knowledge map

知识地图
  • 文章类型: Journal Article
    本研究利用CiteSpace软件对与生长激素治疗烧伤相关的文献进行了文献计量分析。结果表明,该课题的研究越来越受到世界各国学者的关注,出版物数量逐年增加。参与这一领域的研究团队和机构主要集中在国内,其次是美国,俄罗斯,和其他国家。分析还揭示了该领域著名的共同引用文献和最有影响力的作者,如Herndon,DN.和李勇。文献中确定的主要研究主题包括生长激素对伤口愈合的影响,组织修复和再生,炎症反应,和细胞增殖。此外,生长激素在烧伤治疗中的临床应用研究已经扩展到代谢调节等领域,免疫功能,和预防感染。这项研究的发现为生长激素治疗烧伤领域的研究现状和未来方向提供了有益的见解。
    This study utilized CiteSpace software to conduct a bibliometric analysis of the literature related to the use of growth hormone in treating burns. The results showed that the research on this topic has attracted increasing attention from scholars worldwide, with the number of publications increasing annually. The research teams and institutions involved in this field are mainly concentrated in China, followed by the United States, Russia, and other countries. The analysis also revealed the prominent co-cited literature and the most influential authors in the field, such as Herndon,DN.and Li Y. The main research themes identified in the literature included the effects of growth hormone on wound healing, tissue repair and regeneration, inflammatory responses, and cell proliferation. Additionally, the research on the clinical applications of growth hormone in burn treatment has been expanded to include areas such as metabolic regulation, immune function, and the prevention of infections. The findings of this study provide useful insights into the current status and future directions of research in the field of growth hormone treatment of burns.
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  • 文章类型: Journal Article
    背景:随着医疗技术的进步,电外科设备等工具,激光刀,和超声手术刀使现代医疗程序更加方便和有效。然而,在这些手术过程中,手术烟雾的产生对医务人员构成了重大的健康风险。尽管如此,只有少数研究系统地研究了这一领域的文献。通过分析手术烟雾的文献计量数据,我们可以深入了解当前的研究热点并预测未来趋势。
    方法:本研究包括来自WebofScience和中国国家知识基础设施(CNKI)数据库的与手术烟雾有关的文献,涵盖2000年至2024年期间。我们用了VOSviewer,CiteSpace,和Biobert来可视化研究趋势和热点。
    结果:在研究的早期阶段,重点主要是构图,生成机制,以及与手术烟雾有关的易感人群。近年来,随着腹腔镜手术的发展和全球COVID-19大流行,研究兴趣已转向医护人员和公共卫生的职业保护。目前,该领域的研究主要探索手术烟雾对炎症和肿瘤等疾病的促进作用,以及对医护人员的职业保护和健康教育。疾病研究主要集中在烟雾吸入损伤上,感染,肿瘤,术后并发症,和炎症。
    结论:我们使用VOSviewer探索了外科烟雾领域的未来研究方向,CiteSpace,Biobert我们的发现表明,目前的研究集中在调查手术烟雾对炎症和肿瘤等疾病的促进作用,以及对医护人员的职业保护和健康教育。我们总结了现有的预防措施,旨在促进进一步的研究进展以及将研究结果转化为临床结果。这些努力为推进医护人员职业保护研究提供了新的见解。
    BACKGROUND: With the advancement of medical technology, tools such as electrosurgical equipment, laser knives, and ultrasonic scalpels have made modern medical procedures more convenient and effective. However, the generation of surgical smoke during these procedures poses significant health risks to medical personnel. Despite this, only a few studies have examined the literature systematically in this area. By analyzing bibliometric data on surgical smoke, we can gain insights into current research hotspots and forecast future trends.
    METHODS: This study included literature related to surgical smoke from the Web of Science and China National Knowledge Infrastructure (CNKI) databases, covering the period from 2000 to 2024. We used VOSviewer, CiteSpace, and BioBERT to visualize research trends and hotspots.
