Combined hysterectomy and mastectomy surgery for transgender patients in an integrated health care setting

Background: Hysterectomy and mastectomy surgery for gender affirmation have traditionally been performed as separate surgeries. Our institution offers these surgeries as a single combined procedure, typically with same-day discharge. Decreasing the number of times patients need to have surgery may reduce barriers to care by limiting surgical and hospital stay events. Our primary objective was to describe the perioperative experience of transgender patients who underwent combined hysterectomy and mastectomy surgery.

Methods: This retrospective case series assessed patients who underwent combined hysterectomy and mastectomy surgery between 2013 and 2015 in an integrated health care setting in the United States. Chart reviews were performed for outcomes of interest, which included operative and postoperative complications.

Results: We identified 25 patients who underwent a combined hysterectomy and mastectomy for the indication of gender transition. Preoperative patient characteristics included a median age of 31, with a median BMI of 25. Ninety-two percent of the patients were on testosterone therapy at the time of surgery. A total of 76% and 24% of patients had laparoscopic and vaginal hysterectomies, respectively. Intraoperatively, the average blood loss was 104 mL, and there were no complications. Eighty percent of patients were discharged on the same day. Postoperatively, 92% of patients experienced no major complications. One patient received a uterine artery embolization and blood transfusion for postoperative intraabdominal bleeding, and one patient presented 9 weeks after surgery with partial vaginal cuff dehiscence requiring a cuff revision. There were no re-admissions within six months of surgery. There were no major mastectomy-related complications.

Conclusions: Combined surgeries are feasible and reduce the number of surgical events and hospital stays. There were no complications that could be attributed to undergoing two procedures as a single incident.     

高边缘性人格障碍特质者负性沉浸的自我反思倾向

采用自我参照范式考察边缘性人格障碍(BPD)的自我反思特点。实验1对比高、低BPD特质被试在自我和姓名参照条件下正负性词汇的再认成绩,发现高BPD特质者在自我参照条件下的负性词汇记忆成绩显著高于低BPD特质组。实验2对高BPD特质被试进行正念自我反思训练,结果发现相对于对照组,训练组在自我参照条件下负性词汇的记忆成绩显著降低。高BPD特质者的自我反思存在负性沉浸倾向,且正念自我反思训练可以改善该倾向。     

等级反应多水平侧面模型及其在主观题评分中的应用

探讨了康春花,孙小坚和曾平飞(2016)提出的等级反应多水平侧面模型(GR-MLFM)在包含被试及评分者层面预测变量(完整模型)下的返真性和适用性。结果表明:(1)GR-MLFM完整模型具有逻辑上和数理上的合理性,可用于主观题的评分情境,能较好地检测出评分者效应、影响因素及其影响程度;(2)在数学问题解决的评分实践中,评分员存在两种类型的评分倾向(宽松和严格效应),但绝大多数评分员的宽严度不明显;评分者的责任心可正向预测其严格程度,自信心可正向预测其宽松程度,而情绪稳定性和评分经验的预测作用不显著。     

The use of person–organization fit and person–job fit information in making selection decisions

Two policy-capturing studies were conducted to investigate how person–organization (PO) fit and person–job (PJ) fit information are weighted and combined when hiring decision makers evaluate job candidates, and how the process is influenced by the position’s characteristics. Regarding the combining process, we detected a nonlinear, conjunctive rule in which a low level of PJ fit was paid more attention, the levels of PO fit and PJ fit interacted, and candidates with moderate levels of PO fit and PJ fit were preferred over those with high and low levels. Regarding the weighting process, we found that PO fit was weighted more heavily for a permanent position, and PJ fit for a fixed-term and/or a knowledge-intensive position. In addition, the position’s contract duration (permanent vs. fixed-term) and task elements (managerial vs. knowledge-intensive) interacted in influencing the weighting of PO fit and PJ fit.     

完美主义及其认知-行为治疗研究

完美主义是一种深刻影响人格的心理特征,与心理病理学现象有极为密切的联系。完美主义已经引起了心理界的关注。从完美主义的定义出发,提出完美主义认知和行为特征,总结了完美主义的评估方法及完美主义与心理障碍的关系研究,最后对完美主义的认知-行为治疗的方法和步骤进行了阐述。     

论《周易》之“观”的审美特征

"观"在《周易》中占有重要地位,它不仅是一种认识活动,更是一种审美活动。在艺术上,观物取象的思维方式和仰观俯察的审美观照方式对艺术欣赏和创作影响深远,同时又是一种道德完善和理想人格的修养过程。另外,在"观"中还体现了尽善尽美、天人合一的理想境界。这些都对中国美学产生了深远的影响。     

Changes in personality in pre‐ and post‐dialectical behaviour therapy borderline personality disorder groups: A question of self‐control

Dialectical behaviour therapy (DBT) is an evidence‐based therapy for people with borderline personality disorder (BPD). Past research has identified behavioural changes indicating improved functioning for people who undergo DBT. To date, however, there has been little research investigating the underlying mechanism of change. The present study utilised a between‐subjects design and self‐report questionnaires of Self‐Control and the five factor model of personality and drew participants from a metropolitan DBT program. We found that pre‐treatment participants were significantly lower on Self‐Control, Agreeableness and Conscientiousness when compared to both the post‐treatment assessment and the norms for each questionnaire. Neuroticism was significantly higher both before and after treatment when compared to the norms. These findings suggest that Self‐Control may play a role in both the presentation of this disorder and the effect of DBT. High levels of Neuroticism lend weight to the Linehan biosocial model of BPD development.     

元分析的特点、方法及其应用的现状分析

元分析是心理、教育及其他科学领域内新近出现的一种重要研究方法,它主要是借助统计方法,对针对同一问题的大量研究结果进行综合分析与评价,从而概括出其研究结果所反映的共同效应,即普遍性的结论。但这种方法在目前国内心理与教育研究中仍不多见。本文首先将通过与其他整合研究结果的分析方法的比较,归纳出元分析的主要特点及其局限性,其次本文着重介绍目前应用较为广泛的三种重要的元分析方法,并对三种方法作出比较分析;最后本文还将对元分析技术在国内心理学研究中的应用现状作分析与评价。     

山东省人类辅助生殖技术服务利用人群特征调查研究

对山东省人类辅助生殖技术(Assisted Reproductive Techology,ART)服务利用人群特征进行了调查和评价研究.主要包括不孕症门诊病人社会学特征,知情权,不孕症患者意愿,满意度评价等;并建议进一步加大宣传教育的力度,普及ART健康知识,提高对ART的知晓率,树立正确的社会观念,达到充分有效的利用ART的目的.     

幼儿箱庭基本特征的初步研究

研究选取了10名幼儿（3～6岁）,对他们的初次箱庭的基本特征进行研究,结果如下：给幼儿介绍箱庭时通常需要他们的父母或朋友在场,利用玩具在引导幼儿熟悉箱庭时发挥重要作用;幼儿箱庭制作时间都比较长;玩具选择以动物类为主;制作过程中频繁移动玩县;空间使用以“占满”类型为主;大多数幼儿制作时都不动沙;作品主题以“无明确主题”为主,有明确主题的主要为“动物世界类”和“家庭生活类”;制作过程中幼儿主动与见证人之间的互动频繁。