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1. Doppler ultrasound surveillance of recently formed haemodialysis arteriovenous fistula: the SONAR observational cohort study

Author: James Richards, Dominic Summers, Anna Sidders, Elisa Allen, Mohammed Ayaz Hossain, Subhankar Paul, Matthew Slater, Matthew Bartlett, Regin Lagaac, Emma Laing, Valerie Hopkins, Chloe Fitzpatrick-Creamer, Cara Hudson, Joseph Parsons, Samuel Turner, Andrew Tambyraja, Subash Somalanka, James Hunter, Sam Dutta, Neil Hoye, Sarah Lawman, Tracey Salter, Mohammed Farid Aslam, Atul Bagul, Rajesh Sivaprakasam, George E Smith, Helen L Thomas, Zia Moinuddin, Simon R Knight, Nicholas Barnett, Reza Motallebzadeh, and Gavin J Pettigrew
Subjects: arteriovenous fistula, renal dialysis, ultrasonography, doppler, kidney failure, chronic: haemodialysis, vascular access surgery, feasibility studies, observational cohort study, Medical technology, R855-855.5
Abstract: Background Arteriovenous fistulas are considered the best option for haemodialysis provision, but as many as 30% fail to mature or suffer early failure. Objective To assess the feasibility of performing a randomised controlled trial that examines whether, by informing early and effective salvage intervention of fistulas that would otherwise fail, Doppler ultrasound surveillance of developing arteriovenous fistulas improves longer-term arteriovenous fistula patency. Design A prospective multicentre observational cohort study (the ‘SONAR’ study). Setting Seventeen haemodialysis centres in the UK. Participants Consenting adults with end-stage renal disease who were scheduled to have an arteriovenous fistula created. Intervention Participants underwent Doppler ultrasound surveillance of their arteriovenous fistulas at 2, 4, 6 and 10 weeks after creation, with clinical teams blinded to the ultrasound surveillance findings. Main outcome measures Fistula maturation at week 10 defined according to ultrasound surveillance parameters of representative venous diameter and blood flow (wrist arteriovenous fistulas: ≥ 4 mm and > 400 ml/minute; elbow arteriovenous fistulas: ≥ 5 mm and > 500 ml/minute). Mixed multivariable logistic regression modelling of the early ultrasound scan data was used to predict arteriovenous fistula non-maturation by 10 weeks and fistula failure at 6 months. Results A total of 333 arteriovenous fistulas were created during the study window (47.7% wrist, 52.3% elbow). By 2 weeks, 37 (11.1%) arteriovenous fistulas had failed (thrombosed), but by 10 weeks, 219 of 333 (65.8%) of created arteriovenous fistulas had reached maturity (60.4% wrist, 67.2% elbow). Persistently lower flow rates and venous diameters were observed in those fistulas that did not mature. Models for arteriovenous fistulas’ non-maturation could be optimally constructed using the week 4 scan data, with fistula venous diameter and flow rate the most significant variables in explaining wrist fistula maturity failure (positive predictive value 60.6%, 95% confidence interval 43.9% to 77.3%), whereas resistance index and flow rate were most significant for elbow arteriovenous fistulas (positive predictive value 66.7%, 95% confidence interval 48.9% to 84.4%). In contrast to non-maturation, both models predicted fistula maturation much more reliably [negative predictive values of 95.4% (95% confidence interval 91.0% to 99.8%) and 95.6% (95% confidence interval 91.8% to 99.4%) for wrist and elbow, respectively]. Additional follow-up and modelling on a subset (n = 192) of the original SONAR cohort (the SONAR-12M study) revealed the rates of primary, assisted primary and secondary patency arteriovenous fistulas at 6 months were 76.5, 80.7 and 83.3, respectively. Fistula vein size, flow rate and resistance index could identify primary patency failure at 6 months, with similar predictive power as for 10-week arteriovenous fistula maturity failure, but with wide confidence intervals for wrist (positive predictive value 72.7%, 95% confidence interval 46.4% to 99.0%) and elbow (positive predictive value 57.1%, 95% confidence interval 20.5% to 93.8%). These models, moreover, performed poorly at identifying assisted primary and secondary patency failure, likely because a subset of those arteriovenous fistulas identified on ultrasound surveillance as at risk underwent subsequent successful salvage intervention without recourse to early ultrasound data. Conclusions Although early ultrasound can predict fistula maturation and longer-term patency very effectively, it was only moderately good at identifying those fistulas likely to remain immature or to fail within 6 months. Allied to the better- than-expected fistula patency rates achieved (that are further improved by successful salvage), we estimate that a randomised controlled trial comparing early ultrasound-guided intervention against standard care would require at least 1300 fistulas and would achieve only minimal patient benefit. Trial Registration This trial is registered as ISRCTN36033877 and ISRCTN17399438. Funding This award was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme (NIHR award ref: NIHR135572) and is published in full in Health Technology Assessment; Vol. 28, No. 24. See the NIHR Funding and Awards website for further award information. Plain language summary What was the problem? For people with advanced kidney disease, haemodialysis is best provided by an ‘arteriovenous fistula’, which is created surgically by joining a vein onto an artery at the wrist or elbow. However, these take about 2 months to develop fully (‘mature’), and as many as 3 out of 10 fail to do so. What was the question? We asked whether we could use early ultrasound scanning of the fistula to identify those that are unlikely to mature. This would allow us to decide whether it would be practical to run a large, randomised trial to find out if using early ultrasound allows us to ‘rescue’ fistulas that would otherwise fail. What did we do? We invited adults to undergo serial ultrasound scanning of their fistula in the first few weeks after it was created. We then analysed whether we could use the data from the early scans to identify those fistulas that were not going to mature by week 10. What did we find? Of the 333 fistulas that were created, about two-thirds reached maturity by week 10. We found that an ultrasound scan 4 weeks after fistula creation could reliably identify those fistulas that were going to mature. However, of those fistulas predicted to fail, about one-third did eventually mature without further intervention, and even without knowing what the early scans showed, another third were successfully rescued by surgery or X-ray-guided treatment at a later stage. What does this mean? Performing an early ultrasound scan on a fistula can provide reassurance that it will mature and deliver trouble-free dialysis. However, because scans are poor at identifying fistulas that are unlikely to mature, we would not recommend their use to justify early surgery or X-ray-guided treatment in the expectation that this will improve outcomes. Scientific summary Background Because of their favourable durability and low infection rates, arteriovenous fistulas (AVFs) are considered the best option for provision of haemodialysis, and they offer survival advantages compared to dialysis through a central venous catheter (CVC). Upon surgical creation, AVFs undergo a period of ‘maturation’, wherein the transit of high-pressure arterial flow through the anastomosis triggers compensatory dilatation and thickening of the draining fistula vein, with marked increases in blood flow through the AVF. This maturation, which generally takes about 2 months, is required to achieve functionality and enables the AVF to be used for dialysis. The main drawback with AVFs is that a large proportion (in excess of 30% in some series) do not develop fully, and either thrombose or remain patent in an immature state. This necessitates further surgical or radiological interventions to aid maturation, or formation of an entirely new fistula, thus potentially prolonging the requirement for dialysis through a CVC. Strategies to increase maturation rates and early patency of AVFs may therefore make a substantial difference to patient outcomes. In this respect, widespread patient and clinician consultation, supported by the James Lind Alliance, has identified the question, ‘What can be done to make fistulas or grafts last as long as possible?’ as one of the top 10 research priorities in vascular access provision. One possible approach to counter early fistula loss from non-maturation/thrombosis is to use Doppler ultrasound (US) surveillance in the first few weeks after creation to identify at-risk fistulas and to inform early radiological or surgical intervention, in anticipation that this improves longer-term fistula patency. This has, however, not yet been tested. The SONAR consortium, representing 17 UK centres that provide vascular access surgery, was established to test the hypothesis: Doppler US surveillance of AVFs immediately after creation improves longer-term AVF patency, by directing early and effective surgical or radiological salvage of those AVFs at risk of failing or not maturing. Objectives In considering the above hypothesis, several conditions must be met if US-guided early salvage intervention is to improve outcomes following AVF creation: that US can effectively distinguish those newly formed fistulas that are unlikely to mature that maturity failure occurs commonly enough that clinically meaningful improvements in fistula outcomes by early identification of at-risk fistulas are plausible that salvage interventions performed on those ‘at-risk’ fistulas are effective and improve fistula patency. The SONAR study thus aimed to address the following objectives sequentially, over a 5-year window: Run an observational cohort study in which consenting participants undergo serial US assessment of their AVF in the first 3 months after its formation (phase 1). Model whether features on early US can reliably identify those fistulas that will not mature or will fail early. Assess from the observational cohort study whether a randomised controlled trial (RCT) evaluating early US-guided salvage intervention is feasible. Run a multicentre RCT in which 1-year fistula patency in a treatment group receiving early US surveillance of their developing fistula is compared against standard care: monitoring of fistula maturation by clinical assessment only (phase 2). Progression to the phase 2 study depended upon accomplishing the first three objectives and, in particular, demonstrating that US surveillance could accurately predict fistula non-maturation. This manuscript will thus focus on the phase 1 study set-up and outcomes. Methods A prospective multicentre observational cohort study of adult patients undergoing formation of AVF for haemodialysis was performed to test the hypothesis: Doppler US surveillance early after AVF creation can reliably identify those AVFs that will not mature or will fail early. Criteria for participation were as follows: Adult, aged 16 years or older. The participant had end-stage renal disease and was either already established on haemodialysis or likely to start imminently. The participant was due creation of an arm AVF (either wrist or elbow) including the following types of fistula: radiocephalic, ulnobasilic, brachiocephalic and brachiobasilic (one- or two-stage) fistula, with a minimal acceptable threshold of 2 mm venous diameter at whatever site was chosen. Full informed consent to participate was provided. Consenting participants underwent serial US scanning at weeks 2, 4, 6 and 10 after fistula formation in addition to standard care (such as regular clinical assessment) as per local centre policy. Fistula flow rates, fistula venous diameter and resistance index were recorded, according to a standard study protocol, with clinical teams blinded to the US findings, unless a scan was simultaneously requested on clinical grounds or the scan confirmed thrombosis of the fistula. The primary outcome measure was fistula maturation at 10 weeks. To encompass participants who remained pre-dialysis, along with clinical examination, maturation was assessed at 10 weeks according to accepted surrogate US parameters: wrist fistula: representative venous diameter ≥ 4 mm, with flow > 400 ml/minute elbow fistula: representative venous fistula diameter ≥ 5 mm, with flow > 500 ml/minute. Three distinct outcomes defined fistula non-maturation: a fistula occlusion/thrombosis within the study period (76 days post AVF creation) fistula abandonment within the study period due to failure to mature or due to thrombosis/occlusion failure to achieve (either reported at the week 10 scan or imputed) maturation, according to the preset US parameters. The following secondary outcome measures were also recorded: for those patients established on dialysis, successful use of the fistula for dialysis on three successive occasions clinical suitability for dialysis 10 weeks after fistula creation based on examination alone according to local practice formation of a new fistula (including fashioning of proximal neoanastomosis) or radiological salvage procedure fistula thrombosis secondary fistula patency patient acceptability, based on the proportion of patients that complete their scans. Assuming that early US surveillance predicts fistula non-maturation/failure in 25% of AVFs, a total of 347 fistulas were required to achieve precision of ± 10% for an estimated 72% positive predictive value (PPV) for detecting non-maturation/failure. The total sample size allows for 10% dropout. Mixed multivariable logistic regression (binary-data population-average model with exchangeable correlation structure) of the early US scan data was then used to build separate models for wrist and elbow AVF that contained the minimum number of measurements required to predict AVF non-maturation by 10 weeks. Receiver operating characteristic curves of the developed risk scores were analysed to determine when surgical or radiological intervention on the developing AVF could be considered. The PPV and negative predictive value (NPV; the probability of AVF maturation given that the model predicts maturation) were calculated alongside a 95% confidence interval (CI) for the chosen risk-score cut-off. Additional modelling was then performed on a subset (n = 192) of the original SONAR cohort available for follow-up, to assess whether fistula failure at 6 and 12 months could be identified by analysis of early US characteristics. The primary outcome measure for the longer-term follow-up was primary fistula patency at 6 months, defined as ‘the interval between access creation to the earliest time of fistula thrombosis, abandonment (except abandonment because of steal), intervention on the fistula (to re-establish or maintain patency) or the time of measurement of patency’. Secondary outcome measures included assisted primary patency (the interval from access creation until access thrombosis or the time of measurement of patency, including any interventions to maintain patency) and secondary patency (the interval from access creation to time of measurement of patency or to abandonment of the fistula). Similar binary-data population-average modelling was performed as for predicting 10-week non-maturation, aiming to build parsimonious models that contained the minimum number of variables from one scan time point (at either week 4 or week 6) to effectively predict primary fistula non-patency at 6 months. Results Of 347 consents to participation (median age 65 years; interquartile range 52–74 years; 64.8% male; 43.2% diabetic; 55.0% pre-dialysis), 333 underwent AVF creation during the study window (47.7% wrist, 52.3% elbow fistula). Early failure before the first US scan occurred in 37 (11.1%) AVFs, but by 10 weeks, 219 of 333 (65.8%) created AVFs had reached maturity (67.2% elbow, 60.4% wrist). Of the remainder, by week 10 a further 20 had failed (57 failures in total; 17.1%), 29 (8.7%) remained patent but not mature and the status of 28 (8.4%) was unknown. Excluding those failures occurring within the first 2 weeks (because it would be impractical to organise salvage so quickly) results in a fistula maturation rate of 74.0% at 10 weeks. Serial US scanning revealed that maturation occurred rapidly (the vast majority of AVFs that were mature by 10 weeks had reached maturation by 2 weeks). Comparison of the early scan data in those AVFs that had matured by week 10 against those AVFs that remained immature (see Figure 4) revealed consistently lower fistula flow rates and fistula vein diameter in the latter. For example, the median blood flow at 2 weeks was 1135.5 and 691.0 ml/minute in those elbow and wrist fistulas, respectively, that reached maturation by week 10, whereas week 2 flows of 349.0 and 395.5 ml/minute were recorded in those elbow and wrist fistulas that did not reach maturation at week 10. Modelling to predict AVF non-maturation at week 10 was optimally built on the week 4 scan data but required separate algorithms for wrist and elbow fistulas, with fistula venous diameter and flow rate at week 4 identified as the most significant variables in explaining wrist fistula maturity failure (PPV 60.6%, 95% CI 43.9% to 77.3%), whereas resistance index and flow rate were most significant for elbow fistula maturity failure (PPV 66.7%, 95% CI 48.9% to 84.4%). Diagnostic tests for model fit and influential observations were run on the optimum models for wrist and elbow AVFs, with both performing well, with area under the curve values of at least 0.90. Conversely, both models could predict fistula maturation much more reliably [NPVs of 95.4% (91.0–99.8) and 95.6% (91.8–99.4) for wrist and elbow, respectively]. Additional modelling was then performed on a subset (n = 192) of the original SONAR cohort available for follow-up, to assess whether fistula failure at 6 and 12 months could be identified by analysis of early US characteristics. Primary, assisted primary and secondary patency AVF rates at 6 months were 76.5%, 80.7% and 83.3%, respectively, and at 12 months were 68.3%, 74.1% and 79.5%, respectively. Broadly similar US characteristics (fistula vein size, flow rate and resistance index) were identified as the most significant variables predicting primary patency failure at 6 months, with similar predictive power as for 10-week AVF maturity failure, but with wide CIs (wrist AVF: PPV 72.7%, 95% CI 46.4% to 99.0%; elbow AVF: 57.1%, 95% CI 20.5% to 93.8%). Moreover, the models performed very poorly at identifying assisted primary and secondary patency failure, likely because a subset of those identified as liable to fail were instead successfully salvaged by radiological or surgical intervention. Conclusions Although early US can predict fistula maturation and longer-term patency very effectively, it was only moderately good at identifying those unlikely to mature or to fail within 6 months. Allied to the better than expected fistula patency rate achieved by the SONAR consortium (that is further improved by successful radiological or survival salvage without recourse to the early US data), we estimate that a prospective randomised trial comparing early US-guided intervention against standard care (observation only) would require at least 1300 fistulas and would only achieve a minimally clinically important difference in the intervention arm if virtually every intervention were successful in maintaining/restoring fistula patency. Limitations The US scan findings were generally not made available to the clinical teams, so as to avoid their influencing participant management. However, scan results were revealed to the responsible clinical team on 98 occasions (10.7% of all scans), either because an early US scan was standard care for that unit (76 occasions) or because unblinding was requested because of clinical concern relating to the fistula’s maturation. It is therefore possible that in a small number of cases, the study US scans triggered salvage procedures that would not otherwise have been performed on clinical grounds alone. This is particularly problematic for the 12-month follow-up study, because the intervention would mark the end of primary patency – the primary outcome measure for the 6-month analysis – and it would therefore provide false support for the statistical modelling. However, in the majority of cases, unblinding did not prompt further intervention (simply instead confirming fistula maturation), and thus is unlikely to have compromised the statistical modelling. Similarly, to include pre-dialysis patients in the study, it was necessary to adopt surrogate US markers to define fistula maturation, and it is perhaps not ideal to be using the same modality to delineate the maturation process as one uses to define maturation, particularly because fistula maturation is principally a functional concern relating to whether the fistula can be used to provide adequate dialysis. Repeat US was not performed at 6 months for the follow-up study, and the analysis of fistula patency, rather than maturation status, provides a better reflection of fistula functionality. This may partly explain the differences in the modelling findings between the 10-week and 6-month studies. Trial registration The SONAR study was approved by the Cambridgeshire and Hertfordshire Research Ethics Committee and by the Health Research Authority (REC 18/EE/0234) and assigned ISRCTN36033877. The SONAR-12M study was approved by the West Midlands – Edgbaston Research Ethics Committee (REC 20/WM/0331) and assigned ISRCTN17399438. Funding This award was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme (NIHR award ref: NIHR135572) and is published in full in Health Technology Assessment; Vol. 28, No. 24. See the NIHR Funding and Awards website for further award information.
Published: 2024
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2. Observational study of survival outcomes of people referred for ‘fast-track’ end-of-life care funding in a district general hospital: too little too late?

