超敏C反应蛋白与冠心病严重程度的相关性分析

目的研究冠心病患者超敏C反应蛋白（hsCRP）与冠心病严重程度的关系。方法选择急性心肌梗死组55例、不稳定型心绞痛组28例、陈旧型心肌梗死组13例、非冠心病对照组40例,分别测定、比较各组间hsCRP水平差异。结臬急性心肌梗死组、不稳定型心绞痛组、陈旧性心梗组的hsCRP水平,显著高于非冠心病对照组,差异有统计意义（P〈0．05）。急性心肌梗死组hsCRP高于不稳定型心绞痛组,不稳定型心绞痛组高于陈旧性心肌梗死组,差异均有统计学意义（P〈0．05）。结论hsCRP与冠心病患者病情的严重程度有关,可作为临床冠心病患者病情严重程度的参考指标。     

Use of Context in Pragmatic Language Comprehension by Children with Asperger Syndrome or High-Functioning Autism

Utilizing relevance theory, this study investigated the ability of children with Asperger syndrome (AS) and high-functioning autism (HFA) to use context when answering questions and when giving explanations for their correct answers. Three groups participated in this study: younger AS/HFA group (age 7–9, n = 16), older AS/HFA group (age 10–12, n = 23) and a normally functioning control group (age 7–9, n = 23). The results indicated that the younger AS/HFA group did less well when answering contextually demanding questions compared to the control group, and the performance of the older AS/HFA group fell in between the younger AS/HFA group and the control group. Both AS/HFA groups had difficulties explaining their correct answers, suggesting that they are not always aware of how they have derived answers from the context.     

急性进展性后循环脑梗死的危险因素研究

目的:分析导致急性进展性后循环脑梗死(ACIPPC)病情进展的危险因素及血浆基质金属蛋白酶-9(MMP-9)的预测作用.方法:以ACIPPC患者为研究对象,通过与急性非进展性后循环脑梗死(N-ACIPPC)患者进行单因素对比分析,运用logistic(Forward:Wald法) 逐步回归分析筛选脑梗死进展的独立危险因素,并通过直线相关分析与回归分析研究血浆MMP-9对ACIPPC梗死灶弥散加权成像(DWI)体积的预测作用.结果:单因素分析表明,ACIPPC和N-ACIPPC患者在高血压病及糖尿病病史、吞咽功能、病情严重程度、随机血糖及血浆MMP-9水平等方面的差异有统计学意义(P＜0.05).Logistic逐步回归分析显示,病情严重程度、随机血糖及血浆MMP-9水平可作为ACIPPC的独立危险因素.直线相关分析与回归分析表明,血浆MMP-9水平为ACIPPC患者梗死灶DWI体积的预测因素.结论:ACIPPC的发生可能为多种因素共同作用的结果,其病情严重程度、随机血糖及血浆MMP-9水平为ACIPPC的独立危险因素,而血浆MMP-9水平为ACIPPC患者梗死灶DWI体积的最有力预测因素.     

白色念珠菌与口腔扁平苔藓的相关性研究

目的探讨白色念珠菌与口腔扁平苔藓的相关性。方法选取本院非糜烂型口腔扁平苔藓患者40例及糜烂型口腔扁平苔藓患者36例分别作为观察1组和观察2组,选取40例无口腔疾患的健康者作为对照组。应用棉拭子法采样,于沙氏琼脂培养基中37℃培养24~48小时后观察菌落形态,鉴定不同菌种,比较合并白色念珠菌感染率。测量通过真菌检测后的76例口腔扁平苔藓患者口腔皮损面积,比较不同口腔皮损面积患者白色念珠菌的感染率。结果观察1组、观察2组及对照组白色念珠菌检出率分别为32.5%、69.4%和7.5%,组间比较差异显著(P<0.05)。口腔皮损面积型>2 cm2和<2 cm2患者的白色念珠菌检出率分别为47.6.%和23.5%,差异具有显著性(P<0.05)。结论糜烂型及非糜烂型口腔扁平苔藓与合并白色念珠菌感染明确相关,口腔皮损面积与感染率明显相关,白色念珠菌感染可诱发及加重口腔扁平苔藓。     

用关联理论诠释翻译及构建翻译策略

基于认知心理学基础之上的关联理论与翻译有着很好的兼容性。根据关联理论,人类的交际活动是一种明示-推理过程。在这一过程中,发话者和受话者都受到最佳关联的引导,即理解话语时,听者在付出有效的努力之后可获得足够的语境效果。基于此,我们构建了风格译等直接翻译和创造性翻译等间接翻译的翻译策略。     

Certification des établissements de santé pour la qualité des soins : le regard évolue sur le risque transfusionnel en ES

The HAS certification for healthcare organisation has gradually introduced the concepts of risk and relevance of care. Related to quality and safety of care, the transfusion act has early been part of the referential, and it seemed interesting to us to observe the changes in the requirements on this topic. After taking into account the regulations and the organization of haemovigilance in the establishment, it is now the search for the factual result for the patient which is the objective of the two main criteria devoted to transfusion. At the same time as the referential, the investigation methods have also evolved: the targeted tracer for Labile Blood Products and Blood-Derived Medicines allows a more detailed analysis geared towards the effective implementation of good transfusion practices. In conclusion, certification has moved from organizing and auditing the process to directly measuring transfusion safety for the patient.     

手术室护士心理压力与应对方式的测评及相关性分析

目的 探讨手术室护士心理压力、应对方式的特点及其相关性.方法 采用中文版知觉心理压力量表(CPSS)和应对方式问卷(CSQ)对80名手术室护士进行调查.以CPSS总分值26分为健康危险压力的分界值,CPSS≥26分者为压力组,CPSS＜ 26分者为非压力组,比较两组CPSS和CSQ差异,进行相关性分析.结果 (1)压力组有45人,占总人数的56.25％；非压力组有35人,占总人数的43.75％.压力组CPSS总分明显高于非压力组,差异具有统计学意义(P＜0.01).(2)压力组以消极应对方式为主,非压力组以积极应对方式为主,两组CSQ评分差异显著,具有统计学意义(P＜0.01).(3)应对方式与心理压力具有相关性.结论 心理压力导致手术室护士产生不同程度的心理障碍,积极的应对方式有助于减轻心理压力,保持良好地心理健康状态.     

脂联素、肿瘤坏死因子-α与动脉粥样硬化的相关性

肿瘤坏死因子-α作为危险因子促进动脉粥样硬化的发生发展,而脂联素却是一个具有心血管保护作用的因子,它们相互作用参与了多个病理生理过程。     

糖尿病患者心理状态与血糖水平的相关性分析及对策

目的：研究糖尿病患者心理状态与其空腹血糖的相关性,寻找心理干预辅助治疗糖尿病的方法.方法：对186例门诊病人作空腹血糖化验,抽血后采用综合性医院焦虑抑郁量表（HAD）作焦虑抑郁水平调查,统计分析二者的相关性.结果：186例糖尿病患者中抑郁及（或）焦虑症患病率39.2%,HAD分段与患者血糖呈正相关.结论：糖尿病患者存在心理健康问题,二者互为因果,因此在给予患者药物治疗的同时,要重视和加强心理护理.