    RESULTS: In the early stages of research, the focus was mainly on the composition, generation mechanisms, and susceptible populations related to surgical smoke. In recent years, with the development of laparoscopic surgery and the global COVID-19 pandemic, research interests have shifted towards occupational protection of healthcare workers and public health. Currently, the research in this field primarily explores the promoting effects of surgical smoke on conditions such as inflammation and tumors, as well as occupational protection and health education for healthcare workers. Disease research focuses heavily on Smoke Inhalation Injury, Infections, Neoplasms, Postoperative Complications, and Inflammation.
    CONCLUSIONS: We explored future research directions in the field of surgical smoke using VOSviewer, CiteSpace, and BioBERT. Our findings indicate that current research focuses on investigating the promoting effects of surgical smoke on conditions such as inflammation and tumors, as well as on occupational protection and health education for healthcare workers. We summarized existing preventive measures, aiming to facilitate further research advancements and the translation of research outcomes into clinical results. These efforts provide new insights for advancing research in occupational protection of healthcare workers.
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  • 文章类型: Journal Article
    骨小梁评分(TBS),作为骨骼微结构的纹理指标,预测骨折的风险。本研究旨在探索TBS的知识图谱。
    从开始到2021年,我们在Scopus中搜索了“骨小梁得分”或“骨小梁得分”。我们的纳入标准是与TBS相关的原始文章和评论,我们的排除标准是非英语文章,与TBS无关,以及原始文章和评论以外的文档类型。并纳入相关文献进行文献计量分析。Excel,VOS查看器,和科学(Sci2)软件用于数据合成。
    从749篇检索到的文章中,纳入652篇文章进行分析。这些文件被引用了12,153次,H指数为56。生产力最高的国家属于美国(n=130份文件),瑞士(n=101),意大利(n=67)。“骨质疏松症国际”(n=80)参与出版的人数最多。感兴趣的研究主题主要涉及TBS在骨质疏松和糖尿病等慢性内分泌疾病中骨折风险评估的适用性。对标题和摘要的突发分析揭示了TBS对骨质疏松性骨折的判别力的最初重点,以及最近对比较各种慢性疾病中的骨密度(BMD)和TBS的关注。
    关于TBS的年度出版物数量有所增加,尤其是2016年之后。这些出版物强调了深入了解TBS在预测骨折风险方面的重要性,以及在不同健康状况下治疗监测的优势和局限性。
    在线版本包含补充材料,可在10.1007/s40200-023-01338-7获得。
    UNASSIGNED: Trabecular bone score (TBS), as a texture indicator of bone microarchitecture, predicts the risk of fracture. This study aims to explore the knowledge map of TBS.
    UNASSIGNED: We searched Scopus for \"trabecular bone score\" or \"trabecular score\" from the beginning to 2021. Our inclusion criteria were original articles and reviews that were related to TBS and our exclusion criteria were non-English articles, non-related to TBS, and document type other than original articles and reviews. and related documents were included for bibliometric analysis. Excel, VOS viewer, and Science of Science (Sci2) software were used for data synthesis.
    UNASSIGNED: From 749 retrieved articles, 652 articles were included for analysis. These documents were cited 12,153 times and had an H-index of 56. The most productivity belonged to the USA (n = 130 documents), Switzerland (n = 101), and Italy (n = 67). \"Osteoporosis International\" (n = 80) had the highest participation in publishing. The research topics of interest were mainly related to the applicability of TBS for fracture risk assessment in chronic endocrine disorders such as osteoporosis and diabetes mellitus. Bursting analysis of the title and abstract revealed the initial focus of the discriminative power of TBS for osteoporotic fracture and the more recent focus on comparing bone mineral density (BMD) and TBS in a variety of chronic diseases.
    UNASSIGNED: The number of annual publications on TBS has increased, especially after 2016. These publications highlight the importance of in-depth knowledge of TBS in predicting fracture risk and also its strengths and limitations of treatment monitoring in different health conditions.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s40200-023-01338-7.
