Application trends of blood flow restriction training in clinical rehabilitation / 中国组织工程研究

BACKGROUND:The use of blood flow restriction training in clinical rehabilitation is becoming more common,in part due to technological advances and increased interest in research and medicine. OBJECTIVE:To explore the global trend and development prospects of clinical rehabilitation-related blood flow restriction training application,identify research gaps,and propose future research directions. METHODS:Web of Science,PubMed,and Elsevier were searched for literature related to clinical rehabilitation using blood flow restriction training published from 2001 to 2022.A total of 515 articles were included for further review.Bibliometrics,exploratory factor analysis and cluster analysis were used to reveal the emerging research fields and topics. RESULTS AND CONCLUSION:First of all,the overall research trend of the number of published articles shows a steady rise.The United States is the main research area in this field,and universities contribute the most to journals.Secondly,a core group of authors,led by Loenneke JP,Abe T and Dankel SJ,has been formed,with less collaboration among highly productive authors.Finally,research on blood flow restriction training focuses on skeletal muscle rehabilitation,cognitive functional activity,and chronic disease rehabilitation in clinical rehabilitation,with particular attention to the application of blood flow restriction in the recovery of symptoms such as muscle atrophy,knee pain,and joint effusion after anterior cruciate reconstruction surgery.Theoretical research on low-pressure blood flow restriction that is effective in relieving musculoskeletal symptoms has been hot in recent years,which can systematically guide the musculoskeletal rehabilitation in clinical practice.In the future,clinicians will extend follow-up periods,register larger and more diverse sample sizes,and use randomization techniques to determine appropriate prescribing indications for rehabilitating patients,ensure clinical safety,and quantitatively analyze and develop rehabilitation protocols with the maximum effect at the minimum effective dose for different clinical populations.

Thoughts on Selection of Rare Diseases and Prioritized Research Topics / 罕见病研究

This article combs and summarizes the entire process of rare disease selection and priority theme determination, including the application and preliminary review of rare diseases, standardization of disease theme information, the evaluation methods of evidence sorting and disease selection for priority selection of disease themes, and other aspects of the content were analyzed in depth. It is expected to provide reference for the subsequent selection of rare diseases, improve the fairness, rationality and scientificity of rare disease selection, and further promote research and decision-making in China′s rare disease-related fields.

Ethical Issues in the Development of Smart Healthcare / 中国医学伦理学

Smart healthcare is the outcome of integration and application of the internet, Internet of things (IOT), big data analysis and artificial intelligence (AI) in the medical field. Smart healthcare has been developed rapidly in China. However, smart healthcare has both advantages and risks, thus, it faces challenges and ethical issues in practice. Technological restrictions of smart healthcare increase the risk of privacy disclosure and delayed treatment. Besides, it also induce some ethical issues.Smart healthcare turns the "justice" issue of regional equity into the population equity of medical benefits. In addition, balancing between humanities and science technology should be considered. Smart healthcare should follow the basic ethical principles and the experience of clinical medical ethics. To give full play to the advantages of smart healthcare, the ethical challenges during its development must be regulated at the legal level, and simultaneously governed through ethical norms and guidance.

Study on the factors affecting the citation frequency to articles of internal control in public hospitals / 现代医院

Objective This paper discusses the influence factors of the citation frequency of internal control papers in public hospitals,and understands the overall development and hot trends in this field.Methods Descriptive statistics and re-gression analysis was used to analyze the articles searched from CNKI database from 2012 to October 2022.Results 1 682 valid literature was achieved and it was found that the papers with a frequency of citations greater than or equal to seven are highly cited papers,accounting for 16.77%;There are a number of stable high-level researchers and high-quality research institutions in this fields,which are important forces to promote the development of disciplines;Regression analysis found that articles funded and published in core journals were cited frequently;The frequency of citations in research topics such as System construction,Finan-cial control,Contract control and Asset control is significantly higher than other topics.Conclusion High-level researchers,high-level research institutions,high-quality papers and high-quality journals are mutually successful;Fully understanding the"Management Measures for Internal Control in Public Hospitals"is the foundation of internal control construction in the medical and health industry;Strengthening information technology construction is the focus of future internal control work in public hospitals;In-ternal control should work together with other policies in the healthcare industry to promote the reform of the healthcare system.

