中药序贯疗法治疗腹泻型肠易激综合征43例

目的评价中药序贯治疗方案对腹泻型肠易激综合征的临床疗效。方法将90例肠易激综合征患者分成试验组与对照组(共脱落6例,最终试验组43例,对照组41例)。试验组患者分阶段先后口服疏肝健脾利湿汤剂、参术益肠丸,对照组患者口服单剂马来酸曲美布汀片,两组疗程均为6周。记录并比较两组治疗前及治疗2周末和6周末的症状总积分,评价两组临床疗效。结果治疗6周末,试验组临床疗效明显优于对照组(P0.05)。与治疗前比较,治疗6周后两组腹痛或腹部不适、大便次数、大便性状、腹胀、排便紧迫感和黏液便积分均显著降低(P0.05),其中试验组大便性状和黏液便积分降低值显著大于对照组(P0.05)。治疗2周末和治疗6周末,试验组症状总积分显著低于对照组(P0.05),且两组症状总积分均较前一时点显著降低(P0.05)。结论中药序贯治疗方案对腹泻型肠易激综合征患者的症状有明显改善作用,且起效快、作用持久。     

大黄泄浊颗粒保留灌肠对非透析慢性肾脏病肾性骨病湿热证患者骨密度及血清骨形成蛋白-7的影响

目的观察非透析慢性肾脏病(chronic kidney diseases,CKD)肾性骨病湿热证患者腰椎骨密度(bone mineral density,BMD)和血清骨形成蛋白-7(bone morphogenetic protein-7,BMP-7)水平及大黄泄浊颗粒保留灌肠的干预作用。方法将64例非透析CKD 3~5期湿热证患者随机分为治疗组和对照组各32例(结果每组失访2例),并设正常组20例。两组均给予基础治疗,治疗组加用大黄泄浊颗粒保留灌肠,每日1次,疗程均为8周。治疗前后分别观察两组血尿素氮(blood urea nitrogen,BUN),血清肌酐(serum creatinine,SCr)、钙(calcium,Ca)、磷(phosphorus,P)、碱性磷酸酶(alkaline phosphatase,ALP)、甲状旁腺激素(parathyroid hormone,iPTH)、BMP-7水平及第2—4腰椎BMD。结果治疗组临床疗效显著优于对照组(P0.05)。治疗4周末和8周末,两组中医证候积分均较前一时点显著降低(P0.05),且治疗组积分均显著低于对照组(P0.05)。治疗组在降低BUN、SCr和血清P、iPTH、ALP方面,以及在升高血清Ca和肾小球滤过率估算值方面均显著优于对照组(P0.05)。与正常组比较,CKD病例组BMD和BMP-7均显著降低(P0.05);两组治疗后BMD和BMP-7均显著升高(P0.05),而治疗组BMD和BMP-7升高值均显著大于对照组(P0.05)。结论非透析CKD肾性骨病湿热证患者BMD和BMP-7水平均显著低于健康人群;大黄泄浊颗粒保留灌肠可防治非透析CKD肾性骨病,其机制可能与改善肾功能及升高血清BMP-7含量有关。     

84例不同中医证型慢性乙型肝炎患者肝穿刺活检回顾性研究

目的探讨慢性乙型肝炎(chronic hepatitis B,CHB)病理分级与中医证型的关系。方法对84例经彩超引导下行肝穿刺活检的CHB患者的中医证型、肝脏病理分级、临床分级、肝功能指标进行回顾性研究。结果 84例CHB患者中,湿热蕴结证21例,肝郁气滞证34例,肝肾阴虚证7例,瘀血阻络证13例,脾肾阳虚证9例。肝脏炎症活动度与纤维化分期呈明显正相关(r=0.662,P=0.000);临床分级与病理分级呈显著正相关(r=0.556,P=0.000);不同证型CHB患者的病理分级比较,差异无统计学意义(P0.05);不同证型CHB患者血清谷丙转氨酶、谷草转氨酶、直接胆红素水平比较,差异均无统计学意义(P0.05),不同证型患者血清总胆红素水平比较,差异具有统计学意义(P0.05)。结论肝郁气滞证和湿热蕴结证是CHB患者的主要证型,病理分级和肝功能检查尚不能用于CHB的辨证分型。     

The Psychology of Terrorism: “Syndrome” Versus “Tool” Perspectives

ABSTRACT

Two psychological perspectives on terrorism are distinguished, approaching it as a “syndrome” and as a “tool,” respectively. According to the “syndrome” view, terrorism represents a psychologically meaningful construct with identifiable characteristics on individual and group levels of analysis. According to the “tool” perspective, terrorism represents a strategic instrument that any party in a conflict with another may use. Research thus far has found little support for the “syndrome” view. Terrorists do not seem to be characterized by a unique set of psychological traits or pathologies. Nor has research uncovered any particular “root causes” of terrorism. The vast heterogeneity of terrorism's users is consistent with the “tool” view, affording an analysis of terrorism in terms of means-ends psychology. The “tool” view implies conditions under which potential perpetrators may find terrorism more or less appealing, hence offering guidance for the “war on terrorism.”     

