开腹手术后早期炎性肠梗阻的诊断与综合治疗

总结术后早期炎性肠梗阻的临床治疗经验及防治措施.回顾性分析36例腹部手术后早期炎性肠梗阻患者临床治疗方法.33例经非手术治疗治愈,平均治愈时间(15.5±9.5)d,1例自动出院,2例转往上级医院进一步治疗.腹部手术后早期炎性肠梗阻应以保守治疗为主,有效的治疗包括禁食、胃肠减压、全肠外营养支持、糖皮质激素和生长抑素的应用.炎性肠梗阻选择非手术治疗,既保证了治疗的有效性,同时也能够让患者接受.     

Prehistoric dangers and contemporary prejudices

We review the logical principles that guide the application of evolutionary ideas to psychological problems, and show how these principles can be used to derive novel, testable hypotheses about contemporary prejudice processes. We summarise two recent lines of research employing this approach. One line of research examines prejudices resulting from perceived vulnerability to physical injury. The other examines prejudices resulting from perceived vulnerability to disease. Results from both lines of research support novel psychological hypotheses identifying variables--pertaining to both personality and to local context--that trigger specific prejudices against specific categories of people. We conclude by discussing more broadly some of the useful conceptual and practical implications of this evolutionary approach to prejudice.     

A longitudinal examination of the relationship between teacher burnout and depression

This study investigates the longitudinal relationships between burnout and depression among teachers. Middle and high school teachers participated in a 3‐wave survey. The results of the latent growth modeling analysis revealed that there was a significant relationship between the initial status of burnout and the initial status of depression. Results also indicated a significant relationship between the change rate of burnout and the change rate of depression. Moreover, the autoregressive cross‐lagged modeling revealed a causal relationship such that teacher's burnout leads to subsequent depression symptoms, not vice versa.     

Assessing Interpersonal Aspects of Schizoid Personality Disorder: Preliminary Validation Studies

In 2 studies, we examined the reliability and validity of an interpersonal measure of schizoid personality disorder (SZPD) based on nonverbal behaviors and interpersonal interactions occurring during interviews. A total of 556 male jail inmates in the United States participated in Study 1; 175 mentally disordered offenders in maximum security hospitals in the United Kingdom participated in Study 2. Across both samples, scores on the Interpersonal Measure of Schizoid Personality Disorder (IM–SZ) exhibited adequate reliability and patterns of correlations with other measures consistent with expectations. The scale displayed patterns of relatively specific correlations with interview and self-report measures of SZPD. In addition, the IM–SZ correlated in an expected manner with features of psychopathy and antisocial personality and with independent ratings of interpersonal behavior. We address implications for assessment of personality disorder.     

Butch–femme identity and empathizing–systemizing cognitive traits in Chinese lesbians and bisexual women

Previous studies documented that butches showed a masculine profile and femmes showed a feminine profile in gender roles. This study examines the association between butch or femme lesbian identity and empathizing–systemizing (E–S) cognitive styles among 588 lesbian and bisexual women from multiple cities in China. Empathizing and systemizing were assessed using two different abbreviated 8-item scales drawn from longer original scales. There were significant differences in systemizing among butch–femme identity, with butches scoring higher than femmes, but no significant differences in empathizing. The discrepancy in empathizing–systemizing scores reflects individual differences in dispositional cognitive style. A higher proportion of femmes exhibited an E > S cognitive profile, while a higher proportion of butches exhibited an S > E cognitive profile. Sexual stereotyping based on masculinity/femininity, or biology, may be related to butch–femme difference in cognitive style. In studies on sexual orientation, researchers should pay more attention to butch–femme subgroup differences among lesbians.     

