糖尿病肾病患者中西药结合治疗前后心理状况分析

目的:观察糖尿病肾病患者肾炎康复片联合洛丁新治疗前后的心理健康状况。方法:应用症状校核量表(SCL-90)、焦虑和抑郁自评量表(SAS和SDS),对60例糖尿病肾病患者治疗前与治疗后进行独立测试、分析。结果:糖尿病肾病患者治疗前躯体化、人际关系、焦虑、抑郁、强迫、恐怖、敌对等因子分值均高于治疗后。治疗后以上因子分值均降低。差异均具有统计学意义(P<0.05)。结论:糖尿病肾病患者在躯体疾病的基础上,尚有不同程度的社会心理问题,肾炎康复片联合洛丁新中西医结合治疗有助于改善心理健康状况。

A concept analysis of vicarious resilience in mental health nursing

Objective:The introduction of the vicarious resilience concept in psychology and mental health nursing literature is a highly promising advancement.By utilizing this novel concept,experts in various domains can enhance their comprehension of how to foster resilience in individuals by observing and learning from the resilience of others.This concept analysis aims to elucidate the concept of vicarious resilience in mental health nursing by defining its related attributes,antecedents,and consequences.Methods:Walker and Avant’s strategy for concept analysis method was used.This review specifically examined mental health nurse providers.A comprehensive literature search was performed in the PubMed,Medline,the Cochrane Library,and CINAHL databases.The inclusion criterion was Englishlanguage documents on vicarious resilience within mental health nursing.Results:A total of 24 articles were included.The concept’s attributes were empathy,hope,resourcefulness,awareness,and spirituality.Antecedents were associated with listening to patients’trauma narratives,self-care,self-awareness,and support from colleagues.Consequences were enhanced well-being,changes in life goals,adaptation,personal growth,and increased personal resilience.Currently,there is only one tool in the empirical reference.Conclusion:Interpreting the concept of vicarious resilience in mental health nursing and determining its characteristics can be utilized to design nursing interventions to develop vicarious resilience and enhance the quality of care in mental health facilities.

Collapse mechanism of deep tunnels with three-centered arch cross section

The possible collapse of different circumstances is derived with the help of the limit analysis theory.Analytical equations related to collapsing mechanisms in deep tunnel with smooth three-centered arc cross sections are derived on the basis of Hoek-Brown failure criterion and upper bound limit analysis.The pore water pressure is considered in the analysis,as a work rate of external force.Numerical results about the shape of detaching curve and the weight of collapsing block per unit length corresponding to different parameters are obtained with the help of mathematical software.The shapes of collapsing block are drawn with respected to different parameters.Furthermore,the effects of different parameters on the shape of detaching curve and the weight of the collapsing block are discussed.

Quality of life and palliative care needs of elderly patients with advanced heart failure

Objective To examine the quality of life and palliative care needs of elderly patients with advanced heart failure （HF）. Methods This was a correlation descriptive study conducted at a 650-bed sub-acute hospital. Patients who were aged 65 or over, diagnosed with HF of New York Heart Association Class III or IV symptoms, and mentally sound were eligible to the study. The Edmonton Symptom Assessment Scale, the overall quality of life single item scale, and the McQill Quality of Life Questionnaire （MQoL）, were used for measurement. Multi- ple regression analysis was performed to determine factors for predicting quality of life. Results A convenience sample of 112 patients was recruited. Their age was 81.5 ± 8.5 years. The three most distressing symptoms reported by the patients were tiredness （5.96 ± 2.78）, drowsiness （5.47± 2.93）, and shortness of breath （5.34 ± 2.96）. Their mean overall quality of life single item scale score was 4.72 ± 2.06 out of 10. The mean MQoL physical subscale score was the lowest （4.20 ± 1.767）, whereas their mean psychological subscale was the highest （7.14 ±2.39）. However, in a multivariate analysis model, quality of life was significantly associated with existential wellbeing, physical wellbeing, psychological wellbeing and educational level. Conclusions The findings highlight that spiritual concerns are significant palliative care needs among elderly patients with advanced HF, in addition to symptom management. This is in line with the argument that palliative care that places great emphasis on holistic care should be integrated to the care of this group of patients.

Interpretation of Data in Psychology： A False Problem, a True Issue

In psychology, the concept of interpretation has been namely associated to the subjectivist paradigm underpinning qualitative approaches, rather than the objectivist paradigm charactefising quantitative research. In this article, we challenge this belief by showing how interpretation concerns psychology as a whole. To do this, the authors will first consider some dominant tendencies characterising the psychological field in general, such as the ＂empiricist illusion＂ and the ＂trap of scientism＂ （Vygotsky 1999）. Moreover, they will introduce the cultural perspective in psychology, pertinent to deconstruct several assumptions regarding research within the discipline. Stemming from this approach, ＂indirect methods＂ will be presented with regard to their potential to analyse psychological phenomena both qualitatively and scientifically. They will conclude by describing a set of principles that can be implemented when doing qualitative research as to ensure the quality and the adequacy of interpretation.

