Soap

肥皂
  • 文章类型: English Abstract
    1985-87年,使用中和血吸虫中间阶段的产品进行了针对血吸虫病的实验。在实验室里,已经表明,月桂基甜菜碱,两性物质,用于儿童洗发水,快速固定的马氏藻和尾蚴。尼日尔在充满有机物的野外条件下进行的研究得出了类似的结果。这种表面活性剂可以以5%的剂量掺入普通肥皂中而不改变它们的特性。然后在科特迪瓦,甜菜碱肥皂在尼日尔的普通商业渠道开始销售,在高流行的血吸虫村庄。甜菜碱在没有外部干预的情况下扩散到人群用于洗涤的水中。这些肥皂被这些人群所接受。然而,一年后,与对照组相比,测试村庄的结果尚不清楚泌尿血吸虫病在患病率和卵尿方面的动态。在手术开始时,似乎有必要进行抗血吸虫治疗。人群对肥皂的使用需要进行测量。总之,这种有希望的实验室行动值得在现场再次评估,除了健康教育和系统的治疗行动。
    An experiment was carried out in 1985-87 against schistosomiasis using products neutralizing the intermediate stages of schistosomes. In the laboratory, it had been shown that lauryl betaines, amphoteric substances, used for children\'s shampoos, quickly immobilized miracidiums and cercariae. Studies in Niger in field conditions with water laden with organic matter gave similar results. This surfactant can be incorporated into ordinary soaps at a dose of 5% without changing their characteristics. Betaine soaps were put on sale in ordinary commercial channels in Niger then in Côte d\'Ivoire, in hyperendemic villages for Schistosoma haematobium. Betaines diffused without external intervention into the water used by populations for washing. The soaps were well accepted by these populations. However, after one year, the results in tested villages compared to control ones were unclear on the dynamics of urinary schistosomiasis in terms of prevalence and oviuria. Anti-schistosome treatment seems necessary at the start of the procedure. The use of soap by populations needed to be measured. In conclusion, this promising laboratory action deserves to be evaluated again in the field, in addition to health education and systematic treatment actions.
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  • 文章类型: Journal Article
    寻找用于化妆品行业的新技术和相关的新生物材料不仅需要化学特性而且需要物理性质的许多研究和分析。这项研究试图评估添加压碎的榛子壳生产的肥皂的特性。这种添加剂旨在改善肥皂的摩擦性能,这反过来又提高了从皮肤上去除杂质的质量。使用纹理分析仪XTplus设备在适当设计的测量站上进行湿皮肤和干皮肤的摩擦测试。所获得的结果表明,与对照样品相比,动摩擦值增加。这项工作提出了非常规地使用榛子壳作为肥皂生产中的添加剂之一,以提高其质量。
    The search for new technologies and related new biological materials for use in the cosmetics industry requires many studies and analyses of not only chemical but also physical properties. This study attempts to assess the properties of soap produced with the addition of crushed hazelnut shells. This additive is intended to improve the friction properties of the soap, which in turn enhances the quality of removing impurities from the skin. Friction tests for wet and dry skin were performed on an appropriately designed measuring station using the Texture Analyser XT plus device. The obtained results indicate an increase in dynamic friction value compared to the control sample. This work proposes an unconventional use of ground hazelnut shells as one of the additives in soap production to improve its quality.