Simultaneous Decision on the Number of Latent Clusters and Classes for Multilevel Latent Class Models

The Multilevel Latent Class Model (MLCM) proposed by Vermunt (2003) has been shown to be an excellent framework for analyzing nested data with assumed discrete latent constructs. The nonparametric version of MLCM assumes 2 levels of discrete latent components to describe the dependency observed in data. Model selection is an important step in any statistical modeling. The task of model selection for MLCM amounts to the decision on the number of discrete latent components at both higher and lower levels and is more challenging than standard Latent Class Models. In this article, simulation studies were conducted to systematically examine the effects of sample sizes, clusters/classes distinctness, and the number of latent clusters and classes on the performance of various information criteria in recovering the true latent structure. Results of the simulation studies are summarized and presented. The final section presents the remarks and recommendations about the simultaneous decision regarding the number of latent classes and clusters when applying MLCMs to analyze empirical data.     

Satisfaction pursuing approach and avoidance goals: Effects of regulatory fit and individual temperaments

Going beyond previous studies on satisfaction in pursuing approach versus avoidance goals, the current study is the first to examine individual satisfaction in pursuing approach and avoidance goals as determined by regulatory fit between type of goal and type of strategy. Specifically, the present study shows that people with approach goals have greater satisfaction when they use an approach strategy rather than an avoidance strategy. People with avoidance goals have greater satisfaction when they use an avoidance strategy rather than an approach strategy. In addition, we explored how individual differences in the Behavioral Activation System and the Behavioral Inhibition System influenced reactions to approach and avoidance goals and strategies.     

Emotional approach coping: Gender differences on psychological adjustment in young to middle-aged cancer survivors

Objective : The effect of emotional approach coping (EAC) varies by gender. However, this gender difference has not yet been investigated in cancer survivors. We investigated whether the effects of two kinds of EAC – emotional processing (EP) and emotional expression (EE) – vary by gender and whether EAC has effects above and beyond the effect of other coping strategies.

Design : EAC and other coping strategies were assessed at baseline in a sample of 248 young to middle-aged adult (between the age of 22 and 55) cancer survivors. One hundred and sixty-six survivors responded to psychological adjustment one year later.

Results : EAC had different relationships with Time 2 adjustment in men and women. Hierarchical regression analyses showed that for men, EE predicted lower intrusive thoughts and, for women, EP was associated with higher positive affect when other coping strategies and EE were controlled.

Conclusion : Gender differences held true in cancer survivors, and EAC was effective when other coping strategies were controlled. Further, EE was effective in reducing negative adjustment in men while EP was helpful in promoting positive adjustment in women.     

Associations of positive and negative life changes with well-being in young and middle-aged adult cancer survivors

Both positive and negative changes are commonly reported by cancer survivors, and both may impact quality of life. Yet few studies have directly compared the associations of positive and negative changes across multiple life domains with multiple aspects of well-being. This study examined positive and negative changes and their conjoint relation to a range of well-being indices. We used correlational and regression analyses of data from 237 young to middle aged (X?=?45.3?years) cancer survivors, several years after treatment. Measures included demographic and medical variables, medical post-cancer positive and negative changes on multiple life domains, and a range of positive and negative adjustment indices. Demographic factors, especially income, related to both positive and negative outcomes. On average, participants reported no change on most life domains, although modest amounts of both positive and negative changes were reported. Negative change, rather than positive change, was closely associated with cancer survivors’ adjustment. Detailed measurement of both positive and negative changes – as well as lack of change – is important to advance understanding of cancer's impact on survivors.     

Mechanically driven alloying forces in the fabrication of a Cr–Zr nanocomposite

A highly supersaturated nanocrystalline Cr–25?wt% Zr alloy has been prepared by mechanical alloying of elemental crystalline powders. High-purity powders of Cr and Zr were milled for up to 20?h. The development of the microstructure was investigated by X-ray diffraction (XRD) and scanning electron microscopy. XRD patterns confirmed complete alloying of the Zr and Cr. The contribution of grain boundaries, the chemical potential of a solute atom induced by dislocations, and the elastic strain energy arising from the different sizes of Cr and Zr atoms have been calculated. The alloy formation is discussed with respect to the thermodynamic conditions of the material. The role of internal strains and stored enthalpies by dislocations on solute atoms is the major mechanical driving force for alloying and this is critically assessed in this article.