海绵窦区病变外科处理策略

为探讨海绵窦区病变的外科治疗策略,回顾性分析了58例不同性质的海绵窦病变病例的临床资料、治疗方法和治疗效果,发现根据病变的不同性质和不同的生长方式个性化地采用不同的治疗方法可在最大限度治愈病变的同时,保护颅神经的功能,获得良好的治疗效果。     

生存质量与心律失常非药物治疗

生存质量的概念在９０年代广泛应用于临床,作为评价某一药物或某一治疗方法的手段之一。在心律失常的非药物治疗领域,正是引入了生存质量这一概念才使起搏器从单纯维持生命进展到双腔和／或频率应答。才改进生存质量,亦使快速性心律失常从手术治疗走向消融治疗。对高水平生存质量的追求是医患双方共同的目的。     

Assessing Biobehavioural Self‐Regulation and Coregulation in Early Childhood: The Parent‐Child Challenge Task

Researchers have argued for more dynamic and contextually relevant measures of regulatory processes in interpersonal interactions. In response, we introduce and examine the effectiveness of a new task, the Parent–Child Challenge Task, designed to assess the self‐regulation and coregulation of affect, goal‐directed behaviour, and physiology in parents and their preschoolers in response to an experimental perturbation. Concurrent and predictive validity was examined via relations with children's externalizing behaviours. Mothers used only their words to guide their 3‐year‐old children to complete increasingly difficult puzzles in order to win a prize (N = 96). A challenge condition was initiated midway through the task with a newly introduced time limit. The challenge produced decreases in parental teaching and dyadic behavioural variability and increases in child negative affect and dyadic affective variability, measured by dynamic systems‐based methods. Children rated lower on externalizing showed respiratory sinus arrhythmia (RSA) suppression in response to challenge, whereas those rated higher on externalizing showed RSA augmentation. Additionally, select task changes in affect, behaviour, and physiology predicted teacher‐rated externalizing behaviours four months later. Findings indicate that the Parent–Child Challenge Task was effective in producing regulatory changes and suggest its utility in assessing biobehavioural self‐regulation and coregulation in parents and their preschoolers. Copyright © 2016 John Wiley & Sons, Ltd.     

海绵窦区病变外科处理策略

为探讨海绵窦区病变的外科治疗策略,回顾性分析了58例不同性质的海绵窦病变病例的临床资料、治疗方法和治疗效果,发现根据病变的不同性质和不同的生长方式个性化地采用不同的治疗方法可在最大限度治愈病变的同时,保护颅神经的功能,获得良好的治疗效果.     

Shy toddlers act bold: The roles of respiratory sinus arrhythmia and parent emotion language

Shy children show reticence in social contexts, presumably as a way of regulating their fear. The present study evaluated whether toddler physiological regulation and parent emotion language facilitated shy toddlers’ (21–24 months) engagement with an unfamiliar female examiner. Toddler high basal respiratory sinus arrhythmia was positively associated with bold approach with the examiner. Parent emotion explanations were positively associated with toddler bold approach, particularly for toddlers with low basal respiratory sinus arrhythmia. Findings suggest that toddlers’ dispositional capacity for regulation and parents’ explanations of emotion in everyday conversations with their toddlers may help shy toddlers to socially engage.     

The Prevalence of Anxiety Disorders Among Adults with Asthma: A Meta-Analytic Review

Research estimating the comorbidity of asthma and anxiety disorders has produced highly disparate findings and little consensus. This study is a meta-analytic review of data from 15 independent studies of the co-occurrence of adult asthma and anxiety disorders and was conducted to provide more precise comorbidity estimates. Aggregating across studies, the average prevalence of any anxiety disorder among adults with asthma was 34%, indicating a strong relationship between the two conditions in general. More specifically, the prevalence of panic attacks (25%), panic disorder (12%), agoraphobia (12%), and generalized anxiety disorder (9%) were considerably higher among adults with asthma than in the general population. However, additional analyses yielded prevalence estimates for specific phobia (10%), social phobia (7%) and posttraumatic stress disorder (6%) comparable to or lower than rates observed in the population at large. Attention to psychiatric symptoms should be a crucial component of asthma management, as anxiety disorders appear to be highly prevalent among persons with asthma and may be associated with increased asthma morbidity.

Children's responses to cognitive challenge and links to self-reported rumination

We tested the hypothesis that less effective responses during a cognitive challenge would relate to higher levels of self-reported rumination in children. The sample was 100 children (55 boys, 45 girls), aged 7 to 14 years. A portion (n=65) was at high risk for depression due to having a parent with a childhood-onset mood disorder, and 35 were a low-risk comparison group. Using an impossible puzzle task, we assessed children's responses following failure across several domains: emotions (expressed anger, sadness, and negative self-statements), performance (being off-task, the time to solve subsequent puzzles, and the number solved), and physiology (heart rate, respiratory sinus arrhythmia). Results indicated that making negative self-blaming statements during the solvable puzzles and taking more time to solve the puzzles were associated with higher levels of self-reported rumination. Our findings advance the understanding of potential correlates of children's tendency to ruminate and may have implications for children's performance on cognitive tasks.     

Diagnosis and treatment of respiratory tract infections in primary health care by the nurse versus the physician: Efficacy and patient attitudes

Abstract

Five district physicians and one registered nurse were compared regarding their effectiveness in diagnosing and treating acute upper respiratory tract infections in patients (n=186) at a Swedish community health centre. Attitudes and views of the patient, or of the accompanying adult when the patient was a child, regarding the consultation itself, as well as more general aspects of health care were investigated (n=99) using a questionnaire. The questionnaire included 42 propositions of a “fuzzy” type to be judged on a 100-point truth-value scale, 18 of them concerning the consultation and 24 the more general aspects. No differences between the physicians and the nurse were found in their efficacy of diagosis and treatment. Subjects' overall attitudes were found to be positive toward both the physicians and the nurse. Results of multivariate analyses of variance performed for the consultation and general aspects of health care items separately and concerning type of persons providing health care (physician/nurse), treatment (antibiotics/no antibiotics) and patient age (child/adult), revealed overall differences in questionnaire response as regards patient age in relation to the consultation items.     

Arrested Development: On Hegel,Heidegger and Derrida

ABSTRACT

Although both Heidegger and Derrida criticize Hegel as the archetype and historical culmination of the metaphysics of presence, Hegel’s dialectics also serves as a model for their critical destruction or deconstruction of metaphysics. Through an analysis of the notions of ‘arrest’ and ‘halt’ in Derrida and Hegel, this paper will show how both Heidegger and Derrida take up elements of Hegel’s theory of the development of consciousness, which is characterized both by an ‘unhalting forward motion’ but also by delay, interruption and inertia. This paper will develop the strange parallel between Derrida’s notion of l’arrêt and the halting movement of spirit in Hegel. It will show that Hegel’s ‘rhythm of the concept’ is not so distant from the ‘arrhythmia’ Derrida finds in the notion of l’arrêt. It will thus show how time, history and spirit are linked in a self-deconstructive manner in this unstable point of the arrest/halt.