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Census report on Chinese urological surgeons

Asian Journal of Urology 2020年第2期7卷 149-160页

作者： Yinghao Sun Liqun Zhou Junhua Zhang Nianzeng Xing Qian Zhang Xiuzhong Hu Linhui Wang Yinglu Guo Department of Urology Changhai HospitalNaval Medical UniversityShanghaiChina Department of Urology Peking University First HospitalBeijingChina Health Human Resources Development Center National Health Commission of the People’s Republic of ChinaBeijingChina Department of Urology Beijing Chaoyang HospitalCapital Medical UniversityBeijingChina Department of Urology Changzheng HospitalNaval Medical UniversityShanghaiChina

Objective:To grasp the general situation of Chinese urological surgeons and the status quo of their scientific research,work and training,thus providing valuable recommendations for urological talent team construction in ***:The survey respondentswere the urological surgeons,who held the Certificate ofMedical Practitioner in the People’s Republic of China,whose scope of practice was confined to urological *** urological surgeons involved in the project completed an online questionnaire *** the data were collected through the ***:There were a total of 18981 urological surgeons in China in 2015,of whom 15875 from 2602 hospitals participated in this project,with a mean age of 39.64 years *** 2015,1949631 cases of surgery were performed,including 493723 cases of open surgery,1146444 cases of endoscopic/laparoscopic surgery(robot-assisted laparoscopic surgery were excluded),6259 robot-assisted surgery and other types of urological ***,Chinese urological surgeons published 1358 monographs as well as 14558 academic papers,and also obtained 2064 scientific funds in 2015.A total of 92122 person-time participated in academic *** surgeons with higher educational degrees as well as higher academic titles and from Eastern China or higher-level hospitals hadmore opportunities to participate in further education and training.

关键词： Census surgeons Hospitals Surgery Education Laparoscopy Endoscopy

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Occupational injuries and burn out among orthopedic oncology surgeons

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World Journal of Orthopedics 2022年第12期13卷 1056-1063页

作者： Abdulrahman M Alaseem Robert E Turcotte Nathalie Ste-Marie Mohammad M Alzahrani Saad M Alqahtani Krista A Goulding Department of Orthopedic Surgery College of MedicineKing Saud UniversityRiyadh 12372Saudi Arabia Department of Orthopedic Surgery McGill University Health CentreMontreal H4A3J1Canada Department of Orthopedic Surgery College of MedicineImam Abdulrahman Bin Faisal universityDammam 34212Saudi Arabia Department of Orthopaedic Surgery Mayo ClinicPhoenixArizona 85054USA

BACKGROUND Orthopedic oncology surgeons commonly engage in prolonged and complex surgical *** types of surgeries increase the risk of physical and psychological stressors,which may in turn make these physicians prone to workrelated occupational *** The aim of this study was to explore in orthopedic oncologists,the prevalence of work-related physical injuries and psychological *** A modified version of the physical discomfort survey was developed to assess occupational injuries among orthopedic oncology surgeon members of the Musculoskeletal Tumor Society,the Canadian Orthopedic Oncology Society and European Musculoskeletal Oncology *** survey was sent by email,and it explored musculoskeletal complaints,psychological disturbances,treatment required for these complaints and the requirement of time off *** A total of 67 surgeon responses were collected.A high number of orthopedic oncologists(84%)reported an occupational *** back pain(39%)was the most prevalent musculoskeletal condition,followed by lumbar disk herniation(16%),shoulder tendinitis(15%)and lateral epicondylitis(13%).Of the cohort,46%required surgery and 31%required time off work due to their ***-three respondents reported a psychological ***(27%),anxiety(20%)and insomnia(20%)were the most commonly *** required off work due to injury was associated with old age and years in *** Orthopedic oncology surgeons report a high prevalence of work-related *** back related injury and burnout were the most reported *** operative room ergonomics and prevention of stress related to the work environment should be areas to explore in upcoming research.

