人工全髋关节置换术肢体长度调定方法的前瞻性研究

探讨人工全髋关节置换术预防双下肢不等长的方法。综合采用术前X线片模板测量股骨头运动中心指导选择假体颈长;术中根据股骨头运动中心是否与大粗隆尖端平齐、侧卧位测量双髌骨下缘是否在同一平面、牵拉患肢根据软组织张力调整患肢长度等方法来确定术中股骨颈假体的长度。本组44例患者分为2组：A组术前肢体等长（21例）;B组术前肢体不等...     

人工全膝关节置换术后持续被动运动的早期临床效果研究

探讨持续被动运动用于人工全膝关节置换术后的早期疗效。自2008年至2010年我科共完成人工全膝关节置换术36例（43膝）,将全部病例随机分为2组,A组术后单纯应用物理治疗及自身锻炼,B组采用持续被动锻炼加主动锻炼。观察术后12小时、24小时引流量,术后1周、2周膝关节主动活动范围,切口拆线时间,患者平均住院时间。术后2...     

Disputes over Philosophical Views in the First Half of the Twentieth Century and Development of Contemporary Chinese Philosophy

To explore the development of contemporary Chinese philosophy, fundamentally, is to explore the development of Marxist philosophy in contemporary China. The disputes over philosophical views in Chinese academic circles during the first half of the twentieth century have been focused on understanding Marxist philosophy from such aspects as “what kind of philosophy Chinese society needs,” “the relation of philosophy to science,” and “philosophy as an idea to reflect on one’s life.” These explorations have provided us a significant ideological insight into the development of Marxist philosophy and contemporary Chinese philosophy; that is, in contemporary China, Marxist philosophy, as a doctrine of the liberation and all-round development of human beings, exists not only as a kind of “doctrine” or “academy” but also as a kind of widely accepted “xueyuan (academic cultivations)” among people. Translated by Zhao Zhiyi from Jourmal of Jilin University (Social Sciences), 2005:1     

Brief report: Relativism and identity crisis in young adulthood

This study investigated the relationship between epistemological world views and identity formation. Forty college students, aged 17 to 23 years, were presented with a paradigm belief scale (Social Paradigm Belief Inventory; SPBI), an identity status questionnaire, and an indepth interview about a conflict they had recently experienced. It was hypothesized that a relativistic world view would be related to a moratorium identity status because relativistic thought processes involve a questioning of the objectivity of knowledge and authority structures and hence an awareness of the variety of alternative and potentially conflicting roles and choices. Results indicated that relativism was the most common world view used when responding to questions about a personal conflict and that relativistic scores on the SPBI were predictive of the moratorium status. Relativistic scores on the SPBI were also negatively related to identity achievement, as were mechanistic scores. Females experienced moratorium to a greater extent than males but were not more relativistic. Results are discussed in terms of linkages among cognitive development, psychosocial development, gender, and the type of measures used to assess world view status.     

静脉药物配置中心国内现状及存在问题

通过对国内多家医院静脉药物配置中心的实地参观、电话咨询及文献分析,了解静脉药物配置中心建设在国内医院的发展现状和工作中存在问题。为更多将要建设静脉药物配置中心项目的医院提供资料和建议,促进静脉药物配置中心项目更快、更好的发展。医院静脉药物配置中心的建设是必然趋势,但各医院应根据自己的实际情况制订合适的规模和建设方案。     

What Children Feel About Their First Encounter with Child and Adolescent Psychiatry

The first meeting in psychotherapeutic and psychosocial work, has a big impact on the continuation. It is a less explored research field. Children’s “voices” tend to come in the back-ground in family therapy and other settings. In a project at CAP (Child and Adolescent Psychiatry) the children’s views were collected in interviews with parents and therapists present. The grounded theory analysis process was used. The children addressed the importance of the therapist’s actions and positions in helping them to be able to communicate and to be in a dialogue. To be accepted and allowed to express feelings was important, and so was how the therapist managed to adjust to each person in the room and give space for various perspectives.     