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  • 文章类型: Journal Article
    Aurka,也被称为极光激酶A,是参与癌症发生和发展的关键分子。它在各种细胞过程中起着至关重要的作用,包括细胞周期调节,有丝分裂,和染色体分离。AURKA的失调与肿瘤发生有关,促进细胞增殖,基因组不稳定性,和抗细胞凋亡。在这项研究中,我们利用WebofScience文献数据库对Aurora-A在癌症背景下的研究进行了广泛的文献计量分析.各种复杂的计算工具,如VOSviewer,城市空间,BiblioshinyR,和Cytoscape,1998年1月至2023年9月,分别用于综合文献分析和大数据挖掘。我们研究的主要目标是多重。首先,我们旨在探索AURKA研究的时间发展,揭示科学理解随时间的演变。其次,我们调查了研究课题的变化趋势,阐明日益增长的兴趣和新兴领域。第三,我们深入研究了与AURKA相关的复杂信号通路和蛋白质相互作用网络,提供对其复杂分子机制的见解。为了进一步提高我们文献计量分析的价值,我们对AURKA在患者生存方面的预后价值进行了荟萃分析.结果直观地呈现,对Aurora-A在肿瘤学领域的研究提供了全面的概述和未来的观点。这项研究不仅有助于现有的知识体系,而且为研究人员提供了有价值的指导,临床医生,和制药专业人士。通过利用文献计量学的力量,我们的研究结果为我们更深入地了解AURKA在癌症中的作用,并为创新的研究方向和临床应用铺平道路.
    AURKA, also known as Aurora kinase A, is a key molecule involved in the occurrence and progression of cancer. It plays crucial roles in various cellular processes, including cell cycle regulation, mitosis, and chromosome segregation. Dysregulation of AURKA has been implicated in tumorigenesis, promoting cell proliferation, genomic instability, and resistance to apoptosis. In this study, we conducted an extensive bibliometric analysis of research focusing on Aurora-A in the context of cancer by utilizing the Web of Science literature database. Various sophisticated computational tools, such as VOSviewer, Citespace, Biblioshiny R, and Cytoscape, were employed for comprehensive literature analysis and big data mining from January 1998 to September 2023.The primary objectives of our study were multi-fold. Firstly, we aimed to explore the chronological development of AURKA research, uncovering the evolution of scientific understanding over time. Secondly, we investigated shifting trends in research topics, elucidating areas of increasing interest and emerging frontiers. Thirdly, we delved into intricate signaling pathways and protein interaction networks associated with AURKA, providing insights into its complex molecular mechanisms. To further enhance the value of our bibliometric analysis, we conducted a meta-analysis on the prognostic value of AURKA in terms of patient survival. The results were visually presented, offering a comprehensive overview and future perspectives on Aurora-A research in the field of oncology. This study not only contributes to the existing body of knowledge but also provides valuable guidance for researchers, clinicians, and pharmaceutical professionals. By harnessing the power of bibliometrics, our findings offer a deeper understanding of the role of AURKA in cancer and pave the way for innovative research directions and clinical applications.
