拨针治疗腕管综合征108例疗效观察

目的：拨针治疗腕管综合征疗效观察。方法：回顾性分析我院收治腕管综合征208例的临床资料,对其采取拨针治疗。结果：208例,治愈118例,治愈率100%,其中64例患者当时症状消失,14例患者2天后症状消失,12例患者随访5个月内无复发。结论：运用拨针治疗腕管综合征,疗效显著,不易复发。     

Weight-related Teasing,Dysfunctional Cognitions,and Symptoms of Depression and Eating Disturbances

Although there is evidence that verbal victimization in childhood may be a nonspecific risk factor for a variety of disorders, there may be mediational pathways that are specific to each disorder. In this study, we hypothesized that disorder-specific cognitions would mediate the relation between reports of childhood verbal victimization and undergraduates’ current symptoms of depression and eating disorders. In addition, we hypothesized that a specific type of verbal victimization, weight-related teasing, would be more strongly related to the presence of dysfunctional eating cognitions than depressive cognitions. Both hypotheses were supported, providing preliminary evidence for the hypothesized disorder-specific mediational pathways.

Differential heart rate responses to social and monetary reinforcement in women with obesity

Obesity is often accompanied by weight stigmatization; subsequently, individuals with obesity frequently face social rejection. It has been shown that recurrent negative social experiences can alter the perception of social cues. However, the way individuals with obesity process social stimuli is not well understood. This study aims to investigate obesity‐related alterations in social compared to nonsocial information processing. Women with obesity (n = 14) and without obesity (n = 14) participated in a social and a monetary incentive delay task in which they anticipated and received positive, negative, and neutral outcomes in the form of faces or money. During the experiment, phasic heart rate changes and reaction times were measured. Women with obesity, compared to lean women, exhibited a stronger differentiation during the anticipation of monetary and social reinforcement, showing slower reaction times to social cues compared to monetary cues. During the outcome processing phase, women with obesity relative to controls demonstrated diminished heart rate responses particularly to negative social outcomes. Interestingly, differences in cardiac responses in participants with obesity were moderated by weight‐related teasing experiences. In women with obesity, a higher BMI was associated with blunted cardiac responses to social cues relative to monetary cues only if they reported more emotional pain after weight‐related teasing. Our results contribute to a better understanding of social information processing in obesity and give first evidence for the role of negative social experiences in reinforcement processing.     

Negative affect as a mediator of the relationship between weight-based teasing and binge eating in adolescent girls

Previous research has established a link between weight-based teasing and binge eating, though the precise mechanisms that drive this relationship remain unknown. This study examined negative affect as a mediator of the relationship between weight-based teasing and binge eating. Participants included 265 adolescent female twins (aged 10-15 years). Self-report measures assessed binge eating, weight-based teasing, and negative affect. Mediation was tested within hierarchical linear models to control for the non-independence of the twin data. Significant positive associations were observed between binge eating, teasing, and negative affect. In the regression analyses, negative affect partially mediated associations between weight-based teasing and binge eating. Results suggest that increases in negative affect are one way in which weight-based teasing leads to binge eating in girls. Future studies should examine additional mediators and assess possible clinical applications of these findings.     

Degeneration and regeneration in teased nerve fibres

Summary The pattern of myelin degeneration and regeneration was studied in 40 nerve biopsy or necropsy specimens, using the teased fibre method, including 35 specimens of leprous neuritis, and 5 control specimens, 3 from humans and 2 from monkeys.The specimens of leprous nerves were derived from 10 lepromatous, borderline, or tuberculoid cases in an advanced polyneuritic stage. Nearly two-thirds showed Wallerian degeneration, which was very frequent in all types of leprosy. Segmental demyelination was observed in about one-fourth of the specimens and was more frequent in lepromatous cases.Regeneration was frequently encountered in nerve specimens from cases of all types of leprous neuritis. There was more often regeneration after Wallerian degeneration in the form of thin fibres with short uniform internodes, than an irregular remyelination after segmental demyelination. The two were further distinguished from one another by measuring the internodal lengths and fibre diameters.Extensive Schwann sheath proliferation was observed in almost all specimens of leprosy; the non-specificity of this is stressed.The significance of studying degenerative and regenerative changes at different levels of the same nerve from leprous neuritis, is discussed. The findings have shown that the myelin of the distal-most parts of the nerves sustains more severe damage, confirming earlier similar observations on paraffin sections.The control specimens, 3 of which were fixed in formalin for prolonged periods, did not show any significant abnormalities in the myelin.     

