Ayşe Şadiye Güvendiren and Hatice Azra Demirelli: Turkey's first certified female dentists

Ayşe Şadiye Güvendiren and Hatice Azra Demirelli were the first Turkish female dentists. In a country that came out of the First World War and fought for her independence, they laid the foundations of women's presence in the Turkish dental community and took their honorable place in history with their courage, devotion, and determination.

How Aquatic Chemistry Took Root and Has Flourished in China: Classical Textbooks, a Tale of Two Manganese, and a Dynamic Community

In the history of environmental science and engineering, there are numerous great thinkers, mentors, and scholars, whose influence transcends geographical boundaries. Being assembled into a special tribute issue in ES&T celebrating its founding editor Jim Morgan, this Perspective tells a few stories related to China, a country that he never visited but one where his research and vision have a profound influence. The following stories are inspiring accounts of people who made indelible contributions to this discipline. Through providing an international angle, this perspective aims to reinforce the global aquatic chemistry community's appreciation of our discipline's roots and continuous growth in China, as well as the significant contributions from China. Given the universality of scientific knowledge, we believe that similar stories exist in many other countries, cultures, and fields, where their pioneers are celebrated and remembered.

Comparison of the impact of two national health and social care integration programmes on emergency hospital admissions

Background

Policy-makers expect that integration of health and social care will improve user and carer experience and reduce avoidable hospital use. [We] evaluate the impact on emergency hospital admissions of two large nationally-initiated service integration programmes in England: the Pioneer (November 2013 to March 2018) and Vanguard (January 2015 to March 2018) programmes. The latter had far greater financial and expert support from central agencies.

Methods

Of the 206 Clinical Commissioning Groups (CCGs) in England, 51(25%) were involved in the Pioneer programme only, 22(11%) were involved in the Vanguard programme only and 13(6%) were involved in both programmes. We used quasi-experimental methods to compare monthly counts of emergency admissions between four groups of CCGs, before and after the introduction of the two programmes.

Results

CCGs involved in the programmes had higher monthly hospital emergency admission rates than non-participants prior to their introduction [7.9 (95% CI:7.8–8.1) versus 7.5 (CI: 7.4–7.6) per 1000 population]. From 2013 to 2018, there was a 12% (95% CI:9.5–13.6%) increase in emergency admissions in CCGs not involved in either programme while emergency admissions in CCGs in the Pioneer and Vanguard programmes increased by 6.4% (95% CI: 3.8–9.0%) and 8.8% (95% CI:4.5–13.1%), respectively. CCGs involved in both initiatives experienced a smaller increase of 3.5% (95% CI:-0.3–7.2%). The slowdown largely occurred in the final year of both programmes.

Conclusions

Health and social care integration programmes can mitigate but not prevent rises in emergency admissions over the longer-term. Greater financial and expert support from national agencies and involvement in multiple integration initiatives can have cumulative effects.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12913-021-06692-x.

Progress in neurosurgery: Contributions of women neurosurgeons in the Middle East

The Middle East is known for its complex history and rich environment and culture. The region is home to a wide variety of traditions, cultures and religions, which have made the area vulnerable to political conflicts. Despite these difficulties, science and medicine have always thrived in the region, with many medical practices and principles established by physicians and scholars living in the Middle East. The first academic neurosurgical activity in the region started in the 1950s. The first women neurosurgeons in the Middle East started training in the 1970s, and were from Iran, Palestine, followed by Saudi Arabia in the 1970s. These pioneers have encountered serious challenges, yet have become role models for the next generation. These women have paved the way and facilitated neurosurgical training and practice for more women surgeons. The gradual increase in the number of women neurosurgical residents in the region leads to the expectation that women will play a more prominent role in the future as leaders in neurosurgery in the Middle East. This collaborative study, which identifies the known women neurosurgeons in the Middle East for the first time, may serve to provide background and context for further contributions of women neurosurgeons for our profession and our patients.

