声学功能神经导管用于修复周围神经损伤

修复周围神经损伤是再生医学面临的一大难题，应运而生的新兴治疗方法中，低强度脉冲超声(LIPUS)具有无创、非侵入、高穿透及低衰减的优点，可有效刺激周围神经再生。随着组织工程学的发展，联合应用LIPUS和生物材料神经导管(NGC)可进一步提高轴突再生率，促进周围神经损伤恢复，极具临床应用前景。本文就LIPUS联合声学功能NGC修复周围神经损伤研究进展进行综述。     

Use of Ultrasound and Fluoroscopy Guidance in Percutaneous Radiofrequency Lesioning of the Sensory Branches of the Femoral and Obturator Nerves

Hip pain is a common condition that is often seen in patients with multiple comorbidities. Often surgery is not an option due to these comorbidities. Percutaneous radiofrequency lesioning of the articular branches of the obturator and femoral nerves is an alternative treatment for hip pain. Traditionally, fluoroscopy is used to guide needle placement. We report a case where a novel approach was used with ultrasound guidance to visualize vascular and soft tissue structures in real time. The use of ultrasound might help to guide the needle to avoid vascular complications due to anatomical variation between patients.     

个体化健康指导对动态心电图检查的意义及实践

目的：探讨分析个体化健康指导对动态心电图检查的意义及实践,为今后的临床工作提供可靠的参考依据。方法：选取2011年1月-2013年12月本院收治的接受动态心电图检查的98例临床患者,按照随机数字表法将其分为对照组和观察组各49例,对照组在行动态心电图检查前给予常规指导,观察组则是给予个体化健康指导,观察比较两组患者的检查效果。结果：观察组动态心电图检查中干扰率、伪差率、监测时间不足22 h患者所占比例均明显低于对照组,且生活日志填写合格率、诱发不适症状发生率均明显高于对照组,差异均有统计学意义（P〈0.05）。结论：个体化健康指导在动态心电图检查中具有重要作用,降低了动态心电图检查干扰与伪差的发生率,值得关注并推广。     

对同性恋大学生进行非问题导向性个性化辅导的方法探究

同性恋大学生是大学生群体中不容忽视的一部分,大学阶段是同性恋身份得以确定并逐渐发生身份认同的重要时点,在这个过程中学生往往会面对巨大的困惑和压力,遭遇困境,需要辅导员的帮助和辅导。本文以"非问题导向"的视角,探讨如何对此类学生进行个性化辅导,倡导以开放和支持性的态度为基础,以促进学生的主动发展和自我成长为目标进行辅导。将从同性恋大学生可能出现的问题、辅导员在常规辅导中容易遇到的问题以及非问题导向的个性化辅导要点这三个方面进行阐述。     

Aripiprazole in schizophrenia: consensus guidelines

Schizophrenia is a chronic disabling disease which in the majority of cases requires long-term treatment with antipsychotic medication. Before the development of atypical antipsychotics, treatment choice was restricted to conventional (or typical) antipsychotics, which are known to cause a range of side effects including extrapyramidal symptoms. Although atypical agents provide a favourable alternative (advocated by the National Institute of Clinical Excellence in the UK), they are associated with side effects. These differ between agents, but can include weight gain, sedation and hyperprolactinaemia. Aripiprazole is a newly available atypical antipsychotic for the treatment of schizophrenia. With the apparent imitations of currently available medications, aripiprazole provides clinicians with another treatment option. The purpose of these guidelines is to outline the consensus reached by the Schizophrenia Innovation Working Group on best practice in prescribing and appropriate use of aripiprazole in the UK.     

The reliability and validity of the Polish version of the Breastfeeding Self-Efficacy Scale-Short Form: translation and psychometric assessment

BACKGROUND: The majority of women discontinue breastfeeding before the recommended 6 months postpartum. If health professionals are to improve low breastfeeding duration and exclusivity rates, they need to reliably assess high-risk women and identify predisposing factors that are amenable to intervention. One possible modifiable variable is breastfeeding confidence. The Breastfeeding Self-Efficacy Scale Short Form (BSES-SF) is a 14-item measure designed to assess a mother's confidence in her ability to breastfeed her baby. OBJECTIVES: To translate the BSES-SF into Polish and assess its psychometric properties among breastfeeding mothers. DESIGN: Methodological study. SETTING: Five hospitals in Lodz Poland. PARTICIPANTS: Using convenience sampling, 105 in-hospital breastfeeding mothers were recruited. METHODS: Following back-translation procedures, mothers completed questionnaires in-hospital and at 8 and 16 weeks postpartum. RESULTS: The Cronbach's alpha coefficient for internal consistency was 0.89. In-hospital BSES-SF scores significantly predicted breastfeeding duration and exclusivity at 8 and 16 weeks postpartum. Demographic response patterns suggested the BSES-SF is a unique tool to identify breastfeeding mothers at risk of prematurely discontinuing. CONCLUSIONS: This study provides evidence that the translated version of the BSES-SF may be a valid and reliable measure of breastfeeding self-efficacy among a sample of mothers in Lodz Poland.