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[PMID]:29253411
[Au] Autor:Dwyer-Lindgren L; Stubbs RW; Bertozzi-Villa A; Morozoff C; Callender C; Finegold SB; Shirude S; Flaxman AD; Laurent A; Kern E; Duchin JS; Fleming D; Mokdad AH; Murray CJL
[Ad] Endereço:Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
[Ti] Título:Variation in life expectancy and mortality by cause among neighbourhoods in King County, WA, USA, 1990-2014: a census tract-level analysis for the Global Burden of Disease Study 2015.
[So] Source:Lancet Public Health;2(9):e400-e410, 2017 Sep.
[Is] ISSN:2468-2667
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Health outcomes are known to vary at both the country and local levels, but trends in mortality across a detailed and comprehensive set of causes have not been previously described at a very local level. Life expectancy in King County, WA, USA, is in the 95th percentile among all counties in the USA. However, little is known about how life expectancy and mortality from different causes of death vary at a local, neighbourhood level within this county. In this analysis, we estimated life expectancy and cause-specific mortality within King County to describe spatial trends, quantify disparities in mortality, and assess the contribution of each cause of death to overall disparities in all-cause mortality. METHODS: We applied established so-called garbage code redistribution algorithms and small area estimation methods to death registration data for King County to estimate life expectancy, cause-specific mortality rates, and years of life lost (YLL) rates from 152 causes of death for 397 census tracts from Jan 1, 1990, to Dec 31, 2014. We used the cause list developed for the Global Burden of Disease 2015 study for this analysis. Deaths were tabulated by age group, sex, census tract, and cause of death. We used Bayesian mixed-effects regression models to estimate mortality overall and from each cause. FINDINGS: Between 1990 and 2014, life expectancy in King County increased by 5·4 years (95% uncertainty interval [UI] 5·0-5·7) among men (from 74·0 years [73·7-74·3] to 79·3 years [79·1-79·6]) and by 3·4 years (3·0-3·7) among women (from 80·0 years [79·7-80·2] to 83·3 years [83·1-83·5]). In 2014, life expectancy ranged from 68·4 years (95% UI 66·9-70·1) to 86·7 years (85·0-88·2) for men and from 73·6 years (71·6-75·5) to 88·4 years (86·9-89·9) for women among census tracts within King County. Rates of YLL by cause also varied substantially among census tracts for each cause of death. Geographical areas with relatively high and relatively low YLL rates differed by cause. In general, causes of death responsible for more YLLs overall also contributed more significantly to geographical inequality within King County. However, certain causes contributed more to inequality than to overall YLLs. INTERPRETATION: This census tract-level analysis of life expectancy and cause-specific YLL rates highlights important differences in health among neighbourhoods in King County that are masked by county-level estimates. Efforts to improve population health in King County should focus on reducing geographical inequality, by targeting those health conditions that contribute the most to overall YLLs and to inequality. This analysis should be replicated in other locations to more fully describe fine-grained local-level variation in population health and contribute to efforts to improve health while reducing inequalities. FUNDING: John W Stanton and Theresa E Gillespie.
[Mh] Termos MeSH primário: Disparidades nos Níveis de Saúde
Expectativa de Vida/tendências
Mortalidade/tendências
Distribuição Espacial da População/estatística & dados numéricos
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Causas de Morte/tendências
Censos
Feminino
Carga Global da Doença
Seres Humanos
Masculino
Washington/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171219
[St] Status:MEDLINE


  2 / 2903 MEDLINE  
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[PMID]:29235782
[Au] Autor:Bourgeois M
[Ti] Título:Survey says...
[So] Source:Can Nurse;113(3):2, 2017 May-Jun.
[Is] ISSN:0008-4581
[Cp] País de publicação:Canada
[La] Idioma:eng
[Mh] Termos MeSH primário: Censos
[Mh] Termos MeSH secundário: Canadá
Informática em Enfermagem
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


  3 / 2903 MEDLINE  
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[PMID]:28468682
[Au] Autor:Tran US; Berger N; Arendasy ME; Greitemeyer T; Himmelbauer M; Hutzler F; Kraft HG; Oettl K; Papousek I; Vitouch O; Voracek M
[Ad] Endereço:Department of Basic Psychological Research and Research Methods, School of Psychology, University of Vienna, Vienna, Austria. ulrich.tran@univie.ac.at.
