关于交锁髓内钉应用中几个问题的思考

尽管交锁髓内钉在骨折的治疗中应用广泛,它还是在对普通髓内钉"扬弃"之后发展而来的。虽然闭合复位与开放复位、扩髓与非扩髓及静力性固定与动力性固定各自之间存在着矛盾,但是只要具体问题具体分析,作为新事物,交锁髓内钉具有强大的生命力。     

An analogue study of the effects of Psychological Debriefing on eyewitness memory

Sixty-one participants from the community participated in a randomised controlled trial of group debriefing to assess the effect of this intervention upon memory for a stressful event. Participants were randomly allocated to one of three groups: debriefing; debriefing with an experimenter confederate present (who supplied three pieces of misinformation to the group regarding the stressful event); and a no-treatment control. All groups were shown a very stressful video and were again reviewed after 1 month. Members of the debriefing group where a confederate provided misinformation were more likely to recall this misinformation as fact than members of the other two groups. The debriefing group was also more accurate in their recall of peripheral content than the confederate group. Across all groups, participants were found to be more accurate at central rather than peripheral recall yet more confident for incorrect memories of the video than correct memories.     

Working memory deficit in children with mathematical difficulties: a general or specific deficit?

This study examined whether children with mathematical difficulties (MDs) or comorbid mathematical and reading difficulties have a working memory deficit and whether the hypothesized working memory deficit includes the whole working memory system or only specific components. In the study, 31 10-year-olds with MDs and 37 10-year-olds with both mathematical and reading difficulties were compared with 47 age-matched and 50 younger controls (9-year-olds) on a number of working memory tasks. Compared with the age-matched controls, both groups of children with MDs performed worse on tasks tapping the central executive (e.g., visual matrix span) and the phonological loop (e.g., word span). More important, the MD group performed worse than the younger controls on the counting span task, whereas the group with comorbid mathematical and reading difficulties performed worse on the counting span task and the visual matrix span task. These findings provide support for the assumption that children with MDs have a working memory deficit. More specifically, children with MDs have a central executive deficit connected to concurrent processing and storage of numerical and visual information.     

复杂胫骨平台骨折处理的临床决策

复杂胫骨平台骨折处理相当困难,治疗上存在着一系列矛盾,准确的骨折分型和软组织损伤情况评估,合理的手术入路和手术时机选择,重视复位、固定方式和方法及软组织保护,双下肢同时消毒包扎为术中快速的体位转换提供了方便,一系列临床决策极大地提高了复杂胫骨平台骨折的治疗水平。     

Lunchroom noise control using feedback and group contingent reinforcement

Reduction of noise levels in an elementary school lunchroom was examined as a function of feedback and feedback plus reinforcement using group contingency procedures. Feedback consisted of signals from a traffic light, with green indicating acceptable levels, yellow indicating levels approaching undesirable, and red indicating unacceptable levels. Other behaviors, including running, hitting, pushing, and kicking, were measured incidentally. Results indicate that feedback plus reinforcement was effective in reducing noise levels. Feedback only was also effective, but to a lesser degree. No response-response relationship was found to exist between noise level and the other behaviors.     

Cognitive emotion regulation in adulthood and old age: positive gaze preferences across two strategies

While positive emotional functioning may be enhanced across adulthood and old age, research is mixed as to the types of regulatory strategies that are more or less beneficial for facilitating well-being. The goal of the present study was to examine how specific cognitive emotion regulation strategies assumed to rely on varying levels of effortful processing (selective attention vs. reappraisal) would impact regulatory behaviors (via eye gaze deployment) and resultant affective outcomes. Participants viewed a series of positive, negative, and neutral film clips while their eyes were tracked across three conditions: passive viewing, selective attention, and reappraisal. Results revealed that (a) both younger and older adults displayed positive fixation preferences and showed mood improvement across both regulatory conditions and (b) there was a marginal association between positive fixation and post-regulation mood. Implications for linking positivity to emotion regulation and well-being across adulthood are discussed.     

The roles of the central executive and visuospatial storage in mental arithmetic: A comparison across strategies

Previous research has demonstrated that working memory plays an important role in arithmetic. Different arithmetical strategies rely on working memory to different extents—for example, verbal working memory has been found to be more important for procedural strategies, such as counting and decomposition, than for retrieval strategies. Surprisingly, given the close connection between spatial and mathematical skills, the role of visuospatial working memory has received less attention and is poorly understood. This study used a dual-task methodology to investigate the impact of a dynamic spatial n-back task (Experiment 1) and tasks loading the visuospatial sketchpad and central executive (Experiment 2) on adults' use of counting, decomposition, and direct retrieval strategies for addition. While Experiment 1 suggested that visuospatial working memory plays an important role in arithmetic, especially when counting, the results of Experiment 2 suggested this was primarily due to the domain-general executive demands of the n-back task. Taken together, these results suggest that maintaining visuospatial information in mind is required when adults solve addition arithmetic problems by any strategy but the role of domain-general executive resources is much greater than that of the visuospatial sketchpad.     

Neurocognitive Effects of Methamphetamine: A Critical Review and Meta-analysis

This review provides a critical analysis of the central nervous system effects of acute and chronic methamphetamine (MA) use, which is linked to numerous adverse psychosocial, neuropsychiatric, and medical problems. A meta-analysis of the neuropsychological effects of MA abuse/dependence revealed broadly medium effect sizes, showing deficits in episodic memory, executive functions, information processing speed, motor skills, language, and visuoconstructional abilities. The neuropsychological deficits associated with MA abuse/dependence are interpreted with regard to their possible neural mechanisms, most notably MA-associated frontostriatal neurotoxicity. In addition, potential explanatory factors are considered, including demographics (e.g., gender), MA use characteristics (e.g., duration of abstinence), and the influence of common psychiatric (e.g., other substance-related disorders) and neuromedical (e.g., HIV infection) comorbidities. Finally, these findings are discussed with respect to their potential contribution to the clinical management of persons with MA abuse/dependence.     

The development of strategy use in elementary school children: working memory and individual differences

The current study tested the development of working memory involvement in children's arithmetic strategy selection and strategy efficiency. To this end, an experiment in which the dual-task method and the choice/no-choice method were combined was administered to 10- to 12-year-olds. Working memory was needed in retrieval, transformation, and counting strategies, but the ratio between available working memory resources and arithmetic task demands changed across development. More frequent retrieval use, more efficient memory retrieval, and more efficient counting processes reduced the working memory requirements. Strategy efficiency and strategy selection were also modified by individual differences such as processing speed, arithmetic skill, gender, and math anxiety. Short-term memory capacity, in contrast, was not related to children's strategy selection or strategy efficiency.