Medline

MEDLINE
  • 文章类型: Journal Article
    背景:中断时间序列(ITS)研究对人口水平干预的系统评价做出了重要贡献。我们旨在开发和验证搜索过滤器,以检索MEDLINE和PubMed中的ITS研究。
    方法:使用文本挖掘对总共1017项已知ITS研究(2013-2017年发布)进行了分析,以生成候选术语。使用1398个时间序列研究的对照集来选择区分术语。迭代地测试候选项的各种组合以生成三个搜索过滤器。一组独立的700项ITS研究被用来验证过滤器的敏感性。过滤器在OvidMEDLINE中进行了测试运行,并随机筛选了用于ITS研究的记录,以确定其精度。最后,将所有MEDLINE过滤器转换为PubMed格式,并评估其在PubMed中的敏感性.
    结果:在MEDLINE中创建了三个搜索过滤器:具有高精度(78%;95%CI74%-82%)但中等灵敏度(63%;59%-66%)的精度最大化过滤器,最适合在资源有限的情况下进行筛选研究;灵敏度和精度最大化的过滤器具有较高的灵敏度(81%;77%-83%),但精度较低(32%;28%-36%),提供权宜之计和全面性之间的平衡;和灵敏度最大化滤波器具有高灵敏度(88%;85%-90%),但可能非常低的精度,与特定的内容术语结合使用时有用。对于PubMed版本也发现了类似的敏感度估计。
    结论:我们的过滤器在全面性和筛查工作量之间取得了不同的平衡,并适合不同的研究需求。如果作者在标题中确定了ITS设计,则ITS研究的检索将得到改善。
    BACKGROUND: Interrupted time series (ITS) studies contribute importantly to systematic reviews of population-level interventions. We aimed to develop and validate search filters to retrieve ITS studies in MEDLINE and PubMed.
    METHODS: A total of 1017 known ITS studies (published 2013-2017) were analysed using text mining to generate candidate terms. A control set of 1398 time-series studies were used to select differentiating terms. Various combinations of candidate terms were iteratively tested to generate three search filters. An independent set of 700 ITS studies was used to validate the filters\' sensitivities. The filters were test-run in Ovid MEDLINE and the records randomly screened for ITS studies to determine their precision. Finally, all MEDLINE filters were translated to PubMed format and their sensitivities in PubMed were estimated.
    RESULTS: Three search filters were created in MEDLINE: a precision-maximising filter with high precision (78%; 95% CI 74%-82%) but moderate sensitivity (63%; 59%-66%), most appropriate when there are limited resources to screen studies; a sensitivity-and-precision-maximising filter with higher sensitivity (81%; 77%-83%) but lower precision (32%; 28%-36%), providing a balance between expediency and comprehensiveness; and a sensitivity-maximising filter with high sensitivity (88%; 85%-90%) but likely very low precision, useful when combined with specific content terms. Similar sensitivity estimates were found for PubMed versions.
    CONCLUSIONS: Our filters strike different balances between comprehensiveness and screening workload and suit different research needs. Retrieval of ITS studies would be improved if authors identified the ITS design in the titles.
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  • 文章类型: Case Reports
    很少有资源来支持按专业查找接受病例报告的期刊。2016年,KatherineAkers编制了一份接受病例报告的160种期刊清单。许多图书馆员在7年后继续使用。因为期刊编辑政策和提交指南不断发展,寻找病例报告的发布地点会带来一个动态问题,包括审查期刊的作者指南,以确定期刊是否接受病例报告手稿。该项目旨在创建当前接受病例报告的最新和广泛的期刊列表。
    从PubMed下载了1,874个期刊标题。该团队审查了每本期刊,并确定了接受病例报告的期刊标题。MEDLINE中包含的其他包含因子,在互联网上访问,并接受和发布英语提交。
    新期刊列表包括1,028种期刊,涵盖129个专业,可在“开放科学框架”公共页面上找到。
    UNASSIGNED: Few resources exist to support finding journals that accept case reports by specialty. In 2016, Katherine Akers compiled a list of 160 journals that accepted case reports, which many librarians continue to use 7 years later. Because journals\' editorial policies and submission guidelines evolve, finding publication venues for case reports poses a dynamic problem, consisting of reviewing a journal\'s author guidelines to determine if the journal accepts case report manuscripts. This project aimed to create a more up to date and extensive list of journals that currently accept case reports.