关键词： Orthopedic oncology surgeons Occupational Musculoskeletal Injuries

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Evaluation of utility in shoulder pathology:Correlating the American Shoulder and Elbow surgeons and Constant scores to the EuroQoL

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World Journal of Orthopedics 2012年第3期3卷 20-24页

作者： Blaine T Bafus Richard E Hughes Bruce S Miller James E Carpenter Department of Orthopaedic Surgery Cleveland Clinic Foundation Cleveland OH 44115-2325 United States Department of Orthopaedic Surgery University of Michigan Ann Arbor MI 48109-2200 United States

AIM: To study whether health utility scores can be derived from shoulder-specific ***: Authors investigated two questions:(1) do the American Shoulder and Elbow surgeons(ASES) score and the Constant score correlate with the EuroQo L(EQ-5D), a measure of health utility?(2) can the ASES and Constant scores be obtained from a complete study sample without bias? Thirty subjects with various shoulder diagnoses completed ASES, Constant, and EQ-5D instruments. Pearson correlations were calculated to assess the associations between EQ-5D score and ASES and Constant ***: The correlation between EQ-5D score and ASES score was 0.60(P < 0.001); it was 0.54 for EQ-5D and Constant scores(P < 0.003). A multiple regression model containing ASES score, Constant score, age, and gender failed to adequately predict EQ-5D. Moreover, 25% of patients meeting the inclusion criteria did not complete the ASES questionnaire because they did not feel that specific questions, such as "do usual sport-list" and "throw ball overhand," applied to ***: Authors' results do not support the use of the ASES and Constant scores in predicting EuroQ ol health utility values. However, the Constant score was more suitable for this patient population because all patients were able to complete it.

关键词： Utility EuroQoL American Shoulder and Elbow surgeons score Constant score Shoulder Outcomes

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China’s pediatric surgery and her young pediatric surgeons

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Chinese Medical Journal 1997年第5期 3-4页

作者：张金哲

Ｃｈｉｎａ’ｓｐｅｄｉａｔｒｉｃｓｕｒｇｅｒｙａｎｄｈｅｒｙｏｕｎｇｐｅｄｉａｔｒｉｃｓｕｒｇｅｏｎｓＺｈａｎｇＪｉｎｚｈｅ张金哲ｅｄｉａｔｒｉｃｓｕｒｇｅｒｙｉｓａｎｅｎｔｉｒｅｌｙｎｅｗｓｐｅｃｉａｌｔｙｅｓｔａ... 详细信息

Ｃｈｉｎａ’ｓｐｅｄｉａｔｒｉｃｓｕｒｇｅｒｙａｎｄｈｅｒｙｏｕｎｇｐｅｄｉａｔｒｉｃｓｕｒｇｅｏｎｓＺｈａｎｇＪｉｎｚｈｅ张金哲ｅｄｉａｔｒｉｃｓｕｒｇｅｒｙｉｓａｎｅｎｔｉｒｅｌｙｎｅｗｓｐｅｃｉａｌｔｙｅｓｔａｂｌｉｓｈｅｄｉｍｍｅｄｉａｔｅ...

关键词：张金哲 surgery young her pediatric surgeons China and

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THEFUTURE　PATTERN　OF　SURGICAL　DEPARTMENT　AND　TRAINING　OF　surgeons　IN　COMMUNITY　HOSPITALS

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Chinese Medical Journal 1996年第12期 58-59页

ＴＨＥＦＵＴＵＲＥＰＡＴＴＥＲＮＯＦＳＵＲＧＩＣＡＬＤＥＰＡＲＴＭＥＮＴＡＮＤＴＲＡＩＮＩＮＧＯＦＳＵＲＧＥＯＮＳＩＮＣＯＭＭＵＮＩＴＹＨＯＳＰＩＴＡＬＳＩｎｔｈｅｗａｋｅｏｆｔｈｅｒｅｆｏｒｍａｎｄｏｐｅｎｉｎｇｐ... 详细信息

ＴＨＥＦＵＴＵＲＥＰＡＴＴＥＲＮＯＦＳＵＲＧＩＣＡＬＤＥＰＡＲＴＭＥＮＴＡＮＤＴＲＡＩＮＩＮＧＯＦＳＵＲＧＥＯＮＳＩＮＣＯＭＭＵＮＩＴＹＨＯＳＰＩＴＡＬＳＩｎｔｈｅｗａｋｅｏｆｔｈｅｒｅｆｏｒｍａｎｄｏｐｅｎｉｎｇｐｏｌｉｃｙ，ａｒａｐｉｄｅｃｏｎｏ...

