28 research outputs found

    Global disparities in surgeons’ workloads, academic engagement and rest periods: the on-calL shIft fOr geNEral SurgeonS (LIONESS) study

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    : The workload of general surgeons is multifaceted, encompassing not only surgical procedures but also a myriad of other responsibilities. From April to May 2023, we conducted a CHERRIES-compliant internet-based survey analyzing clinical practice, academic engagement, and post-on-call rest. The questionnaire featured six sections with 35 questions. Statistical analysis used Chi-square tests, ANOVA, and logistic regression (SPSS® v. 28). The survey received a total of 1.046 responses (65.4%). Over 78.0% of responders came from Europe, 65.1% came from a general surgery unit; 92.8% of European and 87.5% of North American respondents were involved in research, compared to 71.7% in Africa. Europe led in publishing research studies (6.6 ± 8.6 yearly). Teaching involvement was high in North America (100%) and Africa (91.7%). Surgeons reported an average of 6.7 ± 4.9 on-call shifts per month, with European and North American surgeons experiencing 6.5 ± 4.9 and 7.8 ± 4.1 on-calls monthly, respectively. African surgeons had the highest on-call frequency (8.7 ± 6.1). Post-on-call, only 35.1% of respondents received a day off. Europeans were most likely (40%) to have a day off, while African surgeons were least likely (6.7%). On the adjusted multivariable analysis HDI (Human Development Index) (aOR 1.993) hospital capacity > 400 beds (aOR 2.423), working in a specialty surgery unit (aOR 2.087), and making the on-call in-house (aOR 5.446), significantly predicted the likelihood of having a day off after an on-call shift. Our study revealed critical insights into the disparities in workload, access to research, and professional opportunities for surgeons across different continents, underscored by the HDI

    Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

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    Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified

    ALS-NSCORT Solid Waste Team: NSCORT Kick off Meeting, 5-8-03

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    16 slides Provider Notes:A variety of files used in the presentations for the kick off meeting. Also, Dr. Alleman\u27s notes on the review panel\u27s comments, and response to questions sent to Jitendra Joshi. Related Documents:WWAS7a, WWAS7b, WWAS7d, WWAS7

    Seed Protein and Oil QTL in a Prominent <i>Glycine max</i> Genetic Pedigree: Enhancing Stability for Marker Assisted Selection

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    Soybean is an excellent source of plant protein. To provide a higher quality meal product, soybean producers desire to improve soybean nutritional profiles. Quantitative trait loci (QTL) mapping can identify markers associated with variation in seed protein and seed oil concentration, and confirmation of QTL is crucial to improving the efficacy of marker-assisted selection (MAS). The objectives of this study were to identify QTL for seed protein and seed oil concentration in a relevant genetic pedigree of the cross ‘Essex × Williams 82’ recombinant inbred line (RIL) population. A total of 302 RIL and 12,730 SNP markers were used to identify QTL-controlling seed quality traits. Novel QTL were identified, and validation tests for loci detected in the earlier generation RIL were performed. Seed protein and seed oil concentration had high heritability across multiple environments but were negatively correlated (r = −0.69, p p < 0.05) for seed protein and seed oil concentration. The study references data from a previous year in one location and focuses on a one-year study of the population in three locations. A total of 27 QTL for protein and oil were detected. The QTL explained 3.1–9.8% of the variation in seed protein concentration and 3.2–14.1% of the variation in seed oil concentration. Several QTL were confirmed, and a protein QTL for consideration as a technically confirmed QTL was located on Gm 7 in the genome
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