Author: James Richards, Jo Morrison, Charlie Davis, Cherry Choudhary, and Ryan Beazley
Subjects: Medicine (General), R5-920
Abstract: Background End-of-life care requires support for people to die where they feel safe and well-cared for. End-of-life care may require funding to support dying outside of hospital. In England, funding is procured through Continuing Healthcare Fast-Track funding, requiring assessment to determine eligibility. Anecdotal evidence suggested that Fast-Track funding applications were deferred where clinicians thought this inappropriate due to limited life-expectancy.Aim To evaluate overall survival after Fast-Track funding application.Design Prospective evaluation of Fast-Track funding application outcomes and survival.Setting/participants All people in 2021 who had a Fast-Track funding application from a medium-sized district general hospital in Southwest England.Results 439 people were referred for Fast-Track funding with a median age of 80 years (range 31–100 years). 413/439 (94.1%) died during follow-up, with a median survival of 15 days (range 0–436 days). Median survival for people with Fast-Track funding approved or deferred was 18 days and 25 days, respectively (p=0.0013). 129 people (29.4%) died before discharge (median survival 4 days) and only 7.5% were still alive 90 days after referral for Fast-Track funding.Conclusions Fast-Track funding applications were deferred for those with very limited life-expectancy, with minimal clinical difference in survival (7 days) compared with those who had applications approved. This is likely to delay discharge to the preferred place of death and reduce quality of end-of-life care. A blanket acceptance of Fast-Track funding applications, with review for those still alive after 60 days, may improve end-of-life care and be more efficient for the healthcare system.
Published: 2023
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3. Economic Dispatch Model of Nuclear High-Temperature Reactor with Hydrogen Cogeneration in Electricity Market

Author: James Richards, Cristian Rabiti, Hiroyuki Sato, Xing L. Yan, and Nolan Anderson
Subjects: hydrogen, nuclear, economic dispatch, integrated energy systems, iodine–sulfur cycle, stochastic optimization, Technology
Abstract: Hydrogen produced without carbon emissions could be a useful fuel as nations look to decarbonize their electricity, transport, and industry sectors. Using the iodine–sulfur (IS) cycle coupled with a nuclear heat source is one method for producing hydrogen without the use of fossil fuels. An economic dispatch model was developed for a nuclear-driven IS system to determine hydrogen sale prices that would make such a system profitable. The system studied is the HTTR-GT/H2, a design for power and hydrogen cogeneration at the Japan Atomic Energy Agency’s High Temperature Engineering Test Reactor. This study focuses on the development of the economic model and the role that input data plays in the final calculated values. Using a historical price duration curve shows that the levelized cost of hydrogen (LCOH) or breakeven sale price of hydrogen would need to be 98.1 JPY/m3 or greater. Synthetic time histories were also used and found the LCOH to be 67.5 JPY/m3. The price duration input was found to have a significant effect on the LCOH. As such, great care should be used in these economic dispatch analyses to select reasonable input assumptions.
Published: 2021
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4. Surveillance arterioveNous fistulAs using ultRasound (SONAR) trial in haemodialysis patients: a study protocol for a multicentre observational study

Author: Samantha Hyndman, Helena Edlin, Emma Laing, Edward CF Wilson, Subash Somalanka, James Hunter, James Richards, Mohammed Hossain, Dominic Summers, Matthew Slater, Matthew Bartlett, Vasilis Kosmoliaptsis, Regin Lagaac, Anna Sidders, Claire Foley, Valerie Hopkins, Chloe Fitzpatrick-Creamer, Cara Hudson, Sam Turner, Andrew Tambyraja, Sam Dutta, Sarah Lawman, Tracey Salter, Mohammed Aslam, Atul Bagul, Rajesh Sivaprakasam, George Smith, Zia Moinuddin, Simon Knight, Paul Gibbs, Reza Motallebzadeh, Nicholas Barnett, Gavin Pettigrew, Alison Deary, Veena Surendrakumar, Tobi Ayorinde, Igor Chipurovski, Subhankar Paul, Klaus Bond, Elizabeth Hardy, Joanne Widdup, Rachael Potter, Elisabeth Pugh, Karen Parsons, Kathryn Lafferty, Kate Crawford, Amy Bolsworth, Naavalah Ngwa-Ndifor, Rani Badhan, Anna Jerram, Jessica Lai, Joyce Banda, Janet Bendle, Maria Morgan, William Owen, Sue Dawson, Simon Daniel, Karen Allsop, Sarah-Jane Carmichael, Tom Eadie, Rona Lochiel, Midel Lena, Soundrie Padayachee, Philip Eldridge, May Rabuya, Jashree Patel, Abbas Ghazanfar, Judy Van Selm, Caroline Bodneck, Martia Augustin, Kwame Ansu, Nalin Khosla, Kashif Burney, Karen Dear, Carl Tiivas, Maria Truslove, Andrew Beech, Sarah Brand, Darren Cheal, Mel Smith, Kate Trivedi, Adnan Bajwa, John Kerr, Ana Fleet, Lianne Chapman, Sarah Gee, Thanuja Weerasinghe, Paris Cai, Judith Long, Tracey Rowe, Jeremy Crane, and Mary Quashie-Akponeware
Subjects: Medicine
Abstract: Introduction Arteriovenous fistulas (AVFs) are considered the best and safest modality for providing haemodialysis in patients with end-stage renal disease. Only 20% of UK centres achieve the recommended 80% target for achieving dialysis of the prevalent dialysis population via permanent access (as opposed to a central venous catheter). This is partly due to the relatively poor maturation rate of newly created fistulas, with as many as 50% of fistulas failing to mature.The Surveillance Of arterioveNous fistulAe using ultRasound study will examine whether a protocolised programme of Doppler ultrasound (US) surveillance can identify, early after creation, potentially correctable problems in those AVFs that subsequently fail to mature.Methods and analysis This is a multicentre observational study that will assess newly created AVFs by Doppler US performed at 2, 4, 6 and 10 weeks after creation. The primary outcome measure will be primary fistula patency at week 10. Secondary outcome measures include: successful use of the fistula; clinical suitability for dialysis; creation of new fistula or radiological salvage; fistula thrombosis; secondary fistula patency rate and patient acceptability.Ethics and dissemination The study has been approved by the Cambridgeshire and Hertfordshire Research Ethics Committee and by the Health Research Authority (REC 18/EE/0234). The results generated from this work will be published as open access, within 3 years of trial commencement. We will also present our findings at key national/international renal meetings, as well as support volunteers at renal patient groups to disseminate the trial outcome.Trial registration number ISRCTN36033877
Published: 2019
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5. Muscle Function and Kinematics during Submaximal Equine Jumping: What Can Objective Outcomes Tell Us about Athletic Performance Indicators?

Author: Lindsay St. George, Hilary M. Clayton, Jonathan Sinclair, James Richards, Serge H. Roy, and Sarah Jane Hobbs
Subjects: show jumping, surface electromyography, equine athlete, horse, biomechanics, jumping technique, Veterinary medicine, SF600-1100, Zoology, QL1-991
Abstract: Selection and training practices for jumping horses have not yet been validated using objective performance analyses. This study aimed to quantify the differences and relationships between movement and muscle activation strategies in horses with varying jump technique to identify objective jumping performance indicators. Surface electromyography (sEMG) and three-dimensional kinematic data were collected from horses executing a submaximal jump. Kinematic variables were calculated based on equestrian-derived performance indicators relating to impulsion, engagement and joint articulation. Horses were grouped using an objective performance indicator—center of mass (CM) elevation during jump suspension (ZCM). Between-group differences in kinematic variables and muscle activation timings, calculated from sEMG data, were analyzed using one-way ANOVA. Statistical parametric mapping (SPM) evaluated between-group differences in time and amplitude-normalized sEMG waveforms. Relationships between movement and muscle activation were evaluated using Pearson correlation coefficients. Horses with the greatest ZCM displayed significantly (p < 0.05) shorter gluteal contractions at take-off, which were significantly correlated (p < 0.05) with a faster approach and more rapid hindlimb shortening and CM vertical displacement and velocity, as well as shorter hindlimb stance duration at take-off. Findings provide objective support for prioritizing equestrian-derived performance indicators related to the generation of engagement, impulsion and hindlimb muscle power when selecting or training jumping horses.
Published: 2021
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6. Cultural Competency in a Legal Service and Justice Agency for Aboriginal Peoples

Author: John Rawnsley, David Woodroffe, Eloise Culic, James Richards, and Lauran Clifton
Subjects: Law in general. Comparative and uniform law. Jurisprudence, K1-7720
Abstract: The cultural characteristics of Aboriginal groups are significantly diverse and the interface between Aboriginal people and the dominant Australian culture and justice system is highly complex. The justice system, and its many parts, interacts with Aboriginal people and culture in many different ways, and is imposing. The consideration of cultural competency is necessary in understanding how justice is applied in Australia. The organisation considered by this paper delivers legal services and justice agency programs to Aboriginal people. As a non-government community organization, it is one part of a broader justice system. Governed by an Aboriginal board, the service is in a unique position to use its cultural authority to influence how cultural competency is understood from a public policy and law reform context. The service recently implemented a Cultural Competency Framework 2017-2020 (Framework) as an iterative process to outline how it is a culturally appropriate organization. The framework includes a series of strategies and actions with mechanisms for accountability. This paper will explore the legal service’s organizational approach to developing cultural competency and its application to the provision of legal aid services and justice programs. In turn, it serves as a valuable example of how a legal organisation can make a meaningful commitment to developing cultural competency. So long as Aboriginal issues or people are referred to in any context, consideration of the suitability of how an organisation approaches cultural competency, and develops its people, is relevant.
Published: 2019
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7. Southeast Regional Library (Saskatchewan)

Author: James Richards
Subjects: Bibliography. Library science. Information resources
Published: 2006
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8. Diversity and Inclusion in UK Higher Education: Staff Perspectives on Institutional Representations and Their Reality

Author: Kendall Richards, Nick Pilcher, Laurent Galbrun, Alan Forster, and James Richards
Abstract: This paper examines staff perspectives on institutional representations of a range of areas of diversity and inclusion in a key post-compulsory education sector: that of UK Higher Education (HE). The paper focuses on comparing representational statements made by institutions with the reality of their lived experiences as perceived by staff. The paper first reviews literature around key issues of promoting and progressing in these areas, and how these areas are represented by institutions and the sector as a whole. It presents and discusses data from a survey (n = 300) to show strong agreement with representational statements as mirroring those of institutions, yet statistically significant differences between representations and the reality of lived experiences, particularly in relation to the lived experiences of staff. These data are discussed in the light of progress made by institutions, and the challenges faced in translating representations into real lived experience. Suggestions for institutions and policy makers are made to help better align reality with these representations in the UK Higher Education sector and, theoretically, for post-compulsory education sectors elsewhere.
Published: 2023
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9. Southeast Regional Library Celebrates 40 th Anniversary

Author: James Richards
Subjects: Bibliography. Library science. Information resources
Published: 2006

10. An Approach to Gamifying Acquisitions for Assessing Impact on Military Strategy of Nation States.

Author: Alicia Ruvinsky, Megan E. Gonzalez, James Richards, Cody Salter, Joshua Church, C. P. T. Deems McKee, and Maria Seale
Published: 2021
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11. Preventing Mass Human-Rights Violations and Atrocity Crimes

Author: Angieszka Bienczyk-Missala, Stanislaw Sulowski, James Richards
Published: 2021

12. A third biblical foundation of James Baldwin’s 'Sonny’s Blues'

Author: Isaac James Richards
Subjects: Literature and Literary Theory, Education
Published: 2023
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13. The Rhetoric of Unreasonable Optimism: Toni Morrison's Novel Jazz and the Jazz Age

Author: Isaac James Richards
Subjects: Cultural Studies, History, Literature and Literary Theory, Visual Arts and Performing Arts
Published: 2022
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14. The American Religion and the Rhetoric of Theophany

Author: Isaac James Richards and Richard Benjamin Crosby
Subjects: Linguistics and Language, Literature and Literary Theory, Communication, Language and Linguistics
Abstract: James Darsey has argued that a primitive source of reform rhetoric in America is the Old Testament. We argue that the discourse of American reform has another rhetorical ancestor that originates from the prophetic tradition of the American Religion, a scholarly term for the democratic religiosity of nineteenth-century America. By performing a comparative analysis of three theophanies, recorded in the personal narrative accounts of Emanuel Swedenborg, Joseph Smith, and Ellen G. White, we present a theory of the rhetoric of theophany. We then analyze Eugene V. Debs’s “How I Became a Socialist” as the reformer equivalent of a theophanic conversion myth, discussing how the experientialism, polarization, and subversiveness of theophanic rhetoric enables prophets and reformers to launch their careers, even from places of marginalization.
Published: 2022
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15. Disability inclusive employment in urban Malawi: A multi‐perspective interview study

Author: Jennifer Remnant, Lena Wånggren, Sarah Huque, Katherine Sang, Limbani Kachali, and James Richards
Subjects: informal work, inclusion, disability, stigma, employment, Geography, Planning and Development, Development
Abstract: The paper presents interview data from Malawian government representatives, trade unionists, employers and people with disabilities from the country's largest cities Lilongwe and Blantyre. Findings relate to the gap between the discourse of employers and government officials and that of workers with disabilities. Firstly, we find a policy‐based assumption of a formalised workforce that is not representative of the predominantly informal disabled workforce. Secondly, the disruptive, intermittent and often reactive nature of non‐governmental organisation (NGO) interventions can limit long‐term inclusivity agendas and undermine the work of disabled activists in Malawi. Lastly, we present findings on the stigmatised nature of disability in these urban centres. We find that stigma is economic: Urban workers with disabilities are discriminated against locally by employers, landlords and banks on assumptions they will not produce or earn enough to meet productivity demands, rent or repayment costs.
Published: 2022
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16. Developing the concept of leaveism: From presenteeism/absence to an emergent and expanding domain of employment?

Author: James Richards, Vaughan Ellis, Jesus Canduela, Toma Pustelnikovaite, and Siddhartha Saxena
Subjects: conflict, ideal worker, information communication technologies, job satisfaction, leaveism, sustainable HRM, well-being, work intensification, Organizational Behavior and Human Resource Management, Health
Abstract: The changing nature of employment has led to increased awareness of leaveism, a practice involving employees using allocated time off when unwell, taking work home, and picking up work when on annual leave. However, there are theoretical, methodological, and policy/practice-related weaknesses, apparent in current understandings. The main article aim is to develop, theoretically, the emergent notion of leaveism, drawing on concepts related to work intensification (WI) and ideal worker norms (IWNs), concepts underpinned by reference to information communication technologies (ICTs), then exploring such ideas via an electronic questionnaire (n = 959), aimed at UK-based employees performing leaveism. The main argument is leaveism is more than a lacuna between presenteeism and sickness absence; it is an unsustainable employer-driven social phenomenon sitting at the intersection of WI, IWNs and ICTs. The findings have policy/practice implications for human resource management (HRM) professionals, trade unions and governments. Recommendations for future research including exploring leaveism in an international context, and in a Covid-19 pandemic-defined era.
Published: 2022
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17. Exclusionary logics:Constructing disability and disadvantaging disabled academics in the neoliberal university

Author: Jennifer Remnant, Katherine Sang, Tom Calvard, James Richards, and Olugbenga (Abraham) Babajide
Subjects: Sociology and Political Science, disability, employment, market, institutional logics, academia
Abstract: Contemporary academia features managerialism and neoliberal thinking, consequent of an increasingly dominant market logic. This article draws on interviews with disabled academics, line managers, human resources professionals, estates staff, health and safety staff, and trade union representatives, alongside university policy documents, to discuss the impact of this logic on the experiences of disabled academics. Understandings of disability across professional groups were divorced from institutional rhetoric of Equality, Diversity and Inclusion, aligning more clearly with market logic, manifest in performance management and idealised notions of academic work. Unlike students, disabled academics are required to navigate hostile policies and procedures. Their diagnoses are used in points of dispute relating to performance, or as an obstruction to dismissal tolerated out of legal obligation. This article illustrates the need for a change in university institutional logics to undo the damaging limitations of following market models of education.
Published: 2023
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18. The Queer Film Festival: Popcorn and Politics

Author: Stuart James Richards
Published: 2017

19. Liver Transplantation Outcomes From Controlled Circulatory Death Donors

Author: Rohit Gaurav, Andrew J. Butler, Vasilis Kosmoliaptsis, Lisa Mumford, Corrina Fear, Lisa Swift, Arturs Fedotovs, Sara Upponi, Samir Khwaja, James Richards, Michael Allison, and Christopher J. E. Watson
Subjects: Perfusion, Liver, Graft Survival, Humans, Surgery, Organ Preservation, Tissue Donors, Liver Transplantation, Retrospective Studies
Abstract: To compare the outcomes of livers donated after circulatory death (DCD) and undergoing either in situ normothermic regional perfusion (NRP) or ex situ normothermic machine perfusion (NMP) with livers undergoing static cold storage (SCS).DCD livers are associated with increased risk of primary nonfunction, poor function, and nonanastomotic strictures (NAS), leading to underutilization.A single center, retrospective analysis of prospectively collected data on 233 DCD liver transplants performed using SCS, NRP, or NMP between January 2013 and October 2020.Ninety-seven SCS, 69 NRP, and 67 NMP DCD liver transplants were performed, with 6-month and 3-year transplant survival (graft survival non-censored for death) rates of 87%, 94%, 90%, and 76%, 90%, and 76%, respectively. NRP livers had a lower 6-month risk-adjusted Cox proportional hazard for transplant failure compared to SCS (hazard ratio 0.30, 95% Confidence Interval 0.08-1.05, P = 0.06). NRP and NMP livers had a risk-adjusted estimated reduction in the mean model for early allograft function score of 1.52 (P0.0001) and 1.19 (P0.001) respectively compared to SCS. Acute kidney injury was more common with SCS (55% vs 39% NRP vs 40% NMP; P = 0.08), with a lower risk-adjusted peak-to-baseline creatinine ratio in the NRP (P = 0.02). No NRP liver had clinically significant NAS in contrast to SCS (14%) and NMP (11%, P = 0.009), with lower risk-adjusted odds of overall NAS development compared to SCS (odds ratio = 0.2, 95%CI 0.06-0.72, P = 0.01).NRP and NMP were associated with better early liver function compared to SCS, whereas NRP was associated with superior preservation of the biliary system.
Published: 2022
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20. Design and implementation of a divided-lens lidar ceilometer prototype for manufacture.

Author: Joshua Vande Hey, Jeremy Coupland, James Richards, and Andrew Sandford
Published: 2012
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21. Job quality, fair work and gig work: the lived experience of gig workers

Author: Katie Myhill, James Richards, and Kate Sang
Published: 2023
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22. Presenteeism

Author: James Richards
Published: 2023
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23. Leaveism

Author: James Richards
Published: 2023
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24. Neurodivergence

Author: James Richards
Published: 2023
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25. Adaptations in equine axial movement and muscle activity occur during induced fore‐ and hindlimb lameness: A kinematic and electromyographic evaluation during in‐hand trot

Author: Tijn J. P. Spoormakers, Lindsay St. George, Ineke H. Smit, Sarah Jane Hobbs, Harold Brommer, Hilary M. Clayton, Serge H. Roy, James Richards, and Filipe Manuel Serra Bragança
Subjects: General Medicine
Abstract: The inter-relationship between equine thoracolumbar motion and muscle activation during normal locomotion and lameness is poorly understood.To compare thoracolumbar and pelvic kinematics and longissimus dorsi (longissimus) activity of trotting horses between baseline and induced forelimb (iFL) and hindlimb (iHL) lameness.Controlled experimental cross-over study.Three-dimensional kinematic data from the thoracolumbar vertebrae and pelvis, and bilateral surface electromyography (sEMG) data from longissimus at T14 and L1, were collected synchronously from clinically non-lame horses (n = 8) trotting overground during a baseline evaluation, and during iFL and iHL conditions (2-3/5 AAEP), induced on separate days using a lameness model (modified horseshoe). Motion asymmetry parameters, maximal thoracolumbar flexion/extension and lateral bending angles, and pelvis range of motion (ROM) were calculated from kinematic data. Normalised average rectified value (ARV) and muscle activation onset, offset and activity duration were calculated from sEMG signals. Mixed model analysis and statistical parametric mapping compared discrete and continuous variables between conditions (α=0.05).Asymmetry parameters reflected the degree of iFL and iHL. Maximal thoracolumbar flexion and pelvis pitch ROM increased significantly following iFL and iHL. During iHL, peak lateral bending increased towards the non-lame side (NLS) and decreased towards the lame side (LS). Longissimus ARV significantly increased bilaterally at T14 and L1 for iHL, but only at LS L1 for iFL. Longissimus activation was significantly delayed on the NLS and precipitated on the LS during iHL, but these clear phasic shifts were not observed in iFL.Findings should be confirmed in clinical cases.Distinctive, significant adaptations in thoracolumbar and pelvic motion and underlying longissimus activity occur during iFL and iHL and are detectable using combined motion capture and sEMG. For iFL, these adaptations occur primarily in a cranio-caudal direction, whereas for iHL, lateral bending and axial rotation are also involved. This article is protected by copyright. All rights reserved.
Published: 2023
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26. Overcoming the Information Overload Problem in a Multiform Feedback Based Virtual Reality System for Hand Motion Rehabilitation.

