11 research outputs found
Folio
No full textJonson, Robert-Article-What Interfaith Dialogue Should and Shouldn't be at FCC. pp. 1-3; Suhail Umar-Article-Between Secular Pluralism and Religious Exclusivism. pp. 4-11; Nisar Ahmed-Article-Interfaith Relationship. pp. 12; Abdul Ghani-Article-Religious Harmony. pp. 13-16; Bashir Ahmed Khan-Article-The Politics of Interfaith Dialogue. pp. 17-19; Abur Razzaq Black-Article-The Adobe of Peace. pp. 20-24; Anood Alta-Article-Technology has Replaced Faith. pp. 25; Riaz Akbar Somrai-Article-Peace Exclusive. pp. 26-27; Interview-An Interview with General Pervaiz Musharaf. pp. 29-32; Memoirs from Across the Border. pp. 33-35; Kuldip S. Bajwa-Zulfie, My Friend. pp. 36-37; Ch. Muhammad Aslam-My Memories, My Wealth. pp. 38; Kuldip S. Bajwa-One Upmanship. pp. 39-40; Shakila Noor Sindhu-Folio's Visit to India. pp. 41-42; Mirza Ather Baig-Article-Globalization and Global Claustrophobia. pp. 43-47; Thomson, Carol B.-Article-How People Engage in Global Conversations. pp. 48-49; Marryum Ishaque-Article-Global Economy and Trade Liberalization. pp. 50; Fawzia Afsal-Khan-Article-Edward Said: The Decolonizer as Humanist. pp. 51-56; Hall, Geof M.-Article-Under Western Eyes. pp. 57-62; Nasim Riaz Butt-Article-Of Culture. pp. 63-64; Farid Malik-Article-The Third World, Islamic Ummah and the Third World War. pp. 65-67; Bilkis Hussain-Article-Gender Empowerment for Socio-Economic Development. pp. 68; Omer Habib-Article-Saying Goodbye to Traditions. pp. 69; Aqsa Ijaz-Article-Puppets in the Hands of Society. pp. 70-72; Interview-An Interview with Dr Grace C. Clark. pp. 73-77; Struck, Craig-Article-Coping with Emotional Stress. pp. 78-81; Waseem Anwar-Article-Higher Education. pp. 82-85; Zamir Hussain-My Dear Undergrads and a Ghanaian Poet. pp. 86-87; Muhammad Usman-Educational Stereotypes. pp. 88-89; A. Riaz, S. Nathaniel, R. Javed-Article-A Fullbright Experience: A Dream Come True. pp. 90-94; Nausheen Ishaque-Article-Art versus Morality. pp. 95-97; Iffat Khatoon-Article-The Theatrics of Masking. pp. 98-100; Zoeya Naqvi-Article-On Humour. pp. 101; Azzam Siddique-All that Red Stuff. pp. 102-103; Riaz Akbar Somrai-Article-Paradise Hath Descended on Earth. pp. 104-105; Ashraf, C. M.-Article-Chemistry and Community. pp. 106-108; Bilkis Hussain-Article-Is Science a Bane or a Boon. pp. 109-110; Muhammad Usman-Article-The Technological Evils. pp. 111; Zoeya Naqvi-About Love Unattainable. pp. 112; Pannu, P. S.-Smiling to Glory. pp. 113-114; Inayatullah Khan-Article-Common Sense Ought Not to be so Uncommon. pp. 115-116; Kenneth Pervaiz-Today's Naked Man. pp. 117; Beenish Fatima-No One Wants to be Themselves These Days. pp. 118; Zeeshan Zaighum-Feelings. pp. 119; Usama-Dreams. pp. 120; Burke, Cheryl-What Does a Good Student Look Like. pp. 121; Haider F. Halim-The Golden Registration Day. pp. 122-123; Imran Bashir-Proud to be a Formanite. pp. 124-125; Sundus Maqbool-Do We Even Exist? pp. 126; Haider Farooq-Class Versus Cafeteria. pp. 127; Furqan Ali Akhtar-Conventional Consequences of Academic Achievements. pp. 128; Report-Campus Roundup. pp. 129-132; Kudos to FCC Faculty and Students. pp. 133; Imran