Clinical trail registration policies aims to reduce bias and improve the transparency and scientific validity of research.We investigate the instructions for authors of 258 medical journals in China to identify whether each journal adhere to trial registration policies.57 （22.1%） medical journals adhere to clinical trail registration policies,of which 50 journals provide specific requirements.We further demonstrate that the consistency and accuracy of the clinical trial registry numbers in randomized controlled trials （RCT）,and whether the journals adherence to reporting guidelines impact the likelihood of reporting trail registry number.The results indicate that medical journals have a poor compliance of reporting guidelines and clinical trail registration policies,with only 17.2%of RCTs registered.Medical journals do not sufficiently pay attention to the registration and lack of strict implementation,and journals adherence to CONSORT increase the likelihood of RCT registration.It is recommended to follow the guidelines and trail registration policies for medical journals,increase the awareness and attention to the clinical trial registration.This requires the joint participation of journal reviewers,editors and authors,to improve the transparency of research by increasing the rate of clinical trial registration.

[目的]探讨多元化健康教育对胸腰椎压缩性骨折手术患者自我护理能力及康复效果的影响.[方法]选择2018年6月至2019年7月本院收治的108例胸腰椎压缩性骨折手术患者的临床资料,根据住院时间及是否应用多元化健康教育将其分为观察组(2019年1～7月给予多元化健康教育,n=57)和对照组(2018年6～12月给予常规健康教育,n=51).随访6个月,比较两组患者自我护理能力、康复效果、并发症等指标.[结果]随访6个月,观察组患者健康知识水平、自我概念、自我责任感、自我护理技能、ESCA总分高于对照组,差异有统计学意义(P<0.05);观察组患者NRS评分、Cobb角度低于对照组,Frankel脊髓神经分级评分、椎体高度显著高于对照组,差异有统计学意义(P<0.05);观察组患者术后并发症发生率为28.07％(16/57),低于对照组的50.98％(26/51),差异有统计学意义(χ2=5.95,P=0.015<0.05).[结论]多元化健康教育有助于提高胸腰椎压缩性骨折手术患者自我护理能力水平,促进患者康复,减少患者术后并发症的发生.

面对突如其来的新冠肺炎疫情,全国人民众志成城,共克时艰.许多医学期刊也积极响应,参与到抗"疫"攻坚战中.《江苏医药》也第一时间开展新冠肺炎专题组稿,开通"绿色通道"优先处理,并积极向一线临床专家邀稿.同时,期刊通过多种形式开展防疫防治宣传工作,编辑争做援鄂储备志愿者,以多角色、全身心参与战"疫".医学编辑不仅为防治疫情服务,也为振兴科技服务和留存学术财富服务.

结合《江苏医药》杂志目前发展实际情况,从大数据研究在医学学术期刊影响力发展中的理论意义及实践价值、大数据背景下刊物面临的问题与挑战及双效发展策略三个方面展开阐述,分析如何更好借助已有的大数据平台,积极构建新的集约数字化传播平台,改善自身期刊发展的不足与劣势,达到期刊长远双效发展,希望为同类期刊的发展提供借鉴和参考.

随着新媒体技术的不断发展,媒体融合的时代已经来临,为医学期刊的发展带来了机遇与挑战.医学期刊媒体融合面临一系列的问题,要想走出困境,推动刊物发展,就必须树立数字化出版理念,培养新媒体人才,充分利用自身的优势,加强期刊品牌的建设,促进新媒体融合发展,进一步提升期刊的学术影响力和竞争力.

微信小程序是腾讯推出的基于微信的面向各行各业的轻应用.因其具有触手可及、用完即走、无须安装卸载,目前已经应用于图书馆、媒体等多个领域,但其在期刊建设领域的应用尚不成熟.本文通过概述微信小程序的诞生、发展与期刊应用价值,并根据实际情况,阐述微信小程序在期刊建设中的应用,以便期刊创建微信移动信息服务,提高期刊影响力.

"微传播"时代是以微博、微信等微媒介传播活动日常化为特征的新兴媒体的时代.医学期刊是以医学和与医学相关学科为内容的情报载体,是交流医学前沿思想、沟通医学信息的桥梁和纽带.本文阐述了面对"微传播"时代的到来,医学期刊编辑需顺应时代潮流,运用微博、微信等微媒介,适应新形势下的角色转变,不断创新和沉淀,明确编辑职责,更新编辑观念,提升编辑素养,以满足时代发展赋予医学期刊编辑工作的新要求.

新媒体时代下,医药期刊面临机遇和挑战并存的情况,微信公众平台为医药期刊从纸质、互联网营销转向手机端营销提供了可能.随着越来越多医药期刊微信公众号的出现,如何创作出优质的图文消息来服务目标用户显得尤为重要.本文就医药期刊微信公众号图文消息创作思路进行探索式分析和研究,希望能给医药期刊互联网营销实践操作提供一些实用性帮助.

[Objective]To investigate and analyze the health status of liver among 895 underground tunnelling workers of Datun coal mine(Xuzhuang mine and Yaoqiao mine),to find out problems,and provide scientific evidence for further improving the health protection measures and health care strategy.[Methods]The self-designed " dust-exposed workers questionnaire" was used to investigate 895 tunnelling workers of Datun coal mine.Ultrasonic examination was done by Datun coal mine hospital physician,The levels of hepatic biochemical indices were detected by the hospital clinical laboratory.The Epidata 31 software was used to form the database and State100 software was applied for data analysis.[Results]The detection rate of fatty liver was 29.05%,the abnormal rate of alanine aminotransferase(ALT) was 8.49%.The detection rates of ALT,total bilirubin(TBIL) and direct bilirubin(DBIL) in Yaoqiao mine were significantly higher than those of the Xuzhuang mine,as well as fatty liver and liver cyst(P <0.01).Regular drinking was one of the main independent risk factors of fatty liver.[Conclusion]The fatty liver is one of the main liver diseases in Datun coal mines.The high detection rate of fatty liver and other liver diseases have a certain relationship with workers living habits.