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  • 文章类型: Journal Article
    最近,关于高血压昼夜节律的研究已经普及。然而,在这一领域进行的文献计量分析很少。在这项研究中,CiteSpace6.1。R6,VOSviewer1.6.18,R语言(版本4.2.3),R包Bibliometrix(4.1.2),利用MicrosoftExcel365进行数据挖掘和知识可视化分析。共包括来自77个国家的1,825个机构的1,560篇论文。关于昼夜节律在高血压中的作用的研究逐年增加。总的来说,国际时间生物学发表的文献最多,高血压获得的引用最多。西班牙维戈大学的RamonHermida发表的论文最多,引用次数也最多。美国和日本是生产力最高的国家。费拉拉大学,维戈大学,加州大学系统出版的出版物最多。在作者中,赫密达的文学爆发最多,最长。关键词如“慢性肾脏病,“\”氧化应激,自2014年以来,“基因表达”和“基因表达”一直是突破性的关键词。这项研究揭示了高血压昼夜节律研究的动态演变,并为研究人员提供了知识库。
    Recently, research on the circadian rhythm of hypertension has gained popularity. However, few bibliometric analyses have been conducted in this field. In this study, CiteSpace 6.1. R6, VOSviewer 1.6.18, R language (version 4.2.3), R package Bibliometrix (4.1.2), and Microsoft Excel 365 were used to conduct the data mining and knowledge visualization analysis. A total of 1,560 papers from 1,825 institutions in 77 countries were included. Research on the role of circadian rhythms in hypertension is increasing annually. Overall, Chronobiology International published the most literature and Hypertension received the most citations. Ramon Hermida from the Universidade de Vigo in Spain published the most papers and had the most citations. The United States of America and Japan have been the most productive countries. The University of Ferrara, Universidade de Vigo, and the University of California system produced the most publications. Amongst authors, Hermida had the most and longest literature bursts. Keywords such as \"chronic kidney disease,\" \"oxidative stress,\" and \"gene expression\" have been breakout keywords since 2014. This study revealed the dynamic evolution of research on circadian rhythms in hypertension and provides a knowledge base for researchers.
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  • 文章类型: Journal Article
    移动医疗(mHealth)是一种用于医疗保健系统的新兴移动通信和网络技术。mHealth在医学教育中的整合正在迅速发展,为该领域带来新的变化。然而,没有研究分析了mHealth和医学教育中的出版物和研究趋势。
    本研究的目的是通过搜索和分析已发表的与mHealth和医学教育相关的文章,总结mHealth在医学教育中的应用现状和发展趋势。
    在WebofScience核心数据库中搜索了2003年至2023年发布的与mHealth和医学教育有关的文献,根据检索策略筛选790篇文章。HistCitePro2.0工具用于分析文献计量指标。VOSviewer,Pajek64和SCImagoGraphica软件用于可视化研究趋势并确定该领域的热点。
    在过去的二十年里,医学教育中关于mHealth的论文数量逐渐增加,从2003年的3篇论文增加到2022年的130篇;这一增长在2007年变得尤为明显。全球引文得分确定为10,600,平均每篇文章引用13.42次。当地引文得分为96。美国是mHealth在医学教育中应用最广泛的国家,在这一领域进行深入研究的大多数机构也位于美国,紧随其后的是中国和英国。根据目前的趋势,全球合作和研究交流可能会继续扩大。在这个联合领域出版的研究期刊中,JMIR出版的期刊具有绝对优势。共识别出105个关键词,分为五类,指向不同的研究方向。
    在COVID-19的影响下,随着智能手机和现代通信技术的普及,mHealth与医学教育相结合的领域已成为一个比较热门的研究方向。数字健康的概念和应用将在未来医学教育的发展中得到推广。
    UNASSIGNED: Mobile health (mHealth) is an emerging mobile communication and networking technology for health care systems. The integration of mHealth in medical education is growing extremely rapidly, bringing new changes to the field. However, no study has analyzed the publication and research trends occurring in both mHealth and medical education.
    UNASSIGNED: The aim of this study was to summarize the current application and development trends of mHealth in medical education by searching and analyzing published articles related to both mHealth and medical education.
    UNASSIGNED: The literature related to mHealth and medical education published from 2003 to 2023 was searched in the Web of Science core database, and 790 articles were screened according to the search strategy. The HistCite Pro 2.0 tool was used to analyze bibliometric indicators. VOSviewer, Pajek64, and SCImago Graphica software were used to visualize research trends and identify hot spots in the field.
