儿童支气管异物32例误诊分析

支气管异物系儿科常见病,误诊原因很多,如病史陈述不详细、辅助检查的干扰等,更重要的一个原因就是异物的不典型位置。传统观念中,右下肺异物高发,实际上,受气流及异物体积的影响,轻而小的塑料可被回吸进入左上肺,而较大的异物受自身重力影响多进入右下肺。异物进入体内,引起的·临床表现多种多样,咳嗽、咯血、喘息甚至呼吸困难等,诸类症状在呼吸系统疾病中较为常见,因此这些症状的鉴别就显得尤为重要。在治疗方面,突破传统的支气管镜技术,提倡可以首先采取保守治疗,给予拍背、体位引流等手段,部分患儿可自行咳出异物,这样就避免了手术的风险,在保守治疗无效的情况下可转入外科通过纤维支气管镜取出。     

Predicting naming latencies for action pictures: Dutch norms

The present study provides Dutch norms for age of acquisition, familiarity, imageability, image agreement, visual complexity, word frequency, and word length (in syllables) for 124 line drawings of actions. Ratings were obtained from 117 Dutch participants. Word frequency was determined on the basis of the SUBTLEX-NL corpus (Keuleers, Brysbaert, & New, Behavior Research Methods, 42, 643–650, 2010). For 104 of the pictures, naming latencies and name agreement were determined in a separate naming experiment with 74 native speakers of Dutch. The Dutch norms closely corresponded to the norms for British English. Multiple regression analysis showed that age of acquisition, imageability, image agreement, visual complexity, and name agreement were significant predictors of naming latencies, whereas word frequency and word length were not. Combined with the results of a principal-component analysis, these findings suggest that variables influencing the processes of conceptual preparation and lexical selection affect latencies more strongly than do variables influencing word-form encoding.     

Multiple Risk Factors Among Chinese Children from Low-Income Families and Their Impact on Psychological Adaptation

Journal of Child and Family Studies - Based on the ecological systems theory, this study examined the multiple risk factors experienced by children from low-income families in China and their...     

The effect of culture on the curvilinear relationship between performance and turnover

Although researchers have theorized that there exists a curvilinear relationship between job performance and voluntary turnover, their research has been tested in the United States or culturally similar Switzerland. Through a study of the performance-turnover relationship from a multinational service-oriented organization in 24 countries, we demonstrate that the general relationship between performance and turnover is similar across countries but the details of that relationship change across countries. Using 4 cultural dimensions--in-group collectivism, power distance, uncertainty avoidance, and performance orientation--we find that cultural factors alter the overall probability of voluntary turnover and influence the degree of curvilinearity in the performance-turnover relationship. Our findings have implications for research on the performance-turnover relationship, turnover research, and practice.     

The influence of interfaces on the formation of bubbles in He-ion-irradiated Cu/Mo nanolayers

The role of immiscible Cu/Mo interfaces on the formation of helium (He) bubbles in ion-irradiated Cu/Mo 5?nm multilayers is examined. Interfaces significantly enhance the critical He concentration above which bubbles, approximately 1?nm in diameter, are detected via through-focus imaging in a transmission electron microscope. He-to-vacancy ratio affects the formation and distribution of He bubbles. The diameter of He bubbles in Cu appears to be slightly larger than that in Mo.     

Personality and life satisfaction in China: The birth order effect under the influence of national policy

Individuals’ development is a multilayered affair. The influence of family relationship on personality, such as  and  focusing on birth order, is subject to influence from other social systems in which the families are situated. The current research examined the relation of birth order to personality and life satisfaction in China, where only children have become the majority because of national policy. Across two studies with both between-family data (N = 1468) and within-family data (N = 171), onlyborns and laterborns surpassed firstborns on openness to experience. In addition, only-child participants were more satisfied with their own lives than were sibling participants, especially laterborns. The results offer new insights into the dynamic relations between ecology and personality.     

Developmental trends in auditory processing can provide early predictions of language acquisition in young infants

Auditory processing capabilities at the subcortical level have been hypothesized to impact an individual's development of both language and reading abilities. The present study examined whether auditory processing capabilities relate to language development in healthy 9‐month‐old infants. Participants were 71 infants (31 boys and 40 girls) with both Auditory Brainstem Response (ABR) and language assessments. At 6 weeks and/or 9 months of age, the infants underwent ABR testing using both a standard hearing screening protocol with 30 dB clicks and a second protocol using click pairs separated by 8, 16, and 64‐ms intervals presented at 80 dB. We evaluated the effects of interval duration on ABR latency and amplitude elicited by the second click. At 9 months, language development was assessed via parent report on the Chinese Communicative Development Inventory ‐ Putonghua version (CCDI‐P). Wave V latency z‐scores of the 64‐ms condition at 6 weeks showed strong direct relationships with Wave V latency in the same condition at 9 months. More importantly, shorter Wave V latencies at 9 months showed strong relationships with the CCDI‐P composite consisting of phrases understood, gestures, and words produced. Likewise, infants who had greater decreases in Wave V latencies from 6 weeks to 9 months had higher CCDI‐P composite scores. Females had higher language development scores and shorter Wave V latencies at both ages than males. Interestingly, when the ABR Wave V latencies at both ages were taken into account, the direct effects of gender on language disappeared. In conclusion, these results support the importance of low‐level auditory processing capabilities for early language acquisition in a population of typically developing young infants. Moreover, the auditory brainstem response in this paradigm shows promise as an electrophysiological marker to predict individual differences in language development in young children.     

Selective and nonselective inhibition of competitors in picture naming

The present study examined the relation between nonselective inhibition and selective inhibition in picture naming performance. Nonselective inhibition refers to the ability to suppress any unwanted response, whereas selective inhibition refers to the ability to suppress specific competing responses. The degree of competition in picture naming was manipulated by presenting targets along with distractor words that could be semantically related (e.g., a picture of a dog combined with the word cat) or unrelated (tree) to the picture name. The mean naming response time (RT) was longer in the related than in the unrelated condition, reflecting semantic interference. Delta plot analyses showed that participants with small mean semantic interference effects employed selective inhibition more effectively than did participants with larger semantic interference effects. The participants were also tested on the stop-signal task, which taps nonselective inhibition. Their performance on this task was correlated with their mean naming RT but, importantly, not with the selective inhibition indexed by the delta plot analyses and the magnitude of the semantic interference effect. These results indicate that nonselective inhibition ability and selective inhibition of competitors in picture naming are separable to some extent.     

Effects of Phonetic Similarity in the Identification of Mandarin Tones

Tonal languages differ in how they use phonetic correlates e.g. average pitch height and pitch direction, for tonal contrasts. Thus, native speakers of a tonal language may need to adjust their attention to familiar or unfamiliar phonetic cues when perceiving non-native tones. On the other hand, speakers of a non-tonal language may need to develop sensitivity to tonal correlates absent from their native system. The current study examines and compares five language groups’ perception of two synthesized Mandarin tones: the high level tone and the high falling tone. It aims to examine how listeners from tonal and non-tonal backgrounds identify and categorize acoustically equidistant pitches varying along two phonetic dimensions: pitch onset and slope. Results reveal “universal” perceptual patterns across groups and also tendencies caused by native tonal systems. Our findings confirm that L1 tonal and prosodic systems affect speakers’ sensitivity to novel perceptual cues and their abilities to discern relevant phonetic differences.