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  • 文章类型: Journal Article
    欧洲生物信息学研究所(EMBL-EBI)的工作调度器框架提供了对生物信息学中至关重要的各种核心数据库和分析工具的访问。除了为这些资源提供Web界面外,Web服务可以使用REST和SOAP协议来实现编程访问,并允许它们集成到其他应用程序和分析工作流和管道中。本文介绍了研究人员和生物信息学家可以使用的各种选项,他们希望通过使用Perl中提供的RESTfulWeb服务客户端的Web界面来使用我们的资源。Python,和Java或谁希望使用Docker容器将资源集成到分析管道和工作流中。©2024作者WileyPeriodicalsLLC出版的当前协议。使用基本协议1:通过Web接口使用Dbfetch和使用Web接口从EMBL-EBI检索数据替代协议1:通过REST接口使用WSDbfetch从EMBL-EBI检索数据替代协议2:通过Python客户端使用RESTfulWeb服务从EMBL-EBI检索数据通过Python客户端支持协议1:安装PythonRESTWeb服务使用替代协议5使用Web协议使用替代协议5使用Web服务使用
    The European Bioinformatics Institute (EMBL-EBI)\'s Job Dispatcher framework provides access to a wide range of core databases and analysis tools that are of key importance in bioinformatics. As well as providing web interfaces to these resources, web services are available using REST and SOAP protocols that enable programmatic access and allow their integration into other applications and analytical workflows and pipelines. This article describes the various options available to researchers and bioinformaticians who would like to use our resources via the web interface employing RESTful web services clients provided in Perl, Python, and Java or who would like to use Docker containers to integrate the resources into analysis pipelines and workflows. © 2024 The Authors. Current Protocols published by Wiley Periodicals LLC. Basic Protocol 1: Retrieving data from EMBL-EBI using Dbfetch via the web interface Alternate Protocol 1: Retrieving data from EMBL-EBI using WSDbfetch via the REST interface Alternate Protocol 2: Retrieving data from EMBL-EBI using Dbfetch via RESTful web services with Python client Support Protocol 1: Installing Python REST web services clients Basic Protocol 2: Sequence similarity search using FASTA search via the web interface Alternate Protocol 3: Sequence similarity search using FASTA via RESTful web services with Perl client Support Protocol 2: Installing Perl REST web services clients Basic Protocol 3: Sequence similarity search using NCBI BLAST+ RESTful web services with Python client Basic Protocol 4: Sequence similarity search using HMMER3 phmmer REST web services with Perl client and Docker Support Protocol 3: Installing Docker and running the EMBL-EBI client container Basic Protocol 5: Protein functional analysis using InterProScan 5 RESTful web services with the Python client and Docker Alternate Protocol 4: Protein functional analysis using InterProScan 5 RESTful web services with the Java client Support Protocol 4: Installing Java web services clients Basic Protocol 6: Multiple sequence alignment using Clustal Omega via web interface Alternate Protocol 5: Multiple sequence alignment using Clustal Omega with Perl client and Docker Support Protocol 5: Exploring the RESTful API with OpenAPI User Inferface.
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  • 文章类型: Journal Article
    背景:早期发现不良事件及其管理对于改善抗癌治疗结果至关重要,倾听患者的主观意见(患者的声音)可以为改善安全管理做出重大贡献。深度学习技术的最新进展为基于患者生成的文本数据评估安全相关事件提供了各种新方法。但很少有研究关注改善患者个体的实时安全监测。此外,尚未进行任何研究来验证深度学习模型,以筛选需要医学干预的临床重要不良事件信号的患者叙述.在我们之前的工作中,已经开发了新的深度学习模型来检测手足综合征的不良事件信号或限制患者日常生活的不良事件,旨在最终将它们用作个体患者的安全监控支持工具。
    目的:本研究旨在评估我们的深度学习模型是否可以筛选需要医疗保健专业人员干预的临床重要不良事件信号。还评估了我们的深度学习模型对药房患者担忧数据的适用性。
    方法:社区药房的药学服务记录被用于评估我们的深度学习模型。记录遵循SOAP格式,由主观(S)组成,目标(O),评估(A),和计划(P)栏。由于患者在S栏的关注和药剂师的专业记录的独特组合,这被认为是适合本目的的数据.我们的深度学习模型被应用于癌症患者的S记录,并对提取的不良事件信号与医疗行为和处方药进行评估.