    UNASSIGNED: 1,874 journal titles were downloaded from PubMed. The team reviewed each journal and identified journal titles that accept case reports. Additional inclusion factors included being indexed in MEDLINE, accessible on the internet, and accepting and publishing English language submissions.
    UNASSIGNED: The new journal list includes 1,028 journals covering 129 specialties and is available on the Open Science Framework public page.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    最近开发了两个用于MEDLINE的去处方搜索过滤器和一个用于Embase的去处方搜索过滤器,包括客观开发的搜索过滤器。本案例研究的目的是在系统评价(SR)搜索策略中实施这三个取消处方的搜索过滤器,并评估其对性能的影响。选择独立开发原始搜索策略(OSS)的SR。去处方过滤器在每个OSS中实现,在MEDLINE中生成两个已实施的搜索策略(ISS1和ISS2),在Embase中生成一个ISS(ISS3)。OSS与ISS在同一日期重新运行。计算并比较了ISS和OSS的性能。包括两个SR(SR1和SR2)。对于MEDLINE,SR1包括12篇文章。OSS的灵敏度为50%,58%的ISS1和42%的ISS2。SR2包括四篇文章。OSS的灵敏度,ISS1和2为25%。对于Embase,SR1包括12篇文章。OSS的灵敏度为33%,ISS3的灵敏度为58%。SR2包括四篇文章。所包含的四篇文章均未通过OSS或ISS3检索到。虽然OSS的敏感性是中等的,客观开发的去处方过滤器在实施时保持或略微改善了这种灵敏度。
    Two deprescribing search filters for MEDLINE and one deprescribing search filter for Embase have been recently developed, including objectively developed search filters. The objective of this case study was to implement these three deprescribing search filters in systematic review (SR) search strategies and to assess their effect on performances. SR that independently developed original search strategies (OSS) were selected. The deprescribing filters were implemented in each OSS, generating two implemented search strategies (ISS1 and ISS2) in MEDLINE and one ISS (ISS3) in Embase. OSS were re-run on the same date as ISS. The performances of ISS and OSS were calculated and compared. Two SR were included (SR1 and SR2). For MEDLINE, SR1 included 12 articles. The sensitivity was 50% for OSS, 58% for ISS1 and 42% for ISS2. SR2 included four articles. The sensitivity of OSS, ISS 1 and 2 was 25%. For Embase, SR1 included 12 articles. The sensitivity was 33% for OSS and 58% for ISS3. SR2 included four articles. None of the four included articles were retrieved with OSS or ISS3. While sensitivity of OSS was moderate, the objectively developed deprescribing filters maintained or slightly improved this sensitivity when implementing.
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  • 文章类型: Journal Article
    现实主义方法越来越多地用于评估健康和社会护理方面的复杂干预措施。计划理论(关于特定干预如何工作的想法和假设)的发展是现实主义评估或现实主义综合的第一步,文献综述提供了支持这一点的重要证据。决定如何搜索程序理论是具有挑战性的,并且可用的指导有限。以确定程序理论为例,对临床实践中的压疮风险评估工具进行现实评估,作者探索和比较了几种不同的文献检索方法,并强调了那些开始进行计划理论审查的人的重要方法论考虑因素。
    我们将学术数据库搜索的性能与简单的Google搜索进行了比较,并为与使用压力性溃疡风险评估工具(PU-RAI)相关的识别主要参考(即提供最清晰的程序理论示例的文档)开发了优化的搜索策略。我们确定了主要引用的数量和每个源检索的引用总数。然后,我们计算了所需阅读的数量(NNR),表示为筛选标题和摘要的总数,以识别每个来源的一个相关参考。
    学术数据库搜索(包括CINAHL,科克伦图书馆,EMBASE,HMIC,Medline)确定了2/10的主要参考文献,NNR为1395。Google搜索确定了7/10的主要引用,NNR为10.1。合并NNR为286.3。结合Google和CINAHL的优化搜索确定了10/10的主要参考,NNR为40.2。
    评论的学术数据库与Google搜索在查找相关参考文献方面的效率之间的惊人差异促使对这两种类型的搜索进行了深入的比较。研究结果表明,在这个特定的程序理论搜索中,包括谷歌等灰色文献来源的重要性,同时承认方法透明度的必要性。需要进行进一步的研究,以促进对计划理论搜索的改进指导,以增强现实主义领域的实践,并节省研究人员的时间和资源。
    Realist methodologies are increasingly being used to evaluate complex interventions in health and social care. Programme theory (ideas and assumptions of how a particular intervention works) development is the first step in a realist evaluation or a realist synthesis, with literature reviews providing important evidence to support this. Deciding how to search for programme theories is challenging and there is limited guidance available. Using an example of identifying programme theories for a realist evaluation of Pressure Ulcer Risk Assessment Instruments in clinical practice, the authors explore and compare several different approaches to literature searching and highlight important methodological considerations for those embarking on a programme theory review.