关键词：钱允庆林言 AND COMMUNITY DEPARTMENT HOSPITALS IN OF PATTERN surgeons

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Preoperative Laboratory Testing by surgeons: Implication on Anaesthetic Management

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International Journal of Clinical Medicine 2019年第6期10卷 345-352页

作者： Akwasi Antwi-Kusi William Addison Bright Ighodaro Obasuyi Philip Domoyeri Department of Anaesthesia and Intensive Care Komfo Anokye Teaching Hospital Kumasi Ghana Department of Anaesthesiology University of Port Harcourt Teaching Hospital Port Harcourt Nigeria Koforidua Regional Hospital Koforidua Ghana

Background: Request for preoperative laboratory investigations is usually done by surgeons. On some occasions, the patient may come with laboratory investigations that have been requested by the primary physician. This occurs in situations where the primary physician saw the patient first and referred to the surgeon. There is usually no indications based on history or physical examination before these laboratory request is done but rather on speculations that the “anaesthetist may require them”. This is done in order to avoid cancellation or delay of cases. The aim of this study was to find out how tests ordered in Komfo Anokye Teaching Hospital (K.A.T.H.) by the surgeons affected the decisions of the anaesthetists in the perioperative management of the patients. Methodology: This was a prospective, cross sectional study of patients undergoing elective surgery at K.A.T.H from 1st to 31st March 2014. A quantitative technique was used to effectively quantify laboratory results that were contained in a patient’s folder before an elective surgical procedure. A close and open-ended questionnaire was developed and answered by reviewing patient’s folders during the pre-anesthesia assessment. Data were analyzed using Statistical Package of Social Sciences (SSPS) version 22. Results: The average age of patients studied was 50 years. Abnormal test results did not influence the anaesthetic management in 70.5% of cases but led to either delay or cancelation of cases or requirement for transfusion of blood or blood products in 29.5% of cases. Conclusion: Preoperative laboratory tests ordered by surgeons in KomfoAnokye Teaching Hospital do not significantly influence the anaesthetic managements of patients.

关键词： Preoperative Laboratory Investigations surgeons Anaesthetic Management Implication

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A Critical Deficit of OBGYN surgeons in the U.S by 2030

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Surgical Science 2011年第2期2卷 95-101页

作者： Bhagwan Satiani Thomas Williams Mark Landon Christopher Ellison Steven Gabbe 不详

Objective: To estimate the OB/GYN Surgical workforce needed in the U.S by 2030 to meet the needs of our population. Methods: Using a population based analysis, the net supply of OB/GYNs was calculated. Our assumptions included: a ratio of OB/GYN's to population of 27.10/100,000 women, practicing 25 years from Board Certification to retirement, 1200 graduates finishing from residency programs per year. Results: To maintain our current ratio per 100,000 population, we should have 50,135 OBGYN's practicing for a population of 364 million in 2030. We estimate the supply to be only 30,000 and hence a shortage of 20,135. To rectify the deficit 44,135 residents will require training in OBGYN with the cumulative cost exceeding $14 billion. Conclusions: 1) We estimate a 40% shortage of OB/GYN's as the best case scenario to meet the needs of the U.S population by 2030 if the current training paradigm stays constant. 2) The cumulative cost of training adequate numbers of OB/GYN’s is estimated at $14 billion and 3) In addition to revising the BBA of 1997 to permit more residents to be trained in the United States, additional strategies must be considered to provide an adequate workforce and ensure patient access to OBGYN's.

关键词： OBGYN surgeons Shortage

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Is there a difference in adenoma detection rates between gastroenterologists and surgeons?

