Temperament as a moderator of children's stressful experiences

Data on 158 children, six and nine years old, are analyzed for the relationship between stress and behavior. Undesirable life events and intense "hassles" were particularly correlated with behavioral symptoms. Statistically, temperament appears to moderate this influence but, lacking appreciable variance of symptoms in the models including these interaction effects, the more parsimonious main-effects concept may be more useful.     

胞二磷胆碱治疗轻度脑梗塞急性期52例的疗效分析

目的　探讨在轻、中度脑梗塞急性期使用胞二磷胆碱的临床疗效。方法　本文选择轻度脑梗塞急性期5 2例 ,在使用抗凝、溶栓治疗的基础上加用胞二磷胆碱作治疗组 ,另选择 31例不加用胞二磷胆碱作对照组进行临床疗效观察。治疗组使用胞二磷胆碱 0 .5加入 10 %葡萄糖注射液 2 5 0ml,一日一次 ,静滴 ,十天为一疗程 ,连用 1-3个疗程。结果　治疗组有效率为 92 .31% ,其中显效率 36 .5 4% ;对照组 5 4.84% ,显效率 16 .13% ,显著低于治疗组 (P <0 .0 1)。疗程观察以第三个疗程为宜 ,其有效率占治疗组有效率的 5 8.33%。结论　胞二磷胆碱在脑梗塞急性期使用 ,主要是促进脑梗塞可逆性组织损伤的恢复 ,防止脑缺血后改变的加重 ,使脑细胞活化 ,促进脑细胞机能的修复 ,是一种既安全可靠 ,又经济实用的脑细胞活化剂。     

1977例甲状腺手术临床分析

目的：总结甲状腺疾病手术治疗的临床经验。方法：收集近9年来经手术治疗的甲状腺病例的临床资料,统计经手术治疗的甲状腺疾病的分类,各类手术并发症的发生率。结果：9年来甲状腺手术共1977例。男女性别比为1：5．68,其中包括甲状腺肿789例,甲亢755例,甲状腺瘤353例,甲状腺癌19例,甲状腺炎4例,甲状腺再次手术57例。共出现各种手术并发症105例,发生率为5．31％,无手术死亡病例。结论;接受甲状腺手术治疗的患者以女性占多数,现阶段各种甲状腺疾病仍以手术治疗为主,手术治疗也是安全有效的。     

远视性屈光不正儿童屈光状态远期变化

目的探讨远视性屈光不正儿童屈光状态远期变化规律.方法对162例(324只眼)3～12岁远视性屈光不正儿童进行5～12.5年的观察,分别按性别、眼别、子午线、远视程度及不同年龄阶段进行分级,计算各组的年均下降远视屈光度,用u检验和方差分析.结果男女两组年均下降屈光度分别为0.34±0.17D和0.35±0.17D,左右眼为0.35±0.L7D、0.33±0.16D,平均90°和180°子午线轴为0.35±0.L6D、0.36±0.17D,无显著性差异;轻、中、高度远视为0.45±0.19D、0.27±0.16D、0.36±0.17D,中度远视下降最慢,轻、高度远视差异无显著性;＜6岁,6～9岁和≥9岁三组分别为0.46±0.15、0.37±020D、0.15±0.06D,有显著性差异.结论远视性屈光不正儿童的屈光随年龄的增长逐年下降,9岁以后趋于稳定,但散光无明显改变;远视下降速度以中度远视最慢,高度和轻度远视下降较快,后者易发展为近视眼.下降速度与性别、眼别无关.     