    结果:从2479名患者的30,784S记录中,至少有1种抗癌药物处方,我们的深度学习模型对手足综合征(n=152,91%)和限制患者日常生活的不良事件(n=157,80.1%)均有超过80%的准确率.深度学习模型还能够筛选需要医疗保健提供者进行医疗干预的不良事件信号。根据对处方抗癌药物的分析,提取的不良事件信号可以反映患者使用的抗癌药物的副作用。“疼痛或麻木”(n=57,36.3%),“发烧”(n=46,29.3%),和“恶心”(n=40,25.5%)是由该模型确定的限制患者日常生活的不良事件的真实不良事件信号中的常见症状.
    结论:我们的深度学习模型能够筛选需要对症状进行干预的临床重要不良事件信号。研究还证实,这些深度学习模型可以应用于药剂师日常工作中积累的药物护理记录中记录的患者主观信息。
    BACKGROUND: Early detection of adverse events and their management are crucial to improving anticancer treatment outcomes, and listening to patients\' subjective opinions (patients\' voices) can make a major contribution to improving safety management. Recent progress in deep learning technologies has enabled various new approaches for the evaluation of safety-related events based on patient-generated text data, but few studies have focused on the improvement of real-time safety monitoring for individual patients. In addition, no study has yet been performed to validate deep learning models for screening patients\' narratives for clinically important adverse event signals that require medical intervention. In our previous work, novel deep learning models have been developed to detect adverse event signals for hand-foot syndrome or adverse events limiting patients\' daily lives from the authored narratives of patients with cancer, aiming ultimately to use them as safety monitoring support tools for individual patients.
    OBJECTIVE: This study was designed to evaluate whether our deep learning models can screen clinically important adverse event signals that require intervention by health care professionals. The applicability of our deep learning models to data on patients\' concerns at pharmacies was also assessed.
    METHODS: Pharmaceutical care records at community pharmacies were used for the evaluation of our deep learning models. The records followed the SOAP format, consisting of subjective (S), objective (O), assessment (A), and plan (P) columns. Because of the unique combination of patients\' concerns in the S column and the professional records of the pharmacists, this was considered a suitable data for the present purpose. Our deep learning models were applied to the S records of patients with cancer, and the extracted adverse event signals were assessed in relation to medical actions and prescribed drugs.
    RESULTS: From 30,784 S records of 2479 patients with at least 1 prescription of anticancer drugs, our deep learning models extracted true adverse event signals with more than 80% accuracy for both hand-foot syndrome (n=152, 91%) and adverse events limiting patients\' daily lives (n=157, 80.1%). The deep learning models were also able to screen adverse event signals that require medical intervention by health care providers. The extracted adverse event signals could reflect the side effects of anticancer drugs used by the patients based on analysis of prescribed anticancer drugs. \"Pain or numbness\" (n=57, 36.3%), \"fever\" (n=46, 29.3%), and \"nausea\" (n=40, 25.5%) were common symptoms out of the true adverse event signals identified by the model for adverse events limiting patients\' daily lives.
    CONCLUSIONS: Our deep learning models were able to screen clinically important adverse event signals that require intervention for symptoms. It was also confirmed that these deep learning models could be applied to patients\' subjective information recorded in pharmaceutical care records accumulated during pharmacists\' daily work.
