Multifocal recurrence on the transaxillary robotic thyroidectomy incision

IntroductionRobotic thyroidectomy (RT) has been reported to achieve satisfactory results. However, its long-term oncological results have not been validated. The use of RT to treat thyroid cancer comprises specific risks that are not encountered with open thyroidectomy (OT).Case summaryWe report the case of a patient operated by two-stage RT for stage pT3a follicular carcinoma, followed by tumour seeding along the incision despite adjuvant Iodine-131 therapy and external beam radiotherapy.DiscussionThis case illustrates the limitations and insufficient perspective of RT for thyroid cancer, with the recent discovery of a risk of tumour seeding along the incision. Rigorous patient selection should help to avoid this risk of tumour seeding.     

科技期刊出版运营需求调研与分析

【目的】 了解科技期刊从业人员和科研工作者对科技期刊出版技术、运营、传播的需求,探究可行的技术应用、工具开发和平台建设策略。【方法】 2020年11月,通过问卷星向科技期刊从业人员和科研工作者进行问卷调查;问卷涉及参与问卷调查人员对当今互联网技术发展、科技期刊运营模式、学术成果传播途径的了解和需求。【结果】 从402份面向科技期刊从业人员以及138份面向科研工作者的有效问卷中总结得出,参与问卷调查人员对互联网技术的应用、运营手段的丰富和传播途径的扩展有实际需求。【结论】 结合目前国际出版领域领先的出版技术与运营和传播实践,向科技期刊及相关公司机构提出技术应用、运营平台建设和传播体系搭建的相关可行性建议。     

Systematic framework to evaluate the status of physical activity research for persons with multiple sclerosis

BackgroundExploring the current state of health behavior research for individuals with multiple sclerosis is essential to understanding the next steps required to reducing preventable disability. A way to link research to translational health promotion programs is by utilizing the Behavioral Epidemiological Framework, which describes a sequence of phases used to categorize health-related behavioral research.ObjectiveThis critical audit of the literature examines the current state of physical activity research for persons with multiple sclerosis by utilizing the proposed Behavioral Epidemiological Framework.MethodsAfter searching MEDLINE, PUBMED, PsycINFO, Google Scholar and several major areas within EBSCOHOST (2000 to present), retrieved articles were categorized according to the framework phases and coding rules.ResultsOf 139 articles, 49% were in phase 1 (establishing links between behavior and health), 18% phase 2 (developing methods for measuring behavior), 24% phase 3 (identifying factors influencing behavior and implications for theory), and 9% phase 4 and 5 (evaluating interventions to change behavior and translating research into practice).ConclusionsEmphasis on phase 1 research indicates the field is in its early stages of development. Providing those with multiple sclerosis with necessary tools through health promotion programs is needed to reduce secondary conditions and co-morbidities. Reassessment of the field of physical activity and multiple sclerosis in the future could provide insight into whether the field is evolving over time or remaining stagnant.     

枣庄市市中区134例麻疹病人资料分析

目的了解近年来枣庄市市中区麻疹发病情况。方法对最近半年来枣庄市市中区134例麻疹病人有关资料进行分析。结果2005年12月8日—2006年5月3日,合计报告麻疹134例,发病率为28.05/10万。发病率(1/10万),男性为28.37,女性为27.69(P>0.05);不足8月龄为2699.95,8~11月龄为1760.78,1岁为694.28,2~5岁为56.07,6~14岁为7.70,15岁以上为3.81(P<0.01);乡镇为21.82,街道为35.0(P<0.01)。2005年12月发病11例,2006年1月37例、2月63例、3月19例、4月3例、5月1例。疫情呈散发或局部暴发,病人分布在101个村(居委会),3例的2个村(居),2例的7个村(居),其余为1例。结论麻疹疫情呈散发和局部暴发态势,应认真落实各项防治措施。     

Retrospective cohort study highlighted outcome reporting bias in UK publicly funded trials

Objective

To assess outcome reporting bias and dissemination bias in trials funded by the National Health System (NHS) Health Technology Assessment (HTA) program.

Study Design and Setting

A retrospective cohort study of HTA monographs and corresponding journal publications including all clinical effectiveness randomized controlled trials published as HTA monographs between 1999 and 2005 by the NHS HTA program.

Results

There was a higher median P-value (P = 0.33, interquartile range [IQR]: 0.02-0.54) among trials without a journal publication compared with those with a journal publication (P = 0.14, IQR: 0.007-0.43), although the difference was not statistically significant (Mann-Whitney U test, z = −0.70; P = 0.48). A higher proportion of statistically significant findings were reported in journal articles when compared with the outcomes reported in the HTA monographs. Trials published in general medical journals tended to have smaller P-values (median: 0.05, IQR: 0.001-0.22) than those published in more specialist journals (median: 0.33 IQR: 0.008-0.58), although this result was not significant (Mann-Whitney U test, z = −1.63; P = 0.10).

Conclusions

Among journal-published trials, there were a greater proportion of statistically significant findings included in the journal reports compared with those in the HTA monographs.     

Disseminating contingency management to increase attendance in two community substance abuse treatment centers: Lessons learned

Although contingency management (CM) has been shown to be effective in substance use treatments, community adoption has been slow. To increase dissemination of CM into community practice, two community treatment programs collaborated with university faculty investigators to design, implement, and evaluate low-cost, prize-based CM interventions delivered by treatment staff using Petry's (2000) fishbowl technique. A pre–post study design was used to evaluate the impact of CM on outpatient group attendance. All clients attending the targeted outpatient groups at both treatment programs were eligible to participate. Group attendance was significantly positively impacted after intervention implementation. This is one of the first studies demonstrating successful implementation of CM by community treatment program counselors within their existing treatment groups. The discussion focuses on practical lessons learned during the planning and implementation of the interventions.     

Predicting Utilization of Evidence-Based Parenting Interventions with Organizational,Service-Provider and Client Variables

Multidisciplinary service providers (N = 611) who underwent training in the Triple P-Positive Parenting Program participated in a structured interview 6 months following training to determine their level of post-training program use and to identify any facilitators and barriers to program use. Findings revealed that practitioners who had received training in Group Triple P, received positive client feedback, had experienced only minor barriers to implementation, and had consulted with other Triple P practitioners following training were more likely to become high users of the program. Practitioners were less likely to use the program when they had lower levels of confidence in delivering Triple P and in consulting with parents in general, had difficulties in incorporating Triple P into their work, and where there was low workplace support. These findings highlight the importance of considering the broader post training work environment of service providers as a determinant of subsequent program use.     

脑神经胶质瘤术后复发和播散的螺旋CT表现

目的 探讨脑神经胶质瘤术后复发和播散的螺旋CT表现与组织学类型。方法回顾性分析33例脑胶质瘤术后的螺旋CT资料，总结脑胶质瘤复发和播散的类型及复发时间分布特点，并进行统计学分析。结果33例中有20例脑胶质瘤术后复发和播散，其中包括10例胶质母细胞瘤，4例星形细胞瘤，3例髓母细胞瘤，2例少支胶质细胞瘤，1例胶质肉瘤。复发和播散常发生在术后2个月至1a内。结论 脑胶质瘤术后复发通常起源于手术切缘周围2cm范围内生长。播散主要为脑脊液种植播散。螺旋CT扫描是脑胶质瘤术后复发和播散随诊观察的有效手段。