盆腔脓肿的诊断与治疗

盆腔脓肿是一个严重影响妇女健康的疾病,100多年来,盆腔脓肿的诊断和治疗观念不断更新.B超、CT、MRI、镓,铟标记的白细胞扫描等技术诊断的应用提高了诊断的准确率.B超、CT引导下的穿刺以及广谱抗生素的运用,使得盆腔脓肿的治愈率不断提高.     

剖宫产术后盆腔血肿6例临床分析

本文探讨剖宫产术后盆腔血肿形成的原因、早期诊断、治疗及预防措施。对我院2010年3月～2011年4月1800例剖宫产术后发生盆腔血肿的6例患者资料进行回顾性分析,盆腔血肿发生率为0．33％,均通过B超检查确诊,3例保守治疗,3例在B超下穿刺治疗,均治愈。剖宫产后盆腔血肿的形成有多种原因,多在术后一周左右B超检查确诊。早...     

剖宫产术后盆腔血肿6例临床分析

本文探讨剖宫产术后盆腔血肿形成的原因、早期诊断、治疗及预防措施.对我院2010年3月～2011年4月1 800例剖宫产术后发生盆腔血肿的6例患者资料进行回顾性分析,盆腔血肿发生率为0.33%,均通过B超检查确诊,3例保守治疗,3例在B超下穿刺治疗,均治愈.剖宫产后盆腔血肿的形成有多种原因,多在术后一周左右B超检查确诊.早期使用抗生素及局部理疗效果好.     

多层螺旋CT灌注成像在急性脑梗死超早期的应用

为了评价多层螺旋CT灌注成像(MSCTPI)指导下急性脑梗死超早期溶栓治疗,对60例发病≤3h临床诊断为脑梗死的患者进行常规颅脑CT扫描,对所有入选病例均进行MSCTPI检查。结果提示,MSCTPI可以超早期诊断急性脑梗死,为早期溶栓及个体化治疗提供影像学证据。     

逆行性肾盂造影联合输尿管软镜在诊断小肾盏癌中的价值

探讨逆行性肾盂造影联合输尿管软镜在诊断小肾盏癌中的价值。回顾分析5例小肾盏癌临床资料,术后病理检查结果均提示尿路上皮癌I级（Ta-G1）,术后定期行膀胱内灌注化疗药物,且均未出现肿瘤其他部位转移等并发症发生。对5例患者均进行随访,1年期间每3个月行尿常规及B超检查均正常,1年生存率达100％。患者出现血尿症状,虽然常规检查（尿常规、B超、IVU、CT或MRI等）诊断不明确者,都可行逆行性肾盂造影检查。一旦逆行性肾盂造影检查提示异常图像,均可提示肾盏癌,使误诊率及漏诊率降至最低程度,尽可能阻断早期肿瘤的发展。故逆行性肾孟造影联合输尿管软镜可提高早期小肾盏癌的术前诊断率。     

多层螺旋CT灌注成像在急性脑梗死超早期的应用

为了评价多层螺旋CT灌注成像(MSCTPI)指导下急性脑梗死超早期溶栓治疗,对60例发病≤3h临床诊断为脑梗死的患者进行常规颅脑CT扫描,对所有入选病例均进行MSCTPI检查.结果提示,MSCTPI可以超早期诊断急性脑梗死,为早期溶栓及个体化治疗提供影像学证据.     

B型超声在盆腔肿块检查中的辩证分析

Ｂ型超声在盆腔肿块检查中的辩证分析河南医科大学第三附属医院Ｂ超室（郑州４５００５２）孙雁龄杨阳河南省唐河县人民医院（４７３４００）孙鹤龄１资料与方法：选择我院近２年来妇科部分Ｂ超检查并经手术治疗有明确病理诊断的患者,年龄１８～６７岁,临床表现为下腹...     

