腹腔镜胆囊切除术中不同麻醉方式对眼内压的影响

探讨全麻喉罩复合硬膜外阻滞麻醉对腹腔镜胆囊切除患者眼内压（IOP）的影响,60例患者行腹腔镜胆囊切除患者根据麻醉方式的不同随机分为全麻喉罩复合硬膜外阻滞组（A 组）与气管插管全麻组（B 组）,每组各30例。记录麻醉前（T0）、气管插管（置入喉罩）前（T1）、气管插管（置入喉罩）后即刻（T2）、CO2气腹后10min（T3）、术毕患者清醒拔除气管导管（喉罩）前（T4）时的 IOP 。结果显示：喉罩全麻复合硬膜外阻滞用于腹腔镜胆囊切除,与单纯气管插管全麻比较,可有效降低患者在诱导插管、CO2气腹与患者清醒吸痰、拔管所引起的 IOP 升高反应（P＜0．05）。     

反馈时间、反馈类型和掩蔽类型对概率类别学习的影响

通过操纵反馈时间(即时,延迟)、反馈类型(简单,丰富)和掩蔽类型(塔罗牌,空白矩形),考察概率类别学习的学习机制。结果发现:(1)被试的学习成绩在即时反馈条件下显著优于在延迟反馈条件下;(2)在即时反馈条件下,仅给予简单反馈,被试虽能出色地完成天气预报任务,但是不能正确地判断卡片预测晴天的概率,倾向内隐学习;(3)在其他条件下,被试能正确地判断卡片预测晴天的概率以及各卡片在天气预报任务中预测天气的重要程度,表明被试能外显地意识到这些线索的作用。综上,概率类别学习采用的是双系统学习机制,既依赖内隐学习,又依赖外显学习。     

The effects of verbal labelling on psychophysiology: Objective but not subjective emotion labelling reduces skin-conductance responses to briefly presented pictures

Verbally labelling emotional stimuli has been shown to reliably decrease emotional responding. The present study compared the use of identical emotional labels during two types of verbal labelling: subjective labelling of one's own emotional response and objective labelling of the stimulus. We recorded skin conductance responses (SCRs) to emotional pictures presented at four brief durations preceding a backward mask. We observed that as the exposure duration increased, SCRs decreased during objective labelling of the stimuli. However, when participants subjectively labelled their own emotional state, SCRs increased as exposure duration increased. In addition, subjective labelling produced larger SCRs than objective labelling at a shorter exposure duration when the presented stimuli were biologically prepared. These results indicate that only objective labelling results in decreased emotional responding, and describe a novel interaction between bottom-up stimulus characteristics and top-down cognitive effects on physiological responses.     

The Sanitary‐Mask Effect on Perceived Facial Attractiveness

Currently, some Japanese women use a sanitary mask to hide their faces when not wearing makeup, perhaps because they believe that they are more attractive (or less ugly) when wearing a sanitary mask than when not wearing makeup. The present study examined the effect of wearing a sanitary mask on the perception of facial attractiveness. We manipulated the presence or absence of a mask in the main experiments or an occluder (e.g., notebook) in control experiments and asked participants to rate facial images. The results revealed that attractive faces wearing a sanitary mask were perceived as less attractive than the same faces without the mask, contrary to Japanese women's belief. This is the first study to demonstrate a new phenomenon, the sanitary‐mask effect, in which observers underestimate the physical attractiveness of a mask‐wearing face. Importantly, the pattern of the results of perceived attractiveness was substantially altered when a control object occluded the faces. This suggests that facial occlusion by a sanitary mask has a unique effect, due to occlusion and unhealthiness priming.     

