guidelines as topic

指南作为主题
  • 文章类型: Journal Article
    生物医学研究社区通过标准化命名法解决动物研究中的可重复性挑战,改进的实验设计,透明的报告,数据共享,和集中式存储库。ARRIVE指南概述了实验中实验动物的文档标准,但是遗传信息往往是不完整的。为了补救这一点,我们提出了实验动物遗传报告(LAG-R)框架。LAG-R旨在在科学出版物中记录动物的基因构成,为复制和适当的模型使用提供必要的详细信息。虽然验证完整的遗传组成可能不切实际,更好的报告和验证工作提高了研究的可靠性。LAG-R标准化将增强可重复性,同行评审,和全面的科学严谨。
    The biomedical research community addresses reproducibility challenges in animal studies through standardized nomenclature, improved experimental design, transparent reporting, data sharing, and centralized repositories. The ARRIVE guidelines outline documentation standards for laboratory animals in experiments, but genetic information is often incomplete. To remedy this, we propose the Laboratory Animal Genetic Reporting (LAG-R) framework. LAG-R aims to document animals\' genetic makeup in scientific publications, providing essential details for replication and appropriate model use. While verifying complete genetic compositions may be impractical, better reporting and validation efforts enhance reliability of research. LAG-R standardization will bolster reproducibility, peer review, and overall scientific rigor.
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  • 文章类型: Journal Article
    人工智能(AI)和数字创新正在改变医疗保健。图像分析中的机器学习等技术,医疗聊天机器人和电子病历提取中的自然语言处理有可能改善筛查,诊断和预测,导致精准医疗和预防健康。然而,至关重要的是,确保人工智能研究以科学严谨的方式进行,以促进临床实施。因此,报告指南已经制定,以标准化和简化健康人工智能技术的开发和验证。这篇评论提出了一种结构化的方法,利用这些报告指南将有前途的人工智能技术从研究和开发转化为临床翻译。并最终从长凳到床边广泛实施。
    Artificial intelligence (AI) and digital innovation are transforming healthcare. Technologies such as machine learning in image analysis, natural language processing in medical chatbots and electronic medical record extraction have the potential to improve screening, diagnostics and prognostication, leading to precision medicine and preventive health. However, it is crucial to ensure that AI research is conducted with scientific rigour to facilitate clinical implementation. Therefore, reporting guidelines have been developed to standardise and streamline the development and validation of AI technologies in health. This commentary proposes a structured approach to utilise these reporting guidelines for the translation of promising AI techniques from research and development into clinical translation, and eventual widespread implementation from bench to bedside.
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  • 文章类型: Journal Article
    The STAR tool was used to evaluate and analyze the science, transparency, and applicability of Chinese pathology guidelines and consensus published in medical journals in 2022. There were a total of 18 pathology guidelines and consensuses published in 2022, including 1 guideline and 17 consensuses. The results showed that the guideline score was 21.83 points, lower than the overall guideline average (43.4 points). Consensus ratings scored an average of 27.87 points, on par with the overall consensus level (28.3 points). Areas that scored above the overall level were \"conflict of interest\" and \"working groups\", while areas that scored below the overall level were \"proposals\", \"funding\", \"evidence\", \"consensus approaches\" and \"accessibility\". To sum up, the formulation of pathology guidelines and consensuses in 2022 is not standardized, and the evidence retrieval process, evidence evaluation methods and grading criteria for recommendations on clinical issues are not provided in the formulation process; the process and method for reaching consensus are not provided, the plan is lacking, and registration is not carried out. It is therefore suggested that guidelines/consensus makers in the field of pathology should attach importance to evidence-based medical evidence, strictly follow guideline formulation methods and processes, further improve the scientific, applicable and transparent guidelines/consensuses in the field, and better provide support for clinicians and patients.