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World Journal of Gastrointestinal Endoscopy 2018年第6期10卷 109-116页

作者： Adele Hwee Hong Lee Nuttaradee Lojanapiwat Vikram Balakrishnan Raaj Chandra Eastern Health Clinical School Monash University Clayton CampusMelbourne 3128Australia Department of Colorectal Surgery Box Hill HospitalMelbourne 3128Australia Royal Melbourne Hospital Melbourne 3050Australia

AIM To compare the adenoma detection rate(ADR) between gastroenterologists and colorectal surgeons at Box Hill Hospital, Melbourne, *** A total of 300 colonoscopies performed by gastroenterologists and colorectal surgeons at Box Hill Hospital were retrospectively reviewed from May 2016 to June 2017. Exclusion criteria were: Patients ≤ 50 years old, colonoscopies with failure of caecal intubation, patients who previously had colon cancer and/or a colonic resection, history of polyposis syndromes or inflammatory bowel disease, or a colonoscopy within the last 10 years. Patient demographics, indications, symptoms and procedural-related outcomes were *** The ADR was not significantly different between gastroenterologists and colorectal surgeons(34% vs 34.67%; P = 0.90). The adjusted odds ratio correcting for gender, age, 1^(st) degree relative with colorectal cancer, previous colonoscopy, trainee involvement and caecal or terminal ileum intubation rate was 1.19(0.69-2.05).CONCLUSION Both specialties at our institution exceed benchmark standards suggested by published Australian and American guidelines. An association between endoscopist specialty and ADR was not observed.

关键词： Colorectal surgery Gastroenterologists surgeons Adenoma Colonoscopy General surgery

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Portraits of two innovative plastic surgeons in the National Portrait Gallery

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Plastic and Aesthetic Research 2017年第2期4卷 15-17页

作者： Kun Hwang Department of Plastic Surgery Inha University School of MedicineIncheon22332South Korea.

lt must at all times be kept in mind that the most important person is昀rst,last,and all the time the patient.[1]-Archibald Mclndoe As a medical doctor,when l visit a gallery or museum,l look for portraits of medical *** my stay in London,l visited the National Portrait Gallery,where l happened to see the portraits of two famous plastic surgeons:Sir Harold Delf Gillies(1882-1960,Figure 1)and Sir Archibald Hector Mclndoe(1900-1960,Figure 2).The name“Gillies”caught my eye because the approach named after him is one of the indirect approaches for the reduction of the zygomatic arch(Gillies:temporal;Keen:transoral;and Dingman:lateral brow).

关键词： Portraits surgeons Gallery

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Role of microglial cells in photoreceptor degeneration

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Neural Regeneration Research 2019年第7期14卷 1186-1190页

作者： Johnny Di Pierdomenico Diego García-Ayuso Marta Agudo-Barriuso Manuel Vidal-Sanz María Paz Villegas-Pérez Departamento de Oftalmología Facultad de MedicinaUniversidad de Murciaand Instituto Murciano de Investigación Biosanitaria Hospital Virgen de la Arrixaca(IMIB-Virgen de la Arrixaca)

Inherited photoreceptor degeneration in humans constitutes a major cause of irreversible blindness in the *** comprise various diseases,but retinitis pigmentosa is the most frequently *** pigmentosa is commonly limited to the eye,where there is progressive photoreceptor degeneration,rods and secondarily *** mechanisms of cone and rod degeneration continue to be investigated,since most of the mutations causing retinitis pigmentosa affect rods and thus,the secondary death of cones is an intriguing question but,ultimately,the cause of *** the mechanisms of rod and cone degeneration could help us to develop therapies to stop or,at least,slow down the degeneration *** cone degeneration has been attributed to the trophic dependence between rods and cones,but microglial cell activation could also have a *** this review,based on previous work carried out in our laboratory in early stages of photoreceptor degeneration in two animal models of retinitis pigmentosa,we show that microglial cell activation is observed prior to the the initiation of photoreceptor *** also show that there is an increase of the retinal microglial cell densities and invasion of the outer retinal layers by microglial *** inhibition of the microglial cells improves photoreceptor survival and morphology,documenting a role for microglial cells in photoreceptor ***,these results indicate that the modulation of microglial cell reactivity can be used to prevent or diminish photoreceptor death in inherited photoreceptor degenerations.

关键词： Royal College of surgeons RCS P23H-1 microglia minocycline photoreceptor retinal degeneration retinitis pigmentosa

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