2004-2008年《武警医学》杂志载文及被引分析

目的对《武警医学》已发表的论文和被引用情况进行统计分析,力求发现一些带有规律性的结论。方法以2004-2008年所刊学术文章及被引数据（来源于中国知网）作为统计分析对象,从载文及被引基本情况、基金、频次分布、栏目设置、第1作者、作者单位等方面,采用文献被引率、总被引频次、被引构成比、贡献比等指标进行统计分析。结果该刊年平均发文被引率39.54%,总载文篇均被引频次0.88。结论期刊编辑部定期对杂志载文及被引方面进行统计分析是非常必要的,可以为期刊的发展提供依据和参考。     

护理硕士科学学位与专业学位培养模式比较分析

对护理硕士科学学位与专业学位培养模式在培养目标、课程设置、导师指导和论文评价等方面的特性进行了比较,以便为有针对性地培养高层次护理专门人才提供借鉴。     

护理本科生在毕业论文设计中选择及使用量表情况调查

[目的]了解护理本科生在进行毕业论文设计时使用量表的情况。[方法]采用自行设计的调查问卷,对97名护理;本科生论文设计时使用量表情况进行调查。[结果]护理本科生对科研量表的选择和使用等问题得分较低。[结论]学校应加强护理本科生护理科研素质的培养力度,提高护理本科生选择和使用量表的能力。     

《临床心电学杂志》学术影响力的再分析

目的:从文献引证的角度分析<临床心电学杂志>的学术影响力.方法:依据<中国科技期刊引证报告>(CJCR),采用文献计量学的方法,对2004年至2009年<临床心电学杂志>载文被中国科技论文与引文数据库(CSTPCD)来源期刊引用的情况进行分析及评价.结论:该刊从2004年被评为中国科技核心期刊以来,影响因子、即年指标在...     

2000-2006年《中国地方病学杂志》高被引论文分析

目的 分析<中国地方病学杂志>高被引论文的内在规律,以期进一步明确杂志的组稿方向,吸引并挖掘优质稿源,从而提高期刊的核心竞争力.方法 在中国知网中检索2000-2006年<中国地方病学杂志>发表的被引频次≥20次的论文(检索日期截至2010年12月27日),对高被引论文的发表时间、发表栏目、第一作者、作者单位及地区分布进行统计分析.结果 共检索出高被引论文68篇,被引频次为20～94,平均31.09次.高被引论文发表时间以2000年最多,占25.0%(17/68);2001年次之,占20.6%(14/68);2006年最少,占2.9%(2/68).实验研究类论文在高被引论文中所占比例最高,为30.9%(21/68);其次是现场调查类论文,占23.5%(16/68);述评、综述类论文分别占10.3%(7/68)和8.8%(6/68);简报、病例报告、会议纪要等栏目没有高被引论文;述评、专家论坛、学术争鸣栏目的 高被引论文数占该栏目论文总数的比例较高(7/19、3/11、3/7).高被引论文来自13个省(直辖市),有2篇及以上高被引论文的作者有10位,有2篇及以上高被引论文的单位有8家.结论 实验研究、现场调查、述评、专家论坛和学术争鸣类论文对杂志总被引频次贡献较大,应该保证并提高其刊出比例.需进一步巩固和扩大优秀作者队伍,加大组织重点选题和向有影响力的专家的约稿力度.

Abstract：

Objective To analysis the inherent quality of highly cited papers published in Chinese Journal of Endemiology, so as to identify the direction of invitation for contributions, find high quality articles, and to improve the journal's core competitiveness. Methods Scientific papers published in Chinese Journal of Endemiology from 2000 to 2006, with citation rate equal to or higher than 20 times were retrieved in China National Knowledge Infrastructure(CNKI) by December 27, 2010. These articles were statistically analyzed according to publication year, section type, author, and geographical distribution of units. Results A total of 68 highly cited papers were obtained. The citation frequency of the highly cited papers ranged from 20 to 94, with an average of 31.09 times. The highly cited papers were published in 2000 at most, accounting for 25.0%(17/68); followed by 2001,accounting for 20.6% (14/68); at least in 2006, accounting for 2.9% (2/68). Of the highly cited papers, experimental study articles was in the highest proportion of 30.9%(21/68); followed by field epidemiological investigation articles,accounting for 23.5%(16/68); editorial, review articles accounting for 10.3%(7/68) and 8.8%(6/68), respectively;short reports, case reports, meeting records etc were not highly cited papers. The number of highly cited papers in editorial, expert forums, academic contend accounted for higher proportion of total number in corresponding section types(7/19, 3/11, 3/7). Highly cited papers came from 13 provinces(municipalities), there were 10 authors contributed two or more highly cited papers, and 8 units contributed two or more highly cited papers. Conclusions Adequate space should be given to experimental research, field epidemiological investigation, editorial, expert forums andacademic contend articles due to their high rate of citation. More attention should be paid to further consolidate and expand excellent authors group, and to intensify the invitation for key issues from influential experts.     

