老年人高血压的临床特点及非药物治疗

随着世界人口老龄化,在65岁以上的老年人群中高血压患者占60％左右,有研究表明,高血压对于老年人的危害更为严重,老年高血压患者发生器官损害以及相关死亡的危险性显著增高.老年高血压患者有其特有的临床特点,同时在老年人群中收缩期高血压占很大的比例,降压效果差,因此老年高血压的治疗应考虑其特点,本文从老年人高血压的流行病学、定义、临床特点及非药物治疗等方面详细阐述了老年高血压的防治策略.     

焦虑抑郁与高血压的研究进展

焦虑抑郁不仅是高血压的促发因素,也是影响高血压发生及预后的不良因素之一.抗焦虑抑郁治疗不仅可以有效消除高血压患者焦虑抑郁的情绪,还可以减少降压药的用药剂量,增强降压药的疗效,而且明显改善高血压患者的预后,降低心脑血管事件的发生率.现就有关焦虑抑郁和高血压的研究进展做一综述.     

帕金森病与重症抑郁障碍两者中的抑郁及睡眠障碍特征对比

由于帕金森病早期常仅存在抑郁、睡眠障碍等非运动症状表现,其与重症抑郁障碍难以鉴别.本研究通过对帕金森病患者及重症抑郁障碍患者行汉密尔顿抑郁量表、匹兹堡睡眠指数及多导睡眠监测评定抑郁及睡眠特征,尝试发现两者之间差异,为早期鉴别及诊断帕金森病提供理论基础.     

中学生消费决策风格的特点及其与家庭理财教育方式的关系

该研究以377名中学生为被试,探讨了中学生消费决策风格的特点及其与家庭理财教育方式的关系。结果表明:(1)中学生消费决策风格部分符合Shim(1996)提出的二阶模型(包括质量导向、非理性导向、享乐导向和价格导向等四个二阶因子);(2)中学生消费决策风格的年级差异不显著,性别差异显著,男生在品牌导向上高于女生,在流行导向和娱乐导向上低于女生;(3)中学生消费决策风格可划分为决策随意型、决策紊乱型、决策理智型和决策实惠型;(4)父母消极的理财教育方式会导致中学生形成非理性导向或享乐导向的消费决策风格,而积极的教育引导则能在一定程度上减弱中学生的非理性决策风格,促进其形成质量导向的决策风格。     

不确定性决策违背“确定事件原则”的心理机制再探

不确定性决策违背＂确定事件原则＂的心理机制再探从决策理由切入,在现实情境中考察了违背确定事件原则（sure-thing principle）的心理机制,检验了基于理由（reason-based）的假设。研究结果表明,违背确定事件原则的被试在不确定条件下知觉到的理由冲突程度显著高于遵循确定事件原则的被试在不确定条件下知觉到的理由冲突程度;违背确定事件原则的被试在不确定条件下知觉到的理由清晰程度显著低于其在两种确定条件下知觉到的理由清晰程度,而遵循确定事件原则的被试在不确定条件下知觉到的理由清晰程度则介于其在两种确定条件下知觉到的理由清晰程度之间。研究结果支持了基于理由的假设。     

Dopamine D1 receptors are responsible for stress-induced emotional memory deficit in mice

It is established that stress impairs spatial learning and memory via the hypothalamus-pituitary-adrenal axis response. Dopamine D1 receptors were also shown to be responsible for a stress-induced deficit of working memory. However, whether stress affects the subsequent emotional learning and memory is not elucidated yet. Here, we employed the well-established one-trial step-through task to study the effect of an acute psychological stress (induced by tail hanging for 5, 10, or 20?min) on emotional learning and memory, and the possible mechanisms as well. We demonstrated that tail hanging induced an obvious stress response. Either an acute tail-hanging stress or a single dose of intraperitoneally injected dopamine D1 receptor antagonist (SCH23390) significantly decreased the step-through latency in the one-trial step-through task. However, SCH23390 prevented the acute tail-hanging stress-induced decrease in the step-through latency. In addition, the effects of tail-hanging stress and/or SCH23390 on the changes in step-through latency were not through non-memory factors such as nociceptive perception and motor function. Our data indicate that the hyperactivation of dopamine D1 receptors mediated the stress-induced deficit of emotional learning and memory. This study may have clinical significance given that psychological stress is considered to play a role in susceptibility to some mental diseases such as depression and post-traumatic stress disorder.     