动态磁共振成像在早期乳腺癌诊断中的临床研究

评价动态增强磁共振成像在早期乳腺癌诊断中的价值。随机选取2008年10月到2011年6月本院83例经B超或B超联合钼靶检查阴性的中青年女性行乳腺MRI检查,对MRI发现可疑结节病灶的患者进行手术活检,通过病理诊断来评价MRI在诊断早期乳腺癌的准确性和临床应用价值。83例中青年女性中,发现病变7例（8．4％）,癌前改变4...     

AIDR 技术在优化婴幼儿胸部 CT 扫描方案中的应用价值

该研究是探讨自适应迭代剂量降低重建技术（adaptive iterative dose reduction ,AIDR）在婴幼儿胸部 CT 扫描中的应用。本研究从拟行胸部 CT 检查的患儿中随机选取40例,分成 A 与 B 两组,A 组管电压为80kV ,用 AIDR 重建技术;B组为100kV ,用滤过反投影重建技术（FBP）。比较 A 、B 两组 CT 值、标准差（SD）、信噪比（SNR）、对比信噪比（CNR）、CT容积剂量指数（CTDIvol）、剂量长度乘积（DLP）及辐射剂量。该研究所得到的 A 、B 两组的图像质量评分、CT 值、SD 、SNR 、CNR 差异均无统计学意义。 A 组较 B 组辐射剂量降低。所以本研究认为在婴幼儿胸部扫描中采用80kV 加 ADIR重建,图像质量能达到诊断要求,且可降低辐射剂量。     

13例脐尿管囊肿的诊断分析

脐尿管囊肿是一种少见畸形,为探讨其病因、临床表现及诊治方法,对2010年1月～2013年12月于我院诊断为脐尿管囊肿的13例患者进行回顾性分析。结果显示,脐尿管囊肿主要发现于男性患儿,可表现为腹痛、脐部或膀胱不适等合并症,常伴有发热,也可无明显临床表现,由单纯查体发现。B超和CT是推荐检查方法,确诊需依靠组织病理学检查。手术切除是治疗该病的首选方法,临床效果满意。随着技术的发展,治疗脐尿管囊肿可优先选择腹腔镜切除术。     

Designing a behavioral program for a barrio in Tegucigalpa, Honduras

Health in Housing initiated a behavioral program of education and skills training for children and adults in a community of 30,000 persons living in substandard conditions in Tegucigalpa, Honduras. To measure achievement in the long-range project, 21 families of Flor del Campo participated in a preliminary three-part survey of their (a) health, (b) housing and the environment, and (c) family history. Doctors, designers, and educators worked with Honduran personnel in the first survey. Following functional analyses of the home and surrounding environment and the physical status of the individuals living there, procedures provide the family with treatment and training for home and environment improvement. Graphic, verbal, and numerical data, incorporated into a master computerized system, record events of each family member: training programs experienced, health care delivery courses taken, medical treatments, growth of children, literacy changes, educational courses completed, kinds and amounts of foods eaten, household and building materials purchased. Ongoing functional analysis and a long-range evaluation are made of the progress of each participating individual in a family. Teams revisit each house to observe and record any changes in the physical and environmental facility and the health and life-styles, and to report any indications of new health problems or recurrences.     

Evolving Development: An Evolutionary Perspective on Development for an Interconnected World

The notion of development has been permeated by concepts and methods from positivistic science. As a result, many development initiatives are reductionistic, myopic, and with little or impact on the improvement of the quality of life and the sustainability of communities and societies. This article marks the beginning of a transdisciplinary inquiry among the authors, motivated by direct interest in the issue of development, per se, and in particular, Mexico's development. Our inquiry departs from and weaves together our various areas of expertise and experience, including: systems theory, general evolution theory, economic development, technology transfer, social innovation, sustainable development, environmental behavior, social systems design, and education. The article reviews the concept of development from an evolutionary and systemic perspective. It outlines the foundations of evolutionary development in terms of theory, philosophy, and methodology and provides a conceptual framework for future research aimed at the articulation of a practical model for evolutionary development.     