More Than Just A Hobby: Building an Academic Career in Global Emergency Medicine

Background

As the specialty of emergency medicine (EM) continues to spread around the world, a growing number of academic emergency physicians have become involved in global EM development, research, and teaching. While academic departments have always found this work laudable, they have only recently begun to accept global EM as a rigorous academic pursuit in its own right.

Objective

This article describes how emergency physicians can translate their global health work into “academic currency” within both the clinician-educator and clinician-researcher tracks.

Discussion

The authors discuss the impact of various types of additional training, including global EM fellowships, for launching a career in global EM. Clearly delineated clinician-researcher and clinician-educator tracks are important for documenting achievement in global EM.

Conclusions

Reflecting a growing interest in global health, more of today's EM faculty members are ascending the academic ranks as global EM specialists. Whether attempting to climb the academic ladder as a clinician-educator or clinician-researcher, advanced planning and the firm support of one's academic chair is crucial to the success of the promotion process. Given the relative youth of the subspecialty of global EM, however, it will take time for the pathways to academic promotion to become well delineated.     

Comparison of Hospital Costs and Length of Stay for Community Internists,Hospitalists, and Academicians

BACKGROUND The model of inpatient medical management has evolved toward Hospitalists because of greater cost efficiency compared to traditional practice. The optimal model of inpatient care is not known. OBJECTIVE To compare three models of inpatient Internal Medicine (traditional private practice Internists, private Hospitalist Internists, and Academic Internists with resident teams) for cost efficiency and quality at a community teaching hospital. DESIGN Single-institution retrospective cohort study. MEASUREMENTS AND MAIN RESULTS Measurements were hospital cost, length of stay (LOS), mortality, and 30-day readmission rate adjusted for severity, demographics, and case mix. Academic Internist teams had 30% lower cost and 40% lower LOS compared to traditional private Internists and 24% lower cost and 30% lower LOS compared to private Hospitalists. Hospital mortality was equivalent for all groups. Academic teams had 2.3–2.6% more 30-day readmissions than the other groups. CONCLUSIONS Academic teams compare favorably to private Hospitalists and traditional Internists for hospital cost efficiency and quality.     

Transcatheter Aortic Valve Replacement in Patients With End-Stage Renal Disease

BackgroundIn patients with end-stage renal disease (ESRD), surgical aortic valve replacement is associated with higher early and late mortality, and adverse outcomes compared with patients without renal disease. Transcatheter aortic valve replacement (TAVR) offers another alternative, but there are limited reported outcomes.ObjectivesThe purpose of this study was to determine the outcomes of TAVR in patients with ESRD.MethodsAmong the first 72,631 patients with severe aortic stenosis (AS) treated with TAVR enrolled in the Society of Thoracic Surgeons (STS)/American College of Cardiology (ACC) TVT (Transcatheter Valve Therapies) registry, 3,053 (4.2%) patients had ESRD and were compared with patients who were not on dialysis for demographics, risk factors, and outcomes.ResultsCompared with the nondialysis patients, ESRD patients were younger (76 years vs. 83 years; p < 0.01) and had higher rates of comorbidities leading to a higher STS predicted risk of mortality (median 13.5% vs. 6.2%; p < 0.01). ESRD patients had a higher in-hospital mortality (5.1% vs. 3.4%; p < 0.01), although the observed to expected ratio was lower (0.32 vs. 0.44; p < 0.01). ESRD patients also had a similar rate of major vascular complications (4.5% vs. 4.6%; p = 0.86), but a higher rate of major bleeding (1.4% vs. 1.0%; p = 0.03). The 1-year mortality was significantly higher in dialysis patients (36.8% vs. 18.7%; p < 0.01).ConclusionsPatients undergoing TAVR with ESRD are at higher risk and had higher in-hospital mortality and bleeding, but similar vascular complications, when compared with those who are not dialysis dependent. The 1-year survival raises concerns regarding diminished benefit in this population. TAVR should be used judiciously after full discussion of the risk-benefit ratio in patients on dialysis.     

天津市东丽医院引进学科带头人的实践与探索

本文介绍了天津市东丽医院引进学科带头人所取得的成效,并通过分析在学科带头人引进工作中存在的问题,结合医院实际,提出改进二级医院学科带头人引进工作的建议,促进医院的持续、快速、有序发展。     

How to select the doctors of the future

Although previous academic performance is acknowledged as the best predictor of achievement in medical school, no one has succeeded in finding a selection method which will choose students who will become doctors with the qualities the community expect. Australian medical schools use various selection methods. It could well be argued that the most important phase in the selection process is informed decision-making by potential applicants. More effort should be made by medical schools to achieve this.