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AI as a Co-Author? We Should Also Ask Philosophical (and Ethical) Questions 人工智能作为合著者?我们也应该问哲学(和伦理)问题
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-23 DOI: 10.58600/eurjther1723
Abdullah Yıldız
Dear EditorsWith great interest and attention, I read authors’ short but stimulating editorial articles, which also contain extremely valuable questions [1]. The questions posed by the authors and the emphasis on referred articles reflecting different perspectives seem to reflect content about the practical benefits, risks, and inevitability of the use of technology. In addition, it is seen that the valuable comments on the article focus on issues such as the risk of harm and publication ethics issues in academic use of AI [2,3].Considering the discourse of the article’s authors, which invites discussion, it is seen that questions that go beyond mere responsibility or practical benefits or risks should also be asked. In this context, I think that questions based on philosophical and ethical foundations should also be asked. For example, What is AI’s ontological position as a writer is a very fundamental question. That is, does AI reflect a “particular” individual/entity as “a writer”, or does it reflect cognitive domination that has the power to access and process the knowledge of entire humanity easily, or does AI reflect a collective mind or "universal" as a product of the knowledge and cognitive history of humanity as a whole? I think these questions are notable for AI’s position as an author and whether that position is acceptable. Again, should AI be considered a tool (is given instrumental purpose) or as a value in itself (has intrinsic value)? As a fundamental question, this is also important for the acceptability or position of AI as an author. Without going into deep discussions for now, for example, how or what is the difference between AI as a tool and a classical data analysis tool? Does such a difference, if any, really warrant the attribution of authorship to AI? Questions like these seem important. Although different ethical discussions seem possible, the concept of responsibility to which the authors refer seems worth discussing. For example, it is also remarkable whether AI, as a responsible subject in itself, can also become a tool for other authors to avoid some responsibilities in research and publication ethics. It is known that such a debate exists in the field of clinical ethics [4].As a result, as the article authors said, the authorship of artificial intelligence will lead to important discussions. Therefore, it will be necessary to consider philosophical (and ethical) questions about the position of artificial intelligence.Yours sincerely,
尊敬的编辑们我怀着极大的兴趣和注意力阅读了作者们短小精深的社论文章,其中也包含了非常有价值的问题[1]。作者提出的问题和对参考文章的强调反映了不同的观点,似乎反映了有关使用技术的实际利益、风险和必然性的内容。此外,可以看到对文章的宝贵评论集中在AI学术使用中的危害风险和出版伦理问题等问题上[2,3]。考虑到文章作者的话语,这引起了讨论,可以看出,除了责任或实际利益或风险之外,还应该提出一些问题。在这种情况下,我认为也应该提出基于哲学和伦理基础的问题。例如,人工智能作为作家的本体论地位是什么,这是一个非常基本的问题。也就是说,人工智能是否反映了一个“特定的”个人/实体作为“作家”,或者它是否反映了一个有能力轻松获取和处理整个人类知识的认知支配,或者人工智能是否反映了一个集体的思想或“普遍的”作为整个人类知识和认知历史的产物?我认为这些问题对于AI作为作者的地位以及这种地位是否可以接受都是值得注意的。同样,人工智能应该被视为一种工具(具有工具性目的)还是一种本身的价值(具有内在价值)?作为一个基本问题,这对于AI作为作者的可接受性或地位也很重要。例如,在不深入讨论的情况下,人工智能作为一种工具和传统的数据分析工具之间有何区别?这种差异(如果有的话)真的能证明人工智能是作者吗?这些问题似乎很重要。虽然不同的伦理讨论似乎是可能的,但作者提到的责任概念似乎值得讨论。例如,人工智能本身作为一个负责任的学科,是否也可以成为其他作者逃避某些研究和出版伦理责任的工具,这也是值得关注的。众所周知,在临床伦理学领域存在这样的争论[4]。因此,正如文章作者所说,人工智能的作者身份将引发重要的讨论。因此,有必要考虑有关人工智能地位的哲学(和伦理)问题。你的真诚,
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引用次数: 5
Bibliometric and Visual Analysis of Palliative Nutrition Research Based on Web of Science 基于Web of Science的姑息性营养研究的文献计量与可视化分析
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-23 DOI: 10.58600/eurjther1672
Sevilay Alkan, M. Tokur
Objective: Nutritional therapy has been shown to reduce the mortality rates of critically ill individuals. In recent years, there has been a significant increase in scholarly curiosity about the growing use of palliative nutrition. In order to determine the global research output on palliative nutrition, this bibliometric analysis was conducted to assess the current status of research trends and research directions.Methods: The bibliometric data of the study was obtained from the online database Web of Science and analyzed and visualized with Excel, the Bibliometrix R package (version 4.1.2), and the bibliometric online application (https://bibliometric.com/app) tools.Results: A total of 1067 publications were included in this study. The majority of publications (398,37.30%) and citations (n: 9252) in this discipline have come from the United States. The most frequent publication type detected was article (n: 794). Publications published in 398 different sources (journals/books etc.). The international co-authorship rate was 11.62%. In the last 20 years, the annual number of publications has drastically expanded. The highest number of publications was published in 2020 and 2021 (n: 67, and n: 64 respectively). Australia, France, Canada, Japan, and China stand out as the countries with the highest number of publications in recent years. The terms 'end, care, hydration, nutrition, life, decision-making, artificial nutrition, and palliative care' were the most preferred keywords.Conclusion: Finally, given the number of palliative care patients globally is expected to rise, it is critical to do ongoing research on appropriate nutritional therapy for these patients. As our study shows study gaps and study trends, it can provide insight for future work in this field.
