2017 - 2020年《中华地方病学杂志》中的医学伦理审查结果分析

目的了解医学伦理审查在地方病科研与防治领域的应用情况。方法采用资料回顾性分析, 收集2017 - 2020年《中华地方病学杂志》公开发表的论著、现场调查和临床医学等栏目文章, 分析各栏目及国家级、省级、市级基金项目和非基金项目中的医学伦理审查情况。统计学分析采用趋势χ2检验和Cochran-Mantel-Haenszel(CMH)检验。结果共收集2017 - 2020年发表文章638篇, 剔除36篇, 剩余602篇。① 4年间经过医学伦理审查产出的论文所占比例分别为56.85%(83/146)、62.50%(105/168)、59.87%(94/157)、60.31%(79/131), 趋势检验差异无统计学意义(Z = 0.41, P > 0.05);论著、现场调查、临床医学栏目产出的论文所占比例不同年度间比较差异无统计学意义(χ2 = 0.01、1.31、1.92, 均P > 0.05)。② 4年间经过医学伦理审查的各类基金项目产出的论文所占比例分别为60.55%(66/109)、62.28%(71/114)、62.38%(63/101)、60.22%(56/93), 趋...     

2005-2009年《中国地方病学杂志》综合质量分析

目的 评价<中国地方病学杂志>在预防医学类核心期刊中的学术地位和影响力,为进一步提高杂志的质量提供科学依据.方法 以<中国科技期刊引证报告>(2005-2009年版)期刊评价数据作为统计源,以预防医学类28种核心期刊作为评价对象,以期刊的单一评价指标(影响因子,总被引频次,他引率)为参考,利用主成分分析方法,将28种期刊15种期刊评价指标按相关矩阵的特征值≥1,且累计贡献率≥80%的原则,简化成4个综合评价指标,计算各项综合指标的得分.将综合指标的得分值与其相应的贡献率加权组成线性组合,计算各核心期刊的综合评价得分,根据得分分值,对比单一指标的评价结果,分析2005-2009年<中国地方病学杂志>在预防医学类核心期刊中的总体水平和学术质量.结果 2005-2009年<中国地方病学杂志>的影响因子分别为0.909、1.237、0.899、0.832、1.019,在28种核心期刊中分别排在第4、1、4,6、3位;总被引频次分别为933、1172、1101、1267、1491,在28种核心期刊中分别排在第4,4、6、5、6位;综合得分依次为0.269、0.371、0.282、0.247、0.602,在28种核心期刊中分别排在第7,5、7、5、4位.结论 2005-2009年<中国地方病学杂志>的影响因子、总被引频次和综合评价得分排序处于预防医学类核心期刊前列.今后需进一步扩大相关专业领域的学术交流,提升期刊的学术质量.

Abstract：

Objective To evaluate the academic status and influence of "Chinese Journal of Endemiology" in the preventive medicinal core periodicals to provide a scientific basis for further improving the quality of the journal. Methods Journal evaluation data of "Chinese Science and Technology Journal Citation Reports" (2005 -2009 periodicals) as a statistical source, twenty-eight core journals of preventive medicine as an evaluation object, a single evaluation index (such as impact factor, total cites and he cited rate) as a reference, integrated 15 journal evaluation indicators of 28 kinds of preventive medicinial core periodicals into 4 comprehensive evaluation indexes.Calculate the composite indicator score through principal component analysis method if the index's relevant eigenvalue was greater than 1 and their cumulative contribution rate was more than 80%. Then calculated the composite indicator scores of the 4 kinds of indexes, which were weighted into linear combination of the composition with its corresponding contribution. Assess the overall level and the academic quality of "Chinese Journal of Endemiology" among core journals of preventive medicine on the basis of the 4 composite score. Results Impact factors of Chinese Journal of Endemiology were 0.909, 1.237, 0.899, 0.832, 1.019 between 2005 and 2009, ranked number 4, 1, 4, 6 and 3 among the 28 core journals. Its total cited frequency respectively were 933, 1172,1101, 1267 and 1491, among the 28 kinds of core journals and ranked number 4, 4, 6, 5 and 6. Comprehensive score of "Chinese Journal of Endemiology" were 0.269, 0.371, 0.282, 0.247 and 0.602, and its rank were 7th, 5th,7th,5th and 4th in the 28 core journals. Conclusions The impact factor and citation frequency of "Chinese Journal of Endemiology" are ranked at the forefront of preventive medicinal core periodicals. More attention should be paid to academic exchanges of related areas, and to enhance the academic quality of the journal.     

从一例疾病叙事管窥临终医疗的伦理困境

基于某医院神经内科所收集的疾病叙事个案及对两个城市几家三甲医院医生(分别任职于ICU、神内、神外、胸外,产科及急诊外科)的电话访谈,分析患者临终医疗时所面对的生命伦理困境,并对无效治疗、自主决定权、生命尊严等问题进行反思和探讨。在患者从满意治疗到无效治疗的过程中,需要最大限度地减少或弱化理性救治与感性关怀之间的矛盾,从人道主义立场关注濒临死亡的患者,给予他们身体、心理、社会的全面照护,满足患者及家属最后的心愿。