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图书馆
  • 文章类型: Journal Article
    The current version of Jing Xiao Chan Bao is believed to be the earliest medical book on gynecology remaining in China. It has three problems: formulae missing, lack of fluency in the text, and thus difficulties in proofreading and editing. These problems are still there because there are very few versions of Jing Xiao Chan Bao left in China and so it is difficult to do further studies to make comparisons. The Waseda University Library announced that the version they held was a handwritten. It provides a new version for further research of this book. This version was believed to be compiled and edited by Japanese scholars based on Medical Prescription Analogues (Yi Fang Lei Ju) and therefore appears to be similar to the South Song Dynasty version. Using archival research, it was found that in the version at Waseda University Library, the content organisation, the number of formulas, and the use of taboo words is different from those in the current version in China. In this sense, it is believed that this version is valuable and meaningful for archival and clinical research for traditional Chinese medicine.
    现行本《经效产宝》存在方剂缺损、续编存疑和校注困难等问题,但因国内所见《产宝》版本系统较为单一,始终无法对其进行更深入的研究。早稻田大学图书馆公布所藏写本《产宝》的信息,为国内《产宝》研究提供了全新版本。早稻田大学图书馆藏《产宝》为日本学者根据《医方类聚》完成的辑佚本,内容更贴近南宋本。运用文献学的研究方法可以发现,早稻田大学所藏《产宝》的篇章排布、方剂数量、避讳字的使用等都与现行版本差异较大,对文献学和中医临床都具备一定价值,值得引起重视。.
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  • 文章类型: English Abstract
    Li Shouxian, styled as Shanshu, was a medical doctor in the Qing Dynasty. His work Zhenjiu Yixue (Easy Study of Acupuncture and Moxibustion) has numerous versions, with the most refined one being the self-engraved edition from the third year of Jiaqing\'s reign, housed in the Jilin Province Library. While most content of the book was drawn from Zhenjiu Dacheng (Great Compendium of Acupuncture and Moxibustion), Li\'s condensation and arrangement of the material achieved the purpose of making it simple and easy to learn. The book has been widely spread and holds certain academic and historical value. This paper makes a textual research on Li\'s life, family, and his works, clarifies the content, structure and origin of the version of Zhenjiu Yixue and corrects errors in the version records of this book in the General Catalogue of Chinese Ancient Medical Books.
    李守先,字善述,清代医家。其所著《针灸易学》版本众多,吉林省图书馆所藏嘉庆三年著者自刻本最为精良。《针灸易学》多数内容虽取自《针灸大成》,但经李氏精简及编排,达到了简明易学的目的,流传较广,具有一定的学术价值及文献价值。对李氏生平、家族及其著作进行考证,厘清了《针灸易学》的内容、体例及版本源流,纠正了《中国中医古籍总目》关于本书的版本记录之误。.
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  • 文章类型: Meta-Analysis
    背景:通过搜索相关文献,复发率,视频辅助肛瘘治疗(VAAFT)后的并发症发生率,并对其疗效和安全性进行分析。
    方法:在PubMed(Medline)和Cochrane图书馆中搜索了报告截至2020年12月VAAFT结果的文章,根据系统评价和荟萃分析(PRISMA)筛查指南的首选报告项目。两名研究者独立完成了从筛选、纳入到质量评价和偏倚风险评估的全过程,数据包含在RevMan5.3软件中进行分析。主要结果是患者的人口统计学数据,检测率,肛肠瘘内口分类,术后复发率,和并发症的发生率。
    结果:共纳入10篇文献(779例患者)。患者平均年龄44岁,平均手术时间为60分钟,平均随访时间为22个月。男女比例为2.4:1,高位肛肠瘘与低位肛肠瘘的比例为6.6:1,内部开口检出率为98%,加权复发率为24%,加权并发症发生率为1%。
    结论:VAAFT治疗肛门直肠瘘安全有效。
    BACKGROUND: By searching relevant literature, the recurrence rate, complication rate after video-assisted anal fistula treatment (VAAFT), and efficacy and safety of the treatment were analyzed.
    METHODS: Articles that reported the outcomes of VAAFT up to December 2020 were searched in PubMed (Medline) and Cochrane Library, in accordance with the preferred reporting items for systematic review and meta-analysis (PRISMA) screening guidelines. Two researchers independently completed the whole process from screening and inclusion to quality evaluation and bias risk assessment, and the data was included in the RevMan 5.3 software for analysis. The main outcomes were demographic data of patients, detection rate, classification of internal opening of anorectal fistula, postoperative recurrence rate, and incidence of complications.
    RESULTS: A total of 10 articles were included (779 patients). The average age of the patients was 44 years old, average operation time was 60 min, and the average follow-up time was 22 months. The ratio of male to female was 2.4:1, the ratio of high anorectal fistula to low anorectal fistula was 6.6:1, the detection rate of internal openings was 98%, the weighted recurrence rate was 24%, and the weighted complication rate was 1%.