Muse Turned ＂Femme Fatale＂ in D. G. Rossetti＇s Painting and Poetry

In many of D. G. Rossetti＇s paintings, Elizabeth Siddal appears as a model. In real life, they formed a married couple, and the relatonship was not as idealistic as it might have been, between a muse-figure and an artist. After Elizabeth＇s death, Rossetti seemed to have been preoccupied with the ＂Lilith＂ theme in his painting and poetry and somehow he could not free himself from the haunting memory of the ＂wronged wife＂, the muse. This often found manifestation in his portrayal of the ＂femme fatale＂ images. Applying psychoanalysis to art-criticism and literary appreciation, this paper is an attempt to explore the relationship between a model and an artist, which both psychologically and aesthetically, seemed to be working beyond the former＇s death. Through a detailed analysis of the ＂Lilith＂ image in D. G. Rossetti＇s art, this paper has shown the coplexities of the artist＇s agony and anxiety over the image of a muse, a homely beloved--turned into a threatening ＂femme fatale＂, now distant, unknown, frightening yet fascinating, and mystified by death.

Network Pharmacology-based Analysis on the Molecular Biological Mechanisms of Xin Hui Tong Formula in Coronary Heart Disease Treatment

Objective To investigate the potential molecular mechanism of Xin Hui Tong Formula (XHTF) in the treatment of coronary heart disease (CHD) by using network pharmacology and bioinformatics. Methods The targets network of CHD was constructed through Therapeutic Targets Database (TTD) and Drugbank database;The XHTF pharmacodynamic molecule-targets network and the XHTF pharmacodynamic molecule-CHD targets network were explored by the traditional Chinese medicine systems pharmacology database and analysis platform (TCMSP). And the multi-targets mechanism and molecular regulation network of XHTF in the treatment of CHD were explored from multiple perspectives by Gene Ontology (GO) analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) database pathway enrichment analysis. Results A total of 88 CHD targets were screened out through the Therapeutic Targets and the Drugbank database. 393 compounds and corresponding 205 drug targets of XHTF were retrieved from TCMSP. A total of 13 known targets directly related to the development of CHD were retrieved from the disease-related databases: TP53, MAPK14, NFKB1, HSPA5, PLG, PTGS2, ADRB1, NOS2, CYP3A4, GRIA2, CYP2A6, GRIA1, PTGS1. XHTF also contained 118 drug targets that directly interact with CHD targets. GO enrichment analysis showed that the biological processes of 13 direct targets proteins were found to be mainly enriched in response to drug, cellular response to biotic stimulus, long-chain fatty acid metabolic process, fatty acid metabolic process and regulation of blood pressure. KEGG pathway enrichment analysis found that XHTF participated in the CHD pathological process mainly through retrograde endocannabinoid signaling, regulation of lipolysis in adipocytes, cAMP signaling pathway, chemical carcinogenesis and other pathways. Conclusions XHTF plays a role in the treatment of CHD through multiple targets and multiple pathways, and provides a scientific basis for the theory of "virtual standard" in the treatment of CHD.

Rome Ⅲ survey of irritable bowel syndrome among ethnic Malays

AIM:To survey irritable bowel syndrome(IBS) using Rome Ⅲ criteria among Malays from the north-eastern region of Peninsular Malaysia.METHODS:A previously validated Malay language Rome Ⅲ IBS diagnostic questionnaire was used in the current study.A prospective sample of 232 Malay subjects(80% power) was initially screened.Using a stratified random sampling strategy,a total of 221 Malay subjects(112 subjects in a "full time job" and 109 subjects in "no full time job") were recruited.Subjects were visitors(friends and relatives) within the hospital compound and were representative of the local community.Red flags and psychosocial alarm symptoms were also assessed in the current study using previously translated and validated questionnaires.Subjects with IBS were sub-typed into constipation-predominant,diarrhea-predominant,mixed type and un-subtyped.Univariable and multivariable analyses were used to test for association between socioeconomic factors and presence of red flags and psychosocial alarm features among the Malays with IBS.RESULTS:IBS was present in 10.9%(24/221),red flags in 22.2%(49/221) and psychosocial alarm features in 9.0%(20/221).Red flags were more commonly reported in subjects with IBS(83.3%) than psychosocial alarm features(20.8%,P < 0.001).Subjects with IBS were older(mean age 41.4 years vs 36.9 years,P = 0.08),but no difference in gender was noted(P = 0.4).Using univariable analysis,IBS was significantly associated with a tertiary education,high individual income above RM1000,married status,exsmoker and the presence of red flags(all P < 0.05).In multiple logistic regression analysis,only the presence of red flags was significantly associated with IBS(odds ratio:0.02,95%CI:0.004-0.1,P < 0.001).The commonest IBS sub-type was mixed type(58.3%),followed by constipation-predominant(20.8%),diarrheapredominant(16.7%) and un-subtyped(4.2%).Four of 13 Malay females(30.8%) with IBS also had menstrual pain.Most subjects with IBS had at least one red flag(70.8%),12.5% had two red flags and 16.7% with no red flags.The commonest red flag was a bowel habit change in subjects > 50 years old and this was reported by 16.7% of subjects with IBS.CONCLUSION:Using the Rome Ⅲ criteria,IBS was common among ethnic Malays from the north-eastern region of Peninsular Malaysia.