目的:营养疗法已被证明可以降低危重病人的死亡率。近年来,学术界对姑息性营养的使用日益增加的好奇心显著增加。为了确定全球姑息性营养的研究产出,本研究通过文献计量分析来评估研究趋势和研究方向的现状。方法:从Web of Science在线数据库中获取本研究的文献计量学数据,使用Excel、Bibliometrix R软件包(4.1.2版)和文献计量学在线应用(https://bibliometric.com/app)工具进行分析和可视化。结果:本研究共纳入1067篇文献。该学科的大部分出版物(398篇,37.30%)和引文(9252篇)来自美国。检测到的最常见的出版物类型是article (n: 794)。发表在398种不同来源的出版物(期刊/书籍等)。国际合著率为11.62%。在过去的20年里,每年的出版物数量急剧增加。发表论文数量最多的是2020年和2021年(分别为67篇和64篇)。澳大利亚、法国、加拿大、日本和中国是近年来发表论文数量最多的国家。“临终、护理、水合作用、营养、生命、决策、人工营养和姑息治疗”是最受欢迎的关键词。结论:最后,鉴于全球姑息治疗患者的数量预计会增加,对这些患者进行适当的营养治疗的持续研究是至关重要的。由于我们的研究显示了研究差距和研究趋势,它可以为该领域的未来工作提供见解。
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引用次数: 1
Association Between The Success Of Bariatric Surgery And Personality Traits 减肥手术成功与人格特质之间的关系
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-22 DOI: 10.58600/eurjther1683
O. İmre, S. Toprak
Objective: Acceptable preoperative psychosocial indicators of weight loss after bariatric surgery in morbidly obese patients are still unknown. In this study, the association between personality traits, multidimensional perceived social support, and the percentage of excess weight loss (EWL) following bariatric surgery was researched in morbidly obese patients.Methods: Participants in this prospective study were recruited from morbidly obese patients who applied to Karaman Training and Research Hospital's obesity unit between July 2021 and June 2022. The study comprised 84 morbidly obese individuals. The Temperament and Character Inventory was used to evaluate the personality traits of the morbidly obese. Perceived social support was measured using the multidimensional perceived social support scale. The percentage of weight loss after bariatric surgery was compared with personality traits and perceived social support scores.Results: The mean age of the patients who were morbidly obese was 36.7 ±8.7 years. There were 22 men (25.3%) and 62 women (74.7%).  The mean preoperative BMI was 46.2 ±63. The perceived social support score was 68.0±16.4. A univariate analysis found a positive relationship between 6 months and 1 year's EWL and Self-Transcendence, a Temperament and Character Inventory subcategory(p=0.011,p=0.023).Conclusion: Obesity treatment is a complex situation that requires a multidisciplinary approach. Given the potential physiological and psychological consequences of bariatric surgery, it is critical to uncover psychological predictive factors such as personality traits that boost the success of bariatric surgery and are connected with weight loss.  As a result, knowing the individuals who self-transcendence before bariatric surgery may be useful in predicting the success of bariatric surgery and planning treatment. This requires large-scale research.