反馈延迟与掩蔽类型对知觉类别学习的影响

通过两个实验探讨反馈延迟与掩蔽类型对知觉类别学习的影响。实验1光栅掩蔽条件下,采用2（类别结构：基于规则vs.信息整合）×2（延迟反馈：500vs.3000ms）被试间实验设计,实验2采用同样的实验设计,保持延迟反馈时间不变,但改掩蔽类型为黑屏掩蔽。结果发现：（1）光栅掩蔽条件下,反馈延迟削弱信息整合类别结构的成绩,不影响基于规则类别学习,内隐外显类别结构之间存在分离效应。（2）黑屏掩蔽条件下,信息整合与基于规则类别结构的成绩均不受到延迟反馈的影响,分离效应消失。实验说明“无关因素”掩蔽影响知觉类别学习,知觉噪音与标准噪音在反馈延迟影响知觉类别学习中起到重要作用,COVIS模型理论关于延迟反馈时间影响知觉类别学习的解释具有局限性。     

Masks and Faces in the Setting at the Time of Coronavirus

The “health emergency” forced analysts to seek new ways of continuing with analysis. The article focuses, in particular, on the changes brought about in the setting by the presence of the sanitary mask, following a line that begins with the theme of the “mask” in the collective uses of human cultures, and develops through the Jungian concept of persona, as opposed to the “face” that may convey an authentic image of oneself. A clinical vignette illustrates the issues that the mask raises in the setting by obstructing the communication of emotions. When there is no transformative processing of concrete data, “unmasking” can also lead to an uncanny encounter and to moments of darkness and confusion in analysis, when the analyst experiences the kind of “unconscious identity” between therapist and patient that Jung defined as nigredo. The article is intended as a contribution to the analytic community's current reflections on the new and unforeseen challenges encountered in analysis at the time of the Coronavirus. It is possible to learn from these experiences with a view to integrating new elements and thus modify one's own internal setting, the compass with which each analyst orientates himself.     

喉罩与气管内插管在胸腔镜胸交感神经切断术中的应用比较

为了探讨在手汗症手术中一次性喉罩替代气管内插管的安全性和可行性。择期行胸腔交感神经链切断术的患者40例,分为气管导管组（T组）和喉罩组（L组）。结果L组与T组相比,T2、T8各时点的SBP、DBP降低,HR减慢（P〈0．05）。两组患者术中及术后SpO2均维持98％以上,通气参数及血气分析结果均在正常范围内。喉罩通气麻醉操作简便,通气可靠,且对心血管系统刺激小。     

Target-mask shape congruence impacts the type of metacontrast masking

Visual metacontrast masking may depend on the time intervals between target and mask in two qualitatively different ways: in type-A masking the smaller the mask delay from target the stronger the masking while in type-B masking maximal masking effect is obtained with a larger temporal delay of the mask. Variability in the qualitative apperance of masking functions has been explained by variability in stimuli parameters and tasks. Recent research on metacontrast masking has surprisingly shown that both of these types of functions can be found with an identical range of stimulation parameters depending on individual differences between observers. Here we show that obtaining clear-cut type-A masking depends on whether target and mask shapes are congruent or incongruent and whether observers use the cues available due to the congruence factor. Conspicuously expressed type-A masking is selectively associated with incongruent target-mask pairings. In the latter conditions target identification level significantly drops with the shortest target-to-mask delays.     

Luther on vocation,by Gustaf Wingren: A twenty‐first‐century theological‐literary reading

In this article, the author offers a critical, appreciative appraisal of The One Mediator, Luther on Vocation, by Gustaf Wingren (English translation, 1957), which continues to be a seminal text for understanding Luther's teaching on the theme of vocation. The author points out that the reader needs to keep in mind both the difference between Luther's world of the sixteenth century and the world of the early twenty‐first century, and the sobering reality that pursuing the neighbor's good continues to be an essential, definitive calling that every Christian has. Further, the author calls attention to Wingren's indisputable reminder that, for Luther, vocation is about the way of the Christian in human society. That way of being in pursuit of the neighbor's good is consequent upon the forgiveness of sins, which God bestows on the sinner who receives it through faith in Jesus Christ. It is God alone who is the decisive actor, even though in the former—seeking the neighbor's good—God's work is hidden; that is, the human actor is a “mask of God.”