“…Recently, a number of surveys of publication activity have been conducted to evaluate the contributions of different countries in various fields of medicine, including hand and wrist surgery (5), foot and ankle reasearch (6), arthroscopic surgery (7), rheumatic disease (8), endocrinology and metabolism (9) and emergency medicine (10). These articles investigated the quantity and quality of the articles published in their fields in recent years, provided the main characteristics of the research contributions from different countries, and analyzed the potential reasons underlying these trends (5)(6)(7)(8)(9)(10). Moreover, these studies give an overview of current research in certain fields, and help the surgeons and researchers to know the worldwide status of scientific productivity in their fields (5)(6)(7)(8)(9)(10).…”