大学生罗杰斯自我意象心理测评结果

目的：了解和评价大学生人格中自我意象的心理健康水平和影响其心理水平的相关因素。方法：对１８３名工大学生做随机抽样,采用香港中文大学林孟平编制的”罗杰斯自我意象问卷（ＲＳＩＱ）”做心理测验,全部数据用ＳＰＳＳ做统计分析。结果：５３．０１％的学生为高自我意象,４６．９９％为低自我意象。     

Age of puberty: data from the United States of America

In an attempt to determine whether the secular trend toward an earlier onset of puberty has continued over recent decades in the United States of America, published reports concerning the age of attainment of pubertal events have been reviewed. Such reports are very limited and vary in both design and inclusive ages of study subjects. Among females, two recent large cross-sectional studies indicate that fifty percent of females in the United States attain Tanner breast stage 2 at 9.5 to 9.7 years of age. This is younger than previously thought, although adequate earlier studies of girls in the United States are not available for comparison. These two studies also indicate that about 14% of girls attain Tanner stage 2 while 8 years of age; one study extends earlier reporting that about 6% exhibit onset of breast development while 7 years of age. There is no evidence that the age of menarche or the attainment of adult (Tanner 5) breast development has decreased over the past 30 years. The data also suggest an earlier onset of Tanner stage 2 pubic hair but no change in attainment of stage 5. Among males, pubic hair may be appearing at younger ages, but data are inadequate or too inconsistent to allow firm interpretation. The lack of standardization of genital criteria of pubertal onset in the male makes any conclusions regarding secular trends impossible. In summary, earlier secular trends over recent decades related to better health, improved nutrition or socio-economic status, or any putative influence by endocrine disrupters cannot be verified.     

Vascular tumors of bone: A study of 17 cases other than ordinary hemangioma,with an evaluation of the relationship of hemangioendothelioma of bone to epithelioid hemangioma,epithelioid hemangioendothelioma,and high-grade angiosarcoma

Cases filed as vascular tumor of bone other than ordinary hemangioma were reviewed. They were included in the study if there was adequate histologic material and clinical information, clear evidence of bone origin, and at least 5 years follow-up. The study group comprised 17 cases, of which 13 were categorized as hemangioendothelioma of bone, 1 as epithelioid hemangioendothelioma, and 3 as high-grade angiosarcoma. Hemangioendothelioma of bone had growth patterns varying from vasoformative to solid, but well-formed vessels were present in at least some area in all cases. The cells generally had a rounded, epithelioid character, regular nuclei, and relatively few mitotic figures; occasional features included spindle cells and scattered enlarged, hyperchromatic or pleomorphic nuclei. Lymphoplasmacytic and eosinophilic inflammatory infiltrate ranged from prominent to slight or absent, and myxoid or hyaline stroma was never more than focal. Epithelioid hemangioma could not be separated from hemangioendothelioma of bone. The single epithelioid hemangioendothelioma for the most part had cords of relatively uniform epithelioid cells in a prominent myxoid stroma but focally demonstrated an angiosarcoma-like appearance, with irregular vascular spaces and marked nuclear pleomorphism. The high-grade angiosarcomas exhibited predominantly irregular vasoformation combined with solid areas, diffuse nuclear hyperchromatism and pleomorphism, and, in 2 cases, numerous mitotic figures (the third case had only a small biopsy and a postradiation amputation specimen). Of the hemangioendotheliomas of bone, 7 were unicentric and 6 were regionally multicentric either concurrently or sequentially. Three patients had intraosseous local recurrence, 2 had discontinuous regional skin or soft tissue involvement (including the popliteal artery in 1), and 1 had a solitary lung metastasis, but none died of tumor. The patient with epithelioid hemangioendothelioma had multicentric tumors in widely separated bones and died with liver and lung metastases. Two of the high-grade angiosarcomas were unicentric, and the third was regionally multicentric, with a popliteal artery-soft tissue component as well. All 3 of these patients died with metastases in various sites.     

Spatial distribution of activity of the neurons of the visual cortex during stimulation with a flash of diffused light

At different stages in the development of the response to a flash of diffused light, groupings of excited neurons in field 17 of the guinea pig continue to occur within the same cortical microzones. These zones are separated from neighboring microzones by narrow inhibition zones. The ensembles of cells participating in excitation form columns tapering with depth. The grouping of excited cells noted during a silent break indicates a grouping of inhibitory neurons. Three subgroups are distinguished within the ensembles according to the average dynamics of their impulse activity; the groups are reciprocally interrelated. One of the subgroups is in the lower layers of the cortex. This subgroup is characterized by stably localized foci of maximal activity; their dynamics, apparently reflecting groupings of corticofugal neurons, are sharply distinguished from the subgroups of the middle layers. The ensembles under investigation are considered to be one of the forms of activity of the structural-morphological units in the cortex.Translated from Fiziologicheskii Zhurnal SSSR imeni I. M. Sechenova, Vol. 69, No. 1, pp. 46–54, January, 1983.     

