目的通过文献计量学分析术后谵妄的研究现状、趋势和热点,为国内外研究提供新思路。方法检索Web of Science核心数据库中2002-2022年发表的术后谵妄相关文献(检索日期为2023年7月10日),对年度发表量、引用频率、发文国家、机构、期刊、...目的通过文献计量学分析术后谵妄的研究现状、趋势和热点,为国内外研究提供新思路。方法检索Web of Science核心数据库中2002-2022年发表的术后谵妄相关文献(检索日期为2023年7月10日),对年度发表量、引用频率、发文国家、机构、期刊、作者、关键词、研究方向等方面进行分析,并运用CiteSpace软件对文献的总体特征性进行可视化分析。结果共纳入1208篇文献,2002-2022年术后谵妄相关文献年发表量呈上升趋势;美国是发文最多的国家,其次是中国;发文量前两位作者是Inouye Sharon和Marcantonio Edward R;发文最多的机构是哈佛大学;老年、长期住院、癌症、疼痛、髋关节骨折、心脏手术、腹部大手术和重症监护患者是术后谵妄研究的热点群体。术后谵妄预测模型的建立、预防性系统管理模型、患者远期结局等方面都具有较高的关注度。结论术后谵妄的研究正逐步增加,但是我国和发达国家仍存在一定差距。针对术后谵妄的系统规范性评估、预防、治疗是未来重点关注的研究方向。展开更多
Background: Prolonged exposure to environmental toxicants like endocrine-disrupting chemicals has been linked to several ovarian pathologies. Exposure to endocrine-disrupting chemicals may start at any time of life fr...Background: Prolonged exposure to environmental toxicants like endocrine-disrupting chemicals has been linked to several ovarian pathologies. Exposure to endocrine-disrupting chemicals may start at any time of life from the fetal stage to adulthood resulting in various health complications The purpose of our study is to compare the concentration levels and association of benzopyrene, bisphenol A and genistein in patients with ovarian tumors and normal control group. We also sort to evaluate the predictive performance of benzopyrene, bisphenol A and genistein in patients with ovarian tumors. Methods: A case-control study was conducted for randomly selected participants involving 30 patients and 30 controls. 30 patients with radiologically diagnosed and histopathological confirmed ovarian tumors were included in the study between January 2022 and December 2022. Urine samples from each group were analyzed using liquid chromatography-mass spectrometry. Descriptive analysis for normally distributed continuous variables was done accordingly. Concentration levels of endocrine-disrupting chemicals were assessed using the Mann-Whitney test. The association of endocrine-disrupting chemicals with pathological ovarian tumors was analyzed using binary logistic regression. Evaluation of the diagnostic performance of endocrine-disrupting chemicals was analyzed using the ROC curve. Results: Overall, patients were significantly (P = 0.000) older than the healthy controls. Mean years (SD) were 36.7 (7.90) and 28.8 years (4.89) for patients and normal women respectively. Endometriomas had the highest incidence of 50%. The level of benzopyrene and bisphenol A in patients was significantly higher than those in the control group, while the level of genistein was significantly higher in normal controls. Benzopyrene and bisphenol A were significantly associated with ovarian cysts, and the incidence of pathological ovarian cysts was positively correlated to these EDCs, with OR value 64.79 (P = 0.005) for benzopyrene and 9.609 (P = 0.001) for bisphenol A. Genistein was significantly negatively correlated with the incidence of pathological ovarian tumors, with OR value of 0.153 (P = 0.007). Diagnostic performance on the AUC for benzopyrene, bisphenol A and genistein&l.展开更多
文摘目的通过文献计量学分析术后谵妄的研究现状、趋势和热点,为国内外研究提供新思路。方法检索Web of Science核心数据库中2002-2022年发表的术后谵妄相关文献(检索日期为2023年7月10日),对年度发表量、引用频率、发文国家、机构、期刊、作者、关键词、研究方向等方面进行分析,并运用CiteSpace软件对文献的总体特征性进行可视化分析。结果共纳入1208篇文献,2002-2022年术后谵妄相关文献年发表量呈上升趋势;美国是发文最多的国家,其次是中国;发文量前两位作者是Inouye Sharon和Marcantonio Edward R;发文最多的机构是哈佛大学;老年、长期住院、癌症、疼痛、髋关节骨折、心脏手术、腹部大手术和重症监护患者是术后谵妄研究的热点群体。术后谵妄预测模型的建立、预防性系统管理模型、患者远期结局等方面都具有较高的关注度。结论术后谵妄的研究正逐步增加,但是我国和发达国家仍存在一定差距。针对术后谵妄的系统规范性评估、预防、治疗是未来重点关注的研究方向。
文摘Background: Prolonged exposure to environmental toxicants like endocrine-disrupting chemicals has been linked to several ovarian pathologies. Exposure to endocrine-disrupting chemicals may start at any time of life from the fetal stage to adulthood resulting in various health complications The purpose of our study is to compare the concentration levels and association of benzopyrene, bisphenol A and genistein in patients with ovarian tumors and normal control group. We also sort to evaluate the predictive performance of benzopyrene, bisphenol A and genistein in patients with ovarian tumors. Methods: A case-control study was conducted for randomly selected participants involving 30 patients and 30 controls. 30 patients with radiologically diagnosed and histopathological confirmed ovarian tumors were included in the study between January 2022 and December 2022. Urine samples from each group were analyzed using liquid chromatography-mass spectrometry. Descriptive analysis for normally distributed continuous variables was done accordingly. Concentration levels of endocrine-disrupting chemicals were assessed using the Mann-Whitney test. The association of endocrine-disrupting chemicals with pathological ovarian tumors was analyzed using binary logistic regression. Evaluation of the diagnostic performance of endocrine-disrupting chemicals was analyzed using the ROC curve. Results: Overall, patients were significantly (P = 0.000) older than the healthy controls. Mean years (SD) were 36.7 (7.90) and 28.8 years (4.89) for patients and normal women respectively. Endometriomas had the highest incidence of 50%. The level of benzopyrene and bisphenol A in patients was significantly higher than those in the control group, while the level of genistein was significantly higher in normal controls. Benzopyrene and bisphenol A were significantly associated with ovarian cysts, and the incidence of pathological ovarian cysts was positively correlated to these EDCs, with OR value 64.79 (P = 0.005) for benzopyrene and 9.609 (P = 0.001) for bisphenol A. Genistein was significantly negatively correlated with the incidence of pathological ovarian tumors, with OR value of 0.153 (P = 0.007). Diagnostic performance on the AUC for benzopyrene, bisphenol A and genistein&l.
