Ethnic and gender trends at the annual British Association of Urological Surgeons (BAUS) meeting: A review of BAUS programmes over a 13-year period (2009-2021)

Objective: In this paper, we wanted to review the annual British Association of Urological Surgeons (BAUS) programme to analyse the female and ethnic minority (EM) representation and find out whether there is ethnic and gender disparity, and if it does reflect the reality of the workforce. Method(s): To investigate gender and EM representation, we requested data for BAUS annual meetings over a 13-year period (2009-2021). All speakers and chairpersons for all four sub-sections including Endourology, Oncology, Andrology and Female, Neurological and Urodynamic urology (FNUU) were collated. We also looked at the geographic distribution of the speakers (London area, rest of England, Scotland, Northern Ireland and Wales). Data were analysed separately before and after the COVID-19 pandemic (cut-off March 2020), as in the latter 2 years, the meeting was held virtually. Result(s): A total of 2569 speakers (range: 135-323 speakers/year) were included in our analysis and 2187 (85%) speakers were from the United Kingdom. Of the UK speakers, more than three-quarters (76.6%, n = 1676) were males and females of White ethnicity and (23.4%, n = 511) were EM. The vast majority of speakers throughout the years were males (86%, n = 1891) with only 14% (n = 296) females regardless of their origin and ethnicity. The presence of EM females was only 1.9% (n = 43). The percentage of female representation rose consistently over time from 6.7% (n = 8) in 2009 to 21.1% (n = 44) in 2020, suggesting an upward trend. Regional distribution showed 31%, 63%, 3.6%, 1.6% and 0.2% from London, Rest of England, Scotland, Wales and Northern Ireland, respectively. Both gender and EM representation doubled in the last 2 years during the pandemic (p < 0.001). Conclusion(s): Annual BAUS meetings have seen a higher proportion of ethnic and gender representation in recent years. However, considering the workforce within urology, more needs to be done to address this historical disparity. Hopefully, the BAUS 10-point programme will provide a framework for addressing Equality, Diversity and Inclusion issues related to this bias. Level of Evidence: Not applicable.Copyright © British Association of Urological Surgeons 2022.

Approach to Sinonasal Masses: A Comprehensive Review

The complex anatomy and exposure to various potential carcinogens lead to the development of tumors and tumor-like pathologies of the nose and paranasal sinuses. Delays in the diagnosis of sinonasal masses are common, leading to significant morbidity and mortality. Often the radiologist is the first person to recognize a neoplasm in a suspected inflammatory condition. Computed tomography and magnetic resonance imaging play a synergistic role in the assessment of pathologies in the sinonasal region, and their importance has become increasingly prevalent in the current scenario of coronavirus disease 2019 associated mucormycosis. Besides, imaging is essential for mapping the exact extent of the pathology and delineating vascular supply of hypervascular masses, thus facilitating the operating surgeon and interventional radiologist in management. The cases presented in this article have been accrued over the past three decades and analyzed as a retrospective observational study, with clinical, radiological, and pathological data having been extracted from the existing database in the institution. We present the imaging spectrum of sinonasal masses in the pediatric and adult population, highlight the key radiological features of the common pathologies and discuss an imaging template for reporting these masses, with special focus on the surgically relevant points to be included in the report. The educational goal of this review is to explore a meticulous and systematic imaging approach toward soft tissue lesions in the sinonasal region, which would enable the radiologist to reach a diagnosis or point toward the possible etiology and nature of the lesions.

Independent Restaurants' Pandemic Survival Toolkit: Thriving on Community Resilience: An Abstract

This research explores community resilience and its impact on the survival skills and coping abilities of independently owned restaurants in response to the COVID-19 pandemic. This rare phenomenon has provided an opportunity to investigate survival strategies during a pandemic. The Community resilience theory and related index provide the conceptual lens through which we analyzed the social and organizational systems that enabled restaurants to adapt, change, and evolve their operations post-pandemic to survive the unplanned, dramatic effects experienced by the restaurant industry. Our qualitative investigation with in-depth, semi-structured interviews of fifteen restaurant owners from multiple U.S. markets uses the means-end approach through the usage of the laddering technique. This study demonstrates both attitudinal and behavioral impacts on the restaurants and their owners, that were tempered by social capital i.e., the relationships that they had with community members including dedicated employees who were often viewed as extended family. Independent restaurant owners identified themselves as a separate, vulnerable group in the restaurant industry that not only had a high need for financial resources but also the resource of knowledge, collective organization, and a high need for a large social network. Content analysis conducted via NVivo connects the five community resilience facets: economic, infrastructure, community, institutional, and social. The findings determined that community resilience goes beyond independent restaurant owners, employees, and consumers. The significant theoretical implications extend community resilience to pandemics and beyond small rural communities that are typically impacted by natural disasters like hurricanes, tornadoes, and floods. Practical implications indicate that independent restaurants (i.e., small to medium size businesses) can utilize community resilience to guide continued marketing efforts surrounding the recovery of the restaurant industry through world-of-mouth and information sharing, as well as future policies and support from key stakeholders including local and national government. Governments could consider both employee support services and financial support solely for independent restaurants and other vulnerable small to medium size businesses. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Approach to sinonasal masses: A comprehensive review