目的:病态肥胖患者减肥手术后可接受的术前心理社会指标仍然未知。在本研究中,研究了病态肥胖患者的人格特质、多维感知社会支持和减肥手术后体重减轻(EWL)百分比之间的关系。方法:这项前瞻性研究的参与者是从2021年7月至2022年6月期间向卡拉曼培训与研究医院肥胖部门申请的病态肥胖患者中招募的。这项研究包括84名病态肥胖者。采用气质性格量表对病态肥胖者的人格特征进行评价。感知社会支持采用多维感知社会支持量表进行测量。将减肥手术后体重减轻的百分比与人格特征和感知社会支持得分进行比较。结果:病态肥胖患者的平均年龄为36.7±8.7岁。男性22例(25.3%),女性62例(74.7%)。术前平均BMI为46.2±63。感知社会支持得分为68.0±16.4分。单变量分析发现,6个月和1年的EWL与自我超越(气质和性格量表子类别)呈正相关(p=0.011,p=0.023)。结论:肥胖的治疗是一个复杂的情况,需要多学科结合。考虑到减肥手术的潜在生理和心理后果,揭示心理预测因素(如人格特征)是至关重要的,这些因素可以促进减肥手术的成功,并与减肥有关。因此,在减肥手术前了解自我超越的个体可能有助于预测减肥手术的成功和计划治疗。这需要大规模的研究。
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引用次数: 0
Dietary zinc status in offspring of pregnant rats fed on a zinc-deficient diet is associated with serum albumin, AST, and ALT levels 饲粮缺锌的怀孕大鼠后代的膳食锌状况与血清白蛋白、谷丙转氨酶和谷丙转氨酶水平相关
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-22 DOI: 10.58600/eurjther1659
M. Gümüs, S. B. Baltaci
Objective: This study was carried out to investigate whether dietary zinc status is associated with serum albumin, AST and ALT levels in male offspring of mother rats fed a zinc deficient diet.Methods: The study was carried out on male offspring (Groups 1, 2, 3) born to rats fed a zinc deficient diet and on male offspring (Group 4) born to mothers fed a standard diet. Group 1: Zinc deficient, Group 2; standard rat chow, Group 3: Zinc supplemented diet. Animals of group 4 were used as control group. After the completion of the experimental stages of the study, albumin, AST, ALT, free and total bilirubin levels in serum samples taken from animals were determined by spectrophotometric method.Results: Dietary zinc deficiency (group 1) significantly decreased serum albumin values (p<0.004). Animals in both the zinc deficient (Group 1) group and the Group 2 animals born to mothers fed a zinc deficient diet and fed standard rat chow had the highest AST and ALT levels (p<0.001).Conclusion: The present study is the first to show that dietary zinc status can directly affect liver function in rats born to zinc deficient mothers by causing changes in serum albumin, AST and ALT levels.
目的:探讨饲粮锌水平与缺锌母鼠雄性后代血清白蛋白、谷丙转氨酶和谷丙转氨酶水平的关系。方法:研究对象为喂食缺锌饲料的大鼠所生的雄性后代(1、2、3组)和喂食标准饲料的母鼠所生的雄性后代(4组)。1组:锌缺乏,2组;标准大鼠饲料,第三组:补锌饲料。第4组为对照组。实验阶段研究结束后,采用分光光度法测定动物血清白蛋白、AST、ALT、游离胆红素和总胆红素水平。结果:饲粮缺锌(1组)显著降低血清白蛋白值(p<0.004)。缺锌组(第1组)和缺锌组(第2组)所生小鼠的AST和ALT水平均最高(p<0.001)。结论:本研究首次表明,锌含量可以通过改变血清白蛋白、AST和ALT水平直接影响缺锌母亲所生大鼠的肝功能。
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引用次数: 0
The Effect of Warning Images and Texts on Cigarette Packages on Smoking Behavior Among Healthcare Professionals 香烟包装上警示图像和文字对医护人员吸烟行为的影响
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-22 DOI: 10.58600/eurjther1640
Melek Öztürk, N. Aydın
Objectives: The opinion of health staff working at hospitals connected to Gaziantep Province Public Hospitals Union on the effects of warning purposed pictures and texts on cigarette packages on smoking behavior was searched.Methods: 458 health staff participated in the research. Percentage, frequency and chi-square test were used in the data analysis. Results: 42.8% of the participants were midwife nurses, 22.5% were specialist physicians, 19.9% were laboratry-anesthesia-X-ray techician and 14.8% were general practitioners. The smoking rate of the particiapants was found to be ’41.4%. The rate of the ones who want to give up smoking was determined as 52.6%. The health staff were highly affected by the united warnings on the cigarette packages (61.5%). Most of the participants think that this application may be effective in fighting smoking (43.9%). The most important factor in giving up smoking was the health problems caused due to smoking (56.5%). Prohibition of smoking in enolosed spaces was seen as the most effective method in fighting smoking. The united warnings on the cigarette packages