Iqbal-International Negotiations. pp. 134; Formanites Alumni Association. pp. 135-136; Foreign Faculty at FCC: A Survey. pp. 137-138; Luqman Saeed-An Immoral Activity. pp. 139; Arooj Wahid-Story-Haji Sahib. pp. 140; Farhan Hashmi-Story-Untitled. pp. 141; Talha Mahboob-Story-If She Could Know. pp. 142-143; Maureen Miscus Crisick-Poetry-Arguing with Sand in Mali. pp. 144; Talha Mahboob-Poetry-Do They Care? pp. 144; Bilkis Hussain-Poetry-Less is More. pp. 145; Ramla Zaheer-Poetry-Dare Face the Challenge. pp. 145; Bilkis Hussain-Poetry-Memories. pp. 146; Umar Tahir-Poetry-Once.... pp. 146; Arif Qureshi-Poetry-Nostalgia. pp. 147; Shaharyar Khan-Poetry-To Dust. pp. 147; Easha Farooq-Poetry-Memories. pp. 148; Aakash Qasir Iqbal-Poetry-Hummingbirds. pp. 148; Jawad, M.-Poetry-Everlasting Attachments.... pp. 149; Arif Qureshi-Poetry-Reminiscences. pp. 149; Birinder Kaur Pannu-Poetry-A Requiem for Our Silky. pp. 150; Junaid Ali-Poetry-Here I am. pp. 150; Awan, M. Shaheer-Poetry-I Desire to Paint You. pp. 151; Uzma Azad-Poetry-Silent Wish. pp. 151; Uzma Azad-Poetry-Some Day. pp. 152; Amber M. Gill-Poetry-Patience. pp. 152; Ramla Zaheer-Poetry-Life Goes On. pp. 153; Awan, M. Shaheer-Poetry-Lost Angel. pp. 153; Jawad, M.-Poetry-The Foggy Trees. pp. 154; Sadia Riaz-Poetry-Tears and Laughter. pp. 154; Hafiz Ali Aziz Khokhar-Poetry-I Shine Now. pp. 155; Nauman Ahmad-Poetry-Life is Ephemeral. pp. 155; Ramla Zaheer-Poetry-To Time and Fate. pp. 156; Muhammad Adeel Ahmad-Poetry-Death of Beauty. pp. 156; Hafiz Ali Aziz-Poetry-What Should I do? pp. 157; Shaheryar Khan-Poetry-What May I Think? pp. 157; Azzam Saddique-Poetry-The Smith. pp. 158; Rao Ayyaz Ahmad-Poetry-Assignment Girls College. pp. 159; Zeeshan Zaighum-Poetry-Divorce. pp. 159; Folio [Urdu]. 146 p.Editorial Board (English). before the Editorial page; Kennedy Hall, Forman Christian College (1959-60). after page 30; Folio team with the President of Pakistan. after page 30; Offices. page 160; Visitors. after page 160; Convocation. after page 160; Sports. after page 160; Societies. after page 160; Drama. after page 160; Music. after page 160; College Life. after page 160; Alumni. after page 160; Sundaisay. after page 16
Surgical Outcome of Endoscopic Third Ventriculostomy in Patients Having High ETV Success Score: One-Year Experience at a Tertiary Care Hospital
No full textBackground & Objective: Endoscopic third Ventriculostomy (ETV) is an accepted alternative to VP shunt in patients with obstructive hydrocephalus. We will share our experience and outcome.
Materials & Methods: Thirty consecutive ETV cases performed by a single surgeon during 1 year in patients with an ETV success score of 60 or higher were included in this study. Patients’ demographics, outcomes, and complications are reported.
Results: (60%) were male and 12 (40%) were female. The mean age in our study was 6.1 years ± 9 (mean ± SD). Posterior fossa tumor was the most common etiology in our series (46.6%) followed by aqueductal stenosis (23.3%). Eighty percent of our patients did not experience an ETV failure. The complication rate was 20%. Inadequate ventriculostomy in 6.6% of the patients was the commonest complication.