股骨粗隆间骨折术后并发症及原因分析

目的回顾性分析股骨粗隆间骨折的术后并发症并分析其原因。方法 2008年1月~2012年12月,我院手术治疗股骨粗隆间骨折共295例,按Evans分型,Ia型26例,Ib型53例,Ic型97例,Id型52例,II型67例。其中DHS组59例,IMHS组80例,PFN组25例,GAMMA3组28例,INTERTAN组103例。随访3~36个月,对部分发生并发症的病例进行手术干预。结果内固定物切割6例,拉力螺钉退出2例,髋内翻、下肢短缩12例,感染6例,血管损伤2例,股骨头无菌性坏死2例,内植物远端骨折2例,部分经再次手术治疗治愈。结论手术治疗股骨粗隆间骨折,要结合骨折类型、患者全身情况合理选用内固定物,术中复位及操作技术的改进以及术后适度的功能锻炼,能够减少术中及术后并发症的发生。     

Arterialization of the venous system of the brain

Department of Normal Physiology, N. I. Pirogov Second Moscow Medical Institute. Translated from Byulleten' Éksperimental'noi Biologii i Meditsiny, Vol. 105, No. 1, pp. 9–11, January, 1988.     

A laboratory exercise in the study of the gross structure of the eye

The dissection of the bovine eye, when it is based on procedures used in ophthalmic surgery, results in an enthusiastic reception by medical students. © 1996 Wiley-Liss, Inc.     

带肌或肌腱蒂腓骨上段转位代股骨,胫骨外侧髁的应用解剖

目的：为腓骨上段转位代股骨、胫骨外侧髁缺损,重建膝关节的功能提供解剖学基础。方法：解剖观测５４侧腓骨上段、股骨和胫骨外侧髁的形态。观测４４侧股二头肌腱和比目鱼肌起点的形态及血供。２侧下肢标本腓骨上段带股二头肌腱或比目鱼肌转位摹拟术式。结果：①腓骨关节面中部上下径２２．８±７．１ｍｍ;前后径２３．９±２．１ｍｍ;向内下斜６１．３°±６．４°;②股骨外侧髁关节面中部前后径３８．０±３．３ｍｍ;左右径２８．０±３．１ｍｍ;③胫骨外侧髁关节面中部前后径３７．１±２．７ｍｍ;左右径２４．６±２．８ｍｍ。结论：带股二头肌腱腓骨上段转位插入股骨内修复股骨外侧髁缺损,带比目鱼肌蒂腓骨上段转位插入胫骨内修复胫骨外侧髁缺损,术式设计具有可行性     

《中华肾脏病杂志》2002-2004年论著引文统计分析

本文对《中华肾脏病杂志》2002-2004年论著引文进行了数据统计,在引文类型分布、引文语种分布、引文年代分布及被引频次与引文总数量百分比方面作了较详实地分析,肯定了《中华肾脏病杂志》在我国临床医学期刊中的学术影响和地位,最后得出总结性结论。     

桡侧腕屈肌腱部分移位修复桡尺远侧关节脱位的解剖与临床

目的：为桡尺远侧关节脱位修复提代术式设计的解部学依据。方法：30侧成人上肢标本,对桡侧腕屈肌腱进行形态学侧量。结果：桡侧腕屈肌腱性部分长14.3±1.1cm,肌腱上、中、下段宽分别为9.1±1.4mm,5.5±0.9mm和4.2±0.4mm,肌腱上、中、下段厚分别为2.4±0.6mm、2.2±0.4mm和2.6±0.5mm。结论：桡侧腕屈肌腱部分转位有足够的长度和强度,修复桡尺远侧关节脱位的术式设计具有可行性,是一种新的手术方法,临床广泛应用和9例,获得良好效果。     

父母文化程度及教育方式对小学生学习成绩的影响

本文对110名父母的文化程度教育方式与小学生学习成绩的关系进行了调查。结果显示．父母文化程度高的学生学习成绩显著高于父母文化程度低的学生，有良好教育方式的学生的学习成绩显著高于教育方式不良的学生的学习成绩．     

父母教育方式对小学生学习成绩的影响

影响学生学习成绩的因素很多[1－3]，而对于从小在家庭中长大且大部分时间是在家庭中度过的小学生来说，父母的文化程度及教育方式会对学生的学习成绩产生一定的影响。本文就此做一研究，以便帮助父母更好地掌握良好的教育方式，进一步提高小学生学习成绩。1对象与方法对象：研究对象来自新乡市陵园小学三年级两个班110名学生，男63名、女47名；平均年龄8．76±0．51岁（8～10岁）。方法：调查工具为自制家庭状况调查表，采用统一指导语，答卷不记名，父母的文化程度按四类分型（大学、中专或高中、初中、，小学以下）．家庭教育方式接三类…     

海洛因依赖自愿戒毒者生活质量的对照研究

目的 :研究海洛因依赖自愿戒毒者的生活质量。方法 :采用综合生活质量评定问卷 (GQOLI) ,对 30名自愿戒毒者和 30名健康对照者的生活质量进行对照研究。结果 :自愿戒毒者生活质量在躯体、心理、社会功能诸方面显著性差于对照者。结论 :海洛因依赖自愿戒毒者生活质量明显降低 ,对他们开展针对性的心理干预是必要的。     

强的松龙局部封闭治疗肱二头肌长头腱腱鞘炎

目的 评价强的松龙混悬液加利多卡因局部封闭治疗肱二头肌长头腱腱鞘炎的效果。方法 对４７例确诊为肱二头肌长头腱腱鞘炎的患者进行强的松龙混悬液加利多卡因局部封闭治疗,并进行半年至一年半的随访。结果 根据患者局封前后症状及体征来评价治疗效果,４７例全部治愈。结论 强的松龙混悬液局部封闭对肱二头肌长腱腱鞘为有良好的治疗效果。