799 research outputs found
Enhanced recovery for liver transplantation: recommendations from the 2022 International Liver Transplantation Society consensus conference
No full textThere is much controversy regarding enhanced recovery for recipients of liver transplants from deceased and living donors. The objectives of this Review were to summarise current knowledge on individual enhanced recovery elements on short-term outcomes, identify key components for comprehensive pathways, and create internationally accepted guidelines on enhanced recovery for liver-transplant recipients. The ERAS4OLT.org collaborative partnered by the International Liver Transplantation Society performed systematic literature reviews on the effect of 32 relevant enhanced perioperative recovery elements on short-term outcomes, and global specialists prepared expert statements on deceased and living donor liver transplantation. The Grading Recommendations, Assessment, Development and Evaluations approach was used for rating of quality of evidence and grading of recommendations. A virtual international consensus conference was held in January, 2022, in which results were presented, voted on by the audience, and discussed by an independent international jury of eight members, applying the Danish model of consensus. 273 liver transplantation specialists from 30 countries prepared expert statements on elements of enhanced recovery for liver transplantation based on the systematic literature reviews. The consensus conference yielded 80 final recommendations, covering aspects of enhanced recovery for preoperative assessment and optimisation, intraoperative surgical and anaesthetic conduct, and postoperative management for the recipients of liver transplants from both deceased and living donors, and for the living donor. The recommendations represent a comprehensive overview of the relevant elements and areas of enhanced recovery for liver transplantation. These internationally established guidelines could direct the development of enhanced recovery programmes worldwide, allowing adjustments according to local resources and practices
Outcomes of elective liver surgery worldwide: a global, prospective, multicenter, cross-sectional study
No full textBackground: The outcomes of liver surgery worldwide remain unknown. The true population-based outcomes are likely different to those vastly reported that reflect the activity of highly specialized academic centers. The aim of this study was to measure the true worldwide practice of liver surgery and associated outcomes by recruiting from centers across the globe. The geographic distribution of liver surgery activity and complexity was also evaluated to further understand variations in outcomes. Methods: LiverGroup.org was an international, prospective, multicenter, cross-sectional study following the Global Surgery Collaborative Snapshot Research approach with a 3-month prospective, consecutive patient enrollment within January?December 2019. Each patient was followed up for 90 days postoperatively. All patients undergoing liver surgery at their respective centers were eligible for study inclusion. Basic demographics, patient and operation characteristics were collected. Morbidity was recorded according to the Clavien?Dindo Classification of Surgical Complications. Country-based and hospital-based data were collected, including the Human Development Index (HDI). (NCT03768141). Results: A total of 2159 patients were included from six continents. Surgery was performed for cancer in 1785 (83%) patients. Of all patients, 912 (42%) experienced a postoperative complication of any severity, while the major complication rate was 16% (341/ 2159). The overall 90-day mortality rate after liver surgery was 3.8% (82/2,159). The overall failure to rescue rate was 11% (82/ 722) ranging from 5 to 35% among the higher and lower HDI groups, respectively. Conclusions: This is the first to our knowledge global surgery study specifically designed and conducted for specialized liver surgery. The authors identified failure to rescue as a significant potentially modifiable factor for mortality after liver surgery, mostly related to lower Human Development Index countries. Members of the LiverGroup.org network could now work together to develop quality improvement collaboratives
Vapor-induced swelling of supported methacrylic and siloxane polymer films: Determination of interaction parameters
No full textWhite light reflectance spectroscopy is applied to monitor vapor-induced thickness changes of polymer films, supported on suitable silicon substrates. Assuming unidirectional swelling due to the constraining support, the equilibrium volume swelling of four methacrylic polymers and two siloxane-based copolymers upon exposure to various activities of water, methanol, ethanol, and ethyl acetate vapor, at 30°C is evaluated. The deduced sorption isotherms were fitted to the Flory-Huggins equation and interaction parameters, as well as solubility coefficients at infinite solute dilution, were deduced for each binary system. The relative sorption capacity of the different classes of polymers toward the four vapors are in line with the expected solubility interactions between solvent and solute. © 2009 Wiley Periodicals, Inc
Saint Dimitri of Rostov and Dostoevsky
No full textAcademic literature until now has ignored the possibility of seeing the roots of Dostoevsky’s idea of a God-bearing people in the Saint Dimitri of Rostov’s conception of the passion bearer. But, on the contrary, obvious parallels between the two permit the author to speak of a deliberate coincidence. On the other hand, the two are divided in their conceptions of the reasons for human sufferin