Conclusion: ETV is safe and effective in patients with high ETV success scores
Insights to Chronic Pain in Hernia Repair: Clinicopathological Assessment of Incidence, Predictors, and Long-Term Outcomes in Tertiary Healthcare Settings
No full textBackground: Chronic pain is a known complication of hernia repair, yet little data are document its incidence or impact on the patient\u27s quality of life. The purpose of this study was to investigate the prevalence of chronic pain after hernia repair, identify the main predictors, and assess the long-term outcomes among those patients.
Methods: A retrospective cohort study was conducted from April 2023 to June 2023 on 80 hernia patients (mean age 52.3 ± 11.8 years). Chronic pain (lasting more than 3 months postoperatively) was assessed, with predictors of chronic pain and the long-term effects on recovery. This study was performed using a conventional sampling method at two tertiary care hospitals i.e. Shaikh Zayed Hospital and Akhtar Saeed Hospital in Lahore. The data were analyzed using the software SPSS version 20 via ANOVA testing (p-value<0.05 statistically significant).
Results: Among the 80 patients who took part in the study, 15 (18.8%) reported chronic pain after surgery, with a mean duration of 6.2 ± 2.4 months. However, the incidence of chronic pain was significantly higher in the herniorrhaphy group (28.1%) than in the hernioplasty group (16.7%, p = 0.042). Older patients (p = 0.022), prior hernia recurrence (p = 0.017), and low preoperative serum albumin levels (<3.5g/dL, p = 0.030) were all predictors of chronic pain.
Conclusion: Chronic pain after hernia repair is a major complication with a high incidence in many patients following herniorrhaphy. Important specific predictors for chronic pain include older age, recurrent hernias, and low serum albumin levels
Folio
No full textPlatinum EditionGod Bless Them! pp. 1; In Memory of Prof. Khurshid A. Gill. pp. 2; Sandhu, M. Y.-Poetry-Memories of the Bye-gones. pp. 2; Arif Qureshi-In dulcet memory... pp. 3-4; Arif Qureshi-Poetry-Reminiscences. pp. 4; Ravia Shabeen-The Folio (Registering its History). pp. 5-6; Folio (Year by Year). pp. 7-8; Interview-The Living Legend (F.E. Chaudhry is the oldest Formanite alive, to the best of our knowledge). pp. 9-10; Interview-An Hour with Mian Muhammad Somroo. pp. 11-12; Zainab Mohsin-Buildings. pp. 13-14; Agha Mohsin Sohail-Formanites Are Great. pp. 15-17; Once A Formanite... Always A Formanite. pp. 18-20; Haque Nawaz Cheema-Love for my Institution. pp. 21; Agha Saeed-Old is Gold, New is Silver. pp. 22; Lamia Islam Khan-My Favourite Place. pp. 23; Sara Kanwal-Motivation Forever. pp. 24-25; Bilkis Hussain-Before Sunset. pp. 26; Farid A. Malik-Back to 1958. pp. 27-28; The Excellers. pp. 29-30; Position Holders (Convocation 2008). pp. 31; Survey. pp. 33-34; Donald Alfred Smith-Poetry-A Valentine. pp. 35; Easha Farooq-Love - A Human Need. pp. 36; Fatima Majeed-Defining Love. pp. 37; Bahawal Shehryar-A Fundamentalist. pp. 38; Farhat Aziz-Essay-Concept of Love in Christianity and Islam. pp. 39-40; Fatima Tahir-Mother's Love. pp. 41; Rabiya Khawar-A Blessing for the Two Worlds. pp. 42; Anam Khalid-Etymology of Love. pp. 