were seen as the least effective method both among giving up smoking reasons and in fighting smoking, differences were determined among the groups according to demographic features and smoking habits (p˃0.05). The most effective warnings were like this in order; ‘‘smoking during pregnancy gives harn to the bayb’’ (72.1%), ‘‘protect your childeren, don’t let them breathe your smoke’’ (66.8%), ‘‘smoking causes fatal lung cancer’’ (59.6%) and the least effective warnings were like this in order; ‘‘ask for help from your doctor and the closest cottage hospital to give up smoking’’ (31.7%), ‘‘health institutions help you to give up smoking’’ (38.2%) and ‘‘smokers die young’’ (41.3%).Conclusion: As a result of this study, it was put forth that the health staff whose smoking rate is high should primarily be taken to education programs on giving up smoking and then their support should be taken to fight smoking. On smoking behavior, the content of the warnings placed on cigarette packakes shown effective for pictures and texts should be further enhanced.
目的:调查加济安泰普省公立医院联盟附属医院的医务人员对烟盒上警示图片和文字对吸烟行为的影响的看法。方法:458名卫生工作人员参与研究。数据分析采用百分数、频率和卡方检验。结果:参与调查者中助产士占42.8%,专科医师占22.5%,实验室麻醉x线技师占19.9%,全科医师占14.8%。调查对象的吸烟率为41.4%。决定戒烟的比率为52.6%。卫生人员对卷烟包装上联合警语的影响最大(61.5%)。大部份受访者(43.9%)认为此应用程式可有效戒烟。戒烟最重要的原因是吸烟引起的健康问题(56.5%)。禁止在封闭空间吸烟被认为是对抗吸烟最有效的方法。香烟包装上的联合警告在戒烟和戒烟中都被认为是最不有效的方法,根据人口统计学特征和吸烟习惯确定组间差异(p > 0.05)。最有效的警告是这样排列的;“孕期吸烟危害胎儿”(72.1%)、“保护好孩子,不要让孩子吸入你的烟”(66.8%)、“吸烟导致致命肺癌”(59.6%)等最无效的警示依次为:“向医生和最近的村舍医院求助戒烟”(31.7%)、“卫生机构帮助戒烟”(38.2%)、“吸烟者早死”(41.3%)。结论:本研究提出应首先对高吸烟率的卫生工作人员进行戒烟教育,然后再对其进行戒烟支持。在吸烟行为方面,应进一步加强香烟包装上的警告内容,以图片和文字显示有效。
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引用次数: 0
We Asked ChatGPT About the Co-Authorship of Artificial Intelligence in Scientific Papers 我们询问了ChatGPT关于科学论文中人工智能的共同作者
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-22 DOI: 10.58600/eurjther1719
Ayşe Balat, I. Bahsi
Dear Colleagues,A few weeks ago, we published an editorial discussion on whether artificial intelligence applications should be authors of academic articles [1]. We were delighted to receive more than one interesting reply letter to this editorial in a short time [2, 3]. We hope that opinions on this subject will continue to be submitted to our journal.In this editorial, we wanted to publish the answers we received when we asked ChatGPT, one of the artificial intelligence applications, about this current discussion.We asked ChatGPT three questions in turn and asked ChatGPT to write a short editorial for these questions.First Question: We would like to get support from ChatGPT for a scientific article. However, we are unsure if we should add ChatGPT as an author. Can you write a short editorial about it?Second Question: We would like to get support from ChatGPT for a scientific article and add ChatGPT as an author. Can you write us a short editorial about adding ChatGPT as an author in scientific papers?Third Question: We would like to get support from ChatGPT for a scientific article. However, we don’t want to add ChatGPT as an author. Can you write us a short editorial about not adding ChatGPT as an author in scientific articles?The answers given by ChatGPT are available at the end of the article in their original form. So, which of these three answers satisfied you?Yours sincerely, First AnswerTitle: The Role of AI Language Models as Authors in Scientific Articles: A Matter of ConsiderationIntroduction: Scientific research is a collaborative effort that involves the expertise of multiple individuals to advance knowledge and contribute to the collective understanding of various disciplines. In recent years, the emergence of artificial intelligence (AI) language models, such as ChatGPT, has opened up new possibilities for generating