南宋时期浙江与国外的医药交流

南宋时期,浙江一举成为中外科技文化交流的重地.临安(今杭州)、明州(今宁波)、台州、温州等与东南亚诸国、阿拉伯国家乃至东北非洲,都有广泛的医药交流,在中外医药交流史、科技发展史上占有重要的地位.     

A Multilevel Analysis of the Relationship between Shared Leadership and Creativity in Inter‐Organizational Teams

An inter‐organizational team, which consists of diverse members from different organizations to conduct an initiative, has been widely treated as a critical method to improve organizational innovation. This study proposes a multilevel model to test the relationship between shared leadership and creativity at both team‐ and individual level in the context of inter‐organizational teams. Multisource data were collected from 53 inter‐organizational teams. We obtain the following findings: first, shared leadership is positively related to both team creativity and individual creativity via knowledge sharing. Second, task interdependence positively moderates the relationship between shared leadership and knowledge sharing. Third, task interdependence positively moderates the relationship between knowledge sharing and team creativity, but does not moderate the relationship between knowledge sharing and individual creativity. We discuss the theoretical and practical implications of the findings.     

学生感知的学校氛围与主客观学业成绩:心理素质及其分维度的中介作用

本研究旨在探究心理素质及其分维度在学生感知的学校氛围与主客观学业成绩之间的中介作用。采用整群抽样的方法选取被试,样本一抽取北京、陕西等七个省市10所中学7~12年级共1274名学生,样本二抽取重庆、湖南等四个省市7所中学7~12年级共2190名学生。结果表明：（1）学生感知的学校氛围与主观学业成绩存在显著正相关,与客观成绩的正相关呈边缘显著,与心理素质存在显著正相关;（2）心理素质在感知的学校氛围与主客观学业成绩之间中介作用显著;（3）心理素质的不同维度在学生感知的学校氛围与学业成绩关系之间中介作用存在差异,其中认知品质在学生感知的学校氛围与学业成绩之间存在稳定的正向中介作用。研究结果启示教育者在实施素质教育的过程中,应注意营造积极的学校氛围,以此提高学生心理素质,尤其是认知品质的发展,从而提高学生的学业成绩。     

教师的教学自主权与工作满意度的关系:教学自主性的中介作用

以北京、河北、宁夏、广东等地24所中小学923名中小学教师为被试,采取教学自主权量表、教学自主性量表、教师工作满意度量表,探讨了教师的教学自主权、教学自主性与工作满意度之间的关系。研究结果发现:(1)教学自主权与教学自主性均可显著预测教师工作满意度;(2)教学自主性在教学自主权与教师工作满意度之间起着完全中介作用,即教学自主权通过教师的教学自主性,对教师工作满意度有正向预测作用。     

压力知觉对大学生抑郁的影响:有调节的中介模型

本研究采用压力知觉量表、心理韧性量表、领悟社会支持量表和抑郁量表考察压力知觉对大学生抑郁的影响机制,调查了中部地区5所大学746名大一到大四学生。研究显示：（1）心理韧性在压力知觉与大学生抑郁之间起部分中介作用;（2）领悟社会支持调节了这一中介过程,调节了压力知觉对大学生抑郁的影响及压力知觉对心理韧性的影响。可以通过降低大学生的压力知觉水平、提高心理韧性水平和领悟社会支持水平来减少其抑郁。     

Depression in primary Sjögren’s syndrome: a systematic review and meta-analysis

There is substantial uncertainty regarding the prevalence of depression in Primary Sjögren’s syndrome (pSS). We conducted a systematic review aiming to evaluate the association of pSS with depression. PubMed, Web of Science, VIP, CNKI and Wanfang database were searched to find the published literatures (from these databases established to October 2016). Studies were screened according to inclusion and exclusion criteria and the qualities of included studies were evaluated. The data was analyzed using Revman5.2 software. A total of 12 studies including 1917 patients were eligible for inclusion in the systematic review and meta-analysis. In this meta-analysis, Severity of depression was assessed using psychometric measures, such as PHQ-9; HADS; CES-D; Zung depression scale and BDI. The result revealed that pSS was associated with an increased prevalence of depression (summary odds ratio (OR) = 5.36, 95% CI: 4.05–7.09, P < 0.01). The depression score in pSS patients (standardized mean difference (SMD) = 1.47, 95% CI: 0.81–2.12, P < 0.01) were higher than in the control group. Depression is highly prevalent in pSS than in healthy controls. Early recognition and appropriate intervention are therefore essential to reduce the negative impact of depression on the patient’s quality of life and outcome of their disease.     

