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功能性消化不良   总被引:1,自引:0,他引:1  
功能性消化不良(FD)是临床上常见的症候群,其发病机制可能与胃及十二指肠的高敏感、胃肠运动障碍、幽门螺杆菌(H.pylori)感染、精神心理因素等有关。症状为反复发作的上腹部不适、疼痛、早饱、腹胀等。目前FD的诊断以罗马Ⅲ为标准,即无可以解释症状的器质性疾病的证据(包括内镜),诊断前症状至少出现6个月,近3个月症状符合以下1点或1点以上:餐后饱胀不适、早饱、上腹痛、上腹烧灼感。治疗以去除诱因及对症治疗为主,包括避免劳累及精神紧张,应用抑酸药、促胃肠动力药、根除H.pylori、西甲硅油乳剂、抗抑郁及中药等。  相似文献   
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The capacity to interpret others people's behavior and mental states is a vital part of human social communication. This ability, also called mentalizing or Theory of Mind (ToM), may also serve as a protective factor against aggression and antisocial behavior. This study investigates the relationship between two measures of psychopathy (clinical assessment and self‐report) and the ability to identify mental states from photographs of the eye region. The participants in the study were 92 male inmates at Bergen prison, Norway. The results showed some discrepancy in connection to assessment methodology. For the self‐report (SRP‐III), we found an overall negative association between mental state discrimination and psychopathy, while for the clinical instrument (PCL‐R) the results were more mixed. For Factor 1 psychopathic traits (interpersonal and affective), we found positive associations with discrimination of neutral mental states, but not with the positive or negative mental states. Factor 2 traits (antisocial lifestyle) were found to be negatively associated with discrimination of mental states. The results from this study demonstrate a heterogeneity in the psychopathic construct where psychopathic traits related to an antisocial and impulsive lifestyle are associated with lower ability to recognize others' mental states, while interpersonal and affective psychopathic traits are associated with a somewhat enhanced ability to recognize others' emotional states.  相似文献   
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Although “late preterm” (LP) newborns (33–36 weeks of gestational age) represent more than 70% of all preterm labors, little is known about the relation between certain risk factors and developmental outcomes in LP compared to “very preterm” (≤32 weeks) children (VP).This study investigates: (1) LP and VP infants’ development at 12 months of corrected age (CA) using the Bayley Scales of Infant Development – 3rd Edition (BSID-III); (2) correlation between BSID-III performances and maternal stress (using Parenting Stress Index-Short Form, PSI-SF) among LP and VP at 12 months CA; and (3) the link between known neonatal and demographic risk factors and developmental outcomes of LP and VP infants.For both LP and VP infants the Mean Cognitive (LP: 102.69 ± 7.68; VP: 103.63 ± 10.68), Language (LP: 96.23 ± 10.08; VP: 99.10 ± 10.37) and Motor (LP: 91.11 ± 10.33; VP: 93.85 ± 10.17) composite scores were in the normal range, without significant differences between the groups. Correlations between PSI-SF and BSID-III showed that in the VP group (but not LP), Language score was negatively related to the PSI-SF ‘Difficult Child’ scale (r = −.34, p < .05). Regression models revealed that cognitive performance was significantly predicted by physical therapy in LP and by cesarean section in VP infants. For VP only maternal education and length of stay predicted Language score, whereas physical therapy predicted Motor score.Results of the study underline the importance of considering cognitive, language and motor developments separately when assessing a preterm child's development. Prediction models of developmental performance confirm the influence of some known neonatal risk factors and indicate the need for further research on the role of sociodemographic risk factors.  相似文献   
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The purpose of this study was to explore how individual and environmental predictors of intergenerational social mobility intersect in rarely studied post‐communist developing society of Estonia. We used a contemporary cross‐sectional dataset (n = 759) to assess the influence of cognitive ability and parental socioeconomic status to the participants’ educational and occupational attainment. Our results indicated that cognitive ability and one's own educational level mediated the association of parental socioeconomic status with one's own occupational success. Analysis of separate components of cognitive ability indicated that verbal ability had the highest influence on occupational status. We concluded that both individual‐level and environmental factors have a predictive effect on educational and occupational attainment.  相似文献   
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The concept of irrational beliefs is central to rational emotive behavior therapy (REBT). These beliefs are defined by their absolutist and dogmatic qualities. The terms absolutist and dogmatic are also characteristic of some personality constructs, right-wing authoritarianism (RWA) being foremost among these. A relatively new personality construct, social dominance orientation (SDO) is similar to RWA in that both are excellent predictors of prejudice. As these two constructs are independent of each other, it has been suggested that they have different etiological underpinnings. The present study examined the relationship between the presence of irrational beliefs in people scoring high in RWA and SDO. Results suggest that high RWAs are more likely than high SDOs to endorse irrational beliefs. These findings add to the growing literature examining the relationship between these two personality constructs as well as suggesting possible implications for the use of REBT with clients scoring high on these personality dimensions.  相似文献   
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Our objective in this paper is to propose a procedure for solving a multicriteria assignment problem. Given qualitative and quantitative data, the proposed procedure makes assignments taking into consideration the multicriteria aspect of the problem. As an illustrative example, we consider the assignment of referees to the football matches in an Italian championship. Copyright © 2003 John Wiley & Sons, Ltd.  相似文献   
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Faced with the ambiguities of this world, in which ugliness and suffering co‐exist with beauty, the article rejects the attribution of disvalues to a Fall‐event. Instead it faces God's involvement even in violence and ugliness. It explores the concept of divine glory, understood principally as a sign of the divine reality. This includes both the great theophanies of the Hebrew Bible and Jesus’ glorification in his Passion and Crucifixion. It then considers the contemplation of the natural world, using the terminology of “inscape” and “instress.” Divine glory can be discerned even in events as tragic as the Indian Ocean tsunami or the activity of the malarial mosquito. A full Christian contemplation of these events will include scientific understanding and poetic apprehension, and consideration of soteriology and eschatology as well as the theology of creation. Glory is understood to include God's power and sovereignty, and also the divine humility and sacrifice.  相似文献   
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