室性早搏的心电图特征与治疗的关系

目的　研究室早的心电图表现与治疗的关系。方法　通过阐述早搏的类型、发病机制、心电图特征及抗心律失常药作用机制。结果　根据心电图观察室早出现的特征选择合理的治疗方法。结论　抑制早搏与死亡率无相关性 ,能抑制室早等心律失常药对死亡率的作用可能是中性或有良好作用 ,同时增加死亡率 ,应引起重视。不能因使用抗心律失常药控制早搏却增加患者死亡率     

重症急性胰腺炎与肝损害关系的临床研究

目的探讨重症急性胰腺炎（SAP）与肝损害的关系及发生机制。方法回顾分析162例AP病例,对其中104例AP合并肝损害的病例进行分析。结果半数以上的AP患者发生肝损害。结论SAP与肝损害的发生存在关联,联系呈正相关。肝损害可作为独立指标预测AP严重程度,并可研判预后。     

广州市5757例手足口病肠道病毒与气候因素的相关性

目的探究气候因素对手足口病肠道病毒感染的影响。方法收集2009～2011年广州市的气候及某医院实验室诊断手足口病病例数据,应用单因素相关、多元线性回归检验气候因素与各肠道病毒报告例数之间的关联,并应用亚组分析探索影响的滞后作用。结果单因素分析结果表明周平均气温、湿度和露点与EV71、Cox A16和其他肠道病毒周报告例数存在正相关性,气压成负相关（P〈0.05）。控制其他气候因素后,湿度、气温分别与EV71、Cox A16和其他肠道病毒例数有显著性联系,且亚组分析证实与2～3周后的例数关联最强（P〈0.05）。结论气候因素,尤其湿度、气温可影响手足口病肠道病毒感染,在高热高湿度的季节,预防控制措施更可减少感染手足口病肠道病毒的危险性。     

514例婴幼儿高压氧治疗中医务人员与家长沟通问题分析

目的了解婴幼儿高压氧治疗中操作人员与家长沟通的问题。方法对514例婴幼儿高压氧治疗患儿家长沟通中存在的问题进行总结。结果对治疗效果过高期待（54．1％）,不配合（39．7％）．对治疗效果不正确评价（21．4％）,不合理要求（12．8％）。结论与家长沟通存在许多问题,有效沟通有利于婴幼儿高压氧治疗的顺利进行,减少医患冲突,消除医疗服务中不安全的潜在隐患。     

Corrélation entre les notes obtenues aux ECOS et aux épreuves de connaissances et analyse des facteurs associés à une meilleure réussite aux ECOS chez les étudiants de DFASM1 et 2 au CHU de Dijon

RationaleObjective structured clinical examinations (OSCEs) were introduced to evaluate students not only on their knowledge, but also on their clinical skills and attitudes. The objectives were to study the correlation between OSCE scores and scores obtained to traditional knowledge examinations and to analyse factors associated with better OSCE performance in DFASM1 and 2 students at Dijon university hospital.MethodsThis was a prospective observational study conducted among all fourth and fifth year medical students in Dijon. The scores on the OSCE elective tests (2022) and the average score on the knowledge tests (2021–2022) were collected and their correlation measured. A questionnaire asked students about their demographic characteristics, their investment in formative and practicum OSCEs, their level of empathy (Jefferson questionnaire) and their personality traits (NEO-Pi-R).ResultsOf 549 students, 513 completed all tests. Scores on OSCE and faculty knowledge tests were correlated (r = 0.39, P < 0.001). Of these, 111 (20%) students responded to the questionnaire, and 97 were analized. We did not observe any significant difference between students who performed better on OSCEs than on knowledge tests and those who did not, regarding their age, their investment in formative tests, their personality traits or their level of empathy.ConclusionOur results underline the need to optimize the evaluation of empathy and clinical skills in OSCE tests, using new tools, in order to better discriminate between students on these skills.     