human-like text and providing valuable insights. However, the question arises: Should AI language models be recognized as authors in scientific articles?The Nature of Authorship: Authorship traditionally represents a marker of intellectual contribution, highlighting the individuals who have actively participated in the research process. Authors are typically responsible for conceptualization, data collection, analysis, interpretation, and writing of the article. They bear accountability for the work and should have the ability to defend its scientific rigor and integrity.AI Language Models: Tools, Not Authors: While AI language models like ChatGPT can undoubtedly assist researchers by generating text and providing useful information, it is important to recognize that they are tools rather than individuals capable of active intellectual participation. AI models lack the ability to generate ideas, design experiments, or conduct original research. They rely entirely on pre-existing data and human input to generate their responses.Acknowledging AI Contributions: Acknowledging the contributions of AI languag
几周前,我们发表了一篇关于人工智能应用是否应该成为学术文章作者的社论讨论[1]。我们很高兴在短时间内收到多封有趣的回信[2,3]。我们希望关于这个问题的意见将继续提交给我们的杂志。在这篇社论中,我们想公布我们在询问人工智能应用之一ChatGPT关于当前讨论时收到的答案。我们依次问了ChatGPT三个问题,并请ChatGPT为这些问题写一篇简短的社论。第一个问题:我们希望从ChatGPT获得科学文章的支持。但是,我们不确定是否应该将ChatGPT添加为作者。你能就此写一篇简短的社论吗?第二个问题:我们希望从ChatGPT获得科学文章的支持,并添加ChatGPT作为作者。你能给我们写一篇关于在科学论文中加入ChatGPT作为作者的简短评论吗?第三个问题:我们希望从ChatGPT获得科学文章的支持。但是,我们不希望将ChatGPT添加为作者。你能给我们写一篇关于不要在科学文章中添加ChatGPT作为作者的简短评论吗?ChatGPT给出的答案在本文末尾以原始形式提供。那么,这三个答案中哪一个让你满意?你真诚的,第一个答案标题:人工智能语言模型在科学文章中作为作者的作用:一个考虑事项介绍:科学研究是一项协作努力,涉及多个个人的专业知识,以推进知识和促进对各个学科的集体理解。近年来,人工智能(AI)语言模型的出现,如ChatGPT,为生成类人文本和提供有价值的见解开辟了新的可能性。然而,问题出现了:人工智能语言模型应该被认为是科学文章的作者吗?作者身份的性质:作者身份传统上代表了智力贡献的标志,突出了积极参与研究过程的个人。作者通常负责概念化、数据收集、分析、解释和撰写文章。他们对工作负有责任,应该有能力捍卫其科学严谨性和完整性。人工智能语言模型:工具,而不是作者:虽然像ChatGPT这样的人工智能语言模型无疑可以通过生成文本和提供有用的信息来帮助研究人员,但重要的是要认识到它们是工具,而不是能够积极参与智力活动的个人。人工智能模型缺乏产生想法、设计实验或进行原创研究的能力。它们完全依赖于预先存在的数据和人工输入来生成响应。承认人工智能的贡献:承认人工智能语言模型在科学文章中的贡献是适当的,也是必要的。研究人员可以提到所使用的具体模型,以及为满足他们的需求而进行的任何修改或微调。这样的致谢有助于建立透明度,让读者了解人工智能在研究过程中的作用。对人类研究人员的信任:确保积极参与研究过程的个人作为作者得到适当的信任是至关重要的。这些人在制定研究问题、设计实验、收集和分析数据以及批判性地解释研究结果方面发挥着至关重要的作用。承认他们的智力贡献可以加强科学合作的精神,并培养一种问责的环境。透明度和道德考虑:随着人工智能语言模型的使用不断发展,透明度和道德考虑变得至关重要。研究人员应披露任何潜在的利益冲突,包括与人工智能开发人员的财务关系,以保持其工作的完整性。此外,研究人员在报告人工智能参与的程度时必须透明,以防止对人类贡献的任何误解。结论:人工智能语言模型彻底改变了研究人员与信息交互和处理的方式。虽然它们无疑在生成文本方面提供了宝贵的帮助,但人工智能语言模型不应被视为科学文章的作者。适当承认人类研究人员作为工具的贡献和对人类研究人员积极参与的认可,对于维护科学诚信、透明度和科学研究的协作性质至关重要。
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引用次数: 9
Artificial Intelligence and Article Writing 人工智能与文章写作
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-17 DOI: 10.58600/eurjther1706
O. İmre
Dear Editors,I was very interested in your editorial [1]. Technological advancements are so rapid that humans are unable to keep up. And we eagerly await the outcomes of technological advancement. The study of artificial intelligence is one of the topics that has recently gained popularity. If someone had predicted a hundred years ago, "A technology will come that will detect the commands you receive, act accordingly, and write scientific articles," we would laugh at her. Many artificial intelligence dreams that appear weird to us now, I believe, will come true shortly. The Generative Pre-Trained Transformer 3 (GPT3) was developed a few years ago, in line with improvements in artificial intelligence. With this model, artificial intelligence was used to generate content that resembled human-written documents. A more advanced version of ChatGPT was produced a few years later. In March 2023, the most recent GPT4 version was launched. Errors in article writing have been reduced using this and comparable applications such as artificial intelligence. In fact, it has become