上海市部分地区中老年人抑郁状况调查

目的了解上海市中老年人抑郁症状比例,分析其影响因素,为改善该种状况的相关工作提供参考依据。方法随机抽取790名社区和敬老院50岁及以上中老年人进行抑郁症状及相关影响因素的问卷调查。结果中老年人有抑郁症者占12.7%;其中女性、年龄偏大者、文化程度较低者、丧偶者、经济阶层低者、与家庭关系紧张者、患慢性病者的抑郁症状比例均高于其他。结论中老年人抑郁状况的严重程度不容忽视,社会和家庭应多关注中老年人的心理健康,中老年人要增强自我心理调节。     

Paranasal sinus hemorrhage: evaluation with MR imaging

Computed tomography (CT) and magnetic resonance (MR) imaging were performed in ten patients with paranasal sinus hemorrhage after trauma. Acute or subacute hemorrhage was detected on MR images by using T1- and T2-weighted imaging to identify the chemical state of the blood and to differentiate blood from mucosal thickening and sinus effusion. Surgical proof of intrasinus hemorrhage was obtained in only two cases. Displaced fractures, associated cerebral contusions, and traumatic encephalocele were well shown on MR imaging. Nondisplaced and minimally displaced fractures were better evaluated with CT.     

Reactive arthritis due to Salmonella enteritidis complicated by carditis

Reactive arthritis following infection with enteropathogenic bacteria is usually a self-limiting disease that disappears after a few months without sequela. We describe two girls who developed carditis shortly after the onset of reactive arthritis due to infection with Salmonella enteritidis. The carditis presented with fatigue and arrhythmia and involved the aortic valve in both patients leading to definite aortic regurgitation in one. A similar pattern of cardiac involvement is found in other spondyloarthropathies, including Reiter's syndrome and ankylosing spondylitis. We conclude that Salmonella reactive arthritis may be complicated by carditis.