Changes in Reporting of Suicide News After the Promotion of the WHO Media Recommendations

Media recommendations on suicide reporting are available in many countries and in different languages. Hong Kong newspapers have been found to be noncompliant with WHO recommendations. A booklet containing WHO media guidelines Preventing Suicide: A Resource for Media Professionals, and an awareness campaign were launched in November 2004 in Hong Kong. Content analysis was then conducted to compare the reporting of suicide news before and after the launch. Results indicate that certain reporting styles were changed in accordance with the recommendations; namely, lessened use of pictorial presentations and headlines mentioning suicides. Most of the changes were attributed to the tabloid‐style newspapers. This study suggests that programs to promote media recommendations tailored for journalists appear to be efficacious in altering their way of reporting.     

Transitions in sleep problems from late adolescence to young adulthood: A longitudinal analysis of the effects of peer victimization

Adolescence is a developmental period with high vulnerability to sleep problems. However, research identifying distinct patterns and underlying determinants of sleep problems is scarce. This study investigated discrete subgroups of, changes in, and stability of sleep problems. We also examined whether peer victimization influenced sleep problem subgroups and transitions in patterns of sleep problems from late adolescence to young adulthood. Sex differences in the effects of peer victimization were also explored. In total, 1,455 male and 1,399 female adolescents from northern Taiwan participated in this longitudinal study. Latent transition analysis was used to examine changes in patterns of sleep problems and the effects of peer victimization on these changes. We identified three subgroups of sleep problems in males and two in females, and found that there was a certain level of instability in patterns of sleep problems during the study period. For both sexes, those with greater increases in peer victimization over time were more likely to change from being a good sleeper to a poor sleeper. The effects of peer victimization on baseline status of sleep problems, however, was only significant for males, with those exposed to higher levels of peer victimization more likely to be poor sleepers at baseline. Our findings reveal an important role of peer victimization in predicting transitions in patterns of sleep problems. Intervention programs aimed at decreasing peer victimization may help reduce the development and escalation of sleep problems among adolescents, especially in males.

     

缺血性脑血管病的血管内治疗热点

缺血性脑血管疾病的血管内治疗目前已成为脑血管病治疗研究的热点之一,并以其微创的理念、较好的疗效得到广泛认可,本文重点介绍缺血性脑血管病中支架辅助狭窄扩张、动静脉介入溶栓以及静脉窦血栓形成的发展现状以及存在的问题,并对介入技术在缺血性脑血管病中应用的未来发展方向,作了简要回顾和展望.     

基于团体平衡视角的公立医院改革模式分析

通过分析公立医院改革中的相关利益集团及团体冲突,发现改革的动力主要来自城乡居民和中央政府,阻力主要来自公立医院和地方政府.对公立医院改革的四种模式进行了相关利益集团的利益损益剖析并从团体平衡的视角探究改革政策形成过程的不足、政策内容设计的缺陷.提出政府平衡各团体利益的五种途径:明确改革的价值取向和目标、厘清政府与公立医院的关系、制定游戏规则、协调利益冲突、干预利益格局.     

脊柱侧弯手术治疗进展

随着医学技术的发展,脊柱侧弯的治疗方法也在不断的进步。针对其治疗方法的改变,提出以下思考和分析：（1）脊柱侧弯的治疗方法遵循着螺旋式上升,曲折式前进的发展过程;（2）运用适度原则和最优化原则,为患者制定个体化治疗方案;（3）运用运动发展的眼光即动态性原则来观察和解决脊柱侧弯手术治疗中存在的问题。     

缺血性脑血管病的血管内治疗热点

缺血性脑血管疾病的血管内治疗目前已成为脑血管病治疗研究的热点之一,并以其微创的理念、较好的疗效得到广泛认可,本文重点介绍缺血性脑血管病中支架辅助狭窄扩张、动静脉介入溶栓以及静脉窦血栓形成的发展现状以及存在的问题,并对介入技术在缺血性脑血管病中应用的未来发展方向,作了简要回顾和展望。     

基于机体反馈调控保护扭转肿瘤治疗思路

肿瘤的临床治疗经过漫长积极探索研究,中西医疗效均未取得成就性突破,本文穿越时空隧道,基于人类亿万年适应环境生存生物进化历程形成的精细反馈调控保护视角,循证机体实施反馈调控保护顽强延续生命依据,结合肿瘤病理生理机制,剖析肿瘤形成原因,追溯肿瘤临床治疗误区,扭转肿瘤治疗思路,引领肿瘤治疗新路径。     

冠脉介入治疗时期氯吡格雷抵抗的认识与思考——抓住本质，全面获益

急性冠脉综合征已步入药物洗脱支架进行血运重建的时期,双联抗血小板治疗是接受PCI治疗的常规手段。临床发现部分患者不能从氯吡格雷治疗中获益,存在氯吡格雷抵抗的现象。笔者就氯吡格雷抵抗的发生机制、临床意义及治疗对策进行描述,反映相关研究的趋势和方向,为未来更优化抗血小板治疗提出一种策略。     

高血压患者应激反应特点及行为人格的关系研究

为了解高血压患者心血管反应的特征及与健康人群的差异,使用实验和问卷调查的方法对高血压患者和健康居民进行研究。结果显示,两组在任务期和恢复期的心血管反应差异显著（P〈0．05）;病例组的健康实践行为和消极应对方式水平较高,积极应对方式有待提升;健康实践行为和恢复期舒张压呈负相关,积极应对方式和任务期收缩压呈正相关（P〈0...     

《乾》卦爻辞与周文王克商方略

《乾》卦爻辞的思想与周文王克商的整体战略有许多契合之处,如:“潜龙勿用”,与文王根据实力采取战略守势;“见龙在田”,与文王对西土方国的团结怀柔;“夕惕若厉”,与文王小心翼翼地臣事段商王朝;“或跃在渊”,与文王对大邑商发动战略进攻;“飞龙在天”,与文王谋划灭商的战略决战;“亢龙有悔”,与文王认识到攻取之道不可久用;“群龙无首”,与文王设计从武功向文治的战略转移等,皆有相通相合的地方.《乾》卦爻辞与文王克商方略之间的诸多契合表明,殷周之际王朝更迭的沧桑巨变,深刻地影响了《乾》卦爻辞的撰作.其中,文王克商的方略及其过程,应是《乾》卦最为重要的思想渊源之一.