    CONCLUSIONS: VAAFT is effective and safe in the treatment of anorectal fistulas.
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  • 文章类型: Meta-Analysis
    体外增强放疗(EBRT)和术中放疗(IORT)对早期乳腺癌患者有效。然而,IORT和EBRT对患者预后的差异仍有待阐明。这项荟萃分析的目的是调查局部复发(LR)的差异,远处转移,无病生存率(DFS),和这两种疗法之间的总生存期(OS)。我们搜查了Cochrane图书馆,PubMed,WebofScience和Embase,从成立到1月10日,2022年。我们使用Cochrane偏差风险评估工具来评估纳入研究的偏差风险,STATA15.0工具用于荟萃分析.最终纳入了8项研究。荟萃分析表明,在两种放射治疗之间,LR的长期风险存在不一致的发现。LR的短期风险没有显着差异,转移率,DFS,和OSIORT会更方便,耗时少,成本更低,更有效地减少副作用和毒性。然而,这些益处必须与长期LR风险增加的可能性相平衡.
    External boost radiotherapy (EBRT) and intraoperative radiotherapy (IORT) are shown to be effective in patients with early-stage breast cancer. However, the difference between IORT and EBRT for patients\' prognosis remains to be elucidated. The purpose of this meta-analysis is to investigate differences in local recurrence (LR), distant metastases, disease free survival (DFS), and overall survival (OS) between these two therapies. We searched the Cochrane Library, PubMed, Web of Science and Embase, from inception to Jan 10th, 2022. We used The Cochrane risk-of-bias assessment tool to assess the risk of bias of the included studies, and the STATA15.0 tool was used for the meta-analyses. Eight studies were ultimately included. Meta-analysis demonstrated that there was an inconsistent finding in the long-term risk of LR between the two radiotherapies, and there was no significant difference in short-term risk of LR, the metastasis rate, DFS, and OS IORT would be more convenient, less time-consuming, less costly, and more effective at reducing side effects and toxicity. However, these benefits must be balanced against the potential for increased risk of LR in the long term.
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  • 文章类型: Meta-Analysis
    背景:神经丝轻链(NfL)是评估心脏骤停(CA)后神经功能的新型生物标志物。尽管荟萃分析已经证实了其预测价值,它没有对其研究进行更详细的分析。我们进行了一项荟萃分析,以评估CA后自主循环恢复患者血清NfL水平与神经系统预后的关系。根据样本采集时间进行亚组分析,评估神经功能的时间,研究设计,是否收到TTM,样品测定方法,以及患者神经系统疾病的存在。分析这些因素对血清NfL预测价值的影响。
    方法:已发布Cochrane评论和更新,MEDLINE的扩展搜索,科克伦图书馆,Embase,Scopus,ClinicalKey,CINAHL,和WebofScience在2022年3月之前的相关研究通过纳入和排除标准进行评估.使用随机效应模型或固定效应模型计算标准平均差和95%置信区间,以评估一个可变因子NfL水平与CA患者预后之间的关联。根据样品采集时间进行亚组分析。还使用Egger和Begg检验评估了预后分析和发表偏倚。
    结果:在1209篇相关的筛查文章中,6项研究(1360例患者)符合纳入标准,并选择进行荟萃分析。预后良好组(CPC1-2,CPC:脑性能分类评分)血清NfL水平明显低于预后不良组(CPC3-5)SMD(标准化均差)=0.553,95CI(置信区间)=0.418-0.687,I2=65.5%P<0.05。并且在每个采样时间点也存在这种关系(入院时收集NfL标本:SMD:0.48,95CI:0.24-0.73;CA后24小时收集标本:SMD:0.60,95CI:0.32-0.88;CA后48小时获得标本:SMD:0.51,95CI:0.18-0.85;CA后72小时获得标本:SMD:0.59,9538)
    结论:NfL可能在心脏骤停后自发循环患者中发挥潜在的神经预后作用,无论CA后何时采集样本.
    Neurofilament light chain (NfL) is a novel biomarker for the assessment of neurological function after cardiac arrest (CA). Although meta-analysis has confirmed its predictive value, it has not conducted a more detailed analysis of its research. We conducted a meta-analysis to evaluate the relationship between serum NfL level and neurological prognosis in patients with spontaneous circulation recovery after CA, and subgroup analysis was conducted according to sample collection time, time to assess neurological function, study design, whether TTM was received, the method of specimen determination, and the presence of neurological disease in patients. To analyze the influence of these factors on the predictive value of serum NfL.
