The Blood Brotherhoods

The Jungian concept of archetypes when aligned with a developmental perspective provides an important analytical tool. It allows many terrorist acts to be read as capture by the archetype of the Terrible Father as a rebellion against the anima archetype of civilization.     

Blood pressure and personality

Three groups of 18-yr-old male Ss were selected from a representative Swedish population according to strict blood-pressure criteria: hypertensives (systotic blood pressure above 146 and diastolic above 90), on two occasions, normotensives (systolic blood pressure between 124 and 131, population mean = 128) and hypotensives (systolic blood pressure between 100 and 106). As a part of a broad multidisciplinary study, personality inventory scales and unpleasantness ratings for various types of situations were administered. The findings for the hypertensives indicated lower assertiveness and higher anxiety-proneness, whereas the hypotensives, compared to normotensives, showed a more impulsive, acting-out personality pattern. The hypertensive group was subdivided according to digital vasoconstriction criteria. The non-vasoconstricted subgroup showed a more impulsive and ‘anger-out’ personality pattern, whereas the pattern obtained in the vasoconstricted subgroup was more similar to the classical hypertensive personality, characterized by anxiety and unexpressed anger.     

降压达标治疗中的个体化原则与优化治疗

为了提高高血压患者的降压达标率、最大程度地降低靶器官损伤,一方面应强化生活方式的改变,包括戒烟限酒、低盐饮食、减轻体重和适量运动,另一方面,由于原发性高血压的发病是由多种复杂因素的不同组合引起,应根据不同个体的高血压发病机制及病因的差异,在指南的指导下,应用不同种类抗高血压药物(单用或联合用药),采用针对个体的优化治疗,才能更有效地使降压治疗达标。     

Voluntary Blood Pressure Control: Operant Conditioning by a Continuous Blood Pressure Feedback Technique

Abstract

The present study evaluated a single session operant conditioning of blood pressure in borderline hypertensives. A double blind randomized two period (each lasting for 20 minutes) cross over study consisting of a treatment (operant conditioning of mean arterial blood pressure) and a control condition (heart rate) was performed. Sequence of treatments was randomly assigned. Fourteen borderline hypertensive subjects participated and were trained to decrease their continuously measured blood pressure (Finapres) and heart rate. Subjects receiving blood pressure feedback during the first session showed a significant (4.3 mmHg) decrease in diastolic blood pressure. In contrast, subjects receiving blood pressure training during the second session showed a non-significant increase in diastolic blood pressure. Treatment consisting of more sessions is a promising adjunct to antihypertensive regimens.     

降压达标治疗中的个体化原则与优化治疗

为了提高高血压患者的降压达标率、最大程度地降低靶器官损伤,一方面应强化生活方式的改变,包括戒烟限酒、低盐饮食、减轻体重和适量运动,另一方面,由于原发性高血压的发病是由多种复杂因素的不同组合引起,应根据不同个体的高血压发病机制及病因的差异,在指南的指导下,应用不同种类抗高血压药物(单用或联合用药),采用针对个体的优化治疗,才能更有效地使降压治疗达标.     

Blood phobia—beware

In every day life, many people complain that they are afraid of the sight of blood. Stories of trainee medical doctors fainting on first witnessing an operation abound. Many people turn away from films of operations. Despite this, there are few accounts of the treatment of patients presenting with blood phobia as a main complaint. Standard texts on phobias (e.g. Marks, 1969; Rachman, 1974) do not mention it, nor do texts on behavioural treatment (e.g. Yates, 1970). The purpose of this short report is to describe the treatment of a long-standing, circumscribed blood phobia in a 16 yr old boy, and to draw attention to some special considerations surrounding the treatment of blood phobic patients.     

Social Cognitive Determinants of Blood Donation

This article reports two studies designed to test a theory of planned behavior-based model of blood donation. In Study 1 ( n = 136), self-efficacy and self-identity accounted for unique variance in behavioral intention. Study 2 ( n = 172) extended Study 1: self-efficacy, perceived control over behavior (PCB), self-identity, and moral norm were all independently predictive of intention; behavioral intention predicted a proxy measure of behavioral enaction. Both studies provided evidence to support a distinction between self-efficacy and PCB, and for the inclusion of self-identity and moral norm into the model. Belief-based measures discriminated intenders from nonintenders, and beliefs that accounted for unique variance in self-efficacy and PCB were identified. The findings are discussed in relation to using models such as the theory of planned behavior to intervene in social and health behaviors.     

