research domains

  • 文章类型: Journal Article
    联合国:世界卫生组织合作中心(WHOCC)与世界卫生组织在一系列战略领域进行合作,例如护理,营养,心理健康,慢性疾病,教育,和健康技术,取决于他们的专业领域。截至2021年,世卫组织在东地中海区域有47个CC在不同领域开展合作。EMR中的四个CC位于埃及,巴林王国,苏丹,巴基斯坦主要关注医学教育(ME)。
    UNASSIGNED:这篇文献综述的目的是根据EMR中四个WHOCC发表的研究来描述ME的最佳实践。次要目标是根据教育成果的柯克帕特里克模型(KM)的水平对它们进行分类。
    UASSIGNED:WHOCC的贡献分为五个领域,即“课程开发和课程设计”,“学生评估”,“质量,认证,和项目评估\“,“教与学”和“医学教育创新”。最初的提取产生了96篇文章供审查,而第二级分析根据过去5年的出版日期,将出版物数量减少到37种。从这些WHOCC在学习和教学领域最近发表的作品中,出现了许多ME的最佳实践,课程开发,医学教育的创新,质量,和医学教育评估。WHOCC关于评估和课程设计的文献有限,可能表明有机会进行更多的研究。
    UNASSIGNED:研究人员得出结论,EMR中的WHOCC对所有主要研究领域和多个层面都显示出转化性影响。
    UNASSIGNED: World Health Organization Collaborating Centres (WHOCCs) cooperate with the WHO on a range of strategic areas such as nursing, nutrition, mental health, chronic diseases, education, and health technologies, depending on their speciality areas. As of 2021, WHO has 47 CCs in the Eastern Mediterranean Region (EMR) collaborating on diverse areas. Four CCs in the EMR located in Egypt, Kingdom of Bahrain, Sudan, and Pakistan focus primarily on medical education (ME).
    UNASSIGNED: The objective of this review of the literature is to describe the best practices in ME based on published research from the four WHOCCs in EMR. The secondary objective is to classify them based on the level of Kirkpatrick\'s model (KM) of educational outcomes.
    UNASSIGNED: The contributions of WHOCCs are categorised in to five domains namely \"Curriculum Development and Course Design\", \"Student Assessment\", \"Quality, Accreditation, and Program Evaluation\", \"Teaching and Learning\" and \"Innovation in Medical Education\". Initial extraction yielded 96 articles for review, while the second level of analysis reduced the number of publications to 37 based on the date of publication within the last 5 years. Numerous best practices in ME emerged from the recently published works of these WHOCCs in the areas of learning and teaching, curriculum development, innovations in medical education, quality, and assessments in medical education. Literature from the WHOCCs on assessment and curriculum design are limited, possibly indicating opportunities for additional research.
    UNASSIGNED: The researchers conclude that the WHOCCs in the EMR show transformational impact on all principal areas of research and at multiple levels.