Author: Sha Ma, Martin R. Varley, James Richards, and Lik-Kwan Shark
Published: 2009
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27. An observational study of survival outcomes of people referred for ‘fast-track’ end-of-life care funding in a District General Hospital; too little too late?

Author: Jo Morrison, Cherry Chowdhary, Ryan Beazley, James Richards, and Charlie Davis
Abstract: BackgroundEnd-of-life care frequently requires support for people to die where they feel safe and well-cared for. End-of-life care may require funding to support dying outside of hospital. In England, funding is procured through Continuing Healthcare Fast-Track funding, requiring assessment to determine eligibility. Anecdotal evidence suggested that Fast-Track funding applications were deferred where clinicians thought this inappropriate due to limited life-expectancy.AimTo evaluate overall survival after Fast-Track funding application.DesignProspective evaluation of Fast-Track funding application outcomes and survival.Setting/participantsAll people in 2021 who had a Fast-Track funding application from a medium-sized district general hospital in Southwest England.Results439 people were referred for Fast-Track funding with a median age of 80 years (range 31-100 years). 413/439 (94.7%) died during follow up, with a median survival of 15 days (range 0 to 436 days). Median survival for people with Fast-Track funding approved or deferred was 18 day and 25 days, respectively (P= 0.0056). 103 people (29%) died before discharge (median survival 4 days) and only 8.2% were still alive 90 days after referral for Fast-Track funding.ConclusionsFast-Track funding applications were deferred for those with very limited life-expectancy, with minimal clinical difference in survival (7 days) compared to those who had applications approved. This is likely to delay discharge to preferred place of death and reduce quality of end-of-life care. A blanket acceptance of Fast-Track funding applications, with review for those still alive after 60 days, may improve end-of-life care and be more efficient for the healthcare system.WHAT IS ALREADY KNOWN ABOUT THE TOPIC?People approaching the end-of-life may have rapidly deteriorating or fluctuating care needs, requiring a responsive care package to optimise care.Time to put in place care packages, to enable people to die in their preferred place, may be limited and so systems to facilitate care should be provided at speed.Continuing Healthcare Fast-Track (CHCFT) funding was designed to deliver person-centred care for people with ‘rapidly deteriorating condition, and where that condition may be entering a terminal phase’ without a specific measure of deterioration rate or prognostic expectation.WHAT THIS PAPER ADDSWhen clinical teams refer for CHCFT they are highly likely to be identifying someone who is in the last few days to weeks of life.Referral deferment (rejection) may correlate with survival statistically, but this was not a clinically meaningful difference.Local CHCFT eligibility interpretation inappropriately excluded people who need funding to be looked after in their preferred place of care in their last days of life.IMPLICATIONS FOR PRACTICE, THEORY OR POLICYThe current application process for funding may prevent rapid discharge to preferred place of care for those with only a few days to live.A blanket policy of acceptance of care needs, with review at 60 or 90 days if still required, may improve quality of end-of-life care for people and their families, and may have cost savings to the health and social care system as a whole.
Published: 2022
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28. Higher dose corticosteroids in hospitalised COVID-19 patients with hypoxia but not requiring ventilatory support (RECOVERY): a randomised, controlled, open-label, platform trial

Author: Peter Horby, Mark Campbell, Natalie Staplin, Jeremy Nel, Alexander James Richards, Buddha Basnyat, and Jonathan Emberson
Abstract: SUMMARYBackgroundLow-dose corticosteroids have been shown to reduce mortality for hypoxic COVID-19 patients requiring oxygen or ventilatory support (non-invasive mechanical ventilation, invasive mechanical ventilation or extra-corporeal membrane oxygenation). We evaluated the use of a higher dose of corticosteroids in this patient group.MethodsThis randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]) is assessing multiple possible treatments in patients hospitalised for COVID-19. Eligible and consenting adult patients with clinical evidence of hypoxia (i.e. receiving oxygen or with oxygen saturation clinicaltrials.gov(NCT04381936).FindingsBetween 25 May 2021 and 12 May 2022, 1272 COVID-19 patients with hypoxia and receiving no oxygen (1%) or simple oxygen only (99%) were randomly allocated to receive usual care plus higher dose corticosteroids versus usual care alone (of whom 87% received low dose corticosteroids during the follow-up period). Of those randomised, 745 (59%) were in Asia, 512 (40%) in the UK and 15 (1%) in Africa. 248 (19%) had diabetes mellitus. Overall, 121 (18%) of 659 patients allocated to higher dose corticosteroids versus 75 (12%) of 613 patients allocated to usual care died within 28 days (rate ratio [RR] 1·56; 95% CI 1·18-2·06; p=0·0020). There was also an excess of pneumonia reported to be due to non-COVID infection (10% vs. 6%; absolute difference 3.7%; 95% CI 0.7-6.6) and an increase in hyperglycaemia requiring increased insulin dose (22% vs. 14%; absolute difference 7.4%; 95% CI 3.2-11.5).InterpretationIn patients hospitalised for COVID-19 with clinical hypoxia but requiring either no oxygen or simple oxygen only, higher dose corticosteroids significantly increased the risk of death compared to usual care, which included low dose corticosteroids. The RECOVERY trial continues to assess the effects of higher dose corticosteroids in patients hospitalised with COVID-19 who require non-invasive ventilation, invasive mechanical ventilation or extra-corporeal membrane oxygenation.FundingUK Research and Innovation (Medical Research Council) and National Institute of Health and Care Research (Grant ref: MC_PC_19056), and Wellcome Trust (Grant Ref: 222406/Z/20/Z).
Published: 2022
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29. Organising to beat the Trade Union Act (2016) voting thresholds: a case study of organising and tactics from the University and College Union

Author: Vaughan Ellis and James Richards
Subjects: Organizational Behavior and Human Resource Management, Best practice, media_common.quotation_subject, Industrial action, Context (language use), Collective bargaining, Statutory law, Voting, Political science, Trade union, Applied Psychology, Shadow (psychology), Law and economics, media_common
Abstract: PurposeA retrospective action-research case study of one branch of the University and College Union (UCU) is used to show how threshold requirements of the Act can be systematically beaten.Design/methodology/approachThe paper responds to calls for “best practice” on how trade unions may react to member voting threshold requirements of the Trade Union Act 2016 (the Act). A broader aim is to make a theoretical contribution related to trade union organising and tactics in “get the vote out” (GTVO) industrial action organising campaigns.FindingsFindings are presented as a lead organiser's first-hand account of a successful GTVO campaign contextualised in relation to theories of organising. The findings offer “best practice” for union organisers required to beat the Act's voting thresholds and also contribute to theories surrounding trade union organising tactics.Research limitations/implicationsFurther development and adaptation of the proposed model may be required when applied to larger bargaining units and different organising contexts.Practical implicationsThe findings can inform the organising practices/tactics of trade unions in relation to statutory ballots. The findings also allow Human Resource (HR) practitioners to reflect on their approach to dealing with unions capable of mounting successful GTVO campaigns.Social implicationsThe findings have the potential to collectively empower workers, via their trade unions, to defend and further their interests in a post-financial crisis context and in the shadow of the Covid-19 pandemic.Originality/valueThis is the first known empirical account of organising to exceed voting thresholds of the Act, providing practical steps for union organisers in planning for statutory ballots. Further value lies in the paper's use of a novel first-hand account of a GTVO campaign, offering a new and first, theoretical model of organising tactics to beat the Act.
Published: 2021
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30. The Rhetoric of Unreasonable Optimism: Toni Morrison's Novel Jazz and the Jazz Age

Author: James Richards, Isaac, primary
Published: 2022
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31. Gonococcal Aneurysm of the Ascending Aorta : Case Report and Review of Neisseria gonorrhoeae Endovascular Infections

Author: Markowicz, Samuel, Anstey, James Richards, Hites, Maya, Montesinos, Isabel, Roisin, Sandrine, Keyzer, Caroline, and Jacobs, Frederique
Published: 2014

32. Dimethyl fumarate in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial

Author: Peter Horby, Paul Collini, Mark Campbell, Natalie Staplin, Manish Patel, Alexander James Richards, and Jonathan Emberson
Abstract: SUMMARYBackgroundDimethyl fumarate (DMF) is an anti-inflammatory drug that has been proposed as a treatment for patients hospitalised with COVID-19MethodsThis randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple possible treatments in patients hospitalised for COVID-19. In this initial assessment of DMF, performed at 27 UK hospitals, eligible and consenting adults were randomly allocated (1:1) to either usual standard of care alone or usual standard of care plus DMF 120mg twice daily for 2 days followed by 240mg twice daily for 8 days, or until discharge if sooner. The primary outcome was clinical status on day 5 measured on a seven-point ordinal scale, assessed using a proportional odds model. Secondary outcomes were time to sustained improvement in clinical status, time to discharge, day 5 peripheral blood oxygenation, day 5 C-reactive protein, and improvement in day 10 clinical status. The trial is registered with ISRCTN (50189673) and clinicaltrials.gov (NCT04381936).FindingsBetween 2 March 2021 and 18 November 2021, 713 patients were enrolled in the DMF evaluation, of whom 356 were randomly allocated to receive usual care plus DMF, and 357 to usual care alone. 95% of patients were receiving corticosteroids as part of routine care. There was no evidence of a beneficial effect of DMF on clinical status at day 5 (common odds ratio of unfavourable outcome 1.12; 95% CI 0.85-1.46; p=0.42). There was no significant effect of DMF on any secondary outcome. As expected, DMF caused flushing and gastrointestinal symptoms, each in around 6% of patients, but no new adverse effects were identified.InterpretationIn adults hospitalised with COVID-19, DMF was not associated with an improvement in clinical outcomes.FundingUK Research and Innovation (Medical Research Council) and National Institute of Health Research (Grant ref: MC_PC_19056).
Published: 2022
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33. Evaluation of Upper Extremity Reachable Workspace in Children with Spastic Hemiplegic Cerebral Palsy

Author: R. Richardson, Stephanie Russo, Ross Chafetz, Spencer Warshauer, Emily Nice, Scott Kozin, Dan Zlotolow, and James Richards
Published: 2022
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34. Working it out : will the improved management of leaky bodies in the workplace create a dialogue between medical sociology and disability studies?

Author: Jennifer Remnant, Katherine Sang, Katriona Myhill, Thomas Calvard, Sushila Chowdhry, and James Richards
Subjects: Health (social science), disability, Health Policy, employment, Public Health, Environmental and Occupational Health, HN, leaky bodies, menstruation, embodiment
Abstract: This article focuses on the workplace as a significant site of convergence between the disciplines of medical sociology and disability studies. As disability remains on the margins of sociological exploration and theorising relating to health and work, disabled workers remain on the margins of the workforce, subject to disproportionate rates of unemployment, under employment and workplace mistreatment. The article focuses on the experiences of people with ‘leaky bodies’, focussing specifically on employees who experience troubling menstruation and/or have gynaecological health conditions. It brings together data from three studies conducted between 2017 and 2020; interviews with disabled academics (n = 75), university staff with gynaecological health conditions (n = 23), and key stakeholders in universities (n = 36) (including university executives, line managers and human resources staff). These studies had separate, but linked foci, on the inaccessibility of workplaces, managing gynaecological health conditions at work and supporting disabled people at work respectively. Drawing on the Social Relational Model of disability and theories of embodiment, we explore the experiences and management of workers with leaky bodies in UK University workplaces. Data illustrates how workplace practices undermine embodied experiences of workers with ‘leaky’ bodies by maintaining workplaces which ignore their material reality. We highlight that addressing embodied needs alongside acknowledging disabled people as an oppressed political category represents a theoretical meeting point for disability studies and medical sociology.
Published: 2022
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35. Improving the visibility and communication of treatment escalation plans in Somerset NHS foundation trust

Author: Oliver King, Emily Collman, Alice Evans, James Richards, Elin Hughes, Lydia Acquah, Helen Parsons, and Jo Morrison
Subjects: Health Policy, Communication, Public Health, Environmental and Occupational Health, Humans, General Medicine, Documentation, Delivery of Health Care, Cardiopulmonary Resuscitation, State Medicine
Abstract: BACKGROUND: Advance care treatment escalation plans (TEPs) are often lost between healthcare settings, leading to duplication of work and loss of patient autonomy. OBJECTIVE: This quality improvement project reviewed the usage of TEP forms and aimed to improve completeness of documentation and visibility between admissions. METHODS: Over four months we monitored TEP form documentation using a standardised data extraction form. This examined section completion, seniority of documenting clinician and transfer of forms to our hospital electronic patient record (EPRO). We added reminders to computer monitors on wards to improve EPRO upload. RESULTS: Initial data demonstrated that 95% of patients (n = 230) had a TEP, with 99% of TEPs recording resuscitation status. However, other sections were not well documented (patient capacity 57% completion and personal priorities 45% completion, respectively). Only 11.9% of TEPs documented consultant involvement. Furthermore, only 44% of TEPs with a do not attempt resuscitation (DNACPR) decision were uploaded. Following this, we added reminders to computer monitors explaining how to upload TEP decisions to EPRO, which increased EPRO uploads to 74%. CONCLUSION: Communication of TEPs needs improving across healthcare settings. This project showed that the use of a physical reminder can greatly improve communication of treatment escalation decisions. Furthermore, this intervention has inspired future projects aiming at making communication more sustainable through the use of discharge summaries.
Published: 2022

36. Job quality, fair work and gig work: the lived experience of gig workers

Author: Katherine Sang, James Richards, and Katriona Myhill
Subjects: Organizational Behavior and Human Resource Management, business.industry, Strategy and Management, media_common.quotation_subject, Lived experience, Public relations, Job quality, Work (electrical), Management of Technology and Innovation, Industrial relations, Quality (business), Business and International Management, business, Gig economy, media_common
Abstract: Despite growing interest in the concept of gig work, the nature and quality of gig work is not well understood. The article builds on recent research by exploring gig work through an application of...
Published: 2021
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37. The American Religion and the Rhetoric of Theophany

Author: James Richards, Isaac, primary and Benjamin Crosby, Richard, additional
Published: 2022
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38. Freehand Drawing and Discovery: Urban Sketching and Concept Drawing for Designers

Author: James Richards
Published: 2013

39. Virtual EET for Autonomous Ground Vehicles: Integrating Qualitative and Quantitative Analyses in Autonomous Vehicle Simulation

Author: Jessica Lyons, Rebekah Jackson, James Richards, Burhman Gates, Joshua Fairley, and Stephanie Price
Published: 2022
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40. Baricitinib in patients admitted to hospital with COVID-19 (RECOVERY): a randomised, controlled, open-label, platform trial and updated meta-analysis

Author: Tom Newman, Peter Horby, Andrew Mumford, Richard Haynes, Paul Collini, Megan Plowright, Enti Spata, Wei Shen Lim, Mark Campbell, Natalie Staplin, Saul Faust, Alexander James Richards, and Jonathan Emberson
Abstract: SUMMARYBackgroundWe evaluated the use of baricitinib, a Janus kinase (JAK) 1/2 inhibitor, for the treatment of patients admitted to hospital because of COVID-19.MethodsThis randomised, controlled, open-label platform trial (Randomised Evaluation of COVID-19 Therapy [RECOVERY]), is assessing multiple possible treatments in patients hospitalised for COVID-19. Eligible and consenting patients were randomly allocated (1:1) to either usual standard of care alone (usual care group) or usual care plus baricitinib 4 mg once daily by mouth for 10 days or until discharge if sooner (baricitinib group). The primary outcome was 28-day mortality assessed in the intention-to-treat population. A meta-analysis was conducted that included the results from the RECOVERY trial and all previous randomised controlled trials of baricitinib or other JAK inhibitor in patients hospitalised with COVID-19. The RECOVERY trial is registered with ISRCTN (50189673) and clinicaltrials.gov (NCT04381936).FindingsBetween 2 February 2021 and 29 December 2021, 8156 patients were randomly allocated to receive usual care plus baricitinib versus usual care alone. At randomisation, 95% of patients were receiving corticosteroids and 23% receiving tocilizumab (with planned use within the next 24 hours recorded for a further 9%). Overall, 513 (12%) of 4148 patients allocated to baricitinib versus 546 (14%) of 4008 patients allocated to usual care died within 28 days (age-adjusted rate ratio 0·87; 95% CI 0·77-0·98; p=0·026). This 13% proportional reduction in mortality was somewhat smaller than that seen in a meta-analysis of 8 previous trials of a JAK inhibitor (involving 3732 patients and 425 deaths) in which allocation to a JAK inhibitor was associated with a 43% proportional reduction in mortality (rate ratio 0.57; 95% CI 0.45-0.72). Including the results from RECOVERY into an updated meta-analysis of all 9 completed trials (involving 11,888 randomised patients and 1484 deaths) allocation to baricitinib or other JAK inhibitor was associated with a 20% proportional reduction in mortality (rate ratio 0.80; 95% CI 0.71-0.89; pInterpretationIn patients hospitalised for COVID-19, baricitinib significantly reduced the risk of death but the size of benefit was somewhat smaller than that suggested by previous trials. The total randomised evidence to date suggests that JAK inhibitors (chiefly baricitinib) reduce mortality in patients hospitalised for COVID-19 by about one-fifth.FundingUK Research and Innovation (Medical Research Council) and National Institute of Health Research (Grant ref: MC_PC_19056).
Published: 2022
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41. Global economic burden of unmet surgical need for appendicitis

