影响10～12岁学龄儿童行为的家庭因素分析

目的探讨学龄儿童行为问题及影响因素.方法采用Rutter儿童行为问卷(父母问卷)评价儿童行为,采用Moss家庭环境量表(FES)和自拟的儿童行为问题影响因素调查表,调查10～12岁城市学龄儿童325名.结果学龄儿童行为问题检出率为9.7%;儿童行为与家庭成员的情感表达程度、家庭人员间亲密度呈显著负相关(P<0.05);经多因素分析,儿童行为问题的影响因素主要有家庭成员情感表达、家庭道德观.结论儿童行为与家庭环境有密切关系,和谐的家庭气氛、良好的家庭道德观念是促进儿童行为发育的有利条件.     

学龄前儿童多动－冲动行为与家庭环境的关系

目的：了解学龄前儿童多动－冲动行为的发生率及其与家庭环境因素的关系。方法对深圳市龙华新区幼儿园进行整群抽样,以抽取儿童为对象,采用Conners父母问卷（ PSQ）、家庭环境量表中文版（ FES－CV）和一般情况问卷分别调查儿童多动－冲动行为和家庭环境因素。结果被筛儿童中有18.5％存在多动－冲动问题,且多动－冲动组儿童家庭的亲密度、情感表达、知识性、组织性、娱乐性、道德宗教观和控制性要明显低于正常儿童家庭（P＜0.05）;而矛盾性和成功性显著高于正常儿童（P＜0.05）;独立性在两组间差异无统计学意义（P＞0.05）。 logistic回归分析发现情感表达、矛盾性、成功性、文化性、道德宗教观、组织性对儿童的多动－冲动行为有影响。结论多动－冲动儿童的家庭环境存在不良因素,可能是造成其多动－冲动行为高发的原因之一。     

学龄儿童行为问题与家庭环境关系的研究

目的了解银川市家庭环境对儿童行为问题发生的影响。方法采用Achenbach儿童行为量表(CBCL)和家庭环境量表中文版(FES-CV)对银川市三所小学592名学生的行为问题及其家庭环境进行调查。结果男生和女生行为问题的发生与家庭环境的亲密度、情感表达、矛盾性、独立性、成功性、知识性、娱乐性的相关性有统计学意义(P<0.05)。Logistic回归分析发现家庭环境的情感表达越低,男生行为问题的发生率越高;家庭环境的矛盾性越高,女生行为问题的发生率越高;儿童行为问题的发生与父母的受教育程度以及儿童生活在单亲或再婚家庭的相关性有统计学意义(P<0.05)。结论家庭环境对学龄儿童行为问题的发生有重要影响,必须重视家庭环境各因素的影响。     

学龄期儿童行为问题与家庭环境因素关系的研究

目的：分析学龄期儿童行为问题与家庭环境因素的关系。方法：应用Putter儿童行为问卷（父母问卷）、家庭环境量表（FESCV），采用问卷调查方法获得相关数据并分析其关系。结粜：儿童行为问题发生率11．26％。在家庭环境量表10个分量表中，亲密度、情感表达、矛盾性、知识性与对照组相比差异显著；与中国常模相比，除亲密度、成功性和宗教道德观3项外，其余7项均差异显著。中国常模与对照组相比也有7项差异显著。儿童行为问卷总分与家庭环境量表的知识性、成功性和组织性分量表呈负相关，与父母文化程度呈负相关。结论：家庭成员间缺乏帮助和支持，情感交流的低表达。经常处于矛盾状态，对知识和成功的渴求性差。家庭活动中责任不明确以及父母文化程度低是儿童行为问题发生的重要成因。     

家庭环境对学龄儿童行为问题的影响

目的探讨家庭环境对学龄儿童行为问题的影响。方法采用家庭环境表中文版（FES-CV）和Achenbach儿童行为量表（CBCL）对358名6～11岁儿童的行为问题及其家庭环境进行调查，并对调查结果进行多元回归分析。结果影响男性儿童行为问题的家庭特征包括矛盾性、成功性、知识性、娱乐性和组织性，而影响女性儿童行为问题的家庭特征为矛盾性、知识性和娱乐性。家庭环境对学龄儿童行为问题的影响存在性别差异。结论为了降低学龄儿童行为问题发生率，必须重视家庭环境的作用，并且要注意性别差异。     