    采用科学性、透明性和适用性的评级工具(STAR)评估并分析2022年医学期刊中发表的中国病理学指南和共识的科学性、透明性和适用性。2022年评审的病理学指南及共识共计18篇,包括指南1篇,共识17篇。评价结果显示,指南得分为21.83分,低于总体指南平均水平(43.4分);共识平均得分27.87分,与总体共识水平持平(28.3分)。得分高于总体水平的领域是“利益冲突”和“工作组”部分,得分低于总体水平的领域是“计划书”“资助”“证据”“共识方法”及“可及性”部分。综上所述,2022年病理学相关指南及共识制订欠规范,在制定过程中未提供有关临床问题推荐意见的证据检索过程、证据评价方法及分级标准,未提供达成共识的过程及方法,缺少计划书,未进行注册等。建议病理学领域指南/共识制订者重视循证医学证据,严格遵照指南制订方法与流程,进一步提升本领域指南/共识的科学性、适用性和透明性,更好地为临床工作者及患者提供支持。.
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  • 文章类型: Journal Article
    经过几十年的广泛经济发展,推动经济发展向绿色化、脱碳转型,已成为我国治理环境污染、实现高质量发展的必然选择。绿色信贷指南(NIGCG)是促进绿色信贷和进一步促进经济可持续发展的重大政策创新。这些准则对环境友好型企业可持续发展能力的影响,受环境的影响,社会,和公司治理(ESG),尚未讨论。因此,本研究将2012年发布的NIGCG作为准自然实验,并采用倾向得分匹配-差异差异(PSM-DID)模型,检验2009-2022年NIGCG是否影响了环保企业的ESG。我们的结果表明,NIGCG显著促进了环保企业的ESG,这一发现对于一系列测试来说仍然是可靠的。此外,中介效应分析表明,NIGCG通过研发(R&D)投资影响企业ESG,在中国验证波特假说。最后,我们确定,NIGCG对ESG的推动作用显著体现在东部地区非政治关联企业和企业。实证结果表明,当局应通过扶持政策刺激企业的研发投资,如退税和政府补贴,并根据企业及其地区的特点制定有区别的政策,从而提高NIGCG的效果。
    Following decades of extensive economic development, promoting the transition to greening and decarbonization in economic development have become inevitable choices for controlling environmental pollution and achieving high-quality development in China. Green Credit Guidelines (NIGCG) is a major policy innovation to promote green credit and further improve sustainable economic development. The influence of these guidelines on environmentally friendly enterprises\' sustainable development capacity, proxied by environmental, social, and corporate governance (ESG), has not yet been discussed. Therefore, this study takes the NIGCG issued in 2012 as a quasi-natural experiment, and adopts a propensity score matching-difference-in-differences (PSM-DID) model to test whether the NIGCG has affected ESG in environmentally friendly enterprises from 2009 to 2022. Our results indicate that the NIGCG significantly boosts environmentally friendly enterprises\' ESG, and this finding remains robust to a series of tests. In addition, a mediating effect analysis reveals that the NIGCG affects enterprises\' ESG through research and development (R&D) investment, verifying the Porter hypothesis in China. Finally, we determine that the role of NIGCG in promoting ESG is significantly reflected in the non-politically connected enterprises and enterprises in the eastern region. The empirical results suggest that the authorities should stimulate enterprises\' R&D investments through supporting policies, such as tax reimbursement and government subsidies, and formulate differentiated policies according to the characteristics of enterprises and their regions, so as to improve the effect of NIGCG.