The complex anatomy and exposure to various potential carcinogens lead to the development of tumors and tumor-like pathologies of the nose and paranasal sinuses. Delays in the diagnosis of sinonasal masses are common, leading to significant morbidity and mortality. Often the radiologist is the first person to recognize a neoplasm in a suspected inflammatory condition. Computed tomography and magnetic resonance imaging play a synergistic role in the assessment of pathologies in the sinonasal region, and their importance has become increasingly prevalent in the current scenario of coronavirus disease 2019 associated mucormycosis. Besides, imaging is essential for mapping the exact extent of the pathology and delineating vascular supply of hypervascular masses, thus facilitating the operating surgeon and interventional radiologist in management. The cases presented in this article have been accrued over the past three decades and analyzed as a retrospective observational study, with clinical, radiological, and pathological data having been extracted from the existing database in the institution. We present the imaging spectrum of sinonasal masses in the pediatric and adult population, highlight the key radiological features of the common pathologies and discuss an imaging template for reporting these masses, with special focus on the surgically relevant points to be included in the report. The educational goal of this review is to explore a meticulous and systematic imaging approach toward soft tissue lesions in the sinonasal region, which would enable the radiologist to reach a diagnosis or point toward the possible etiology and nature of the lesions. © 2022 Journal of Head and Neck Physicians and Surgeons Published by Wolters Kluwer-Medknow.

Gender, ethnic and regional bias in Endourology during the annual BAUS meeting: An independent 12 years review and analysis

Introduction & Objectives: There is increasing realisation of the bias that exists in the female and gender representation worldwide in annual meetings and conferences. British Association of Urological Surgeons (BAUS) understands and recognizes the importance of equality, diversity and inclusivity (EQI) as an essential tool to deliver the highest standard of care for patients. A 10-point plan was laid recently to implement inclusion of people from diverse background. EQI has a positive effect on innovation, well-being of workforce and quality of care. We looked at the ethnic, gender and regional distribution of speakers represented at the annual BAUS Endourology sub-section meetings and whether it meets the BAUS statement of equality. Materials & Methods: BAUS annual programmes were reviewed from 2009 to 2020 (12 years) and all Endourology speakers were identified by 2 independent reviewers for ethnicity, gender and regional representation. We also looked at the gender and ethnicity of the chairpersons involved with the meeting. Results: A total of 193 speakers (range 6-47 speakers/year) took part in the BAUS annual meeting (Endourology subsection) (Fig 1). Of the total 164 speakers were from the UK, of which 26 (15.8%) were of ethnic origin and of those only 2 (1.2%) were females. For 6 years there has been no ethnic representation among the UK speakers and there were only 20 (12.!%) female speakers. The gap was reduced in the post-Covid pandemic period. Of the 50 chairpersons during this time, 40 (80%) were of white ethnicity and 10 (20%) were of diverse ethnic background. Only 3 (7%) were females and all of white ethnicity. Of the UK speakers 57 (35%) were from London, 103 (63%) were from the rest of England with only 3,1 and 0 from Scotland, Wales and Northern Ireland respectively.

