الملخص
Objective To evaluate the absence of corpus callosum(ACC)and intracranial accompanying abnormalities in fetus via prenatal MRI.Methods A total of 61 cases of fetal ACC diagnosed by prenatal MRI were analyzed retrospectively.The types and numbers of intracranial accompanying abnormalities were observed,and the probability of accompanying abnormalities was counted.According to whether the corpus callosum was completely absent,all cases were divided into complete ACC and partial ACC.Statistical differences of probability of accompanying abnormalities between the two groups were analyzed.Results A total of 54.1%(33/61)patients were complicated with other intracranial abnormalities,among which the most common was cerebral cortical dysplasia,accounting for 26.2%(16/61).The probability of complete ACC and partial ACC complicated with other intracranial abnormalities was 63.4%(26/41)and 35.0%(7/20),respectively,and there was statistical difference in intracranial abnormalities between complete ACC and partial ACC(χ2=4.37,P=0.037).The probability of complete ACC and partial ACC complicated with cerebral cortical dysplasia was 39.0%(16/41)and 5.0%(1/20),respectively,and there was statistical difference in cerebral cortical dysplasia between complete ACC and partial ACC(χ2=7.74,P=0.005).Conclusion MRI can accurately diagnose the fetal ACC and intracranial accompanying abnormalities.Complex ACC is more common than isolated ACC.Compared with partial ACC,complete ACC is more likely to be complicated with other intracranial abnormalities,and cerebral cortical dysplasia is the most common,which provides reliable diagnostic basis for fetal prognosis in clinical practice.
الملخص
Objective:To investigate the effect of prison police's job burnout on their life satisfaction and the role of psychological detachment between them.Methods:Questionnaire survey was conducted among 253 prison policemen in Henan Province with the Maslach Burnout Inventory-General Survey (MBI-GS,including emotional exhaustion,cynicism,and reduced personal accomplishment),Satisfaction with Life Scale (SWLS) and Psychological Detachment Questionnaire (PDQ).Results:The MBI-GS total scores and the scores of its three dimensions were negatively correlated with SWLS scores (r ＝-0.41,-0.38,-0.36,-0.21,Ps ＜0.001),PDQ scores were negatively correlated with MBI-GS total scores and emotional exhaustion scores (r ＝-0.21,-0.31,Ps ＜ 0.001),but positively correlated with SWLS scores (r ＝ 0.22,P ＜ 0.001).Psychological detachment played a moderating role between job burnout and life satisfaction (β ＝ 0.58,P ＜ 0.001).Conclusion:It suggests that prison police's job burnout may reduce their life satisfaction,and psychological detachment can moderate the influence of job burnout on life satisfaction.
الملخص
Objective To explore the correlation between tumor markers including estrogen receptor (ER),progesterone receptor (PR),C-erbB-2 and serum CA125 and MRI findings of endometrial carcinoma(EC).Methods A retrospective analysis of preoperative MRI images of 158 patients with EC was conducted.The expression levels of ER,PR,C-erbB-2,serum CA125 were analyzed with immunohistochemical S-P method and chemiluminescence method.The postoperative pathological results were taken as the gold standard and the relevance between tumor markers and MR signs was analyzed.Results The expression of the four tumor markers were associated with MRI findings of carcinoma staging(P ＜0.05).The expression of ER and PR were negatively associated with the tumor stages by MRI but the expression of C-erbB-2 and serum CA125 were opposite.Conclusion The expression of ER and PR have a high diagnostic value in early endometrial cancer (stage Ⅰ a and stage Ⅰ b) and dynamic detection of C-erbB-2 and serum CA125 can help to predict the metastasis of endometrial carcinoma.
الملخص
Objective To summarize the lung HRCT findings of lung Langerhans cell histiocytosis (LCH) in children. Methods A total of 54 children with lung LCH pathologically proved in our institute from September 2006 to December 2014 were retrospectively reviewed. Patients were subdivided into two subgroups, diffuse type (n=29) and localized type (n=25). In addition, 32 children with LCH but without pulmonary infiltration were selected as control group. HRCT findings of 54 LCH with lung involvement were reviewed and analyzed for distribution pattern. The age of onset, illness duration and pulmonary function were compared between the lung LCH group and the control group. The differences of HRCT findings in LCH patients between diffuse type and localized type were compared with χ2 test. The differences on the onset age, illness duration and pulmonary function between the LCH group with lung involvement and control group were compared with non-parametric test(Mann-Whitney U Test). The differences of pulmonary function between the LCH group with lung involvement and control group were compared with Fisher exact probability test. Results The signs of pulmonary LCH on HRCT included lobular hyperinflation (n=26), interlobular septa thickening (n=11), cystic lesions (n=11), ground?glass opacity (n=10), nodules (n=9), and centrilobular nodules (n=6). The signs presented in 21, 8, 7, 9, 4 and 6 cases in diffuse type group respectively and 5, 3, 4, 1, 5, 0 in localized type group. Among them, lobular hyperinflation, ground?glass opacity and centrilobular nodules were more prevalent in the diffuse group. The difference was statistically significant (χ2=14.77,2.01,0.55,4.84,0.06 and 3.91, P0.05) and pulmonary function between two groups (P>0.05). Conclusions Lobular hyperinflation, ground glass opacity and centrilobular nodules are the most common manifestations in LCH patients with lung involvement and the distribution is mostly diffuse. Nodules, cystic lesions and interlobular septa thickening may exist. Several signs may coexist simultaneously. Younger children with LCH are more vulnerable to lung involvement.
الملخص
@#Objective To observe the effect of psychologic nursing on old primary hypertension patients.Methods 80 old patients with primary hypertension were divided into 2 groups through the stochastic tables way,the intervention group(40 cases)accepted Captopril and Nifedipine,combined with the psychological nursing,while the control group(40 cases)only accepted Captopril and Nifedipine.They were assessed with Self-Rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)before and 3 weeks after treatment.Results The scores of both the SAS and SDS were improved in the intervention group(P<0.05)after treatment,but did not in control group(P>0.05).Conclusion
الملخص
@#Objective To observe the effect of cognitive behavior therapy on anxiety of the patients with schizophrenia in recovery stage.Methods 120 schizophrenic inpatients in recovery stage were randomly divided into the trial group and control group with 60 cases in each group. The trial group was treated with cognitive behavior therapy; the control group was treated with routine care. All cases in two groups were assessed with Zung's Self-rating Anxiety Scale (SAS) before and after treatment.Results After cognitive behavior therapy, the SAS scores of cases of the trial group were significantly lower than that before treatment and that of cases of the control group after treatment ( P<0.01).Conclusion Cognitive behavior therapy can improve anxiety symptom of patients with schizophrenia in recovery stage.