المؤلفون: Lalloo R; School of Dentistry, The University of Queensland, Brisbane, Queensland, Australia., Lucchesi LR; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Bisignano C; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Castle CD; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Dingels ZV; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Fox JT; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Hamilton EB; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Liu Z; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Roberts NLS; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Sylte DO; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA., Alahdab F; Evidence Based Practice Center, Mayo Clinic Foundation for Medical Education and Research, Rochester, Minnesota, USA., Alipour V; Health Management and Economics Research Center, Tehran, Iran.; Health Economics Department, Iran University of Medical Sciences, Tehran, Iran., Alsharif U; Department of Oral and Maxillofacial Surgery, University Hospital Knappschaftskrankenhaus Bochum, Bochum, Germany., Arabloo J; Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran., Bagherzadeh M; Chemistry Department, Sharif University of Technology, Tehran, Iran., Banach M; Department of Hypertension, Medical University of Lodz, Lodz, Poland.; Polish Mothers' Memorial Hospital Research Institute, Lodz, Poland., Bijani A; Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran., Crowe CS; Division of Plastic Surgery, University of Washington, Seattle, Washington, USA., Daryani A; Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran., Do HP; Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh, Vietnam., Doan LP; Center of Excellence in Health Service Management, Nguyen Tat Thanh University, Ho Chi Minh, Vietnam., Fischer F; School of Public Health Medicine, Bielefeld University, Bielefeld, Germany., Gebremeskel GG; Nursing Department, College of Health Science, Aksum University, Aksum, Ethiopia.; Nursing Department, Mekelle University, Mekelle, Ethiopia., Haagsma JA; Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands., Haj-Mirzaian A; Department of Pharmacology, Tehran University of Medical Sciences, Tehran, Iran.; Obesity Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Haj-Mirzaian A; Department of Pharmacology, Tehran University of Medical Sciences, Tehran, Iran.; Department of Radiology, Johns Hopkins University, Baltimore, Maryland, USA., Hamidi S; School of Health and Environmental Studies, Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates., Hoang CL; Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh, Vietnam., Irvani SSN; Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Kasaeian A; Hematology-Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.; Hematologic Malignancies Research Center, Tehran University of Medical Sciences, Tehran, Iran., Khader YS; Department of Public Health and Community Medicine, Jordan University of Science and Technology, Ramtha, Jordan., Khalilov R; Department of Physiology, Baku State University, Baku, Azerbaijan., Khoja AT; Department of Public Health, Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia.; Department of Health Policy and Management, Johns Hopkins University, Baltimore, Maryland, USA., Kiadaliri AA; Clinical Epidemiology Unit, Lund University, Lund, Sweden., Majdan M; Department of Public Health, Trnava University, Trnava, Slovakia., Manaf N; Ophthalmology Department, Iran University of Medical Sciences, Tehran, Iran.; Ophthalmology Department, University of Manitoba, Winnipeg, Manitoba, Canada., Manafi A; Plastic Surgery Department, Iran University of Medical Sciences, Tehran, Iran., Massenburg BB; Division of Plastic Surgery, University of Washington, Seattle, Washington, USA., Mohammadian-Hafshejani A; Department of Epidemiology and Biostatistics, Shahrekord University of Medical Sciences, Shahrekord, Iran., Morrison SD; Department of Surgery, University of Washington, Seattle, Washington, USA., Nguyen TH; Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh, Vietnam., Nguyen SH; Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh, Vietnam., Nguyen CT; Institute for Global Health Innovations, Duy Tan University, Hanoi, Vietnam., Olagunju TO; Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada., Otstavnov N; Laboratory of Public Health Indicators Analysis and Health Digitalization, Moscow Institute of Physics and Technology, Dolgoprudny, Russia.; Academic Department, Unium Ltd, Moscow, Russia., Polinder S; Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands., Rabiee N; Chemistry Department, Sharif University of Technology, Tehran, Iran., Rabiee M; Biomedical Engineering Department, Amirkabir University of Technology, Tehran, Iran., Ramezanzadeh K; Department of Pharmacology, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Ranganathan K; Department of Surgery, University of Michigan, Ann Arbor, Michigan, USA., Rezapour A; Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran., Safari S; Emergency Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Samy AM; Department of Entomology, Ain Shams University, Cairo, Egypt., Sanchez Riera L; Rheumatology Department, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.; Institute of Bone and Joint Research, University of Sydney, Syndey, New South Wales, Australia., Shaikh MA; Independent Consultant, Karachi, Pakistan., Tran BX; Department of Health Economics, Hanoi Medical University, Hanoi, Vietnam., Vahedi P; Assistant Professor of Anatomical Sciences, Maragheh University of Medical Sciences, Maragheh, Iran., Vahedian-Azimi A; Trauma Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran., Zhang ZJ; Department of Preventive Medicine, Wuhan University, Wuhan, China., Pigott DM; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.; Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington, USA., Hay SI; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.; Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington, USA., Mokdad AH; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.; Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, Washington, USA., James SL; Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA spencj@uw.edu.

المصدر: Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention [Inj Prev] 2020 Oct; Vol. 26 (Supp 1), pp. i27-i35. Date of Electronic Publication: 2020 Jan 08.

نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't

بيانات الدورية: Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 9510056 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1475-5785 (Electronic) Linking ISSN: 13538047 NLM ISO Abbreviation: Inj Prev Subsets: MEDLINE

مواضيع طبية MeSH: Fractures, Bone* , Global Burden of Disease* , Quality of Life*, Brazil ; Canada ; Europe ; Global Health ; Humans ; Incidence ; Prevalence ; Quality-Adjusted Life Years ; State Medicine

مستخلص: Background: The Global Burden of Disease Study (GBD) has historically produced estimates of causes of injury such as falls but not the resulting types of injuries that occur. The objective of this study was to estimate the global incidence, prevalence and years lived with disability (YLDs) due to facial fractures and to estimate the leading injurious causes of facial fracture.
Methods: We obtained results from GBD 2017. First, the study estimated the incidence from each injury cause (eg, falls), and then the proportion of each cause that would result in facial fracture being the most disabling injury. Incidence, prevalence and YLDs of facial fractures are then calculated across causes.
Results: Globally, in 2017, there were 7 538 663 (95% uncertainty interval 6 116 489 to 9 493 113) new cases, 1 819 732 (1 609 419 to 2 091 618) prevalent cases, and 117 402 (73 266 to 169 689) YLDs due to facial fractures. In terms of age-standardised incidence, prevalence and YLDs, the global rates were 98 (80 to 123) per 100 000, 23 (20 to 27) per 100 000, and 2 (1 to 2) per 100 000, respectively. Facial fractures were most concentrated in Central Europe. Falls were the predominant cause in most regions.
Conclusions: Facial fractures are predominantly caused by falls and occur worldwide. Healthcare systems and public health agencies should investigate methods of all injury prevention. It is important for healthcare systems in every part of the world to ensure access to treatment resources.
Competing Interests: Competing interests: SLJ works on a grant for influenza and respiratory syncytial disease that is funded by Sanofi Pasteur. This work does not relate to facial fracture burden.
(© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.)

المؤلفون: Guilloux AGA; Faculdade de Medicina, da Universidade de São Paulo (FMUSP), Av. Dr. Arnaldo, 455 - Cerqueira César, São Paulo, SP, 01246-903, Brazil. aline.gil@usp.br., Ramos JA; Program in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA.; Duke University School of Medicine DUMC, Durham, NC, 27710, USA., Citron I; Program in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA., Roa L; Program in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA.; Department of Obstetrics and Gynecology, University of Alberta, 116 St. and 85 Ave, Edmonton, AB, T6G 2R3, Canada., Amundson J; Program in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA., Massenburg BB; Program in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA., Saluja S; Program in Global Surgery and Social Change, Harvard Medical School, 641 Huntington Ave, Boston, MA, 02115, USA., Miotto BA; Faculdade de Medicina, da Universidade de São Paulo (FMUSP), Av. Dr. Arnaldo, 455 - Cerqueira César, São Paulo, SP, 01246-903, Brazil., Alonso N; Faculdade de Medicina, da Universidade de São Paulo (FMUSP), Av. Dr. Arnaldo, 455 - Cerqueira César, São Paulo, SP, 01246-903, Brazil., Scheffer MC; Faculdade de Medicina, da Universidade de São Paulo (FMUSP), Av. Dr. Arnaldo, 455 - Cerqueira César, São Paulo, SP, 01246-903, Brazil.

المصدر: BMC medical education [BMC Med Educ] 2019 May 08; Vol. 19 (1), pp. 136. Date of Electronic Publication: 2019 May 08.

نوع المنشور: Journal Article

بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088679 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6920 (Electronic) Linking ISSN: 14726920 NLM ISO Abbreviation: BMC Med Educ Subsets: MEDLINE

مواضيع طبية MeSH: Anesthesiology/*education , Education, Medical, Graduate/*statistics & numerical data , General Surgery/*education , Health Workforce/*trends , Obstetrics/*education , Students, Medical/*statistics & numerical data, Adult ; Brazil ; Career Choice ; Female ; Health Services Research ; Humans ; Male ; Specialization

مستخلص: Background: Lack of providers in surgery, anesthesia, and obstetrics (SAO) is a primary driver of limited surgical capacity worldwide. We aimed to identify predictors of entry into Surgery, Anesthesia, and Obstetrics and Gynecology (SAO) fields and preference of working in the public sector in Brazil which may help in profiling medical students for recruitment into these needed areas.
Methods: A questionnaire was applied to all Brazilian medical graduates registered with a Board of Medicine from 2014 to 2015. Twenty-three characteristics were analyzed. Logistic regression was used to determine predictors' influence on outcome.
Results: There were 4601 (28.2%) responders to the survey, of which 40.5% (CI 34.7-46.5%) plan to enter SAO careers. Of the 23 characteristics analyzed, eight differed significantly between those who planned to work in SAO and those who did not. Of those eight characteristics, just three were significant predictors in the regression model: preference for working in the hospital setting, having spent more than 70% of their clinical years in practical activities, and valuing the substantial earning potential. These three factors explained only 6.3% of the variance in SAO preference. Within the graduates who preferred SAO careers, there were only two predictors for working in the public sector ("preparatory time before medical school" and valuing "prestige/status").
Conclusions: Factors affecting specialty and sector choice are multifaceted and difficult to predict. Future programs to fill provider gaps should identify methods other than medical student profiling to assure specialty and sector needs are met.