记忆与学习的脑化学研究 Ⅱ.海马内注射胰蛋白酶与胰凝乳蛋白酶对大白鼠暗箱迴避模式记忆的影响

本实验选择了胰凝乳蛋白酶与胰蛋白酶,它们同属水解酶,能够内切蛋白质与肽类底物的某些键位。26只刚成年的雄性大鼠分作三组:生理盐水/不巩固组(NS/NC)、胰蛋白酶/不巩固组(T/NC)与胰凝乳蛋白酶/不巩固组(CT/NC)。 实验结果表明,双侧海马内注射(AP_2L_2H_4与AP_4L_3H_5)胰凝乳蛋白酶与胰蛋白酶后,对暗箱廻避(DBA)模式记忆有不同的影响。胰蛋白酶注射后,该记忆保持明显降低,而胰凝乳蛋白酶注射后仍可巩固。所用的实验剂量大致为半致死剂量的三分之一。     

动物在学习时海马与皮层的电活动变化

从实验动物材料和人的临床研究早已提出颞叶,特别是它的深部核团和结构——杏仁核和海马,对情绪和行为的控制起重要作用。廿多年来已广泛地研究了海马的θ节律和其他电活动,提出了一些与行为相关的海马电活动理论。有人认为,海马的慢同步活     

Spiritual Health and Outcomes in Muslim ICU Patients: A Nationwide Cross-Sectional Study

The aim of the present study is to describe how religiosity and spirituality affect the psychiatric morbidity of Muslim intensive care unit (ICU) patients. We conducted a prospective nationwide cross-sectional study of ICU patients discharged from 45 medical centers spanning 31 proivinces in Iran. Adults (age ≥ 18 years) admitted to the ICU and treated with invasive mechanical ventilation were eligible. Nine validated survey tools were administered to detect direct and indirect associations between spiritual health (SH) and depression, anxiety, and post-traumatic disorder. The Hospital Anxiety and Depression Scale (HADS), Impact of Event Scale—Revised (IES-R), Post-Traumatic Stress Syndrome 14 question (PTSS-14) quality-of-life (QoL), and quality of patient to physician or nurse communication (PP-QoC and PN-QoC) scales were modeled through two mediators by structural equation modeling (SEM). Sex, ICU type, LOS, and APACHE II score were added in the independent variable list. 338 eligible patients were discharged from the ICUs during the study period. 56 were excluded (clinical status), and 282 were administered the survey. 278 returned it, with 272 complete and 6 partial responses. SH displayed no direct or indirect association to QoL. SH was indirectly associated with decreased depression and anxiety (B = ? 0.081, p < 0.05) via PP-QoC mediator. Both direct and indirect positive associations were observed between SH and IES-R (B = 0.293, p < 0.05; via PP-QoC) and PTSS-14 scores (B = 0.267, p < 0.001; via PP-QoC). Medical ICU location was associated with decreased PTSS-14 scores via the same mediator. In this survey of Muslim ICU patients treated with invasive mechanical ventilation, SH correlated with decreased depression and anxiety, but paradoxically increased post-traumatic stress. The most influential mediator was patient–physician quality-of-communication.     

Post-Adoption Services for High-Risk Families and Their Children: Preliminary Results of a State-Wide Intervention

Despite well-documented post-adoption needs of adoptive families, most states provide no or very limited post-adoption services. This study describes Right Turn® (RT), a state-wide program for strengthening adoptive families and preventing adoption dissolution. Results suggest: (a) RT is serving its targeted audience of adoptive families with challenging problems indicated by older adopted children with a history of multiple placements, extended time in social services systems, and a host of mental health challenges; and (b) adoption training, family support when navigating access to post-adoption services, and collaboration with adoption-competent therapists appeared to have helped improve program outcomes.