[Ti] Título:Unto the third generation: evidence for strong familial aggregation of physicians, psychologists, and psychotherapists among first-year medical and psychology students in a nationwide Austrian cohort census.
[So] Source:BMC Med Educ;17(1):81, 2017 May 03.
[Is] ISSN:1472-6920
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Medical students present higher numbers of physician relatives than expectable from the total population prevalence of physicians. Evidence for such a familial aggregation effect of physicians has emerged in investigations from the Anglo-American, Scandinavian, and German-speaking areas. In particular, past data from Austria suggest a familial aggregation of the medical, as well as of the psychological and psychotherapeutic, professions among medical and psychology undergraduates alike. Here, we extend prior related studies by examining (1) the extent to which familial aggregation effects apply to the whole nation-wide student census of all relevant (eight) public universities in Austria; (2) whether effects are comparable for medical and psychology students; (3) and whether these effects generalize to relatives of three interrelated health professions (medicine, psychology, and psychotherapy). METHODS: We investigated the familial aggregation of physicians, psychologists, and psychotherapists, based on an entire cohort census of first-year medical and psychology students (n = 881 and 920) in Austria with generalized linear mixed models. RESULTS: For both disciplines, we found strong familial aggregation of physicians, psychologists, and psychotherapists. As compared with previous results, directionally opposite time trends within disciplines emerged: familial aggregation of physicians among medical students has decreased, whilst familial aggregation of psychologists among psychology students has increased. Further, there were sex-of-relative effects (i.e., more male than female physician relatives), but no substantial sex-of-student effects (i.e., male and female students overall reported similar numbers of relatives for all three professions of interest). In addition, there were age-benefit effects, i.e., students with a relative in the medical or the psychotherapeutic profession were younger than students without, thus suggesting earlier career decisions. CONCLUSIONS: The familial aggregation of physicians, psychologists, and psychotherapists is high among medical and psychology undergraduates in Austria. Discussed are implications of these findings (e.g., gender equity, feminization of the medical field, ideas for curricular implementation and student counselling), study limitations, and avenues for future research.
[Mh] Termos MeSH primário: Censos
Educação Médica
Família
Psicologia
Psicoterapia
Estudantes de Medicina
[Mh] Termos MeSH secundário: Adolescente
Adulto
Áustria
Estudos de Coortes
Feminino
Seres Humanos
Masculino
Psicologia/educação
Psicoterapia/educação
Estudantes de Medicina/estatística & dados numéricos
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180123
[Lr] Data última revisão:
180123
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1186/s12909-017-0921-4


  4 / 2903 MEDLINE  
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[PMID]:29040314
[Au] Autor:Wang L; Qian C; Kats P; Kontokosta C; Sobolevsky S
[Ad] Endereço:Center for Urban Science and Progress, New York University, Brooklyn, New York, United States of America.
[Ti] Título:Structure of 311 service requests as a signature of urban location.
[So] Source:PLoS One;12(10):e0186314, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:While urban systems demonstrate high spatial heterogeneity, many urban planning, economic and political decisions heavily rely on a deep understanding of local neighborhood contexts. We show that the structure of 311 Service Requests enables one possible way of building a unique signature of the local urban context, thus being able to serve as a low-cost decision support tool for urban stakeholders. Considering examples of New York City, Boston and Chicago, we demonstrate how 311 Service Requests recorded and categorized by type in each neighborhood can be utilized to generate a meaningful classification of locations across the city, based on distinctive socioeconomic profiles. Moreover, the 311-based classification of urban neighborhoods can present sufficient information to model various socioeconomic features. Finally, we show that these characteristics are capable of predicting future trends in comparative local real estate prices. We demonstrate 311 Service Requests data can be used to monitor and predict socioeconomic performance of urban neighborhoods, allowing urban stakeholders to quantify the impacts of their interventions.