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  • 文章类型: Journal Article
    本研究调查了几种性质,如摩擦,硬度,渗透工作,用5%的不同浓度的苹果和胡萝卜渣配制的肥皂的切削力,10%,和15%。为了深入了解配方肥皂样品中的分子水平变化,使用傅里叶变换红外光谱对它们进行了光谱分析。滑动摩擦分析表明,所研究的挤出物添加剂对肥皂的摩擦力没有显着影响。然而,在切削力方面观察到显著差异,硬度,以及对照样品和添加果渣的样品之间的渗透工作。不包括对照样品,在切削力之间没有发现统计学上的显著差异,硬度,和渗透含有苹果渣和胡萝卜渣的肥皂的工作。此外,掺入的果渣量没有引起结果的任何显著变化.使用FTIR傅里叶变换红外光谱在分子水平上表征获得的样品。另一方面,条带强度的变化表明,由于添加剂的存在,样品中化合物的分子堆积有所改善。
    The present study investigated several properties such as friction, hardness, penetration work, and cutting forces in soaps formulated with apple and carrot pomace at varying concentrations of 5%, 10%, and 15%. To gain insights into the molecular-level alterations within the formulated soap samples, they were spectroscopically analyzed using Fourier-transform infrared spectroscopy. The sliding friction analyses revealed that the investigated extrudate additives had no significant impact on the frictional forces of the soaps. However, notable differences were observed in the cutting force, hardness, and penetration work between the control and pomace-added samples. Excluding the control samples, no statistically significant distinctions were found between the cutting force, hardness, and work of penetration of soaps containing apple pomace and carrot pomace. Moreover, the quantity of pomace incorporated did not induce any significant variations in the results. The obtained samples were characterised at the molecular level using FTIR Fourier transform infrared spectroscopy. On the other hand, alterations in band intensities suggested improved molecular packing of the compounds within the samples due to the presence of the additives.
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  • 文章类型: Journal Article
    在孟加拉国,身体皂由于其风味和低碱含量而在消费者中非常受欢迎。当前的研究评估了几种痕量金属(TM)的污染,例如铁(Fe),铜(Cu),锌(Zn),铬(Cr),锰(Mn),镍(Ni),镉(Cd),和铅(Pb)在孟加拉国最常用的一些身体肥皂。铁的浓度,Cu,Zn,Cr,锰在世界卫生组织(WHO)规定的可接受范围内;然而,相比之下,镍的浓度,Cd,和Pb保持在检测极限以下。值得注意的是,21个肥皂样品中的两个肥皂样品(S-2,S-3)中的Cr浓度超过了WHO规定的允许限值。根据慢性每日摄入量(CDI)和危害商(HQ)评估了与通过皮肤途径摄入TM相关的健康风险。结果表明,由于使用这些身体肥皂,不可能发生非致癌风险(NCR)。对Cr估计的致癌风险(CR)未显示出可能的致癌疾病的可能性。尽管NCR和CR不太可能由于这些肥皂的长期使用而发生,本研究提供了有关美容肥皂中可能存在的TM污染的基线信息,这些信息到目前为止在孟加拉国似乎尚未报告。根据上述信息,可以得出结论,体内肥皂中TM的存在可能是对一般人的警告,从而建议进行持续监测。
    In Bangladesh, body soaps are very popular among consumers due to their flavors and low alkali content. The current study assesses the contamination of several trace metals (TMs) such as iron (Fe), copper (Cu), zinc (Zn), chromium (Cr), manganese (Mn), nickel (Ni), cadmium (Cd), and lead (Pb) in some of the body soaps most commonly used in Bangladesh. The concentrations of Fe, Cu, Zn, Cr, and Mn were found within the acceptable limits stipulated by the World Health Organization (WHO); however, in contrast, the concentrations of Ni, Cd, and Pb remained below the detection limit. Notably, the concentration of Cr in two soap samples (S-2, S-3) out of twenty-one soap samples exceeded the permissible limit stipulated by the WHO. Health risks associated with the TM intake via dermal routes were evaluated in terms of chronic daily intake (CDI) and hazard quotient (HQ). The results indicated that no non-carcinogenic risks (NCR) are likely to occur owing to the use of those body soaps. The carcinogenic risk (CR) estimated for Cr revealed no possibility of probable carcinogenic diseases. Though the NCR and CR are unlikely to occur resulting from the long-term uses of these soaps, the present study provides baseline information on the possible contaminations of TMs in the beauty soaps that do not seem to have been reported so far in Bangladesh. In light of the above information, it can be concluded that the presence of TMs in the body soaps could be a warning for people in general thereby suggesting continuous monitoring.