nearly impossible to detect the difference between publications written by scientists and articles written by artificial intelligence. Some journals have begun to accept artificial intelligence apps as co-authors [2].Article authoring is made considerably easier by artificial intelligence. In terms of time savings, using artificial intelligence products such as ChatGPT and GPT 4 may make sense. However, there are some risks associated with this circumstance. For example, because disseminating personal data is a felony, authors may feel compelled to conceal some information in order to preserve personal data. Artificial intelligence programs can readily perpetrate crimes involving personal data by releasing secret facts. This situation presents numerous legal issues. Furthermore, the language to be used in article writing may alter depending on the topic of study. In this instance, it is vital to go check the words chosen by artificial intelligence programs in the article. As a result, my recommendation is to use tools such as ChatGPT, GPT 4, or similar basic jobs once the user has written the article themselves. Leaving all of the work to these apps may cause more harm than good.Kind Regards
亲爱的编辑们,我对你们的社论很感兴趣[1]。科技进步如此之快,以至于人类无法跟上。我们热切地等待着技术进步的结果。人工智能的研究是最近越来越受欢迎的话题之一。如果有人在一百年前预言,“一种技术将会到来,它可以探测到你收到的命令,并据此采取行动,并撰写科学文章”,我们会嘲笑她。我相信,许多现在对我们来说很奇怪的人工智能梦想很快就会成真。生成预训练变压器3 (GPT3)是几年前开发的,符合人工智能的改进。有了这个模型,人工智能被用来生成类似于人类编写的文档的内容。几年后,一个更高级的ChatGPT版本诞生了。在2023年3月,推出了最新的GPT4版本。使用这种方法和类似的应用程序(如人工智能)可以减少文章写作中的错误。事实上,科学家发表的文章和人工智能撰写的文章之间的区别已经变得几乎不可能检测出来。一些期刊已经开始接受人工智能应用作为共同作者[2]。人工智能使文章创作变得相当容易。在节省时间方面,使用ChatGPT和GPT 4等人工智能产品可能是有意义的。然而,在这种情况下存在一些风险。例如,由于传播个人数据是重罪,作者可能会觉得有必要隐藏一些信息以保存个人数据。人工智能程序可以很容易地通过发布秘密事实来实施涉及个人数据的犯罪。这种情况提出了许多法律问题。此外,在文章写作中使用的语言可能会根据研究的主题而改变。在这种情况下,检查文章中人工智能程序选择的单词是至关重要的。因此,我的建议是,一旦用户自己编写了文章,就使用ChatGPT、GPT 4或类似的基本作业之类的工具。把所有的工作都交给这些应用程序可能弊大于利。亲切的问候
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引用次数: 5
Comparative Study, Walant vs Axillary Block in Carpal Tunnel Surgery 腕管手术中Walant与腋窝阻滞的比较研究
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-11 DOI: 10.58600/eurjther1658
Zafer Soydan, I. B. Özçelik
Objectives: Wide awake local anesthesia no tourniquet (WALANT) is a local anesthetic technique that, in theory, reduces costs and surgical waiting periods. The purpose of this study was to compare axillary block (AXB) with WALANT in terms of pain scores, duration of hospital stay, and hand function in patients who underwent CTR surgery.Methods: Between January 2015 and February 2020, a retrospective analysis was conducted on the outcomes of 410 patients who underwent CTS surgery. The Walant technique was utilized on 210 patients, while the AXB technique was utilized on 200 patients. These two groups were compared regarding operative time, hospital stay, VAS score at specific intervals before and after surgery, and hand function recovery.Results: The mean operation time is 11 min (8-18) for WALANT group and 13 min (7-43) for AXB group. Average time of length of hospitalization is 4.2 hours (2-6) for WALANT and 14.2 hours (9-26) for AXB groups. The VAS scores of WALANT group is significiantly less than AXB group (p<0.05). The percentages of being able to use their hands compared to their nonoperative hands were evaluated. These rates were higher in the WALANT group than in the AXB group (65-75% vs. 45-60%).Conclusion: Increased patient comfort was associated with the WALANT technique. It is superior to AXB in terms of patient satisfaction, postoperative long-term pain management, and hand function recovery. Assuming all safety recommendations are adhered to, WALANT is an alternative to tourniquets in CTS surgeries for obtaining a bloodless surgical field without the discomfort of tourniquet application.
