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Analysis of Dendritic Spine Morphology in Cultured CNS Neurons
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一个以人口为基础的学校脊椎病查的研究
1Department of Research, Olmsted Medical Center, Rochester, Minn 55904, USA. yawnx002@tc.umn.edu
JAMA
|October 27, 1999
概括
学校的脊椎形查发现了一些需要治疗的儿童,但导致了许多不必要的转诊. 这些发现质疑了青少年异常学脊椎病的社区查计划的整体有效性.
科学领域:
- 公共卫生 公共卫生
- 儿科 儿科 儿科
- 整形外科 整形外科 整形外科
背景情况:
- 美国26个州有针对青少年特异性脊椎病的强制性学校查计划.
- 关于这些强制性脊柱体查计划的有效性的数据有限.
研究的目的:
- 评估基于社区的学校脊柱形查计划的有效性.
主要方法:
- 从1979年到1982年,在明尼苏达州罗切斯特的儿童中进行了一项回顾性队列研究.
- 从5年级到9年级的查数据与社区医疗记录联系在一起,以确定被诊断和治疗的脊椎病例.
- 随访延长到19岁或直到孩子离开学区.
主要成果:
- 在2242名接受查的儿童中,有92名儿童被转诊,但在9名接受治疗的脊椎形病例中,只有5例被查发现.
- 鉴定治疗过的脊椎病的积极预测值很低 (0.05),448名儿童接受查,以找到一个治疗过的病例.
- 诊断出脊椎病的累计发病率为1.8%的曲线>10度,治疗的0.4%.
结论:
- 学校的脊椎形查发现了一些需要治疗的儿童,但导致了许多不必要的转诊.
- 研究数据表明,在决定实施学校脊柱体查计划时,需要仔细考虑.
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