Maltreatment type,exposure characteristics,and mental health outcomes among clinic referred trauma-exposed youth

Building upon prior research documenting differential effects of psychological maltreatment, physical, and sexual abuse on youth mental health outcomes (Spinazzola et al., 2014), the present study sought to clarify the relative predictive contributions of type of maltreatment compared to salient exposure characteristics. The sample included 5058 clinic-referred youth from the Core Dataset (CDS) of the National Child Traumatic Stress Network (NCTSN) with lifetime histories of exposure to one or more of three specific types of maltreatment: psychological maltreatment (PM), physical abuse (PA), and sexual abuse (SA). First, we examined variations in salient trauma characteristics (age of onset, duration of exposure, number of co-occurring trauma types, and perpetrator type and number) by maltreatment group. Second, we examined whether type of maltreatment remained associated with mental health measures after adjusting for demographic variables and trauma characteristics. Profiles for youth with PM were more severe than youth who experienced either PA or SA only. Co-occurring PM and PA was associated with the most severe trauma exposure profile and with severity of PTSD symptoms, even after adjusting for demographic and trauma characteristics. Youth exposed to SA only had a distinct trauma profile and greater PTSD symptom severity after adjusting for demographic and trauma characteristic variables. Study findings hold important implications for trauma screening, assessment, and intervention, as well as for traumatic stress research methods that extend beyond abuse-specific or cumulative-risk approaches.     

基于临床科研设计的医学期刊编辑初审方法和初审单设计

【目的】 在临床科研设计基本原则和方法的基础上,提出医学期刊编辑初审的具体审稿方法,设计编辑初审单。【方法】 通过解读临床科研设计基本原则在医学科研中的重要意义,确立编辑初审思路。在初审中引入     

丹栀逍遥散配合心理干预治疗艾滋病抑郁症60例临床观察

目的:探讨和研究丹栀逍遥散配合心理干预治疗艾滋病抑郁症患者的临床效果。方法:采用口服丹栀逍遥散治疗30例,并予应用HARRT药物和常规对症治疗的30例进行对照观察,两组疗程均为8周。结果:两组间比较无显著性差异(P>0.05),但两组治疗后汉密尔顿抑郁量表(HAMD量表)评分均较治疗前改善(P<0.05),且治疗后的治疗组评分低于对照组(P>0.05)。结论:治疗艾滋病抑郁症应用丹栀逍遥散配合心理干预有良好的疗效。     

对医学院校后期教学中临床思维培养的思考

临床实习是培养合格临床医师的重要阶段,是培养医学生向临床医生过渡转变的重要过程,文章通过对临床思维的重要性以及医学生临床思维存在误区分析,对在后期临床教学过程中如何引导、启发和指导医学生建立科学合理的临床思维进行了探索。     

青光眼的针灸研究近况

综述介绍了2000年以来针灸治疗青光眼的临床和实验研究进展。内容涉及针刺取穴、各种针灸治疗方法,实验进展证实了针灸对青光眼的作用机制,为今后的临床和实验研究提供参考。     

New developments in small molecular compounds for anti-hepatitis C virus (HCV) therapy

Infection with hepatitis C virus (HCV) affects approximately 170 million people worldwide. However, no vaccine or immunoglobulin is currently available for the prevention of HCV infection. The standard of care (SOC) involving pegylated interferon-α (PEG-IFN α) plus ribavirin (RBV) for 48 weeks results in a sustained virologic response in less than 50% of patients with chronic hepatitis C genotype 1, the most prevalent type of HCV in North America and Europe. Recently, reliable in vitro culture systems have been developed for accelerating antiviral therapy research, and many new specifically targeted antiviral therapies for hepatitis C (STAT-C) and treatment strategies are being evaluated in clinical trials. These new antiviral agents are expected to improve present treatment significantly and may potentially shorten treatment duration. The aim of this review is to summarize the current developments in new anti-HCV drugs.     

远程临床医学技能培训的实现

目前医学教育中的临床技能培养存在要求高、难度大、实践机会少等问题。虚拟现实、视音频、多媒体及计算机网络等技术的发展,为临床医学技能培养提供了一条新的途径。基于新疆生产建设兵团医疗现状和发展规划构建的远程医学临床技能培训平台,就远程教育与医学教育的结合进行探索,依托优质医学资源,利用卫星网络、互联网络和VPN专网以及现代信息技术,实现远程医学教育、协同诊断、手术观摩、三维虚拟手术实验等功能,缩短了医学院学生、各类医务人员从理论学习到临床具体操作的时间,提升了整体的临床技能综合水平。     

手足口病300例患儿的临床护理

目的:寻求合理的手足口病护理方法。方法:对300例手足口病患儿进行针对性的护理,并制定出合理的护理方案。结果:300例手足口病患儿均临床治愈出院,且未出现严重并发症与大流行。结论:对手足口病患儿要及时做好消毒隔离工作,做到早发现,早诊断,减少并发症的发生。     

我国求医问药类 APP 软件功能评价

选取“快速问医生”、“掌上淘医”和“春雨掌上医生”等国内10种常见的求医问药类APP,对其医疗咨询、疾病查询和就医信息三大基本功能进行对比分析的。结果显示,求医问药类APP的功能框架已基本形成,能够满足人们日常求医问药的需求,但应重视信息的准确性和完整性,创建合适的盈利模式,促进医疗APP的持续发展。     

军队数字化医院建设发展及趋势

阐述了军队数字化医院的概念,对比分析了当前军内外医院信息化建设的现状,明确了军队医院数字化建设的方向,提出了军队数字化医院建设的举措。