奇效骨伤散在治疗老年运动性骨损伤中的应用

老年运动性骨损伤是近期逐渐增多的疾患 ,本门诊部近 1年半以来接诊此类病人 38例 ,应用外敷自拟奇效骨伤散为主进行治疗 ,可迅速使骨折端达到牢靠连接 ,解除制动进行功能锻炼 ,肢体功能恢复快。与常规骨损伤疗效相比 ,疗程显著缩短 ,具快捷安全、方便经济、适用范围广等特点。优良率达 10 0 % ,且无明显并发症及后遗症。     

我国近10年运动医学临床论著的评价--统计方法评价

旨在了解我国运动医学临床论著的统计方法现状。本文采用普查法对近10年《中国运动医学杂志》和《体育科学》运动医学栏所刊出的临床论著的统计学方法进行评价。结果发现79．8％(190/238)论文使用了假设检验，其中40.5％(77／190)仅列P值而未说明统计方法；已列出方法论文中存在T检验泛用、条件不满足使用的假设检验方法等错误。提示统计方法中存在较多问题，有待提高。     

临床经验性论文的优化对策

比较全面地探讨医学期刊编辑对临床经验性论文的优化对策，包括消除消极的思维定势，提高编辑的知识“势能”，打好编辑的临床功底，增强编辑的选题组稿意识，编出期刊栏目的特色和转变偏颇的办刊观念等优化措施。这在实践意义上有助于医学编辑提高对临床经验性论文的认识，并采取有效措施提高论文和期刊质量，同时进一步丰富了科技写作、科技编辑方法论和编辑学研究的内容。     

论文临床影响力评价及预测指标的实证研究——基于诺贝尔生理学或医学奖获得者成果的分析

在重大突发公共卫生事件的背景下,科技论文的临床应用价值被提到前所未有的重要位置。但如何评价这种类型的影响力以及有哪些有效指标仍需要深入挖掘与探索。引文桂冠奖是基于被引频次的诺贝尔生理学或医学奖的预测方法,而未被其预测却最终获得诺贝尔奖的原因可能是传统被引指标无法探测到论文的潜在临床影响力。本文引入美国NIH (National Institutes of Health)提出的论文临床转化潜力近似值指标（approximate potential to translate scores,APT）,选择诺贝尔生理学或医学奖得主的论文集为样本,比较被引文桂冠奖预测和未被预测两组作者论文集的总被引次数、加权RCR (relative citation ratio)、被临床论文引用次数、APT均值、Human均值、Animal均值、Mol/Cell (Molecular/Cellular)均值这7项指标,以及转化力三角形模型的差异与指标间的相关性。被预测获奖和未被预测获奖两组论文的总被引次数、加权RCR、Mol/Cell均值有显著差异,未被预测组的Human均值与Animal均值及中位数均高于被...     

Investigation of an Egyptian Mummy board by Using Clinical Multi-slice Computed Tomography

A modern approach to the diagnosis of artistic heritage makes use of non-destructive techniques which avoid damage to artworks or signs of interaction with the analytical technique used. For this reason, today, the employment of X-rays to study artistic heritage is quite widespread. Computed tomography (CT) Imaging was first used as specialized medical diagnostic tool in the early 1970s. Today, CT scanners have become more common, and non-destructive three-dimensional imaging has found an increasing number of uses in different areas such as materials research, geology, archaeology, and museum conservation. In this work, a new generation of clinical CT (based on the Dual Energy and multi-slice acquisition principle) is used to investigate an Egyptian wooden mummy board with a total acquisition time of 93.23 seconds and a voxel size of 0.078?×?0.078?×?1.5?mm. The use of two distinct techniques of image post-processing, the two-dimensional multi-planar reconstruction (MPR) and the three-dimensional volume rendering technique (VRT) allowed us to: evaluate the state of conservation of the mummy board, determine how the wooden object was implemented, recognize a nineteenth-century intervention of consolidation, and advance the hypothesis that the wooden planks were reused. In particular, we highlight the use of the cardiovascular and pulmonary filter with VRT reconstruction, which allows a virtual elimination of different parts of the mummy board to investigate those areas otherwise accessible only by removing parts of the board and thus damaging the work.     