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  • 文章类型: Journal Article
    尽管近年来空气质量逐渐改善,如PM2.5浓度下降所示,环境臭氧上升的问题变得越来越严重。为了减少臭氧暴露对人类健康和环境福利的危害,科学家和政府监管机构已经制定了臭氧准则和标准。这些回答了哪些暴露水平对人类健康和环境有害的问题,以及如何保证环境臭氧暴露,分别。那么臭氧准则和标准的制定依据是什么呢?本文详细回顾了世界卫生组织(WHO)和美国环境保护局(EPA)对臭氧准则和标准的修订过程。本研究试图探索和分析更新指南和标准的科学依据和经验方法,以指导未来的修订过程,并为进一步的科学研究提供方向。我们发现许多流行病学和毒理学研究以及暴露-反应关系为制定和修订臭氧指南提供了强有力的支持。在制定标准时,臭氧暴露已得到有效考虑,和经济成本,健康,并合理估计了符合标准的间接经济效益。因此,流行病学和毒理学研究以及建立暴露-反应关系,以及应加强对遵守标准的暴露和风险评估以及效益成本估计,以进一步更新准则和标准。此外,随着臭氧和PM2.5共同导致的空气污染日益突出,应开展更多与臭氧准则和标准有关的联合暴露科学研究。
    Although air quality has gradually improved in recent years, as shown by the decrease in PM2.5 concentration, the problem of rising ambient ozone has become increasingly serious. To reduce hazards to human health and environmental welfare exposure to ozone, scientists and government regulators have developed ozone guidelines and standards. These answer the questions of which levels of exposure are hazardous to human health and the environment, and how can ambient ozone exposure be guaranteed, respectively. So what are the basis for the ozone guidelines and standards? This paper reviews in detail the process of revising ozone guidelines and standards by the World Health Organization (WHO) and the United States Environmental Protection Agency (EPA). The present study attempts to explore and analyze the scientific basis and empirical methods for updating guidelines and standards, in a view to guide the future revision process and provide directions for further scientific research. We found many epidemiological and toxicological studies and exposure-response relationships provided strong support for developing and revising the ozone guidelines. When setting standards, ozone exposure has been effectively considered, and the economic costs, health, and indirect economic benefits of standard compliance were reasonably estimated. Accordingly, epidemiological and toxicological studies and the establishment of exposure-response relationships, as well as exposure and risk assessment and benefit-cost estimates of standards compliance should be strengthened for the further update of guidelines and standards. In addition, with the increasing prominence of combined air pollution led by ozone and PM2.5, more joint exposure scientific research related to ozone guidelines and standards should be undertaken.
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  • 文章类型: English Abstract
    In recent years, the high temperature and heatwaves have seriously affected the health of Chinese residents, and there is an important need for public health protection guidelines for high temperature and heatwaves in China. The National Bureau of Disease Control and Prevention has organized experts to fully investigate the evidence from epidemiological research on the health of populations in high temperature and heatwaves globally and in China, analyze the health hazards and protection needs of different populations, and put forward practical and effective individual protection measures and health recommendations. For this reason, the \"Guideline for Public Health Protection against High Temperature and Heatwaves\" (referred to as the \"Guideline\") was officially issued in June 2023. This article interprets the background and significance of the Guideline, the principles of compilation, the main considerations, the main contents, the implementations and promotions and other aspects, to improve the understanding of the content of the Guideline and strengthen the publicity and implementations.
    近年来,高温热浪已对我国居民健康造成严重影响,我国对高温热浪公众健康防护指南有重要需求。国家疾病预防控制局组织专家充分调研全球及我国高温热浪人群健康流行病学研究证据,解析不同人群的健康危害及防护需求,提出切实有效的个体防护措施及健康建议。基于此编制的《高温热浪公众健康防护指南》(简称《指南》)于2023年6月正式发布。本文围绕《指南》的制定背景与意义、编制原则、主要依据、核心内容、实施与推广等方面进行解读,以促进对《指南》内容理解、加强《指南》宣贯实施。.
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  • 文章类型: Systematic Review
    背景:满足24小时运动指南(即,身体活动,久坐的行为,睡眠)可以为残疾人带来健康益处。然而,没有系统评价或荟萃分析对符合这些指南的患病率以及与健康指标的相关性进行过研究.
    目的:本系统综述和荟萃分析旨在研究残疾人中符合24小时运动指南的患病率以及与健康指标的关联。
    方法:从开始到2023年5月31日,搜索了六个电子数据库以英文发表的研究。使用随机效应模型的荟萃分析来确定满足24小时运动指南的患病率。采用定性综合来描述满足指南与健康指标之间的关联。
    结果:确定了24项研究,包括来自8个国家的77510名年龄在6-65岁的残疾参与者(41.6%为女性)。总的来说,6.97%的残疾参与者符合所有24小时运动指南,16.65%不符合任何准则。在满足所有指南时,发现年龄(P=0.006)和残疾类型(P=0.001)存在显着差异。符合所有指南的残疾参与者报告的心理社会健康指标(9/9研究)比没有或只有一个指南的参与者更好。其他健康指标的证据或研究有限。
    结论:有一些证据表明,残疾人士符合所有24小时运动指南的患病率较低。同时,有初步证据表明,与不符合任何指南相比,符合所有指南与更好的社会心理健康状况相关.