Author: Reuter, Anna, Rogge, Lisa, Monahan, Mark, Kachapila, Mwayi, Morton, Dion G, Davies, Justine, Vollmer, Sebastian, A A Essam, Abd Elkhalek Sallam, Abd Elrahman Elshafay, Abd El-Rahman Hegazy Khedr, Abdalla Gamal Saad, Abdalla Gharib, Abdalla Kenibar, Abdallah Salah Elsherbiny, Abdalrahman Adel, Abdelaziz Abdelaal, Abdelaziz Osman Abdelaziz Elhendawy, Abdelfatah Hussein, Abdelkader Belkouchi, Abdelmalek Hrora, Abdelrahman Adelshone, Abdelrahman Alkammash, Abdelrahman Assal, Abdelrahman Geuoshy, Abdelrahman Haroun, Abdelrahman Mohammed, Abdelrahman Sayed, Abdelrahman Soliman, Abdelrhman Essam Elnemr, Abdelrhman Kz Darwish, Abdelrhman Osama Elsebaaye, Abdul Khalique, Abdul Rehman Alvi, Abdul Wahid Anwar, Abdulaziz Altwijri, Abdullah Al-Mallah, Abdullah Almoflihi, Abdullah Altamimi, Abdullah Daqeeq, Abdullah Dwydar, Abdullah Gouda, Abdullah Hashim, Abdulmalik Altaf, Abdulmalik Huwait, Abdulrahman Abdel-Aty, Abdulrahman M Altwigry, Abdulrahman Sheshe, Abdulrasheed A Nasir, AbdulRazzaq Oluwagbemiga Lawal, Abdulshafi Khaled Abdrabou, Abdurrahaman Sheshe, Abdussemiu Abdurrazzaaq, Abebe Bekele Zerihun, Abeer Al-Shammari, Abeer El Gendy, Abeer Esam, Abeer Marey, Abhishek Mittal, Abiboye Yifieyeh, Abid Bin Mahamood, Abidemi Adesuyi, Abouelatta Khairy Aly, Abrar Nawawi, Adam Gyedu, Ade Waterman, Adedapo Osinowo, Adedeji Fatuga, Adel Albiety, Adel B Hassanein, Adel Denewar, Adeleke Adekoya, Ademola Adebanjo, Ademola Adeyeye, Ademola Popoola, Adesina Adedeji, Adesoji O Ademuyiwa, Adesoji Tade, Adewale Adeniyi, Adewale O Adisa, Adham Tarek, Adomas Ladukas, Adrian F Palma, Afifatun Hasanah, Afizah Salleh, Afnan Abdelfatah, Afnan Altamimi, Afnan Altamini, Agazi Fitsum, Agboola Taiwo, Ahamed Hassan, Ahed Ghaben, Ahmad Abdel Fattah, Ahmad Abdel Razaq Al Rafati, Ahmad Aboelkassem Ibrahem, Ahmad Aldalaq, Ahmad Ali, Ahmad Almallah, Ahmad Alrifaie, Ahmad Ashour, Ahmad Bakr, Ahmad Bani-Sadar, Ahmad Bin Adnan, Ahmad Elbatahgy, Ahmad Faraz, Ahmad Gudal, Ahmad Hasan, Ahmad Khaled Sabe, Ahmad Khoja, Ahmad Nashaat, Ahmad Qaissieh, Ahmad Sabe, Ahmad Saber Sleem, Ahmad Sakr, Ahmad Shalabi, Ahmad Uzair Qureshi, Ahmed Aamer, Ahmed Abd El Galeel, Ahmed Abd Elmoen Elhusseiny, Ahmed Abd Elsameea, Ahmed Abdelkareem, Ahmed Abdelmotaleb Ghazy, Ahmed Abo El Magd, Ahmed Abo Elazayem, Ahmed Adamu, Ahmed Adel, Ahmed Afandy, Ahmed Ahmed, Ahmed Alghamdi, Ahmed Ali, Ahmed Al-Khatib, Ahmed Altibi, Ahmed Alzahrani, Ahmed Ata, Ahmed Badr, Ahmed Dahy, Ahmed Diab, Ahmed El Kashash, Ahmed El Kholy, Ahmed Elgaili Khalid Musa, Ahmed Elgebaly, Ahmed Elkelany, Ahmed Elkholy, Ahmed El-Sehily, Ahmed Essam, Ahmed Fahiem, Ahmed Farag, Ahmed Fawzy, Ahmed Fouad, Ahmed Gad, Ahmed Ghanem, Ahmed Gheith, Ahmed Gomaa, Ahmed Hafez El-Badri Kotb, Ahmed Hammad, Ahmed Hassan, Ahmed Hossam Eldin Fouad Rida, Ahmed Ismail, Ahmed Karim, Ahmed Khyrallh, Ahmed Lasheen, Ahmed M Rashed, Ahmed Magdy, Ahmed Mahmoud Abdelraouf, Ahmed Menshawy, Ahmed Meshref, Ahmed Mohamed Afifi, Ahmed Mohamed Ibrahim, Ahmed Mohameden, Ahmed Mohammed, Ahmed Mokhtar, Ahmed Mosad, Ahmed Moustafa, Ahmed Moustafa Saeed, Ahmed Negida, Ahmed Rabeih Mohammed, Ahmed Rabie Mohamed, Ahmed Ragab Nayel, Ahmed Ragab Soliman, Ahmed Raslan, Ahmed Raza, Ahmed Refaat, Ahmed Rslan, Ahmed Sabry, Ahmed Sabry El-Hamouly, Ahmed Safwan Marey, Ahmed Saidbadr, Ahmed Sakr, Ahmed Samir, Ahmed Shahine, Ahmed Sheta, Ahmed Soliman, Ahmed Tammam, Ahmed Tarek Abdelbaset Hassan, Ahmed W Shamsedine, Ahmed Zaki, Ahmed Zaki Eldeeb, Ahmed Zohair, Ahmedali M Kandil, Ahmedglal Elnagar, Ahsan Zil-E-Ali, Aijaz Jabbar, Ailsa Claire Snaith, Ainhoa Costas-Chavarri, Aiste Austraite, Ajayesh Mistry, Akin Olaolorun, Akinlabi E Ajao, Al Faifi Jubran, Ala Shamasneh, Alaa Abouelnasr, Alaa Al-Buhaisi, Alaa Bowabsak, Alaa El Jamassi, Alaa Elazab, Alaa Elhadad, Alaa Fergany, Alaa Habeebullah, Alaa Hassan, Alaa Shabkah, Alaa Shaheen, Alaba Adesina, Alan Baird, Alan Grant, Alasdair Ball, Alban Cacurri, Albert Mohale Mphatsoe, Alberto Realis Luc, Alejandro Matheu, Alejandro Munera, Alemayehu Ginbo Bedada, Alessandro Favero, Alessio Maniscalco, Alexander Canta Calua, Alexander J Fowler, Alexandra Gerosa, Alexandre Horobjowsky, Alexandre Venancio De Sousa, Alexia Farrugia, Alexis Pierre Arnaud, Alfio Alessandro Russo, Alfredo Gulielmi, Ali Ababneh, Ali Abo El Dahab, Ali Amin Ahmed Ata, Ali Khan Niazi, Ali Kiasat, Ali Mohamed Hammad, Ali Zardab, Ali Zeynel Abidin Balkan, Aliaa Gamal Toeema, Aliaa Sadek, Aliaksandr Filatau, Aliang Latif, Alibeth Andres Baquero Suarez, Alice Faure, Alice Niragire, Alina Robledo-Rabanal, Aline Broch, Alireza Hasheminia, Alisdair Macdonald, Aliyu Ndajiwo, Allan Novak, Alphonse Zeta Mutabazi, Alvaro Enrique Mendoza Beleño, Alvin Ee Zhiun Cheah, Aly Abd Elrazek, Aly Nasr, Aly Sanad, Alyaa Halim Elgendy, Alyne Daltri Lazzarini Cury, Amal Ibrahim, Amandine Martin, Amani Althwainy, Amany Abouzahra, Amany Eldosouky Mohammed, Amar Kourdouli, Amel Hashish, Amerdip Birring, Amgad Al Meligy, Amina Abdelhamid, Aminah Hanum Haji Abdul Majid, Aminu Mohammad, Amir Ait Kaci, Amira Atef Omar, Amira Elsawy, Amira Hassan Bekhet, Amira Reda, Amjad Abu Qumbos, Amjad Elmashala, Ammar Gado, Amna Mamdouh Mohamed, Amna Mohamed, Amoudtha Rasendran, Amr Ahmed Saleh, Amr Fadel, Amr Hasan, Amr Hassaan, Amr Hossameldin, Amr Muhammad Elkorashy, Amr Tarek Hafez, Amreen Faruq, Amro Aglan, Ana Cecilia Manchego Bautista, Ana Lucia Contreras-Vergara, Ana Maria Sandoval Barrantes, Ana Vega Carreiro De Freitas, Ana Vega Freitas, Anam Rashid, Anan Rady Abdelazeam, Anand Kirishnan, Anass Majbar, Anastasia Bamicha, Anastasios Stefanopoulos, Anders Thorell, Andre Das, Andre Dubois, Andre L Mihaljevic, Andre Navarro, Andrea Allegri, Andrea Armellini, Andrea Belli, Andrea Bondurri, Andrea Echevarria Rosas Moran, Andrea Natili, Andrea Ruzzenente, Andrea Simioni, Andreass Haloho, Andrei Tanase, Andrej Kolosov, Andrejus Subocius, Andrew G N Robertson, Andrew Kirby, Andrew Mcguigan, Andrew Spina, Andrey Litvin, Andrius Burmistrovas, Andrius Strazdas, Andy Arenas, Aneel Bhangu, Anele Rudzenskaite, Angel David Pérez Rojas, Angela Dell, Angelica Genoveva Vergara Mejia, Angeline Charles, Angelo Antoniozzi, Angelo Benevento, Angelos Tselos, Angham Solaiman El-Ma'doul, Anjana Sreedharan, Ankur Bhatnagar, Ann Kjellin, Anna Lasek, Anna Maffioli, Anna Powell, Anna Rinaldi, Anna Watts, Annalisa Lo Conte, Annamaria Bigaran, Annelisse Ashton, Annisa Dewi Fitriana Mukin, Antanas Gulbinas, Antanas Zadoroznas, Anthonius Santoso Rulie, Anthony Ajiboye, Anthony Avoka, Anthony Chuk-Him Lai, Anthony Davor, Anthony Sander, Antje Oosterkamp, Antoinette Bediako-Bowan, Antonella La Brocca, Antônio Leal, Antonio Nocito, Antonio Ramos-De La Medina, Antonio Taddei, Anwar Atiyeh, Anyomih Theophilus Teddy Kojo, Aoife Driscoll, Apar Shah, Apostolos Vlachogiorgos, April Camilla Roslani, Aram Abdelhaq, Arazzelly Del Pilar Paucar, Arcangelo Picciariello, Areej Tarek, Arezo Kanani, Ari Leppäniemi, Arianna Birindelli, Arij Ibrahim, Arjun Nesaratnam, Arlindawati Suyadi, Armando José Román Velásquez, Arnaud Bonnard, Arnav Agarwal, Aroub Alkaaki, Arturas Vaicius, Arvin Khamajeet, Arvo Reinsoo, Arwa Abouzaid, Arwa Elfarargy, Arwa Ibrahim, Arwa Mohamed, Asaf Kedar, Asdaq Ahmed, Ased Ali, Aseel Alnusairat, Aseel Hamarshi, Aseel Musleh, Ash Prabhudesai, Ashraf A Maghrabi, Ashraf Morsi, Ashrarur Rahman Mitul, Asmaa Abdelgelil, Asmaa Abdel-Rahman Al-Aarag, Asmaa Rezq, Asmaa Salah, Aspasia Papailia, Assmaa Badwy, Astrid Leusink, Ata Khan, Ataa Ahmed, Athanasia Bamicha, Athar Eysa, Athirah Zulkifli, Atif Mahdi, Attia Attia, Attia Mohamed Attia, Audrey Clarissa, Audrius Dulskas, Audrius Parseliunas, Augusto Zani, Aung Kyaw Tun, Aurel Mironescu, Aurel Sandu Mironescu, Aurelien Scalabre, Aurora Mariani, Aurore Haffreingue, Aurore Thollot, Ausrine Usaityte, Austė Skardžiukaitė, Awais Raza, Aya Abdel Fatah Ibraheem, Aya Aboarab, Aya Adel Elsharkawy, Aya El-Sawy, Aya Elwaey, Aya Firwana, Aya Hagar, Aya Hammad, Aya Mohamed Fathy, Aya Reda, Aya Yehia Ata, Ayah Hamdan, Ayat Hassaan, Ayman And Taher, Ayman Elwan, Ayman Nabawi, Ayman Salman, Ayman Shwky, Ayokunle Ogunyemi, Azher Herebat, Azmina Verjee, Babajide Adenekan, Babatunde Odeyemi, Badr Eldin Adel, Badreldin Adel Tawfik, Bahar Busra Ozkan, Bakeer Mohamed, Bakhtiar Nighat, Bandar Albeladi, Bárbara Málaga, Barbara Mijuskovic, Barbara Pereira Silvestre, Basant Kumar, Basem Sieda, Bashir Bello, Basim Alghamdi, Basma Magdy, Basma Mahmoud, Basmah Alhassan, Bassant Mowafy, Beatrice Brunoni, Beatrix Weber, Belen Sanchez, Ben Thompson, Benoît Parmentier, Bernard Limoges, Bernard Van Duren, Bernhard Wolf, Bertrand Dousset, Besmir Grizhja, Bettina Lieske, Betty Maillot, Billal Mansour, Bjorn Frisk, Bogdan Diaconescu, Bogdan-Valeriu Martian, Boris Marinkovic, Brendan Skelly, Brian Cameron, Britta Dedekind, Bruno Noukpozounkou, Bryon Frankie Hon Khi Chong, Bylapudi Seshu Kumar, Caio Vinícius Barroso de Lima, Calogero Iacono, Cameron Fairfield, Camila Sanchez Samaniego, Camilla Cona, Camilo Lopez-Arevalo, Caoimhe Normile, Caranj Venugopal, Carla Cecilia Ramã Rez Cabrera, Carla Pierina García Torres, Carlo Corbellini, Carlos Alejandro Arroyo Basto, Carlos Iván Pérez Velásquez, Carlos Morales, Carlos Nsengiyumva, Carlos Paz Galvez, Carmen Capito, Carmen Fernández, Carmina Diaz-Zorrilla, Carolina Guzmán Dueñas, Carolina Oliveira Felipe, Caroline Clifford, Caroluce K Musyoka, Catherine A Shaw, Cathy Magee, Cecile Muller, Cecilia Costa, Cecilia Tolg, Cecilia Wredberg, Celeste Del Basso, Céline Grosos, Cesar Augusto Azmitia Mendizabal, Cesar Miranda, Cesar Razuri, Cezar Ciubotaru, Chali Chibuye, Challine Alexandre, Charing Cheuk Ling Szeto, Charles Dally, Charlotte Jane Mcintyre, Chaymae Benyaiche, Chean Leung Chong, Chee Siong Wong, Cheewei Gan, Chelise Currow, Chelsea Deane, Cheng Chun Goh, Cherry Koh, Cheryl Ou Yong, Chetan Khatri, Chi Chung Foo, Chi Ying Jacquelyn Fok, Chia Kong, Chiara Ceriani, Chimwemwe Kwatiwani, Chingwan Yip, Chintya Tedjaatmadja, Choon Seng Chong, Chouikh Taieb, Choy Ling Tan, Chris Bode, Chris Lee, Christel Leanne Almanon, Christian Hinojosa, Christian Lari Coompson, Christin Schoewe, Christina Neophytou, Christina P Major, Christina Panteli, Christine Mizzi, Christoforos Ferousis, Christopher Bode, Christos Agalianos, Christos Anthoulakis, Christos Barkolias, Christos Dervenis, Chu-Ann Chai, Chui Yee Wong, Ciara Fahy, Cicilia Viany Evajelista, Cirugia De Emergencia, Ciskje Zarb, Citra Dewi Mohd Ali, Claire Sharpin, Clara Milagros Herrera Puma, Clare M Rees, Clare Morgan, Claudia Reali, Claudio Arcudi, Claudio Fermani, Claudio Gabriel Fermani, Clemens Nawara, Clement Onuoha, Clodagh Mangan, Colleen Sampson, Collins Nwokoro, Colombani Jean-Francois, Constantinos Marinos, Cornelius Mukuzunga, Corrado Bottini, Craig Gouldthorpe, Crislee Elizabeth Lopez, Cristina Fernandes, Crystal Yern Nee Chow, Cutting Edge Manipal, Dale Vimalachandran, Dalia Alkhabbaz, Dalia Hemeda, Damien Brown, Damir Ljuhar, Dan L Deckelbaum, Dana Jaradat, Danelo Du Plessis, Daniel Ardian Soeselo, Daniel Cox, Daniel Dabessa, Daniel Estuardo Marroquín Rodríguez, Daniel Hamill, Daniel Nel, Daniel Youssef, Daniela Magri, Daniele Angelieri, Daniele Gui, Danilo Herrera Cruz, Danjuma Sale, Dansou Gaspard Gbessi, Dario Andreotti, Darius Kazanavicius, Darragh McCullagh, David Mcnish, David Merlini, David Monterroso Cohen, Davide De Boni, Davide Rossi, Dayang Nita Abdul Aziz, D C Grobler, Debora Schivo, Deborah Chiesa, Deimante Mikuckyte, Deividas Dragatas, Demi Gray, Diaa Eldin Abdelazeem Amin Elsorogy, Diaa Moustafa Elbendary Elsawahly, Diaaaldin Zahran, Diana Duarte Cadogan, Diana Sanchez, Dickson Bandoh, Diego Alonso Romani Pozo, Diego Antezana, Diego Coletta, Diego Romani, Diego Sasia, Dietmar Öfner, Dieudonne Duhoranenayo, Dimitri Aristotle Raptis, Dimitrios Balalis, Dimitrios K Manatakis, Dimitrios Karousos, Dimitrios Korkolis, Dimitrios Kyziridis, Dimitrios Lytras, Dimitrios Papageorgiou, Dimitrios Sfougaris, Dimitris-Christos Zachariades, Dina Al-Marakby, Dina Faizatur Rahmah, Dina Gamal, Dina Tarek, Dineshwary Periasammy, Diogo Vinicius Dos Santos, Dion Morton, Diya Mirghani, Djifid Morel Seto, D M Cocker, Dmitri A Raptis, Dmitri Nepogodiev, Dmitri Raptis, Doaa Emadeldin, Doaa Gamil, Doaa Hasan, Doaa Hasanain, Doaa Maher Abdelrouf, Domenica Pata, Domingos Mapasse, Dominic Charles Marshall, Donal B O'Connor, Donatas Danys, Donatas Venskutonis, Dorota Radkowiak, Doug Bowley, Dovilè Majauskyté, Dulan Irusha Samaraweera, Durvesh Lacthman Jethwani, Dush Iyer, Dushyant Iyer, Dzianis Khokha, Dzmitry Paulouski, Ebenezer Takyi Atkins, Echaieb Anis, Edgar Domini, Edilberto Temoche, Eduardo Huaman, Edvard Grisin, Edvinas Dainius, Efeson Thomas, Egle Preckailaite, Ehab Alnawam, Ehab Mamdouh, Eirik Kjus Aahlin, Eirini Kefalidi, Ekow Mensah, Elaine Borg, Eldaa Prisca Refianti Sutanto, Eleanor Marks, Elena Goldin, Elena Muzio, Elena Vendramin, Elena Zdanyte Sruogiene, Eleonora Ciccioli, Elio Jovine, Elisa Francone, Elisabeth Jensen, Elissa Rifhan Mohd Basir, Elizabeth Snyder, Ella Teasdale, Elliot Akoto, Elodie Gaignard, Elodie Haraux, Elsa Robert, Elsayed Ali, Elsayed Gamaly, Emad Abdallah, Emad Al-Dakka, Emad Ali Ahmed, Emad Aljohani, Emad Mohamed Saeed Taha, Eman Abd Al Raouf, Eman Abdelmageed, Eman Abuqwaider, Eman Adel Sayma, Eman Elwy, Eman Emara, Eman Hashad, Eman Ibrahim, Eman Magdy, Eman Magdy Hegazy, Eman Mahmoud Abdulhakeem, Eman Mohamed Ibrahim, Eman Mohamed Morshedy, Eman Nofal, Eman Rashad, Eman Yahya Mansor, Emanuel Barrios, Emanuele Rausa, Emeka Nwabuoku, Emilia De Luca, Emilie Eyssartier, Emilio Dijan, Emma Blower, Emma Jurdell, Emma Upchurch, Emmanuel Acquah, Emmanuel Akatibo, Emmanuel Barrios, Emmy Runigamugabo, Enas Alaloul, Enas Alqahtani, Enoch Dagoe, Enoch Tackie, Eriberto Farinella, Eric Ackom, Eric Kofi Appiah, Erick Samuel Florez Farfan, Erik Hervieux, Erik Schadde, Erika Vicario, Erikas Laugzemys, Ernest Yemalin Stephane Ahounou, Eslam Elbanby, Eslam Ezzat, Esraa Abd Elkhalek, Esraa Abdalmageed Kasem, Esraa Alm Eldeen, Esraa El-Gizawy, Esraa Elhalawany, Esraa El-Taher, Esraa Gamal, Esraa Ghanem, Esraa Kasem, Esraa Samir Elbanby, Esraay Zakaria, Ethar Hany, Etienne Courboin, Eu Xian Lee, Euan Macdonald, Eugene Niyirera, Eugenio Grasset, Eugenio Morandi, Eugenio Panieri, Eva Borin, Evangelos Voulgaris, Evelina Slapelyte, Evelina Woin, Ewan Macdermid, Ewen M Harrison, Eyad Khalifah, Ezio Veronese, Fabian Deichsel, Fabrizio Aquilino, Fahd Abdel Sabour, Faisal Idris, Faith Qi Hui Leong, Fanjandrainy Rasoaherinomenjanahary, Farah Mahmoud Ali, Farhana Iftekhar, Farrag Sayed, Fatai Balogun, Fatema Al Bastawis, Fatema Asi, Fathee Nada, Fathi Elzowawi, Fathia Abd El-Salam, Fathy Sroor, Fatima Baluch, Fatimah I Elgendy, Fatma Elkady, Faustin Ntirenganya, Fawzia Abdellatif Elsherif, Fawzy Mohamed, Fayez Elian Al Barrawi, Fazlin Noor, Federica Bianco, Federica Falaschi, Federico Coccolini, Fei Zheng, Felipe Zapata, Felix Alakaloko, Felix Lee, Feng Yih Chai, Ferdy Iskandar, Fernanda Altoe, Fernanda Frade, Fernande Djivoh, Fernando Espinoza, Fernando Fernandez-Bueno, Fernando Tale, Ferry Fitriya Ayu Andika, Fidelis Jacklyn Adella, Filippo Di Franco, Finaritra Casimir Fleur Prudence Rahantasoa, Fitjerald Henry, Fitriana Nur Rahmawati, Florence Dedey, Florian Primavesi, Florin-Mihail Iordache, Fong Yee Lam, Foteini Koumpa, Francesca Steccanella, Francesco Pata, Francesco Riente, Francesco Ruben Giardino, Francesco Selvaggi, Francis Abantanga, Francis Dossou, Francisco Fujii, Francisco Regalado, Francois-Coridon Helene, Françoise Schmitt, Frank Enoch Gyamfi, Frank Owusu, Fred Alexander Naranjo Aristizã Bal, Fred Hodonou, Frederick Du Toit, Frederique Sauvat, Fredrik Wogensen, Frehun Ayele Asele, Fridiz Saravia, Gabriel