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  • 文章类型: Journal Article
    挥发性有机化合物(VOCs)在臭氧(O3)和二次有机气溶胶(SOA)的形成中起着至关重要的作用。我们在夏季和冬季在两个站点进行了VOC环境混合比的测量:巴塞罗那城市背景站(BCN)和Montseny农村背景站(MSY)。随后,我们采用正矩阵分解(PMF)来分析VOC混合比并确定其来源。我们的分析揭示了五个常见来源:人为I(交通和工业);人为II(交通和生物质燃烧);异戊二烯氧化;单萜;长寿命VOC。为了评估这些挥发性有机化合物对二次污染物形成的影响,我们计算了与每种VOC相关的臭氧形成潜力(OFP)和二次有机气溶胶形成潜力(SOAP)。总之,我们的研究提供了对VOCs的来源及其对西班牙东北部臭氧和SOA形成的贡献的见解。OFP主要受来自BCN(38-49%)和MSY冬季(34%)的交通和工业来源的人为芳族化合物的影响。相比之下,MSY的夏季OFP主要是由单萜和异戊二烯氧化产物的生物成因贡献(45%)驱动的。乙醛(10-35%)和甲醇(13-14%)也在两个站点中产生了显着的OFP贡献。源自交通的人为芳香化合物,工业,在两个季节中,生物质燃烧在两个站点的SOA形成中起着主导作用(88-93%)。唯一的例外是在MSY的夏天,其中单萜成为SOA形成的主要驱动力(41%)。这些发现强调了在空气质量管理策略中同时考虑人为和生物挥发性有机化合物的重要性。
    Volatile organic compounds (VOCs) play a crucial role in the formation of ozone (O3) and secondary organic aerosol (SOA). We conducted measurements of VOC ambient mixing ratios during both summer and winter at two stations: a Barcelona urban background station (BCN) and the Montseny rural background station (MSY). Subsequently, we employed positive matrix factorization (PMF) to analyze the VOC mixing ratios and identify their sources. Our analysis revealed five common sources: anthropogenic I (traffic & industries); anthropogenic II (traffic & biomass burning); isoprene oxidation; monoterpenes; long-lifetime VOCs. To assess the impact of these VOCs on the formation of secondary pollutants, we calculated the ozone formation potential (OFP) and secondary organic aerosol formation potential (SOAP) associated with each VOC. In conclusion, our study provides insights into the sources of VOCs and their contributions to the formation of ozone and SOA in NE Spain. The OFP was primarily influenced by anthropogenic aromatic compounds from the traffic & industries source at BCN (38-49 %) and during winter at MSY (34 %). In contrast, the summer OFP at MSY was primarily driven by biogenic contributions from monoterpenes and isoprene oxidation products (45 %). Acetaldehyde (10-35 %) and methanol (13-14 %) also made significant OFP contributions at both stations. Anthropogenic aromatic compounds originating from traffic, industries, and biomass burning played a dominant role (88-93 %) in SOA formation at both stations during both seasons. The only exception was during the summer at MSY, where monoterpenes became the primary driver of SOA formation (41 %). These findings emphasize the importance of considering both anthropogenic and biogenic VOCs in air quality management strategies.
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  • 文章类型: Journal Article
    背景:2023年比赛在急诊医学(EM)中看到了500多个未填补的职位。地理位置是所有美国(US)EM约束的高级医学生在选择课程进行排名时的第三重要因素,并且可能受到政治气候的影响。鉴于地理对计划选择的重要性以及美国生殖权利的最新变化,我们试图评估地理和生殖权利对EM计划中无与伦比的位置的影响.
