生物安全相关文献知识图谱分析

目的分析生物安全领域研究热点及学科发展等信息。方法基于Java平台的知识图谱分析软件CiteSpaceⅡ。结果对生物安全相关文献期刊共被引、关键词共现、文献共被引以及国际合作等进行可视化分析,展示出生物安全领域研究热点变化、关键文献和关键词等信息。结论快速把握学科发展趋势以及研究热点变化,为生物安全研究者提供指引与参考。     

基于CiteSpace的突发公共卫生事件人员培训研究的可视化分析

目的 研究分析国内外突发公共卫生事件人员培训现状,借鉴国际经验,提出适于我国突发公共卫生事件人员培训工作展开的改进对策.方法 以Web of Science和CNKI数据库中2011-2020年文献为数据源,运用CiteSpace软件绘制知识图谱,对国内外突发公共卫生事件人员培训文献研究情况进行可视化分析.结果 与结论 对检索到的821篇国际有效文献和258篇中文文献进行地域分布、关键词共现及聚类分析,发现中国在突发公共卫生事件人员培训方面的研究存在着文献发表量虽总体呈上升趋势,但波动性大、研究内容缺乏全面性且研究层面浅、研究体系不健全、文献间关键词缺乏关联性等问题.针对存在的问题,借鉴国际经验,提出加大应急知识宣传力度、持续强化应急培训研究、拓宽应急培训研究广度和深度、健全应急培训研究体系、提高文献间研究相互关联性等建议.     

基于CiteSpace的近十年下腔静脉滤器领域文献计量可视化分析

目的 对2011～2020年国内外下腔静脉滤器(IVCF)研究领域的文献进行计量和可视化分析,探索该领域的研究现状、热点及前沿动态,为我国IVCF的研究提供参考和指引方向.方法 基于Web of Science核心数据库,检索筛选近10年来IVCF相关主题文献,使用知识图谱软件CiteSpacev5.7的共现/共被引计...     

Military Medicine的多维度知识图谱分析

目的 基于1995-2021年Military Medicine期刊发表的文献,通过3种可视化分析方法构建知识图谱,了解美军军事医学的发展态势。方法 检索1995-2021年Web of Science核心合集数据库,获得Military Medicine期刊发表的文献共8328篇,采用Bibliometrix、VOSviewer和CiteSpace共3种可视化分析方法,绘制Military Medicine发文机构、热点领域和演化趋势的知识图谱。结果 Military Medicine最主要的发文机构为美军军医大学、沃尔特里德国家军事医疗中心和布鲁克陆军医学中心等军事医学研究机构;热点领域为精神心理健康、运动生理学和创伤救治等,均与军人健康维护和效能提升密切相关。结论 构建Military Medicine知识图谱,可以直观、高效、全面地分析其发展脉络和整体趋势,为了解美军军事医学的发展态势提供借鉴和参考。     

可穿戴运动监测技术发展态势知识图谱分析

目的 通过构建知识图谱,全方位展示全球可穿戴运动监测技术发展历程、现状和趋势,为我军相关研究发展提供借鉴参考。方法 以Web of Science数据库核心合集收录的可穿戴运动监测技术文献数据为研究对象,运用Bibliometrix等可视化分析软件构建知识图谱,从发文趋势、合作网络、关键词共现等角度研究可穿戴运动监测技术发展特征。结果 可穿戴运动监测技术处于快速发展期,机构合作以区域内合作为主,美国在全球创新合作网络中占据重要地位。结论 王中林教授作为共现网络的重要作者,推动了学术团体合作;人工智能、大数据、云计算等技术成为该领域新兴热点;新材料的融合应用推动了监测设备向轻薄、贴肤、无痕方向转变。     

我院医疗纠纷的特征分析及其防范管理措施

近年来,随着人们法律及维权意识的不断增强,医疗纠纷的发生日益增多.所谓医疗纠纷,通常是指医患双方对医疗后果及其原因认识不一致而发生争议,并向卫生行政部门或司法机关提出追究责任或赔偿损失的案件.医疗纠纷的发生严重影响了医院的声誉和医疗秩序,对医患双方均产生不良影响.医疗纠纷的产生多是由于医疗质量欠缺、责任心不强及医患沟通不到位等[1-3].目前,有关医疗纠纷的根源、特点及防范措施各医院报道不一.为了进一步认识我院医疗纠纷的原因及特点,更好地防范医疗纠纷的发生,现将我院近5年来的医疗纠纷案例进行回顾性分析,并提出相应的防范管理措施.     

