目的:对国际外科医疗纠纷领域的研究主题进行分析,揭示该领域的发展脉络。方法:以Web of Science中2011-2021年发表的有关外科医疗纠纷2841篇科学文献为研究对象,运用SciMAT绘制关键词覆盖图、主题战略坐标图和主题演化路径图,并对各时...目的:对国际外科医疗纠纷领域的研究主题进行分析,揭示该领域的发展脉络。方法:以Web of Science中2011-2021年发表的有关外科医疗纠纷2841篇科学文献为研究对象,运用SciMAT绘制关键词覆盖图、主题战略坐标图和主题演化路径图,并对各时间分区的主题战略坐标图和主题演化进行分析。结果:近10年来,国际外科医疗纠纷研究的发文量及关键词数量不断增多,各研究时期主题聚类不断增加,形成了重要的演化路径:RISK-FACTORS、SURGICAL-COMPLICATIONS、SURGICAL-SAFETY-CHECKLIST、MALPRACTICE-LITIGATION、PATIENT-SAFTY。结论:国际外科医疗纠纷领域的研究范围和内容呈现多元化的发展态势,研究主题不断丰富。RISK-FACTORS、SURGICAL-COMPLICATIONS、MEDICAL-LIABILITY可能是未来潜在的热点研究主题,可给予更多关注。可揭示外科相关科室、疾病、手术医疗事故诉讼的风险因素、并发症分布规律,为临床外科医生、医院管理者提供风险管理策略,提高患者安全;可探讨新型冠状病毒肺炎影响下紧急医疗纠纷的医疗责任问题。展开更多
From April to June,2004,an outbreak of acute upper respiratory tract infections(AURTI)occurred in the north area of Jiangsu Province,China.Twenty throat swabs were collected with 13 of them presenting an adenovirus(Ad...From April to June,2004,an outbreak of acute upper respiratory tract infections(AURTI)occurred in the north area of Jiangsu Province,China.Twenty throat swabs were collected with 13 of them presenting an adenovirus(Ad)-like cytopathogenic effect on HEp-2.These were verified as Ad by the electron microscope,direct immunofluorescence assay and Ad primer-mediated PCR.Moreover,they were identified as adenovirus type 3(Ad3)by type-specific PCR and sequencing of the amplification products.Subsequent serologic studies were carried out to finally diagnose and document the outbreak.The neutralization test of paired serum of six in nine cases show obviously increased antibodies titers.The positive rate of IgM,IgG and recovery phase neutralization antibodies of the cases were 3.7%,44.4%and 59.5%respectively while those of the controls were 0%,8.3%and 33.3%respectively.The P values of Chi-Square were 0.510,0.018 and 0.226 respectively.The concordance between IgG detected by ELISA and neutralization anti bodies detected by the neutralization test was 61.4%and the P value of Kappa was 0.070.By the serologic study,we can definitively diagnose that this outbreak of acute respiratory infections was caused by Adenovirus 3.展开更多
文摘目的:对国际外科医疗纠纷领域的研究主题进行分析,揭示该领域的发展脉络。方法:以Web of Science中2011-2021年发表的有关外科医疗纠纷2841篇科学文献为研究对象,运用SciMAT绘制关键词覆盖图、主题战略坐标图和主题演化路径图,并对各时间分区的主题战略坐标图和主题演化进行分析。结果:近10年来,国际外科医疗纠纷研究的发文量及关键词数量不断增多,各研究时期主题聚类不断增加,形成了重要的演化路径:RISK-FACTORS、SURGICAL-COMPLICATIONS、SURGICAL-SAFETY-CHECKLIST、MALPRACTICE-LITIGATION、PATIENT-SAFTY。结论:国际外科医疗纠纷领域的研究范围和内容呈现多元化的发展态势,研究主题不断丰富。RISK-FACTORS、SURGICAL-COMPLICATIONS、MEDICAL-LIABILITY可能是未来潜在的热点研究主题,可给予更多关注。可揭示外科相关科室、疾病、手术医疗事故诉讼的风险因素、并发症分布规律,为临床外科医生、医院管理者提供风险管理策略,提高患者安全;可探讨新型冠状病毒肺炎影响下紧急医疗纠纷的医疗责任问题。
文摘From April to June,2004,an outbreak of acute upper respiratory tract infections(AURTI)occurred in the north area of Jiangsu Province,China.Twenty throat swabs were collected with 13 of them presenting an adenovirus(Ad)-like cytopathogenic effect on HEp-2.These were verified as Ad by the electron microscope,direct immunofluorescence assay and Ad primer-mediated PCR.Moreover,they were identified as adenovirus type 3(Ad3)by type-specific PCR and sequencing of the amplification products.Subsequent serologic studies were carried out to finally diagnose and document the outbreak.The neutralization test of paired serum of six in nine cases show obviously increased antibodies titers.The positive rate of IgM,IgG and recovery phase neutralization antibodies of the cases were 3.7%,44.4%and 59.5%respectively while those of the controls were 0%,8.3%and 33.3%respectively.The P values of Chi-Square were 0.510,0.018 and 0.226 respectively.The concordance between IgG detected by ELISA and neutralization anti bodies detected by the neutralization test was 61.4%and the P value of Kappa was 0.070.By the serologic study,we can definitively diagnose that this outbreak of acute respiratory infections was caused by Adenovirus 3.
