精神状态

大约从事任何职业,进行任何工作,都需要一种良好的精神状态。近日,笔者在灯下夜读时,看到这样两件事情——

Ataxia,acute mountain sickness,and high altitude cerebral edema

Previous investigations suggest that ataxia is common and often one of the most reliable warning signs of high altitude cerebral edema(HACE). The aim of this study was to investigate the diagnostic role of ataxia in acute mountain sickness(AMS)and HACE among mountain rescuers on the quake areas,and in approaching the relation between AMS and HACE. After the earthquake on April 14,2010,approximately 24 080 lowland rescuers were rapidly transported from sea level or lowlands to the mountainous rescue sites at 3 750 ~ 4 568 m,and extremely hardly worked for an emergency treatment after arrival. Assessments of acute altitude illness on the quake areas were using the Lake Louise Scoring System. 73 % of the rescuers were found to be developed AMS. The incidence of high altitude pulmonary edema(HAPE)and HACE was 0.73 % and 0.26 %,respectively,on the second to third day at altitude. Ataxia sign was measured by simple tests of coordination including a modified Romberg test. The clinical features of 62 patients with HACE were analyzed. It was found that the most frequent,serious neurological symptoms and signs were altered mental status(50/62,80.6 %)and truncal ataxia(47/62,75.8 %). Mental status change was rated slightly higher than ataxia,but ataxia occurred earlier than mental status change and other symptoms. The earliest sign of ataxia was a vague unsteadiness of gait,which may be present alone in association with or without AMS. Advanced ataxia was correlated with the AMS scores,but mild ataxia did not correlate with AMS scores at altitudes of 3 750~4 568 m. Of them,14 patients were further examined by computerized tomographic scanning of the brain and cerebral magnetic resonance imagines were examined in another 15 cases. These imaging studies indicated that the presence of the cerebral edema was in 97 % of cases who were clinically diagnosed as HACE(28/29). Ataxia seems to be a reliable sign of advanced AMS or HACE,so does altered mental status.

Transformative Learning in Language Arts as a Method of Guidance and Counseling

Our voluntary project ran in different groups of adults （healthy, depressed, schizophrenic, and clients with anxiety disorders）. The study is based on analysis of personal counseling experience, where literature was used as a tool to disclose client＇s personal meanings. During our sessions, clients were observed phenomenologically, and their speach was written down. Reflecting on the qualitative data of transformative learning in language arts, we developed techniques for facilitation and disclosure of personal meanings. Grounded theory was used for data generalization： Personal educational insights and its comparison with other researchers＇ theoretical insights were the basis to develop the methodical system for psychological guidance and counseling and to explain it. We revealed that focus on personally important meanings during discussion after literature reading has influence on the mental state of personality and deepens the interactions with the literature art, so we suggest a spiral model to explain the methodical system of our method. Transformative learning in language arts as a method of guidance and counseling can be understood as spiritual motion by spirale. It has three levels： （1） art level （interaction with the literature）; （2） psychology level （counseling）; and （3） art level （interaction with the same peace of literature as in the beginning of the session, poetic summary of the session）. Levels （1） and （3） mean interaction with literature art, but at the third level, this interaction has new quality, because personality has better perception of Self and more ability to connect personal meanings and literature wisdom. At the first level, we have direction from literature to Personality. At the third level, we have direction from the Self （Speaking from Within） to literature. Disclosure of personally important meanings is a key to self-understanding and poetical thinking; our developed methodical system reduces emotional tension and strengthens interconnectedness between inner and outer world and improves poetical understanding. In this paper, the methodical system of transformative learning and guidance is discussed.

The Hindu Aristotle

This paper presents an original interpretation of the Upanishads that the inner self is located in the embryo brain region of the brain. This is the part of the brain already present in the embryo and consists of the brainstem, hypothalamus, thalamus, and midbrain. It is also the part of the brain that operates during dreaming and deep sleep and causes the transition from sleeping to waking states, and the Upanishads state unequivocally that the self is responsible for these mental states. With the self located in the embryo brain region, an entirely new interpretation of Aristotle＇s De Anima is presented which parallels the Upanishads in every respect; the inner self and Aristotle＇s ＂soul＂ have identical functions and attributes. An Aristotelian First Principle is presented： Biology is the source of Consciousness; DNA is the source of Biology; Ergo DNA is the source of Consciousness.

Stuck with the Sur-face： An Ethical Approach to Facial Disfigurement in Willa Cather＇s ＂The Profile＂

The human face consists of three dimensions： （1） the visible, static sur-face, （2） the mobile dimension, which communicates thoughts, emotions, and states of mind, and （3） the invisible dimension, the face aspars-pro-toto for the whole person who owns the face. In this latter sense, the human face is at the center of Emmanuel Levinas＇ theory of ethics： We encounter each other face-to-face, he argues, and it is the other＇s face that calls for my ethical response to the holiness of his/her wholeness and essence. The primary ethical imperative is： ＂Thou shalt not kill.＂ When we encounter a facially disfigured person, we usually fail to respond ethically because we concentrate on the disfigurement. The second dimension, as a result of the disfigurement, is often impaired and thus incapable of communicating in such a way that we can ＂read＂ the face. With our gaze fixed on the disfigured part of the face, we lose sight of the person as a whole. Metaphorically speaking, we could even say that we ＂kill＂ the person. Levinas conceives of the other＇s face not in its plastic manifestation. But the encounter with the other does at first take place as embodiment. According to Merleau-Ponty, this encounter is by definition interactive and dialogical. In Willa Cather＇s short story ＂The Profile,＂ young beautiful Virginia marries a portrait painter after he has finished her portrait in profile. The left side of her face is severely disfigured because of a burn. Her husband is waiting impatiently for her to talk about ＂it＂ and the suffering it must cause her in order to ＂heal＂ her with his love, but she behaves as if it did not exist and even likes to dress extravagantly. In the following analysis of the short story, it will be illustrated how the husband fails to respond to his wife＇s face＇s invitation to interact with it and get in touch with the wholeness of her person that it stands for. Instead, he reduces her to the disfigurement. When he finally names the scar, he metaphorically ＂kills＂ her, as well as their marriage.