Pardo, Gabriela Elisa Nita, Gaetano Gallo, Gaetano Luglio, Gaetano Tessera, Galaleldin Abdelazim, Gamal Shimy, Gandau Naa Barnabas, Garba Samson, Gareth Irwin, Gehad El Ashal, Gehad Samir El Sayed, Gehad Tawfik, Gemma Humm, Genoveffa Balducci, George Christian Manrique Sila, George Ihediwa, George Manrique Sila, Georges Azzie, Georgette Marie Camilleri, Georgios Gemenetzis, Georgios Gkiokas, Georgios Karabelias, Georgios Kyrou, Georgios Tzikos, Gerardo Perrotta, Gerfried Teufelberger, Germain Ahlonsou, German Minguez, Geta Maharaj, Gezim Galiqi, Ghada Elhoseny, Ghada Saied Nagy, Ghiath Al Saied, Ghina Shamim Shamsi, Giacomo Nastri, Giacomo Pata, Gianfranco Cocorullo, Gianluca Curletti, Gianluca Pagano, Gianluca Pellino, Gianmaria Confalonieri, Gianpiero Gravante, Giedrius Lauzikas, Giles Dawnay, Gintaras Simutis, Giorgio Vasquez, Giovanni Landolfo, Giovanni Lazzari, Giovanni Luca Lamanna, Giovanni Pascale, Giovanni Pesenti, Giovanni Sgroi, Giridhar H Devadasar, Gisele Moreira, Giuliano Borda-Luque, Giuseppe Clerico, Giuseppe Rotunno, Giuseppe Salamone, Giuseppe Sammarco, Gokhan Lap, Greg Padmore, Gregorio Tugnoli, Gregory Kouraklis, Greta Mclachlan, Greta Wood, Greta Žiubrytė, Guillaume Podevin, Guillermo Sanchez Rosenberg, Guo Liang Yong, Gurdeep Singh Mannu, Gurpreet Singh Banipal, Gustavo Miguel Machain Vega, Gustavo Peixoto Soares Miguel, Gustavo Pereira Fraga, Gustavo Recinos, Gustavo Rodolfo Pertersen Servin, Haaris A Shiwani, Hadeel Al-Farram, Hafiz Hakim, Hagar Zidan, Hager Abdul Aziz Amin, Hager Abdulaziz, Hager Ahmed El-Badawy, Hager Elwakil, Hager Tolba, Hagir Zain Elabdin, Haidar Hajeh, Hala Ahmed, Hala Saad, Halima Aliyu, Hamdi Ebdewi, Hamza Asumah, Hamza Waleed, Hanan Adel Saad, Haney Youssef, Hani Natalie, Hanna Royson, Hannah Anderson-Knight, Hannah Burns, Hannah S Thomas, Hans-Ivar Pahlsson, Harish Neelamraju Lakshmi, Harriet Jordan, Hasan Ismael Ibraheem, Hasan Ismael Ibraheem Al-Hameedi, Hasbi Maulana Arsyad, Hasnain Abbas Dharamshi, Hassan Ali Mostafa, Hatem El-Sheemy, Haya Tahboub, Hayam Ahmed, Hayden Kretzmann, Hayssam Rashwan, Haytham Abudeeb, Hazem Khaled, Hazmi Dwinanda Nurqistan, Heather Bougard, Heba Baraka, Heba Gamal, Heba Shaker, Hector Shibao Miyasato, Helen Mohan, Helen Woodward, Helena Franco, Helene Francois-Coridon, Helmut Alfredo Segovia Lohse, Hend Adel Gawad Shakshouk, Hend Kandil, Hend Mahmoud, Henri Kotobi, Henry Mendel, Henry Nnaj, Herlin Karismaningtyas, Herman Cruz, Hesham Magdy, Hesham Mohammed Bakry, Hian Ee Heng, Hildur Thorarinsdottir, Hisham Safa, Hisham Samih, Hogea Mircea, Hong Kong Sar, Hong Yee Wong, Hoong-Yin Chong, Hope Edem Kofi Kordorwu, Hope Glover-Addy, Horacio Paredes Decoud, Hosni Khairy Salem, Hossam Dawoud, Hossam Elfeki, Hossam Emadeldin, Houda Bachri, Hunain Shiwani, Hussein Ali, Hussein El-Kashef, Hussein Mohammed, Hussien Ahmed, Iason-Antonios Papaskarlatos, Ibrahem Abdelmotaleb, Ibrahim AbdelFattah, Ibrahim Alhabli, Ibrahim Al-Slaibi, Ibrahim AlYoussef, Ibrahim Elzayat, Ibrahim Elzayyat, Ibrahim N Alomar, Ibrahim Rakha, Ibrahim Raza, Ida Björklund, Idelso Vasquez, Ignas Rakita, Ihab Hassan, Ihdaa Adawi, Iloba Njokanma, Iman Elkadsh, Immacolata Iannone, Ingemar Havemann, Ioannis Kyriazanos, Ioannis Patoulias, Ioannis Valioulis, Ionasc Dan, Ionut Negoi, Ionut-Bogdan Diaconescu, Irene Montes, Irene Ortega-Vazquez, Isaac Amole, Isaac Bertuello, Isaac Hanley, Isam Bsisu, Islam Magdy El Sayed, Ismael Isaac Zelada Alvarez, Ismail Lawani, Israa Abdullah Aziz Al-Azraqi, Israa Adel, Israa Awad, Israa Qawasmi, Ivan Mendoza Restrepo, J Edward Fitzgerald, Jack Almy, Jacqueline Sheehan, Jaime Andres Montoya Botero, Jaime Herrera-Matta, Jakeline Restrepo, Jakov Mihanovic, James Adeniran, James Brown, James Davies, James Giles, James Glasbey, James Olivier, James Pape, James Richards, James Wheeler, James Yang, Jamie Shah, Janet Pagnozzi, Jannin Salcedo, Jasim Amin, Jason Brown, Javier Pastora, Javier Rosales, Jazmin Coronel, Jean Bréaud, Jean De La Croix Allen Ingabire, Jean-Baptiste Marret, Jean-Francois Colombani, Jean-François Lecompte, Jeffrey Dalli, Jehad Hassan Youssif, Jehad Meqbil, Jemina Onimowo, Jen Cornick, Jenifa Jeyakumar, Jennifer Nowers, Jennifer Rickard, Jennifer Skehan, Jerry Makama, Jesse Ron Swire Ting, Jessica Juliana Tan, Jessica Patricia Gonzales Stuva, Jessica Roth, Jessica Souza Luiz, Jia Hao Law, Jia Yng Siaw, Jian Er Saw, Jibran Abbasy, Jiheon Song, Jimy Harold Jara Quezada, Joachim Amoako, Joachim Wiborg, Joanna Swann, Jo-Anne Carreira, Joanne Edwards, Joe Vincent, Joel Kin Tan, Joe-Nat Clegg-Lamptey, Johanna Joosten, Johanna Nyberg, Johannes Kurt Schultz, Johannes Wiik Larsen, John Bondin, John F Camilleri-Brennan, John Jemuel V Mora, John Lee Y Allen, John Whitaker, Jolanta Gribauskaite, Jon Arne Søreide, Jon Kristian Narvestad, Jonathan Ajah, Jonathan Dakubo, Jonathan Heath, Jonathan R L Wild, Jonny Setiawan, Jorge Armando Chungui Bravo, Jorge Torres Cardozo, Jose Aguilar-Jimenez, Jose Andres Garcia-Marin, Jose Antonio Cabala Chiong, Jose Costa-Maia, José Hamasaki, José Luis Hamasaki Hamaguchi, Jose Luis Rodicio, Jose María Vergara Celis, José René Arévalo Azmitia, Joselyn Ye, Joseph Awuku-Asabre, Josephine Psaila, Joshua Luck, Joshua Michael Clements, Joyeta Razzaque, Juan Camilo Correa, Juan Carpio, Juan Gouws, Juan Jaime Herrera Matta, Juan Manuel Carmona, Juan Marcelo Delgado, Juana Kabba, Jubran J Al-Faifi, Julia Guasti Pinto Vianna, Julian Camilleri-Brennan, Juliana Menegussi, Julien Leroux, Julien Rod, Juliette Hascoet, Julio Jimenez, Junyeong Oh, Juozas Kutkevicius, Justas Kuliavas, Justas Žilinskas, Justin Chak Yiu Lam, Justus Lando, Ka Hin Gabriel Li, Ka Wai Leung, Kai Yin Lee, Kalangu Kabongo, Kalitha Pinnagoda, Kalon Hewage, Kamau Kinandu, Kamran Faisal Bhopal, Kandasami Palayan, Kareem Dabbour, Kareem Elshaer, Karen Bailey, Karim Hilal, Karl Bonavia, Karolis Lagunavicius, Karolis Varkalys, Kate Cross, Kate Yu-Ching Chang, Katharina Beate Reinisch, Katharine Whitehurst, Katherine Gash, Kathryn Chu, Kathryn Lee, Katie Connor, Katrin Gudlaugsdottir, Kaustuv Das, Kazeem Atobatele, K C Janardha, Kean Leong Koay, Keat-Seong Poh, Keiran David Clement, Keith Sammut, Keith Say Kwang Tan, Kenneth Aaniana, Kenneth Johnson, Kenneth Mealy, Kenneth Thorsen, Kenny Turpo Espinoza, Kent Pluke, Kestutis Strupas, Kevin C Conlon, Kevin Turpo Espinoza, Khaled Abozeid, Khaled Alhady, Khaled Aljboor, Khaled Dawood, Khaled Hesham Elbisomy, Khaled Ibrahim, Khaled Khattab, Khaled Naser El Deen, Khalid Mahmud, Khalid Qurie, Khalid Salah El-Dien, Khalil Abdul Bassit, Khaoula Boukhal, Khlood Ashour, Kholod Tarek Lasheen, Kholoud Abdelbadeai, Khurram Khan, Khuzaimah Zahid Syibrah, Kieran Atkinson, Kieran Ka Kei Li, Kirsten Lafferty, Kjetil Søreide, Knut Magne Augestad, Kolonia Konstantina, Konstantinos Farmakis, Konstantinos Gasteratos, Kornelija Maceviciute, Kpèmahouton René Keke, Kresimir Zamarin, Kristian Styles, Kristijonas Jasaitis, Kristijonas Jokubonis, Kristina Cassar, Kuet Jun Chung, Kuhaendran Gunaseelan, Kuok Chung Lee, Kurt Carabott, Kwabena Agbedinu, Kwaku Boakye-Yiadom, Kwame Maison, Kwasi Asare-Bediako, Kwasi Kusi, Kyaw Phyo Aung, Kylie Joan-Yi Szeto, Kyriakos Psarianos, Laimonas Uščinas, Lalith Asanka Jayasooriya Jayasooriya Arachchige, Lana Abusalem, Larissa Ines Páez Lopez, Lau Wen Liang Joel, Laura Gavagna, Laura Koskenvuo, Laura Lorenzon, Laura Luque, Laurent Fourcade, Lawal Abdullahi, Lawani Ismaïl, Lawrence Bongani Khulu, Layza-Alejandra Mercado Rodriguez, Lee Shi Yeo, Leif Israelsson, Lemuel Davies Bray, Lenin Peña, Leo Licari, Leonardo Solaini, Li Jing Yeang, Liam Henderson, Liam Richardson, Liana Roodt, Lillian Reza, Linas Urbanavicius, Linas Venclauskas, Linda Alvi Madrid Barrientos, Linda Andersson, Ling Wilson, Linn Nymo, Linnea Mauro, Liviu Iuliu Muntean, Liviu Muntean, Ljiljana Jeremic, Lofty-John Anyanwu, Lopna Ahmed Mohamed Ahmed, Lorena Fuentes-Rivera, Lorena Rodriguez, Lorena Solar García, Lorraine Sproule, Lotfy Eldamaty, Luai Jamal, Luana Ayres Da Silva, Lubna Sabeeh, Luc Hervé Samison, Luca Ansaloni, Luca Bortolasi, Luca Turati, Lucia Duinhouwer, Lucian Corneliu Vida, Lucile Fievet, Lucio Selvaggi, Ludwing Alexander Zeta Solis, Luen Shaun Chew, Luigi Bonavina, Luigi Bucci, Luigi Maria Cloro, Luis Alberto Valente Laufer, Luis Barneo, Luis Joaquín García Florez, Luis M Helguero-Santin, Luis Miguel Alvarez Barreda, Luis Tale, Luisa Giavarini, Luiz Carlos Barros De Castro Segundo, Luiza Sarmento Tatagiba, Lukas Eisner, Lusi Padma Sulistianingsih Mata, Maarten Vermaas, Mabel Amoako-Boateng, Maciej Walędziak, Madan Jha, Madelaine Gimzewska, Mads Gran, Maeve O'neill, Magdalini Mitroudi, Magnus Boijsen, Maha Al-Faqawi, Maha Elmasry, Maha Gamal Mohamad Hamad, Maha Nasr, Mahadevan Deva Tata, Mahitab Essam, Mahitab Morsy Farahat, Mahmoud A Elnajjar, Mahmoud Abdelshafy, Mahmoud Abdelshakour, Mahmoud Abdulgawad, Mahmoud Ahmed Fathi Abozyed, Mahmoud Alrahawy, Mahmoud Amreia, Mahmoud Badawy, Mahmoud Eldafrawy, Mahmoud Elfiky, Mahmoud Elkhadragy Maher, Mahmoud Elkhadrawi, Mahmoud Elsayed Moghazy, Mahmoud Gomah, Mahmoud M Saad, Mahmoud Mohamed Metwally, Mahmoud Morsi, Mahmoud Saad, Mahmoud Saami, Mahmoud Salama, Mahmoud Salma, Mahmoud Shalaby, Mahmoud Warda, Mahmoud Zakaria, Mahmut Arif Yuksek, Mahnoor Javaid, Mahnuma Mahfuz Estee, Mai Ebidy, Mai Mohamed Ebidy, Mai Salama, Maíra Cassa Careta, Maja Marcus, Majd Dabboor, Majed Aboelella, Makafui Dayie, Makki Elsayed, Malcolm Falzon, Maleeha Hassan, Malin Sund, Man Fung Leung, Man Hon Andrew Yeung, Manar Abd-Elmawla, Manar Saeed, Mantas Drungilas, Mantas Jokubauskas, Mantas Vilčinskas, Manuel Francisco Roxas, Manuel Hache-Marliere, Manuel Lopez, Manuel Rodriguez Castro, Manuela Mendez, Manzoor Dar, Maram Abu-Toyour, Maram Salah, Marcelo O Higgins Roche, Marco Catani, Marco Maria Pascale, Marco Migliore, Mardelangel Zapata Ponze De Leon, Margaret O'Shea, Margarita Montrimaite, Margherita Notarnicola, Margub Hussain, Maria Clara Mendoza Arango, Maria Giovanna Grella, Maria Hjertberg, Maria Isabel Villegas Lanau, Maria Jesusa B Maño, Maria Lorena Aguilera, Maria Marta Modolo, Maria Mayasari, Maria Novella Ringressi, Maria Soledad Gonzales Montejo, Maria Soledad Merlo, Maria Utter, María Valcarcel-Saldaña, Maria-Lorena Aguilera-Arevalo, Mariam Darweesh, Mariam O Gad, Mariam Saad Aboul-Naga, Mariano Cesare Giglio, Mariastella Malavenda, Marie Carmela Lapitan, Marie Dione Parreno-Sacdalan, Marie Paul, Mariette Renaux-Petel, Marija Agius, Marilia Del Carmen Escalante Salas, Marilla Dickfos, Marina Luiza Pimenta, Mario Contreras Urquizu, Mario Corbellino, Mário Jacobe, Mario Lopez, Mario Pasini, Mario Trompetto, Marisa Leal, Marisol Manriquez-Reyes, Mariuca Popa, Mark Ian Hampton, Mark Sykes, Mark Wagener, Markus Zuber, Marte Bliksøen, Martha Glynn, Martin Jarmin, Martin Kyereh, Martina Perino, Martina Yusuf Shawky, Martinique Vella-Baldacchino, Marvin Vargas, Marwa Altarayra, Marwa Elashmawy, Marwa Elshobary, Marwa Hamdan, Marwa Sayed, Marwan Abubakr, Marwan Fahim, Marwan Shawki, Maryam Ali Khan, Maryna Shubianok, Mashael Al-Mousa, Masood Alghamdi, Masood Jawaid, Massiell Machaca, Massimiliano Dal Canto, Massimo Coletti, Matas Pažuskis, Matei Bratu, Matei Razvan Bratu, Mateusz Rubinkiewicz, Matteo Papandrea, Matteo Ripa, Mattew Ekow, Matthew Baldacchino, Matthew Billy, Matthew Young-Han Kim, Matthieu Peycelon, Matti Tolonen, Maureen Bezzina, Maurizio Foco, Mawaddah Alrajraji, Max Dénakpo, Max Rath, Mayaba Maimbo, Mazed Mohamed, Mazen Hassanain, Megan Turner, Mehmet Ali Yavuz, Mehmet Gumar, Mehmet Uluşahin, Melanie Castro Mollo, Melanie Zapata Ponze De Leon, Menatalla Salem, Mengistu Worku, Menna Tallah Ramadan, Mennaallah Hafez, Mennat-Allah Mustafa, Menold Archee P Redota, Meran Allam, Meric Mericliler, Merna Mostafa, Meryem Abbouch, Metwally Aboraya, Michael Amoah, Michael Cox, Michael Edye, Michael Gillespie, Michael Hanrahan, Michael Livingston, Michael Puttick, Michael Stoddart, Michael Van Niekerk, Michael Walsh, Michael Wilson, Michail Kontos, Michail Margaritis, Michał Janik, Micheal Ohene-Yeboah, Michela Monteleone, Michele Carlucci, Michele Sacco, Michelle Mccarthy, Midhun Mohan, Miguel Angel Paludi, Miguel Siguantay, Mihael Radic, Mihaela Vartic, Miklosh Bala, Milaksh Kumar Nirumal, Milan Radojkovic, Milica Nestorovic, Millika Ghetia, Mindaugas Kiudelis, Mircea Beuran, Mircea Hogea, Mirko Mangiapane, Mitchelle Solange De Fã Tima Linares Delgado, Moayad Othman, Mobolaji Oludara, Modise Zacharia Koto, Mohamad Baheeg, Mohamad Bakhaidar, Mohamad Jeffrey Bin Ismail, Mohamed A Abdelaziz, Mohamed A Amer, Mohamed A Baky Fahmy, Mohamed Abbas, Mohamed Abd El Slam, Mohamed Abdelaty, Mohamed Abdelaty Mohamed, Mohamed Abdelkhalek, Mohamed Abdelraheim, Mohamed Abozaid, Mohamed Abozed Abdullah, Mohamed Abuseif, Mohamed Adel Badenjki, Mohamed Ali Ghonaim, Mohamed Ali Mahmoud, Mohamed Ameen, Mohamed Ammar, Mohamed Asal, Mohamed Awad Elkarim Hamad Mohamed, Mohamed Dablouk, Mohamed El Halawany, Mohamed Elazoul, Mohamed Elbermawy, Mohamed Elfil, Mohamed Elsehimy, Mohamed Elzayat, Mohamed Etman, Mohamed F Zalabia, Mohamed Fares, Mohamed Fawzy Mahrous Badr, Mohamed Fouad Hamed, Mohamed Gadelkarim, Mohamed Ghoneem, Mohamed Gulamhussein, Mohamed Hafez, Mohamed Hashish, Mohamed Hassab Alnaby, Mohamed Husseini, Mohamed Ibrahim, Mohamed Ismail, Mohamed Karkeet, Mohamed Kelany, Mohamed Mabrouk, Mohamed Magdy, Mohamed Mahmoud, Mohamed Moamen Mohamed, Mohamed Moaty, Mohamed Mostafa, Mohamed Mustafa, Mohamed Nashat, Mohamed Nazir, Mohamed Reda Loaloa, Mohamed Rezal Abdul Aziz, Mohamed Sabry Ammar, Mohamed Salah, Mohamed Salah Elhelbawy, Mohamed Seisa, Mohamed Shaalan, Mohamed Sleem, Mohamed Sobhi Jabal, Mohamed Youssef, Mohamed Zidan, Mohamedraed Elshami, Mohammad Abdulkhalek Habeeb, Mohammad Aboraya, Mohammad Adawi, Mohammad Alherz, Mohammad Aliyu, Mohammad Elsayed Omar, Mohammad Ghannam, Mohammad Ghassan Alwafai, Mohammad Mohsin Arshad, Mohammad Rashid, Mohammadasim Amjad, Mohammed Alamoudi, Mohammed Alhendy, Mohammed AlRowais, Mohammed Alsaggaf, Mohammed Alzahrani, Mohammed Bukari, Mohammed Deputy, Mohammed Elgheriany, Mohammed Elsayed, Mohammed Elshaar, Mohammed Elsiddig, Mohammed Firdouse, Mohammed G Azizeldine, Mohammed Hanafy, Mohammed Ismail, Mohammed Kamal Ismail, Mohammed Mousa, Mohammed Mousa Salem, Mohammed Mustafa Hassan Mohammed, Mohammed Mustafa Mohammed, Mohammed Najjar, Mohammed Nasr, Mohammed Osman, Mohammed Osman Dablouk, Mohammed Saeed, Mohammed Saleh A Alghamdi, Mohammed Ubaid Alsaggaf, Mohammed Yahia Mohamed Aly, Mohannad Aledrisy, Mojolaoluwa Olugbemi, Mona Hamdy Madkor, Mona Hosh, Mona Rashad, Monica Bassem, Monique Moron Munhoz, Monty Khajanchi, Morgan Haines, Morvarid Ashtari, Mostada Samy, Mostafa Abdelkader, Mostafa Ahmed Bahaa Eldin, Mostafa Allam, Mostafa Gemeah, Mostafa Mahmoud Eid, Mostafa Qenawy, Mostafa Samy, Mostafa Seif, Mostafa Shalaby, Mousa Mustafa, Moustafa Ibrahim Mahmoud, Moustafa R Aboelsoud, Msafiri Kimaro, Muayad Ahmed Alfarsi, Muhamed M H Farhan-Alanie, Muhammad Adil, Muhammad Alkelani, Muhammad Amsyar Auni Lokman, Muhammad Bin Hasnan, Muhammad Daniyan, Muhammad El-Saied Ahmad Muhammad Gohar, Muhammad Fathi Waleed Omar, Muhammad Habib Ibrahim, Muhammad Mohsin Furqan, Muhammad Rashid Minhas Qadir, Muhammad Saqlain, Muhammad Shawqi, Muhammad Talha Butt, Muhammad Taqiyuddin Yahaya, Muhammad Waqar, Muhammed Masood Riaz, Muhammed Talaat, Muhtarima Haque, Muna Rommaneh, Murad Aljiffry, Murat Karakahya, Musah Yakubu, Muslimat Alada, Mustafa Farhad, Mustafa Mohammed Taher, Muthukumaran Rangarajan, Muwaffaq Mezeil Telfah, Myint Tun, Myranda Attard, Nada Ahmed Reda Elsayed, Nada El-Sagheer, Nada Elzahed, Nada Mohamed Bekhet, Nader Abd El Hamid, Nadia Khalid Abd El-Latif, Nadia Ortiz, Nadin