• Title/Summary/Keyword: University of Oxford

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Prognostic factors and predictive models in hot gallbladder surgery: A prospective observational study in a high-volume center

  • Giovanni Domenico Tebala;Amanda Shabana;Mahul Patel;Benjamin Samra;Alan Chetwynd;Mickaela Nixon;Siddhee Pradhan;Bara'a Elhag;Gabriel Mok;Alexandra Mighiu;Diandra Antunes;Zoe Slack;Roberto Cirocchi;Giles Bond-Smith
    • Annals of Hepato-Biliary-Pancreatic Surgery
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    • v.28 no.2
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    • pp.203-213
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    • 2024
  • Backgrounds/Aims: The standard treatment for acute cholecystitis, biliary pancreatitis and intractable biliary colics ("hot gallbladder") is emergency laparoscopic cholecystectomy (LC). This paper aims to identify the prognostic factors and create statistical models to predict the outcomes of emergency LC for "hot gallbladder." Methods: A prospective observational cohort study was conducted on 466 patients having an emergency LC in 17 months. Primary endpoint was "suboptimal treatment," defined as the use of escape strategies due to the impossibility to complete the LC. Secondary endpoints were postoperative morbidity and length of postoperative stay. Results: About 10% of patients had a "suboptimal treatment" predicted by age and low albumin. Postop morbidity was 17.2%, predicted by age, admission day, and male sex. Postoperative length of stay was correlated to age, low albumin, and delayed surgery. Conclusions: Several predictive prognostic factors were found to be related to poor emergency LC outcomes. These can be useful in the decision-making process and to inform patients of risks and benefits of an emergency vs. delayed LC for hot gallbladder.

The Belt and Road Initiative (BRI): Opportunities and Risks from Vietnamese Perspective

  • NGUYEN, Long Duc Bao;LY, Tracy Trang;TRAN, Doan Cong;TRAN, Ai Van;LE, An Quoc;HUDSON, Alan
    • The Journal of Asian Finance, Economics and Business
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    • v.9 no.4
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    • pp.229-238
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    • 2022
  • The goal of this research is to look at the Belt and Road Initiative's (BRI) goals, principles, and priorities, as well as criticisms and concerns. Another goal is to determine the Vietnamese government's best response to the BRI. Finally, the study looks at the Vietnamese viewpoint. Document review is used in conjunction with PESTELED analysis and EIU country risk model technique in this study. The study is focused on in-depth interviews with 38 top government leaders, researchers, and scholars by adopting the Delphi technique to determine major factors of risks and opportunities as well as obtain a clearer view on the Vietnamese perspective of the BRI. The main conclusion is that Vietnam's participation in the BRI could result in a variety of benefits and risks, including economic development, connectivity and integration, development finance, cooperation, coordination, trade facilitation, and people-to-people communication, as well as diplomatic and political risks, financial risks, environmental challenges, and job creation. Another conclusion is suggested that careful and case-by-case negotiation with China is needed for Vietnam to exploit the future benefits of BRI. There is a need to set up the strategy to mitigate the risk impacts, reduce the risk level, avoid risk, at last turn the risk into opportunities.

Regional Innovation Systems of Oxford, UK: Their Origin and Key Actors (대학 중심 지역혁신의 기원과 주체: 영국 옥스퍼드지역을 사례로)

  • Shin, Dong-Ho
    • Journal of the Economic Geographical Society of Korea
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    • v.25 no.2
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    • pp.219-236
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    • 2022
  • The Oxford area is one of the major innovative regions of the world. The innovative characteristics of the area, however, have not been well exposed to the academic communities of the world and Korea. In fact, the area was a base of breading the Cambridge area and has also been playing important roles in creating the major British high-technology region, called "Golden Triangle," composed of Oxford, Cambridge and London. This paper investigates the process of growing innovativeness of the Oxford area and sheds more lights on the birth, growth and key actors of the area's Regional Innovation Systems(RISs). For this research, the author reviewed the literature related to the RISs, and gathered data based on the Internet, statistical data sources, interviews with local scholars and practitioners.