我国酒精性肝病的医学困惑与应对策略

酒精性肝病是导致我国肝脏损害的第二大原因,已成为最严重的健康问题之一。我国已经迎来了酒精性肝病的高峰时期,并将会持续增长,卫生系统将面临巨大的压力。然而,对于酒精性肝病本身,还存在着诊断、治疗、预防等众多医学困惑;饮酒的危害不仅仅局限在肝脏,还可引起全身多器官的损害;酒害也早已超越了医疗界,是一个严重的社会问题。对于酒精性肝病的防治需要全社会共同参与,并且将是一条极其漫长而艰难的路程。     

Developing a model for online support group use,empowering processes and psychosocial outcomes for individuals living with HIV/AIDS

This study examined the mechanism through which online support group (OSG) participation may promote patient empowerment among 340 individuals living with HIV/AIDS. Results from structural equation modelling revealed that greater use of OSGs was associated with more frequent occurrence of the empowering processes as measured by receiving useful information, receiving social support, finding positive meaning and helping others. Receiving useful information and finding positive meaning were related to higher levels of adaptive coping and lower levels of maladaptive coping, while receiving social support and helping others were related to higher levels of self-care self-efficacy, which in turn was related to higher levels of adaptive coping, and lower levels of maladaptive coping. Finally, higher levels of maladaptive coping were related to poorer quality of life, while higher levels of adaptive coping were related to better quality of life. Results suggest that OSG participation may offer some benefits for those living with HIV/AIDS.     

The effects of age-of-acquisition and frequency-of-occurrence in visual word recognition: Further evidence from the Dutch language

It has been claimed that the frequency effect in visual word naming is an artefact of age-of-acquisition: Words are named faster not because they are encountered more often in texts, but because they have been acquired earlier. In a series of experiments using immediate naming, lexical decision, and masked priming, we found that frequency had a clear effect in lexical tasks when age-of-acquisition is controlled for. At the same time, age-of-acquisition was a significant variable in all tasks, whereas imageability had no effect. These results corroborate findings previously reported in English and Dutch.     

Joining up with ‘not us’ staff to run adolescent groups in schools

The author describes the development of a model for working with staff members from non-psychoanalytic backgrounds to run therapeutic and therapy-like pupil groups in schools. She draws on her experience of co-facilitating groups at a London-based secondary school and uses examples from recent group work with Year 10 pupils (aged 14–15). Child psychotherapists who have shied away either from doing group work in general, or more specifically taking on group work in schools, may be encouraged to see that the underlying principles are essentially no different from those of individual therapy. Worrying and troublesome young people tend to have difficulties in their external relationships, often exhibited at school and contributing to their underachievement. Psychoanalytically informed groups such as the kind portrayed here can address this difficulty by offering a safe setting for interactions with other group participants and with the leaders to be observed, examined and challenged in the here and now. Attention is paid to primitive anxieties and the defences employed to keep them at bay, including the tendency to place individual needs before group needs when sense of self and sometimes survival itself are felt to be threatened. The aim is for participants to learn about themselves by sharing a group experience and, if successful, integrate some conflicting aspects of themselves. This model for doing group work demonstrates how child psychotherapists can make a unique and valuable contribution, provided the school environment is conducive and there is a member of staff who is open to learning a new way of working.     

Concentric circles of containment: a psychodynamic contribution to working in pupil referral units

This article aims to reflect on the lessons learnt from using a psychodynamic approach to offering onsite therapeutic child and adolescent mental health services (CAMHS) in four pupil referral units (henceforth referred to as PRUs). The PRUs cater for six- to 16-year-old children and adolescents permanently excluded from mainstream schools. The work takes place in an inner London borough. The approach described evolved over five years through practice-based evidence of what worked well in each particular setting. This was viewed both in terms of sustaining families' engagement in the therapeutic process, and also effectively supporting child and adolescent mental health services and education staff in their respective tasks. The model which gradually evolved owes much to Bion's concept of containment as the necessary foundation for emotional growth and genuine learning. It also draws on ideas from psychoanalytic consultation and open systems theory. The importance of work discussion groups in this setting will also be evident. Some links are made to relevant Buddhist concepts and metaphors.     

不同强度短时有氧运动对执行功能的影响

探讨短时有氧运动对执行功能的影响是否与运动强度和性别有关, 为从运动强度和性别角度选择合理的有氧运动干预方案改善执行功能提供基础。研究采用混合设计, 选取30名大学生(男女人数各半), 使用功率自行车实施30分钟的不同强度有氧运动, 使用Flanker任务、2-back任务和数字More-odd shifting任务分别测查被试基线、小强度短时有氧运动、中强度短时有氧运动和大强度短时有氧运动后执行功能的抑制、刷新和转换三个子功能的变化, 结果表明：不同强度的短时有氧运动对执行功能产生选择性的积极影响, 且不随性别变化而改变。     

不同人群对留守儿童问题行为的认知差异研究

通过问卷调查探索不同人群对留守儿童问题行为的认知差异。对五个年级的265名学生及其班级任课教师、监护人及社会一般人群进行问卷团体施测。结果显示:不同人群对留守儿童问题行为认知差异极其显著,其中教师与家长评价最低,一般人群评价次之,学生自评最好;不同群体均认为留守儿童男性问题行为严重于女性;对留守男性儿童,教师评价最低,对留守女性儿童,儿童自评最好;年级主效应极其显著,即随年级增高,问题行为评价越严重。     

食管癌术后急性肾衰竭的临床分析

为了探讨食管癌术后急性肾衰竭发生的原因及防治经验,回顾性分析13例术后发生急性肾衰竭食管癌患者的临床资料,并总结防治体会。结果显示患者平均年龄67.5岁,体重50.4千克,皆有严重的吞咽梗阻症状,其中8例术前发现低蛋白血症,3例术前有不同程度的肾功能不全;术后3天内出现急性肾衰竭,治疗纠正肾前性病因、利尿和改善肾血流灌...