对我院40例医疗纠纷原因分析与对策探讨

近年来,医疗纠纷已经成为公众关注的一大社会热点问题。医疗纠纷处理的好坏,不仅影响着医患双方的各种合法权益,也影响着广大医务工作者的工作积极性,影响着医院的声誉。随着市场经济的发展,人们维护自身权利的意识不断增强,利益和价值观念不断提高,人们用法律来衡量医疗行为和后果的意识增高,医疗纠纷的数量不断增多,解决难度不断加大,经济补偿的数额不断增加,诉诸法律的案件逐年上升。近三年以来我院共发生医疗投诉与医疗纠纷4 0例,涉及13个科室,现分析如下。1　基本情况1 1　医疗纠纷科室分布　外科系共发生医疗投诉与医疗纠纷2 8例,占70…     

基于知识图谱的认知神经科学前沿与演化研究

目的分析认知神经科学的前沿热点和演化脉络。方法基于Java平台的知识图谱分析软件CiteSpaceⅡ。结果运用可视化分析对包括作者、机构、国别、关键词、被引文献等节点的分析,明确了开展认知神经科学研究的参照对象、准确识别到学科研究的前沿热点、快速确定了作为认知神经科学研究基础的经典文献、关键文献等。结论快速把握学科发展趋势、探测学科演进过程中的重要变化对于拓展认知神经科学研究具有重要指引作用。     

试论医疗纠纷的防范

试论医疗纠纷的防范武警河南总队医院马中兰,蔡留意,尹继云（郑州４５００５２）关键词医疗纠纷,防范医疗纠纷是医源性或非医源性原因所引发的医患之间的争执,在医疗实践中很难完全避免,随着市场经济的发展、医学知识的普及和社会的进步,人们的法律意识、自我保护意...     

基于中国生物医学文献数据库的宫颈癌治疗相关文献可视化分析

目的:利用可视化方法分析我国宫颈癌治疗的研究现状和热点,为宫颈癌治疗提供参考依据.方法:应用计算机检索中国生物医学文献数据库(China biology medicine disc,CBMdisc)2001-01-01--2019-11-01以中文形式全文发表的宫颈癌治疗的相关文献,运用书目共现分析系统-2(bibli...     

新时期新型医患关系现状的多维思考

本文针对新时期新型医患关系的现状、成因及所给启示，依据社会学和心理学的理论，从社会政治、经济、文化、心理、法律多维层面进行了思考。认为医患关系恶化的现状是令人担忧的；其形成原因是多元的；其改善途径应是全方位的；努力应是社会的；历程是漫长的；人性化的医疗服务是必要的。     

Using therapeutic jurisprudence and preventive law to examine disputants' best interests in mediating cases about physicians' practices: a guide for medical regulators

Therapeutic jurisprudence (TJ) and preventive law (PL) are used as two theoretical perspectives from which to examine the best interests of parties in mediation because of a dispute about a physician's practice. The focus is mediation provided by and/or for the medical regulator. The paper reviews the literature on TJ and PL, and their relationship to mediation, and demonstrates how medical regulators could benefit by working within a framework reflecting both these perspectives providing it does not involve an egregious matter. A TJ and PL framework would be of particular value in identifying cases for mediation and in evaluating resolutions to mediated disputes.     

A challenge and an opportunity for medical regulators--considering the public's interests in cases using ADR to resolve disputes about physicians' practices: a Canadian analysis

Disputes between patients or their families and the patient's treating physician are not uncommon. While many of these disputes are resolved by the disputants alone or informally with others, many are resolved through formal adjudication processes of court litigation or through processes of medical regulators. Alternative dispute resolution (ADR) options either within the courts or within regulatory bodies are becoming more popular as decision-makers realize the benefits to using these options in appropriate cases. ADR offers both opportunities for advancing our appropriate dealings of these disputes and challenges in terms of ensuring that the public's interests are met. This article examines the public's interests in cases using mediation to resolve disputes about physician's practices from a Canadian perspective. The article concludes with recommendations to protect the public interests and to respect the rights of disputants.     

眼科病历质量缺陷分析及其防范措施

 目的 分析眼科病历书写中存在问题的原因,找出解决方案,以提高眼科住院病历书写质量,保障眼科诊疗质量及安全。方法 对2011-11至2014-10我院3271份眼科住院病历进行质量检查,有347份运行病历存在书写质量缺陷,分析病历书写中出现的质量缺陷问题,包括规范方面的问题及病历内涵质量方面的问题。结果 病历书写格式、规范方面的问题有289份,占缺陷病历的83.3%,内涵质量方面的问题有58份,占缺陷病历的16.7%。结论 需加强质量管理措施,提高医务人员的法律意识,要求其重视病历的规范书写,加强监控,提高病历书写质量,以减少医疗纠纷。     