[Mh] Termos MeSH primário: Ecologia
Fatores Socioeconômicos
População Urbana
[Mh] Termos MeSH secundário: Boston
Censos
Chicago
Planejamento de Cidades
Previsões
Habitação
Seres Humanos
Aprendizado de Máquina
Cidade de Nova Iorque
Distribuição Espacial da População
Análise Espacial
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171018
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0186314


  5 / 2903 MEDLINE  
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[PMID]:28945663
[Au] Autor:Parikh ND; Marrero WJ; Sonnenday CJ; Lok AS; Hutton DW; Lavieri MS
[Ad] Endereço:1 Division of Gastroenterology, Department of Internal Medicine, University of Michigan, Ann Arbor, MI.2 Industrial and Operational Engineering, University of Michigan, Ann Arbor, MI.3 Department of Surgery, University of Michigan, Ann Arbor, MI.4 School of Public Health, University of Michigan Ann Arbor, MI.
[Ti] Título:Population-Based Analysis and Projections of Liver Supply Under Redistricting.
[So] Source:Transplantation;101(9):2048-2055, 2017 Sep.
[Is] ISSN:1534-6080
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To reduce the geographic heterogeneity in liver transplant allocation, the United Network of Organ Sharing has proposed redistricting, which is impacted by both donor supply and liver transplantation demand. We aimed to determine the impact of demographic changes on the redistricting proposal and characterize causes behind geographic heterogeneity in donor supply. METHODS: We analyzed adult donors from 2002 to 2014 from the United Network of Organ Sharing database and calculated regional liver donation and utilization stratified by age, race, and body mass index. We used US population data to make regional projections of available donors from 2016 to 2025, incorporating the proposed 8-region redistricting plan. We used donors/100 000 population age 18 to 84 years (D/100K) as a measure of equity. We calculated a coefficient of variation (standard deviation/mean) for each regional model. We performed an exploratory analysis where we used national rates of donation, utilization and both for each regional model. RESULTS: The overall projected D/100K will decrease from 2.53 to 2.49 from 2016 to 2025. The coefficient of variation in 2016 is expected to be 20.3% in the 11-region model and 13.2% in the 8-region model. We found that standardizing regional donation and utilization rates would reduce geographic heterogeneity to 4.9% in the 8-region model and 4.6% in the 11-region model. CONCLUSIONS: The 8-region allocation model will reduce geographic variation in donor supply to a significant extent; however, we project that geographic disparity will marginally increase over time. Though challenging, interventions to better standardize donation and utilization rates would be impactful in reducing geographic heterogeneity in organ supply.
[Mh] Termos MeSH primário: Área Programática (Saúde)
Prestação Integrada de Cuidados de Saúde/tendências
Acesso aos Serviços de Saúde/tendências
Necessidades e Demandas de Serviços de Saúde/tendências
Disparidades em Assistência à Saúde/tendências
Transplante de Fígado/tendências
Determinação de Necessidades de Cuidados de Saúde/tendências
Avaliação de Processos (Cuidados de Saúde)/tendências
Doadores de Tecidos/provisão & distribuição
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Censos
Bases de Dados Factuais
Feminino
Previsões
Seres Humanos
Masculino
Meia-Idade
Regionalização/tendências
Fatores de Tempo
Obtenção de Tecidos e Órgãos
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170926
[St] Status:MEDLINE
[do] DOI:10.1097/TP.0000000000001785


  6 / 2903 MEDLINE  
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[PMID]:28859064
[Au] Autor:Chow CS; Mulder RT
[Ad] Endereço:Consult-Liaison Psychiatry, Psychiatric Services for the Elderly, Canterbury District Health Board, Christchurch.
[Ti] Título:Mental health service use by Asians: a New Zealand census.