Análisis de sentimientos y tópicos sobre las vacunas cubanas Soberana 02 y Abdala en Twitter

El análisis de sentimientos o minería de opiniones es una rama de la computación que permite analizar opiniones, sentimientos y emociones en ciertas áreas de interés social como productos, servicios, organizaciones, compañías, eventos y temas de interés actual. En tal sentido se propuso identificar los sentimientos y tópicos presentes en los tweets que hicieron mención a las vacunas cubanas Soberana 02 y Abdala en la red social Twitter. Se optó por los lenguajes de programación Python y R con sus librerías específicas para la ciencia de datos. La primera parte del estudio, que abarcó desde el web scraping hasta la cuantificación de las palabras más usadas, se realizó con Python y las siguientes librerías: tweepy, pandas, re, nltk y matplotlib. Mientras que la segunda, que fue la del análisis de sentimientos y detección de tópicos, se implementó con R y se utilizó: tokenizers, tm, syuzhet, topic modeling, tidyverse, barplot y wordcloud. Se obtuvo que entre los términos con que más se dialoga en Twitter están dosis, vacunas, eficacia, cubanos, candidatos, millones, país, personas, recibido y población. En los tweets las emociones predominantes fueron el miedo y, ligeramente por encima, la confianza; en la polaridad predominó la positiva, como expresión del contexto vivido en el cual se desarrolló la campaña de vacunación. A partir de los tópicos identificados y los términos que se relacionaron con las emociones predominantes, así como por la polaridad, se aprecia consenso en torno a las vacunas Soberana 02 y Abdala.

Sentiment analysis or opinion mining is a branch of computing that allows analyzing opinions, feelings and emotions in certain areas of social interest such as products, services, organizations, companies, events and topics of current interest. In this sense, the objective of this paper was to identify the feelings and topics present in the tweets mentioning the Cuban vaccines Soberana 02 and Abdala on Twitter social network. The programming languages Python and R with their specific libraries for data science were chosen. The first part of the study, which ranged from web scraping to the quantification of the most used words, was carried out with Python and the libraries tweepy, pandas, re, nltk and matplotlib. While the second, which was the sentiment analysis and topic detection, was implemented with R and used tokenizers, tm, syuzhet, topic modeling, tidyverse, barplot, and wordcloud. It was obtained that among the terms with which there is more dialogue on Twitter are doses, vaccines, efficacy, Cubans, candidates, millions, country, people, received and population. In the tweets, the predominant emotions were fear and confidence, slightly above it; in the polarity, the positive one predominated, as an expression of the lived context in which the vaccination campaign was developed. A consensus can be perceived around the vaccines Soberana 02 and Abdala, from the identified topics and the terms that were related to the predominant emotions, as well as the polarity.

Ethical Issues in the Development of Smart Healthcare / 中国医学伦理学

Smart healthcare is the outcome of integration and application of the internet, Internet of things (IOT), big data analysis and artificial intelligence (AI) in the medical field. Smart healthcare has been developed rapidly in China. However, smart healthcare has both advantages and risks, thus, it faces challenges and ethical issues in practice. Technological restrictions of smart healthcare increase the risk of privacy disclosure and delayed treatment. Besides, it also induce some ethical issues.Smart healthcare turns the "justice" issue of regional equity into the population equity of medical benefits. In addition, balancing between humanities and science technology should be considered. Smart healthcare should follow the basic ethical principles and the experience of clinical medical ethics. To give full play to the advantages of smart healthcare, the ethical challenges during its development must be regulated at the legal level, and simultaneously governed through ethical norms and guidance.

The Brazilian congresses of epidemiology / Os congressos brasileiros de epidemiologia

ABSTRACT: This paper deals with the first ten epidemiology conferences held by ABRASCO between 1990 and 2017. Objective: To provide historical records of these events, highlighting the context in which they were conceived, the chosen themes and their role in the national and international epidemiological landscape, the venues, and the presidents of the different editions. Methods: Data were extracted from printed and electronic proceedings, with some data gaps that could not be filled. Results: The numbers and characteristics of different activities are also presented, with emphasis on conferences and roundtables, lectures, panels and debates, and the collaboration of the academic and professional community for coordinated communications and posters outlining a wide range of themes and approaches. This paper keeps record of most of the activities carried out. Conclusions: The authors are aware that the record presented is a pale picture of the real meaning of these meetings in which the development of epidemiology was being built, in an articulation between scholars and health services and as a cooperation between national researchers and our companions and friends who work in foreign institutions all around the world.