THE EXPLORATION OF ECOSPACE: EXTENDING OR SUPPLEMENTING THE NEO‐DARWINIAN PARADIGM?

The neo‐Darwinian paradigm, focusing on natural selection of genes responsible for differential adaption, provides the foundation for explaining evolutionary processes. The modern synthesis is broader, however, focusing on organisms rather than on gene transmissions per se. Yet, strands of current biology argue for further supplementation of Darwinian theory, pointing to nonbiotic drivers of evolutionary development, for example, self‐organization of physical structures, and the interaction between individual organisms, groups of organisms, and their nonbiotic environments. According to niche construction theory, when organisms and groups develop, they not only adapt to their environments but modify their environments, creating new habitats for later generations. Insofar as ecological niches persist beyond the lifecycle of individual organisms, an ecological inheritance system exists alongside genetic inheritance. Such ecological structures may even facilitate the development of a cultural inheritance system, as we see in humans. The article discusses theological perspectives of such new developments within holistic biology.     

Epistemic deontology and the Revelatory View of responsibility

According to Universal Epistemic Deontology, all of our doxastic attitudes are open to deontological evaluations of obligation and permissibility. This view thus implies that we are responsible for all of our doxastic attitudes. But many philosophers have puzzled over whether we could be so responsible. This paper explores whether this puzzle can be resolved, and Universal Epistemic Deontology defended, by appealing to a view of responsibility it calls the Revelatory View. On that view, an agent is responsible for something when it reveals the kind of person the agent is. The paper explores four ways of developing the Revelatory View and argues that none of the views ultimately defends Universal Epistemic Deontology.     

New developments in transference focused psychotherapy

This paper will summarize recent clinical developments in the treatment of borderline patients at the Personality Disorders Institute at Cornell. The experiences under review will include the careful, ongoing monitoring of developments in the patient's life outside the sessions, and their consideration in diagnosing affective dominance during the hours. Other issues include the discussion of a ‘second chance’ approach to contract violations; the assessment and concern with the patient's assumption of responsibility for himself; the contradictions between actual behavior patterns and life goals, and between personality potentials and present functioning; the technical implications of particular constellations of regressive narcissistic features; drug dependence and antisocial behavior; and life goals and treatment goals.     

Identifying and Addressing Barriers to Treatment Decision‐making in Bipolar II Disorder: Clinicians’ Perspective

Objective

Treatment decision‐making in bipolar II disorder is complex due to limited evidence on treatment efficacy and potentially burdensome side‐effects of options. Thus, involving patients and negotiating treatment options with them is necessary to ensure that final treatment decisions balance both clinician and patient preferences. This study qualitatively explored clinician views on (a) effective treatment decision‐making, unmet patient needs for (b) decision‐support and (c) information.

Method

Qualitative semi‐structured interviews with 20 practising clinicians (n = 10 clinical psychologists, n = 6 general practitioners, n = 4 psychiatrists) with experience treating adult outpatients with bipolar II disorder were conducted. Interviews were audiotaped, transcribed verbatim and analysed thematically using framework methods. Self‐report professional experience, and clinician preferences for patient decision‐making involvement were also assessed.

Results

Qualitative analyses yielded two inter‐related themes: (a) challenges and barriers to decision‐making and (b) facilitators of clinician decision‐making. Symptom severity, negative family attitudes, system‐based factors, and information gaps were thought to pose challenges to decision‐making. By contrast, decision‐making was supported by patient information, family involvement and patient‐centredness, and a strong therapeutic relationship. Clinician views varied depending on their professional background (medical vs clinical psychologist), patient involvement preferences, and whether the clinician was a bipolar specialist.

Conclusions

Whilst clinicians uniformly recognise the importance of involving patients in informed treatment decision‐making, active patient participation is hampered by unmet informational and decision‐support needs. Current findings inform a number of bipolar II disorder‐specific, clinician‐endorsed strategies for facilitating patient decision‐making, which can inform the development of targeted patient decision‐support resources for use in this setting.