43; Noor Nisha-Beauty of Love. pp. 44; Ayesha Rana-The Ultimate Aim. pp. 45; Madiha Sundas Rana-I Love thee for a Heart that is Kind. pp. 46; Rabiya Khawar-True Love Never Dies. pp. 47; Amina Jamil-Love - A Timeless Essence. pp. 48; Farhan Hashmi-Love Its Immortal. pp. 49; Kashifa Khalid-A Quest. pp. 50; Daud Aziz Khokher-Love!!! pp. 51-52; Bilkis Hussain-The Truth about Love!!! pp. 53; Alvi, M. Zohaib-Love in Politics. pp. 54; Fatima Arif-Waiting to be Loved like Before. pp. 55-56; Azzam Saddique-Essay-My Symphony for the Deaf. pp. 57-59; Rabiya Khawar-The Quaid-e-Azam. pp. 60-61; Tajwar Ali-Essay-The Unique Location of My Gilgit Baltistan. pp. 62-63; Ramla Ashfaq-Turn Minus Into Plus. pp. 64; Furqan Ali Akhtar-My Childhood Love. pp. 65-66; Kashifa Khalid-Silent Screams. pp. 67-68; Beenish Khokhar-Where we Started? Where we end? pp. 69-70; Omer Habib-Falling Apart. pp. 71; Sobia Kiran-A Speech by my Dream-Minister. pp. 72-74; Interview-An Evening with Javed Iqbal. pp. 75-79; Adil Khurram-Story-Deception. pp. 81-82; Shehzad, M. Shehril-Story-Whatever happened to... pp. 83; Bhatti, M. Umar-Story-Spell. pp. 84-85; Usman Khalid-Story-Love. pp. 86; Umer Murtaza Qureshi-Story-Road Kill. pp. 87-88; Shehzad, M. Shehril-Story-...as I sat down, I sensed something was Different... pp. 89; Hassan Noor Assad-Story-Born Again. pp. 90; Muhammad Adeel-Story-The Cookies. pp. 91-92; Waseem Anwar-Poetry-Out West and the Rule of the Law. pp. 93; Zainab Mohsin-Poetry-Life goes on. pp. 94; Bilkis Hussain-Poetry-Paint me, please. pp. 94; Minam Ahmed-Poetry-Mother. pp. 95; Usman Nasir-Poetry-My tears. pp. 95; Jahanzaib Aslam-Poetry-Untitled. pp. 96; Mehwish Shafi-Poetry-A Fairy Who Lives with Me. pp. 96; Rashion Sajid-Poetry-Old days. pp. 97; Abdul Rehman-Poetry-Essence. pp. 97; Saadia Riaz Sehole-Poetry-Can you justify it? pp. 98; Saad Sarfraz Sheikh-Poetry-The Wishlist thing of mine. pp. 98; Razzaq, M. Sarmad-Poetry-Till we meet again. pp. 99; Fariha Qayyum-Poetry-We...The Formanite. pp. 99; Sohaib Zaheer-Poetry-By Love Serve One Another. pp. 100; Fakiha Komal-Poetry-The Lost Love. pp. 100; Irteza Rehman-Poetry-Realization. pp. 101; Sana Jennifer-Poetry-The Art of Giving. pp. 102; Rizwan Kamran-Poetry-Guess! Who is it? pp. 102; Kamran Akram Gondal-Poetry-Common Things. pp. 103; Rabia Ashfaq-Poetry-The Dying Sun. pp. 103; Hafiz Muhammad Hamza Sehole-Poetry-My Dear Parents. pp. 104; Farhan Hashmi-Poetry-Innocence. pp. 104; Ahmed Farooq-Poetry-All I see is You. pp. 105; Sadia Riaz Sehole-Poetry-Life is at Risk. pp. 105; Goraya, M. Furqan-Poetry-Friendship. pp. 106; Omar Farooq-Poetry-Birth. pp. 106; Iqbal, M. Shaheer-Poetry-In the Shades of Blossom. pp. 107; Nauman Ahmed-Poetry-Life is not what I thought it to be. pp. 107; Haider, S. Zulqarnain-Poetry-Truth. pp. 108; Goraya, M. Furqan-Poetry-Examinations. pp. 108; Prof. Arif Qureshi-Poetry-Dreams. pp. 109; Sheraz Ashraf-Poetry-Lonely Heart. pp. 109; Easha Farooq-Poetry-Winter's Tale. pp. 110; Sana Alvi-Poetry-After She Left Me. pp. 110; Sandhu, M. Y.