RESUMO: O artigo trata dos primeiros dez congressos de epidemiologia realizados pela Associação Brasileira de Saúde Coletiva, entre 1990 e 2017. Objetivo: O objetivo do artigo é prover um registro histórico desses eventos destacando o contexto no qual eles foram concebidos, os temas adotados e seu sentido quanto ao panorama nacional e internacional da disciplina, as sedes e os presidentes das diferentes edições. Métodos: Os dados foram extraídos dos anais impressos ou eletrônicos dos congressos, havendo alguns lapsos nos dados que não puderam ser preenchidos. Resultados: São também apresentados os números e as características das diferentes atividades, com destaque para conferências e mesas-redondas, palestra, painéis e debates e para a colaboração da comunidade acadêmica e profissional para comunicações coordenadas e pôsteres, traçando um amplo painel de temas e abordagens. O artigo registra a maioria das atividades desenvolvidas. Conclusão: Os autores têm consciência de que o registro apresentado é uma pálida imagem do real significado desses encontros, nos quais o desenvolvimento da epidemiologia foi sendo construída na articulação entre a academia e os serviços de saúde e na cooperação entre pesquisadores nacionais e nossos colegas e amigos que atuam em instituições estrangeiras em diferentes partes do mundo.

The scientific publication of the Memórias do Instituto Oswaldo Cruz (1909-2020): a history of contribution to the biomedical sciences

BACKGROUND The Memórias do Instituto Oswaldo Cruz (MIOC) is one of the first scientific journals created in Brazil and currently one of the most important biomedical journals in South America. Knowledge of the main themes disseminated over time and its main contributors can contribute towards a better understanding of its trajectory and future. OBJECTIVES Map the journal's scientific publication between 1909 and 2020. METHODS Data from three scientific databases was combined, alongside bibliometrics and network analysis to analyse publication records between 1909 and 2020. FINDINGS Publications increased substantially since the 1980s. The main publishing organisations are Brazilian. Excluding Brazil, the main publishing countries are the USA, Argentina, and Colombia. During the entire investigated period, the main themes refer to Chagas disease, schistosomiasis, and Leishmaniasis. During some periods, publications followed disease outbreaks in Brazil (e.g., dengue fever and yellow fever). MAIN CONCLUSIONS Since its foundation in 1909, the MIOC has focused on infectious and parasitic diseases. The editorial changes implemented from the 1980s onwards led MIOC to a relevant growth concerning annual publications and its transformation into an important communication vehicle for researchers from several Brazilian organisations besides Fiocruz, as well as organisations from other countries, especially within Latin America.

Conducta sexual y percepción del riesgo de ITS en estudiantes universitarios con enfoque de género / Sexual behavior and STI risk perception in university students with a gender perspective

Las recientes iniciativas nacionales y mundiales han llamado la atención sobre la importancia de la salud sexual para el bienestar de las personas. Estas iniciativas promueven la mejora de los esfuerzos para abordar este tema no representado en los planes de estudio de las profesiones de la salud. El presente trabajo tiene como objetivo estudiar la conducta sexual y percepción del riesgo de ITS en estudiantes universitarios de la ESPOCH, considerando el enfoque de género. Se realizó un estudio descriptivo, de corte transversal y con enfoque de género en 119 estudiantes universitarios. Primera experiencia sexual protegida, tenencia de varias parejas y necesidad de información sobre sexualidad fueron estadísticamente significativas en relación al género de los estudiantes encuestados (p <0,05). El control eficaz de las ITS requerirá respuestas de salud pública multimodales dedicadas que incluyan la promoción de la salud y la prevención. Los resultados de esta investigación pueden ser útiles para orientar el rediseño de los programas de salud sexual en los estudiantes universitarios(AU)

