作者：陽光醫院 精神科 張俊鴻 醫師
相關文章：[快訊] 張俊鴻醫師 NHIRD 癌症系列研究第三篇，獲 PLOS ONE 刊登！
投稿策略
先說結論：就是實踐蔡校長說的密集安打策略！
這篇 2015 年 8 月剛登出的肝癌後診斷憂鬱症的論文，已經是我們團隊癌症系列的第三篇、也是登出於 PLOS ONE 的第二篇。有圖有真相：
我們團隊的主題，一開始就設定為癌症與精神疾病，其中又以乳癌與憂鬱症較常見。但是回顧文獻後，發現已經有很多關於「乳癌有較高憂鬱症風險」的報告。所以我們改採垂直與水平延伸方法：垂直延伸的問題就是「乳癌患者接受輔助治療與憂鬱症的風險」；水平延伸的問題就是「肝癌與憂鬱症的風險」。
為何選擇 PLOS ONE？
一句話解釋：快速且優質的服務，但是不包含放水！
PLOS ONE 有四大審稿重點，固定請審稿者針對這些回答，並將細節列在這四點後面。以下就是這四大重點（投稿前請自行檢查一下吧）：
- Is the manuscript technically sound, and do the data support the conclusions?
The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.
- Has the statistical analysis been performed appropriately and rigorously?
- Does the manuscript adhere to the PLOS ONE Data Policy?
Authors must follow the PLOS ONE Data policy, which requires authors to make all data underlying the findings described in their manuscript fully available without restriction. Please refer to the author’s Data Availability Statement in the manuscript. All data and related metadata must be deposited in an appropriate public repository, unless already provided as part of the submitted article or supporting information. If there are restrictions on the ability of authors to publicly share data—e.g. privacy or use of data from a third party— these reasons must be specified.
- Is the manuscript presented in an intelligible fashion and written in standard English?
PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.
其中第三項（也是健保資料庫要特別注意的 Data availability）是今年三月後特別注重的「資料使用性說明」，投稿中也多出一個 Data availability 欄位，要作者說明研究資料的來源及使用性。
一開始我們不太清楚，寫得太簡略，即使被接受了，PLOS ONE 還來稿兩次詢問：「國外研究人員可否使用？」等問題。後來我們參考其他團隊的寫法，仔細說明才通過。下面附上我們的 Data Availability Statement：「Data are available from the National Health Insurance Research Database (NHIRD) published by Taiwan National Health Insurance (NHI) Bureau. Due to legal restrictions imposed by the government of Taiwan in relation to the “Personal Information Protection Act”, data cannot be made publicly available. Requests for data can be sent as a formal proposal to the NHIRD (http://nhird.nhri.org.tw).」
不過就投稿者的角度來說，還有些需要改進的地方，例如文章接受後會要求投稿者修改圖表文獻等格式，而有些雜誌（如 Journal of Affective Disorders）會直接幫你修改成 PDF 後請你確認。
真正最貴的成本，是生命。
排版之修改前（左） VS 排版之修改後（右）
排版一般被認為「枝微末節」，但真去做，就會發現問題一堆！什麼時候要輸出圖片？用多少像素？用哪種格式？何時不用輸出？要擺哪裡？如果還想陪陪老婆和小孩，並在專業上精進的話，建議別瞎忙了。《醫學論文與寫作工作坊》可以節省你很多寶貴的生命時間。
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