PRRSV-IPMA抗体检测试剂盒的研制及其应用

建立了一种检测猪生殖与呼吸综合征病毒(PRRSV)血清抗体的免疫过氧化物酶单层细胞试验法(IPMA),并组装成PRRSV-IPMA抗体检测试剂盒。对该试剂盒的敏感性、特异性、重复性及保存期等进行了试验,并与国外IDEXX ELISA试剂盒进行了比较。结果显示,用该试剂盒检测PRRSV人工接种猪血清样品,第1周抗体阳性检出率为50%,从第2周起抗体阳性检出率均为100%,而对照组猪血清抗体检测均为阴性。该试剂盒重复性好,-20℃保存18个月稳定,与其他病毒参考血清无交叉反应,与国外IDEXX ELISA试剂盒的符合率为83.3%。用该试剂盒对采自黑龙江、吉林、辽宁、河北、上海等地13个猪场的520份正常猪血清样品进行了抗体检测,结果,4个猪场阳性率高达90%以上,仅有2个猪场为阴性,其余猪场阳性率为10%~57%。     

COMMENTARY ON KELLY AND JOHNSTON'S "THE ALIENATED CHILD: A REFORMULATION OF PARENTAL ALIENATION SYNDROME"

In a previous issue of this journal, Joan B. Kelly and Janet R. Johnston describe their reformulation of the parental alienation syndrome (PAS). Here, I present areas in which I agree with the authors and areas in which I disagree. Particular focus is placed on these PAS-related issues: the syndrome question, PAS versus parental alienation, the medical model, custodial transfer, gender bias, DSM-IV . empirical studies, and the misapplication of PAS.     

The Prevalence of Sexual Harassment, Stalking, and False Victimization Syndrome (FVS) Cases and Related Human Resource Management Policies in a Cross-Section of Canadian Companies from January 1995 Through January 2000

This study used a questionnaire design to investigate the relative prevalence of reported sexual harassment, stalking, and False Victimization Syndrome (FVS) cases in a cross-section of 46 Canadian companies from January 1995 through January 2000. This study also investigated the number of companies having policies related to these three constructs, inside and outside interventions relied upon by the targets for coping with such aggressive incidents, and the injuries reported by the targets as a result of such incidents. Implications for Human Resource managers are discussed.     

THE (DE)CONSTRUCTION OF CONFLICT IN DIVORCE LITIGATION: A DISCURSIVE CRITIQUE OF “PARENTAL ALIENATION SYNDROME” AND “THE ALIENATED CHILD”

In high‐conflict divorce litigation involving custody and access, mental‐health professionals are often used to assess the case and make recommendations. Using Foucauldian theories of discourse, this article suggests that these assessments, which are intended to resolve the conflict or offer profitable information, often participate in the conflict by constructing assessments and diagnoses that fit with legal discourse, and thus with the outcomes of adversarial‐styled rulings and ideologically driven interests. This article suggests that so long as such professionals are driven by the privileged discourse of law and psychology/psychiatry, the best interests of those at the center of the conflict can have their experience co‐opted by the iatrogenic features of these discourses.     

云南省曲靖市家畜猝死症的病原分离与鉴定

对云南省曲靖市近年流行的家畜猝死症进行了流行病学调查、临床症状观察、病理剖检 ,并对先后采自 7个县 (市 )区的 2 4份病料进行了病原分离、动物接种试验、生化鉴定、肠毒素定型及药敏试验。共分离到细菌 2 4株 ,其中产单核细胞李氏杆菌 2 0株 ,A型产气荚膜梭菌 2株 ,C型产气荚膜梭菌 2株。采取相应的综合防治措施后 ,2 0 0 3年冬到 2 0 0 4年春夏再未发生新的疫情。     

猪生殖和呼吸系统综合征的血清学调查

采用IDEXX公司生产的ELISA试剂盒对 2 0 0 1年 8月至 2 0 0 2年 8月湖北、河南、福建、浙江等省的大中型猪场猪生殖和呼吸系统综合征 (PRRS)的流行情况进行了血清学调查。共检测84 4份血清 ,检出阳性 382份 ,阳性率为 4 5 .2 6 %。其中湖北省猪场的 6 6 1份血清 ,检出阳性 2 4 9份 ,阳性率 37.6 7%。 4 83份种猪血清 ,检出阳性 2 4 4份 ,阳性率 5 0 .5 2 % ,36 1份仔猪血清 ,检出阳性 14 1份 ,阳性率 4 0 .0 6 %。在被检的 5 0个猪场中 ,检出PRRS血清学阳性猪的猪场 4 1个 ,占 82 .0 0 % ,其中湖北省的 38个猪场 ,检出PRRS阳性的 2 9个 ,阳性率 76 .32 %。