    We compared the performance of an academic database search with a simple Google search and developed an optimised search strategy for the identification primary references (i.e. documents providing the clearest examples of programme theories) associated with the use of Pressure Ulcer Risk Assessment Instruments (PU-RAIs). We identified the number of primary references and the total number of references retrieved per source. We then calculated the number needed to read (NNR) expressed as the total number of titles and abstracts screened to identify one relevant reference from each source.
    The academic database search (comprising CINAHL, The Cochrane Library, EMBASE, HMIC, Medline) identified 2 /10 primary references with a NNR of 1395.The Google search identified 7/10 primary references with a NNR of 10.1. The combined NNR was 286.3. The optimised search combining Google and CINAHL identified 10/10 primary references with a NNR of 40.2.
    The striking difference between the efficiency of the review\'s academic database and Google searches in finding relevant references prompted an in-depth comparison of the two types of search. The findings indicate the importance of including grey literature sources such as Google in this particular programme theory search, while acknowledging the need for transparency of methods. Further research is needed to facilitate improved guidance for programme theory searches to enhance practice in the realist field and to save researcher time and therefore resource.
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  • DOI:
    文章类型: Historical Article
    OBJECTIVE: To describe the bibliometric profile of Tunisian \"case report\" publications in general surgery over the last thirty years (1989-2018).
    METHODS: This is a descriptive bibliometric study on \"case reports\", general surgery, Tunisian affiliation, indexed in the Medline database, between January 1, 1989 and December 31, 2018. The themes of Search articles were defined by referring to their major keywords used for their indexing.
    RESULTS: During 30 years of study, Medline indexed 188 papers in \"General Surgery\" type \"case reports\", signed by 80 authors in first position and 71 authors in last position, belonging to ten academic specialties and 19 professional affiliations. These papers were published by 60 journals, including the Ugandan magazine \"Pan African Medical Journal\", which published 23% of these \"case reports\" alone. The number of major indexing keywords was 299 words, mainly \"Echinococcosis\", \"Pancreatic Cancers\" and \"Echinococcosis of the liver\", together accounting for 18.1% of articles.
    CONCLUSIONS: The plethora of \"case reports\" in Tunisian general surgery publications over the last three decades was accompanied by a preferential edition in the journal \"Pan Afr Med J\" and a thematic focus on hydatid cysts and cancers pancreatic. Hence the importance of strengthening the capacity of Tunisian surgeons in research methodology and scientific medical writing.
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  • 文章类型: Journal Article
    本章的目的是在现有知识的基础上,研究分娩前选择有资格接受阴道分娩试验的妇女的标准。
    1980年至2019年之间使用Medline和Cochrane数据库以及国际学会的建议进行法语和英语的书目研究。
    建议为希望在足月尝试阴道分娩的女性提供骨盆测量,以决定其分娩方式(C级)。PREMODA研究时使用的骨盆标准为入口前后直径≥105mm,入口的横向直径≥120mm,横向棘突间直径≥100mm。然而,因为没有证据表明使用哪种骨盆措施,也没有任何证据来设定决策阈值,而不是发表的研究中设定的阈值,选择的决策阈值可以根据分娩时的胎龄或胎儿生物识别技术进行调整(专业共识).在37周孕龄之前分娩的情况下(专业共识)和在分娩开始时发现的臀位表现的情况下,没有理由建议使用骨盆测量。没有单独的骨盆测量并不妨碍阴道分娩的尝试(专业共识).没有足够的数据来建议系统地使用胎儿体重估计和/或双顶直径测量作为阴道分娩尝试的接受标准。如果出生前已知的胎儿体重估计大于3800g,剖宫产是首选(专业共识)。臀位表现本身并不是试图将小胎儿阴道分娩的禁忌症(专业共识)。非坦率的臀位本身并不是尝试阴道分娩的禁忌症(专业共识)。在臀位早产的情况下,当前数据不允许推荐一种交付路线而不是另一种(专业共识)。建议在尝试阴道分娩之前通过超声检查胎儿头部没有过度伸展(专业共识),如果发现这种位置,则建议选择剖宫产(专业共识)。不建议提出以无胎(C级)为唯一原因的剖腹产。在胎儿臀位表现的情况下,剖宫产史本身并不是尝试阴道分娩的禁忌症(专业共识)。胎膜早破本身并不是尝试阴道分娩的禁忌症(专业共识)。
    本章中分析的许多因素将被纳入决策过程,以便与胎儿在臀位的妇女一起选择分娩途径。
    The objective of this chapter is to examine on the basis of the knowledge currently available the criteria available before labour for selecting women who would be eligible for trial of vaginal delivery.
