GUO Sai-shan was born on October 24, 1938, in Putian Fujian Province, 1960 graduated in Shanghai First Medical College （now Shanghai Medical University）. At present, she is the Professor of Peking Union Medical Coll...GUO Sai-shan was born on October 24, 1938, in Putian Fujian Province, 1960 graduated in Shanghai First Medical College （now Shanghai Medical University）. At present, she is the Professor of Peking Union Medical College. Chief Doctor,Post-doctorate Tutor, in 1991 to 2002 she was appointed as Director of Department of Traditional Chinese Medicine （TOM）;展开更多
[目的/意义]旨在分析2013—2023年中国内科医生SCI论文撤回的数量和内容特征,探讨学术不端的预防措施。[方法/过程]通过检索“Web of Science Core Collection”数据库,获得2013年1月1日至2023年12月31日中国内科医生的撤回论文124篇,...[目的/意义]旨在分析2013—2023年中国内科医生SCI论文撤回的数量和内容特征,探讨学术不端的预防措施。[方法/过程]通过检索“Web of Science Core Collection”数据库,获得2013年1月1日至2023年12月31日中国内科医生的撤回论文124篇,根据撤稿观察网站(Retraction Watch)提供的撤稿原因进行统计分析,利用VOSviewer知识图谱软件绘制撤稿原因聚类图和关键词共现网络图。[结果/结论]124篇撤回稿件有118篇标注了撤回原因,共标注了62种原因,累计出现281次。包括文本(48次)、数据(43次)、图片(36次)在内的内容相关问题(共164次),第三方介入(49次)及伦理问题(22次)是文章撤回的主要原因,且第三方介入、数据问题、图片复制原因共现程度更强;撤回稿件主要集中在乙型肝炎病毒、乳腺癌、皮肤、损伤方面的细胞和黏蛋白的表达、增生、凋亡及预后等研究领域。我国应持续完善科研诚信管理制度,积极开发学术不端检测系统,加强我国科研诚信建设,减少学术不端行为。展开更多
Background: Post-operative hyponatremia occurs after 30% of orthopedic surgeries, increasing morbidity, mortality and hospital length of stays and hospital costs. The cause of the hyponatremia can be varied, hard to d...Background: Post-operative hyponatremia occurs after 30% of orthopedic surgeries, increasing morbidity, mortality and hospital length of stays and hospital costs. The cause of the hyponatremia can be varied, hard to diagnose and impact management. The goal of this study was to determine the causes of post-operative orthopedic hyponatremia and to evaluate the accuracy with which nephrologists and internists interpret the data. Methods: This was a retrospective chart review of patients >21 years old on the adult total joint service who developed postoperative hyponatremia. A hyponatremic order set was developed and patient fluid status was charted by the presence or absence of edema in non-surgical extremities. The patients were treated by their managing physicians. After one year, data on 51 patients were assembled and sent to three nephrologists and three internists to analyze and diagnose the etiology of the hyponatremia. Results: The most common causes of post-operative hyponatremia were hypovolemia (33.7%), the syndrome of inappropriate antidiuretic hormone, SIADH (32.4%), hypotonic fluid (8.2%), acute kidney injury (5.2%) and medications (5.9%). The interrater agreement, measured by kappa coefficient, was moderate (0.43;95% CI 0.34, 0.53) for the nephrologists and fair (0.38;95% CI 0.30, 0.46) for the internists. Conclusions: The majority of post-operative hyponatremia following total joint surgery in adults is from hypovolemia and SIADH. The treatment for these is very different: the first requires fluid resuscitation and the latter, free water restriction. Due to an interplay of peri-operative factors, the diagnosis can be difficult for both internists as well as nephrologists.展开更多
文摘GUO Sai-shan was born on October 24, 1938, in Putian Fujian Province, 1960 graduated in Shanghai First Medical College （now Shanghai Medical University）. At present, she is the Professor of Peking Union Medical College. Chief Doctor,Post-doctorate Tutor, in 1991 to 2002 she was appointed as Director of Department of Traditional Chinese Medicine （TOM）;
文摘Background: Post-operative hyponatremia occurs after 30% of orthopedic surgeries, increasing morbidity, mortality and hospital length of stays and hospital costs. The cause of the hyponatremia can be varied, hard to diagnose and impact management. The goal of this study was to determine the causes of post-operative orthopedic hyponatremia and to evaluate the accuracy with which nephrologists and internists interpret the data. Methods: This was a retrospective chart review of patients >21 years old on the adult total joint service who developed postoperative hyponatremia. A hyponatremic order set was developed and patient fluid status was charted by the presence or absence of edema in non-surgical extremities. The patients were treated by their managing physicians. After one year, data on 51 patients were assembled and sent to three nephrologists and three internists to analyze and diagnose the etiology of the hyponatremia. Results: The most common causes of post-operative hyponatremia were hypovolemia (33.7%), the syndrome of inappropriate antidiuretic hormone, SIADH (32.4%), hypotonic fluid (8.2%), acute kidney injury (5.2%) and medications (5.9%). The interrater agreement, measured by kappa coefficient, was moderate (0.43;95% CI 0.34, 0.53) for the nephrologists and fair (0.38;95% CI 0.30, 0.46) for the internists. Conclusions: The majority of post-operative hyponatremia following total joint surgery in adults is from hypovolemia and SIADH. The treatment for these is very different: the first requires fluid resuscitation and the latter, free water restriction. Due to an interplay of peri-operative factors, the diagnosis can be difficult for both internists as well as nephrologists.