Psychological Analysis of Adolescent Internet Addiction

The rapid development of the network had a huge psychological impact on people＇ s life, ideas, and especially makes prominent phenomenon of mental disorder with the network, it has become attention of sociology, psychology, research of clinical industry. In recent years, research on the phenomenon of Internet addiction focused on qualitative descriptions and study of the theoretical phenomenon, their research focused on the popularity of the first network, the U.S. conducted the most extensive study and makes more online survey. China started this study later, and lack of systematic research on the network psychology, which just mostly understanding the aspect of the phenomenon and countermeasures of stating intemet addiction, or to explore from a single aspect （such as： age, gender, etc.）, it lack of theoretical studies of the psychological mechanisms and motives behind the addictive behavior on the network.

Analysis of the tea packaging design psychologies

The tea packing design occupies the important position in the field of the graphic design. A successful tea packing design can affect the consumers＇ desire to buy. In this article, from the tea packaging colors, forms, shapes and so on, the author discusses the vision, touch, taste and other sensory stimulation, and analyzes the relationship between the constituent elements including the emotional factors and the psychological needs of the consumers, as well as the packaging design.

The psychoanalysis and prevention of juvenile delinquency in the Three Gorges Reservoir area

The left-behind adolescents in Three Gorges Reservoir area are at an economic disadvantage situation, and the separation of their parents, inter-generational education and lack of education led to many problems. Lack of family education in critical period of their growth resulted that young people stay without the right guidance, and the development of self-consciousness does not enter the right track, causing a variety of psychological problems, which if not properly grooming, will become a crime risk, thus affecting the community stable. By focusing on children in the Three Gorges Reservoir area, we understand the causes of crime of rural adolescents, and then take proper countermeasures for prevention.

An Analysis of Power Desire of Iago in Shakespeare＇s Othello From Psychological Perspectives

This study aims to investigate how powerful desires controlling and influence the play＇s characters. In particularly Iago＇s Power is probably the most important motive. Iago employed to manipulate Othello. It is clearly seen that Iago thrived in power because he loves manipulating people so that they do what he says. Othello indicates the power of desires, love and jealousy. The purpose of this study is to obtain a deeper understanding and analyze the character＇s power and how Shakespeare used Iago＇s power desires？ To cause the tragic downfall Othello by using the psychological approaches. Shakespeare＇s tragedies＇ characters motivated by the power desires. Shakespeare shows that the human need, feelings, emotions and passions or desires may lead their owners to be mad if they surrender to them to go beyond the limits. This paper looks how Shakespeare shows the humanism by describing Iago＇s desires in his play, Othello the most notable tragedies.

Validation of the Persian version of the Compassionate Care Assessment Tool

Objectives:The present study aimed to translate and determine the psychometric properties of the Persian version of the Compassionate Care Assessment Tool(CCAT)■.Methods:The study was carried out to translate and validate of the CCAT■.After securing permission from the designer of the tool and translating it,the psychometric properties were determined through examining face validity,construct validity,internal consistency,and test/retest reliability.With regard to construct validity,confirmatory factor analysis was used so that 300 patients in internal and surgery wards were selected by a simple random sampling method from three hospitals.Data were analyzed using SPSS(v.24.0)and LISREL statistical software version 8.8.Results:The results of the confirmatory factor analysis supported the validity and reliability of the Persian version of the CCAT■and its four factors.The reliability of the tool and internal consistency were confirmed through test/retest method with two weeks’interval.At the two areas of importance and provision of compassionate care,Cronbach’sαcoefficient equaled to 0.918 and 0.933 and intraclass consistency equaled to 0.848 and 0.907 respectively.Conclusion:The results showed that the Persian version of the CCAT©was adequately valid and reliable for Iranian patients.Given the acceptable psychometric parameters of the tool,using it in future studies to measure importance and provision of compassionate nursing care to Iranian patients at internal and surgery wards is recommended.