急性疼痛与慢性疼痛对奖赏加工的影响及神经机制

疼痛和奖赏能够为个体提供不同的行为动机和主观价值体验,寻求奖赏和避免疼痛对于生存都很重要。疼痛可划分为急性疼痛和慢性疼痛,奖赏可区分为预期阶段的动机成分和体验阶段的享乐成分。奖赏对疼痛的抑制作用已经被广泛证实,但关于疼痛对奖赏的影响,目前的研究结果并不一致。因此需要进一步区分并探究急性疼痛与慢性疼痛对奖赏加工不同阶段的影响,分析两种疼痛对奖赏加工产生不一致影响的现象。这种现象出现的原因可能与急性疼痛向慢性疼痛转变过程中出现的奖赏加工能力缺陷有关。未来可以考虑从改善奖赏加工能力缺陷的角度进行检测和治疗,提前预防急性疼痛向慢性疼痛转变。     

Cognitive Neuroscience, Temporal Ordering, and the Human Spirit

Understanding purpose and intent requires attention to our experience of time. Cognitive neuroscientific research into the functional and neural substrates of higher cognitive functions have direct bearing on the experience of temporal ordering. Consciousness, located within the short span of working memory, is made cognitively possible and evolutionarily valuable by biological constraints in time. These constraints, including our longevity, make thought about more extended events both possible and useful. Such cognitive processes, rooted in the neurophysiology of cortical function, are a sine qua non for the construction of meaning, relationship, morality, and purposes that may extend beyond our mortality. Research in the cognitive neurosciences is overviewed, and implications are discussed for questions of mortality, design and intention, the reconstruction of meaning, and the experience of eternity.     

论人、我、自然的和谐发展:疫情的社会心理学反思

新型冠状病毒疫情的预防和控制不仅是一个科学技术的问题,还是一个人文社会科学的议题。从社会心理学的视角来看,新型冠状病毒疫情的发生、蔓延是人与自然、人与他人以及人与自己的关系失调的体现。他人、自我、自然的和谐是社会和谐发展的前提和保证。培育好自尊自信、理性平和、亲善友爱的良好社会心态,把握好物质与精神、自由与规范、统筹与协作平衡发展的社会治理方法,可以在疫情的预防和控制中起到重要作用。     

2010~2020中国内地初中生心理健康问题检出率的元分析

初中生心理健康问题的检出率在诸多研究中存在很大分歧, 未能为心理健康政策制定和服务体系建设提供充分依据。为明确心理健康问题的整体检出率并澄清其影响因素, 对2010~2020年检索到的文献进行了元分析。结果发现, 初中生面临不同程度的心理健康问题, 其中焦虑、抑郁和自我伤害检出率排在前三位; 初中生心理健康问题随年代发展呈恶化趋势, 其中焦虑和自杀企图尤为明显; 初中生心理健康问题检出率饱受测量工具、检出标准和检出时间不统一的影响; 初中生心理健康问题检出率整体上随年级而增加, 其中焦虑尤为明显; 女生的心理健康问题检出率高于男生, 自杀尤为明显; 中西部地区的初中生比东北和东部地区更容易出现心理健康问题, 尤其是焦虑和自我伤害。未来应立足中国大地研制科学的测量工具和筛查标准并建立心理健康动态监测体系和学校心理健康服务体系。     

From cybernetics to brain theory,and more: A memoir

While structured as an autobiography, this memoir exemplifies ways in which classic contributions to cybernetics (e.g., by Wiener, McCulloch & Pitts, and von Neumann) have fed into a diversity of current research areas, including the mathematical theory of systems and computation, artificial intelligence and robotics, computational neuroscience, linguistics, and cognitive science. The challenges of brain theory receive special emphasis. Action-oriented perception and schema theory complement neural network modeling in analyzing cerebral cortex, cerebellum, hippocampus, and basal ganglia. Comparative studies of frog, rat, monkey, ape and human not only deepen insights into the human brain but also ground an EvoDevoSocio view of “how the brain got language.” The rapprochement between neuroscience and architecture provides a recent challenge. The essay also assesses some of the social and theological implications of this broad perspective.     