-Poetry-She comes Not. pp. 111; Erum George-Poetry-Change. pp. 111; Muhammad Adeel-Poetry-Peace. pp. 112; Adeel Anwar-Poetry-Vengeance. pp. 112; Azzam Saddique-A ""Prefect"" Story. pp. 113-114; Muhammad Adeel-Flirtation. pp. 115; Saad Sarfraz-Misery Loves Company. pp. 116-117; Haider F. Halim-No Donkeys in New York. pp. 118-119; Lamia Islam Khan-How to prepare a Bride? pp. 120; Saba Zareen-Modern Love Letter. pp. 121; Lamia Islam Khan-Load Shedding. pp. 122; Zafar Khattak-Application to the Staff Editor. pp. 123; Augustine, Milcah-Cartoons. pp. 124-126; Riaz Akbar Somairi-Article-Prospects of Peace in Multicultural South Asia. pp. 127-128; Bakhtawar Khan-Caste System. pp. 129-130; Abdur Rehman Farrukh-Women are not born. They are made. pp. 131-132; Fraaz Mehmud-Romanticism as a Pillar of Nationalism. pp. 133-134; Fizza Ali Shah-Is mobile phone use among youngsters really a menace? pp. 135-136; Mehreen Ali Kasana-One Muffled Scream. pp. 137-138; Kamal ud Din-Dr. Kamal ud Din. pp. 139-140; Miss Zara Hussain. pp. 141; Miss Saima Saleem. pp. 142; Beenish Khokhar-Unforgettable Tour. pp. 143-144; Rizwan Kamran-The Teacher. pp. 145; Maryam Azhar-IT: A New, Challenging Dimension. pp. 146-148; Folio [Urdu] 148 p.Editorial Board (English). 2 pages before Editorial; Advisory Board. 1 page before Editorial; Prof. Khurshid A. Gill & Mr Perviaz Rehmatullah. page 1; F. E. Chaudhry. after page 10; Mian Muhammad Somroo. before page 11; Society Presidents. before page 29; Political Cartoons created by Javed Iqbal (Famous Cartoonist). on 2 pages, after page 79; 20 pages of pictures, Memories, Commencement 2008: Convocation, Valedictory 2009, Sports Day, Line Work, The Story of Yester Years, People Who Make Difference, Campus Life, Societies, Drama. after page 148; Folio Team with Prof Dr K. K. Aziz. after page 8 (Urdu side); Editorial Board (Urdu). 1 page before Urdu Content
Efficacy and safety of treosulfan- vs. busulfan-based conditioning regimens in adult allogeneic hematopoietic stem cell transplantation for myelodysplastic syndromes and acute myeloid leukemia: A systematic review and meta-analysis
No full textPredicting LIS Scholarly Research Directions In The Era Of Data Science
No full textAbstract
Purpose –The purpose of this paper is to present the quantitative analysis of scholarly literature published worldwide on Data Science in the field of Library and Information Science (LIS).
Design/methodology/approach –The Web of Science (WoS) Core Collection database was used as the main source for extracting data from the published documents during the period 2010-2019. The analysis of the published documents was based on the following important trends: Number of Data Science publications in all fields, Number of Data Science publications in the LIS field, the most cited document type on Data Science in LIS perspective, the most prolific author, the most productive publication year, the most productive country, annual citations, highly cited journal and research article on Data Science in LIS perspective, highly contributing research organizations and group authors on Data Science in LIS field and highly contributing universities on Data Science in LIS field during the period 2010-2019. The types of documents considered in this study were research articles, conference proceeding papers, book chapters, book reviews and editorial material.