    UNASSIGNED: In the past two decades, the number of published papers on mHealth in medical education has gradually increased, from only 3 papers in 2003 to 130 in 2022; this increase became particularly evident in 2007. The global citation score was determined to be 10,600, with an average of 13.42 citations per article. The local citation score was 96. The United States is the country with the most widespread application of mHealth in medical education, and most of the institutions conducting in-depth research in this field are also located in the United States, closely followed by China and the United Kingdom. Based on current trends, global coauthorship and research exchange will likely continue to expand. Among the research journals publishing in this joint field, journals published by JMIR Publications have an absolute advantage. A total of 105 keywords were identified, which were divided into five categories pointing to different research directions.
    UNASSIGNED: Under the influence of COVID-19, along with the popularization of smartphones and modern communication technology, the field of combining mHealth and medical education has become a more popular research direction. The concept and application of digital health will be promoted in future developments of medical education.
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  • 文章类型: Systematic Review
    肺癌,其特点是发病率和致死率高,有必要进行深入研究,以增强我们对其发病机理的理解并发现新的治疗方法。最近的研究越来越证明肺癌细胞可以调节肿瘤微环境,促进肿瘤生长,通过外泌体的释放进行转移。外泌体是细胞分泌的小囊泡,含有多种生物活性分子,如蛋白质,核酸,和代谢物。本文通过文献计量分析,对肺癌的外泌体研究及其进展进行了全面综述。
    在WebofScienceCoreCollection(WoSCC)数据库上系统地搜索了与肺癌患者外泌体相关的出版物。使用VOSviwers进行文献计量分析,CiteSpace,和R包“Bibliometrics”。使用MicrosoftOfficeExcel2019对出版物进行定量分析。出版语言仅限于“英语”,搜索策略采用TS=(外泌体或外泌体或外泌体)和TS=(肺癌)。搜索期于2004年1月1日开始,并于2023年11月12日中午结束。选择的文献类型包括文章和评论。
    该研究包含来自71个国家和2105个机构的521种期刊的1699篇论文。分析显示,多年来肺癌外泌体研究呈持续上升趋势,最近出现了显著的激增。这种激增表明对肺癌外泌体的兴趣和研究深度日益增长。中国和美国的主要研究机构,包括南京医科大学,上海交通大学,中国科学院,和Utmd安德森癌症中心,成为重要的研究中心。该领域的年度出版物数量持续增长,尤其是近年来。关键术语如肺癌,非小细胞肺癌(NSCLC),微泡,细胞间通讯,外泌体miRNA,肿瘤学主导了研究领域。像细胞生物学这样的领域,生物化学,生物技术,肿瘤学与这项研究有着密切的关系。ClotildeThéry成为该领域被引用最多的作者,强调她的重要贡献。这些结果证明了外泌体研究对肺癌的广泛影响,关键术语不仅涵盖肺癌和非小细胞肺癌等疾病特异性方面,还涵盖微泡和细胞间通讯等基本生物学概念。对外泌体microRNAs和肿瘤学的探索为肺癌外泌体研究开辟了新的途径。总之,肺癌外泌体研究有望继续受到关注,可能导致治疗和预防方面的突破。
    有关肺癌外泌体的出版物呈逐年上升趋势,中国和美国在出版物数量上排名第一和第二。然而,双方学术学习合作与交流不足,而中国大学在这一领域的研究机构中占很大比例。李静是最有成效的作家,ClotildeThéry是被引用最多的作者,癌症是出版物数量最多的杂志。目前肺癌外泌体领域的焦点是生物标志物,液体活检,免疫疗法,和肿瘤微环境。
    UNASSIGNED: Lung cancer, characterized by its high morbidity and lethality, necessitates thorough research to enhance our understanding of its pathogenesis and discover novel therapeutic approaches. Recent studies increasingly demonstrate that lung cancer cells can modulate the tumor microenvironment, promoting tumor growth, and metastasis through the release of exosomes. Exosomes are small vesicles secreted by cells and contain a variety of bioactive molecules such as proteins, nucleic acids, and metabolites. This paper presents a comprehensive review of exosome research in lung cancer and its progress through bibliometric analysis.