    BACKGROUND: Meeting the 24-h movement guidelines (i.e., physical activity, sedentary behavior, sleep) could generate health benefits to people with disabilities. However, no systematic reviews or meta-analyses have examined the prevalence of meeting these guidelines and associations with health indicators in this group.
    OBJECTIVE: This systematic review and meta-analysis aimed to examine the prevalence of meeting the 24-h movement guidelines and associations with health indicators among people with disabilities.
    METHODS: Six electronic databases were searched for studies published in English from inception to May 31, 2023. Meta-analyses with the random-effects model were used to determine the prevalence of meeting the 24-h movement guidelines. Qualitative syntheses were employed to describe the associations between meeting the guidelines and health indicators.
    RESULTS: Twenty-four studies comprising 77510 participants (41.6% females) with disabilities aged 6-65 years from eight countries were identified. Overall, 6.97% of the participants with disabilities met all 24-h movement guidelines, and 16.65% met none of the guidelines. Significant age (P = 0.006) and disability type (P = 0.001) differences were found in meeting all guidelines. Participants with disabilities who met all guidelines reported better psychosocial health indicators (9/9 studies) than those met none or only one of the guidelines. There was limited evidence or research for other health indicators.
    CONCLUSIONS: There is some evidence showing that the prevalence of meeting all 24-h movement guidelines in people with disabilities is low. Meanwhile, there is preliminary evidence suggesting that meeting all guidelines is associated with better psychosocial health than meeting none of the guidelines.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    背景:人工智能(AI)在提供医疗保健方面的应用是一个有前途的领域,和指导方针,共识声明,并制定了有关各种主题的AI标准。
    目的:我们进行这项研究以评估指南的质量,共识声明,和AI医学领域的标准,并为有关AI指南未来发展的建议提供基础。
    方法:我们从数据库建立到2022年4月6日搜索了7个电子数据库,并筛选了涉及AI指南的文章,共识声明,和资格标准。AGREEII(研究与评估指南II的评估)和RIGHT(医疗保健实践指南的报告项目)工具用于评估所包括文章的方法和报告质量。
    结果:本系统综述包括19篇指南文章,14条协商一致声明条款,和2019年至2022年期间发布的3篇标准文章。他们的内容涉及疾病筛查,诊断,和治疗;人工智能干预试验报告;人工智能成像开发和协作;人工智能数据应用;以及人工智能伦理治理和应用。我们的质量评估显示,平均总体AGREEII评分为4.0(范围为2.2-5.5;7分Likert量表),RIGHT工具的平均总体报告率为49.4%(范围为25.7%-77.1%)。
    结论:结果表明不同AI指南的质量存在重要差异,共识声明,和标准。我们提出了改进其方法和报告质量的建议。
    背景:PROSPERO国际系统审查前瞻性注册(CRD42022321360);https://www。crd.约克。AC.uk/prospro/display_record.php?RecordID=321360。
    The application of artificial intelligence (AI) in the delivery of health care is a promising area, and guidelines, consensus statements, and standards on AI regarding various topics have been developed.
    We performed this study to assess the quality of guidelines, consensus statements, and standards in the field of AI for medicine and to provide a foundation for recommendations about the future development of AI guidelines.
    We searched 7 electronic databases from database establishment to April 6, 2022, and screened articles involving AI guidelines, consensus statements, and standards for eligibility. The AGREE II (Appraisal of Guidelines for Research & Evaluation II) and RIGHT (Reporting Items for Practice Guidelines in Healthcare) tools were used to assess the methodological and reporting quality of the included articles.