Die Herkunft des byzantinischen Familiennamens Λάσκαρις
No full textIn this article, the author suggests a new etymology for the name Laskaris, born by a family that gave Byzantium one of its imperial dynasties. Older hypotheses are examined, especially the generally accepted one according to which Laskaris is a name of Persian origin meaning "warrior." The author suggests Lascaris rather comes from a Arabic word defining a physical feature: "blonde" or "red-haired.REB 62 2004 p. 269-273
Dimitri Theodorides, Die Herkunft des Byzantinischen Familiennamens Αάσκαρις. — Cet article propose une nouvelle étymologie du nom Lascaris, porté par une famille qui donna une dynastie à Byzance. L'auteur reprend les hypothèses proposées, notamment celle qui est généralement admise et qui ferait de Lascaris un nom d'origine perse, signifiant le « guerrier ». L'auteur propose plutôt d'y voir un mot arabe caractérisant un trait physique : le « blond » ou le « roux ».Theodoridis Dimitri. Die Herkunft des byzantinischen Familiennamens Λάσκαρις. In: Revue des études byzantines, tome 62, 2004. pp. 269-273
Take me to church
No full textThis thesis is a narrative of masculinity and Latinx identity. More specifically, multiple generations of Puerto Ricanness.M.F.A.Includes bibliographical referencesby Dimitri Reye
Book Launch | Dimitri Van Den Meerssche's The World Bank's Lawyers
No full textOn Wednesday 16 November, the ESIL Interest Groups on History of Intentional Law and International Organisations and Völkerrechtsblog, hosted a book launch for The World Bank’s Lawyers by Dr. Dimitri van den Meerssche (Queen Mary University London).In addition to hearing from the author, discussants included Negar Mansouri (Graduate Institute of International and Development Studies), Dr Gail Lythgoe (University of Manchester), Dr. Tommaso Soave (Central European University) and Dr. Ahmed Memon (Cardiff School of Law and Politics). Florenz Volkaert (Ghent University) moderated.<br/
Book Launch | Dimitri Van Den Meerssche's The World Bank's Lawyers
No full textOn Wednesday 16 November, the ESIL Interest Groups on History of Intentional Law and International Organisations and Völkerrechtsblog, hosted a book launch for The World Bank’s Lawyers by Dr. Dimitri van den Meerssche (Queen Mary University London).In addition to hearing from the author, discussants included Negar Mansouri (Graduate Institute of International and Development Studies), Dr Gail Lythgoe (University of Manchester), Dr. Tommaso Soave (Central European University) and Dr. Ahmed Memon (Cardiff School of Law and Politics). Florenz Volkaert (Ghent University) moderated.<br/
Book Launch | Dimitri Van Den Meerssche's The World Bank's Lawyers
No full textOn Wednesday 16 November, the ESIL Interest Groups on History of Intentional Law and International Organisations and Völkerrechtsblog, hosted a book launch for The World Bank’s Lawyers by Dr. Dimitri van den Meerssche (Queen Mary University London).In addition to hearing from the author, discussants included Negar Mansouri (Graduate Institute of International and Development Studies), Dr Gail Lythgoe (University of Manchester), Dr. Tommaso Soave (Central European University) and Dr. Ahmed Memon (Cardiff School of Law and Politics). Florenz Volkaert (Ghent University) moderated.<br/
Unemployment insurance in Algeria : implications for a labor market in transition
No full textTo predict how Algeria's unemployment crisis will evolve, the author evaluates the Algerian unemployment insurance system's ability to finance itself, to affect employment decisions, and promote enterprise restructuring. The main conclusion is that industrial restructuring has serious and persistent implications for the labor market. In an environment where many equilibria are possible, there is a real danger of reaching a high unemployment equilibrium. The big-bang experience of structural adjustment in Central and Eastern Europe transition economies resulted in large-scale unemployment. Despite considerable restructuring progress, structural rigidities still exist in the labor market, and long-term unemployment has persisted. One advantage of the big-bang approach is adjustment speed, but the resulting unemployment may be too costly for Algeria's economy, especially if it persists. A more modern mixed bang approach would incorporate active employment measures to mitigate entrenched unemployment. The policies will maintain or enhance human capital through work, so idle workers don't lose their skills. Flex-time arrangements would help workers maintain an attachment to the labor force. However minor, such work would help workers avoid the traps of long-term unemployment. Two striking conclusions emerge from the Central and Eastern European experience: a) unemployment is not essential to enterprise restructuring and labor market adjustment;and b) growing long-term unemployment is self-fulfilling and results in higher and persistence unemployment. Although active employment measures are costly and have relatively low rates of return in the short run, they can be marginally effective as part of a long-term strategy.Health Economics&Finance,Labor Policies,Environmental Economics&Policies,Labor Markets,Economic Theory&Research,Environmental Economics&Policies,Labor Markets,Economic Theory&Research,Health Economics&Finance,Banks&Banking Reform
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