ENTREN-F family-system based intervention for managing childhood obesity: Study protocol for a randomized controlled trial at primary care

BackgroundPediatric obesity is a primary public health concern, and designing effective programs for managing it is of the utmost importance. The objective of this study was to describe the protocol study of a three-arm, parallel, randomized controlled trial aimed at assessing the efficacy of a family-system-based intervention (“ENTREN-F” program) for managing childhood obesity, compared to the “ENTREN” program (no “F” - without specific family-system-based workshop) and a control group (behavioral monitoring).Methods/designThe ENTREN-F program was a multicomponent family-system-based intervention carried out by a multidisciplinary team in the primary health care setting. The program targeted children between 8 and 12 years with overweight and obesity (P ≥ 85th). Parents were actively involved in the process. The contents were designed using the Cognitive Behavioral Therapy (CBT) principles. The program comprised individual behavioral monitoring, a healthy habits workshop for children and their parents, a CBT workshop for children, and a family-system-based workshop for parents, enhancing parental management skills plus family functioning. The trial’s primary outcomes included changes in child body mass index (BMI) z-scores, child’s psychological well-being, and family functioning over six months. Secondary outcomes included changes in eating behavior, physical activity, self-esteem, parental distress, parental feeding practices, and parental modeling.DiscussionTo our knowledge, this is one of the few randomized controlled trials to assess the efficacy of a multicomponent program that considers health from a comprehensive perspective, trying to improve children’s psychological well-being and family functioning besides weight loss. This study, therefore, addresses a gap in the literature. If found to be efficacious, it suggests a new potential health service for translation into National Primary Health Care services in Spain, one of the ten countries with the highest prevalence of obesity in Europe.     

飞腾八法配挑针治疗椎动脉型颈椎病的临床研究

目的：探讨飞腾八法配挑针治疗椎动脉型颈椎病的有效性及安全性，从而为治疗及预防椎动脉型颈椎病的新方法及途径。方法方便选取回顾性分析2015年3月—2016年2月该院门诊就诊或者疗区治疗的50例椎动脉型颈椎病患者，将其随机分为治疗组和对照组。治疗组采用飞腾八法配挑针法，对照组采用普通循经针刺法，对比观察实验组与对照组之间眩晕、颈肩痛、头痛、日常生活及工作、心理及社会适应及椎-基底动脉彩色多普勒检查情况。结果治疗组总有效率为88.0%，明显高于对照组56.0%，治疗前后椎-基底动脉血流变数据比较，LVA，RVA及BA均产生显著差异，差异有统计学意义(P<0.01)。结论飞腾八法配挑针治疗椎动脉型颈椎病其疗效确定、操作简便、无不良反应，不受诊疗条件限制，便于大范围推广，不但可以为患者减少负担，更可为社会节约医疗开支，对整体医疗水平提高有一定意义。     

Self-portrayal concerns mediate the relationship between recalled teasing and social anxiety symptoms in adults with anxiety disorders

Previous research on individuals with anxiety disorders has demonstrated that both childhood peer maltreatment and concerns about negative self-portrayal are related to elevated symptoms of social anxiety (SA). In the present study, we examined whether concerns about negative self-portrayal might either moderate or mediate the relation between recalled childhood teasing history and current symptoms of SA in a non-treatment-seeking clinical sample of 238 individuals with anxiety disorders. Participants completed the Teasing Questionnaire-Revised (TQ-R), the Negative Self-Portrayal Scale (NSPS), and the Social Phobia Inventory (SPIN). Analyses using structural equation modeling (SEM) indicated that self-portrayal concerns mediated, but did not moderate, the relationship between recalled teasing and current SA, accounting for 51% of the total effect. Clinical implications and directions for future research are discussed.