Recent national and global initiatives have drawn attention to the importance of sexual health for people's well-being. These initiatives promote the improvement of efforts to address this issue not represented in the curricula of the health professions. The present work aims to study sexual behavior and STIs risk perception in ESPOCH university students, considering the gender approach. A descriptive, cross-sectional study with a gender focus was carried out in 119 university students. First protected sexual experience, having several partners and the need for information on sexuality were statistically significant in relation to the gender of the students surveyed (p <0.05). Effective control of STIs will require dedicated multimodal public health responses that include health promotion and prevention. The results of this research may be useful to guide the redesign of sexual health programs in college students(AU)

Falhas de comunicação e epistemológicas limitam a abordagem da Bioética na formação e na prática em Saúde / Communication and epistemological shortcomings limit the bioethics approach in health education and practice / Fallas de comunicación y epistemológicas limitan el abordaje de la Bioética en la formación y práctica en Salud

Este artigo analisa o Ensino de Ética e Bioética (EEB) nos Programas de Residência Multiprofissional em Saúde (PRMS) vinculados à Universidade Federal do Rio Grande do Norte (UFRN), Brasil. A fim de compreender o EEB em sete programas pesquisados, avaliamos sua perspectiva teórica com base nos projetos pedagógicos (PP) comparando com um currículo de referência ("Core Curriculum", Unesco). Para avaliar o aspecto prático, desenvolvemos 11 entrevistas semiestruturadas (critério de saturação) com preceptores (as) avaliadas por análise de conteúdo (abordagem framework). Os PP analisados tinham carga horária e módulos temáticos aquém daqueles propostos no currículo referência. Os (as) preceptores (as) desconhecem o EEB como parte do currículo dos PRMS. Apontamos a qualificação da comunicação universidade e serviços e o reconhecimento das contribuições dos (as) preceptores (as) na formação dos residentes como medidas importantes para qualificar o EEB. (AU)

This article analyzes the teaching of ethics and bioethics (TEB) in multiprofessional residency programs (MPRPs) linked to Rio Grande do Norte Federal University, Brazil. To understand TEB in the seven programs investigated by the study, we assessed theoretical perspectives in the pedagogical plans, comparing them to UNESCO's Bioethics Core Curriculum. To evaluate practical aspects, we conducted 11 semi-structured interviews (employing the saturation criterion) with preceptors, which were assessed using content analysis (framework approach). The pedagogical plans' course loads and thematic modules fell short of the Core Curriculum recommendations. The preceptors were unaware that TEB was part of the MPRPs. Improving the quality of university communication and services and recognizing preceptors' contributions to resident education and training are key measures needed to improve TEB. (AU)

Este artículo analiza la Enseñanza de Ética y Bioética (EEB) en los programas de Residencia Multiprofesional en Salud (PRMS) vinculados a la Universidad Federal de Rio Grande do Norte (UFRN), Brasil. Con la finalidad de comprender el EEB en siete programas investigados, evaluamos su perspectiva teórica a partir de los proyectos pedagógicos (PP) comparando con un currículum de referencia ("Core Curriculum", Unesco). Para evaluar el aspecto práctico, desarrollamos once entrevistas semiestructuradas (criterio saturación) con preceptores, evaluados por análisis de contenido (abordaje framework). Los PP analizados tenían carga horaria y módulos temáticos menores a los propuestos en el currículo de referencia. Los preceptores desconocen el EEB como parte del currículo de los PRMS. Señalamos la calificación de la comunicación universidad y servicios y el reconocimiento de las contribuciones de los preceptores en la formación de los residentes, como medidas importantes para calificar el EEB. (AU)

Retrospect of 2019: focus on the surgical treatment for adenocarcinoma of esophagogastric junction / 中华胃肠外科杂志

Adenocarcinoma of esophagogastric junction (AEG) has a special anatomical position. In clinical practice, there are many overplays among thoracic surgeons, gastrointestinal surgeons, gastroenterologists and oncologists. In recent years, AEG has attracted more and more clinical attention with its increasing incidence. It has a tendency to be gradually separated from esophageal cancer and gastric cancer and be defined as a new special type of tumor. At present, there are still many controversies in the definition, classification, TNM staging, surgical approach, extent of resection, lymph node dissection, digestive tract reconstruction and neoadjuvant therapy of AEG. Meanwhile many problems still need to be solved, which is in a stage of gradual improvement and standardization. This article mainly reviews the important research progress in the field of AEG in 2019, summarizes the current clinical hotspots of AEG, especially the surgical treatment hotspots and the current application status of related new technologies, and aims the future development. We suggest that communication and cooperation among multiple disciplines should be strengthened. Through more clinical researches, basic experimental researches, and innovation and application of new technologies, personalized and accurate diagnosis and treatment will be carried out for patients with different conditions to ultimately achieve the common goal of maximizing the benefits of patients.