Xunzi Versus Zhuangzi: Two Approaches to Death in Classical Chinese Thought

The contrasting approaches to death and bereavement in classical Confucianism and Daoism epitomize the different orientations of the two ethical traditions. Confucianism, here represented by Xunzi, interprets and manages death and bereavement through distinctive cultural practices, specifically rituals and associated norms of propriety, which are intended to bring order, harmony, and beauty to human events and conduct. Daoism, here represented by the Zhuangzi, contextualizes and copes with death and loss through an understanding of and identification with natural processes. Both approaches address death and bereavement through a systematic, naturalistic philosophy of life that makes no appeal to a conception of divinity or a personal afterlife. For Xunzi, the heart of this system is ritual propriety, through which all human affairs—including inevitable, natural events such as death—must be mediated. For the Zhuangzi, by contrast, rigid, ritualized cultural forms are an obstacle to coping efficiently with natural processes such as death. Rather than constructing a sphere of “the human” as distinct from “the natural,” the Zhuangzi urges us to situate the human within nature in a way that removes the opposition between the two. This essay contrasts and critiques the two approaches, contending that although Xunzi’s theory of ritual presents a plausible account of the relation between humanity, culture, and nature, it fails to address death appropriately as an inexorable, natural event. By contrast, the Zhuangzi presents an attractive way of relating human life and death to nature and thus perhaps offers a means of finding solace concerning death. The essay suggests, however, that the Zhuangist stance may be grounded primarily in a certain ethical or aesthetic attitude, rather than in an objectively compelling argument. Ultimately, both approaches may rest as much on contrasting ethical and aesthetic sensibilities as on rational argumentation.     

Science and Religion: Getting Ready for the Future

I explore three challenges for the current dialogue between science and religion: the challenges from hermeneutics, feminisms, and postmodernisms. Hermeneutics, defined as the practice and theory of interpretation and understanding, not only deals with questions of interpreting texts and data but also examines the role and use of language in religion and in science, but it should not stop there. Results of the post‐Kuhnian discussion are used to exemplify a wider range of hermeneutical issues, such as the ideological potential of scientific concepts, the dynamics of interdisciplinarity, and the significance of the socioeconomic situatedness of science and religion. Feminist research analyzes the consequences of the interplay of masculine, feminine, and gender typologies in religion and science. Examples from the history of science as well as current scientific conceptualizations indicate that beliefs in the inferiority of woman form part of our inherited scientific, religious, and metaphysical framework. It is argued that postmodernism in its most constructive form shares the best fruits of modernity, especially of the Enlightenment, while avoiding some of its most serious mistakes. In conclusion, reflecting on the three publics engaged in the dialogue between science and religion—academe, religious communities, and societies—I offer constructive suggestions and critical observations concerning the future of this dialogue.     

The Value of Strength-Based Approaches in SERE and Sport Psychology

During the past 2 decades, the psychosocial landscapes of the military and elite sport have drastically changed, with the presence of stress an increasing health and safety concern. For example, in modern warfare, fighters must have the psychological capabilities to counter terrorism and undertake extended deployments in extreme environments against enemies with increasing skills for rapid development and dissemination of information and weaponry via global communication networks. In sport, performers have also reported being affected by globalization, reporting a hazardous array of stressors (e.g., roles, relationships, development issues, and organizational structure and climate) associated with preparation for and performance at major international competitions. The result of such developments is the need for leaders in both the military and sport to better understand optimal performance, and in particular the preparation of their charges, the war fighter and athlete, for the demands of their respective competition arenas. Therefore, in this narrative review we identify strength-based concepts of common interest and potential knowledge transfer in the study of psychology of excellence in the face of adversity between sport and military domains. Specifically, we highlight a value of 6 strength-based concepts for elite performance environments in sport (i.e., Olympic performance) and the military (Survival, Evasion, Resistance, and Extraction: SERE); mental toughness, positive emotion, learned optimism, resilience, posttraumatic growth, and self- and emotion regulation. In line with this discussion we highlight commonalities and knowledge transfer considerations regarding interventions in these spheres of psychological practice, the potential value of humanism and existentialism, the importance of post career and rehabilitation intervention, and readiness to change and engagement in training.