Findings –The findings of this study showed that the USA possessed the highest number of publications on Data Science in the field of LIS. The total number of publications on Data Science including all fields was 106,028 and the number of publications on Data Science in LIS perspective was 3,799 during the period 2010-2019. The year 2019 was identified as the most productive year as the research output in this year was maximum. IEEE was identified as the most productive research organization/group author, Wuhan University China as the most productive university and the Journal of Scientometrics was declared as the most prolific journal on Data Science in LIS perspective during the period 2010-2019. Bornmann Lutz, from Germany, was identified as the most prolific author with a total of 69 publications and the article titled “Business Intelligence and Analytics: From Big Data to Big Impact” was the highly cited article on Data Science in LIS perspective during the period 2010-2019.
Originality/value –The study will be of great importance for students, scholars, educationists, professionals and researchers who intend to perform Scientometrics research studies in the LIS field
Bismuth sensitized iron oxide on exfoliated graphene oxide (Bi–Fe2O3@GO) for oxygen evaluation reaction
No full textAbstract Electrochemical water splitting is a promising approach towards a sustainable and renewable energy source. However, the demand for high anodic potential and sluggish kinetics of oxygen evolution reaction (OER) restrict the efficiency and feasibility of the water-splitting process. In this quest, transition metal oxides and alloys are considered potential candidates owing to their natural occurrence and high redox potential for OER. However, many associated challenges in their use are still there to be addressed. Here, we designed a new class of bismuth-doped iron oxide on exfoliated graphene oxide by optimizing the metal loading on the conductive support to facilitate the flow of charge during catalysis. The catalytic ability of the synthesized Bi-doped nanocomposites was evaluated in activating the OER under extreme alkaline conditions (1 MKOH). On screening different combinations, 20Bi–Fe2O3@GO was identified as the most efficient and sustainable electrocatalyst even under harsh operating conditions, with an onset potential of 1.48 V and a Tafel slope of 65 mV/dec. The current study offers a new class of Bi-doped electrocatalysts, where the precise doping of Bi and the optimized loading of metal was found the key to achieving low onset potential and high current density to initiate OER. Graphical abstrac
Metal-organic framework (MOF) templated hierarchical Al-doped CoxP @ graphene composite: A promising solid-state asymmetric supercapacitor with PANI derived carbon nanorods
No full textThis register contains two pdf files, the main article and other of supplementary material.Metal phosphides are counted as smart electrodes for the supercapacitor field due to their fascinated capacity and conductive features. However, these materials are still suffering from lower conductivity, and significant changes in volume while cycling restricting their potential usage as cathode for such technology. In this study, a novel strategy was primarily established for building hierarchical Al-doped CoxP sheets on graphene as 2D on 2D nanoarchitecture with outstanding electrochemical properties. The hierarchical structure was formed through a cost-effective, and scalable hydrothermal method from a metal-organic framework followed by an efficient phosphorization step. Impressively, the graphene incorporation and Al doping besides morphology merit could largely improve the electrochemical properties of cobalt phosphide. Thus, the new material recorded an outstanding specific capacity as 312.3 mAh/g at an adjusted current density of 1 A/g which is relatively higher compared with the bare Al-CoxP with considerable capacitance retention of 87 % (at 40 A/g). Furthermore, the diffusion-controlled, and capacitive currents were differentiated using standard numerical packages in Python. Motivally, a solid-state asymmetric supercapacitor of Al-CoxP @ rGO//PCNRs was designed to give an ultrahigh energy density of 77.3 Wh/kg at a tuned power density of 1050.5 W/kg with remarkable cycling stability (90 % retention after 10,000 cycles).This research work is supported by the National Research Foundation of Korea (NRF) funded by the Ministry of Education (Grant Numbers: NRF-2019R1l1A3A010638331, NRF-2022R1I1A1A01069960) and NRF-2021R1I1A1A01059870), Hannam University research fund in 2024. The researchers would like to acknowledge Deanship of Scientific Research, Taif University for funding this work. Bidhan Pandit acknowledges the CONEX-Plus programme funded by Universidad Carlos III de Madrid (UC3M) and the European Commission through the Marie-Sklodowska Curie COFUND Action (Grant Agreement No 801538). Bidhan Pandit also acknowledges Universidad Carlos III de Madrid (Read & Publish Agreement CRUE-CSIC 2023) for funding the article processing charge (APC) to make this article open access