[So] Source:N Z Med J;130(1461):35-41, 2017 Sep 01.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Asians are the third largest ethnic group in New Zealand. Little is known about their use of mental health services and the psychiatric diagnoses they receive in these services. AIM: To study rates of mental health service use and the prevalence of mental disorders in mental health services among New Zealand Asians compared to European, Maori and Pacific peoples. METHODS: Date from PRIMHD (Program for the Integration of Mental Health Data) was collected over a five-year period from 1 July 2008 to 30 June 2013. RESULTS: There were 229,874 individuals who had contact with mental health services. Asians were less likely to use mental health services compared to European, Maori or Pacific people. Asian clinical diagnoses were similar to other ethnic groups. The major differences were lower rates of substance-related disorders and personality disorders. CONCLUSION: Asians have low rates of mental health service utilisation. There is no evidence they are more severely ill when using mental health services. This suggests Asians may have lower prevalence rates of mental disorder than other ethnic groups in New Zealand.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Asiático
Transtornos Mentais/etnologia
Serviços de Saúde Mental/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Censos
Criança
Pré-Escolar
Comorbidade
Feminino
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Nova Zelândia/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170907
[Lr] Data última revisão:
170907
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE


  7 / 2903 MEDLINE  
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[PMID]:28859052
[Au] Autor:O'Donnell JK; Gladden RM; Seth P
[Ad] Endereço:Division of Unintentional Injury Prevention, National Center for Injury Prevention and Control, CDC.
[Ti] Título:Trends in Deaths Involving Heroin and Synthetic Opioids Excluding Methadone, and Law Enforcement Drug Product Reports, by Census Region - United States, 2006-2015.
[So] Source:MMWR Morb Mortal Wkly Rep;66(34):897-903, 2017 Sep 01.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Opioid overdose deaths quadrupled from 8,050 in 1999 to 33,091 in 2015 and accounted for 63% of drug overdose deaths in the United States in 2015. During 2010-2015, heroin overdose deaths quadrupled from 3,036 to 12,989 (1). Sharp increases in the supply of heroin and illicitly manufactured fentanyl (IMF) are likely contributing to increased deaths (2-6). CDC examined trends in unintentional and undetermined deaths involving heroin or synthetic opioids excluding methadone (i.e., synthetic opioids)* by the four U.S. Census regions during 2006-2015. Drug exhibits (i.e., drug products) obtained by law enforcement and reported to the Drug Enforcement Administration's (DEA's) National Forensic Laboratory Information System (NFLIS) that tested positive for heroin or fentanyl (i.e., drug reports) also were examined. All U.S. Census regions experienced substantial increases in deaths involving heroin from 2006 to 2015. Since 2010, the South and West experienced increases in heroin drug reports, whereas the Northeast and Midwest experienced steady increases during 2006-2015. In the Northeast, Midwest, and South, deaths involving synthetic opioids and fentanyl drug reports increased considerably after 2013. These broad changes in the U.S. illicit drug market highlight the urgent need to track illicit drugs and enhance public health interventions targeting persons using or at high risk for using heroin or IMF.
[Mh] Termos MeSH primário: Analgésicos Opioides/envenenamento
Drogas Desenhadas/envenenamento
Overdose de Drogas/mortalidade
Fentanila/envenenamento
Heroína/envenenamento
Drogas Ilícitas/legislação & jurisprudência
Drogas Ilícitas/envenenamento
[Mh] Termos MeSH secundário: Censos
Seres Humanos
Aplicação da Lei
Mortalidade/tendências
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Analgesics, Opioid); 0 (Designer Drugs); 0 (Street Drugs); 70D95007SX (Heroin); UF599785JZ (Fentanyl)
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170906
[Lr] Data última revisão:
170906
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170901
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6634a2


  8 / 2903 MEDLINE  
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[PMID]:28850858
[Au] Autor:Pinault LL; Weichenthal S; Crouse DL; Brauer M; Erickson A; Donkelaar AV; Martin RV; Hystad P; Chen H; Finès P; Brook JR; Tjepkema M; Burnett RT
[Ad] Endereço:Health Analysis Division, Statistics Canada, Ottawa, ON, Canada. Electronic address: Lauren.Pinault@Canada.ca.
[Ti] Título:Associations between fine particulate matter and mortality in the 2001 Canadian Census Health and Environment Cohort.
