BACKGROUND Data regarding the worldwide gastrointestinal surgery rates in patients with Crohn’s disease(CD)remains limited.AIM To systematically review the global variation in the rates of surgery in CD.METHODS A com...BACKGROUND Data regarding the worldwide gastrointestinal surgery rates in patients with Crohn’s disease(CD)remains limited.AIM To systematically review the global variation in the rates of surgery in CD.METHODS A comprehensive search analysis was performed using multiple electronic databases from inception through July 1,2020,to identify all full text,randomized controlled trials and cohort studies pertaining to gastrointestinal surgery rates in adult patients with CD.Outcomes included continent based demographic data,CD surgery rates over time,as well as the geoepidemiologic variation in CD surgery rates.Statistical analyses were conducted using R.RESULTS Twenty-three studies spanning four continents were included.The median proportion of persons with CD who underwent gastrointestinal surgery in studies from North America,Europe,Asia,and Oceania were 30%(range:1.7%-62.0%),40%(range:0.6%-74.0%),17%(range:16.0%-43.0%),and 38%respectively.No clear association was found regarding the proportion of patients undergoing gastrointestinal surgery over time in North America(R^(2)=0.035)and Europe(R^(2)=0.100).A moderate,negative association was seen regarding the proportion of patients undergoing gastrointestinal surgery over time(R^(2)=0.520)in Asia.CONCLUSION There appears to be significant inter-continental variation regarding surgery rates in CD.Homogenous evidencebased guidelines accounting for the geographic differences in managing patients with CD is prudent.Moreover,as a paucity of data on surgery rates in CD exists outside the North American and European continents,future studies,particularly in less studied locales,are warranted.展开更多
Despite its utility in identifying patterns in celestial objects, the Hertzsprung-Russell diagram is not supported in dim or small stars;it struggles to provide insights into certain celestial objects such as brown dw...Despite its utility in identifying patterns in celestial objects, the Hertzsprung-Russell diagram is not supported in dim or small stars;it struggles to provide insights into certain celestial objects such as brown dwarfs [1]. The purpose of this experiment is to create an improved version of the diagram with a three-dimensional model that includes a third z-axis to accurately predict and chart the life cycles of all stars regardless of size. The values of the stars’ absolute magnitude and color indices were used to chart the surface gravity and metallicity, variables that were chosen due to their ease of collection and their likeliness to be within the range of values being assessed. To obtain the values for the model, data points from the database GAIA DR2 were utilized via the TAP protocol to query the SQL database. The data was transferred into a local CSV file to facilitate data manipulation. The data could be read and interpreted, as dim stars would likely have higher values of these variables, making it easier to include them in the diagram. The Pandas DataFrames tool on Python 3 was used to organize and manage the data efficiently. Matplotlib Graphs visualized the relationships between different stellar attributes by developing a linear regression line and an algorithm and creating scatter plots and sky maps to explore trends, hence designing three-dimensional diagrams. It was determined that the surface gravity diagram had a higher efficacy than metallicity due to their standard deviations of 0.4641441715272741 and 0.786577627976148, respectively.展开更多
文摘BACKGROUND Data regarding the worldwide gastrointestinal surgery rates in patients with Crohn’s disease(CD)remains limited.AIM To systematically review the global variation in the rates of surgery in CD.METHODS A comprehensive search analysis was performed using multiple electronic databases from inception through July 1,2020,to identify all full text,randomized controlled trials and cohort studies pertaining to gastrointestinal surgery rates in adult patients with CD.Outcomes included continent based demographic data,CD surgery rates over time,as well as the geoepidemiologic variation in CD surgery rates.Statistical analyses were conducted using R.RESULTS Twenty-three studies spanning four continents were included.The median proportion of persons with CD who underwent gastrointestinal surgery in studies from North America,Europe,Asia,and Oceania were 30%(range:1.7%-62.0%),40%(range:0.6%-74.0%),17%(range:16.0%-43.0%),and 38%respectively.No clear association was found regarding the proportion of patients undergoing gastrointestinal surgery over time in North America(R^(2)=0.035)and Europe(R^(2)=0.100).A moderate,negative association was seen regarding the proportion of patients undergoing gastrointestinal surgery over time(R^(2)=0.520)in Asia.CONCLUSION There appears to be significant inter-continental variation regarding surgery rates in CD.Homogenous evidencebased guidelines accounting for the geographic differences in managing patients with CD is prudent.Moreover,as a paucity of data on surgery rates in CD exists outside the North American and European continents,future studies,particularly in less studied locales,are warranted.
文摘Despite its utility in identifying patterns in celestial objects, the Hertzsprung-Russell diagram is not supported in dim or small stars;it struggles to provide insights into certain celestial objects such as brown dwarfs [1]. The purpose of this experiment is to create an improved version of the diagram with a three-dimensional model that includes a third z-axis to accurately predict and chart the life cycles of all stars regardless of size. The values of the stars’ absolute magnitude and color indices were used to chart the surface gravity and metallicity, variables that were chosen due to their ease of collection and their likeliness to be within the range of values being assessed. To obtain the values for the model, data points from the database GAIA DR2 were utilized via the TAP protocol to query the SQL database. The data was transferred into a local CSV file to facilitate data manipulation. The data could be read and interpreted, as dim stars would likely have higher values of these variables, making it easier to include them in the diagram. The Pandas DataFrames tool on Python 3 was used to organize and manage the data efficiently. Matplotlib Graphs visualized the relationships between different stellar attributes by developing a linear regression line and an algorithm and creating scatter plots and sky maps to explore trends, hence designing three-dimensional diagrams. It was determined that the surface gravity diagram had a higher efficacy than metallicity due to their standard deviations of 0.4641441715272741 and 0.786577627976148, respectively.