AI Based Technologies for Digital and Banking Fraud During Covid-19

The only viral thing today is the Covid 19 virus, which has severely disrupted all the economic activity around globe because of which all the businesses are experiencing irrespective of its domain or country of origin. One such major paradigm shift is contactless business, which has increased digital transaction. This in turn has given hackers and fraudsters a lot of space to perform digital scams line phishing, spurious links, malware downloads etc. These frauds have become undesirable part of increased digital transactions, which needs immediate attention and eradication from the system with instant results. In this pandemic situation where, social distancing is key to restrict the spread of the virus, digital payments are the safest and most appropriate payment method, and it needs to be safe and secure for both the parties. Artificial intelligence can be a saviour in this situation, which can help combat the digital frauds. The present study will focus on the different kinds of frauds which customers and facing, and most possible ways Artificial intelligence can be incorporated to identify and eliminate such kind of frauds to make digital payments more secure. Findings of the study suggest that inclusion of AI did bring a change in the business environment. AI used for entertainment has become an essential part in business. Transfiguration from process to platform focused business. The primary requirement of AI is to study the customer experience and how to give a better response for improving the satisfaction. But recently AIs are used not only for customer support, but it’s been observed that businesses have taken it as marketing strategy to increase demand and sales. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.

Classification of CT Scan Images for diagnosis of Covid-19 using Deep Learning

Coronavirus diseases is a contagious transmissible infectious malady rooted by the SARS-CoV-2 virus and it mostly affects the lungs thereby causing a global health care problem. Coronavirus triggers respiratory tract infection by infecting upper respiratory tract consisting of sinuses, nose, and throat or lower tract of respiratory system that includes windpipe and lungs. WHO proclaimed the COVID-19 outbreak a global epidemic. To control the spreading of novel Coronavirus, early detection and cure is mandatory. Although RT-PCR test is used to detect the infected humans but owing to colossal demand RT-PCR kits are now limited, and its low reliability made way for implementation of radiographic procedures such as X-Rays and Computed Tomography-Scan for symptomatic purposes. These come with a great specificity for diagnosing and detecting Covid-19 instances. This study suggests adopting a Deep Learning technique to automate the diagnosis of COVID19 infection using CT scans of patients for explicit identification of Covid-19. CNN namely Densenet, Inception and Xception networks or architectures are used in a deep learning architecture to distinguish human beings based on whether confirmed positive or not for COVID-19 infection. These networks are then collated on the ground of their accuracy and the outcomes procured from various CNN models are analysed to obtain a robust system. © 2022 IEEE.

Evaluation of Virtual Learning Platform- MOODLE for Medical Teaching

Introduction: The conventional teaching-learning methods used in medical education presently do not meet the expectations and needs of a medical student. There is need to explore innovative methods and newer Teaching-Learning (TL) tools specially in this challenging time during COVID-19 pandemic. Aims and objectives: The study was planned to evaluate and compare the effectiveness of online teaching through MOODLE (virtual learning platform) with classroom teaching. It also aimed at analysing the perception of students regarding use of online teaching through MOODLE. Materials and methods: It is a cross-sectional comparative study involving first year undergraduate medical students studying in medical college. The study sample consisted of 150 students randomly divided into two groups, group-A and group-B. A common topic was taught using conventional classroom teaching method to group-A and simultaneously to group-B online-via MOODLE. Afterwards, a different topic was taught online to group-A and same topic through classroom teaching to group-B. MCQ based assessment was conducted for both groups following each session and the scores were compared. The final assessment score of the participants served as the primary comparative factor in assessing performance differences between online and classroom teaching. Results: No significant difference in student performance between online and classroom teaching with respect to assessment score were found. Evaluation of students' feedback demonstrated that, almost 85 % of the students were satisfied with use of MOODLE as an online teaching tool. Conclusion: Both online and classroom teaching were found equally effective for student learning and a virtual learning platform like MOODLE can offer an alternative viable solution for medical teaching.

Pandemic and disability: Challenges faced and role of technology

The pandemic has affected every facet of human life. Apart from individual's psychological and mental health issues, mobility, access and communication with high risk infection is a challenging situation. People with disabilities are more vulnerable to infections. The new changes in our social lifestyle (social distancing, limiting touch) can profoundly impact the day-to-day life of people with disabilities. In this paper, we will briefly discuss the situation faced by individuals with disabilities, some known remedies, and yet to be identified and curated technological remedies;the impact due to transition of special education toward online mode, and tips and tricks for better utilization of work from home concept by people with disabilities. Accessibility must be universal, accommodate all and encourage inclusivity. As rightly said by Helen Keller, 'The only thing worse than being blind is having sight but no vision';subsequently, going by the demands of the time, we should contribute towards the universal design approach by supporting people with disabilities and committing to the changes required in disability care to reduce the impact of the pandemic. © 2021-IOS Press. All rights reserved.