[So] Source:Environ Res;159:406-415, 2017 11.
[Is] ISSN:1096-0953
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Large cohort studies have been used to characterise the association between long-term exposure to fine particulate matter (PM ) air pollution with non-accidental, and cause-specific mortality. However, there has been no consensus as to the shape of the association between concentration and response. METHODS: To examine the shape of this association, we developed a new cohort based on respondents to the 2001 Canadian census long-form. We applied new annual PM concentration estimates based on remote sensing and ground measurements for Canada at a 1km spatial scale from 1998 to 2011. We followed 2.4 million respondents who were non-immigrants aged 25-90 years and did not reside in an institution over a 10 year period for mortality. Exposures were assigned as a 3-year mean prior to the follow-up year. Income tax files were used to account for residential mobility among respondents using postal codes, with probabilistic imputation used for missing postal codes in the tax data. We used Cox survival models to determine hazard ratios (HRs) for cause-specific mortality. We also estimated Shape Constrained Health Impact Functions (a concentration-response function) for selected causes of death. RESULTS: In models stratified by age, sex, airshed, and population centre size, and adjusted for individual and neighbourhood socioeconomic variables, HR estimates for non-accidental mortality were HR = 1.18 (95% CI: 1.15-1.21) per 10µg/m increase in concentration. We observed higher HRs for cardiovascular disease (HR=1.25; 95% CI: 1.19-1.31), cardio-metabolic disease (HR = 1.27; 95% CI: 1.21-1.33), ischemic heart disease (HR = 1.36; 95% CI: 1.28-1.44) and chronic obstructive pulmonary disease (COPD) mortality (HR = 1.24; 95% CI: 1.11-1.39) compared to HR for all non-accidental causes of death. For non-accidental, cardio-metabolic, ischemic heart disease, respiratory and COPD mortality, the shape of the concentration-response curve was supra-linear, with larger differences in relative risk for lower concentrations. For both pneumonia and lung cancer, there was some suggestion that the curves were sub-linear. CONCLUSIONS: Associations between ambient concentrations of fine particulate matter and several causes of death were non-linear for each cause of death examined.
[Mh] Termos MeSH primário: Poluentes Atmosféricos/análise
Doenças Cardiovasculares/mortalidade
Exposição Ambiental
Material Particulado/análise
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Canadá/epidemiologia
Doenças Cardiovasculares/etiologia
Causas de Morte
Censos
Feminino
Seres Humanos
Masculino
Meia-Idade
Modelos Teóricos
Tamanho da Partícula
Modelos de Riscos Proporcionais
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Air Pollutants); 0 (Particulate Matter)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171120
[Lr] Data última revisão:
171120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170830
[St] Status:MEDLINE


  9 / 2903 MEDLINE  
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[PMID]:28816168
[Au] Autor:Chowdhary M; Chhabra AM; Switchenko JM; Jhaveri J; Sen N; Patel PR; Curran WJ; Abrams RA; Patel KR; Marwaha G
[Ad] Endereço:Department of Radiation Oncology, Rush University Medical Center, Chicago, Illinois; Department of Radiation Oncology, Winship Cancer Institute of Emory University, Atlanta, Georgia. Electronic address: mchowdharymd@gmail.com.
[Ti] Título:Domestic Job Shortage or Job Maldistribution? A Geographic Analysis of the Current Radiation Oncology Job Market.
[So] Source:Int J Radiat Oncol Biol Phys;99(1):9-15, 2017 Sep 01.
