Development of the Measure of Adaptations for Pelvic Symptoms (MAPS): the Importance of Incorporating the Female Patient’s Voice

Women with pelvic floor disorders use many adaptations in an attempt to minimize symptoms and enhance the quality of their lives. Existing condition-specific measures fail to capture the extent or impact of these adaptive behaviors. The present paper seeks to extend the women’s health literature and expand the registry of available measures to assess pelvic floor disorders by: 1) documenting the steps taken in the development and initial validation of the Measure of Adaptations for Pelvic Symptoms (MAPS); and 2) describing the added value of incorporating the patient’s voice in the instrument development process through in-depth focus groups. The rigorous process used to develop the measure (i.e., literature review, clinical experts, anecdotal patient reports, telephone-administered pilot study, and focus groups with female patients) is described. Analysis of the focus group data yielded eight important adaptation themes used to further refine the MAPS: disclosure, seclusion, being prepared, planning, clothing considerations, sexuality, order and intensity, and outlook. Specifically, focus group participants confirmed the use of sanitary pads and limiting food and beverage consumption. Women did not endorse keeping a jar or commode nearby. Discussions yielded important modifications to items about restroom use, clothing preferences, “survival kits” and “informal” pessary use. Participants described social isolation and preparations for sexual relations that led to new items. This study confirmed the value of incorporating women’s voices in the questionnaire development process through in-depth focus groups. The process revealed important patient experiences and led to significant refinements of the final measure.     

浅谈内隐学习在大学英语教学中的应用

内隐学习是一种自动的、不易觉察的、对复杂规律敏感的学习,内隐学习与学科教学的结合是近年来内隐学习研究取得的新进展。结合大学英语教学的实际,对内隐学习在大学英语教学中的应用进行了思考并提出了几点认识。     

浅谈羌民族灾后心理自我修复中的集体潜意识

5.12汶川大地震给居于四川北川、阿坝等地区的羌族人民带来了深刻的痛苦与回忆,给幸存者心理上留下了不可磨灭的阴影。灾后如何做好对其心理自我修复的引导,是一个值得关注的课题。而面对这样一个特殊的历史悠久的民族,由于他们特殊的地域性和文化背景,其灾后心理自我修复的过程就会不同于一般群体。在灾后心理自我修复的过程中,羌族人民将经历怎样的一种心理过程,这种心理过程的根源是什么?如何借助其民族文化中心灵自愈的积极元素,运用正确的方法帮助他们医治心理创伤?本文将从集体潜意识的角度做一论述。     

“热”执行对注意缺陷多动障碍和阅读障碍儿童言语工作记忆的影响

ADHD儿童在与背外侧前额叶(DLPFC)相关的"冷"执行功能上的缺陷已大量证实,但在与眼眶和中前额叶皮层(OMPFC)相关的"热"执行功能上,ADHD儿童是否存在缺陷则未可知。与儿童赌博任务实验范式(该任务中"热"启动对"冷"执行起到抑制作用)不同,本研究考察趣味言语N-back任务是否对ADHD和阅读障碍儿童的成绩有促进作用。枯燥N-back任务考察的是言语工作记忆的纯认知特征,而趣味任务则卷入了"热"执行对"冷"执行的影响。结果表明,在枯燥任务上,ADHD和阅读障碍儿童的成绩均明显低于正常儿童,二者之间差异不显著,在趣味任务成绩上,ADHD儿童与正常儿童的成绩没有显著差异,而阅读障碍儿童成绩落后于正常控制组和ADHD组,在成绩变化的趋势上,ADHD儿童在趣味任务上成绩明显提高,而阅读障碍儿童则无明显改善。结果说明ADHD和阅读障碍儿童的言语工作记忆均存在明显的缺陷,但是机制不同,"热"执行对提高ADHD的言语工作记忆有明显的促进作用,ADHD的"冷"执行缺陷能够通过"热"执行的调节得到改善。     