    UNASSIGNED: Publications related to exosomes in lung cancer patients were systematically searched on the Web of Science Core Collection (WoSCC) database. Bibliometric analysis was performed using VOSviwers, CiteSpace, and the R package \"Bibliometrics\". Publications were quantitatively analyzed using Microsoft Office Excel 2019. The language of publication was restricted to \"English\" and the search strategy employed TS=(exosomes or exosomes or exosomes) and TS=(lung cancer). The search period commenced on January 1, 2004, and concluded on November 12, 2023, at noon. The selected literature types included Articles and Reviews.
    UNASSIGNED: The study encompassed 1699 papers from 521 journals across 71 countries and 2105 institutions. Analysis revealed a consistent upward trend in lung cancer exosome research over the years, with a notable surge in recent times. This surge indicates a growing interest and depth of inquiry into lung cancer exosomes. Major research institutions in China and the United States, including Nanjing Medical University, Shanghai Jiao Tong University, Chinese Academy Of Sciences, and Utmd Anderson Cancer Center, emerged as crucial research hubs. The annual publication count in this field witnessed a continuous rise, particularly in recent years. Key terms such as lung cancer, non-small cell lung cancer (NSCLC), microvesicles, intercellular communication, exosomal miRNAs, and oncology dominated the research landscape. Fields like cell biology, biochemistry, biotechnology, and oncology exhibited close relation with this research. Clotilde Théry emerged as the most cited author in the field, underlining her significant contributions. These results demonstrate the broad impact of exosome research in lung cancer, with key terms covering not only disease-specific aspects such as lung cancer and NSCLC but also basic biological concepts like microvesicles and intercellular communication. Explorations into exosomal microRNAs and oncology have opened new avenues for lung cancer exosome research. In summary, lung cancer exosome research is poised to continue receiving attention, potentially leading to breakthroughs in treatment and prevention.
    UNASSIGNED: Publications on lung cancer exosomes show a rising trend year by year, with China and the United States ranking first and second in terms of the number of publications. However, there is insufficient academic learning cooperation and exchanges between the two sides, and Chinese universities account for a large proportion of research institutions in this field. Jing Li is the most productive author, Clotilde Théry is the most co-cited author, and Cancers is the journal with the highest number of publications. The current focus in the field of lung cancer exosomes is on biomarkers, liquid biopsies, immunotherapy, and tumor microenvironment.
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  • 文章类型: English Abstract
    本研究旨在构建中成药临床证据知识图谱的要素关系和延伸路径,为中成药证据链的形成和转化提供基础技术支持,归纳法,以及海量和杂乱无章的临床数据的汇总方案。基于基于证据的PICOS的要素,收集并总结了知识图谱的常规构建方法。首先,对与中成药相关的数据实体进行了分类,并进行实体链接(消除歧义)。其次,研究对数据实体的属性信息进行关联和分类。最后,构建了实体之间的逻辑关系,然后总结了符合中成药临床证据特点的知识图谱的要素关系和延伸路径。中成药临床证据知识图谱的构建主要基于流程设计和逻辑结构,并根据PICOS原理和证据水平表达了知识图谱的要素关系。扩展路径跨越三个级别(模型层,数据层应用程序,和新的证据申请),这项研究逐渐探索了疾病的路径,核心评价指标,中成药,核心处方,综合征和治疗规则,以及新药研发的医学案例比较(进化规律)。在这项研究中,明确了中成药临床证据知识图谱构建的顶层设计,但它仍然需要跨学科的共同努力。随着符合中医特色的地图建设技术的不断完善,为中医学科的发展提供必要的基础技术支持和参考。
    This study aims to construct the element relationship and extension path of clinical evidence knowledge map with Chinese patent medicine, providing basic technical support for the formation and transformation of the evidence chain of Chinese patent medicine and providing collection, induction, and summary schemes for massive and disorganized clinical data. Based on the elements of evidence-based PICOS, the conventional construction methods of knowledge graph were collected and summarized. Firstly, the data entities related to Chinese patent medicine were classified, and entity linking was performed(disambiguation). Secondly, the study associated and classified the attribute information of the data entity. Finally, the logical relationship between entities was constructed, and then the element relationship and extension path of the knowledge map conforming to the characteristics of clinical evidence of Chinese patent medicine were summarized. The construction of the clinical evidence knowledge map of Chinese patent medicine was mainly based on process design and logical structure, and the element relationship of the knowledge map was expressed according to the PICOS principle and evidence level. The extension path crossed three levels(model layer, data layer application, and new evidence application), and the study gradually explored the path from disease, core evaluation indicators, Chinese patent medicine, core prescriptions, syndrome and treatment rules, and medical case comparison(evolution law) to new drug research and development. In this study, the top-level design of the construction of the clinical evidence knowledge map of Chinese patent medicine has been clarified, but it still needs the joint efforts of interdisciplinary disciplines. With the continuous improvement of the map construction technology in line with the characteristics of TCM, the study can provide necessary basic technical support and reference for the development of the TCM discipline.
