IABP在心脏直视手术围术期低心排的应用

为了探讨主动脉内球囊反搏（IABP）治疗心脏手术围术期低心输出量综合征（LCOS）的临床疗效,对16例心脏手术围术期LCOS患者,经过股动脉放置IABP导管于降主动脉内进行左心辅助治疗,IABP治疗前、后监测患者连续有创动脉收缩压（SABP）、有创平均动脉压（MABP）、中心静脉压（CVP）、动脉血氧分压（PaO2）、心率（HR）、尿量和血管活性药物的使用。结果显示,IABP辅助治疗时间25h～116h,平均（78．5±40．5）h。行IABP治疗后,SABP、MABP、PaO2较术前明显提高（P〈0．05）,HR、CVP明显下降（P〈0．05）,尿量增加,血管活性药物使用量明显减少（P〈0．05）,12例患者心功能好转而脱离IABP,11例（69．3％）存活,4例死于心源性休克,1例死于多器官功能不全综合征（MODS）。提示正确及时地使用IABP能明显改善心脏手术围术期LCOS患者的血流动力学指标,减少血管活性药物的使用,建议对有适应证者应尽早应用,适时撤离。     

AMPLE智力模型——PASS智力模型的扩展

本文根据实验事实,对PASS智力模型进行扩展,并提出一个简称AMPLE的智力模型。这个模型基于脑的四个功能系统学说,包括注意（attention）、操纵（manipulation）、计划（planning）、学习（learning）和评估（evaluation）等过程。它是一个囊括觉、知、情、意诸成分在内的全面的智力模型。     

Burnout predictors among prison officers: The moderating effect of temperamental endurance

The study investigates whether work stressors, coping styles, and work-related social support predict burnout among prison officers (N = 476). It was hypothesized that coping and social support would mediate the effects of work stressors on burnout and that these effects would be moderated by temperamental endurance. Results of structural equation modeling showed that emotion-oriented coping was positively related to emotional exhaustion, and negatively to personal accomplishment. Task-oriented coping was positively related to personal accomplishment. Social support from work was negatively related to emotional exhaustion. The effects of work stressors on burnout were mediated by work-related social support and by emotion-oriented coping. Additionally, some of these mediating effects were moderated by endurance. Work-related social support was negatively related to depersonalization only among participants with strong endurance. High level of work stressors predicted high emotion-oriented coping only among individuals with weak endurance.     

Automatic evaluation of syntactic learners in typologically-different languages

Human syntax acquisition involves a system that can learn constraints on possible word sequences in typologically-different human languages. Evaluation of computational syntax acquisition systems typically involves theory-specific or language-specific assumptions that make it difficult to compare results in multiple languages. To address this problem, a bag-of-words incremental generation (BIG) task with an automatic sentence prediction accuracy (SPA) evaluation measure was developed. The BIG–SPA task was used to test several learners that incorporated n-gram statistics which are commonly found in statistical approaches to syntax acquisition. In addition, a novel Adjacency–Prominence learner, that was based on psycholinguistic work in sentence production and syntax acquisition, was also tested and it was found that this learner yielded the best results in this task on these languages. In general, the BIG–SPA task is argued to be a useful platform for comparing explicit theories of syntax acquisition in multiple languages.     

揭开“看牙难、看牙贵”的面纱

患者对现有分科看牙模式的失望和对牙科医疗机构的商业化模式的疑问,产生了“看牙难、看牙贵”的感叹。通过14年的全科牙医诊疗体系的实践,从结构影响结果的哲学角度提出全科牙医教育培训体系的建立和牙科产业链调整的设想。通过对历史上全科牙医的回顾,推测全科牙医和专科牙医的互补形式,将成为中国牙科医疗体系的“新式样”。通过对牙科医疗机构运行机制的分析提出了改善的建议。     

COMPARING TREATMENT TACTICS WITH A HYPERACTIVE PRESCHOOL CHILD: STIMULANT MEDICATION AND PROGRAMMED TEACHER INTERVENTION1

Two treatment tactics, food and praise contingent on appropriate play and varying doses of methylphenidate (Ritalin), were evaluated for their effects on a preschool child's activity changes. In addition, other social, verbal, and academic behaviors were monitored to examine possible side effects of the two treatment tactics. Fewer free-play activity changes occurred during contingent reinforcement phases while medication had variable effects: increasing attention to tasks but, at higher doses, decreasing intelligibility of speech and responsiveness to mands. The study outlines a replicable model for comparing medication with alternative behavioral strategies to control hyperactivity and enhance skill development.     

低出生体重与代谢综合征

低出生体重是发生成年期代谢综合征的高危因素。“代谢程序化”与“营养程序化”概念的提出对人们从多层面认识该现象的内在机制有重要指导作用。随着对发生机制研究的深入,人们终将找到预防低出生体重发生成年期代谢综合征的早期干预措施。     

浅析生命质量在药物评价中的作用

随着医学模式的转变及心身医学的发展,近年来,生命质量的评定已成为一些药物评价的重要指标。由于生命质量的评定较好地反映了药物对患者身体、情感、社会心理等方面的影响,从而能够较为全面地评价药物疗效,有助于有效地指导临床选择用药。本文阐述了生命质量的定义,在药物评价中应考虑其对生命质量的影响以及通过实例说明如何进行生命质量的评定     

Measurement Structure of the Turkish Translation of the Child Behavior Checklist Using Confirmatory Factor Analytic Approaches to Validation of Syndromal Constructs

The new correlated 8-factor measurement structure of the Child Behavior Checklist for ages 6-18 (CBCL/6-18; T. M. Achenbach & L. A. Rescorla, 2001) derived from an American sample was used as a benchmark to evaluate its generalizability to Turkish general population (N = 5,195) and clinical (N = 963) samples. Item-level confirmatory factor analysis (CFA) was used to evaluate the adequacy of the correlated 8-factor model across 3 sample conditions (general population, clinical, and combined sample whose Total Problems scores were above the Turkish national median). The results supported the generalizability of the overall measurement structure of the CBCL to the Turkish population.     

"证"与"辨证"之我见

以"证"与"辨证"的关系阐发有关概念,认为对证的概念不应一概而论,在此基础上把证细分为两个概念,提出有形之证和无形之证,辨证的过程就是构建一个"无形之证"理论模型的过程,用来解说有形之证,达到无形之证与有形之证的最大吻合.