Elsayed, Nadya Johanna, Nahilia Carrasco, Najwa Nadeem, Naomi J Wright, Napoleon Mendez, Narimantas E Samalavicius, Nashat Ghandora, Nasir Bustangi, Natale Di Martino, Natalie Blencowe, Natalie Redgrave, Nathalie Botto, Nathania Sutandi, Nawal Sadig, Nazmie Kariem, Nebil Behar, Nebiyou Seyoum Abebe, Nebyou Seyoum, Nebyou Seyoum Abebe, Neel Gobin, Neel Limaye, Neerav Aruldas, Nehal Yosri Elsayed Abdel-Wahab, Neil Smart, Nelson Manuel Urbina Rojas, Nelson Msiska, Nerijus Kaselis, Nermeen Soubhy El-Shahat, Nermin M Badwi, Nermin Mohamed Badwi, Nesma Elfouly, Nicholas Phillips, Nichole Starr, Nicola Chetta, Nicola Zanini, Nicolas Henric, Nicole D'aguzan, Nicole Grech, Nicoleta Panait, Nicoletta Leone, Nicolò Falco, Nidhi Gyanchandani, Nigel J Hall, Nihaal Shaikh, Niiarmah Adu-Aryee, Nik Azim Nik Abdullah, Nik Ritza Kosai, Nikica Pezelj, Nikki Green, Nikolaos Gouvas, Nikolaos Ivros, Nikolaos Mitroudis, Nikolaos Nikoloudis, Nikolaos Zampitis, Nithya Niranjan, Niveshni Maistry, Noha Abdullah, Noha Abdullah Soliman, Noha Maraie, Noha Wael, Nohad Osman, Noman Shahzad, Nora Abdul Aziz, Norah Al Subaie, Noran Abdel-Hameed, Noran Halim El Gendy, Norbert Uzabumwana, Norberto Herrera, Norma Depalma, Nosisa Sishuba, Nouf Akeel, Noura A Attallah, Nourhan Adam, Nourhan Anwar, Nourhan Elsabbagh, Nourhan Medhat Elhadary, Nourhan Mesbah, Nourhan Semeda, Nourhan Soliman, Novia Adhitama, Nowrin F Aman, Nuno Muralha, Nur Zulaika Riswan, Nurlaila Ayu Purwaningsih, Nyawira Ngayu, Octavio Garaycochea, Oday Halhouli, Ogechukwu Taiwo, Ola Sherief Abd El Hameed, Olabisi Osagie, Olabode Oshodi, Olajide Abiola, Olalekan Ajai, Oliver Warren, Oliver Ziff, Olivier Abbo, Olivier Azzis, Olivier Rosello, Olubukola Faturoti, Olufemi Habeeb, Olumide Elebute, Oluseyi Ogunsua, Oluwaseyi Adebola, Oluwatomi Odutola, Omar Abdelkader, Omar Abdulbagi, Omar Aguilera, Omar Alahmady, Omar Arafa, Omar Ghoneim, Omar Hesham, Omar Mattar, Omar Moussa, Omar Osman, Omar Salah, Omar Saleh, Omnia Aboelmagd, Omnia Mosalum, Omobolaji O Ayandipo, Omolara Faboya, Omolara Williams, Opeoluwa Adesanya, Orestis Ioannidis, Osaid H Alser, Osama Algohary, Osama Mohamed, Osama Mohamed Salah, Osama Mokhtar Mohamed Hassan, Osama Saadeldeen Ebrahim, Osama Seifelnasr, Osman Imoro, Ossama Al-Obaedi, Otto Coyoy-Gaitan, Ourdia Bouali, Owusu Emmanuel Abem, Oyediran Kehinde Timothy, Oyindamola Oshati, Pablo Ramazzini, Pål Aksel Næss, Pamphile A Assouto, Panchali Sarmah, Pandi Eduard, Panu Mentula, Paola Salusso, Paola Violi, Paolino De Marco, Paolo Aonzo, Paolo Silvani, Paolo Ubiali, Patrizio Mao, Paul Kielty, Paul Sutton, Paul Ugalde, Paul Witherspoon, Paul Wondoh, Pauline Gastaldi, Paulius Karumnas, Paulius Kondrotas, Paulo Alves Bezerra Morais, Pedro Angel Toribio Orbegozo, Peep Talving, Pei Ying Koh, Per Weber, Per-Olof Lundgren, Peter Deutschmann, Peter Labib, Peter Wiel Monrad-Hansen, Petras Višinskas, Phebe Anggita Gultom, Philip Alexander, Philip Choi, Philip Mshelbwala, Philip Taah Amoako, Philippe Buisson, Phoebe De Bono, Phumudzo Ndwambi, Pier Paolo Grandinetti, Piergiorgio Danelli, Pierpaolo Sileri, Pietra Ligure, Pietro Mingrone, Pigeneswaren Yoganathan, Piotr Major, Poddevin Francois, Povilas Ignatavicius, Povilas Mazrimas, Prasad Pitigala Arachchi, Pratik Jain, Prince Kwakyeafriyie, Prisca A L Har, Pui Xin Chin, Puneet Malik, Puyearashid Nashidengo, Qinyang Liu, Quentin Alimi, Quentin Ballouhey, Quinn Ellison, R Goh Ern Tze, Rachel King, Rachel Moore, Radhian Amandito, Radin Mohd Nurrahman Radin Dorani, Rafael Araujo, Rafael Soley, Rafał Roszkowski, Raffaele Galleano, Ragavan Narayanan, Ragnar Herikstad, Rahma Kamil, Rajeev Satoskar, Rakan Kabariti, Ralph F Staerkle, Ram Nataraja, Ramadan Oumer, Ramadan Shaker, Ramdan Shaker, Ramesh Jonnalagadda, Ramon Alvarado Jaramillo, Ramón Augusto Melo Cardozo, Rana Mamdouh, Rana Saadeh, Raquel Rodríguez-Uría, Raquillet Claire, Rasha Abdelhamed, Razvan-Matei Bratu, Reda Žilinskienė, Redouane Mammar Bennai, Reem Alyahya, Reem Fakher, Reem Husseiny, Reem Khreishi, Reem Mohammed Hassan Balila, Rehab Elashry, Reham Alaa El-Din, Reham Alshareef, Reham Saad, Renato Melo, Reuban D'cruz, Reuben Goh Ern Tze, Reynu Rajan, Rezaul Karim, Ricardo Velasquez, Richard Gilbert, Richard Lilford, Richard Opoku-Agyeman, Richard Spence, Richard William Gilbert, Richmond Hagan, Rifan Alyami, Riinu Ots, Ritauras Rakauskas, Roaa Khan, Robert George, Robert Karlo, Robert Kerley, Robert Mcintyre, 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Prasad, S, Paul, Stassen, Parasyris, Stavro, Botes, Stefan, Breitenstein, Stefan, Zammit, Stefan, Berti, Stefano, Cucumazzo, Stefano, M Basso, Stefano M, Roncali, Stefano, Binna Kim, Stella, Saar, Sten, Hiu-Wai Kwok, Stephanie, Van Straten, Stephanie, Dias, Stephen, J Chapman, Stephen, Kache, Stephen, Mcaleer, Stephen, R Knight, Stephen, Tabiri, Stephen, Petrikenas, Stepona, J Fergusson, Stuart, Parpoudi, Styliani, Germanos, Styliano, Roy, Sudipta, Suresh, Sukrit, Burger, Sule, Baba, Suleiman, Almuallem, Sultan, Kim, Sung-Hee, Kumar, Sunil, Das, Suparna, Bahar, Suraya, Aviles, Susan, Limache, Susan, Wndy Mathew, Susan, Yrma Aranzabal Durand, Susana, Doris Brincat, Svetlana, Kruspi, Swantje, Roy, Swapnil, Abdul Wahhab Eusoffee Wan Ali, Syed, Altaf Naqvi, Syed, Asaat Ul Razi, Syed, Batista Lemaire, Sylvia, Mochet, Sylvie, Rekhis, Syrine, Ariani Widiastini, T, Ebogo Ngwa, Tagang, Yusufali, Taha, Taher, Al-Taher, Muhammad Yaseen, Tahir, Yaseen, Tahir, Naqvi, Tahira, Akeem Lawal, Taiwo, 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Vlachogiorgos A., Roslani A.C., Abdelhaq A., del Pilar Paucar A., Picciariello A., Kanani A., Leppaniemi A., Birindelli A., Nesaratnam A., Suyadi A., Velasquez A.J.R., Bonnard A., Agarwal A., Alkaaki A., Vaicius A., Khamajeet A., Reinsoo A., Abouzaid A., Elfarargy A., Kedar A., Alnusairat A., Hamarshi A., Musleh A., Prabhudesai A., Maghrabi A.A., Morsi A., Mitul A.R., Abdelgelil A., Al-Aarag A.A.-R., Rezq A., Salah A., Papailia A., Badwy A., Leusink A., Khan A., Eysa A., Zulkifli A., Mahdi A., Attia A., Attia A.M., Clarissa A., Dulskas A., Parseliunas A., Zani A., Tun A.K., Mironescu A., Mironescu A.S., Scalabre A., Mariani A., Haffreingue A., Thollot A., Usaityte A., Skardziukaite A., Ibraheem A.A.F., Aboarab A., Elsharkawy A.A., El-Sawy A., Elwaey A., Firwana A., Hagar A., Fathy A.M., Ata A.Y., Hamdan A., Taher A.A., Elwan A., Nabawi A., Salman A., Shwky A., Ogunyemi A., Herebat A., Verjee A., Adenekan B., Odeyemi B., Adel B.E., Tawfik B.A., Ozkan B.B., Mohamed B., Nighat B., Albeladi B., Malaga B., Mijuskovic B., Silvestre B.P., Kumar B., Sieda B., Bello B., Alghamdi B., Magdy B., Mahmoud B., Alhassan B., Mowafy B., Brunoni B., Weber B., Sanchez B., Thompson B., Parmentier B., Limoges B., Van Duren B., Wolf B., Dousset B., Grizhja B., Lieske B., Maillot B., Mansour B., Frisk B., Diaconescu B., Martian B.-V., Marinkovic B., Skelly B., Cameron B., Dedekind B., Noukpozounkou B., Chong B.F.H.K., Kumar B.S., de Lima C.V.B., Iacono C., Fairfield C., Samaniego C.S., Cona C., Lopez-Arevalo C., Normile C., Venugopal C., Cabrera C.C.R., Torres C.P.G., Corbellini C., Basto C.A.A., Velasquez C.I.P., Morales C., Nsengiyumva C., Galvez C.P., Capito C., Fernandez C., Diaz-Zorrilla C., Duenas C.G., Felipe C.O., Clifford C., Musyoka C.K., Shaw C.A., Magee C., Muller C., Costa C., Tolg C., Wredberg C., Del Basso C., Grosos C., Mendizabal C.A.A., Miranda C., Razuri C., Ciubotaru C., Chibuye C., Alexandre C., Szeto C.C.L., Dally C., McIntyre C.J., Benyaiche C., Chong C.L., Wong C.S., Gan C., Currow C., Deane C., Goh C.C., Koh C., Yong C.O., Khatri C., Foo C.C., Fok C.Y.J., Kong C., Ceriani C., Kwatiwani C., Yip C., Tedjaatmadja C., Chong C.S., Taieb C., Tan C.L., Bode C., Lee C., Almanon C.L., Hinojosa C., Coompson C.L., Schoewe C., Neophytou C., Major C.P., Panteli C., Mizzi C., Ferousis C., Agalianos C., Anthoulakis C., Barkolias C., Dervenis C., Chai C.-A., Wong C.Y., Fahy C., Evajelista C.V., De Emergencia C., Zarb C., Ali C.D.M., Sharpin C., Puma C.M.H., Rees C.M., Morgan C., Reali C., Arcudi C., Fermani C., Fermani C.G., Nawara C., Onuoha C., Mangan C., Sampson C., Nwokoro C., Jean-Francois C., Marinos C., Mukuzunga C., Bottini C., Gouldthorpe C., Lopez C.E., Fernandes C., Chow C.Y.N., Manipal C.E., Vimalachandran D., Alkhabbaz D., Hemeda D., Brown D., Ljuhar D., Deckelbaum D.L., Jaradat D., Du Plessis D., Soeselo D.A., Cox D., Dabessa D., Rodriguez D.E.M., Hamill D., Nel D., Youssef D., Magri D., Angelieri D., Gui D., Cruz D.H., Sale D., Gbessi D.G., Andreotti D., Kazanavicius D., McCullagh D., McNish D., Merlini D., Cohen D.M., De Boni D., Rossi D., Aziz D.N.A., Grobler D.C., Schivo D., Chiesa D., Mikuckyte D., Dragatas D., Gray D., Elsorogy D.E.A.A., Elsawahly D.M.E., Zahran D., Cadogan D.D., Sanchez D., Bandoh D., Pozo D.A.R., Antezana D., Coletta D., Romani D., Sasia D., Ofner D., Duhoranenayo D., Raptis D.A., Balalis D., Manatakis D.K., Karousos D., Korkolis D., Kyziridis D., Lytras D., Papageorgiou D., Sfougaris D., Zachariades D.-C., Al-Marakby D., Rahmah D.F., Gamal D., Tarek D., Periasammy D., dos Santos D.V., Morton D., Mirghani D., Seto D.M., Cocker D.M., Nepogodiev D., Raptis D., Emadeldin D., Gamil D., Hasan D., Hasanain D., Abdelrouf D.M., Pata D., Mapasse D., Marshall D.C., O'Connor D.B., Danys D., Venskutonis D., Radkowiak D., Bowley D., Majauskyte D., Samaraweera D.I., Jethwani D.L., Iyer D., Khokha D., Paulouski D., Atkins E.T., Anis E., Domini E., Temoche E., Huaman E., Grisin E., Dainius E., Thomas E., Preckailaite E., Alnawam E., Mamdouh E., Aahlin E.K., Kefalidi E., Mensah E., Borg E., Sutanto E.P.R., Marks E., Goldin E., Muzio E., Vendramin E., Sruogiene E.Z., Ciccioli E., Jovine E., Francone E., Jensen E., Basir E.R.M., Snyder E., Teasdale E., Akoto E., Gaignard E., Haraux E., Robert E., Ali E., Gamaly E., Abdallah E., Al-Dakka E., Ahmed E.A., Aljohani E., Taha E.M.S., Al Raouf E.A., Abdelmageed E., Abuqwaider E., Sayma E.A., Elwy E., Emara E., Hashad E., Ibrahim E., Magdy E., Hegazy E.M., Abdulhakeem E.M., Ibrahim E.M., Morshedy E.M., Nofal E., Rashad E., Mansor E.Y., Barrios E., Rausa E., Nwabuoku E., De Luca E., Eyssartier E., Dijan E., Blower E., Jurdell E., Upchurch E., Acquah E., Akatibo E., Runigamugabo E., Alaloul E., Alqahtani E., Dagoe E., Tackie E., Farinella E., Ackom E., Appiah E.K., Farfan E.S.F., Hervieux E., Schadde E., Vicario E., Laugzemys E., Ahounou E.Y.S., Elbanby E., Ezzat E., Elkhalek E.A., Kasem E.A., Eldeen E.A., El-Gizawy E., Elhalawany E., El-Taher E., Gamal E., Ghanem E., Kasem E., Elbanby E.S., Zakaria E., Hany E., Courboin E., Lee E.X., Macdonald E., Niyirera E., Grasset E., Morandi E., Panieri E., Borin E., Voulgaris E., Slapelyte E., Woin E., Macdermid E., Harrison E.M., Khalifah E., Veronese E., Deichsel F., Aquilino F., Sabour F.A., Idris F., Leong F.Q.H., Rasoaherinomenjanahary F., Ali F.M., Iftekhar F., Sayed F., Balogun F., Al Bastawis F., Asi F., Nada F., Elzowawi F., El-Salam F.A., Sroor F., Baluch F., Elgendy F.I., Elkady F., Ntirenganya F., Elsherif F.A., Mohamed F., Al Barrawi F.E., Noor F., Bianco F., Falaschi F., Coccolini F., Zheng F., Zapata F., Alakaloko F., Lee F., Chai F.Y., Iskandar F., Altoe F., Frade F., Djivoh F., Espinoza F., Fernandez-Bueno F., Tale F., Andika F.F.A., Adella F.J., Di Franco F., Rahantasoa F.C.F.P., Henry F., Rahmawati F.N., Dedey F., Primavesi F., Iordache F.-M., Lam F.Y., Koumpa F., Steccanella F., Pata F., Riente F., Giardino F.R., Selvaggi F., Abantanga F., Dossou F., Fujii F., Regalado F., Helene F.-C., Schmitt F., Gyamfi F.E., Owusu F., Aristizabal F.A.N., Hodonou F., Du Toit F., Sauvat F., Wogensen F., Asele F.A., Saravia F., Pardo G., Nita G.E., Gallo G., Luglio G., Tessera G., Abdelazim G., Shimy G., Barnabas G.N., Samson G., Irwin G., El Ashal G., El Sayed G.S., Tawfik G., Humm G., Balducci G., Sila G.C.M., Ihediwa G., Sila G.M., Azzie G., Camilleri G.M., Gemenetzis G., Gkiokas G., Karabelias G., Kyrou G., Tzikos G., Perrotta G., Teufelberger G., Ahlonsou G., Minguez G., Maharaj G., Galiqi G., Elhoseny G., Nagy G.S., Al Saied G., Shamsi G.S., Nastri G., Pata G., Cocorullo G., Curletti G., Pagano G., Pellino G., Confalonieri G., Gravante G., Lauzikas G., Dawnay G., Simutis G., Vasquez G., Landolfo G., Lazzari G., Lamanna G.L., Pascale G., Pesenti G., Sgroi G., Devadasar G.H., Moreira G., Borda-Luque G., Clerico G., Rotunno G., Salamone G., Sammarco G., Lap G., Padmore G., Tugnoli G., Kouraklis G., McLachlan G., Wood G., Ziubryte G., Podevin G., Rosenberg G.S., Yong G.L., Mannu G.S., Banipal G.S., Vega G.M.M., Miguel G.P.S., Fraga G.P., Recinos G., Servin G.R.P., Shiwani H.A., Al-Farram H., Hakim H., Zidan H., Amin H.A.A., Abdulaziz H., El-Badawy H.A., Elwakil H., Tolba H., Elabdin H.Z., Hajeh H., Ahmed H., Saad H., Aliyu H., Ebdewi H., Asumah H., Waleed H., Saad H.A., Youssef H., Natalie H., Royson H., Anderson-Knight H., Burns H., Thomas H.S., Pahlsson H.-I., Lakshmi H.N., Jordan H., Ibraheem H.I., Al-Hameedi H.I.I., Arsyad H.M., Dharamshi H.A., Mostafa H.A., El-Sheemy H., Tahboub H., Kretzmann H., Rashwan H., Abudeeb H., Khaled H., Nurqistan H.D., Bougard H., Baraka H., Gamal H., Shaker H., Miyasato H.S., Mohan H., Woodward H., Franco H., Francois-Coridon H., Lohse H.A.S., Shakshouk H.A.G., Kandil H., Mahmoud H., Kotobi H., Mendel H., Nnaj H., Karismaningtyas H., Cruz H., Magdy H., Bakry H.M., Heng H.E., Thorarinsdottir H., Safa H., Samih H., Mircea H., Sar H.K., Wong H.Y., Chong H.-Y., Kordorwu H.E.K., Glover-Addy H., Decoud H.P., Salem H.K., Dawoud H., Elfeki H., Emadeldin H., Bachri H., Shiwani H., Ali H., El-Kashef H., Mohammed H., Papaskarlatos I.-A., Abdelmotaleb I., AbdelFattah I., Alhabli I., Al-Slaibi I., AlYoussef I., Elzayat I., Elzayyat I., Alomar I.N., Rakha I., Raza I., Bjorklund I., Vasquez I., Rakita I., Hassan I., Adawi I., Njokanma I., Elkadsh I., Iannone I., Havemann I., Kyriazanos I., Patoulias I., Valioulis I., Dan I., Negoi I., Diaconescu I.-B., Montes I., Ortega-Vazquez I., Amole I., Bertuello I., Hanley I., Bsisu I., El Sayed I.M., Alvarez I.I.Z., Lawani I., Al-Azraqi I.A.A., Adel I., Awad I., Qawasmi I., Restrepo I.M., Fitzgerald J.E., Almy J., Sheehan J., Botero J.A.M., Herrera-Matta J., Restrepo J., Mihanovic J., Adeniran J., Brown J., Giles J., Glasbey J., Olivier J., Pape J., Richards J., Wheeler J., Yang J., Shah J., Pagnozzi J., Salcedo J., Amin J., Pastora J., Rosales J., Coronel J., Breaud J., De La Croix Allen Ingabire J., Marret J.-B., Colombani J.-F., Lecompte J.-F., Dalli J., Youssif J.H., Meqbil J., Onimowo J., Cornick J., Jeyakumar J., Nowers J., Rickard J., Skehan J., Makama J., Ting J.R.S., Tan J.J., Stuva J.P.G., Roth J., Luiz J.S., Law J.H., Siaw J.Y., Saw J.E., Abbasy J., Song J., Quezada J.H.J., Amoako J., Wiborg J., Swann J., Carreira J.-A., Edwards J., Vincent J., Tan J.K., Clegg-Lamptey J.-N., Joosten J., Nyberg J., Schultz J.K., Larsen J.W., Bondin J., Camilleri-Brennan J.F., Mora J.J.V., Allen J.L.Y., Whitaker J., Gribauskaite J., Soreide J.A., Narvestad J.K., Ajah J., Dakubo J., Heath J., Wild J.R.L., Setiawan J., Bravo J.A.C., Cardozo J.T., Aguilar-Jimenez J., Garcia-Marin J.A., Chiong J.A.C., Costa-Maia J., Hamasaki J., Hamaguchi J.L.H., Rodicio J.L., Celis J.M.V., Azmitia J.R.A., Ye J., Awuku-Asabre J., Psaila J., Luck J., Clements J.M., Razzaque J., Correa J.C., Carpio J., Gouws J., Matta J.J.H., Carmona J.M., Delgado J.M., Kabba J., Al-Faifi J.J., Vianna J.G.P., Camilleri-Brennan J., Menegussi J., Leroux J., Rod J., Hascoet J., Jimenez J., Oh J., Kutkevicius J., Kuliavas J., Zilinskas J., Lam J.C.Y., Lando J., Li K.H.G., Leung K.W., Lee K.Y., Kabongo K., Pinnagoda K., Hewage K., Kinandu K., Bhopal K.F., Palayan K., Dabbour K., Elshaer K., Bailey K., Hilal K., Bonavia K., Lagunavicius K., Varkalys K., Cross K., Chang K.Y.