Emerging issues and preventive measures for health care workers in the diagnostic field in coronavirus disease 2019 pandemic

Coronavirus disease 2019 caused by severe acute respiratory syndrome-CoV-2 is an emerging infectious disease first identified in Wuhan City, Hubei Province, China, which subsequently spread as a global pandemic posing a global threat. As per World Health Organisation worldwide around 38 lac people have been infected and 2.6 lac people have died from the disease and in India 59,662 people are infected with 1981 deaths by May 9, 2020. It is feasible that potentially infectious specimens may be submitted in our laboratory those are the impending source of infection to the laboratory personnel. Using imaging equipment on coronavirus confirmed/suspected patient/carriers is a serious hazard for healthcare providers because there is a risk that the virus could remain on the surface of the computed tomography scan machines or ultrasound (US) probes/patient bed/couch. Here, we have enlisted the rigorous biosafety measures which if executed appropriately can significantly drop the chances of spread of infection to health care workers in these diagnostic sections.

Sleep-wake behavior, meal timings and digital media duration of indians during COVID-19 lockdown

Introduction: Lockdown and stay home order has been imposed on people in many countries including India to prevent the community transmission of COVID-19 pandemic. However this social restriction led to disturbed daily routine and lifestyle behaviour that is needed to be attended for proper therapeutic management of overall health during such crisis. The impact of lockdown on the most apparent behavioral changes viz. sleep-wake behaviour, major meal timings, and digital screen duration of Indians were investigated. In addition the effects of gender and age were explored. Methods: After seeking permission from Ethical Institution, an online questionnaire based survey was circulated within India in the first week of May, 2020 for which total 1511 male and female (age ≥18 years) subjects participated. The sleep-wake behavior observed were sleep-wake timings, sleep duration, mid sleep time (MST) as function of lockdown, and social (lockdown) jetlag (SJL = MST before lockdown-MST during lockdown). Results: The sleep onset-wakeup and meal times were significantly delayed during lockdown, which was more pronounced in younger age group. The sleep duration increased, specifically in young individuals during lockdown. Females showed more delayed sleep onsetwaking times and first meal timing with longer sleep duration during lockdown. Increased digital media duration was observed in all age groups, primarily in males. The younger age group and specifically female reported higher SJL and delayed MST. A positive association was obtained between sleep duration & first meal time, and SJL & major meal timings/screen duration, and a significant negative relationship of sleep duration and SJL with age. Conclusion: The study shows delayed sleep-wake schedule, meal timings and increased digital media duration among Indians during COVID-19 lockdown compared to before lockdown. Also, gender and age emerged as important mediating factors for this alteration. The pandemic has given opportunity to sleep more and compensate for the sleep. In spite of that, the higher social jetlag in young age group and female showed the compromised sleep and maladaption with societal timing. These findings have applied implications in sleep health during longer social isolation conditions and for proper therapeutic management.

A review on Coronavirus Disease and potentially active drugs targeting Coronavirus

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a virus with single positive-strand RNA, having glycoproteins projection on envelopes so reveals a halo-like appearance or corona. Coronavirus is of four types: (1) α-coronavirus (α-COV);(2) β-coronavirus (β-COV);(3) δ-coronavirus (δ-COV);and (4) γ-coronavirus (γ-COV) and belongs to family Coronaviridae and subfamily Coronavirinae. Coronaviruses are the normal pathogens that cause broad band of gastrointestinal and respiratory diseases in domestic as well as wild animals such as pigs, birds, and rodents. Coronavirus is highly infectious in case of elders for mortality rate. The elder peoples are at 2-fold higher risk as compared to the younger population and the greater part of the population dying from coronavirus disease (COVID-19) is male. The virus enters into the body by the mouth, eyes, or nose, then particles march inside of the body by different pathways and affect vital organs in severe ways such as liver, heart muscle, blood vessels, kidneys, central nervous system, etc. Right now, the only solution to avoid COVID-19 infection is 'precautions.' Different companies of different countries at different steps are in race to develop effective medicines for treatment and management of the same. Here, in this review, we tried to give an overview of all about SARS-CoV-2, COVID-19 infection, pathophysiology, mechanisms, and various treatment trials. © 2021 BMJ Publishing Group. All rights reserved.

