改良POP-Q分度法在初产妇盆腔器官脱垂情况中的应用研究

目的?探讨改良盆腔脱垂分度法（POP-Q）在初产妇盆腔器官脱垂（POP）中的应用效果。?方法?选取于本院诊治出现POP的初产妇患者2482例作为研究对象。对所有患者进行标准POP-Q测量及改良POP-Q测量。观察阴道前壁、后壁、子宫以及阴道后穹窿四个方面的分度情况。并对两种分度方法进行比较,统计其相关性。 结果标准POP-Q阴道前壁、阴道后壁、子宫以及阴道后穹窿分度与改良POP-Q比较,差异无统计学意义（P＞0.05）,对四项指标进行Kendall tau-b相关性分析结果显示,相关系数分别为0.80、0.82、0.85、0.81。?结论?改良POP-Q与标准POP-Q的相关性高度一致,而改良POP-Q临床操作更为方便,有利于对患者病情进行有效快速的评价。     

The accuracy of MEDLINE and Journal contents pages for papers published in Clinical Otolaryngology & Allied Sciences

MEDLINE is widely used as a source for identifying and reviewing medical journal literature. Its accuracy is generally taken for granted, as is that of the contents pages published by the journals themselves. In this study of citation accuracy we examined the articles published in Clinical Otolaryngology & Allied Sciences and Allied Sciences from 1976 to 1998. The entries in MEDLINE were compared with the entries in the Journal's contents pages, and with the actual articles. Of 1651 articles published in the journal, one was omitted from MEDLINE and 25 (1.5%) were incorrectly cited, while 88 (5.3%) were incorrectly cited in the contents pages. Twenty‐one (84%) of the errors in MEDLINE involved names of authors. Apart from incomplete retrieval of information for practice and research, errors could result in an author not getting credit for publications.     

生物医学文献主题标引质量控制研究

主题标引作为一种重要的知识组织方法,为知识利用和知识服务奠定重要基础。结合标引工作实践,在简要介绍生物医学文献主题标引的定义、特点、复杂性及质量控制重要性的基础上,重点从标引流程的各个环节探讨如何掌握一定规律,运用一定的方法和技巧,提高标引质量。     

Outcomes for adult scoliosis patients receiving chiropractic rehabilitation: a 24-month retrospective analysis

Objectives

The purpose of this study was to retrospectively report the results of patients who completed an exercise-based chiropractic program and its potential to alter the natural progression of adult scoliosis at 24 months after the clinic portion of treatment was concluded.

Methods

A retrospective chart review was conducted at 2 spine clinics in Michigan, USA. Each clinic uses the same chiropractic rehabilitation program to treat patients with adult scoliosis. Multidimensional patient outcomes included radiographic, respiratory, disability, and pain parameters. Outcomes were measured at baseline, at end of active treatment, and at long-term follow-up.

Results

A total of 28 patients fit the inclusion criteria for the study. The average beginning primary Cobb angle was 44° ± 6°. Patients received the same chiropractic rehabilitation program for approximately 6 months. At the end of active treatment, improvements were recorded in Cobb angle, pain scores, spirometry, and disability rating. All radiographic findings were maintained at 24-month follow-up.

Conclusion

This report is among the first to demonstrate sustained radiographic, self-rated, and physiologic benefits after treatment ceased. After completion of a multimodal chiropractic rehabilitation treatment, a retrospective cohort of 28 adult scoliosis patients reported improvements in pain, Cobb angle, and disability immediately following the conclusion of treatment and 24 months later.     

Chiropractic management of breast-feeding difficulties: a case report

Objective

The purpose of this study is to discuss a chiropractic case of management and resolution of breast-feeding difficulties.

Clinical Features

The case involves an 8-day-old baby unable to breast-feed since 4 days old. Initial examination revealed cervical, cranial, and sacral restrictions. She was diagnosed with craniocervical syndrome by a doctor of chiropractic.

Intervention and Outcome

Following history and examination, the infant received gentle chiropractic manipulation based on clinical findings. Immediate improvement and complete resolution of the nursing problems were observed after 3 treatments over 14 days.

Conclusion

The results of this case suggest that neuromusculoskeletal dysfunction may influence the ability of an infant to suckle successfully and that intervention via chiropractic adjustments may result in improving the infant's ability to suckle efficiently.     

网络环境下科技论文关键词的地位与标引原则

分析了网络环境下关键词的地位,并提出了其标引原则,指出了关键词应能清晰地提示论文主题内容、反映科技论文的创新性、表征论文的主题内容、为用户提供完整的信息。     

半控标引是提高学位论文查全率的重要途径

网络环境下,受控标引方式已不能满足学位论文动态性、实效性的信息标引需求。而采取半控标引能够弥补受控标引的不足,达到对学位论文的全面标引、深层揭示主题标目的时代特征及学科内容。     

Publication rate of Trauma abstracts presented at an International Orthopaedic conference

INTRODUCTION: Oral presentations at major conferences are often used to present new material and generate discussion. However, conference abstracts that ultimately fail to be published are of little use to the wider medical community. The aim of this study was to evaluate the publication rate of trauma papers presented at an international orthopaedic conference, and to assess the factors which predict publication. METHODS: All abstracts presented orally at the trauma sessions of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT) Congresses in 1999 (Belgium) and 2001 (Greece) were assessed. A MEDLINE and EMBASE search was performed to identify articles written by the first, second and last authors of each abstract to identify a matching journal article. Subspecialty, country of origin of abstract, study type, journal of publication and publication year were tabulated. RESULTS: Two hundred and seventy eight trauma abstracts were presented orally, and 112 (40.3%) achieved subsequent publication. Abstracts on fractures of the proximal femur were the most common (18.7%) and had one of the highest rates of publication (44.2%). Greece and the UK provided the largest number of abstracts, and randomised trials were the study type with the highest rate of publication (80.0%). Thirty two percent of journal articles appeared within 1 year of the conference and 63% within 2 years. Injury was the journal most likely to publish the articles. CONCLUSION: About 60% of Trauma abstracts presented did not result in a subsequent full-text publication. The citation of conference proceedings should be discouraged, and clinicians should be wary of implementing information gleaned from conference presentations into their clinical practice.