-C., Reinisch K.B., Whitehurst K., Gash K., Chu K., Lee K., Connor K., Gudlaugsdottir K., Das K., Atobatele K., Janardha K.C., Koay K.L., Poh K.-S., Clement K.D., Sammut K., Tan K.S.K., Aaniana K., Johnson K., Mealy K., Thorsen K., Espinoza K.T., Pluke K., Strupas K., Conlon K.C., Abozeid K., Alhady K., Aljboor K., Dawood K., Elbisomy K.H., Ibrahim K., Khattab K., El Deen K.N., Mahmud K., Qurie K., El-Dien K.S., Bassit K.A., Boukhal K., Ashour K., Lasheen K.T., Abdelbadeai K., Khan K., Syibrah K.Z., Atkinson K., Li K.K.K., Lafferty K., Soreide K., Augestad K.M., Konstantina K., Farmakis K., Gasteratos K., Maceviciute K., Keke K.R., Zamarin K., Styles K., Jasaitis K., Jokubonis K., Cassar K., Chung K.J., Gunaseelan K., Lee K.C., Carabott K., Agbedinu K., Boakye-Yiadom K., Maison K., Asare-Bediako K., Kusi K., Aung K.P., Szeto K.J.-Y., Psarianos K., Uscinas L., Arachchige L.A.J.J., Abusalem L., Lopez L.I.P., Joel L.W.L., Gavagna L., Koskenvuo L., Lorenzon L., Luque L., Fourcade L., Abdullahi L., Ismail L., Khulu L.B., Rodriguez L.-A.M., Yeo L.S., Israelsson L., Bray L.D., Pena L., Licari L., Solaini L., Yeang L.J., Henderson L., Richardson L., Roodt L., Reza L., Urbanavicius L., Venclauskas L., Barrientos L.A.M., Andersson L., Wilson L., Nymo L., Mauro L., Muntean L.I., Muntean L., Jeremic L., Anyanwu L.-J., Ahmed L.A.M., Fuentes-Rivera L., Rodriguez L., Garcia L.S., Sproule L., Eldamaty L., Jamal L., Da Silva L.A., Sabeeh L., Samison L.H., Ansaloni L., Bortolasi L., Turati L., Duinhouwer L., Vida L.C., Fievet L., Selvaggi L., Solis L.A.Z., Chew L.S., Bonavina L., Bucci L., Cloro L.M., Laufer L.A.V., Barneo L., Florez L.J.G., Helguero-Santin L.M., Barreda L.M.A., Tale L., Giavarini L., De Castro Segundo L.C.B., Tatagiba L.S., Eisner L., Mata L.P.S., Vermaas M., Amoako-Boateng M., Dziak M.W., Jha M., Gimzewska M., Gran M., O'neill M., Mitroudi M., Boijsen M., Al-Faqawi M., Elmasry M., Hamad M.G.M., Nasr M., Tata M.D., Essam M., Farahat M.M., Elnajjar M.A., Abdelshafy M., Abdelshakour M., Abdulgawad M., Abozyed M.A.F., Alrahawy M., Amreia M., Badawy M., Eldafrawy M., Elfiky M., Maher M.E., Elkhadrawi M., Moghazy M.E., Gomah M., Saad M.M., Metwally M.M., Morsi M., Saad M., Saami M., Salama M., Salma M., Shalaby M., Warda M., Zakaria M., Yuksek M.A., Javaid M., Estee M.M., Ebidy M., Ebidy M.M., Careta M.C., Marcus M., Dabboor M., Aboelella M., Dayie M., Elsayed M., Falzon M., Hassan M., Sund M., Leung M.F., Yeung M.H.A., Abd-Elmawla M., Saeed M., Drungilas M., Jokubauskas M., Vilcinskas M., Roxas M.F., Hache-Marliere M., Lopez M., Castro M.R., Mendez M., Dar M., Abu-Toyour M., Salah M., Higgins Roche M.O., Catani M., Pascale M.M., Migliore M., De Leon M.Z.P., O'Shea M., Montrimaite M., Notarnicola M., Hussain M., Arango M.C.M., Grella M.G., Hjertberg M., Lanau M.I.V., Mano M.J.B., Aguilera M.L., Modolo M.M., Mayasari M., Ringressi M.N., Montejo M.S.G., Merlo M.S., Utter M., Valcarcel-Saldana M., Aguilera-Arevalo M.-L., Darweesh M., Gad M.O., Aboul-Naga M.S., Giglio M.C., Malavenda M., Lapitan M.C., Parreno-Sacdalan M.D., Paul M., Renaux-Petel M., Agius M., Del Carmen Escalante Salas M., Dickfos M., Pimenta M.L., Urquizu M.C., Corbellino M., Jacobe M., Pasini M., Trompetto M., Leal M., Manriquez-Reyes M., Popa M., Hampton M.I., Sykes M., Wagener M., Zuber M., Bliksoen M., Glynn M., Jarmin M., Kyereh M., Perino M., Shawky M.Y., Vella-Baldacchino M., Vargas M., Altarayra M., Elashmawy M., Elshobary M., Hamdan M., Sayed M., Abubakr M., Fahim M., Shawki M., Khan M.A., Shubianok M., Al-Mousa M., Alghamdi M., Jawaid M., Machaca M., Dal Canto M., Coletti M., Pazuskis M., Bratu M., Bratu M.R., Rubinkiewicz M., Papandrea M., Ripa M., Ekow M., Baldacchino M., Billy M., Kim M.Y.-H., Peycelon M., Tolonen M., Bezzina M., Foco M., Alrajraji M., Denakpo M., Rath M., Maimbo M., Mohamed M., Hassanain M., Turner M., Yavuz M.A., Gumar M., Ulusahin M., Mollo M.C., Salem M., Worku M., Ramadan M.T., Hafez M., Mustafa M.-A., Redota M.A.P., Allam M., Mericliler M., Mostafa M., Abbouch M., Aboraya M., Amoah M., Cox M., Edye M., Gillespie M., Hanrahan M., Livingston M., Puttick M., Stoddart M., Van Niekerk M., Walsh M., Wilson M., Kontos M., Margaritis M., Janik M., Ohene-Yeboah M., Monteleone M., Carlucci M., Sacco M., McCarthy M., Mohan M., Paludi M.A., Siguantay M., Radic M., Vartic M., Bala M., Nirumal M.K., Radojkovic M., Nestorovic M., Ghetia M., Kiudelis M., Beuran M., Hogea M., Mangiapane M., De Fa Tima Linares Delgado M.S., Othman M., Oludara M., Koto M.Z., Baheeg M., Bakhaidar M., Bin Ismail M.J., Abdelaziz M.A., Amer M.A., Baky Fahmy M.A., Abbas M., El Slam M.A., Abdelaty M., Mohamed M.A., Abdelkhalek M., Abdelraheim M., Abozaid M., Abdullah M.A., Abuseif M., Badenjki M.A., Ghonaim M.A., Mahmoud M.A., Ameen M., Ammar M., Asal M., Mohamed M.A.E.H., Dablouk M., El Halawany M., Elazoul M., Elbermawy M., Elfil M., Elsehimy M., Elzayat M., Etman M., Zalabia M.F., Fares M., Badr M.F.M., Hamed M.F., Gadelkarim M., Ghoneem M., Gulamhussein M., Hashish M., Alnaby M.H., Husseini M., Ibrahim M., Ismail M., Karkeet M., Kelany M., Mabrouk M., Magdy M., Mahmoud M., Mohamed M.M., Moaty M., Mustafa M., Nashat M., Nazir M., Loaloa M.R., Aziz M.R.A., Ammar M.S., Elhelbawy M.S., Seisa M., Shaalan M., Sleem M., Jabal M.S., Youssef M., Zidan M., Elshami M., Habeeb M.A., Adawi M., Alherz M., Aliyu M., Omar M.E., Ghannam M., Alwafai M.G., Arshad M.M., Rashid M., Amjad M., Alamoudi M., Alhendy M., AlRowais M., Alsaggaf M., Alzahrani M., Bukari M., Deputy M., Elgheriany M., Elshaar M., Elsiddig M., Firdouse M., Azizeldine M.G., Hanafy M., Ismail M.K., Mousa M., Salem M.M., Mohammed M.M.H., Mohammed M.M., Najjar M., Osman M., Dablouk M.O., Alghamdi M.S.A., Alsaggaf M.U., Aly M.Y.M., Aledrisy M., Olugbemi M., Madkor M.H., Hosh M., Rashad M., Bassem M., Munhoz M.M., Khajanchi M., Haines M., Ashtari M., Samy M., Abdelkader M., Eldin M.A.B., Gemeah M., Eid M.M., Qenawy M., Seif M., Mahmoud M.I., Aboelsoud M.R., Kimaro M., Alfarsi M.A., Farhan-Alanie M.M.H., Adil M., Alkelani M., Lokman M.A.A., Bin Hasnan M., Daniyan M., Gohar M.E.-S.A.M., Omar M.F.W., Ibrahim M.H., Furqan M.M., Qadir M.R.M., Saqlain M., Shawqi M., Butt M.T., Yahaya M.T., Waqar M., Riaz M.M., Talaat M., Haque M., Rommaneh M., Aljiffry M., Karakahya M., Yakubu M., Alada M., Farhad M., Taher M.M., Rangarajan M., Telfah M.M., Tun M., Attard M., Elsayed N.A.R., El-Sagheer N., Elzahed N., Bekhet N.M., El Hamid N.A., El-Latif N.K.A., Ortiz N., Elsayed N., Johanna N., Carrasco N., Nadeem N., Wright N.J., Mendez N., Samalavicius N.E., Ghandora N., Bustangi N., Di Martino N., Blencowe N., Redgrave N., Botto N., Sutandi N., Sadig N., Kariem N., Behar N., Abebe N.S., Seyoum N., Gobin N., Limaye N., Aruldas N., Abdel-Wahab N.Y.E., Smart N., Rojas N.M.U., Msiska N., Kaselis N., El-Shahat N.S., Badwi N.M., Elfouly N., Phillips N., Starr N., Chetta N., Zanini N., Henric N., D'aguzan N., Grech N., Panait N., Leone N., Falco N., Gyanchandani N., Hall N.J., Shaikh N., Adu-Aryee N., Abdullah N.A.N., Kosai N.R., Pezelj N., Green N., Gouvas N., Ivros N., Mitroudis N., Nikoloudis N., Zampitis N., Niranjan N., Maistry N., Abdullah N., Soliman N.A., Maraie N., Wael N., Osman N., Shahzad N., Aziz N.A., Al Subaie N., Abdel-Hameed N., El Gendy N.H., Uzabumwana N., Herrera N., Depalma N., Sishuba N., Akeel N., Attallah N.A., Adam N., Anwar N., Elsabbagh N., Elhadary N.M., Mesbah N., Semeda N., Soliman N., Adhitama N., Aman N.F., Muralha N., Riswan N.Z., Purwaningsih N.A., Ngayu N., Garaycochea O., Halhouli O., Taiwo O., El Hameed O.S.A., Osagie O., Oshodi O., Abiola O., Ajai O., Warren O., Ziff O., Abbo O., Azzis O., Rosello O., Faturoti O., Habeeb O., Elebute O., Ogunsua O., Adebola O., Odutola O., Abdelkader O., Abdulbagi O., Aguilera O., Alahmady O., Arafa O., Ghoneim O., Hesham O., Mattar O., Moussa O., Osman O., Salah O., Saleh O., Aboelmagd O., Mosalum O., Ayandipo O.O., Faboya O., Williams O., Adesanya O., Ioannidis O., Alser O.H., Algohary O., Mohamed O., Salah O.M., Hassan O.M.M., Ebrahim O.S., Seifelnasr O., Imoro O., Al-Obaedi O., Coyoy-Gaitan O., Bouali O., Abem O.E., Timothy O.K., Oshati O., Ramazzini P., Naess P.A., Assouto P.A., Sarmah P., Eduard P., Mentula P., Salusso P., Violi P., De Marco P., Aonzo P., Silvani P., Ubiali P., Mao P., Kielty P., Sutton P., Ugalde P., Witherspoon P., Wondoh P., Gastaldi P., Karumnas P., Kondrotas P., Morais P.A.B., Orbegozo P.A.T., Talving P., Koh P.Y., Weber P., Lundgren P.-O., Deutschmann P., Labib P., Monrad-Hansen P.W., Visinskas P., Gultom P.A., Alexander P., Choi P., Mshelbwala P., Amoako P.T., Buisson P., De Bono P., Ndwambi P., Grandinetti P.P., Danelli P., Sileri P., Ligure P., Mingrone P., Yoganathan P., Major P., Francois P., Ignatavicius P., Mazrimas P., Arachchi P.P., Jain P., Kwakyeafriyie P., Har P.A.L., Chin P.X., Malik P., Nashidengo P., Liu Q., Alimi Q., Ballouhey Q., Ellison Q., Tze R.G.E., King R., Moore R., Amandito R., Dorani R.M.N.R., Araujo R., Soley R., Roszkowski R., Galleano R., Narayanan R., Herikstad R., Kamil R., Satoskar R., Kabariti R., Staerkle R.F., Nataraja R., Oumer R., Shaker R., Jonnalagadda R., Jaramillo R.A., Cardozo R.A.M., Mamdouh R., Saadeh R., Rodriguez-Uria R., Claire R., Abdelhamed R., Bratu R.-M., Zilinskiene R., Bennai R.M., Alyahya R., Fakher R., Husseiny R., Khreishi R., Balila R.M.H., Elashry R., El-Din R.A., Alshareef R., Saad R., Melo R., D'cruz R., Rajan R., Karim R., Velasquez R., Gilbert R., Lilford R., Opoku-Agyeman R., Spence R., Gilbert R.W., Hagan R., Alyami R., Ots R., Rakauskas R., Khan R., George R., Karlo R., Kerley R., McIntyre R., Morton R., Parker R., Tyler R., Bugeja R., Tutino R., Villa R., Baltrunas R., Pranevicius R., Cautiero R., Cirocchi R., Faccincani R., Klappenbach R., Macchiavello R., Peltrini R., Schiavone R., Mas R., Matos-Puig R., Elsemelawy R., Lawther R., Schmid R., Ardley R., Shah R., Rackauskas R., Julaihi R., Sakr R., Osuoji R., Guevara R., Simoes R.L., Riauka R., Huaraya R.C., Ojeda R.R.B., Cahill R., Camacho R., Callan R., Sacco R., McDonald R., Bowe R., Coomber R., Elmelegy R., Chenn R., Quek R., Balmaceda R., Pacheco R.D.A., Rivas R., Giraldo R.S.R., Gunawan R., Zaa'treh R., Al-Hasani R.K.M.J., Mazelyte R., Blanco R., Gratton R., Scicluna R., Adams R., Tan R.C.K., McIntosh R., Kinnera S.V., Al Awwad S., Karim S., Irtan S., Asturias S., Dardenne S., Mahmoud S.M.E., Ali S., Al-Nahrawi S., Elsherbiney S., Idris S.A.I., Jaber S., Wondimu S., Abdul-Latif S., Alyacoubi S., Hanoun S., El-Rabaa S., Alnuqaydan S.A., Alqahtani S., Ferreira S.A.K., Elshanwany S., Hallam S., Magdy S., Mansour S., Elkolaly S.S., Aldhafeeri S., Di Saverio S., Khallaf S., Arman S., Debrah S., Seisay S., Al Attar S.M., Afana S., Gonzalez S.C.-D., Abdelhady S., Ismail S.A., Saad S., Soliman S., Kushwaha S., Emile S., Sarsik S., Sundstrom S.M., Olori S., Essoun S., Nigo S., Osei-Nketiah S., Sii S.S.Y., Ali S.S., Kumar S., Ahlqvist S., Kwizera S., Pasquali S., Samuel S.A., Sobnach S., Villalobos S., Barakat S.A.E., Ahmed S., Al-Saqqa S., Farouk S.A.M., Arafa S., Ayad S., Elhamouly S., Etienne S., Ghanem S., Kharsa S., Abdel-Kader S.M., Matter S.M., Merida S.M.C., Mehrez S., Mohammed S., Al-Saqqa S.W., Abdelghany S., Antar S., Benammi S., Braungart S., Hafez S., Rayne S., Sahel S., Samy S., Highcock S., Aljohani S., Bradulskis S., Mikalauskas S., Occhionorelli S., Satoskar S., Awad S.A., Sarwary S., Nahar S.N., Tori S.A., Vivekanantham S., D'amours S.K., Mizzi S., Yip S.B.S., King S., Shu S., Sierra S., Gaujoux S., Mahdi S., Chiu S., Chiu S.M.Y., Desta S., Manfreda S., Tshisola S.K., Estupinian S., Ribaldi S., Zegarra S., Rodriguez S.T.T., Al Amin S., Alamin S., Elhadry S., Hussein S., Mahmoud S., Talukder S., Shaharuddin S., El-Din S.A., Aql S., Torres S.G., Aliyu S., Karandikar S., Koh S., Mohamed S.R., Elsheikh S., Shehata S., Tariq S., Gamal S., Elkholy S.S., Gaafar S., Tewari S., Dindyal S., Tharmalingam S., El Mesery S., Ymeri S., Nadkarni S., Ayyar S., Kong S.N., Teo S.Y., Gokani S., Lim S.Y., Holte S., Basilico S., Boni S., De Franciscis S., Gosling S.G., Gosling S., Ng S., Stock S., Juciute S., Kasputyte S., Conci S., Sandler S., Targa S., Yam S.Y., Asilah S.M.D., Kamarulzamil S.N.A., Sivaganesh S., Suleiman S.I., Chung S., Elsobky S., Mouttalib S., Abushamleh S., Elmihy S., Ahmed S.M., Turkustani S., Hmila S., Africa S., Pai S., Bhat S., Prasad S.S., Paul S., Parasyris S., Botes S., Breitenstein S., Zammit S., Berti S., Cucumazzo S., Basso S.M.M., Roncali S., Kim S.B., Saar S., Kwok S.H.-W., Van Straten S., Dias S., Chapman S.J., Kache S., McAleer S., Knight S.R., Tabiri S., Petrikenas S., Fergusson S.J., Parpoudi S., Germanos S., Roy S., Suresh S., Burger S., Baba S., Almuallem S., Kim S.-H., Das S., Bahar S., Aviles S., Limache S., Mathew S.W., Durand S.Y.A., Brincat S.D., Kruspi S., Ali S.A.W.E.W., Naqvi S.A., ul Razi S.A., Lemaire S.B., Mochet S., Rekhis S., Widiastini T.A., Ngwa T.E., Yusufali T., Al-Taher T., Yaseen T.M., Yaseen T., Naqvi T., Lawal T.A., Lawal T., Arulampalam T., Gala T., Kumar T., Grima T., Ezzat T., Razek T., Idress T., Kanta T.H., Shachykava T., Khan T., Ali T.H.A., Fautz T., Worku T., Nouh T., Pugliesi T.B., Dimech T., Tembo T., Xerri T., Pezas T., Theodosopoulos T., Giuriato T.F., Alihonou T., Feidantsis T., Fozard T., Weiser T.G., Drake T.M., Olajide T.O., Pinkney T., Prudhomme T., Sherman T., Moe T.T., Alzayat T., Hettiarachchi T.S., Lee T.S.B., White T., Gaarder T., Schuetz T., Tolotra T.E.C., Cecilia T., Malik T.A.M., Arthur T., Hall T.F., Abaliksta T., Jankus T., Poskus T., Bocchetti T., Campagnaro T., Fontana T., Mak T., Khafagy T., Veen T., Wold T.B., Chan T.-Y.K., Mat T.N.T., Sholadoye T., Mak T.W.C., Rouse T., Chen T.-L., Muddebihal U., Karabacak U., Gunnarsson U., Gustafsson U., Muktar U., Tedeschi U., Salma U., Hantour U., Alamoudi U., Jotautas V., Parent V., Castillo V.D.P., Msosa V., Guglielmo V., Silvestri V., Despotidis V., Kalles V., Soulou V., Shatkar V., Barendegere V., Grassi V., Lazzari V., Jennings V., Dassah V., Etwire V., Kong V., Riaza V.M.Q., Nwinee V., Proctor V.K., Upadhyaya V., Gadhvi V., Ambrozeviciute V., Nevieraite V., Sallinen V., Thanusan V., Banaitis V.J., Beisa V., Sollazzo V., Graffieille V., Nsengimana V.J.P., Khokha V., Le V.T.H., Gaizauskas V., Lipnickas V., Anwer W., Soon W.C., Lam W.H., Ndegwa W., Thabet W., Adham W., Forno W., Panez W.R., Nasir W.N.A.W.M., Senanayake W.S.M.K.J., Hamsho W., Dar W., Alhazmi W., Guo W., Ho W., Dao W., Aguilar W.L.M., Goh W., Jeo W.S., Pino W., Appeadu-Mensah W., Beasley W., Bonney W., Hutch W., Lossius W.J., Milligan W., Ticona W.A., Li W.S., Chachulski W., Delforge X., Rodriguez X., Low X., Chan X.W., Neo Y.T., Souaibou Y.I., Ukwenya Y., Salama Y., Rajjoub Y., Ibrahim Y., Abd-Elrasoul Y., Elfouly Y., Hegazy Y., Soliman Y., El Salam Y.A., Tan Y.W., Zakaria Y., Reddy Y., Tan Y.K., Mok Y.T., Cheong Y.J., Gan Y.Y., Der Y., Mogan Y.P., Allam Y., Asar Y.H., Tew Y.Y., Abuowda Y., Shoura Y.E., Bermudez Y.E.A., Cengiz Y., Cheung Y.H.E., Altinel Y., Ng Y.K., Macchitella Y., Aigrain Y., Mikwar Z., Jaffry Z., Khan Z.A., Iftikhar Z., Elsayed Z.M., Zhang Z., Sam Z.H., Urniezius Z., Dambrauskas Z., Bentounsi Z., and Tverskis Z.
Subjects: surgical unmetneed, no keywords listed, appendicitis, global surgery, Financial Stress, Health Care Costs, Appendicitis, Financial Stre, Health Care Cost, Cost of Illness, Humans, appendicitis,economic burden, surgery, Surgery, Appendiciti, Human
Abstract: Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and $73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and $75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially.
Published: 2022