    Bibliographical research in French and English using the Medline and Cochrane databases between 1980 and 2019 and the recommendations of international societies.
    It is recommended to offer women who wish to attempt a vaginal delivery at term a pelvimetry to decide with them on their mode of delivery (Grade C). The pelvimetric standards used at the time of the PREMODA study were anteroposterior diameter of inlet≥105mm, a transverse diameter of inlet≥120mm, a transverse interspinous diameter≥100mm. However, since there is no evidence about which pelvic measures to use, nor any evidence to set decision-making thresholds other than those set in published studies, the selected decision-making thresholds can be adjusted according to gestational age at delivery or fetal biometrics (Professional consensus). There is no argument for recommending the practice of pelvimetry in the case of delivery before 37 weeks gestational age (Professional consensus) and in the case of breech presentation discovered at the time of beginning of labour, the absence of pelvimetry alone does not contraindicate the attempt of vaginal delivery (Professional consensus). There is insufficient data to recommend the systematic use of fetal weight estimation and/or biparietal diameter measurement as acceptance criteria for a vaginal delivery attempt. In the event of a known fetal weight estimation before birth greater than 3800g, a cesarean section is to be preferred (Professional consensus). The breech presentation is not in itself a contraindication to an attempt of vaginal delivery for a small fetus for gestational age (Professional consensus). The presentation of the non-frank breech is not in itself a contraindication to an attempt of vaginal delivery (Professional consensus). In the case of premature breech delivery, current data do not allow to recommend one delivery route over another (Professional consensus). It is recommended to check the absence of hyperextension of the fetal head by ultrasound before an attempt of vaginal delivery (Professional consensus) and to prefer a cesarean section if such a position is found (Professional consensus). It is not recommended to propose a caesarean section with the sole reason of nulliparity (Grade C). The history of cesarean section is not in itself a contraindication to an attempt of vaginal delivery in the case of fetal breech presentation (Professional consensus). Premature rupture of the membranes is not in itself a contraindication to an attempt of vaginal delivery (Professional consensus).
    A number of the factors analyzed in this chapter are to be incorporated into the decision-making process in order to choose with the woman whose fetus is in breech presentation the delivery route.
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  • 文章类型: Journal Article
    To evaluate the maternal, perinatal and long-term prognosis in the event of previable premature rupture of the membranes (PROM) and to specify the interventions likely to reduce the risks and improve the prognosis.
    The PubMed database, the Cochrane Library and the recommendations from the French and foreign obstetrical societies or colleges have been consulted.