Progress in neurosurgery: Contributions of women neurosurgeons in Latin America

Nearly 75 years after the first woman neurosurgeon was trained in Latin America, the field of neurosurgery is changing and the prominence of women neurosurgeons within the specialty is increasing. By researching the histories of individual physicians and neurosurgeons, as well as neurosurgical departments and societies, we present, for the first time, the history of the women in neurosurgery in Latin America. Women neurosurgeons in the region have made notable progress, inspiring subsequent generations and actively participating in organized neurosurgery, medical leadership outside neurosurgery, academic neurosurgery, and leadership in contemporary society. The establishment of "Women in Neurosurgery" networks and organizations has been important to the success of many of these efforts. This collaborative study, which identifies the known women neurosurgeons in Latin America for the first time, may serve to provide background and context for further contributions of women neurosurgeons for our profession and our patients.

Pioneering women of microbiology in Spain

Presented herein are the trajectories of four women who can be considered pioneers of microbiology in Spain. Three of them have been studied before, but never presented as pioneers of microbiology, and their lives are briefly reviewed: Zoe Rosinach Pedrol, a pioneering microbiologist in the health care field; Isabel Torán del Carré, in the agri-food sector; and Luz Zalduegui Gabilondo in the veterinary sciences. Nevertheless, Trinidad del Pan Arana is presented from the first time as pioneering microbiologist in the natural sciences area. All of these women developed their professional activity during the first third of the twentieth century, contributing to the establishment of microbiology as a new scientific discipline in Spain.

Who are Pioneers of Disaster Preparedness? - Insights from Rainwater Harvesting Dissemination in Bangladesh

This study deals with the roles of pioneers or early adopters in a rainwater harvesting technology dissemination process in arsenic and water salinity affected communities in coastal Bangladesh. The dissemination of such innovative technologies has long been advocated for making disaster resilient communities, but how to disseminate these innovations has rarely been addressed, except heuristic studies limited to analyzing the cognitive factors of preparedness. We argue that identifying and characterizing pioneer adopters is critical to promote innovative disaster preventive technologies. Because pioneers take the risk to adopt at a time when only limited information of the innovation is available, and, based on their firsthand experience, other members can make prudent adoption decisions. By using the social network threshold model, we show that just as there are adopters at the macro or regional level, there are adopters at the micro or local level, and they have the most critical roles, as catalysts to disseminate disaster preventive technologies among the population. We also argue that cosmopolitaness and level of education characterize the pioneers better, rather than their income, risk awareness, and other personal features. Some policy options related to the findings are also discussed.

[The history of kidney transplantation]

The history of kidney transplantation is a history of many unsuccessful efforts and setbacks, but also the history of perseverance, pioneering spirit, and steadfast courage. The first successful transplantation of a dog kidney was done by the Austrian Emerich Ullmann (1861-1937) in 1902. The kidney was connected to the carotid artery of the dog and the ureter ended freely. The organ produced urine for a couple of days before it died. In 1909, there were efforts to transplant human kidneys from deceased patients to monkeys and in the following year the first xenotransplantation in humans was completed. Different kinds of donors were tried: dogs, monkeys, goats and lambs, all without success. In 1939, the first transplantation from a deceased human donor was done by the Russion Yurii Voronoy, the patient survived for only a couple of days, and the organ never worked. In 1953, the first temporarily successful transplantation of a human kidney was performed by Jean Hamburger in Paris. A 16-year-old boy received the kidney of his mother as living donor transplantation. Then in 1954, a milestone was made with the first long-term successful kidney transplantation by Joseph Murray: the transplantation was done between monozygotic twins; the organ survived for 8 years. For his efforts in kidney transplantation, Murray was honored with the Nobel Prize in medicine in 1990. In 1962, the first kidney transplantation between genetically nonrelated patients was done using immunosuppression and in 1963 the first kidney transplantation in Germany was done by Reinhard Nagel and Wilhelm Brosig in Berlin. The aim of this article is to present the history of kidney transplantation from the beginning until today.