Rheumatoid arthritis is associated with negatively variable impacts on domains of female sexual function: evidence from a systematic review and meta-analysis

To systematically review the literature to identify the impact of rheumatoid arthritis (RA) on specific female sexual function domains. A meta-analysis was performed and the related literature were searched in MEDLINE, EMBASE, Cochrane Library, CNKI, CBM and Web of Science databases, and in reference lists of articles and systematic reviews. Score of the Female Sexual Function Index (FSFI) was used as the outcome measurement, and mean differences (MD) with 95% confidence intervals (CI) were calculated. Five studies were included, including 346 women with RA and 237 healthy female controls. Each domain of the FSFI score: lubrication (MD, ?2.48; 95% CI, ?3.69, ?1.28), orgasm-1.71 (?2.09, ?1.33), sexual desire-1.27 (?1.59, ?0.95), satisfaction-1.67 (?2.18, ?1.16), arousal-1.83 (?2.85, ?0.82), pain-1.57 (?2.43, ?0.70) and the total score ?8.84 (?11.88, ?5.79) were lower in RA women than healthy controls. Furthermore, lubrication dimension was most severely affected especially. This meta-analysis showed that female RA patients scored lower in each dimension of FSFI, mostly in the lubrication domain. It demonstrated that targeted interventions should be done to improve their sexual function. Future well-designed researches with larger sample sizes are necessary to evaluate the potential risk factors which determine female sexual dysfunction.     

Anxiety sensitivity moderates the painful effects of feeling burdensome to others

Perceived burdensomeness (PB), the perception of being a burden to others, is associated with pain and physical symptoms. Anxiety sensitivity (AS), the fear of arousal-related sensations, arising from beliefs that the sensations may have adverse personal consequences (physical, cognitive, and social), may increase risk for pain responding, particularly in anxiety-provoking (e.g. socially threatening) contexts. Accordingly, individuals high in AS may have a stronger pain response when experiencing PB than those low in AS. Undergraduate participants (n = 262) completed the Anxiety Sensitivity Index (ASI-3), and then were randomly assigned to re-live an experience when they were either burdensome to others (burdensome condition) or contributed equally to a group (control condition). Both social and physical self-reported pain were assessed post-manipulation. Those high in AS reported significantly higher pain ratings in the burdensome condition than the control condition; for those low in AS, pain did not change across conditions. In particular, being fearful of the physical repercussions of anxiety (AS physical concerns) while also feeling burdensome to others was associated with greater physical pain. AS may exacerbate the already painful effects of feeling burdensome to others, and may have important implications for the development of future suicide- and pain-related interventions.     

Am I ‘Chinese’ or ‘Scottish’? children’s perceptions of the adaptive nature of Chinese Scottish children’s dual identities

Chinese Scottish children (children who are born and live in Scotland with Chinese parents) face challenges in establishing their identity. However, there is lack of research that investigates ethnic minority Chinese children’s identity and associated feelings about the dual social context in which they live. The study introduced a social identity vignettes task to examine Chinese Scottish and White Scottish children’s perceptions of Chinese ethnic identity and Scottish national identity of a Scottish born Chinese character within two contrasting socio-cultural contexts (Scottish vs. Chinese). This study examines whether children’s ethnic and national identity and feelings of positivity are adaptive and sensitive to social context. In addition it explored age-related changes in perceptions of ethnic and national identification in the vignettes. The sample comprised of 161 children (8, 11, and 14 years). The results found Chinese Scottish children and White Scottish children’s judgments of the characters’ ethnic identity changed with the cultural context. Both groups of children had a similar perception of vignette characters’ feeling of positivity. Both Chinese and White Scottish children judged that the character would feel more positive about him/herself in the Chinese context. There was no main effect of age.     