Randomized single-blind multicenter trial comparing the effects of standard and augmented acupuncture protocols on sleep quality and depressive symptoms in patients with depression

The study was aimed to compare the effects of standard and augmented acupuncture on depressive symptoms and sleep disturbances in patients with depression. This is a randomized, single-blind, multicenter trial. 140 subjects with clinical insomnia (score of ≥ 7 on the Pittsburgh Sleep Quality Index (PSQI)) were randomized to the standard (LI4, LIV3, EX-HN3, and GV20) or augmented (LI4, LIV3, EX-HN3, GV20, LU7, and KID6, including intradermal needles for sustained treatment) acupuncture groups. Participants received two sessions weekly for six weeks. In trial, The primary outcomes were improvements in PSQI and the Hamilton Rating Scale (HAMD). Secondary outcomes were treatment credibility and adverse events. Outcomes were assessed at baseline, week 3, end of treatment, and 4-week follow-up. From the 105 randomized patients, 89 completed the trial and were included in the final analyses. Better efficacy was observed in the augmented group compared with the standard acupuncture to improve the PSQI and HAMD at week 3, end of treatment, and 4-week follow-up (all p < .05). The HAMD scores improved with time, except between end of treatment and 4-week follow-up, while in the standard group, HAMD scored improved from baseline to week 3, and stopped improving thereafter. The PSQI scores improved with time in the two groups, except between end of treatment and 4-week follow-up. Compared with the standard protocol, the augmented acupuncture protocol had a better efficacy to treat depression and to improve sleep quality of patients with depression.     

The factors associated with geriatric depression in rural China: stratified by household structure

Depressive symptoms and empty nest phenomenon of rural elderly people are both important public health issues, which should not be ignored. We aimed to estimate the prevalence of depressive symptoms and related factors of the empty nest elderly in rural China. We recruited 3182 eligible subjects and gathered data by face-to-face interview. Multivariate logistic regression models were used to explore the related factors of depressive symptoms. The present study showed that the prevalence of depressive symptoms significantly differed between empty nest old adults and non-empty nesters (24.1% vs. 19.0%). The elderly living alone had highest OR of depressive symptoms. Depressive symptoms of empty nest elderly was associated with sleep quality, economic status, pain, social support and ADL. While it was associated with gender, economic status, pain and PSMS in non-empty nest group. Number of chronic disease showed significant associations with depressive symptoms in the elderly living alone. Subjective support, support utilization and pain were positively associated with depressive symptoms in the elderly living with spouse. Sleep quality, economic status and ADL were common factors. Depressive symptoms obviously prevail among empty nest elderly than non-empty nesters. It reminded us that complementary social support from family and society is essential.     

Systemic lupus erythematosus is associated with negatively variable impacts on domains of sleep disturbances: a systematic review and meta-analysis

Sleep disturbances are common in systemic lupus erythematosus (SLE), but the features of sleep disturbances are not well understood. The aim of this study was to identify the impact of SLE on specific sleep quality domains and to determine its prevalence and associations. We performed a systematic review and meta-analysis to compare the sleep outcomes of individuals with SLE and healthy controls. PubMed, MEDLINE, EMBASE, Cochrane Library, Web of Science CNKI, VIP, CNKI and Wanfang database were searched to find the published literatures (from these databases established to May 2017). Studies were screened according to inclusion and exclusion criteria and the qualities of included studies were evaluated. The data was analyzed using Revman5.3 software. Score of the Pittsburgh Sleep Quality Index (PSQI) scoring system was used as the outcome measurement, and mean differences (MD) with 95% confidence intervals (CI) were calculated. Five studies were included, including 350 SLE and 1396 healthy controls. A total of 5 studies including 827 patients were eligible for inclusion in the systematic review and meta-analysis. In this meta-analysis, each domain of the PSQI score: subjective sleep quality (MD, .58; 95% CI, .26, .89), sleep latency(MD, .47; 95% CI, .21, .73), sleep duration (MD, .36; 95% CI, .13, .58), habitual sleep efficiency (MD, .58; 95% CI, .32, .84),sleep disorders (MD, .56; 95% CI, .34, .77), use of sleep medication (MD, .56; 95% CI, .33, .80), daytime dysfunction (MD, .57; 95% CI, .11, 1.04) and the global score (MD, 3.59; 95% CI, 1.37, 5.80) were higher in SLE women than healthy controls. Furthermore, subjective sleep quality and habitual sleep efficiency were most severely affected especially. It demonstrated that targeted interventions should be done to improve their sleep quality. Early recognition and appropriate intervention are essential to reduce the negative impact of sleep disturbances on the patient’s sleep quality and outcome of their disease.     

大学生手机成瘾与学习投入的关系:自我控制的中介作用和核心自我评价的调节作用

为考察手机成瘾、自我控制、核心自我评价和学习投入之间的关系,本研究采用手机成瘾量表、自我控制双系统量表、核心自我评价量表以及学习投入量表对628名大学生进行问卷调查。结果显示：（1）手机成瘾可以负向预测大学生学习投入;（2）控制系统和冲动系统在手机成瘾与学习投入的关系中起并行中介作用;（3）手机成瘾对学习投入的直接预测作用受到核心自我评价的调节。研究结果揭示了手机成瘾对学习投入的作用机制,拓展了核心自我评价的研究视角,对于学习投入的干预工作有一定实践意义。