Using participatory video to challenge the stigma of mental illness: a case study

The diagnosis of mental ill health continues to attract substantial stigma in western society, with evidence suggesting public attitudes to be increasingly negative. Recent reviews have highlighted the extensive research on the nature of this stigma but with limited work on the development of strategies to challenge the stigma. The aim of this case study was to explore the potential of researchers and mental health service users (MHSUs) working collaboratively to identify the main problems the service users experience in their everyday lives and to produce a video challenging the negative image of mental ill health. Discussions were held with volunteers involved in a mental health media action group; all volunteers had been or were currently MHSU. These discussions identified a variety of problems including difficulties in everyday social interaction and negative portrayal of mental ill health in the media. A short video was developed with volunteers summarizing the issues they had raised: this was subsequently shown to a wider audience. The MHSUs reported considerable personal benefits of participation in the project. The paper discusses these findings and the process of producing the video.     

颞叶癫痼患者长程数字化视频EEG与过度换气EEG痫样放电规律探讨

目的：了解长程数字化视频EEG与过度换气EEG的癎样放电规律.方法：评估52例颞叶癫癎患者长程数字化视频EEG与过度换气EEG的癎样放电特点.结果：过度换气EEG癎样放电检出率明显低于浅睡期EEG,差异具有极显著意义（P＜0.01）;但与清醒期和深睡期EEG癎样放电检出率比较差异无显著意义（P＞0.05）.结论：颞叶癫癎患者浅睡期EEG癎样放电率明显高于过度换气EEG,对颞叶癫癎患者进行睡眠EEG检测,有助于提高癎样放电的检出率.     

Z‐axis video for cytology database is a useful tool for the case presentation prior to the cytology training workshop

We have built a database on the Internet managing z‐axis video for cytology (Zavic), and report on a new style of case discussion supported by the Zavic database. Z‐axis video for cytology is a movie file derived from the video recording of a microscopic field with changes in the focus. We used it for the case presentation of EUS‐FNA of pancreatic lesions on the Internet prior to a training workshop. The attendees were asked to observe the Zavic and to make diagnoses of 20 cases before the workshop. Fourteen attendees also observed lesions under a microscope on that day, and the results were compared with those of Zavic observation. The evaluation of the Zavic database (DB) was surveyed by a questionnaire. The average number of accurate diagnoses by 46 Zavic observers was 10.8. These accuracies for those who observed both the Zavic and glass slides were 11.57 and 11.43, respectively, for the videos and slides. Compared with Zavic observation alone, the diagnoses with glass slide observation were shifted to a correct diagnosis in two cases, but were shifted to an incorrect diagnosis in two cases. Approximately 60% of Zavic observers replied in the questionnaire that the movies on Zavic DB started to play within 3–4 seconds after clicking the play button. We successfully carried out the new style of case discussion supported by the Zavic DB. It was evaluated favorably by many attendees, who were psychologically still dependent on the glass slide observation. Diagn. Cytopathol. 2013. © 2011 Wiley Periodicals, Inc.     

全胸腔镜食管癌外科治疗的手术模式及其演变

目的 探索全胸腔镜下食管癌根治的手术模式.方法 回顾分析2009年7月至2013年2月123例行全胸腔镜食管癌手术患者资料,包括胸内吻合及颈部吻合者,男87例,女36例;年龄38～72岁,平均59岁.按吻合部位分为:胸内吻合组(Ivor-Lewis)74例,腹腔镜游离胃,全胸腔镜食管癌根治切除,右胸顶胃食管吻合,带蒂大网膜包埋吻合口;颈部吻合组(McKoewn) 49例,胸腔镜食管游离,腹腔镜游离胃,胃食管颈部吻合.比较两组急性呼吸窘迫综合征(ARDS)发生率、术后声嘶发生率、吻合口并发症(吻合口瘘及术后2个月内吻合口狭窄),手术时间、吻合口操作时间、手术中失血量、ICU监护时间及术后住院时间等.结果 123例无手术死亡.胸内吻合组与颈部吻合组相比,手术时间及吻合口操作时间均显著增长[(371.22 ±28.38) min对(313.47±18.77) min和(72.68±9.04) min对(36.14±4.43) min];术中失血量两组差异无统计学意义;术后吻合口瘘(4.1％对18.4％)和吻合口狭窄(1.4％对17.5％)发生率均显著降低;术后总住院时间明显缩短[(20.89±3.81)天对(24.31 ±6.27)天];胸内吻合组与颈部吻合组术后声嘶及ARDS发生率无显著差异.结论 对于食管中下段癌,全胸腔镜下应用普通吻合器行Ivor-Lewis手术及袖套式大网膜包埋吻合口手术技术成熟、安全、可靠,值得推广应用;对于上段食管癌仍应遵循McKoewn术式.