    方法:这是一项横断面研究,按美国州计划评估EM中的匹配率,区域,和生殖权利的程度。我们包括参加2023年比赛的所有EM计划。我们的主要结果是确定每个美国州的未填补计划和职位率。次要结果包括按地区和生殖权利程度的匹配率。
    结果:我们发现美国各州在未填充程序中存在显着差异,阿肯色州的空缺项目和职位比例最高(100%,56.3%),内华达州(100%,35.5%),堪萨斯州(100%,40.0%),俄亥俄州(81.3%,33.3%),和密歇根州(80.0%,(36.8%)。在各地区,未填补计划(62.5%)和居留职位(26.0%)比例最高的是中北部东部(IL,IN,MI,OH,WI).生殖权利有限的美国州的职位比例最高(52.9%),职位空缺比例最高(20.5%)。
    结论:我们发现美国各州和地区的不匹配位置存在显着差异,以及美国各州生殖权利有限的无与伦比的职位比例最高。
    BACKGROUND: The 2023 Match saw over 500 unfilled positions in emergency medicine (EM). Geographic location is the third most important factor for all United States (US) EM-bound senior medical students when selecting programs to rank and can be affected by political climate. Given the perceived importance of geography on program selection and recent changes to reproductive rights in the US, we sought to evaluate the impact of geography and reproductive rights on unmatched positions among EM programs.
    METHODS: This was a cross-sectional study assessing Match rates in EM by program US state, region, and degree of reproductive rights. We included all EM programs participating in the 2023 Match year. Our primary outcome was to determine the unfilled programs and positions rate per US state. Secondary outcomes included Match rates by region and by degree of reproductive rights.
    RESULTS: We found notable differences in unfilled programs by US state, with the highest percentage of unfilled programs and positions in Arkansas (100%, 56.3%), Nevada (100%, 35.5%), Kansas (100%, 40.0%), Ohio (81.3%, 33.3%), and Michigan (80.0%, (36.8%). Among regions, the highest percentage of unfilled programs (62.5%) and residency positions (26.0%) was East North Central (IL, IN, MI, OH, WI). US states with limited reproductive rights had the highest percent (52.9%) of programs with unmatched positions and the highest percent (20.5%) of unfilled positions.
    CONCLUSIONS: We identified notable differences in unmatched positions by US state and region, as well as the highest rate of unmatched positions in US states with more limited reproductive rights.
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  • 文章类型: Journal Article
    本文的目的是绘制来自10个欧洲国家的消费者的食品卫生实践图,并评估哪些人口群体更有可能接触食源性病原体,并建立10个欧洲国家对食品卫生实践的依从性排名。
    研究设计包括一项关于膳食准备期间食品安全和卫生习惯的跨国定量消费者调查(SafeConsume项目),并在十个欧洲国家进行(法国,丹麦,德国,希腊,匈牙利,挪威,葡萄牙,罗马尼亚,西班牙和英国)。调查问题是基于推荐的手部卫生习惯以及在调查涵盖的六个国家的90个欧洲家庭中进行的实地研究中观察到的习惯(法国,匈牙利,挪威,葡萄牙,罗马尼亚,和英国)。SPSSStatistics26(IBM软件集团,芝加哥,IL)用于数据的描述性和回归分析。回归分析用于检查人口统计学特征之间的关系,原产国和自我报告的手部卫生习惯。
    根据回归模型,与没有老人的家庭相比,有65岁以上老人的家庭更倾向于遵循适当的洗手习惯。同时,据报告,有6岁以下儿童的家庭在关键时刻洗手的可能性是没有儿童的家庭的两倍。总的来说,考虑到接触生鸡肉后洗手的可能性,以及正确洗手方法和洗手关键时刻的百分比分数,关于适当的手部卫生习惯的国家排名如下:丹麦,希腊,挪威,罗马尼亚,匈牙利,德国,英国,葡萄牙,法国,和西班牙。
    信息和教育应指向皇家公共卫生学会(RSPH)和国际家庭卫生科学论坛(IFH)和安全实践建议的关键时刻。如果针对消费者的行为和做法进行教育,则洗手不当造成的公共卫生负担可能会大大减少。
    The aim of this paper was to map consumers\' food hygiene practices from 10 European countries and evaluate which demographic groups are more likely to be exposed to foodborne pathogens and establish a ranking of adherence to food hygiene practices in 10 European countries.