    Published Cochrane reviews and an updated, extended search of MEDLINE, Cochrane Library, Embase, Scopus, ClinicalKey, CINAHL, and Web of Science for relevant studies until March 2022 were assessed through inclusion and exclusion criteria. The standard mean difference and 95% confidence interval were calculated using the random-effects model or fixed-effects model to assess the association between one variable factor NfL level and the outcome of CA patients. Subgroup analysis according to sample collection time was performed. The prognosis analysis and publication bias were also assessed using Egger\'s and Begg\'s tests.
    Among 1209 related articles for screening, 6 studies (1360 patients) met the inclusion criteria and were selected for meta-analysis. The level of serum NfL in the good prognosis group (CPC1-2, CPC: cerebral performance category score) was significantly lower than that in the poor prognosis group (CPC3-5)SMD(standardized mean difference) = 0.553, 95%CI(confidence interval) = 0.418-0.687, I2 = 65.5% P<0.05). And this relationship also exists at each sampling time point (NfL specimens were collected on admission: SMD:0.48,95%CI:0.24-0.73; Samples were collected 24 hours after CA: SMD:0.60,95%CI:0.32-0.88;Specimens were obtained 48 hours after CA: SMD:0.51, 95%CI:0.18-0.85;Specimens were obtained 72 hours after CA: SMD:0.59, 95%CI:0.38-0.81).
    NfL may play a potential neuroprognostication role in postcardiac arrest patients with spontaneous circulation, regardless of when the sample was collected after CA.
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  • 文章类型: Systematic Review
    目的:评估哥本哈根指数对卵巢恶性肿瘤的诊断价值。
    方法:PubMed,WebofScience,Cochrane图书馆,Embase,CBM,CNKI,和万方数据库在整个2021年6月进行了搜索。使用Stata12,Meta-DiSc,和RevMan5.3。汇集的敏感性,特异性,并计算了诊断比值比,绘制了概括的接受者工作特性曲线,并计算曲线下面积。
    结果:十篇文章,包括11项研究,共5266名患者,包括在内。汇集的敏感性,特异性,诊断比值比为0.82[95%CI(0.80-0.83)],0.88[95%CI(0.87-0.89)],和57.31[95%CI(32.84-100.02)],分别。摘要接受者工作特征曲线下面积和Q指数分别为0.9545和0.8966。
    结论:我们的系统评价表明,哥本哈根指数的敏感性和特异性足够高,可用于临床环境,以提供准确的卵巢癌诊断,而无需考虑绝经状态。
    To assess the diagnostic value of the Copenhagen index for ovarian malignancy.
    PubMed, Web of Science, the Cochrane Library, Embase, CBM, CNKI, and WanFang databases were searched throughout June 2021. Statistical analyses were performed using Stata 12, Meta-DiSc, and RevMan 5.3. The pooled sensitivity, specificity, and diagnostic odds ratio were calculated, the summary receiver operating characteristic curve was drawn, and the area under the curve was calculated.
    Ten articles, including 11 studies with a total of 5266 patients, were included. The pooled sensitivity, specificity, and diagnostic odds ratio were 0.82 [95% CI (0.80-0.83)], 0.88 [95% CI (0.87-0.89)], and 57.31 [95% CI (32.84-100.02)], respectively. The area under the summary receiver operating characteristics curve and the Q index were 0.9545 and 0.8966, respectively.
    Our systematic review shows that the sensitivity and specificity of the Copenhagen index are high enough for it to be used in a clinical setting to provide accurate ovarian cancer diagnosis without considering menopausal status.
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  • 文章类型: English Abstract
    The original version and title of Zhong Jing Quan Shu referred to the collection of four books - Shang Han Lun, Zhu Jie Shang Han Lun, Shang Han Lei Zheng and Jin Gui Yao Lue Fang Lun, published by Zhao Kaimei in the Ming Dynasty. Then, Zhang Qingzi Shang Han Lun was written by Zhang Qingzi. After that, a Japanese scholar compiled a new collection based on Zhong Jing Quan Shu held in the Cabinet Library in Japan consisting of three books - Shang Han Lei Zheng, JinGui Yao Lue Fang Lun and Zhang Qingzi Shang Han Lun. The preface and content in this collection was adjusted for some practical purposes and was published in the second year of Manji in Japan (1659). This book, Zhang Qingzi Shang Han Lun was based on Shang Han Lun from the early and mid-Edo period of Japan. It was then returned to China in the Guangxu period of the Qing Dynasty. It was soon republished by Deng in Chengdu, with Yun Qi Zhang Jue Lu and Shang Han Ming Li Lun, added as a collection of five books with the same name Zhang Zi Qing Shang Han Lun, being popular in the late Qing Dynasty and the Republic of China. This book was understood to be from Zhong Jing Quan Shu published by Zhao Kaimei during this period. These two books were distinguished from each other when Shang Han Lun published in the Song Dynasty, drew people\'s attention. However, Zhang Qingzi Shang Han Lun was still believed valuable for both clinical and literature studies.