[Is] ISSN:1879-355X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To examine whether permanent radiation oncologist (RO) employment opportunities vary based on geography. METHODS AND MATERIALS: A database of full-time RO jobs was created by use of American Society for Radiation Oncology (ASTRO) Career Center website posts between March 28, 2016, and March 31, 2017. Jobs were first classified by region based on US Census Bureau data. Jobs were further categorized as academic or nonacademic depending on the employer. The prevalence of job openings per 10 million population was calculated to account for regional population differences. The χ test was implemented to compare position type across regions. The number and locations of graduating RO during our study period was calculated using National Resident Matching Program data. The χ goodness-of-fit test was then used to compare a set of observed proportions of jobs with a corresponding set of hypothesized proportions of jobs based on the proportions of graduates per region. RESULTS: A total of 211 unique jobs were recorded. The highest and lowest percentages of jobs were seen in the South (31.8%) and Northeast (18.5%), respectively. Of the total jobs, 82 (38.9%) were academic; the South had the highest percentage of overall academic jobs (35.4%), while the West had the lowest (14.6%). Regionally, the Northeast had the highest percentage of academic jobs (56.4%), while the West had the lowest (26.7%). A statistically significant difference was noted between regional academic and nonacademic job availability (P=.021). After we accounted for unit population, the Midwest had the highest number of total jobs per 10 million (9.0) while the South had the lowest (5.9). A significant difference was also observed in the proportion of RO graduates versus actual jobs per region (P=.003), with a surplus of trainees seen in the Northeast. CONCLUSIONS: This study presents a quantitative analysis of the RO job market. We found a disproportionately small number of opportunities compared with graduates trained in the Northeast, as well as a significant regional imbalance of academic versus nonacademic jobs. Long-term monitoring is required to confirm these results.
[Mh] Termos MeSH primário: Emprego/estatística & dados numéricos
Internato e Residência/estatística & dados numéricos
Radioterapia (Especialidade)/estatística & dados numéricos
[Mh] Termos MeSH secundário: Academias e Institutos/estatística & dados numéricos
Censos
Distribuição de Qui-Quadrado
Bases de Dados Factuais/estatística & dados numéricos
Emprego/classificação
Seres Humanos
Área de Atuação Profissional/estatística & dados numéricos
Radioterapia (Especialidade)/classificação
Sociedades Médicas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171026
[Lr] Data última revisão:
171026
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE


  10 / 2903 MEDLINE  
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Valente, Joaquim Gonçalves
Portela, Margareth Crisóstomo
Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:28792987
[Au] Autor:Caldas ADR; Santos RV; Borges GM; Valente JG; Portela MC; Marinho GL
[Ad] Endereço:Núcleo Estadual do Ministério da Saúde no Rio de Janeiro, Ministério da Saúde, Rio de Janeiro, Brasil.
[Ti] Título:[Infant mortality according to color or race based on the 2010 Population Census and national health information systems in Brazil].
[Ti] Título:Mortalidade infantil segundo cor ou raça com base no Censo Demográfico de 2010 e nos sistemas nacionais de informação em saúde no Brasil..
[So] Source:Cad Saude Publica;33(7):e00046516, 2017 Aug 07.
[Is] ISSN:1678-4464
[Cp] País de publicação:Brazil
[La] Idioma:por
[Ab] Resumo:The aim of this study was to investigate infant mortality data according to color or race in Brazil with a focus on indigenous individuals, based on data from the 2010 Population Census and the Brazilian Mortality Information System (SIM) and Brazilian Information System on Live Births (SINASC). In both sources, the infant mortality rate (IMR) for indigenous individuals was the highest of all the various population segments. Although the census data indicate inequalities by color or race, the infant mortality rates for indigenous and black individuals were lower than those based on data from SIM/SINASC. Methodological specificities in the data collection in the two sources should be considered. The reduction in IMR in Brazil in recent decades is largely attributed to the priority of infant health on the policy agenda. The study's findings indicate that the impact of public policies failed to reach indigenous peoples on the same scale as in the rest of the population. New sources of nationwide data on deaths in households, as in the case of the 2010 Census, can contribute to a better understanding of inequalities by color or race in Brazil.
[Mh] Termos MeSH primário: Censos
Grupos de Populações Continentais/estatística & dados numéricos
Sistemas de Informação em Saúde/estatística & dados numéricos
Mortalidade Infantil/etnologia
[Mh] Termos MeSH secundário: Distribuição por Idade
Fatores Etários
Brasil
Feminino
Seres Humanos
Lactente
Mortalidade Infantil/tendências
Nascimento Vivo
Masculino
Fatores Socioeconômicos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE



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