城市社区医疗预防保健人员知识与技能的需求调查

通过对405名城市基层医疗预防保健人员的知识和技能的需求调查看出,面对医学模式的转变,社区居民医疗预防保健需求的不断增长,他们现有的知识和技能已极不适应。2/3以上的人员认为以往所学的知识不够用,较普遍地要求增加预防医学、临床医学等课程的学习,提高疾病诊断、群众工作、组织交往、科研的能力。调查为基层在职医学教育提供了参考依据。     

The Fetal Patient: Coordinated Care for Families

Complete and accurate knowledge is critical to parent decision making for families with complex and/or life-threatening fetal conditions. Comprehensive fetal centers are available to provide multidisciplinary specialized assessment, evaluation, diagnosis, and nondirectional counseling. Interventional option may include fetoscopic procedures, open fetal surgery, and ex utero intrapartum treatment. The nurse coordinator serves as the family and health care provider liaison for arrangement of services and communication of the plan of care.     

Collaboration--a new IT-service in the next generation of regional health care networks

During the past 10–15 years, Regional Health Care Networks (RHCN) have been established in many regions throughout the world. RHCN build on well-known techniques, methodologies and appropriate standards. Most of the European Countries today have set up IT strategic plans that focus on the establishment of RHCN. The benefits of having access to all relevant information are tremendous and contribute to cost-effective and coherent health services. By the rapid spread and use of Internet, technology has made it possible to interconnect all kinds of applications. In 2000, the most experienced regions in Europe joined PICNIC, a European project to develop the Next Generation Regional Health Care Networks and to support their new ways of providing health and social care. The previous generation of Regional Health Care Networks supported the interconnection of applications by transfer of messages. Messaging is an effective means of integration for isolated high-specialised systems that only need to exchange data. This service will continue to be one of the most important services in the future health care networks. However, tighter coupling may be desirable in some instances to avoid replicating the same functionality in several applications. In other words, certain services can be common and used by a number of applications instead of building that service inside each application. These common services are called middleware services. In PICNIC (http://www.medcom.dk/picnic), a new middleware Collaboration IT service has been identified and developed. This service allows the end users to perform real-time clinical collaboration, with exchange of text, structured data, voice and images across the limits of a single region. A clinical collaboration is associated with the shared clinical context to provide a record of relevant clinical information and facilitates synchronous as well as asynchronous collaboration. This new IT service builds on the increasing popularity of instance messaging and presence systems that facilitate smooth transition between synchronous and asynchronous interaction. The new Collaboration IT service is expected to have a strong impact on the practice of health care in the next generation of Regional Health Care Networks.     

Emotional reactivity and sympatho-adrenal activity in the rat (author's transl)

Using the open-field test, differences in emotional reactivity were shown in male rats of several albino strains. These behavioural differences were then investigated in relation to physiological differences. It was found that, under resting conditions, sympatho-adrenomedullary activity as estimated by urinary catecholamine excretion and adrenal catecholamine content is lower in the more emotionally reactive rats. The resting heart rate is correspondingly slower in these animals though they show the same noradrenaline cardiac concentration as the nonreactive rats. These data suggest that high defecating rats in the open-field exhibit a lower sympathetic tonus, possibly linked, however, with a higher parasympathetic tonus.     

情绪智力与大学生焦虑、抑郁和心境的关系研究

自Ｇｏｌｅｍａｎ《情绪智力》[1] 一书出版以来 ,情绪智力一词已为很多人所熟悉。情绪智力一般被定义为个体适应性地知觉、理解、调节和利用自己及他人的情绪的能力[2 - 3] 。虽然情绪智力有时被当作能力(或智力 )看待[2 ,4 ] ,有时则被认为是个性特质[5- 8] ,但研究者都相信情绪智力对于个体在现实生活中取得成功起着十分重要的作用[1] 。关于情绪智力常见的一个命题是个体情绪智力越高越能体会到情绪上的幸福感 (Ｅｍｏｔｉｏｎａｌｗｅｌｌ -ｂｅｉｎｇ) [1- 2 ] 。为了回答这个问题 ,本研究拟探讨情绪智力与大学生焦虑、抑郁和心境的关…     

Fear Imagery and Text Processing

This study examined the effect of three variables held to influence heart rate response during imagery-related text processing: mode of processing, content of text, and inclusion of response information in the text. Sixty-four undergraduates imagined and silently repeated fearful and neutral sentences in a paradigm designed to allow for self-initiation of sentence processing. Fear sentences either included or did not include information about bodily responses in the image. Heart rate accelerated more during fear imagery than during neutral imagery or silent repetition of either type of sentence. Inclusion of response information in fear material did not increase heart rate response to imagery, but did affect self-report in the predicted direction. Heart rate waveform prior to the sentence tasks indicated pre-processing of fearful material. The results were discussed in relation to a bio-informational theory of imagery, which asserts that emotional imagery accesses the same centrally-mediated response program as is evoked in the target reality context, and thus occasions measurable activity in the appropriate effectors.     

Olfactory bulbectomy: emotional behavior and defense responses in the rat

Removal of the olfactory bulbs of male hooded rats caused a reduction in defensive reactions to an unconditioned aversive stimulus (mechanical robot). In the presence of the robot, bulbectomized rats showed significantly less freezing and significantly less suppression of feeding behavior than sham-operated controls. At the same time, the bulbectomized rats were significantly more irritable to handling and showed a significant increase in muricide. These effects could not be attributed to loss of olfactory perception alone. Rats made peripherally anosmic through surgical removal of olfactory afferents were virtually indistinguishable from controls. These results provide further evidence for the view that in addition to their sensory functions, the olfactory bulbs of the rat have important tonic influences on emotional behavior. These tonic influences can occur independently of sensory processing and seem to be critical for the normal expression of emotional behavior or defense responses in this animal.     

慢性病儿童家长疾病知识了解现状及情绪障碍调查分析

目的了解部分慢性疾病儿童家长对疾病知识的了解现状和焦虑、抑郁情绪障碍的发生情况。方法采用一般情况调查表、疾病知识问卷和抑郁自评量表(SDS)、焦虑自评量表(SAS),对68例慢性疾病儿童家长进行调查,并与对照组进行对照。结果慢性疾病儿童家长中有32.35%存在焦虑情绪,22.06%存在抑郁情绪,其中SAS得分与对照组相比具有显著性差异(P<0.01)。73.53%病儿家长对相关疾病知识不甚了解。结论在诊治慢性疾病儿童的同时做好健康教育工作和予以家长心理关注十分重要。     

观看电视暴力对青少年攻击行为的影响

目的 :探讨观看电视暴力对青少年攻击行为的影响。方法 :采用问卷对 2 5 9名初中生进行了观看暴力镜头的频次、对暴力的认同态度、观看暴力镜头的情绪反应、攻击行为倾向等五个方面的调查和分析。结果 :青少年观看暴力镜头频次和兴奋水平程度越高 ,情绪宣泄越少 ,表现出攻击行为倾向越多 ;男生的攻击行为比女生多 ;青少年的攻击行为随年级升高而降低 ;工读学校学生比普通学校学生表现出更多的攻击行为。结论 :过多地观看电视暴力可能导致青少年攻击行为倾向增加 ,且攻击行为与观看电视暴力引起的情绪反应有关。