] [Citation(s) in RCA: 54] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/05/2021] [Accepted: 11/25/2021] [Indexed: 03/08/2024]

Abstract

Vaccine hesitancy, defined as the reluctance or rejection in receiving a vaccine despite its availability, represents a major challenge to global health efforts aiming to control the ongoing COVID-19 pandemic. Understanding the possible factors correlated with COVID-19 vaccine hesitancy using a refined well-informed approach can be helpful to address the phenomenon. The current study aimed to evaluate COVID-19 vaccine acceptance rates using four hypothetical scenarios of varying levels of vaccine efficacy and safety profiles in ten Asian, African and South American countries. These scenarios included: 95% efficacy and 20% side effects (Vaccine A), 75% efficacy and 5% side effects (Vaccine B); 75% efficacy and 20% side effects (Vaccine C) and 50% efficacy and 5% side effects (Vaccine D). This study used a self-administered online survey that was distributed during February-May 2021. The total number of study respondents was 1337 with countries of residence as follows: India (21.1%), Pakistan (12.9%), Sudan (11.2%), Nigeria (9.3%), Iran (8.2%), Bangladesh and Brazil (7.9%), Chile (7.7%), Tunisia (7.6%), and Egypt (6.2%). The overall acceptance rates for COVID-19 vaccination were variable based on varying degrees of safety and efficacy as follows: 55.6% for Vaccine C, 58.3% for Vaccine D, 74.0% for Vaccine A and 80.1% for Vaccine B. The highest levels of COVID-19 vaccine acceptance were observed in Brazil followed by Chile across the four different safety and efficacy scenarios. The lowest COVID-19 vaccine acceptance rates were reported in Egypt and Tunisia for the low safety scenarios (20% side effects), and the low efficacy scenario (50% efficacy). The study revealed the potential effect of vaccine safety and efficacy on the intention to get COVID-19 vaccination. At the same efficacy level, higher possibility of side effects caused a large drop in COVID-19 vaccine acceptance rate. This indicates the importance of accurate communication regarding vaccine safety and efficacy on attitude towards the vaccine and intentions to get vaccinated. Regional differences in COVID-19 vaccine acceptance were observed with the Middle East/North African countries showing the lowest rates and the South American countries displaying the highest vaccine acceptance rates.

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Affiliation(s)

Dott F. Rosiello Department of Public Health and Infectious Disease, Sapienza-University of Rome, Rome, Italy
Samsul Anwar Department of Statistics, Faculty of Mathematics and Natural Sciences, Universitas Syiah Kuala, Banda Aceh, Indonesia
Amanda Yufika Department of Family Medicine, School of Medicine, Universitas Syiah Kuala, Banda Aceh, Indonesia
Rashed Y. Adam Omdurman Teaching Hospital, Khartoum, Sudan
Mohajer IH. Ismaeil Faculty of Medicine, Alzaiem Alazhari University, Khartoum, Sudan
Asma Y. Ismail Department of Internal Medicine, Faculty of Medicine, Sudan International University, Khartoum, Sudan
Nesrine BH. Dahman Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Montacer Hafsi Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Manel Ferjani Faculty of Medicine of Tunis, University of Tunis El Manar, Tunisia
Farah S. Sami Faculty of Medicine, Ain Shams University, Nasr City, Cairo, Egypt
Fatma A Monib Faculty of Medicine, Assiut University, Assiut, Egypt
R Subramaniam Department of Public Health Dentistry, Indira Gandhi Institute of Dental Sciences, Nellikuzhi, Kothamangalam, Kerala, India
Sunil Anandu Division of Veterinary Parasitology, ICAR-Indian Veterinary Research Institute, Izatnagar, Bareilly, Uttar Pradesh, India
Md Ariful Haque Department of Orthopedic Surgery, Yan'an Hospital Affiliated to Kunming Medical University, Kunming, Yunnan, China
Lirane ED. Ferreto Department of Public Health and Postgraduate Program in Applied Health Sciences, Faculty of Medicine, Western Paraná State University, Brazil
José TO. Aburto Faculty of Medicine, University of La Frontera, Temuco, Chile
Jorge ET. Rojas Faculty of Medicine, University of La Frontera, Temuco, Chile
Seyi S. Enitan Department of Medical Laboratory Science, Babcock University, Ilishan-Remo, Ogun State, Nigeria
Akele R. Yomi Department of Medical Laboratory Science, Afe Babalola University, Ado Ekiti, Nigeria
Eyiuche D. Ezigbo Department of Medical Laboratory Sciences, Faculty of Health Sciences & Technology University of Nigeria, Enugu State Nigeria
Elham Babadi Research Fellow, Mayo Clinic, Rochester, USA
Edris Kakemam Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
Najma I. Malik Department of Psychology, University of Sargodha, Sargodha, Pakistan
Irfan Ullah Department of Internal Medicine, Kabir Medical College, Gandhara University, Peshawar, Pakistan
Malik Sallam Department of Pathology, Microbiology and Forensic Medicine, School of Medicine, The University of Jordan, Amman Jordan Department of Clinical Laboratories and Forensic Medicine, Jordan University Hospital, Amman Jordan Department of Translational Medicine, Faculty of Medicine, Lund University, Malmö, Sweden

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Shazly SA, Shawki AA, Ahmed MM, Monib FA, Radwan AA, Sedik AS, Said AE, Ali SS, Abouzeid MH, Sayed EG, Nassr AA, Eltaweel NA, Hortu I, Hassan RM, Abdelbadie AS. Middle-East OBGYN graduate education (MOGGE) foundation practice guidelines: use of labor charts in management of labor. Practice guideline no. 04-O-21. J Matern Fetal Neonatal Med 2021;35:7280-7289. [PMID: 34470117 DOI: 10.1080/14767058.2021.1946787] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]