    This systematic review included 19 guideline articles, 14 consensus statement articles, and 3 standard articles published between 2019 and 2022. Their content involved disease screening, diagnosis, and treatment; AI intervention trial reporting; AI imaging development and collaboration; AI data application; and AI ethics governance and applications. Our quality assessment revealed that the average overall AGREE II score was 4.0 (range 2.2-5.5; 7-point Likert scale) and the mean overall reporting rate of the RIGHT tool was 49.4% (range 25.7%-77.1%).
    The results indicated important differences in the quality of different AI guidelines, consensus statements, and standards. We made recommendations for improving their methodological and reporting quality.
    PROSPERO International Prospective Register of Systematic Reviews (CRD42022321360); https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=321360.
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  • 文章类型: Journal Article
    背景:指南适应是一个新兴领域,旨在为当地临床实践质量提供更合适的建议,并促进全球卫生公平。然而,其使用状态,适应程序,和相关材料仍有待研究。
    方法:这项研究为一项研究制定了质量改进方案,评价,和指导适应(DELTA)研究的implementation。将系统地搜索当前适应的临床实践指南(CPG)。他们的特点,利用状态,将提取适应程序,比较,并分析。还将评估这些适应的CPG是否严格遵循适应框架的工具和步骤。此外,将分析当前适应方法的优点和局限性及其适用的应用情况。此外,DELTA系列和DELTA系统的未来观点,旨在全面评估当前对指南适应的需求,并提出了一个统一的框架和相关材料,以提高可接受性,适用性,并在临床实践中实施指南适应。DELTA系列分为四个阶段:第一阶段分析状态,特点,适应的CPG的程序和完整性;第二阶段分析差异,异质性,以及在改编的CPG和原始CPG之间的实施;以及第三阶段的收集,分析,并比较所有可用的适应材料。有了这些研究基地,第四阶段将成立一个国际工作组,并在德尔菲达成共识后制定统一的指南适应材料,包括适应框架,评估工具和检查表,登记册,和数据库。
    结论:指南适应已成为指导当地临床实践的有效方法。然而,它仍然面临着几个重大挑战。拟议的DELTA研究,系列,和系统将进一步促进这一新兴主题。
    背景:本研究已由PROSPERO国际数据库注册。https://www.crd.约克。AC.uk/prospro/display_record.php?RecordID=400170。
    BACKGROUND: Guideline adaptation is an emerging field to provide more appropriate recommendations for local clinical practice quality and to promote global health equity. However, its utilization status, adaptation procedures, and related materials remain to be studied.
    METHODS: This study developed a quality improvement protocol for a study as the Development, Evaluation, and impLemenTation for guideline Adaptation (DELTA) study. Current adapted clinical practice guidelines (CPGs) will be systematically searched. Their characteristics, utilization status, and adaptation procedures will be extracted, compared, and analyzed. Whether these adapted CPGs rigorously followed the instruments and steps of adaptation frameworks will also be appraised. In addition, the advantages and limitations of current adaptation methods and their suitable application situations will be analyzed. In addition, future perspectives as DELTA series and DELTA system, aiming for comprehensively evaluating current needs for guideline adaptation and developing a unified framework and related materials were proposed to improve the acceptability, applicability, and implementation of guideline adaptation in clinical practice. The DELTA series are divided into four phases: phase I in analyzing status, characteristics, and procedures and completeness of adapted CPGs; phase II in analyzing differences, heterogeneity, and implementation between adapted and original CPGs; and phase III in collecting, analyzing, and comparing all available adaptation materials. With these research bases, an international working group will be established in phase IV and will develop unified guideline adaptation materials after Delphi consensus, including adaptation frameworks, appraisal tools and checklists, registries, and databases.
    CONCLUSIONS: Guideline adaptation has been advanced as an efficient way to guide local clinical practice. However, it still faces several major challenges. The proposed DELTA study, series, and system will further contribute to this emerging topic.
    BACKGROUND:  This study has been registered by the PROSPERO international database. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=400170 .
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