Diabetic ketoacidosis in an adolescent with type 2 diabetes and COVID-19 pneumonia

In December 2019, the world witnessed an outbreak of COVID-19 caused by the severe acute respiratorysyndrome coronavirus 2 (SARS-CoV-2). Although children and adolescents comprise approximately 22% of theUS population, only 1.7% of total Covid-19 cases have occurred in patients <18 years of age with 3-deaths asreported recently by the CDC. Case: We report on a case of a 17-year old Hispanic female who was previouslydiagnosed with T2DM and presented with diabetic ketoacidosis (DKA) and Covid-19 pneumonia. The patient'smedical history was significant for T2DM diagnosed a year earlier, she had tested negative for insulinautoantibodies and glutamic acid decarboxylase autoantibodies. The patient experienced cough and fever 1-day prior to presentation that worsened progressively with multiple vomiting episodes and altered sensoriuma few hours prior to presentation. On arrival at the emergency department the patient was lethargic, illappearing with dry mucous membranes. Vital signs: temperature: 36.3 °C, heart rate: 128/min, bloodpressure: 136/85 mmHg, and Kussmaul respirations with a rate of 28/min. Chest auscultation revealed clear breath sounds with no adventitious sounds and her oxygen saturation was 100% by pulse oximetry. Initialvenous blood gas analysis showed profound metabolic acidosis (pH, 6.84;PCO2, 22.0 mmHg;PO2, 48 mmHg;HCO3, 6.5 mmol/L). She had significant hyperglycemia (526 mg/dl) and her urinalysis showed ketonuriaindicative of DKA with poorly controlled T2DM (HbA1c: 15.3%). Chest X-ray showed a patchy infiltrate on theright upper lobe that was suspicious for Covid-19 pneumonia (Figure 1.). Patient was administeredintravenous fluids and a continuous infusion of insulin as per DKA protocol and was transferred to theintensive care unit with precautions for Covid-19. Patient's hospitalization was significant for a positive resulton the Covid-19 PCR test. Her respiratory status remained stable and she required oxygen supplementationby nasal cannula. Although her metabolic acidosis improved within 48-72 hours, she had persistenthypokalemia and hypophosphatemia (Figure 2) that required correction with potassium phosphate andpotassium chloride. She also had a relatively slow improvement in her mental status and had diarrhea duringhospitalization. The patient was discharged on day-6 of hospitalization with no complications. Discussion: Afew recent studies have shown that infection with Covid-19 in adults with diabetes is associated with poorclinical outcomes and higher mortality rates. In a smaller study, Covid-19 infection was shown to induceketoacidosis in adult T2DM patients. However, comparable studies in children with T2DM and Covid-19 areunavailable. Although DKA is uncommon in T2DM, it can occur secondary to stressors such as an infectionwith Covid-19 that increases secretion of catabolic hormones like glucagon in a setting of insulin deficiency.Ours is the first study to report Covid-19 infection induced DKA in an adolescent with poorly controlled T2DM. (Figure Presented).

Mindfulness: a traditional Buddhist wisdom to cope with the COVID-19 situation

Traditional Buddhist wisdom is always universal and relevant for mankind in overcoming suffering, also in disaster situations. Mindfulness as a traditional Buddhist practice has become popular in academic research as well as in public domain during the past three decades. The COVID-19 pandemic has landed us in a lot of anxiety, stress, worry, as well as other unforeseen physical, social, emotional, and economic severities. In this situation, we have a challenge to maintain mental strength, stability and togetherness to cope with this situation. The present paper explores the relevance of mindfulness along with its benefits and mentioning some practices for everyday life in reducing stress, anxiety, fear, worry, unnecessary panic towards any threat as well as improving mental health and well-being.

A study of the socio-economic implications of the COVID-19 pandemic

Purpose: The COVID-19 pandemic has raised concerns of an imminent economic crisis, feared to be much worse than the Great Depression. Although the pandemic is global, its impact is deeply local. This paper aims to determine the socio-economic implications of the COVID-19 pandemic, particularly on the various organisations and on the consumption patterns of individuals. On the social front, there will be a look into how social distancing, panic buying and other preventive measures necessitated by this pandemic have altered the behavioural pattern of individuals in their interactions with other economic agents. Design/Methodology/Approach: The methodology adopted is a qualitative one, where in-depth interviews were conducted across various sectors. Our focus is primarily on changes in consumption and occupational patterns. Accordingly, interviews of household members, labourers and employers have been conducted. Such a study will have practical implications in terms of helping to build theory and policy. Findings: This study has analysed how global pandemics alter individual behaviour, from a socioeconomic standpoint. Practical/Theoretical Implications: This research will prove useful in predicting human behaviour during any ‘flu-like’ epidemic in the future. © 2021 Australasian Accounting Business and Finance Journal and Authors.