A produção da psicologia social sobre temas políticos a partir de aspectos históricos / La producción de la psicología social sobre temas políticos a partir de aspectos históricos / The production of social psychology on political topics from historical aspects

Resumo O objetivo do texto é discutir produções científicas sobre temas políticos publicadas no campo da psicologia social brasileira após o fim do regime civil-militar no Brasil, a partir do contexto histórico desta produção. Os artigos foram publicados por pesquisadores/as vinculados/as a programas de pós-graduação brasileiros em Psicologia Social ou em Psicologia e que identificavam a psicologia social como área de atuação no currículo Lattes. Foi possível articular os debates propostos nestes artigos a aspectos relevantes do contexto de produção como a "crise da psicologia social", a democratização da política de saúde no Brasil, a política científica desenvolvida nos governos do PSDB e do PT. Ressalta-se o crescimento do debate sobre políticas públicas na produção selecionada e a importância de se problematizar a inibição da produção científica não apenas em regimes totalitários, mas também em regimes democráticos.

Resumen El objetivo del texto es discutir producciones científicas sobre temas políticos publicadas en el campo de la psicología social brasileña tras el fin del régimen civil-militar en Brasil a partir del contexto histórico de esta producción. Los artículos fueron publicados por investigadores/as vinculados/as a programas de postgrado brasileños en psicología social o en psicología y que identificaban la psicología social como área de actuación en el currículo Lattes. Se pudo articular los debates propuestos en estos artículos a aspectos relevantes del contexto de producción como la "crisis de la psicología social", la democratización de la política de salud en Brasil, la política científica desarrollada en los gobiernos del PSDB y del PT. Se resalta el crecimiento del debate sobre políticas públicas en la producción seleccionada y la importancia de problematizarse la inhibición de la producción científica no sólo en regímenes totalitarios, sino también en regímenes democráticos.

Abstract The purpose of the article is to discuss scientific productions on political topics published in the field of Brazilian social psychology after the end of the civil-military dictatorship in Brazil, from the historical context of this production. The articles were published by researchers associated to Brazilian Social Psychology or Psychology post-graduate programs who identified social psychology as their field of study in the Lattes curriculum. It was possible to articulate the debates proposed in these articles to relevant aspects of the production context such as the "social psychology's crisis", the democratization of health policies in Brazil, the scientific policies developed during the governments of the PSDB and PT parties. The growth of the debate on public policies in the selected production is highlighted, as well as the importance of problematizing the inhibition of scientific production not only in totalitarian regimes, but also in democratic regimes.

Cómo tener éxito al empezar a publicar en revistas médicas. Consideraciones para autores inexpertos, que podrían interesar también a los expertos / How can you succeed in having your manuscript published in a medical journal. Advices to inexpert authors that can also be useful to senior authors

Young authors may benefit by some advices on how to proceed when they decide to write a manuscript and submit it to a medical journal. They should start by selecting the journal considering the topic and nature of their study, how relevant the results seem and the interest it may have in editors and readers. A reasonable choice should consider new journals that publish good papers selected after external peer review. Then they should study and follow the Instructions to Authors of the chosen journal. A strong call is given to recognize and avoid "predatory journals". Specific statements refer to Instructions to Authors and language requirements by the journal, the need to follow "ICMJE Recommendations", the correct assignment of authorship, and a strict observance of ethical regulations in biomedical and clinical research. Special mention is given to provide a good abstract, in English, either descriptive or structured depending on the nature of their study. These advices may be useful as well as a reminder to older authors on how to improve their manuscripts before submitting them to a mainstream medical journal.