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  • 文章类型: Journal Article
    背景:急性护理服务的高利用率,尤其是急诊科(ED),仍然是医疗保健提供者的重大关切。已经研究了许多方法来满足经常在急诊室寻求护理的患者的护理需求;然而,目前的文献基础还没有全面的综述。因此,需要对ED内部发起的干预措施有当前的了解,以满足频繁用户的需求。该映射审查有三个目标:确定与在ED中经常寻求护理的需求相关的特征;确定为满足该人群需求而实施的干预措施;并确定当前证据基础中的差距。
    方法:通过对文献进行范围划分来创建知识图谱,以确定与频繁使用ED和为解决频繁使用而实施的干预措施相关的特征。然后,进行了文献检索,以确定ED已经实施了哪些措施来减少频繁ED的使用.该文献从2013年到2023年1月进行了检索。使用MeSH术语和关键词来识别相关研究。包括对那些具有与频繁使用ED和报告ED使用相关特征的人实施干预的研究。
    结果:纳入了23项对照试验和35项观察性研究。最常见的人群是老年人,那些患有慢性病的人,和通用的“常客”。没有研究评估土著人民或少数民族,很少评估残疾患者或无家可归患者。最常见的干预措施是转诊,护理计划,案件管理,护理协调,和后续电话。大多数研究报告了ED重诊,住院治疗,成本,停留时间,或门诊使用。很少评估患者或工作人员的观点。约三分之一的研究(n=24)报告ED再就诊显着减少。
    结论:类似的干预措施,主要集中在护理协调和规划上,已实施以解决频繁使用ED的问题。在已经研究的人群中仍然存在很大的差距。现在必须努力研究更多样化的人群,这些人群的护理需求在其他地方得不到满足,因此经常频繁地进行ED。
    BACKGROUND: The high utilization of acute care services, particularly emergency departments (ED), continues to be a significant concern for healthcare providers. Numerous approaches have been studied to meet the care needs of patients who frequently seek care in the ED; however, there is no comprehensive review of the current literature base. As such, a current understanding of the interventions initiated within the ED to address the needs of frequent users is required. This mapping review had three objectives: identify the characteristics associated with the need to frequently seek care in the ED; identify interventions implemented to address the needs of this population; and identify gaps in the current evidence base.
    METHODS: A knowledge map was created by scoping the literature to identify characteristics associated with frequent ED use and interventions implemented to address frequent use. Then, a literature search was conducted to determine what has been implemented by EDs to reduce frequent ED use. The literature was searched from 2013 to January 2023. MeSH terms and keywords were used to identify relevant studies. Studies implementing an intervention for those with characteristics associated with frequent ED use and reporting on ED use were included.
