The present study allowed describing the characteristics and identifying the aspects of permanence and migration after graduating of Medicine students from Federal University of Acre. Transversal study with a convenience sample of 89 graduates of the five already graduated classes until 2011. The data were collected through questionnaires submitted online, in the period of June to August 2012. The study results show that 71% of graduates are coming from other states of Brazil, 80% aged below 30 years, 61% male, 81.8% rated the medicine course of UFAC as good, 66.7 % reported being prepared for professional practice, with 64% approved on residency and / or internship specialty. The vast majority of doctors are residing and working in the capitals of Brazil (79%), working in the public sector (61.4%) satisfied with their chosen career (87.4%). About 58% stayed in Acre and pointed family (26%) the main cause of permanence. Of the 42% who migrated to another state, better job offers (29.7%) was the main cause of change. The present study demonstrates that in places like Amazon, the best working conditions and remuneration can be measures to be taken by the competent bodies for fixing physicians in areas with lack of professionals and should be prioritized.RESUMOO presente estudo permitiu descrever as características e identificar os aspectos relacionados à fixação ou migração dos egressos do curso de medicina da Universidade Federal do Acre após a graduação. Estudo transversal, com uma amostra de conveniência de 89 egressos das cinco turmas já graduadas até 2011. Os dados foram coletados por meio de questionários encaminhados via eletrônica, no período de Junho a Agosto de 2012. Os resultados do estudo demonstraram que 71% dos egressos são procedentes de outros estados do Brasil, 80% com idade abaixo de 30 anos, 61% do sexo masculino, 81,8% avaliaram como bom o curso de medicina da UFAC, 66,7% referiram estarem preparados para o exercício profissional, com 64% aprovados em curso de residência médica e/ou estágio de especialidade. A grande maioria dos médicos está residindo e trabalhando nas capitais do Brasil (79%), em setor público (61,4%), satisfeitos com carreira que escolheram (87,4%). Aproximadamente 58% ficaram no Acre e apontaram os laços familiares (26%) como causas principais de permanência. Dos 42% que migraram para outro estado, as melhores propostas de trabalho (29,7%) foram as principais causas de mudança. O presente estudo demonstra que a em locais como a Amazônia, as melhores condições de trabalho e remuneração, podem ser medidas a serem adotadas pelos órgãos competentes para a fixação de médicos em áreas com poucos profissionais e devem ser priorizadas.
Objectives - Analyze the prevalence of biochemical recurrence (BCR) in patients submitted to radical prostatectomy with lymphadenectomy (RP-LD) the most prevalent clinical and pathological staging in the BCR and to correlate the sum of the Gleason score (GS) in the surgical specimen in patients who presented BCR. Method - Analysis of 100 patients diagnosed with prostate adenocarcinoma who performed RP-LD between 2013 to 2017. All subjects underwent transrectal prostate biopsy due to PSA or rectal examination and RP-LD. The lymphadenectomy considered in the study was the iliac-obturator, and the surgical pieces were analyzed to determine the pathological staging and its descriptors. All patients who had two or more PSA measurements >0.2 ng/ml and who had undergone RP-LD were considered postoperative. Results -About 22% of the patients submitted to RP-LD presented BCR. Patients with BCR had a 59-76 age range, mean age of 66.27 years, and median age of 63.50 years. The most prevalent preoperative PSA in patients with BCR was between 10-20 ng/ml (40.90%) and the most prevalent clinical stage was cT2 (59.10%). Regarding the Gleason score, the BCR patients had the most prevalent 6 (36.37%) score in the biopsy and score 7 (4 + 3) (36.37%) in the surgical specimen. All patients (100%) with BCR presented perineural invasion, with pT3 staging (81.81%) and pN0 (77.28%) being the most prevalent in patients with BCR. Patients with BCR presented a correlation (p<0.05) between the increase in the sum of pathological GS and the increase in pTN staging. Conclusion - All these variables were important in the determination of BCR in patients submitted to RP-LD, thus demonstrating the importance of this information in the analysis of the prognosis and in the follow-up of these patients.
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