Current state of lung cancer with chronic obstructive pulmonary disease in China: A bibliometrics analysis / 中国胸心血管外科临床杂志

@#Objective To explore the research state and topics of lung cancer with chronic obstructive pulmonary disease (COPD) in China using the visualization methods. Methods Literature about lung cancer with COPD was searched through WanFang, CNKI, CBM, PubMed, The Cochrane Library and EMbase databases from inception to March 2018 by computer. We used BICOMS software to analyze the main information and produce co-word matrix, gCLUTO software to cluster, and NetDraw and Cytoscape software to draw the pictures. Results There were 304 studies related to lung cancer with COPD which originated from 173 journals including 23 indexed by Chinese Science Citation Database (CSCD) with 42 articles published, accounting for 13.8% of the total number of studies. There were 37 articles from 24 journals indexed by Science Citation Index (SCI) accounting for 12.2% of the total number of studies. The studies grew rapidly since 2012. The study involved 32 provinces, municipalities, and autonomous regions, among which Beijing, Sichuan, Shanghai, Guangzhou and Jiangsu provinces and cities were the main research areas. Sixty-nine high-frequency keywords were obtained with frequency 2 as the threshold, which was clustered into 5 categories by dual cluster analysis. Among them, topic 0 showed pathogenesis and radiological diagnosis of lung cancer with COPD, topic 1 was about the clinical characteristics of different pathological types of lung cancer with COPD and Chinese medicine treatment, topic 2 aimed at the impact of risk factors on surgical complications and the relationship between chemotherapy or targeted therapies and patient survival prognosis, topic 3 involved the pigenetic correlation between lung cancer and COPD and topic 4 was about clinical studies of perioperative comprehensive management of lung cancer patients with COPD. Conclusion The bibliometrics results show that there are considerable-amount achievements on lung cancer combined with COPD in China, and the researches have gradually increased since 2012. Horizontal research topics are extensive, and the focus of the study is to explore the perioperative comprehensive management and basic research of lung cancer with COPD, but the longitudinal themes need to be further studied. The results of some studies have not yet reached a consensus. There are few high-quality multi-center studies and a lack of clinical-directed achievement.

Research on the hot topics of health popular science based on 10 WeChat official accounts of traditional Chinese medicine hospitals in Beijing / 中华医院管理杂志

Objective To analyze 10 WeChat official accounts of traditional Chinese medicine ( TCM) hospitals in Beijing and their data, to figure out the popular health topics well received by followers, for the purpose of disseminating health knowledge more precisely and efficiently in further work and public service. Methods Python and open API interface were used to scrawl the articles pushed by these accounts from July 1, 2018 to December 31, 2018, identifying topics of high Pviews and thumbs up as the text corpus of hot topics. Furthermore, working with text mining technology, the paper counted the term frequency(TF) and clustered the corpus to finally detect the most popular topics of health knowledge and needs of information by the public. Results Within the given period, the results showed that the top 5 key words with high TF in popular health science included: hypertension, cough, sleep, Gaofang( herbal paste) and pain. In the top 10 clustered hot topics, the followings received high level of public awareness and interpreted by more articles posted by the Wechat official accounts: kidney diseases, genital diseases(female/male) and seasonal affective disorder. Conclusions Methods used in the study can accurately round up popular TCM topics, practical needs of health knowledge of the people, and discover the disease diagnosis, treatment and health issues of the highest public concern, for guidance of the hospitals in their health education and popular science work using new media.

Application research of Four Topics method in the clinical ethics training of standardized resident training / 中华医学教育探索杂志

Due to the insufficient education of medical ethics and tending to medical moral educa-tion, the residents lack the ability to make ethical decisions. Therefore, we applied Four Topics method in the clinical ethics training of residents. The clinical ethics training was divided into three stages, and each stage had different training content and objectives. Dongyang People's Hospital adopted the form of lectures and panel discussions. During the group discussion, the group leader was in charge of case preparation, which came from clinical practice, and then all members applied the Four Topics method to analyze and discuss the ethical conflicts, and make the ethical decision. Through this process, residents' ability to solve ethical problems in clinical practice was enhanced.