Psychological evaluation of patients after breast cancer surgery and care strategies improvement

Objective: The aim of the study was to investigate the level of self-image of patients after breast cancer surgery, and explore factors influencing self-image among patients who have experienced different types of surgeries, and set out a foundation for the improvement of care strategies. Methods: The 538 patients with primary breast cancer who underwent surgery in the Department of Breast Surgery, First Hospital of China Medical University, Shenyang, China, from January 2004 to January 2009 were included in the study. The psychological status of the patients was evaluated by body image after breast cancer questionnaire (BIBCQ), social support rating scale (SSRS), self-rating anxiety scale (SRAS), depression rating scale (DRS), and general information questionnaire. The factors influencing the self-image were selected by a stepwise regression analysis. Results: The patients who underwent breast-conserving surgery were the most satisfied with their body image, followed by those underwent surgery of modified radical mastectomy with reconstruction. However, cases treated by modified radical mastectomy without reconstruction had negative outcomes. Regardless of operation type, the self-image was influenced by anxiety, level of abuse by husband, and sexual satisfaction after operation. Conclusion: The self-image of patients who underwent different breast cancer surgeries was influenced by different factors, and individualized nursing should be offered in accordance with the specific situation.

Research on Clustering Analysis and Its Application in Customer Data Mining of Enterprise

The paper study improved K-means algorithm and establish indicators to classify customers according to RFM model. Experimental results show that, the new algorithm has good convergence and stability, it has better than single use of FKP algorithms for clustering. Finally the paper study the application of clustering in customer segmentation of mobile communication enterprise. It discusses the basic theory, customer segmentation methods and steps, the customer segmentation model based on consumption behavior psychology, and the segmentation model is successfully applied to the process of marketing decision support.

Analysis of Noise at Coal Face by Fully-Mechanized Coal Winning Technology

The noise level of coal face by full-mechanized coal winning technology was measured in a coal mine. And then it was analyzed and evaluated using environment science, ergonomics and fussy mathematics analysis. Basis of the statistics and analysis of the measured noise level some measures, such as applying the new materials and improving the construction of the equipment, were carried out. The resuts show that they can reduce the noise level, improve the working environment and enhance the work efficiency.

The study on the Psychological motivation of Costs Stickiness --Empirical Evidence from China

This paper studies Whether the managerial overconfidence have any impact on the Cost management （Characterized by the degree of the Costs Stickiness ） .Using the ample of the A-share listed companies between 2007-2011 in China, We document that SG＆A cost stickiness decreases in the degree of overconfidence. The further studies show the negative relation is more significant in the state-owned listed companies,which proved our speculation that the manager will cut expenses avoiding significant decline in performance when the sales decline in the state-owned listed company.

The Phenomenological Approach as Epistemologically Support to Legitimize the Position of Oneself to the Other of Psychoanalysis

This work aims to show, in the phenomenology of Husserl, the relevance to seek the elements that give epistemological legitimacy and validity to the conceptualization that brings psychoanalytic theory to account for processes whose explanation necessarily imply to clarify that psychoanalysis, in contrast to psychological treatments, is not based on the effects of a relationship between the participants but in the positioning that each of them occupies relative to the other, particularly when having in mind the concept of transference and recognizing in it the position from which the analyst can give conditions of possibility--through his interventions--for which the patient may realize, analyze, and rethink his own position on what constitutes his discomfort. Husserl recaptures the Cartesian base from which opens philosophical reflection to a new area of research ＂in＂ consciousness where it is allowed to understand the relationship between subject and object from a new perspective that enables establishing an epistemology that substantiates the rigorous analysis of human subjectivity. Husserl＇s proposal introduces us to an epistemic field in which it can be shown and, that the psychoanalytic method which enables its effects is precisely the position of the analyst, while by his presence and intervention leads to the other in question, without having to abide by an alien desire, be able to position himself before his own desire. This analysis regarding the desire of oneself is indispensable to understand the elements at play in contemporary psychopathology, as in the present context the intensity of the demands generated in the economic apparatus, are experienced by the subject as arising from himself, erasing traces of his desire that is superseded by social imperatives that crushed and fragmented him.

Performance Behaviour Analysis of the Present 3-Level Cache System for Multi-Core Processors

In this paper, a study related to the expected performance behaviour of present 3-level cache system for multi-core systems is presented. For this a queuing model for present 3-level cache system for multi-core processors is developed and its possible performance has been analyzed with the increase in number of cores. Various important performance parameters like access time and utilization of individual cache at different level and overall average access time of the cache system is determined. Results for up to 1024 cores have been reported in this paper.

Analysis on New Minimalism Style in Fashion Culture -- The Background Analysis of Garment Interlining Art

This paper, through the investigation and analysis of economic status, fashion art and consumption psychology in modem society, makes a research of formation background, style features and fashion reflection from multiple aspects. And from the perspective of artistic style and garment innovation design, it analyzes the artistic feature of new minimalism culture and style types of garment interlining art, forming systematic theoretical statement.