安全与统战——新中国宗教政策的双重解读

建国以来,我国的宗教状况发生了显著变化。经过60多年的实践,中国共产党对我国所面临的宗教问题有了更为深刻的认识,宗教政策也因此呈现出四个阶段的变化,即形成期、失衡期、调整期和转型期。但是,我国宗教政策坚持"统战"与"安全"两大主线或基轴的基本方针却始终没有改变。基于这样的认识,本文选择安全和统战的双重视角,试图揭示建国以来我国宗教政策历史演变的内在逻辑,并为我国宗教政策的制定提供某种理论思路。     

喉罩与气管内插管在胸腔镜胸交感神经切断术中的应用比较

为了探讨在手汗症手术中一次性喉罩替代气管内插管的安全性和可行性。择期行胸腔交感神经链切断术的患者40例,分为气管导管组（T组）和喉罩组（L组）。结果L组与T组相比,T2、T8各时点的SBP、DBP降低,HR减慢（P〈0．05）。两组患者术中及术后SpO2均维持98％以上,通气参数及血气分析结果均在正常范围内。喉罩通气麻醉操作简便,通气可靠,且对心血管系统刺激小。     

急诊监护病房重症患者的预后和相关因素回顾分析

收集北京大学人民医院急诊监护3年间收治患者资料,并进行一年随访,结果发现随着年龄的增长,ICU病死率逐渐增加,生活不能自理的比例越来越高;而且ICU后病死率也越来越高。深入了解ICU患者的转归和预后情况,有利于我们更有效率地使用重症监护资源。     

方言经验对早期沪语儿童汉语语音意识的影响

已有研究对汉语儿童的英语语音意识进行研究,且取得了很多有价值的研究成果,但对方言儿童的汉语语音意识的研究很少。汉语是一种具有众多方言的独特语言,许多方言和标准语的语言体系有着显著差异。具有方言和普通话早期经验的双语儿童在汉语语音意识上是否存在优势,有两种不同的看法：一是从心理语言学层面上,母语学习中获得的语言能力或普遍语法能促进第二语言的学习;二是从语言学层面上来讲,母语对第二语言的学习存在干扰作用。那么双语儿童在汉语语音意识上比单一普通话儿童是否存在优势呢？本研究将进行调查。实验选取72名4岁、5岁和6岁学前儿童为被试,每个年龄组各24人,其中沪语儿童和单一普通话儿童各12名。采用听觉呈现方法对所选被试进行汉语语音意识水平的测试,包括声调意识、声母意识和韵母意识三部分,并收集儿童的口语资料。结果表明: 虽然沪语儿童声母意识和韵母意识主效应不显著,但沪语儿童语音意识总成绩和声调意识成绩均比单一普通话儿童高;沪语儿童汉语语音意识优势不受年龄的影响。本研究启示是,上海地区学前儿童学习标准语（普通话）之外应鼓励使用沪语。     

中学生受欺负状况与心理控制感的关系

该研究采用自陈问卷方法,考察了108名中学生的心理控制感与受欺负状况的关系。结果:在生活外控、社交内控、受身体欺负上,男高于女。高中生受身体欺负比初中生少,而未知控制更多。受社会性欺负与外部控制有正相关。受言语欺负与社交外控、生活外控、外部控制有正相关;与社交内控、躯体内控有负相关。受财产欺负与外部控制有正相关。外部控制对受社会性欺负、言语欺负和财产欺负有预测作用;躯体内控对受言语欺负有预测作用。     

攻击行为儿童大脑半球某些认知特点的研究

为了解攻击行为儿童大脑两半球的认知活动特点,采用侧视野速示呈现技术,对径“同伴提名量表”筛选的１７名攻南 儿童和１６名正常儿童进行了比较研究。     

宿主和寄生物的辩证关系

寄生物（包括寄生虫,细菌,真菌,立克次体,病毒等）虽依赖宿主而生存,却不一定对宿主致病,有的反而对宿主有益,根据达尔文的进化论,“自然选择”要求生物在进化中要不断适应环境,适应是生存最重要的条件,不能适应必将死亡,据此,本文对一些常见的自然因素对于宿主和寄生物两方面进行了初步分析,包括寄生物在宿主体内的繁殖速度,寄生物所引起的宿主的症状,其生现象的出现等,并对晚近发现的朊病毒,发生“星际传染性”的