鼻窦炎鼻内镜术后术腔置药疗效分析

为了缩短鼻内镜手术病程,防治并发症,以2006年1月至2009年1月大连市中心医院耳鼻咽喉科127例鼻内镜术后患者为样本,其中64例患者（对照组）行常规术后鼻腔清理,另63例患者（实验组）常规清理后,术腔放置浸入辅舒良鼻喷雾剂的明胶海绵小块。对两组患者术后施行同样频度、同样疗程术腔清理,观察术腔上皮化的时间进行对比。结...     

从JNC高血压指南的演变史看盐与高血压的关系

高血压是当今世界上最大的流行病,是脑卒中、心脏病及肾脏病最主要的危险因素。通过回顾比较不同时期的JNC高血压指南,了解对盐与高血压关系认识的发展过程,体会限盐对高血压防治的重要性及发展前景。     

ABCD2评分法预测短暂性脑缺血发作后脑卒中发病风险的研究

为探讨APCD2评分法在短暂性脑缺血发作（T1A）后脑卒中发生风险的预测价值,选择发病48小时内的颈内动脉系统TIA患者112例进行ABCD2评定并分为0分、低危、中危、高危组并随访6个月。结果显示,高危组血管狭窄和软斑块程度较0分组、低危组、中危组显著严重;7天时高危组较中危、低危组卒中发生率显著增高;30天、60天...     

宫颈癌病因及预防

从哲学角度讨论宫颈癌的病因,思考临床工作中如何预防宫颈癌。宫颈癌的发生是内因外因综合作用的结果。实验与临床研究发现人类乳头瘤病毒（HPV）家族中的高危型HPV的持续感染是宫颈癌及其癌前病变发生的主要外因。本文将讨论HPV分型检测作为宫颈癌筛查系统的一个重要元素在预防宫颈癌发生中所处的地位。     

Assessing mobility in an aging society: Personal and built environment factors associated with older people’s subjective transportation deficiency in the US

This study analyzed subjective transportation deficiency, in terms of missing activities due to lack of transportation, of the older population aged 65 and over in the United States. This study found that those who have lower personal automobile accessibility and minority females are more likely to experience transportation deficiency. Older people who have lower income, have lived for a relatively short period (3–10 years) in their communities, and live with minors are also more likely to experience lack of transportation. Older people who live in suburban communities have greater transportation deficiency, but the placement of activity locations within walking distance can improve transportation deficiency among older people who do not drive. The availability of public transit services within walking distance and knowledge about transportation alternatives do not significantly affect the transportation deficiency of the older population. The results indicate that a substantive focus should be given to how to help the older population keep driving as long as they can, and aid communities with high concentrations of older minority females. Also, developing activity clusters containing commercial and social service facilities in suburban areas with high concentrations of older populations, has the potential to alleviate transportation deficiency among this widely observed group of people who age in place.     

Flexibilité catégorielle chez des enfants scolarisés en ULIS : les effets d’un étayage métacognitif

Categorization is an essential cognitive process, but it seems deficient in children with intellectual disability. This study aimed to assess the improvement of categorization performances in children with intellectual disability by a metacognitive training. The specificity of the metacognitive training was tested by assessing two types of training, one metacognitive and the other not. The performances of categorical flexibility, that is to say, flexible use of categorization in 34 children with intellectual disability schooled in a special school (ULIS) were first evaluated. An intervention (metacognitive training, or training without metacognitive orientation, or no training) was then proposed one week later, followed by a second evaluation of the categorical flexibility performances. Furthermore, two versions of the categorical flexibility task were proposed so allowing the comparison of the use of perceptive categorization (shape and color) and semantic categorization (taxonomic and thematic). The results show that when the categorization requested are perceptive children with intellectual disability achieve performances at the ceiling level, contrary to the case of semantic categorization. Only children having benefited from a metacognitive training significantly increased their performances in semantic categorical flexibility task. These results show the possibility of training the semantic categorical flexibility in children with intellectual disability and suggest a possibility of transferring learning.     

消费者拍照行为影响消费体验的双刃剑效应

拍照是消费者对体验进行视觉记录的手段。虽然拍照“打卡”成为人们的日常生活和企业营销的重要工具,但目前未发现有文章系统介绍拍照行为对消费体验的影响。拍照行为通过调整注意资源和认知参与对消费体验产生双刃剑效应。具体而言,拍照行为会给消费者带来以“视觉体验红利”为主的红利效应;还会因缺失其他感官(嗅觉、味觉、听觉或触觉)的真实体验产生“匮乏效应”。个人因素和情景因素是拍照行为影响消费体验的重要边界条件。未来研究可以从比较不同拍照内容的效应差异、研究环境变量在拍照效应中的影响、拓展拍照的双刃剑效应在企业营销层面的研究等方面展开。     

脑电双频指数（BIS）对脊柱侧凸矫正术中唤醒时间的影响

探讨脑电双频指数（bispectral index,BIS）监测不同镇静深度对脊柱侧凸矫正术中唤醒时间的影响,60例行脊柱侧凸矫正手术的患者随机分为三组,Ⅰ组BIS30～40,Ⅱ组BIS40～50和Ⅲ组BIS50～60,评价各组患者的唤醒时间及不良事件发生率。结果显示Ⅰ组唤醒时间为（18．13±2．3）min,明显长于Ⅱ组和Ⅲ组的唤醒时间。而当BIS为40～50时,患者术中的不良事件发生率明显低于另外两组。所以,使用BIS进行全麻镇静深度的监测,在唤醒前将镇静深度维持在BIS40～50是合适的。     

关于甲型H1N1流感未来流行趋势的几点分析

2009年3月以来出现的甲型H1N1流感是一种全新的流感病毒,目前已在全球大流行.从半年的疫情监测结果判断,轻症患者居多,病毒似乎还没有产生明显的变异。但随着北半球冬季的到来,患者数目必然急剧增多。由于现有的疫苗不能充分满足需要,医疗和防疫部门仍需承担相当艰巨的任务。     

内隐联想测验研究进展述评

内隐联想测验作为基于反应时范式的内隐社会认知研究方法,自1998年由Greenwald提出后,得到了广泛的应用。但因其本身具有一定局限性,近10年来,研究者们对这一方法进行了不断地修正和改进,先后发展出了GO／NO—GO联想任务、外部情感西蒙作业等;近几年又提出了单类内隐联想测验、单靶内隐联想测验和单属性内隐联想测验等,这些方法丰富充实了内隐联想测验,是对Greenwald提出的IAT的继承和发展。