神经内科患者难辨梭菌感染的报告

目的:了解住院老年病人难辨梭菌小区域暴发流行的情况。方法:对我院神经内科一起暴发流行难辨梭状芽胞杆菌相关性腹泻(CDAD)的5例老年患者进行回顾调查。结果5例难辨梭状芽胞杆菌相关性腹泻的病人占同期神经内科住院病人的3.57％(5/140);其中轻型1例,重型1例,暴发型3例;痊愈3例,死亡2例。结论:①老年住院患者、抗生素使用及严重的基础疾病、气管切开和胃管进食是导致难辨梭菌感染的高危因素。②区域性丛集分布的患病人群提示有外源性交叉感染的可能。③暴发型难辨梭状芽胞杆菌感染病情进展迅猛,并发症严重,预后极差。     

明末清初文人结社与演剧活动

在我国历史上的明末清初时期,文人结社和戏曲都很繁盛,并且出现了二者的融合。由于以往的研究者大多将文人结社视为一种纯政治或文学运动．因此对于结社活动的娱乐性关注不够。本文即由此入手,描述了这一时期内结社过程中的演剧活动,阐述二者结合的必然性,进而揭示它们对明清戏曲繁荣的推动作用。     

关于两个哲学问题的解决

绝对真理与相对真理、矛盾同一性和斗争性相对与绝对的问题,在马克思主义认识论的教学和研究中,一直没有解决。要解决这两个问题,首先应从列宁解决这两个问题的思路着手。马克思主义经典作家包括列宁在内,都没有在客观真理的意义上承认绝对真理,任何客观真理都只能是相对真理,而不能既是相对真理又是绝对真理。“同一性是相对的,斗争性是绝对的”命题,是列宁在比较辩证法和形而上学两种发展现以后提出的,是为了划清两种发展观的界限,而不能把同一性和斗争性与有条件和无条件或静止与运动简单对照起来理解。     

现代派文学的"世纪末"综合症

19世纪末的文学忧郁和悲观等病症对20世纪现代派文学的影响是深远的,现代派文学经历了从以丑为美到迷惘、异化、荒诞和虚无的文学创作轨迹,显示了从19世纪末传染到的综合症状以及作家们改革和拓荒的勇气.现代派文学对心灵的解剖是深刻的,语言形式的反叛也是彻底的.     

The Functional Status of the ACL in Varus OA of the Knee: The Association With Varus Deformity and Coronal Tibiofemoral Subluxation

BackgroundThe present article analyzes the association of the functional anterior cruciate ligament (ACL) status and the overall varus deformity and coronal tibiofemoral subluxation (CTFS) in varus OA of the knee.MethodsOne hundred consecutive knees with varus OA in 84 patients were prospectively included. Knees were divided into two groups, in accordance with the ACL status (functionally sufficient or insufficient). All included patients were potential candidates for unicompartmental knee arthroplasty with predominantly medial compartment OA. Knees with Kellgren/Lawrence ≥ grade 3 in the lateral compartment were excluded leaving 79 knees to be included in this study. Mechanical varus deformity and CTFS were evaluated on AP radiographs and valgus stress radiographs, and compared between the two groups.ResultsKnees with a functionally insufficient ACL had significantly more varus deformity on hip-to-ankle AP standing radiographs (P = .001) and on valgus stress radiographs (P = .017). CTFS on AP standing radiographs was significantly higher (P = .045) in knees with a functionally insufficient ACL. Seventy-three percent (8/11) of the ACL-insufficient knees had a varus deformity of ≥10° and 64% (7/11) of ACL-insufficient knees had CTFS ≥ 6mm. By contrast, only one patient (2%, 1/41) with an insufficient ACL had< 10° varus deformity and a CTFS of < 6mm.ConclusionFunctional ACL insufficiency in osteoarthritic varus knees is associated with greater varus deformity and more advanced CTFS. Seventy-three percent of ACL-insufficient knees had a varus deformity of ≥10° and 64% of ACL-insufficient knees a CTFS of ≥ 6mm. In the work-up for medial unicompartmental knee arthroplasty, functional ACL insufficiency is likely in knees with varus deformity of ≥10° and CTFS of ≥ 6mm.     

褐云玛瑙螺中枢内支配大触角肌肉神经元的分布

实验用荧光素Ｂｂ逆行追踪方法，研究了褐云玛瑙螺支配大触角肌肉活动的神经元在中枢的分布，结果表明，Ｂｂ标记神经元大多分布于同侧脑节，少量分布于侧脑节，同侧口球节，足节和侧节，Ｂｂ标记神经元大多为中小型神经元，个别属于大型神经元。