Psychological and demographic correlates of career patterns

Recent years have witnessed a growing diversity of career patterns, resulting from the relative decline of stable employment. In the present study of 1368 employed and self-employed German adults career pattern diversity was assessed using nine pictograms. The goal was to identify psychological and demographic correlates of these patterns and to answer the question of whether they differed for participants from the former (communist) East and the capitalist West. Findings indicated that upward-pointing career patterns still connected to extrinsic criteria such as income and job security. With regard to psychological correlates, upward patterns connected to lower work-related demands imposed by social change and a higher level of personal and social resources. Only in the West, upward patterns related to male gender and high education, reflecting more traditional access to upwardly mobile career opportunities.     

论早期诊断决策的认知误区和认知节点

早期诊断决策为临床决策中难度较大的问题之一。在早期诊断的决策过程中,存在着一系列认知误区。通过对早期诊断决策认知节点的分析,建构早期诊断决策的认知系统,了解并掌握走出认知误区的思维方法。     

ICU谵妄的预防：早期活动

ICU谵妄发生率高、识别率低,可显著延长ICU平均住院时间、增加病死率、加重转出ICU后认知功能障碍.但目前缺乏有效的谵妄预防措施.综合干预措施可降低谵妄的发生,其中早期活动是治疗的关键.ICU早期活动安全可行,可降低谵妄的发生及缩短谵妄的持续时间,改善患者预后.ICU中开展早期活动治疗是基于＆quot;ABCDE＆quot;集束化干预措施的前提下,中断镇静后尽早开始肢体功能锻炼和职业治疗,包括从先被动后主动的关节活动,到双腿下垂坐到床缘,进一步下床坐到轮椅上甚至步行活动,是早期活动的基本流程.     

Longitudinal Predictors of Alcohol‐Related Harms During the Transition to Adulthood

While a range of factors have been found to increase the likelihood of alcohol‐related harms among young people, little is known about their relative importance. This article aimed to identify the risks for alcohol‐related harms at an age when alcohol use and problems tend to peak in Australia (19–20 years). A wide range of concurrent and antecedent factors from multiple domains were examined using path analysis, including individual characteristics, family environment, and externalising and internalising problems. The sample comprised of 941 individuals from the Australian Temperament Project, a large longitudinal community‐based study. The path model controlled for current risky drinking and revealed a number of variables that were significant longitudinal predictors of alcohol‐related harms within each of the domains, including adolescent antisocial behaviour and drinking behaviour, low agreeableness, impulsivity, and paternal drinking levels. The potential for developmental prevention approaches to reduce alcohol‐related harms by targeting externalising behaviour problems, interpersonal influences, and individual characteristics is discussed.     

早期大肠癌内镜下治疗与手术治疗的比较

大肠癌是常见的恶性肿瘤,提高其总体疗效的有效途径是早期诊断和治疗。外科手术和内镜下治疗是目前临床上常用的治疗早期大肠癌的有效方法。针对两者的优缺点,本文利用比较治疗学相关原理和方法,从其适应证、疗效、并发症及费用等方面进行比较,以获得启示,为临床实践提供指导。     

Emotional intelligence and smoking: Protective and risk factors among Canadian young adults

A sample of 20 and 21 year old participants (n = 2699) of the Canadian National Longitudinal Survey of Children and Youth (NLSCY) was used to investigate the association between emotional intelligence and smoking in young adulthood. Emotional intelligence was measured with a short-form of the original EQ-i (Statistics Canada, 2008), which assessed overall emotional intelligence and five dimensions: interpersonal competencies, intrapersonal competencies, stress management competencies, adaptability competencies and general mood. Using self-reported smoking behaviors, participants were classified as daily, occasional or non-smokers. Multinomial logistic regression analyses were conducted to test the association between emotional intelligence (and its dimensions) with daily and occasional smoking (compared to non-smoking - the reference category). Analyses were conducted on the total sample and were also stratified across gender. Stress management emerged as a protective factor against occasional and daily smoking among both males and females. Unexpectedly, a higher score on interpersonal competencies was associated with occasional smoking (compared to non-smoking) among males, suggesting that this group may consist of several social smokers. Our results suggest that emotional intelligence may comprise gender-specific protective and risk factors for occasional and daily smoking, which in turn should be considered in the development of smoking prevention programs.     

Stability and change in interests: A longitudinal examination of grades 7 through college

The joint issue of stability and change of interests in adolescence and early adulthood was investigated longitudinally over three years in three different grade cohorts. The patterns of structural stability, mean stability, rank order stability, and profile stability as well as how these patterns were moderated by gender were examined based on three cohorts of grades 7 and 8 (n = 3191), grades 9 and 10 (n = 6818), and grades 11 and 12 (n = 1078) using the Personal Globe Inventory-Short (Tracey, 2010). Results indicated that adherence to the RIASEC circular model was high and stable; there was a lack of appreciable change in interest means; interests were stable; interest crystallization, profile, and pattern were stable. While the results supported late adolescence and early adulthood being a stable period for interests in general, more changes were found among male and younger students. The implication of the current study was discussed along with its limitations and suggestions for future research.     

Relations with Parents and with Peers,Temperament, and Trajectories of Depressed Mood During Early Adolescence

The present study examined (a) whether groups of children can be empirically identified with distinct longitudinal profiles of depressed mood from late childhood through early adolescence, (b) to what extent these different longitudinal depression profiles are predicted by problematic relations with parents, same-sex peers, and other-sex peers, and (c) what role individuals' temperamental characteristics play in this context. Based on a sample of 414 early adolescents (197 girls), four groups were identified with distinct longitudinal profiles of depressed mood between ages 11 and 14: One group with consistently low levels of depressed mood, another with consistently moderate levels of depressed mood, a third group whose depressed mood increased sharply from late childhood through early adolescence, and a fourth group who already showed clinical-range levels of depressed mood during late childhood and whose depressive feelings increased even slightly more thereafter. Subsequent analyses revealed that rejection by same-sex peers was related to the odds of following an increasing trajectory of depressed mood, but only for girls with a highly reactive temperament. A problematic relationship with parents increased the odds of an elevated trajectory of depressed mood regardless of individual temperament. The theoretical and practical implications of these findings are discussed.     

Shyness as a moderator of the link between advanced maturity and early adolescent risk behavior

Advanced maturity in early adolescence has previously been linked with several risk behaviors. In this study, we examine whether shyness and gender might moderate this link. The participants were 750 early adolescents (M(age) = 13.73; 390 girls and 360 boys), followed for one year. We conducted analyses with shyness and gender as moderators of the links between advanced maturity and different types of risk behavior, and between one risk behavior and another. Despite differential patterns for boys and girls, the results suggest that being shy or not being shy modifies the links between advanced maturity and risk behavior primarily for boys. For boys, shyness reduces relationships between advanced maturity and risk behavior, whereas not being shy exacerbates the relationships between advanced maturity and high-risk behavior. Controlling for romantic involvement and peer victimization did not alter the moderating effects, thus failing to support the idea that the weaker links for shy youths were due to shy youths not being drawn into advanced peer groups by romantic partners or peers. Thus, shyness might serve as a buffer against risk behavior in early adolescence.