目的:无止血带的全清醒局麻(WALANT)是一种理论上可以减少成本和手术等待时间的局麻技术。本研究的目的是比较腋窝阻滞(AXB)与WALANT在接受CTR手术患者的疼痛评分、住院时间和手功能方面的差异。方法:2015年1月至2020年2月,对410例接受CTS手术的患者进行回顾性分析。Walant技术用于210例患者,AXB技术用于200例患者。比较两组患者手术时间、住院时间、术前术后特定时间点VAS评分及手功能恢复情况。结果:WALANT组平均手术时间为11 min (8 ~ 18), AXB组平均手术时间为13 min(7 ~ 43)。WALANT组平均住院时间4.2小时(2-6),AXB组平均住院时间14.2小时(9-26)。WALANT组VAS评分显著低于AXB组(p<0.05)。与非手术手相比,能够使用他们的手的百分比进行了评估。WALANT组的这些比率高于AXB组(65-75% vs. 45-60%)。结论:提高患者舒适度与WALANT技术有关。在患者满意度、术后长期疼痛管理和手部功能恢复方面,它优于AXB。假设所有的安全建议都被遵守,WALANT是CTS手术中止血带的替代选择,可以获得无血的手术野,而不会带来止血带应用的不适。
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引用次数: 0
Predictive Risk Factors for Clinically Related Pancreatic Fistula After Pancreaticoduodenectomy: Analysis of 248 Patients 248例胰十二指肠切除术后临床相关胰瘘的预测危险因素分析
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-11 DOI: 10.58600/eurjther1610
F. Güngör, A. Atay, N. Acar, H. Bağ, E. O. Gür, O. Dilek
Objective: Postoperative pancreatic fistula (POPF) affects 13-50% of patients undergoing pancreaticoduodenectomy (PD), and remains the main source of post-PD morbidity and mortality. Therefore, determining predictive risk factors for POPF remains popular today. In this study, we aimed to determine the predictive risk factors for clinically related postoperative pancreatic fistula (CR-POPF) in the preoperative and early postoperative period in patients that underwent PD.Methods: This is a retrospective study involving 248 patients who underwent PD between January 2015 and December 2019 in our center. We compared the groups that did and did not develop CR-POPF. We determined the risk factors affecting CR-POPF by stepwise logistic regression analysis.Results: 141 (56.8%) of the patients included in the study were male and the median age was 63 (56-70)/year. The CR-POPF rate was 18.1%. We found a statistically significant difference (p <0.05) in the following parameters: diabetes, smoking, preoperative leukocyte, preoperative neutrophil, postoperative first day (POD1) amylase, POD1 AST, POD1 ALT, POD1 CRP, POD1 lymphocyte-CRP ratio (LCR), postoperative third day (POD3) lymphocyte, POD3 CRP, in POD3 neutrophil-lymphocyte ratio, POD3 platelet-lymphocyte ratio (PLR), POD3 AST-ALT ratio, POD3 LCR, surgeon experience, incision type, Wirsung diameter, pancreatic tissue and operation time. In the stepwise logistic regression model, we found POD1 AST, POD3 CRP, POD3 TLR, diabetes, surgeon experience, and Wirsung diameter as predictive risk factors.Conclusions: In our study, we found POD1 AST, POD3 CRP, POD3 TLR, diabetes, surgeon experience and Wirsung diameter as predictive risk factors for CR-POPF.