Lesson Topics and Emotions That Pained or Saddened Nursing Students Who Had Lost Someone Close to Them in Lectures on Palliative Care

<p>Purpose: This study intended to clarify the lesson topics, lesson content and emotions that painfully saddened nursing students with experience of bereavement taking lectures on palliative care, as well as the emotional changes of these students and the support they expect from teachers. Methods: We conducted semi-structured interviews. Their emotions were analyzed following Krippendorff’s method. Results: Thirty-six nursing students participated in the study. Lesson topics and content included “the state and signs of loved ones near death,” and “general lessons.” Feelings and thoughts presented were “regret,” “remembering,” “emotional upset,” “feeling anxiety,” “feeling dissatisfied,” “experiencing a sense of discomfort”, and “empathizing with the people shown in the teaching material as well as their situations.” With the exception of one subject, all subjects experienced a positive change in their emotions. Regarding to the support, 20 people did not require additional support because of “nothing wrong” or “enough”. Conclusions: Teachers need to specifically explain support content and methods many times, and to face lessons with the strong desire to always support their students.</p>

Analysis of published papers in Chinese Journal of Cerebrovascular Diseases from 2007 to 2016 / 中国脑血管病杂志

Objective To analyze the published papers in Chinese Journal of Cerebrovascular Diseases.Methods A total of 1 646 articles published in Chinese Journal of Cerebrovascular Diseases from January 2007 to December 2016 in China National Knowlege Internet (CNKI) database were retrieved,and 1 625 articles were included after checking duplicate and excluding invalid documents.The data in the CNKI Citation Database were reffered.Data processing and analysis were conducted by bibliometrics.Results The influencing factors of Chinese Journal of Cerebrovascular Diseases from 2007 to 2016 were 0.503 and 0.803,showing an overall growth trend.The average core citation rate remains stable at about 0.89.There were high productive authors cooperation teams,and the number of core authors accounted for 65.8％ (1069/1625) of the total number of papers.The main publishing organizations were concentrated in the three level of first-class hospital,such as Xuanwu Hospital,Capital Medical University,accounting for 27.3％ (444/1 625) of the total number of documents issued.Hot topics included intracranial aneurysms,cerebral infarction,cerebral ischemia,stent implantation,and so on.Conclusions Chinese Journal of Cerebrovascular Diseases steadily increases in its influence,and the research ability of the author groups is stronger.It is one of the most important information sources in the field of cerebrovascular disease research in China.

Hot topics in the international studies on the etiology of rheumatoid arthritis / 中华风湿病学杂志

Objective To analyze the published articles on the etiology of rheumatoid arthritis (RA) and catch the recent research hot topics.Methods Literature searching on the etiology of RA was conducted through PubMed database of US Congress Library of Medicine published in past five years.Bibliographic Item CO-Occurrence Matrix Builder (BICOMB) to bibliometric analysis and statistical product and service solutions (SPSS) 19.0 were used for cluster analysis and plotting strategic coordinate figure.Results Four research hot topics were identified by analyzing the keywords:① Therapeutic and adverse effects of antirheumatic agents;② Genetics and complications of RA;③ Immunity of autoantigens and autoantibodies in RA;④ Immune cells and microRNAs in RA.Conclusion Researches on RA etiology have developed steadily,with different current status and developing tendency,which provides reference for related studies.

What questions are most important to pancreatic cancer patients soon after diagnosis? A multicenter survey

Background: Pancreatic cancer has a poor prognosis. Patients might be better able to cope with their disease when the information is discussed that they consider most important. We investigated what questions pancreatic patients consider most important to address in the first weeks after diagnosis. Methods: We built a survey listing 84 questions and for each asked how important (range, 1­7) individuals who had received a certain or likely diagnosis of pancreatic cancer considered it that the question was addressed soon after diagnosis; patients who completed the survey 1 year or more after diagnosis were excluded. Mean perceived importance scores were used to rank order the questions in terms of importance. Results: Forty-seven pancreatic cancer patients participated. The participants considered receiving an answer to a median of 53 (range, 21­83) questions as important (score = 6) or very important (score = 7). The number was not significantly related to gender, age, education, or time since diagnosis. For 42/84 questions, average score was ≥6.0. Topics considered most important included diagnosis, likelihood of cure, treatment options, harms and procedures, prognosis if the disease were left untreated, and quality of life. For 67/84 questions, ≥1 participants indicated that answering the question should be avoided (Md = 1 participant, range, 1­5) and for 77/84 questions that it was not applicable (Md = 3.5 participants, range, 1­30). Conclusions: Pancreatic cancer patients consider a wide range of questions important to address after diagnosis, including those on sensitive topics. Doctors need to carefully dose information provision to avoid overloading patients. The findings can help to guide doctors and other information resources to provide relevant information to pancreatic cancer patients (AU)