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991.
李十红 《医学与哲学(人文社会医学版)》2010,(10):18-19
本文针对临床诊断冠心病的两种常用手段即运动平板试验和冠脉CT进行分析,鉴于目前临床普遍存在重视采用冠脉CT,甚至达到滥用的地步,而逐渐忽视平板运动试验的现象,紧密结合临床,客观分析两者的特点,阐述各自优缺点。希冀通过本文以帮助临床医师正确选择应用,避免偏颇,最终达到将两者有机的结合,真正适合临床需要,提高冠心病患者的检出率,有利于更好地对冠心病进行二级预防。 相似文献
992.
为初诊胃食管反流病患者制定循证治疗方案。针对临床问题,从Cochrane图书馆(2009年第3期)、EMBASE(2000年~2009年)和MEDLINE(2000年~2009年)检索证据,共检索随机对照试验4篇、系统评价/META分析10篇。对检索结果进行分析,为患者制定循证治疗方案。经1年随访证实,该治疗方案适合患者。故采用循证治疗的方法,可为患者确定合理的治疗方案,提高治疗效果。 相似文献
993.
人体是对立统一的有机整体,烧伤后皮肤局部形态结构和功能发生改变,进而引发局部与全身病理生理变化,烧伤创面处理贯穿于烧伤治疗的全过程。辩证认识和正确处理烧伤创面,提高烧伤治愈率;并将皮肤组织工程、整形外科等先进的技术手段和方法应用于烧伤创面的修复治疗,降低烧伤患者晚期畸形发生率,最大程度地让患者重返社会,恢复正常的生活和工作,这是现代烧伤治疗的目标。 相似文献
994.
观察异位妊娠保守治疗患者的心理特点及其影响因素。选取海南省三所医院中在妇科住院的异位妊娠保守治疗患者80例,采用一般情况问卷和状态特质焦虑量表(STAI)对患者的心理特点和影响因素进行分析。患者入院时的状态焦虑(S-AI)水平高于正常人(P0.05),多元线性回归分析结果显示,患者产生焦虑情绪与婚姻、生育史、有无子女、经济状况有关。异位妊娠保守治疗患者焦虑情绪的产生是生理、心理以及社会等方面的综合因素造成,而心理问题的准确评估是优选心理护理对策的前提,为心理干预的实施奠定了基础。 相似文献
995.
996.
This study investigated the relationship between sleep locus of control and sleep in a secondary data analysis. Participants were 100 adults with chronic insomnia previously involved in a randomized controlled trial of 5 weeks of computerized cognitive-behavioral therapy (cCBT). Additionally, a sample of 46 completers of an in-person group for insomnia were utilized as a comparison group. At pre-treatment, participants completed the Sleep Locus of Control Scale, the Insomnia Severity Index, the Pre-Sleep Arousal Scale, 7 days of sleep diaries, and participated in structured interviews to assess for psychiatric and medical conditions. Measures were re-administered at post-treatment and at a 4 week follow-up. Results showed that sleep locus of control mediated the impact of cCBT on insomnia severity at follow-up. cCBT more than waiting list control or a convenience sample of individuals treated with in-person CBT, enhanced an internal sleep locus of control. Implications are that sleep locus of control may be an important variable to assess in the internet context and that internet programs for insomnia may want to consider amplifying or giving priority to interventions which enhance an internal sleep locus. 相似文献
997.
The substantial demand for behavior-analytic treatment of early childhood autism has been associated with rapid dissemination of treatment procedures to practitioners and caregivers. This level of demand could plausibly induce premature dissemination of treatments that do not yet have sufficient empirical support. We argue that this might have happened with the use of fluency training for learners with autism and identify four areas of research that are necessary to ensure that dissemination efforts are better matched to the available empirical support for this instructional strategy. 相似文献
998.
Jane L. Ireland 《Aggressive behavior》2004,30(2):174-185
The aim of the present study was to assess the effectiveness of a brief group‐based anger management intervention with young male offenders. Eighty‐seven prisoners were assessed as suitable for the intervention. Fifty of these made up the experimental group and 37 the control. Prior to intervention prisoners completed a self‐report anger questionnaire (Anger Management Assessment questionnaire: AMA). Prisoners were also assessed by officers on a checklist addressing angry behaviour (Wing Behaviour Checklist: WBC). Both measures were completed approximately two weeks before the date of the intervention and eight weeks after the intervention (and while the control group remained on the waiting list). It was predicted that the experimental group would show significant improvements in both measures following intervention and that no such change would be observed in the control group. This hypothesis was supported, with significant improvements observed in the experimental group and no change observed in the control. Aggr. Behav. 30:174–185, 2004. © 2004 Wiley‐Liss, Inc. 相似文献
999.
Julia M. DiFilippo Denise M. Sloan Robert W. Butler Stefan E. Schulenberg Jim E. Lantz James C. Overholser 《Journal of Contemporary Psychotherapy》2003,33(4):261-272
Using a roundtable discussion format, the editor and new members of the editorial board for the Journal of Contemporary Psychotherapy exchange ideas about how they envision the future of psychotherapy, anticipate likely positive and negative outcomes, identify key issues to be confronted today in order to maximize future success, and clarify the role of the individual psychotherapist in protecting psychotherapy as a viable field of study and practice. The discussion closes with recommendations for the next generation of psychotherapists and general conclusions about the future of psychotherapy. 相似文献
1000.
Ralph Roughton 《The International journal of psycho-analysis》2003,84(2):215-220
The author comments on this case report from a relational and intersubjective perspective. He emphasizes the here-and-now, interactive attunement and the emergence and development of the patient's nascent healthy core, more than the interpretation of defense. A case report of clinical material selected and condensed by someone else necessarily lacks many of the subtle, non-verbal clues and shared treatment memory that the author would rely on for his perspective. Thus he approaches this report as a written narrative of manifest interaction and gives his impressions of how he might have understood the material and responded somewhat differently. He concludes that, although he and the treating analyst would have different conceptions of how the pivotal moment emerged, the outcome might not have been very different. Finally, he challenges the common usage of 'homosexual' to denote a certain dynamic position in a context that has nothing to do with sexual desire. 相似文献