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  • 文章类型: Journal Article
    这项研究的目的是为可能影响政策的结直肠癌研究活动提供证据基础。主要是在国家层面。医疗保健服务的改善延长了预期寿命,但在癌症发病率增加的情况下。CRC的疾病负担显著上升,尤其是在非洲,亚洲和拉丁美洲。研究是控制和减少它的关键,但很少有研究描述全球CRC研究的数量和资金。我们确定了2007年至2021年在WebofScience(WoS)上的研究论文,并确定了主要国家的贡献,研究的研究领域,以及他们的资金来源。我们确定了62716篇论文,占所有癌症论文的5.7%。这一比例与疾病负担(2015年为7.7%)有些不相称。尤其是在东欧。在此期间,除中国外,几乎所有国家的国际合作都有所增加。遗传学,手术和预后是主要的研究领域.然而,缺乏对CRC姑息治疗和生活质量的研究.在西欧,主要资金来源是慈善机构,尤其是在英国,但是在大多数其他国家,政府发挥了主导作用,尤其是在中国和美国。几乎没有工业界的支持。几个亚洲国家提供了最少的可竞争资金,这可能降低了他们的CRC研究的影响。某些国家必须在总体上进行更多的CRC研究,尤其是在筛查等领域,姑息治疗和生活质量。私营非营利部门应该是另一种支持来源。
    The purpose of this study was to provide an evidence base for colorectal cancer research activity that might influence policy, mainly at the national level. Improvements in healthcare delivery have lengthened life expectancy, but within a situation of increased cancer incidence. The disease burden of CRC has risen significantly, particularly in Africa, Asia and Latin America. Research is key to its control and reduction, but few studies have delineated the volume and funding of global research on CRC. We identified research papers in the Web of Science (WoS) from 2007 to 2021, and determined the contributions of the leading countries, the research domains studied, and their sources of funding. We identified 62 716 papers, representing 5.7% of all cancer papers. This percentage was somewhat disproportionate to the disease burden (7.7% in 2015), especially in Eastern Europe. International collaboration increased over the time period in almost all countries except in China. Genetics, surgery and prognosis were the leading research domains. However, research on palliative care and quality-of-life in CRC was lacking. In Western Europe, the main funding source was the charity sector, particularly in the UK, but in most other countries government played the leading role, especially in China and the USA. There was little support from industry. Several Asian countries provided minimal contestable funding, which may have reduced the impact of their CRC research. Certain countries must perform more CRC research overall, especially in domains such as screening, palliative care and quality-of-life. The private-non-profit sector should be an alternative source of support.
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  • 文章类型: Journal Article
    The impact of medical research is usually judged on the basis of citations in the serial literature. A better test of its utility is through its contribution to clinical practice guidelines (CPGs) on how to prevent, diagnose, and treat illness. This study aimed to compare the parameters of lung cancer research papers with those cited as references in lung cancer CPGs from 16 countries, and the Cochrane Collaboration. These comparisons were mainly based on bibliographic data compiled from the Web of Science (WoS).
    We examined 7357 references (of which 4491 were unique) cited in a total of 77 lung cancer CPGs, and compared them with 73,214 lung cancer papers published in the WoS between 2004 and 2018.
    References used by lung CPGs were much more clinical than the overall body of research papers on this cancer, and their authors predominantly came from smaller northern European countries. However, the leading institutions whose papers were cited the most on these CPGs were from the USA, notably the MD Anderson Cancer Center in Texas, the Memorial Sloan Kettering Cancer Center, New York, and the Mayo Clinic in Rochester, Minnesota. The types of research cited by the CPGs were primarily clinical trials, as well as three treatment modalities (chemotherapy, radiotherapy and surgery). Genetics, palliative care and quality of life were largely neglected. The median time gap between papers cited on a lung CPG and its publication was 3.5 years longer than for WoS citations.
    Analysis of the references on CPGs allows an alternative means of research evaluation, and one that may be more appropriate for clinical research than citations in academic journals. Own-country references show the direct contribution of research to a country\'s health care, and other-country references show the esteem in which this research has been held internationally.
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  • 文章类型: Journal Article
    Although smoking is declining in high-income countries, the relative burden from its most well-known consequence, lung cancer, continues to increase, especially in low-income countries. We examined the amount, types, geographical origins and funding of research on lung cancer as revealed by papers in the Web of Science over the 15 years, 2004-2018. The annual number of lung cancer research papers increased over the study period from 2,157 to 8,202, but as a percentage of all biomedical research in Western Europe and North America they only accounted for one-eighth of the percentage of the disease burden. Lung cancer increased its share of cancer research from 4.4% to 6.5%, mainly because of the greatly expanded output from China in 2014-2018 which published almost one-third of the world\'s total on a fractional count basis. For almost all other countries, their lung cancer presence in cancer research has declined over the 15 years. However, only 15% of the Chinese papers were co-authored internationally and its research was focussed on treatment rather than prevention. Support for lung cancer research is primarily from the government rather than charity. There is therefore an urgent need to increase support for lung cancer research, and for more international collaboration, especially in low-income countries where the disease burden is growing rapidly, and in neglected domains, such as screening and palliative care.
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