家庭环境与儿童行为的相关性研究

目的：探讨父母养育方式，家庭环境及父母个性对学龄前儿童行为问题的影响。方法：采用Achenbanch儿童行为量表（CBCL），父母养育方式评定量表（EMBU），家庭环境量表中文版（FES－CV），艾森克人格问卷（成人）,用分层整群抽样法对杭州市452例学龄儿童进行了调查评定。结果：父母养育方式中惩罚严厉、拒绝否认、过度保护和家庭环境的亲密度、情感表达、矛盾性、独立性、文化性、道德性、组织性及母亲个性N分高与儿童行为问题相关。结论：改善父母养育方式和家庭环境是预防和矫治儿童行为不良的有效措施。     

唐山市学龄儿童行为问题及家庭因素调查分析

目的 了解唐山市学龄儿童行为问题发生现状,探讨家庭因素对儿童行为问题的影响,以便有针对性地采取干预措施.方法 采用分层整群抽样的方法,应用Conners父母问卷对唐山市城乡1611名6～14岁儿童进行评定.结果 唐山市学龄儿童行为问题检出率为15.9％;男女童检出率分别为14.8％、17.0％,二者差异无统计学意义(P＞0.05).不同年龄组间学习问题、身心障碍检出率均高于其他因子.随着年龄的增高,儿童行为问题检出率呈下降趋势.Logistic回归分析显示,年龄、家庭成员关系、长期寄养、母亲教育方式、父母教育态度、父母打骂儿童、父母辅导儿童学习与儿童行为问题发生显著相关.结论 唐山市学龄儿童行为问题发生率较高,家庭环境因素与之关系密切.     

城乡学龄儿童行为问题及影响因素比较

目的：了解城乡学龄儿童行为问题现况及影响因素。方法：采Achenbach儿童行为量表（CBCL）调查 哈尔滨市城市与农村6－14岁的学龄儿童共1961名，并采用自拟的儿童行为问题影响因素问卷，对其父母进行问卷调查。结果：城乡学龄儿童行为问题检出分别为11．37％和19．26％，两组间有极显著差异（P＜0．01）。城乡儿童行为问题类型构成比分布趋势一致，均以混合问题儿童为主，内向问题儿童所占比例均大于外向问题儿童。城乡学龄儿童的分裂样、社交退缩、体诉、交往不良、多动、攻击性、性问题因子异常率有显著差异，均为农村大于城市儿童。多因素分析揭示：儿童行为问题的主要影响因素，城市组依次为母孕期情况、父母婚姻关系、幼儿期疾病、是否寄养；农村组依次为幼儿期疾病、幼儿期生活变故、父母文化程度。结论：北方地区农村学龄儿童行为问题检出率明显高于城市儿童。加强母孕期保健预防幼儿期疾病、避免生活变故、改善家庭环境是减少城乡学龄儿童行为问题发生的有效措施。     

6—11岁农村学龄儿童行为问题及其影响因素的研究

目的　调查农村学龄儿童的行为问题及其影响因素。方法　采用Ａｃｈｅｎｂａｃｈ 儿童行为量表和自制的儿童行为问题影响因素问卷,调查６～１１ 岁农村儿童８６６ 名。结果　农村学龄儿童行为问题检出率为２０．６７％ ±１．４０％ 。行为问题的影响因素主要为家庭因素、父母因素、婴幼期疾病。结论　农村学龄儿童行为问题的发生是多种因素相互影响、相互作用的结果。应采取综合措施进行防治。     

精神疾病暴力人群与家庭环境的相关研究

目的：探讨家庭环境及其相关因素对精神疾病患者暴力行为的影响，探寻不良家庭环境的危险因素，旨在提出干预措施。方法：应用人口学资料、人格障碍诊断问卷（PDQ-4）、简明精神病评定量表（BPRS）、早年不良家庭环境问卷、家庭环境量表中文版（FES—CV）对38例具有家庭暴力行为和40例无家庭暴力行为的两组精神疾病患者进行对照研究。结果：精神分裂症及抑郁症这两种疾病类型为主要的暴力人群，其中家庭结构不完整、家庭亲密度及情感表达为暴力发生的主要危险因素，父母虐待、不良教养方式、娱乐性、组织性为一般危险因素。结论：家庭结构完整性、家庭成员间支持度及情感表达对精神病人暴力发生构成危险因素，对干预措施作出指导性建议。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.