    张卿子《仲景全书》(以下简称张版《仲景全书》)是日本学者出于实用目的,将赵开美《仲景全书》进行改编而成的,此书以日本内阁文库所藏的《仲景全书》为底本,增入《张卿子伤寒论》,并对前言、目录部分进行调整,于日本万治二年(1659)首次刊行,是日本江户前中期《伤寒论》的主要传本。清代光绪年间此书传回国内,经成都邓氏翻刻,并增入《运气掌诀录》《伤寒明理论》。组成五种书目的张版《仲景全书》在清末民国时期流传。张版《仲景全书》在流传过程中,曾被误认为是赵开美《仲景全书》。之后随着宋本《伤寒论》受到重视,此书被与赵版相区分,但是张版《仲景全书》在临床和文献两方面亦具有其独特的价值。.
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  • 文章类型: Journal Article
    从图书馆的发展来看,技术使图书馆自动化的出现和发展成为可能;数字图书馆;移动图书馆;和智能图书馆。本文简要介绍了中国卫生科学图书馆的技术发展和应用对馆藏发展的影响,服务提供和图书馆协会的作用。
    From the point of view of the development of libraries, technology has made possible the emergence and development of library automation; digital libraries; mobile libraries; and smart libraries. This article briefly describes the impact of technological developments and application in Health Science Libraries in China in relation to collections development, service provision and the role of library associations.
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  • 文章类型: Systematic Review
    人类图书馆(HL)于2000年在丹麦首次成立,已被世界各地的不同社区采用。这是一种创新的方法,可以吸引公众的“读者”与少数群体或边缘化社区的“书籍”进行协作对话,以了解他们的生活经历并减少公众的污名和刻板印象。在HL普及的同时,其研究基础和实施结构仍然有限。这篇系统的叙事综述旨在回顾HL文献,以(1)总结设计,实施,进程,和现有HL计划的结果,以及(2)为未来实施更有效的综合建议,伦理,和明智的HL。在八个电子数据库中进行了系统的搜索,得出了2010年至2022年出版的关于HL的23篇期刊文章和书籍章节。已确定的文献显示了格式上的差异,地点,scale,准备,和招聘。报告了各种具有不同社会身份和不同文化群体的书籍,而读者大多来自大学和学校社区。读者报告了偏见的减少和态度的改善,而读者和书籍都报道了个人成长的各个方面。建议使用未来的HL实施指南,明确阐明道德考虑因素和各种严格的研究方法。
    First started in Denmark in 2000, Human Library (HL) has been adopted by different communities around the world. It is an innovative approach that engages \"readers\" from the general public to have collaborative conversations with \"books\" from minority or marginalized communities to learn about their lived experiences and reduce public stigma and stereotypes. While the HL is popularized, its research base and implementation structure remain limited. This systematic narrative review aims to review the HL literature to (1) summarize the design, implementation, processes, and outcomes of existing HL programs and (2) synthesize recommendations for future implementation of more effective, ethical, and sensible HL. A systematic search in eight electronic databases yielded 23 journal articles and book chapters about HL published from 2010 to 2022. The identified literature demonstrated variations in format, venue, scale, preparation, and recruitment. A wide range of books with different social identities and from different cultural groups were reported, while readers were mostly from university and school communities. Reduced prejudices and improved attitudes were reported in readers, while both readers and books reported various facets of personal growth. Future HL using implementation guidelines with clearly articulate ethical considerations and diverse rigorous research methodologies are recommended.
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  • 文章类型: Journal Article
    观察到基因表达具有相关性,集成的基于网络的细胞签名程序库选择1000个标志性基因来预测剩余的基因表达值。进一步的工作通过使用深度学习模型来改善预测结果。然而,这些模型忽略了基因的潜在结构,限制了实验结果的准确性。因此,我们提出了一种名为邻居连接神经网络(NCNN)的新型神经网络,以利用基因相互作用图信息。与流行的GCN模型相比,我们的模型以更好的方式结合了图形信息。我们在两种不同的设置下验证了我们的模型,并表明与其他模型相比,我们的模型提高了预测精度。
    Having observed that gene expressions have a correlation, the Library of Integrated Network-based Cell-Signature program selects 1000 landmark genes to predict the remaining gene expression value. Further works have improved the prediction result by using deep learning models. However, these models ignore the latent structure of genes, limiting the accuracy of the experimental results. We therefore propose a novel neural network named Neighbour Connection Neural Network(NCNN) to utilize the gene interaction graph information. Comparing to the popular GCN model, our model incorperates the graph information in a better manner. We validate our model under two different settings and show that our model promotes prediction accuracy comparing to the other models.
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