Role of Surface Roughness in Hysteresis during Adhesive Elastic Contact

In experiments that involve contact with adhesion between two surfaces, as found in atomic force microscopy or nanoindentation, two distinct contact force (P) vs. indentation-depth (h) curves are often measured depending on whether the indenter moves towards or away from the sample. The origin of this hysteresis is not well understood and is often attributed to moisture, plasticity or viscoelasticity. Here we report experiments that show that hysteresis can exist in the absence of these effects, and that its magnitude depends on surface roughness. We develop a theoretical model in which the hysteresis appears as the result of a series of surface instabilities, in which the contact area grows or recedes by a finite amount. The model can be used to estimate material properties from contact experiments even when the measured P-h curves are not unique.     

Applicant impression management in job interview: The moderating role of interviewer affectivity

In light of the organizational need to obtain talented personnel, an appropriate evaluation of applicant behaviour in the selection interview is crucial. Extending past research on applicant use of impression management (IM) tactics, this study examines the effects of a broad set of IM tactics in a field setting, and also investigates the moderating roles of two rarely tested interviewer characteristics: interviewer positive affectivity (PA) and negative affectivity (NA). Due to the nested nature of the data, consisting of 142 job applicants and 33 interviewers, we adopt hierarchical linear modelling (HLM) to examine the proposed hypotheses. The results indicate that three IM tactics (self‐focused IM, SFIM; other‐focused IM, OFIM; and non‐verbal IM, NVIM) are significantly positively related to interviewer evaluations. Furthermore, interviewer PA appears to strengthen the positive effects of SFIM tactics on interviewer evaluations, while the effects of NVIM tactics may be weaker when interviewers are high in NA. In addition, these findings suggest the importance of interviewer trait affectivity in explaining interviewer's decision‐making variability, which may lead to low inter‐rater reliability and in turn restrict the level of achievable validity.     

高血压脑出血微创治疗及手术时机的决策探讨

为了比较幕上高血压脑出血传统开颅与微创治疗的效果及其并发症,并对其手术时机进行探讨,对30例传统开颅组和104例微创治疗组进行对比研究。结果显示,术后6个月微创治疗组致残率及肺部感染发生率较传统开颅组明显为低(P0.05);早期(8h～24h)手术死亡率较超早期(8h)明显为低(P0.05)。因此,微创治疗能够有效降低高血压脑出血患者的致残率和术后并发症的发生率,其手术时机适宜选择在早期。     

哮喘控制与医疗改革

达到并维持哮喘控制和减少未来风险是哮喘的管理目标,绝大多数患者通过药物治疗可以实现这一目标.但目前哮喘控制率很低,除与GINA和我国哮喘诊治规范实施不足有关外,还与传统医疗结构、医疗体制和医疗观念有关,加速医疗改革,人人享有基本医疗卫生服务是提高哮喘控制率的重要环节.     

论新戒毒模式的人文内涵

中国的毒品使用问题有着深刻的历史根源.数十年来,人们都在进行着艰苦卓绝的研究探索和哲学思辨,以期找到一种有效的戒毒方式帮助吸毒者戒除毒瘾.以社区戒毒为基础的新戒毒模式正是在视吸毒者为病人的新理念的基础上形成,并体现了社会对吸毒者基本权利的尊重,体现了我国传统文化的中庸思想,同时也要求戒毒者形成严格的道德自律,这一模式有着丰富的人文内涵.     

基本公共卫生服务均等化的内涵与实施策略

基本公共卫生服务均等化是改善人群健康而必不可少的一系列活动,对于实现人人享有基本卫生服务的改革目标具有十分重要的意义.对均等化的内涵与目标、意义与作用及均等化与可及性的关联等进行了阐述;借鉴国际经验,提出了分阶段推进、提高财政支付能力和人员能力建设等促进我国基本公共卫生服务均等化的策略与建议.