Management of sagittal craniosynostosis: morphological comparison of eight surgical techniques

The aim of this study was to carry out a retrospective multicentre study comparing the morphological outcome of 8 techniques used for the management of sagittal synostosis versus a large cohort of control patients. Computed tomographic (CT) images were obtained from children CT-scanned for non-craniosynostosis related events (n = 241) and SS patients at preoperative and postoperative follow-up stages (n = 101). No significant difference in morphological outcomes was observed between the techniques considered in this study. However, the majority of techniques showed a tendency for relapse. Further, the more invasive procedures at older ages seem to lead to larger intracranial volume compared to less invasive techniques at younger ages. This study can be a first step towards future multicentre studies, comparing surgical results and offering a possibility for objective benchmarking of outcomes between methods and centres.     

医院档案管理工作创新方法初探

档案管理是医院管理中一项重要的内容。医院传统档案管理已经不能满足现代化社会发展的要求,基于此需要加强对医院档案管理的创新,只有在加快医院档案管理创新的基础上才能提高档案管理的效率和水平,并推动社会的进一步发展,可见创新医院档案管理方法是时代发展的必然选择。该文主要针对现阶段创新医院档案管理工作方法的相关问题进行研究,目的是为医院档案管理纳入新的工作方法,提高医院管理水平。     

Effects of incentives,age, and behavior on brain activation during inhibitory control: A longitudinal fMRI study

We investigated changes in brain function supporting inhibitory control under age-controlled incentivized conditions, separating age- and performance-related activation in an accelerated longitudinal design including 10- to 22-year-olds. Better inhibitory control correlated with striatal activation during neutral trials, while Age X Behavior interactions in the striatum indicated that in the absence of extrinsic incentives, younger subjects with greater reward circuitry activation successfully engage in greater inhibitory control. Age was negatively correlated with ventral amygdala activation during Loss trials, suggesting that amygdala function more strongly mediates bottom-up processing earlier in development when controlling the negative aspects of incentives to support inhibitory control. Together, these results indicate that with development, reward-modulated cognitive control may be supported by incentive processing transitions in the amygdala, and from facilitative to obstructive striatal function during inhibitory control.     

Early neonatal inflammation affects adult pain reactivity and anxiety related traits in mice: genetic background counts

Protracted or recurrent pain and inflammation in the early neonatal period may cause long-lasting changes in central neural function. However, more research is necessary to better characterize the long-term behavioral sequelae of such exposure in the neonatal period. Objectives: (1) to study whether timing of postnatal exposure to persistent inflammation alters responsiveness to thermal pain in the adult animal; (2) to assess whether animals experiencing early postnatal chronic inflammation display altered anxiety related behavior; (3) to study the importance of genetic background. Newborn mice (outbred strain, CD1 and F1 hybrid strain, B6C3F1) received an injection of Complete Freund's Adjuvant (CFA) or saline on either postnatal day 1 or 14 (PND1; PND14) into the left hind paw. Pain to radiant heat and anxiety were examined in 12-week-old adult animals. Adult baseline PWL was significantly decreased in CD1 mice exposed to CFA on PND 1 and 14 as compared to their saline treated counterparts. B6C3F1 mice exposed to CFA on PND14 showed markedly reduced baseline PWL compared to the PND14 saline group. Persistent inflammation experienced by B6C3F1 mice on PND1 failed to affect baseline adult thermal responsiveness. Adult mice, CD1 and B6C3F1, displayed low anxiety traits only if they had been exposed to persistent inflammation on PND1 and not on PND14. Our research suggests a role for genetic background in modulating long-term behavioral consequences of neonatal persistent inflammation: the data support the hypothesis that pain experienced very early in life differentially affects adult behavioral and emotional responsiveness in outbred (CD1) and hybrid mice (B6C3F1).     

大学生心理素质与思想品德发展的关系

研究大学生心理素质与思想品德发展的关系，目的在于分析、发现个体在接受教育过程中的心理运动规律，从而提高思想教育的实效性。本文从马克思主义认识论和实践论的观点出发，依据教育心理学的原理，探讨了心理健康教育与思想品德教育的内在联系和相互作用，提出良好的心理素质是大学生思想品德发展的基础的观点。认为品德的形成与人的心理活动息息相关，个体如果没有良好的品德，将影响其心理素质的完善；同样，没有健全的心理素质，思想品德也不能得到很好的发展。只有思想品德教育与心理健康教育协调发展，共同作用，才能收到良好的教育效果。     

Policy determinants affecting the hunger millennium development goal

The possible effect of Government Consumption (a component of Gross Domestic Product (GDP)) on attainment of the hunger Millennium Development Goal (MDG1) was analyzed by evaluating the effect of macroeconomic, social, demographic and policy variables on average undernourished population. Eighty-four developing countries with data available on undernourished population were included in an ecological study. Regression models were applied to explore possible determinants of Undernourished between 1990 and 2004 and consequent achievement of the projected 2004 MDG1. In 2004, 1.4% of the overall undernourished population in the studied countries [70.16 million people] was in excess of the projected level required to meet MDG1. The multiple linear regression showed significant associations between Undernourished and poverty levels, the Gini Index, rural population and Government Consumption. The multiple logistic regression showed significant associations between achievement of projected 2004 MDG1 levels and Government Consumption and the Gini Index. The significant associations between Undernourished and Government Consumption suggest that the effects of GDP components on social conditions call for more thorough research and that policymakers such as governments and international financial institutions need to ensure that changes in distributive and redistributive policies do not negatively affect the possibility of achieving MDG1.     

略述中医刺血术发展史

刺血术是中医学中一种古老而独特的针刺治疗方法，文章对刺血术的发展进行了概述，并对其历史分期进行了总结。刺血术发展的四个历史阶段是：第一阶段为起源及萌芽阶段(春秋以前)，以砭石的出现及其应用标志；第二阶段为理论奠基及经验积累阶段(战国至唐)，以《黄帝内经》的问世为其理论体系形成标志；第三阶段为理论创新及特色形成阶段(宋金元)，以金元四大家刘完素、张从正、李杲、朱震亨的刺血成就为其代表；第四阶段为不断完善及日趋成熟阶段(明清)，以诸医家对瘟毒疫疠的刺血经验为其特征。     

循证护理发展及其影响

近年，循证护理这一新概念被越来越多的护士重视和应用，在促进护理学科发展中起着积极的作用，重点介绍循证护理的定义及其发展所产生的影响。     

国人胎儿胸腺的生长发育

称量了14—38周共56例引产胎儿胸腺的重量并观察了6—38周共25例引产胎儿胸腺的组织结构,认为胸腺在胚胎时期生长速度较快。光镜观察,6周已出现胸腺的始基,第9周开始出现淋巴细胞,12周开始分叶,13周以后,皮质髓质渐趋分明并出现胸腺小体,15周后胸腺小叶增多变宽,新小叶形成旺盛,胸腺小体增多,至28周后结构已近似成熟。