自发性气胸致失血性休克诊疗策略

分析自发性气胸(spontaneous pneumothorax,SP)出现失血性休克时的临床特点、探讨诊疗策略.分析331例SP并失血性休克的病例资料.结果采用手术治疗者效果最佳.SP致失血性休克者多见于青年男性,多为胸膜顶粘连带出血,急诊微创手术是治疗发展方向.     

怎样看待和认识休克

哲学素质在现代医学实践中具有重要意义,它不仅是医务工作者的思维武器,更是了解医学前沿和解决医学难题的钥匙。本文就以休克这一临床上常见的危急重症为例,探讨休克发生发展过程中的哲学因素,旨在阐明自觉运用马克思主义哲学的思辨观来指导休克的诊疗过程实属必要,对医生及患者都大有益处。     

冠脉支架术对冠心病患者心理及生活质量的影响

分析冠脉支架术对患者生活质量及心理情况的影响并探讨相应策略。采用横断面研究方法,调查2007年6月-2010年9月在我院行冠脉支架术患者768例,应用Zung焦虑、SAS、SDS自评表及SF-36生活质量问卷等方法采集相关资料,200名健康人为对照1组、未行支架置入的冠心病患者为对照2组,数据行统计学分析。支架植入患者...     

Emotional reactions to scandals: When does moral character make a difference?

A scandal can evoke public outrage when it is widely publicized and involves an individual who is perceived to have a high level of cultural representativeness. Two experiments showed that when the scandalous target's moral character was highlighted, emotional responses towards the target were least negative when the scandal was widely circulated and when the target was seen as a representative of his culture. These results suggest that when a cultural symbol is implicated in a widely‐circulated scandal, the negative emotions directed towards the scandalous individual can be alleviated when the public remains confident in his or her commitment to morality.     

眼跳任务中的偏心距效应

采用完全被试内设计,控制了眼跳任务类型(朝向眼跳、反向眼跳)和目标偏心距水平,考察了大学生在两种眼跳任务中的偏心距效应,即目标刺激相对于屏幕中心的距离对于眼跳过程的影响.研究结果发现:(1)反向眼跳任务中的首次眼跳方向错误率显著高于朝向眼跳,眼跳潜伏期也显著较长.(2)在朝向和反向眼跳过程中,都出现了目标的偏心距效应,即随着目标偏心距的增大,眼跳潜伏期缩短,眼跳落点视角增大.     

国外心理契约破坏及结果变量与调节变量：述评与展望

心理契约破坏是个体对组织未能履行其在心理契约中应承担责任的认知评价。文章首先结合以往研究探讨了心理契约破坏与相应结果变量的关系,然后探讨了调节变量的作用,最后从被试群体、研究方法及理论模型的构建上对未来研究进行了展望。     

Emotionally conditioning the target-speech voice enhances recognition of the target speech under “cocktail-party” listening conditions

Under a noisy “cocktail-party” listening condition with multiple people talking, listeners can use various perceptual/cognitive unmasking cues to improve recognition of the target speech against informational speech-on-speech masking. One potential unmasking cue is the emotion expressed in a speech voice, by means of certain acoustical features. However, it was unclear whether emotionally conditioning a target-speech voice that has none of the typical acoustical features of emotions (i.e., an emotionally neutral voice) can be used by listeners for enhancing target-speech recognition under speech-on-speech masking conditions. In this study we examined the recognition of target speech against a two-talker speech masker both before and after the emotionally neutral target voice was paired with a loud female screaming sound that has a marked negative emotional valence. The results showed that recognition of the target speech (especially the first keyword in a target sentence) was significantly improved by emotionally conditioning the target speaker’s voice. Moreover, the emotional unmasking effect was independent of the unmasking effect of the perceived spatial separation between the target speech and the masker. Also, (skin conductance) electrodermal responses became stronger after emotional learning when the target speech and masker were perceptually co-located, suggesting an increase of listening efforts when the target speech was informationally masked. These results indicate that emotionally conditioning the target speaker’s voice does not change the acoustical parameters of the target-speech stimuli, but the emotionally conditioned vocal features can be used as cues for unmasking target speech.     

胰岛素抵抗与2型糖尿病关系的新思考

胰岛素抵抗(IR)与2型糖尿病关系密切,对IR的认识,经历了几十年反复的过程,胰岛素抵抗综合征(IRS)的提出使2型糖尿病防治观念发生了根本的转变,提出了2型糖尿病防治新策略:从以降糖治疗为主到全面防治心血管疾病.对IR的认识和IR与2型糖尿病的关系,体现了辩证唯物主义认识论和系统论的观点.     

九座禅师杂考

晚唐五代时福建禅宗大盛,与众多闽籍禅师在会昌法难后返闽兴教有不可分割的关系。唐末九座禅师智广是其中之一,其抵闽时间比雪峰义存略早。但他的情况至今未引起人们注意。本文试对智广生平作一考辨。