Impact of recommender algorithms on the sales of e-commerce websites

Purpose: With the current pandemic situation, the world is shifting to online buying and therefore the purpose of this study is to understand how the industry can improve sales based on the product recommendations shown on their online platforms. Design/methodology/approach: This paper has studied content-based filtering using decision trees algorithm and collaborative filtering using K-nearest neighbour algorithm and measured their impact on sales of product of different genres on e-commerce websites and if their recommendation causes a difference in sales.This paper has conducted a field experiment to analyse the customer frequency, change in sales caused by different algorithms and also tried analysing the change in buying preferences of customers in post-pandemic situation and how this paper can improve on the search results by incorporating them in the already used algorithms. Findings: This study indicates that different algorithms cause differences in sales and score over each other depending upon the category of the product sold. It also suggests that post-Covid, the buying frequency and the preferences of consumers have changed significantly. Research limitations/implications: The study is limited to existing users of these sites, it also requires the sites to have a huge database of active users and products. Also, the preferences and likings of Indian subcontinent might not generally apply everywhere else. Originality/value: This study enables better insight into consumer behaviour, thus enabling the data scientists to design better algorithms and help the companies improve their product sales. © 2020, Emerald Publishing Limited.

Laboratory findings in COVID-19 patients and biomarkers for early assessment of severity and mortality

The novel coronavirus-19 (severe acute respiratory syndrome coronavirus-2) pandemic has crossed more than 4,006,257 cases with 278,892 deaths worldwide and 67,152 cases and 2206 deaths in India. The disease has a variable clinical course ranging from mild to severe disease. Although most of the patients are asymptomatic, some patients with comorbidities have a high propensity of clinical worsening and mortality and it is this chunk of patients that we need to recuperate. Studies have shown that a number of laboratory parameters, which are easily available and inexpensive, can adequately predict the disease severity at an early stage. In a resource-limited country like India, where costly investigations cannot be routinely carried out in the magnitude as big as that of this pandemic, it is imperative that patients be monitored with these simple and inexpensive parameters that are elucidated in this review. We carried out an electronic search on PubMed and Google Scholar with keywords “laboratory abnormalities in COVID-19,” “coagulopathy in COVID-19,” “sepsis in COVID-19,” “hematologic abnormalities in COVID-19,” “kidney injury in COVID-19,” “acute respiratory distress syndrome in COVID-19,” “cardiac injury in COVID-19,” “liver injury in COVID-19,” and “severity indicators in COVID-19” till present date (May 11, 2020). All studies that appeared in our search results were scrutinized and 40 studies were selected for the study.

TCT CONNECT-226 In-Hospital Outcomes of CABG Candidates Undergoing PCI During the ICU Restricted COVID-19 Pandemic: The Multi-Center Prospective UK-REVASC Registry

Background: The coronavirus disease-2019 pandemic has restricted availability of intensive care unit resources. Symptomatic patients with coronary artery disease considered surgical candidates have therefore needed revascularization with percutaneous coronary intervention (PCI). We describe demographics/in-hospital clinical outcomes of this novel cohort. Methods: From March 1, 2020, to May 31, 2020, anonymized data of 171 patients in 38 U.K. centers were enrolled in a prospective registry. All were considered surgical candidates. Results: Tables 1-3 show demographics, procedural characteristics, and outcomes. A comparison with routine PCI (British Cardiovascular Intervention Society data) and U.K. coronary bypass surgical data are listed if available and appropriate. There was significantly more prior myocardial infarction, PCI, and coronary artery bypass graft in the routine PCI database than in ReVasc Registry patients, suggesting more acute presentation in latter group. However, these were complex patients — mean SYNTAX score of 27.8 (range 9 to 65);and >20 times the number of LMS plus multivessel disease compared to the routine PCI group, with high use of adjunctive imaging. Radial use was high at 94.1%. PCI success was 97.0%. Complete revascularization was 52% and residual SYNTAX score 1.42 (0 to 20). The 2 deaths were acute, and mortality rate comparable to published surgical data. A 50% reduction in in-patient stay was observed. [Formula presented] Conclusion: In this multicenter U.K. registry, in-hospital outcomes with PCI for patients with complex coronary disease, normally treated with coronary artery bypass graft, compared well with surgical data suggesting the role of PCI could be extended. Future long-term follow-up is planned. Categories: CORONARY: Complex and Higher Risk Procedures for Indicated Patients (CHIP)