Quality of Relationships With Caregivers,Depression, and Life Satisfaction After Dysvascular Lower Extremity Amputation

Objective

To describe the relationship between caregiver-specific support and conflict, and psychosocial outcomes among individuals experiencing their first dysvascular lower extremity amputation (LEA).

消化性溃疡病证关系探讨

本文通过对消化性溃疡病理因素、溃疡大小、部位，分期、有无活动性炎症等与溃疡病表现证型的关系探讨，以及证型与证微观定量指标的关系探讨，指出同一种溃疡病之所以表现为不同证型，关键可能在于内环境状态的差异，肝胃不和证、脾气虚证、肝郁脾虚证内环境状态的差别，或许是其不同临床表现的内在根源。     

热性惊厥患儿血清离子及微量元素变化与精神运动发育的关系研究

目的研究热性惊厥患儿血清离子及微量元素变化与精神运动发育的相关性。方法 128例热性惊厥患儿,根据惊厥发作次数分为观察组和对照组,各64例。观察组为一次热程度再次和多次热性惊厥发作患儿,对照组为仅发作1次热性惊厥患儿。比较两组患儿两组患儿血清钙离子、铁离子、钠离子、镁离子水平及智力测评评分、行为能力评分。结果观察组钙离子水平(2.02±0.88)μmol/L、铁离子水平(9.76±1.81)μmol/L均高于对照组的(1.55±0.56)、(7.56±1.13)μmol/L,钠离子水平(133.43±10.21)μmol/L低于对照组的(140.23±10.23)μmol/L,差异有统计学意义(P<0.05);两组镁离子水平比较差异无统计学意义(P>0.05)。两组语言智商评分、操作智商评分及总智商评分比较差异无统计学意义(P>0.05)。观察组独立因子评分(54.32±3.56)分、认知因子评分(52.65±5.78)分、社会自制因子评分(60.34±5.93)分及总评分(102.45±10.56)分均低于对照组的(56.23±3.58)、(63.23±5.47)、(68.34±5.82)、(122.56±10.68)分,差异有统计学意义(P<0.05)。结论热性惊厥患儿精神运动发育与其血清离子及微量元素变化有关,病情发作时其血清离子及微量元素出现异常,一次热程度再次和多次热性惊厥发作患儿其精神运动发育迟滞较为明显。     

Posttraumatic stress disorder and partner-specific social cognition: A pilot study of sex differences in the impact of arginine vasopressin

Posttraumatic stress disorder (PTSD) is associated with problems in intimate relationships, partly due to deficits in social cognition. In this study, the role of arginine vasopressin (AVP) in the link between PTSD and partner-specific social cognition was examined. Participants were 24 individuals from 12 heterosexual couples in which at least one partner exhibited clinically significant PTSD symptoms. Attention to partner expressions of anger was examined as an indicator of distress and need for affiliative behaviors to repair the relationship bond. AVP administration improved the speed of men's attentional engagement with their partners’ expressions of anger and alleviated the negative impact of PTSD on this social cognitive process. Further, men's morning urinary AVP levels were negatively correlated with their PTSD severity. No such effects were found among women or for attention to unfamiliar men's or women's anger expressions. Thus, the AVP system may function in the relationship problems associated with PTSD.     

下颌阻生第三磨牙与下颌管关系分型的研究

目的:探讨下颌阻生第三磨牙与下颌管密切关系的系统分型。方法:3237例下颌阻生第三磨牙的曲面体层X线摄像,其中296例阻生牙牙根与下颌管关系密切(间距≤1 mm)增摄CBCT检查,结合临床资料进行分析。结果:下颌阻生第三磨牙与下颌管密切关系有根侧型30.40%、邻管型50.33%、入管型4.72%、卧管型13.51%、骑管型1.01%、混合型0.34%六种类型。结论:下颌阻生第三磨牙与下颌管密切关系的系统分型,对口腔专业教学和临床均有实用意义。     

Effect of Slip Time in Forming Neo‐Esophageal Stenosis After Replacement of a Thoracic Esophagus With Nitinol Artificial Esophagus

Attempts have been made to investigate the effect of slip time of nitinol artificial esophagus for forming neo‐esophageal stenosis after replacement of a thoracic esophagus with nitinol artificial esophagus in 20 experimental pigs. The pigs whose slip time was less than 90 days postoperatively had severe dysphagia (Bown's III) immediately after they were fed, and the dysphagia aggravated gradually later on (Bown's III–IV). The pigs whose slip time was more than 90 days postoperatively had mild/moderate dysphagia (Bown's I–II) immediately after they were fed, and the dysphagia relieved gradually later on (Bown's II‐I‐0). The ratios between the diameter of neo‐esophagus in different slip time and normal esophagus were 25% (at 2 months postoperatively), 58% (at 4 months postoperatively), and 93% (at 6 months postoperatively), respectively. The relationship between nitinol artificial esophagus slip time and neo‐esophageal stenosis showed a positive correlation. After replacement of a thoracic esophagus with nitinol artificial esophagus, the artificial esophageal slip time not only affected the original diameter of the neo‐esophagus immediately, but also affected the neo‐esophageal scar stricture forming process later on. The narrowing of neo‐esophagus is caused by overgrowth of scar tissue. But there is the positive correlation between artificial esophagus slip time and neo‐esophageal stenosis, so this can be a way of overcoming neo‐esophageal stenosis by delaying slip time of artificial esophagus.     

Pain and Depression: A Neurobiological Perspective of Their Relationship

Remarkable progresses have been achieved regarding the understanding of the neurobiological bases of pain and depression. The principal role of neurotransmitters, neuromodulators, and neurohormones has been proposed in the development of pain and depression. With the progression of molecular biology, an intricate interaction among biological factors accountable to the development and management of pain and depression has been also shown in a numerous preclinical and clinical researches. This mini-review will briefly describe the current issues and future research direction for better understanding of the relationship between pain and depression.     

论提高肿瘤专业医学生医患沟通能力的重要性及其有效途径

当前我国肿瘤专业医学生存在沟通意识不强,沟通水平不足,沟通不够自信等问题。而提高医学生医患沟通能力是正确实施诊疗工作的必要前提,是减少医患纠纷的有效途径,也是适应高等医学教育发展的需求。基于此,提出提高医患沟通能力的有效途径：设立医患沟通课程及肿瘤科室实习前培训课程,建立“用心倾听＋专业疏导”模式,带教老师积极引导,学会“换位思考”,坚持“以患者为中心”的理念。     

基于医生视角下网络环境对医患关系的影响研究

通过对医生群体的问卷调查,了解医生上网习惯情况、医生与患者的网络交流沟通情况、网络环境对医生实际诊疗的影响、网络环境下新闻媒体对医生的影响以及医生群体关于网络发展对医患关系影响的综合看法。指出了目前网络环境给医患关系带来的影响：互联网成为一些医生知识信息更新与积累的源地,网络成为一些医生与患者交流互动的重要平台,医生需要应对日益增多的“网络型”患者,医生对媒体负面报道的反应性出现转变。     

Psychometric characteristics of the mutuality scale in heart failure patients and caregivers

Background

Higher patient-caregiver mutuality is associated with improved patient and caregiver outcomes, but no studies have tested the psychometric characteristics of the mutuality scale (MS) in heart failure (HF) patient and caregiver population.