脑室系统血管畸形的诊断与治疗

为了增强对脑室系统的血管畸形的认识,回顾性总结24例脑室系统的血管畸形的基本临床资料。结果显示,除1例静脉畸形外,其余23例均接受手术,21例全切,2例部分切除,病理证实海绵状血管瘤13例,AVM10例,其中死亡1例。提示脑室系统血管畸形发病率低,出血及脑积水多见,手术切除是海绵状血管瘤和AVM的最佳选择,而静脉畸形应予保留。     

学习与推行“恶性肿瘤诊治规范”是临床（肿瘤）医生紧迫而持久的任务

恶性肿瘤是迄今威胁人民生命健康最常见、最凶险的一大类疾病,关于它的诊断和治疗,既十分复杂而又涉及多学科协作,制定一种权威性的临床肿瘤诊治规范或指南,去规范临床(肿瘤)医生的医疗实践,有着多方面的重要意义,学习与贯彻指南需要采取一系列措施。     

结核病诊治进展与科技革命

现代科技革命极大地促进了结核病各方面的发展.微生物学和免疫学的发展,揭示了结核病的病因、发病机制、病理生理的本质,分子生物学技术使结核病的基础研究不仅停留在器官、细胞水平,而是深入到蛋白质、核酸、基因的水平;基因治疗的方法可望从根本上治疗结核病.高新技术的产物如X线照片、电子计算机断层扫描、纤维支气管镜检查和新药的出现等极大地提高了临床诊治的能力.借助于各种先进的医疗设备而进行精确的诊断,基因治疗将成为一种崭新的治疗手段.     

Elasticity of Technique: The Psychoanalytic Project and the Trajectory of Ferenczi's Life

The object of this paper is the Elasticity of Psychoanalytic Technique in the work of Sándor Ferenczi. The author sustains that this can be considered neither as an ultimate arrival point nor as a particular stage of Ferenczi's clinical–theoretical body of work, but rather as an ensemble of affective qualities, attitudes and values, which he gradually developed through experience, signalling a paradigm shift in the history of psychoanalysis. The following areas will be explored: the new sensitivity demonstrated by Ferenczi concerning the relational and communicative factors present in the analytic session, his subtle and acute attention to the participation of the analyst's own subjectivity in the therapeutic process, and how these enduring elements of Ferenczi's technique anticipate several significant future developments in psychoanalysis.     

甲状腺癌的诊治原则

甲状腺癌是内分泌系统最常见的恶性肿瘤,它的发病率正逐年增加,其诊断方法包括体格检查、超声检查、细针穿刺、影像学检查及实验室检查等,甲状腺癌的治疗以外科手术为主,对较晚期或远处转移的患者可行综合治疗(I131,放疗,化疗)。总之,甲状腺癌经合理治疗,可获得较好的预后。     

耐多药肺结核患者首次就诊过程调查

了解现阶段耐多药肺结核患者的首次就诊过程,分析医患双方对耐多药肺结核患者就诊过程的影响。在全国选取5个项目市,使用自制调查问卷采取面对面方式对样本人群进行访谈式调查。耐多药肺结核患者以文化水平较低、年龄偏大的农民为主。32.6%的患者初次就诊时有全身乏力或消瘦症状,37.6%的患者初次就诊单位为村卫生室或乡镇卫生院,28.4%的患者初次就诊时被误诊,31.6%的患者发生就诊延迟,79.8%的患者在结核病专科医院或防治机构确诊,33.3%的患者确诊延迟。加大对群众结核病相关知识宣传力度,加强结核病防治机构技术力量尤其是实验室诊断技术,加强对参与结核病防治工作医生尤其是村医的专业培训,针对医疗机构转诊建立适当的激励机制。     

成人和婴儿麻疹临床特点和治疗

麻疹是一种急性呼吸道传染病,常见于6月～5岁儿童。近年来婴儿和成人麻疹患者在总患者数中所占比率表现出上升的趋势,容易造成误诊、漏诊。作为临床工作者,我们认为临床医生应充分认识到麻疹发病人群及年龄的改变,在临床工作中减少误诊,并为患者提供及时有效的治疗,对高危人群的有计划干预对于减低成人麻疹发病率有着重要作用。本文针对婴儿和成人麻疹的诊断和治疗进行了综述,试图提供参考。     

以实质心理学为基础的评估：认知诊断

评价除了了解学习者的学习情况外,同时还应该提供学习者学习状况的诊断信息,以利于教学与学习。评价应该以认知心理学对学习过程的研究,作为编制测验的实质理论依据,进行认知诊断评估。本文针对认知诊断的心理学基础：知识的习得、知识诱发、知识表征、知识结构等进行梳理,以便测验开发者对认知诊断评估有更清晰的认识。     

Working in the borderland: early relational trauma and Fordham's analysis of ‘K’

This paper outlines a view of early relational trauma as underlying borderline states of mind, and argues that Knox's 1999 paper on internal working models and the complex provides a basis for understanding such states of mind. The author argues that in addition to internal working models, the complex also embodies and contains primitive defences of the core self. He outlines how these apply on the objective, subjective, transference and archetypal levels, and in direct and reversed forms and applies this to the account of Fordham's analysis of his patient ‘K’, which ended in impasse. The paper explores the dynamic that emerged in that analysis and suggests that it could be helpfully accounted for in terms of the co‐construction and re‐construction of early relational trauma in the analytic relationship.     

Why Colour Primitivism?

Primitivism is the view that colors are sui generis properties of physical objects. The basic insight underlying primitivism is that colours are as we see them, i.e. they are categorical properties of physical objects—simple, monadic, constant, etc.—just like shapes. As such, they determine the content of colour experience. Accepting the premise that colours are sui generis properties of physical objects, this paper seeks to show that ascribing primitive properties to objects is, ipso facto, ascribing to objects irreducible dispositions to look coloured, and that anything that primitive redness can do, the non-reductive disposition to look red can do just as well. What makes primitivism suspect is not the commitment to sui generis properties, but instead the claim that colours are more than dispositions. Since, as I show, whatever primitivism appeals to for the purpose of arguing that colours are more than dispositions—objectivity, explanation, causation, phenomenology, constancy, etc.—can also be invoked by non-reductive dispositionalism, the feature that purportedly renders colours more than dispositions remains mysterious.