Community Norms and Blood Donation1

It is suggested that for social psychological theory and research on helping to provide an adequate general explanation of helping, more attention must be paid to supraindividual factors. Most studies of blood donation have failed to take into account a number of factors that may influence donations at the level of the organization, community or collectivity. This study examines the possibility that specific community norms may emerge that have an influence on the donating behavior of community members. Perceived normative support was found to exist in different degrees in communities that provide different levels of behavioral support for bloodmobile visits, and persons who report a greater degree of perceived community support for donation are more likely to have donated in the past year. Implications for donor recruitment procedures are discussed.     

强化控制2型糖尿病患者血糖、血压＼血脂可降低尿白蛋白／肌酐比率

探讨2型糖尿病（T2DM）患者尿白蛋白／肌酐比率（UACR）的主要影响因素。89例T2DM患者实施血糖、血脂、血压强化控制,随诊1年并检测相关指标变化,统计学分析显示强化治疗后UACR降低,糖化血红蛋白和收缩压的变化值是影响UACR变化的主要因素。强化控制血糖、血脂、血压,尤其是严格控制糖化血红蛋白及收缩压,能减低糖尿病肾病发生的风险。     

强化控制2型糖尿病患者血糖、血压、血脂可降低尿白蛋白/肌酐比率

探讨2型糖尿病(T2DM)患者尿白蛋白/肌酐比率(UACR)的主要影响因素.89例T2DM患者实施血糖、血脂、血压强化控制,随诊1年并检测相关指标变化,统计学分析显示强化治疗后UACR降低,糖化血红蛋白和收缩压的变化值是影响UACR变化的主要因素.强化控制血糖、血脂、血压,尤其是严格控制糖化血红蛋白及收缩压,能减低糖尿病肾病发生的风险.     

个体化降压的临床意义

高血压是由多种病因和发病机制引起的一种慢性疾病,可以导致多种靶器官功能损害,并最终导致严重的心、脑血管并发症,危及人类的健康和生命.如何做到有效的预防和治疗是目前面临的问题.本文分析了高血压控制的现状,以矛盾的特殊性原理为指导,从高血压的病因和发病机制、临床特点以及药物对个体的敏感性等诸多方面出发,阐述了高血压患者个体差异性.高血压患者个体差异性决定每一个个体综合控制策略的不同,运用"具体问题具体分析"的方法,为每一个个体制定个体化的血压控制方案,以期达到理想的高血压整体控制水平.     

从血流动力学到心血管重塑——对充血性心力衰竭的新认识及再思考

虽然近年来心血管疾病的治疗取得了长足进展 ,但心力衰竭的发病率并未明显降低。据统计充血性心力衰竭占西方社会 6 5岁以上人群的 3%～5 % ,75岁人群的 10 %。在美国 ,是导致 6 5岁以上老年人住院和反复住院的主要原因。一旦心力衰竭诊断成立 ,患者 5年生存率不足 5 0 % ,甚至低于普通肿瘤[1] 。因此心力衰竭的治疗历来是临床医学的重要课题。1　概念及机制心力衰竭是指各种原因导致心脏泵血功能减退 ,在有充分静脉血液回流的情况下 ,心排血量降低以至不能满足机体的代谢需要 ,或者以升高心室充盈压力为代价而增加心排血满足代谢需要的临床…     

Blood pressure reactivity in adult male twins

The purpose of the present investigation was to examine possible genetic contributions to cardiovascular reactivity by contrasting patterns of association in 82 monozygotic (MZ) and 88 dizygotic (DZ) adult male twin pairs (age range = 21 to 61 years, M = 35 years). Systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were recorded during baseline and during a mental arithmetic task (i.e., serial subtraction). The task produced significant elevations in all three cardiovascular measures (i.e., 10 mmHg SBP, 8 mmHg DBP, and 6 bpm HR, respectively). Levels of SBP and DBP reactivity were significantly correlated in MZ pairs but not in DZ pairs. Statistical tests suggest a heritability estimate of about 50% that was marginally significantly for SBP and DBP changes during the task. There was no indication of a genetic influence on HR reactivity. Resting level and static task period measures of SBP, DBP, and HR demonstrated statistically significant heritability estimates of 60% to 80%.