42. Management of Equity and Diversity

Author: Katherine J. C. Sang, Jennifer Remnant, Olugbenga Abraham Babajide, and James Richards
Published: 2022
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43. Analysis of multi-output hybrid energy systems interacting with the grid: Application of improved price-taker and price-maker approaches to nuclear-hydrogen systems

Author: Bethany Frew, Daniel Levie, James Richards, Jal Desai, and Mark Ruth
Subjects: General Energy, Mechanical Engineering, Building and Construction, Management, Monitoring, Policy and Law
Published: 2023
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44. Personal Recollections of Chickamauga: A Paper Read before the Ohio Commandery of the Military Order of the Loyal Legion of the United States

Author: James R. (James Richards) Carnahan
Published: 2011

45. Strategies for Success? Market Entry Strategies of New Craft Beer Producers

Author: Vaughan Ellis, Des Quinn, and James Richards
Subjects: Competition (economics), Craft, Government, Order (exchange), business.industry, Face (sociological concept), Business, Small business, Marketing, Variety (cybernetics)
Abstract: Fewer than half of UK start-up businesses survive beyond five years (ONS, 2020). The Scottish Small Business Survey of 2019 found competition in the market and uncertainty as to how to face it were considered the most significant barrier to success by almost half of Small and Medium-sized Enterprises (SMEs) (Scottish Government, 2020). This chapter considers how four Scottish breweries have formulated start-up strategies to respond to competition in an ever-increasingly crowded marketplace in order to maximise their likelihood of survival. The findings from each of these case studies are presented in an accessible format, and indicate that a variety of approaches to the development of the businesses can be adopted, albeit planned approaches dominate. Drawing on real life experiences of four successful businesses, the practical choices they took provide guidance and inspiration for other aspiring craft beer entrepreneurs in selecting an appropriate approach to and content of their founding strategy.
Published: 2021
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46. Behind the Beer: An Examination of ‘Entrepreneurial’ Motives for Starting a Craft Brewery

Author: James Richards and Vaughan Ellis
Subjects: Craft, Human migration, business.industry, Nothing, Sociology, Marketing, business, Beer industry, Cultural significance
Abstract: Despite recognition of the craft beer industry’s emergence, growth and cultural significance, almost nothing is known about the individuals who started these new breweries, nor what their motivations for doing so were. Drawing upon 30 in-depth, semi-structured interviews with owner-brewers of craft breweries from across Scotland, this chapter presents findings examining owners’ backgrounds and motivations for starting their brewery. The findings show a range of motivations and expectations amongst the group of owners and provide a useful basis for making practical recommendations of how other aspiring craft beer ‘entrepreneurs’ can be best supported by the industry.
Published: 2021
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47. Techno-Economic Analysis of Product Diversification Options for Sustainability of the Monticello and Prairie Island Nuclear Power Plants

Author: Lane Knighton, Daniel Wendt, James Richards, Cristian Rabiti, Abdalla Abou Jaoude, Tyler Westover, Kurt Vedros, Samuel Bates, Amgad Elgowainy, Adarsh Bafana, Richard Boardman, Krishna Reddi, Guiyan Zang, Mark Ruth, Bethany Frew, Daniel Levie, Paige Jadun, Jal Desai, Sherry Bernhoft, Brittany Westlakd, David McCollum, Daniel Ludwig, Molly Strasser, and Bryan Ramler
Published: 2021
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48. Impact of Psychiatric Comorbidities on Health Care Costs Among Patients With Cancer

Author: James Richards, Bijan J. Borah, James M. Naessens, Shehzad K. Niazi, Launia J. White, Matthew M. Clark, Emily R. Vargas, Teresa A. Rummans, and Sandra Cabral
Subjects: medicine.medical_specialty, Comorbidity, Cancer Care Facilities, Psychosocial Intervention, Cohort Studies, 03 medical and health sciences, 0302 clinical medicine, Arts and Humanities (miscellaneous), Quality of life, Neoplasms, Health care, medicine, Humans, Psychiatry, health care economics and organizations, Applied Psychology, Retrospective Studies, business.industry, Mental Disorders, Cancer, Retrospective cohort study, Health Care Costs, medicine.disease, Confidence interval, 030227 psychiatry, Psychiatry and Mental health, Quartile, Diagnosis code, business, Psychosocial, 030217 neurology & neurosurgery
Abstract: Background Psychiatric disorders are common in cancer patients and impact outcomes. Impact on cancer care cost needs study to develop business case for psychosocial interventions. Objective To evaluate the impact of preexisting psychiatric comorbidities on total cost of care during 6 months after cancer diagnosis. Methods This retrospective cohort study examined patients diagnosed with cancer between January 1, 2009, and December 31, 2014, at one National Cancer Institute–designated cancer center. Patients who received all cancer treatment at the study site (6598 of 11,035 patients) were included. Patients were divided into 2 groups, with or without psychiatric comorbidity, based on International Classification of Diseases, Ninth Revision (ICD-9) diagnosis codes. Total costs of care during the first 6 months of treatment were based on standardized costs adjusted to 2014 dollars, determined by assigning Medicare reimbursement rates to professional billed services and applying appropriate cost-to-charge ratios. Quantile regression models with covariate adjustments were developed to assess the effect of psychiatric comorbidity across the distribution of costs. Results Six hundred ninety-eight (10.6%) of 6598 eligible patients had at least one psychiatric comorbidity. These patients had more nonpsychiatric Elixhauser comorbidities (mean 4 vs. 3). Unadjusted total cancer care costs were higher for patients with psychiatric comorbidity (mean [standard deviation]: $51,798 [$74,549] vs. $32,186 [$45,240]; median [quartiles]: $23,871 [$10,705–$57,338] vs. $19,073 [$8120–$38,230]). Quantile regression models demonstrated that psychiatric comorbidity had significant incremental effects at higher levels of cost: 75th percentile $8629 (95% confidence interval: $3617–13,642) and 90th percentile $42,586 (95% confidence interval: $25,843–59,330). Conclusions Psychiatric comorbidities are associated with increased total cancer costs, especially in patients with very high cancer care costs, representing an opportunity to develop mitigation strategies.
Published: 2020
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49. Putting employees at the centre of sustainable HRM: a review, map and research agenda

Author: James Richards
Subjects: Organizational Behavior and Human Resource Management, 0502 economics and business, 05 social sciences, Industrial relations, Sustainability, 050209 industrial relations, Business, Public administration, 050203 business & management, Built environment
Abstract: PurposeCurrently, sustainable HRM is largely an employer-driven exercise based on raising employee productivity. The purpose of the article is to expand this position by fully mapping out sustainable HRM and placing employees at the centre of such practices. A further purpose is to provide a research agenda suited to a wider take on sustainable HRM.Design/methodology/approachThe article centres on an analytical review of extant sustainable HRM literature, plus an analytical review of wider literature considering further ways to sustain employment.FindingsEmployee-centred sustainable HRM goes far beyond what is accounted for in the extant HRM literature. The new map accounts for wider parties to sustainable HRM, including trade unions and self-organised employees. An extensive research agenda is a further key output from the study.Research limitations/implicationsThe article is based on a literature review. Follow-up empirical research is required to test out aspects of the new map, as well as address research gaps identified by the review.Practical implicationsThe findings have practical implications for HRM and occupational health practitioners, line managers, built environment and ergonomics specialists, governments, trade unions and workplace activists. A key practical implication is the potential to create micro-forms of corporatism, where wider political structures are absent, to foster employee-centred forms of sustainable HRM.Originality/valueThe article is novel in terms of drawing on a wide range of incongruous literature and synthesising the literature into a new map and an extensive research agenda.
Published: 2020
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50. 'I’ve found it extremely draining'

Author: Susannah Gill, Katherine Sang, James Richards, and Abigail Marks
Subjects: Research design, Organizational Behavior and Human Resource Management, Scope (project management), business.industry, 05 social sciences, 050209 industrial relations, Exploratory research, Public relations, Occupational safety and health, Disadvantaged, Emotional labor, 0502 economics and business, Sociology, business, Neurodiversity, 050203 business & management, Applied Psychology, Line management
Abstract: Purpose The purpose of this paper is to address a significant gap in the line manager, HRM and the diversity management literature, that of exploring the role and significance of emotional labour (EL) in relation to the lived experienced of line managing neurodiversity. Design/methodology/approach A qualitative approach was used to explore lived experiences of line managers responsible for managing neurodiverse employees. Interviews were conducted with line managers employed in the UK transport industry. Findings The findings provide rich insights into line managing neurodiversity. A key overall finding is reasonable adjustments deemed essential to support neurodiverse employees require a myriad of hidden, complex, time consuming and often emotionally draining interactions with disabled employees, the employee’s wider team, and HRM and occupational health (OH) practitioners. Research limitations/implications This is an exploratory study and therefore limited by nature of the research design, industry focus, scope of study and sample size. Practical implications The findings have the potential to inform HRM and OH practitioner support for line managers responsible for managing neurodiverse employees. Social implications The study contributes to wider societal attempts to make employment more inclusive to a range of historically disadvantaged groups. Originality/value The study fills an important gap in the HRM literature on line managing neurodiverse employees. The study makes a specific and unique contribution to extensive literatures on line management, disability and EL.
Published: 2019
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