目的:术后胰瘘(POPF)影响13-50%的胰十二指肠切除术(PD)患者,是PD术后发病率和死亡率的主要来源。因此,确定POPF的预测风险因素在今天仍然很受欢迎。在本研究中,我们旨在确定PD患者术前和术后早期临床相关术后胰瘘(CR-POPF)的预测危险因素。方法:这是一项回顾性研究,涉及2015年1月至2019年12月在我中心接受PD治疗的248例患者。我们比较了有和没有发生CR-POPF的组。采用逐步logistic回归分析确定影响CR-POPF的危险因素。结果:141例(56.8%)患者为男性,中位年龄63岁(56 ~ 70岁)/年。CR-POPF率为18.1%。我们发现以下参数差异有统计学意义(p <0.05):糖尿病、吸烟、术前白细胞、术前中性粒细胞、术后第一天(POD1)淀粉酶、POD1 AST、POD1 ALT、POD1 CRP、POD1淋巴细胞-CRP比值(LCR)、术后第三天(POD3)淋巴细胞、POD3中性粒细胞-淋巴细胞比值、POD3血小板-淋巴细胞比值(PLR)、POD3 AST-ALT比值、POD3 LCR、手术经验、切口类型、Wirsung直径、胰腺组织、手术时间。在逐步logistic回归模型中,我们发现POD1 AST、POD3 CRP、POD3 TLR、糖尿病、外科医生经验和Wirsung直径是预测危险因素。结论:在我们的研究中,我们发现POD1 AST、POD3 CRP、POD3 TLR、糖尿病、外科医生经验和Wirsung直径是CR-POPF的预测危险因素。
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引用次数: 0
Head And Neck Tuberculosis in Southeastern Region In Turkey, Near The Syrian Border 土耳其东南部靠近叙利亚边境地区的头颈部结核病
IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-07-10 DOI: 10.58600/eurjther1624
Koray Tümüklü, I. Aytac, A. Yazıcı, Sema Aytaç
Objective: The study was conducted to evaluate profiles, demographical data, diagnostic, clinical and treatment approaches in relation to the cases of diagnosed head and neck tuberculosis after the start of the Syrian civil war in 2011. The aim of study is to share current knowledge on head and neck tuberculosis and to investigate whether there is an epidemiological change with the admission of immigrants after start of the Syrian civil war.Methods: Demographic data, contact history, relapse, localisation, tuberculin test, BCG vaccination and treatment duration are evaluated variables.  Two groups were created. First group were diagnosed with head and neck tuberculosis between 2006 and 2011 before the outbreak of the Syrian civil war, and second group were diagnosed between 2012 and 2017, after the war in Syrian caused hundreds of thousands of Syrian citizens to flee their homes and cross the border into Turkey.  Results: Head and neck tuberculosis cases tend to increase after the year of 2012. The number of diagnosed non- Turkish citizens expand after the year of 2012 and reach to the highest number in 2017. BCG vaccination status and the contact history were found to be the only variables that display statistical significance between the groups.Conclusions: The number of head and neck tuberculosis cases increased after the Syrian war began due to insufficient rates of vaccination among the Syrian population and this population’s overcrowded living environment in Turkey. The burden of these crises affects a region rather than the whole country.
目的:本研究旨在评估2011年叙利亚内战开始后确诊的头颈部结核病病例的概况、人口统计数据、诊断、临床和治疗方法。研究的目的是分享目前关于头颈部结核病的知识,并调查叙利亚内战开始后移民入境是否有流行病学变化。方法:以人口学资料、接触史、复发、地区、结核菌素试验、卡介苗接种和治疗时间为评价变量。创建了两组。第一组患者在叙利亚内战爆发前的2006年至2011年期间被诊断出患有头颈部结核病,第二组患者在2012年至2017年期间被诊断出患有头颈部结核病,此前叙利亚战争导致数十万叙利亚公民逃离家园并越过边境进入土耳其。结果:2012年以后头颈部结核病例呈上升趋势。2012年之后,被诊断为非土耳其公民的人数增加,并在2017年达到最高水平。卡介苗接种状况和接触史是组间仅有的具有统计学意义的变量。结论:叙利亚战争开始后,由于叙利亚人口的疫苗接种率不足以及叙利亚人口在土耳其过度拥挤的生活环境,头颈部结核病病例数量增加。这些危机的负担影响的是一个地区而不是整个国家。
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引用次数: 0
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