处理疼痛的理念

处理疼痛的理念各有不同。有人认为手术后疼痛很正常,挺着吧。人老了,腰腿痛就该扛着。而有的人会积极给予止痛治疗,以患者舒适为目标。2007年7月我国卫生部签发了关于《医疗机构诊疗科目名录》中增加“疼痛科”的文件,说明我国进入了一个止痛治疗的新时代。得到疼痛治疗是患者的基本权利,也是医师的崇高职责。有疼有痛忍着不治的时代即将过去,及早、及时为患者止痛是人道主义的体现。     

大学生网络成瘾者人格特征和心理健康水平的研究

研究影响大学生网络成瘾的人格特征和心理健康因素,选取网络成瘾的24名大学生进行16PF、SCL-90的问卷调查,并和对照组比较.结果发现在人格特征上,成瘾组在乐群性、稳定性、怀疑性和独立性有别于对照组;在心理健康水平上,成瘾组在抑郁和敌对等项目得分要高于对照组.成瘾组心理健康水平低于对照组,具有不良的人格特征.     

医生职业倦怠及社会、组织影响因素的探讨

医生是职业倦怠研究最早关注的职业之一,通过回顾国内外相关研究,分析了医生职业倦怠的现状,并认为我国现阶段医生的职业倦怠与医疗政策、法制层面存在缺憾、经济和心理回报不够、价值观冲突、缺乏控制、角色冲突等有关。呼吁从社会、组织层面深入研究我国医生的职业倦怠。     

藏传佛教宁玛派传承见地略论——兼论土观大师对藏传佛教宁玛派传承见地之评介

土观.洛桑却吉尼玛在其著作《一切宗派源流与教义善说晶镜史》①一书中对藏传佛教各宗派的法系脉流、树宗立论、见地思想等方面作了深入细致的考察、研究,其材料取舍得当,其概括钩玄,其旨趣精确恰当,其见地广泛深刻,成为研究藏传佛教的案头之作。本文在土观大师关于宁玛派传承见地的评介基础上,对藏传佛教宁玛派传承见地做了进一步的探究,从而认为土观大师对宁玛派教法的论述,虽有门户之分,却未持门户之见,对前期宁玛派见地的论述是站在客观立场上的,评价也比较公允。     

句容葛仙观

葛仙观原名叫“青元观”,始建于宋皇佑二年,由葛玄、葛洪的故宅改建而成,主要供奉葛玄、葛洪二位真人,原观内建有紫微、北极、三官、东岳四房道院,并有葛玄炼丹用井一口即“青元丹井”现井栏收     

Histone modifications around individual BDNF gene promoters in prefrontal cortex are associated with extinction of conditioned fear

Extinction of conditioned fear is an important model both of inhibitory learning and of behavior therapy for human anxiety disorders. Like other forms of learning, extinction learning is long-lasting and depends on regulated gene expression. Epigenetic mechanisms make an important contribution to persistent changes in gene expression; therefore, in these studies, we have investigated whether epigenetic regulation of gene expression contributes to fear extinction. Since brain-derived neurotrophic factor (BDNF) is crucial for synaptic plasticity and for the maintenance of long-term memory, we examined histone modifications around two BDNF gene promoters after extinction of cued fear, as potential targets of learning-induced epigenetic regulation of gene expression. Valproic acid (VPA), used for some time as an anticonvulsant and a mood stabilizer, modulates the expression of BDNF, and is a histone deacetylase (HDAC) inhibitor. Here, we report that extinction of conditioned fear is accompanied by a significant increase in histone H4 acetylation around the BDNF P4 gene promoter and increases in BDNF exon I and IV mRNA expression in prefrontal cortex, that VPA enhances long-term memory for extinction because of its HDAC inhibitor effects, and that VPA potentiates the effect of weak extinction training on histone H4 acetylation around both the BDNF P1 and P4 gene promoters and on BDNF exon IV mRNA expression. These results suggest a relationship between histone H4 modification, epigenetic regulation of BDNF gene expression, and long-term memory for extinction of conditioned fear. In addition, they suggest that HDAC inhibitors may become a useful pharmacological adjunct to psychotherapy for human anxiety disorders.     

Virtual environment training system for rehabilitation of stroke patients with unilateral neglect: crossing the virtual street.

In this paper, we propose a system for training of stroke patients with unilateral neglect by using technology of virtual reality (VR). The proposed system is designed to compensate for unilateral neglect. This system contains the calibration of unilateral neglect and the training of this disease. The calibration procedure is implemented by aligning the virtual object at a subjective middle line. The training procedure is implemented by completing the missions that are used to keep the virtual avatar safe during crossing the street in a virtual environment. The results of this study show that the proposed system is effective to train unilateral neglect. The left to right ratio scores extracted from this system gradually decrease as the sessions of training are repeated. To validate the VR system parameters, the parameters are analyzed by correlation with those of traditional unilateral neglect assessment methods (such as the line bisection test and the cancellation test).     

The relations of parental autonomy support to cultural internalization and well-being of immigrants and sojourners

Previous research has demonstrated that autonomy support is one particularly effective means of promoting internalization and fostering well-being. The present study sought to determine if this would also be the case with regards to culture by testing the relation of perceived parental autonomy support to the cultural internalization and well-being of multicultural students. In Study 1, 105 multicultural participants living in Canada were more likely to have fully internalized their host and heritage cultures and to have higher self-reported well-being when they reported that their parents were autonomy supportive. In Study 2, 125 Chinese-Malaysians sojourners were also more likely to have fully internalized their heritage culture and indicated higher well-being when they perceived their parents as autonomy supportive. In both studies, heritage cultural internalization was also associated with higher well-being.     

SAS and SPSS macros to calculate standardized Cronbach’s alpha using the upper bound of the phi coefficient for dichotomous items

Cronbach’s α is widely used in social science research to estimate the internal consistency of reliability of a measurement scale. However, when items are not strictly parallel, the Cronbach’s α coefficient provides a lower-bound estimate of true reliability, and this estimate may be further biased downward when items are dichotomous. The estimation of standardized Cronbach’s α for a scale with dichotomous items can be improved by using the upper bound of coefficient ϕ. SAS and SPSS macros have been developed in this article to obtain standardized Cronbach’s α via this method. The simulation analysis showed that Cronbach’s α from upper-bound ϕ might be appropriate for estimating the real reliability when standardized Cronbach’s α is problematic.     

儿童孤独感与同伴关系、社会行为及社交自我知觉的研究

本研究采用同伴提名法和问卷调查法对3-6年级儿童共600名进行了研究,试图考察儿童孤独感与同伴关系、社会行为及社交自我知觉的关系。结果表明:(1)受欢迎组儿童的孤独感显著低于被拒绝组、被忽视组、有争议组和一般组;一般组儿童的孤独感显著低于被拒绝组和被忽视组。(2)社交自我知觉较高的儿童的孤独感显著低于社交自我知觉一般和较低的儿童,社交自我知觉一般的儿童的孤独感显著低于社交自我知觉较低的儿童。(3)高攻击型儿童的孤独感高于低攻击型儿童,但没有达到显著水平;高退缩型儿童的孤独感显著高于一般退缩型和低退缩型儿童,一般退缩型儿童的孤独感显著高于低退缩型的儿童。