Young Indigenous Australians' Sexually Transmitted Infection Prevention Practices: A Community‐based Participatory Research Project

National surveillance data indicate marked differences between Indigenous and other Australians in the prevalence of many sexually transmitted infections (STIs). Young Indigenous people bear a particularly high burden of these infections. A collaboration of university researchers, Indigenous health workers and young Indigenous people conducted 45 field interviews to examine how young Indigenous Australians keep themselves healthy and protected against STIs. Our findings emphasise the complexity of health behaviours, where individuals are rarely always ‘risky’ or always ‘safe’, as well as subtle gender differences in health practices. Preventive strategies employed by the young people were contingent on beliefs and knowledge about sexual partners, the type of relationship, the context of the sexual encounter and access to condoms. Tangible strengths such as young Indigenous people's commitments to condoms and STI screening should be celebrated and bolstered to enhance their ability to protect themselves against adverse health outcomes and enhance their resilience against STIs. Focusing on strengths helps to counter the deficit model of health commonly deployed in Indigenous health research and draws attention to health issues facing young Indigenous people and their communities, without reinforcing negative stereotypes or focusing solely on individual risk behaviour. We provide concrete recommendations for health promotion and education. Copyright © 2011 John Wiley & Sons, Ltd.     

Building trust to increase purchase intentions: The signaling impact of low pricing policies

We examine the differential signaling impact of two low pricing policies, Price Matching Guarantees and Everyday Low Prices, on consumers' trusting beliefs and purchase intentions. We demonstrate that both PMG and EDLP pricing policies signal stores' ability to offer lower prices. However, whether these sellers were perceived as benevolent, and—consequently—consumers' purchase intentions, varied critically depending upon price uncertainty. Perceived benevolence and purchase intentions were significantly higher [lower] for sellers offering PMG than EDLP when price dispersion was high [low]. Our findings offer insights into whether and under what conditions firms should adopt these low pricing policies.     

Students’ Perceptions of Unsafe Schools: An Ecological Systems Analysis

In the aftermath of several school shooting incidents in recent years, students’ perceptions of unsafe schools has been a major concern for parents, teachers, school officials, school practitioners, and policy-makers. Using Bronfenbrenner’s ecological systems framework, we examined the micro-, meso-, and exosystem level factors associated with perceptions of unsafe school environments in a nationally representative sample of 10- to 15-year-old youth in the United States. We found that for the socio-demographic characteristics, students who were older, male, and poor had increased risks of perceiving higher levels of unsafe school environments. Within the microsystem of the family, our results indicate that parent-youth discussions of school activities/events decreased the risk of students perceiving unsafe schools. All of the school environment variables—ease of making friends, teachers’ involvement, observed weapon carrying, and school rule enforcement—were related in the expected direction to students’ perceiving their schools as unsafe. At the mesosystem level, findings from our study demonstrate that variables measuring parental school involvement were unrelated to perceptions of school safety. Finally, at the exosystem level, we found that students’ perceptions of residing in a safer neighborhood and residence in a non-central city metropolitan area, compared with a central city, decreased the odds of perceiving school environments as unsafe. School policy and practice implications are discussed.     

Routine housework and tripartite marital commitment

This study assumes that performing household labor is a method of maintaining the marital relationship and investigates whether higher marital commitment (personal, moral, and structural) is associated with more time spent on housework. Data taken from the second wave of the National Survey of Families and Households on 3,428 paired spouses in the United States were used to test research hypotheses. Results indicate that (a) husbands with higher moral commitment, or those married to a wife with lower moral commitment, do more routine housework, and (b) husbands with stronger personal commitment do less routine housework and their wives do more. The interplay of gender ideology and marital commitment as they pertain to housework performance for each gender is discussed.