SLIPA^TM通气道临床应用的回顾性分析

回顾性分析SLIPA^TM通气道（喉罩）临床应用的优缺点及相关并发症。330例ASA1-3级各类全麻手术患者,快速诱导麻醉后插入SLIPA^TM通气道。记录脉搏血氧饱和度,呼气末二氧化碳分压,插入的难易程度及是否有反流、误吸和术后咽痛等相关并发症。结果为96％的患者容易插入SLIPA^TM通气道,10．9％的患者发生了一定程度胃胀气,血液痕迹残留SLIPA^TM通气道表面发生率为11．5％,术后咽痛的发生率为3．3％,无一例发生术后肺内感染。SLIPA^TM通气道操作方便,通气可靠,围术期并发症少,在临床的应用安全有效。     

一种"分析自我"的心理治疗模型及其质性研究的框架

基于心理治疗实践提出了以"分析自我"为核心的心理治疗模型.模型假设心理治疗需要整体地分析自我,包括从需要、能力、感受和交互角色等不同角度的自我分析.提出了对该治疗模型的基于认知任务分析方法的过程性质性研究框架,以促进理论与实践的相互提升.     

Enhanced cognitive activity--over and above social or physical activity--is required to protect Alzheimer's mice against cognitive impairment, reduce Abeta deposition, and increase synaptic immunoreactivity

Although social, physical, and cognitive activities have each been suggested to reduce the risk of Alzheimer's disease (AD), epidemiologic studies cannot determine which activity or combination of activities is most important. To address this question, mutant APP transgenic AD mice were reared long-term in one of four housing conditions (impoverished, social, social+physical, or complete enrichment) from 1(1/2) through 9 months of age. Thus, a stepwise layering of social, physical, and enhanced cognitive activity was created. Behavioral evaluation in a full battery of sensorimotor, anxiety, and cognitive tasks was carried out during the final 5 weeks of housing. Only AD mice raised in complete enrichment (i.e., enhanced cognitive activity) showed: (1) protection against cognitive impairment, (2) decreased brain beta-amyloid deposition, and (3) increased hippocampal synaptic immunoreactivity. The protection provided by enhanced cognitive activity spanned multiple cognitive domains (working memory, reference learning, and recognition/identification). Cognitive and neurohistologic benefits of complete enrichment occurred without any changes in blood cytokine or corticosterone levels, suggesting that enrichment-dependent mechanisms do not involve changes in the inflammatory response or stress levels, respectively. These results indicate that the enhanced cognitive activity of complete enrichment is required for cognitive and neurologic benefit to AD mice-physical and/or social activity are insufficient. Thus, our data suggest that humans who emphasize a high lifelong level of cognitive activity (over and above social and physical activities) will attain the maximal environmental protection against AD.     

Development of the Real-Time Subjective Emotionality Assessment (RTSEA) system

A new Real-Time Subjective Emotionality Assessment (RTSEA) system was developed for this study. The system is composed of two parts: an emotionality input and evaluation parts. An experiment was conducted in order to investigate the effectiveness of the RTSEA system. The present study compared Galvanic Skin Response (GSR) with the RTSEA by presenting 28 subjects with pictures that aroused either positive or negative emotion. Following the experiment, a subjective assessment using a questionnaire was given to the same subjects. According to the correlation coefficients, changes of the RTSEA had strong correlations with the changes of the GSR. Also, the questionnaire results showed marked similarity to the average responses of the RTSEA. In conclusion, the most remarkable characteristic of the present system is that it not only assesses the average emotionality when stimuli are presented, but also shows the trend of change in emotionality over time.     

组织认同的基础理论、测量及相关变量

组织认同是个体源于组织成员身份的一种自我构念,它与组织认定、组织承诺等概念存在显著差异。文章阐述了组织认同基础理论的三种主要观点,对比了差异论、资源论和信息论的研究视角和相互关系。文章着重说明了组织认同的测量工具,分析了组织层面和个人层面的前因变量,以及组织认同对离职意愿等结果变量的影响。文章最后指出今后有必要对扩展定义、影响因素和国家文化差异等方面进行探讨     

Stroop效应研究的新进展——理论、范式及影响因素

Stroop效应的研究经久不衰。本文根据有关Stroop效应的最新研究资料。对Stroop效应中一些热点、争议的问题进行     

教师管教言语行为语效的比较研究

本研究采用Searle对语旨行为的分类标准,采用情境模拟法,探讨教师对学生管教过程中不同言语事件中的断言、指令、承诺、表达以及宣告行为,研究学生对教师的管教言语使用时产生的情绪体验、对教师交际意图的理解、可能的行为倾向,以探明不同言语行为的语效。发现:⑴学生对教师发出的五种言语行为所引发的情绪体验、交际意图认知、行为倾向之间的存在显著差异。表达易引起被试愉快情绪,其次是断言与指令,承诺与宣告易引起被试不愉快情绪。对教师言语交际意图的认知以及服从行为倾向,表达、断言、指令高于承诺与宣告。⑵被试对五种管教言语行为交际意图的认知与其对教师管教的言语的情绪反应以及行为倾向间均存在显著的正相关。     

双性化对大学生主观幸福感的影响

采用性别角色量表和主观幸福感量表对四所不同类型院校大学生的性别角色取向及主观幸福感进行了测评,结果显示大部分的学生性别角色趋于双性化,但男女同学趋于双性化的程度有所不同,男女大学生不同的男性化和女性化程度对主观幸福感的影响也不同。     

生态危机与神学思考的转向

西方基督教神学对生态危机的反思,始于回应来自基督教神学外部的批判,这些批判针对的是支撑现代科技发展背后的基督教理念。与此相应,基督教神学一方面立足于圣经和教义为基督教传统辩护,另一方面以JohnCobb为代表的神学家也在谋求,在新的人与自然关系的背景下改变基督教神学的传统、思考神学未来的发展走向以及如何回应当今日益严重的生态问题。     

原位肝移植术后细菌感染的防治策略

分析79例原位肝移植的临床资料,对感染部位、常见致病菌、导致细菌感染的危险因素进行分析。全组32例发生细菌感染,感染部位以肺部、腹腔多见。恢复饮食时间延长,术前肝功能C级、低蛋白血症、高血糖是感染的危险因素,肠道去污治疗是保护性因素。结论是尽可能的减少各种危险因素,有效的预防及早期确诊和治疗是防治细菌感染的关键。