    The research design consisted of a cross-national quantitative consumer survey regarding food safety and hygiene practices during meal preparation (SafeConsume project) and was conducted in ten European countries (France, Denmark, Germany, Greece, Hungary, Norway, Portugal, Romania, Spain and UK). The survey questions were based on recommended hand hygiene practices and on observed practices from a field study performed in 90 European households from six of the countries covered by the survey (France, Hungary, Norway, Portugal, Romania, and UK). SPSS Statistics 26 (IBM Software Group, Chicago, IL) was used for the descriptive and regression analyses of the data. Regression analyses were used to check the relation between demographic characteristics, country of origin and self-reported hand hygiene practices.
    According to the regression models, families with elderly members aged over 65 showed a higher tendency to follow proper hand washing practices compared to families without elderly members. Meanwhile, families with children under the age of 6 reported being up to twice as likely to wash their hands at critical moments compared to families without children. Overall, taking into consideration the likelihood of washing hands after touching raw chicken and the percentages scores for proper hand cleaning methods and key moments for hand washing, the rank of the countries regarding proper hand hygiene practices was the following: Denmark, Greece, Norway, Romania, Hungary, Germany, UK, Portugal, France, and Spain.
    Information and education should point both at the key moments as suggested by the Royal Society for Public Health (RSPH) and the International Scientific Forum on Home Hygiene (IFH) and safe practices. Public health burden generated by improper hand washing may be significantly reduced if education is targeted on consumers\' behaviour and practices.
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  • 文章类型: Journal Article
    简介急诊医学(EM)比赛在2022年和2023年发生了重大变化。虽然预计专业填充率会随着时间的推移而变化,EM计划指出,从2022年开始,未平仓头寸大幅增加。利用10年的国家居民匹配计划(NRMP)数据,我们在急诊医学匹配中发现了明显的偏差.方法使用Shewhart控制图绘制随时间变化的匹配结果。使用10年的样本来建立基线值。从这个值,建立了控制上限和下限。居住计划扩展,减少申请人数量,和变化的申请人类型进行了评估,以检测过程中的任何非随机变化。结果随着时间的推移,EMPGY-1位置的数量在预期范围内,不匹配的职位数量和美国医学博士申请总数的变化都超出了这一范围,被认为是"失控".“结论目前尚不清楚这种突然变化的原因是什么。存在几种潜在的病因,包括头寸的供需不匹配,对专业的看法发生了变化,COVID-19的影响和不断变化的劳动力需求。历史上影响其他专业的类似经历,包括麻醉和放射肿瘤学,被分析。探索了恢复急诊医学专业匹配的必要和通常成功的潜在解决方案。
    Introduction The emergency medicine (EM) match has undergone significant shifts in 2022 and 2023. While variation in specialty fill rates is expected over time, EM programs noted a significant increase in open positions starting in 2022. Utilizing National Resident Matching Program (NRMP) data over a 10-year period, we identified significant deviations in the emergency medicine match. Methods Shewhart control charts were used to plot the match results over time. A 10-year sample was used to establish the baseline value. From this value, the upper and lower control limits were established. Residency program expansion, decreasing applicant numbers, and changing applicant types were evaluated to detect any non-random changes to the process. Results While the number of EM PGY-1 positions added over time was within the expected range, both the number of unmatched positions and the change in the number of total US MD applicants were outside of this range and are considered to be \"out of control.\" Conclusion It is not yet clear which contributing causes may underlie this sudden change. Several potential etiologies exist, including mismatches in supply and demand for positions, changes in perceptions of the specialty, the effects of COVID-19, and changing workforce needs. Historically similar experiences affecting other specialties, including anesthesia and radiation oncology, are analyzed. Potential solutions for returning to the necessary and usual success of the emergency medicine specialty match are explored.
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