Vieillissement et maltraitance : une maltraitance peut en cacher une autre

This article analyses two current problems emphasized by the media: ageing and elder-abuse. We tried to understand starting from a clinical case, Rosaline (95 years old), how conscious and unconscious representations of this patient and her daughter could lead to a severe conflict with sharp consequences in their family life. The psychic drives constituting our identity as well as our death and life drives may interact in such situation, provoking some behaviour quite improper. A case of elder abuse in order to demonstrate its complexity, bringing out the difficult task of the caregivers facing the other's ageing process. Our professional activity as psychologists lead as in our clinical analyse of such conflictual relationships to vouch for the absolute respect and dignity of every person implicated in these difficult situations in every consultation of our institution.     

La gestion des affects dans la relation thérapeutique chez le patient schizophrène

This article studies schizophrenic patient's affective conflict by non-integrated ambivalence and absence of symbolisation of affect. Through the meet with a psychotic patient, the authors show that evolution of therapeutic relation is on a par with affect-representation link and its expression in therapy. The authors differentiate processes, which are involved in affect-representation link ; ones concern on representation (in particular déscénarisation and démétaphorisation), others concern on affect, as “thinging” of affects and external deposit of affect. The term of “insulating split”, a form of psychotic insulation, is used to describe this process.     

手指纹与气质的关系研究

目的探讨人类手指指纹与气质之间是否具有关联性。方法收集129例指纹与气质的资料,运用逐步回归筛选方法进行分析。结果胆汁质,抑郁质,多血质和粘液质的混合型,黏液质和抑郁质的混合型,胆汁质和粘液质的混合型,胆汁质、多血质和粘液质的混合型,多血质、粘液质和抑郁质的混合型等7种气质与指纹之间具有较大关联性。结论在锁定显著性水准a=0.30的前提之下,回归模型具有统计学意义,在一定程度上可以解释指纹与气质类型的关系,但是不能作为预测方法使用。     

二巯基敌枯双生物作用的实验研究Ⅲ:时效关系的探讨

目的 :研究甲状腺激素干扰物二巯基敌枯双所致甲状腺的形态、血清 T4 和 TSH改变 ,探讨二巯基敌枯双生物作用的时效关系。方法 :Wistar大鼠 78只 ,随机分为正常对照组和实验组。正常对照组给予溶剂二甲基亚砜 ,实验组给予二巯基敌枯双的二甲基亚砜溶液 ,剂量为 5 0 mg/ kg体重。于实验组的给药第 1d、第 3d和第 5 d,分别放血处死两组动物。测定血清中 T4 ,TSH的浓度 ;取动物甲状腺称重 ,同时光镜下观察其形态学的变化。结果 :第 3d和第 5 d实验组血浆 TSH的浓度和对照组相比 ,显著增高 (P<0 .0 5 ) ,第 5 d实验组动物的甲状腺脏器系数显著高于对照组 (P<0 .0 5 ) ,组织学观察到该组甲状腺滤泡上皮局灶增生成增生斑。第 3d实验组甲状腺脏器系数与对照组比较尽管无差异 ,但组织学观察到该组甲状腺滤泡上皮已增生成复层。结论 :TSH、甲状腺的脏器系数和甲状腺的组织学观察在本实验中呈现明显的时间效应关系 ,而且最早出现生物学指标变化的时间是实验第 3d。     

Ⅱ型糖尿病危险因素的线性结构关系模型分析

目的：为探讨糖尿病的危险因素，进行了本项研究。方法：采用线性结构关系模型对糖尿病的危险因素进行了分析。分别用协方差矩阵和相关系数矩阵对模型进行配合模型。结果：精神因素对糖尿病的患病状况不仅有直接影响，同时也有间接影响。生活习惯对患病状况无直接影响，但它通过病人的生理状况对患病有间接影响。自我保健因子对患病状况有间接影响。结论：由多项相关系数、多序列相关系数和积矩相关系数组成的矩阵比协方差矩阵具有较好的模型配合效果