Clinical Medical Librarian Licensure: Pros versus Cons

In hospitals and clinics, anyone who “touches” a patient has a license authorizing them to do so—from the phlebotomist to the cardiologist, from the genetic counselor to the social worker, and so on, except for the clinical medical librarian. This column discusses the intent versus the realities of occupational licensure for clinical medical librarians and provides recommendations for next steps.     

视交叉与蝶鞍关系的临床解剖学研究

目的:研究视交叉的解剖特点,进而为垂体肿瘤切除手术提供解剖学依据.方法:在20例成年男性头部标本上,对视交叉进行观察与测量.结果:视交叉前缘与鞍结节相距4.42±1.17mm,视交叉前缘与交叉前沟相距7.0±1.1mm,视交叉与镰状韧带颅前窝附着处后缘相距10.7±1.02mm,视交叉宽度为10.6±1.2mm,在出视神经管、入颅处,两侧视神经内缘相距14.8±1.9mm.结论:视交叉的解剖关系是垂体瘤手术成功与否的关键.     

Validation of the Microsoft Kinect® camera system for measurement of lower extremity jump landing and squatting kinematics

Cost effective, quantifiable assessment of lower extremity movement represents potential improvement over standard tools for evaluation of injury risk. Ten healthy participants completed three trials of a drop jump, overhead squat, and single leg squat task. Peak hip and knee kinematics were assessed using an 8 camera BTS Smart 7000DX motion analysis system and the Microsoft Kinect® camera system. The agreement and consistency between both uncorrected and correct Kinect kinematic variables and the BTS camera system were assessed using interclass correlations coefficients. Peak sagittal plane kinematics measured using the Microsoft Kinect® camera system explained a significant amount of variance [Range_hip = 43.5–62.8%; Range_knee = 67.5–89.6%] in peak kinematics measured using the BTS camera system. Across tasks, peak knee flexion angle and peak hip flexion were found to be consistent and in agreement when the Microsoft Kinect® camera system was directly compared to the BTS camera system but these values were improved following application of a corrective factor. The Microsoft Kinect® may not be an appropriate surrogate for traditional motion analysis technology, but it may have potential applications as a real-time feedback tool in pathological or high injury risk populations.     

联胎组织病理对比分析及临床联系

目的:对少见的胸腹联体双胎婴儿进行病理组织学分析,为临床诊断与治疗提供依据;方法:常规组织病理切片后显微镜下观察;结果:A、B女婴大部分脏器结构相似,子宫腺体密度差异性较大,各脏器存在程度不同的细胞水肿现象;结论:①联体在胚胎发育过程中仍然存在着一定的差异,②联体常因分娩异常出现死亡,加强产前诊断并采取相应措施尤为重要。     

Triadic interaction in clinical task-based interviews with mathematics teachers

A clinical task-based interview can be seen as a situation where the interviewer–interviewee interaction on a task is regulated by a system of explicit and implicit norms, values, and rules. This paper describes how documenting and mapping triadic interaction among the interviewer, the interviewee, and the knowledge negotiated can be used to increase procedural replicability of the interview and accuracy of drawn conclusions about the interviewee’s thinking process. Excerpts from interviews with 25 inservice mathematics teachers working on a task to make up a problem whose solution requires division of two fractions are discussed. The excerpts illustrate the relationship between methodological decisions taken by the interviewer during the interview and the applicability of the interview output to the research questions. A divergent analysis of the interviews with these teachers, which spanned over two years and were conducted by four interviewers, is used to offer a framework for analyzing data collected in clinical task-based interviews.