    RESULTS: Twenty-three (23) controlled trials and 35 observational studies were included. The most common populations were older adults, those with chronic conditions, and generic \"frequent users\". No studies assessed Indigenous Peoples or racial minorities, and few assessed patients with a disability or patients experiencing homelessness. The most common interventions were referrals, care plans, case management, care coordination, and follow-up phone calls. Most studies reported ED revisits, hospitalization, costs, length-of-stay, or outpatient utilization. Few assessed patient or staff perspectives. About one-third of studies (n = 24) reported significant reductions in ED revisits.
    CONCLUSIONS: Similar interventions, mainly focused on care coordination and planning, have been implemented to address frequent use of the ED. There are still significant gaps in the populations that have been studied. Efforts now must be undertaken to study more diverse populations whose care needs are not being met elsewhere and thus frequent the ED often.
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  • 文章类型: Journal Article
    治疗慢性自发性荨麻疹(CSU)的指南建议在抗组胺难治性疾病患者中使用IgE靶向生物奥马珠单抗。
    我们的目的是对过去20年与奥马珠单抗和CSU相关的出版物进行文献计量学综述。
    2003年至2022年的相关出版物是从截至2023年1月8日的WebofScienceCoreCollection数据库中的科学引文索引扩展(SCI-EXPANDED)数据库中提取的。我们使用了CiteSpace(6.1版。R3),VOSviewer(版本1.6.18),和R包(4.2.1版)来分析和可视化数据。还使用了R软件包bibliometrix(4.2.1版)。
    在2003年至2022年之间,共发表了566篇关于奥马珠单抗和CSU的文章。自2014年以来,出版物产量快速增长。根据合作网络,最有影响力的国家,研究所,学者是美国,柏林查理特大学,和MarcusMaurer,分别。该研究确定了《过敏与临床免疫学杂志:在实践中》是最有成效的杂志,《过敏与临床免疫学杂志》是最受欢迎的杂志。对关键词的分析揭示了诸如血管性水肿等高频术语的存在,IgE,治疗,抗IgE,哮喘,和特应性皮炎。此外,最近在这一领域的研究主要集中在生物标志物上,dupilumab,和2019年冠状病毒(COVID-19)。
    近年来,在CSU中使用奥马珠单抗的兴趣与日俱增。本研究当前的趋势主题是识别生物标志物和开发新的单克隆抗体治疗CSU。
    UNASSIGNED: The guidelines for treating chronic spontaneous urticaria (CSU) recommend using the IgE-targeted biologic omalizumab in patients with antihistamine-refractory disease.
    UNASSIGNED: Our aim was to present a bibliometric review of publications related to omalizumab and CSU over the past 2 decades.
    UNASSIGNED: Relevant publications from 2003 to 2022 were extracted from the Science Citation Index-Expanded (SCI-EXPANDED) database in the Web of Science Core Collection database as of January 8, 2023. We utilized CiteSpace (version 6.1.R3), VOSviewer (version 1.6.18), and the R package (version 4.2.1) to analyze and visualize the data. The R package bibliometrix (version 4.2.1) was also used.
    UNASSIGNED: Between 2003 and 2022, a total of 566 articles on omalizumab and CSU were published. Since 2014, there has been a rapid increase in publication output. According to the collaboration network, the most influential country, institute, and scholar were the United States, Charité Universitätsmedizin Berlin, and Marcus Maurer, respectively. The study identified the Journal of Allergy and Clinical Immunology: In Practice as the most productive journal and the Journal of Allergy and Clinical Immunology as the most cocited journal. The analysis of key words revealed the presence of high-frequency terms such as angioedema, IgE, treatment, anti-IgE, asthma, and atopic dermatitis. Moreover, recent studies in this area have concentrated mainly on biomarkers, dupilumab, and coronavirus 2019 (COVID-19).
    UNASSIGNED: There has been a growing interest in the use of omalizumab in CSU in recent years. The current trending topics in this research are the identification of biomarkers and the development of new mAbs for the treatment of CSU.
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