Global Incidence and Risk Factors Associated With Postoperative Urinary Retention Following Elective Inguinal Hernia Repair
No full textImportance: Postoperative urinary retention (POUR) is a well-recognized complication of inguinal hernia repair (IHR). A variable incidence of POUR has previously been reported in this context, and contradictory evidence surrounds potential risk factors. Objective: To ascertain the incidence of, explore risk factors for, and determine the health service outcomes of POUR following elective IHR. Design, Setting, and Participants: The Retention of Urine After Inguinal Hernia Elective Repair (RETAINER I) study, an international, prospective cohort study, recruited participants between March 1 and October 31, 2021. This study was conducted across 209 centers in 32 countries in a consecutive sample of adult patients undergoing elective IHR. Exposure: Open or minimally invasive IHR by any surgical technique, under local, neuraxial regional, or general anesthesia. Main Outcomes and Measures: The primary outcome was the incidence of POUR following elective IHR. Secondary outcomes were perioperative risk factors, management, clinical consequences, and health service outcomes of POUR. A preoperative International Prostate Symptom Score was measured in male patients. Results: In total, 4151 patients (3882 male and 269 female; median [IQR] age, 56 [43-68] years) were studied. Inguinal hernia repair was commenced via an open surgical approach in 82.2% of patients (n = 3414) and minimally invasive surgery in 17.8% (n = 737). The primary form of anesthesia was general in 40.9% of patients (n = 1696), neuraxial regional in 45.8% (n = 1902), and local in 10.7% (n = 446). Postoperative urinary retention occurred in 5.8% of male patients (n = 224), 2.97% of female patients (n = 8), and 9.5% (119 of 1252) of male patients aged 65 years or older. Risk factors for POUR after adjusted analyses included increasing age, anticholinergic medication, history of urinary retention, constipation, out-of-hours surgery, involvement of urinary bladder within the hernia, temporary intraoperative urethral catheterization, and increasing operative duration. Postoperative urinary retention was the primary reason for 27.8% of unplanned day-case surgery admissions (n = 74) and 51.8% of 30-day readmissions (n = 72). Conclusions: The findings of this cohort study suggest that 1 in 17 male patients, 1 in 11 male patients aged 65 years or older, and 1 in 34 female patients may develop POUR following IHR. These findings could inform preoperative patient counseling. In addition, awareness of modifiable risk factors may help to identify patients at increased risk of POUR who may benefit from perioperative risk mitigation strategies.
SARS-CoV-2 vaccination modelling for safe surgery to save lives: data from an international prospective cohort study
No full textBackground: Preoperative SARS-CoV-2 vaccination could support safer elective surgery. Vaccine numbers are limited so this study aimed to inform their prioritization by modelling.
Methods: The primary outcome was the number needed to vaccinate (NNV) to prevent one COVID-19-related death in 1 year. NNVs were based on postoperative SARS-CoV-2 rates and mortality in an international cohort study (surgical patients), and community SARS-CoV-2 incidence and case fatality data (general population). NNV estimates were stratified by age (18-49, 50-69, 70 or more years) and type of surgery. Best- and worst-case scenarios were used to describe uncertainty.
Results: NNVs were more favourable in surgical patients than the general population. The most favourable NNVs were in patients aged 70 years or more needing cancer surgery (351; best case 196, worst case 816) or non-cancer surgery (733; best case 407, worst case 1664). Both exceeded the NNV in the general population (1840; best case 1196, worst case 3066). NNVs for surgical patients remained favourable at a range of SARS-CoV-2 incidence rates in sensitivity analysis modelling. Globally, prioritizing preoperative vaccination of patients needing elective surgery ahead of the general population could prevent an additional 58 687 (best case 115 007, worst case 20 177) COVID-19-related deaths in 1 year.
Conclusion: As global roll out of SARS-CoV-2 vaccination proceeds, patients needing elective surgery should be prioritized ahead of the general population