基于平衡计分卡的医院战略地图应用探讨

平衡计分卡作为实施医院战略管理的重要工具，在国内外的卫生医疗机构中得到了广泛的应用。笔者在分析平衡计分卡理论的基础上，提出了平衡计分卡框架下医院战略地图的绘制，以及在应用医院战略地图过程中应当注意的问题。     

Evaluation of the third-party mediation mechanism for medical disputes in China

Medical disputes have been increasing in recent years in China, which cause growing tension between doctors and patients. In many locations, it has started as a practice of exploring diversified dispute settlement methods. Great importance has been attached to the non-lawsuit model through third-party mediation, which might have been led by professional organizations, insurance companies, People's Mediation Committees, or three-level governmental authorities. Those have contributed to a rapid effective resolution of medical disputes. However, there are some deficiencies that need to be addressed and fixed up, thus calling for improvement, such as the lack of a sustainable supporting mechanism, unclear legal status of the mediation institutions and mediation agreements, patching up a quarrel by only compensation.     

Development of a Competency-Based Radiology Clerkship Using Categorical and Statistical Analysis of Assessment

PurposeThe purpose was to create and analyze a competency-based model of educating medical students in a radiology clerkship that can be used to guide curricular reform.MethodsDuring the 2019 to 2020 academic year, 326 fourth-year medical students were enrolled in a 2-week required clerkship. An online testing platform, ExamSoft (Dallas, Texas), was used to test pre- and postinstruction knowledge on “must see” diagnoses, as outlined in the National Medical Student Curriculum in Radiology. Assessment analysis was used to compare the frequency with which the correct diagnosis was identified on the pretest to that on the posttest. At the end of the academic year, in addition to statistical analysis, categorical analysis was used to classify the degree of this change to uncover topics that students found most challenging.ResultsFor 23 of the 27 topics (85%), there was a significant improvement in diagnostic accuracy after instruction in the test curriculum. Categorical analysis further demonstrated that the clerkship had a high impact in teaching 13 of the 27 topics (48%), had a lower impact for 6 topics (22%), and identified the remaining 8 topics (30%) as gaps in teaching and learning.ConclusionsFor medical students, our instructional program significantly increased competency for most critical radiologic diagnoses. Categorical analysis adds value beyond statistical analysis and allows dynamic tailoring of teaching to address gaps in student learning.     

医学图像三维可视化

本文详细综述了在医学图像三维可视化领域应用广泛的各种体绘制技术,进一步展示了在可视化领域结合因特网技术的最新发展方向。在比较各种体绘制技术的基础上,提出了适合在高档PC上开发用于计算机辅助手术导航系统的三维可视化方法。     

基于论文下载的我国医药卫生研究领域热点分析

 目的 发现当前最受关注的医药卫生领域热点,为卫生管理及相关政策制定提供参考。方法 检索2012-2013年CNKI数据库“医药卫生科技”大类收录的全部论文,获得被下载600次以上的最受关注论文进行统计分析。结果 2012-2013年发表的论文中,下载超过600次的论文共256篇, 其中肿瘤研究(21.48%)、医疗指南(9.73%)、糖尿病-心血管疾病-高血压等的循证医学治疗、医患关系、新型农村合作医疗位居最受关注内容的前5位,中医药相关研究在热点论文中也占有较大比例;国家级各种基金资助(包括国家自然科学基金、科技支撑计划、863、973、重点基础研究发展计划、重大新药创制等)论文占比26.17%。结论 热点论文与国计民生联系紧密,高质量的医学综述和治疗指南在临床实践有很大需求。     

The multi-factorial determinism of forensic expertise regarding sentence interruption on medical grounds and decision

The topic proposed by this research is the complex determinism or requesting forensic expertise for the purpose of postponing or interrupting a sentence in medical ground. Within the topic, it was necessary to perform a complex analysis on several aspects of inmate life, from the point of view of their rights and especially the right to medical assistance. We have included aspects related to the evolution of the legal framework and current regulations, to the status of medical assistance in the penitentiary environment (illustrating realities related to morbidity and mortality) and to the doctor-patient relationship during a forensic expertise. To this end, this paper aims to reveal the realities of how inmates are informed about the framework in which the institution of forensic expertise operates, as well as to analyse the inmates’ perception on the accessibility and usability of this type of expertise. At the same time, we aimed to identify cases which abusively exceed the boundaries of requesting sentence interruption on medical grounds and the causes of these situations. In the first part, a retrospective statistical study was performed in mortality within the penitentiary population in the area included in the study. The characteristics particular to the doctor-inmate patient relationship were also explored.