    Previable PROM is a rare event whose frequency varies from 0.3 to 1% according to estimates (NP4). When occurring as a complication of amniocentesis, the prognosis is generally better than when spontaneous (NP3). Between 23 and 39% of women will deliver in the week following PROM and nearly 40% of women will not have given birth 2 weeks after (NP3). The frequency of medical termination of pregnancy varies greatly according to the studies (NP4), as does that of fetal death (NP4). Hospital survival and survival rates without major morbidity as a proportion of conservatively treated patients range from 17-55% and 26-63%, respectively (NP4). Neonatal prognosis is largely dominated by prematurity and its complications (NP3). The frequency of maternal sepsis varies from 0.8 to 4.8% in the most recent studies (NP4). Only one case of maternal death is reported, although 3 cases were identified in France between 2007 and 2012 (NP3). Information is a major component of the care to be provided to women and their partners (Professional consensus). An initial period of hospitalization may be proposed after previable PROM (Professional consensus). Thereafter, there is no argument to recommend hospital management rather than extra-hospital management when there is no argument in favour of intrauterine infection (Professional consensus). An evaluation of the amount of amniotic fluid by ultrasound may be proposed at the initial consultation and after a period of 7 to 14 days if pregnancy continues (Professional consensus). Prophylactic antibiotic treatment is recommended as soon as PROM is diagnosed (Professional consensus). The gestational age at which corticosteroid therapy may be proposed will depend on the thresholds selected for neonatal resuscitation care. In particular, it will take into account parental positioning (Professional consensus). From the time of the decision to perform neonatal resuscitation until the gestational age of 32 weeks, it is recommended to administer MgSO4 to the woman whose delivery is imminent (Grade A). Tocolysis is not recommended in this context (Professional consensus). In certain situations, meeting strictly the conditions mentioned by the CSP article L. 2213-1, a maternal request for medical interruption of pregnancy may be discussed.
    The levels of evidence of scientific work on the management of previable PROM are low, therefore, most of the recommendations proposed here are based on professional agreement by \"reasonable\" extension of recommendations valid for later gestational ages.
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  • 文章类型: Case Reports
    BACKGROUND: Subdural empyema can present as a spinal subdural empyema (SSE) or a cranial subdural empyema (CSE). Although they differ somewhat in epidemiology, etiology, pathophysiology, and symptomatology and occur separately, they rarely manifest together. The aim of this article is to review the literature concerning the clinical presentation, clinical course, and treatment options for managing concurrently occurring SSE and CSE.
    METHODS: The literature in the Medline database was reviewed with key words including but not limited to subdural empyema, retroclival empyema, and Streptococcus mitis. No similar reports were found in the database involving infection with this type of microorganism in this anatomical region.
    RESULTS: Only 3 cases with concurrent CSE and SSE were found in the literature caused by various etiologic agents. Two of the patients recovered with no neurologic deficit, whereas one fatality was reported. One new illustrative case caused by Streptococcus mitis is also presented.
    CONCLUSIONS: CSE and SSE are neurosurgical emergencies, often requiring prompt surgical evacuation. Although very rare, Streptococcus mitis can cause spinal subdural empyema or retroclival abscesses. Natural history of this disease is grave without treatment. Delays in diagnosis and treatment are directly related to mortality and severe morbidity in patients with intracranial and spinal subdural empyema. Prompt recognition and treatment are essential to preclude severe neurologic disabilities or in rare cases a fatal outcome. A treatment paradigm for cranio-spinal empyema is proposed.
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  • 文章类型: Journal Article
    BACKGROUND: In naturally occurring numbers the frequencies of digits 1-9 in the leading position are counterintuitively distributed because the frequencies of occurrence are unequal. Benford-Newcomb\'s law describes the expected distribution of these frequencies. It was previously shown that known fraudulent articles consistently violated this law.
    OBJECTIVE: To compare the features of 12 known fraudulent articles from a single Japanese author to the features of 13 articles in the same research field from other Japanese authors, published during the same time period and identified with a Medline database search.
    RESULTS: All 25 articles were assessed to determine whether the data violated the law. Formulas provided by the law were used to determine the frequencies of occurrence for the first two leading digits in manually extracted numbers. It was found that all the known fraudulent papers violated the law and 6 of the 13 articles used for comparison followed the law. Assuming that the articles in the comparison group were not falsified or fabricated, the sensitivity of assessing articles with Benford-Newcomb\'s law was 100% (95% confidence interval CI: 73.54-100%) but the specificity was only 46.15% (95% CI: 19.22-74.87%) and the positive predictive value was 63.16% (95% CI: 38.36-83.71%).
    CONCLUSIONS: All 12 of the known falsified articles violated Benford-Newcomb\'s law, which indicated that this analysis had a high sensitivity. The low specificity of the assessment may be explained by the assumptions made about the articles identified for comparison. Violations of Benford-Newcomb\'s law about the frequencies of the leading digits cannot serve as proof of falsification but they may provide a basis for deeper discussions between the editor and author about a submitted work.
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