Martin Luther on Marriage and Family

This paper describes and analyzes Martin Luther＇s views on marriage and family primarily from his own writings. Luther elevated marriage and family life to a place of respect and honor in the church and society at a time when singleness and celibacy were celebrated as ways of reaching a higher state of spirituality. Martin Luther＇s teachings were so radically different from the traditional Catholic views of his days that the church became furious with him and tried almost everything in their power to silence him. Although Luther is known primarily for his views on Justification, but it is his teachings on marriage and family that has been more consequential. Many in the West who have never heard the name of Martin Luther, today enjoy a more biblical view on marriage and family because of his influence. He advocated divorce according to biblical principles, at a time when divorce was almost impossible; he encouraged priests to marry by showing that there was no conflict between their calling and marriage; he denounced celibacy, blaming it for encouraging lust rather than aiding chastity; he restored marriage and family life back to the arena of spirituality and respectability in society. Luther lived out his own advice by getting married and living an exemplary married life. What made Luther so effective was the passionate intensity with which he advocated these reforms. He wrote and spoke with such power and backed up his words with such a bold and courageous life, although living in the shadow of constant threats, that centuries after his death, the power and conviction of his ideas still resonate.

Abnormal maternity and self-destruction： A psychoanalytical survey of the governess in Rebecca

This paper attempts to survey a minor character--the governess in Rebecca with the psychoanalytical theory, especially emphasizing her abnormal maternity towards Rebecca and trying to dig out its profound causes and its several abnormal characteristics. At last, the following conclusion is drawn： It is just this abnormal maternity that leads to the governess＇ self-destruction.

Symbolism Employed in the Short Story The Yellow Wallpaper

The Yellow Wallpaper examines the role of women in 19th-century American society, including the relationship between husbands and wives, the economic and social dependence of women on men, and the repression of female individuality and sexuality. The Victorian era had a profound impact on social values in the United States, stressing that women were to behave gracefully and remain within the domestic sphere. The novel takes place in a country house located about three miles from the nearest village. The Setting has the appearance of tranquility, but is actually a place of confinement--There are bars on the windows of the nursery, and the bed is secured to the floor The isolated location of the house, its somewhat neglected condition, and her further isolation in the fortress-like nursery, symbolize the narrator＇s mental condition. Several symbols are employed in the story to reveal the oppression of women by men and the struggle against that male dominated society. The yellow wallpaper is symbolic of the Cult of True Womanhood, which binds women to the home and family. Like Charlotte Gilman, women were constricted to the set parameters that men determined. Getting beyond the yellow wallpaper, women defied the corrupted power that men wielded over women, escaped their confinement, and created for themselves a new ideological role, one that included entry into the public sphere

A Visual Cultural Study of Pictorial Weekly in the Republican Period

Peter Burke once said, using images as historical evidence could not only stand as proof of political events, economic trend, and social structure, but also as an illustration of the history of daily life, material culture, mental state, and physical body. Photography is the extension of human vision, the appearance of which has changed the way in which people see the world, molded the subject identity of modernity, and participated in the social construction of visual modernity. To witness the history is not the only purpose of studying on photograph-based pictorials in the republican period, for which it is more important to provide visual reference for the construction of China＇s modernization, and to witness the multiplicity, mobility, and inner-diversity of modernity.

Religious Beliefs in Pre-lslamic Poetry

The subject of this study is how pre-Islamic poets viewed religious beliefs and how the Arabs dealt with such beliefs in the period that preceded the emergence of Islam, known as the/ahiliyya. The study discusses Arab religious beliefs and rites, which were filled with mythical elements such as idol worship, treating some animals as sacred, and worship of the sun, plants, certain inanimate objects and birds. It describes the various stages through which these beliefs passed, from sanctification of trees and caves, through the worship of the sun and the stars, to idol worship and more. The study then proceeds to inquire into the traces of mythology to be found in Arabic poetry. It shows how humans did not only inherit their forefathers＇ beliefs, but also their ideas, and explains how poets were able to embody reality by means of artistic symbols that reflected such elements of their lives as emotions and objective mental states. Subsequently the study discusses the sanctity which the Arabs ascribed to some animals, and which they worshipped in the hope of obtaining a blessing, maintaining an intimacy with the animal or averting evil. Many Arabs in those days believed in the sanctity of animals, the sun, the moon and Venus, thought that trees and other p｜ants possessed a spirit, and considered some animals to be deities with extraordinary powers, among them the viper, the crocodile, the bull, the gazelle and the goat. Finally, the study shows how pre-lslamic Arabic poetry can serve as a reliable document that reflects the society of the times, and how even the restricted amount of verse that has survived from those times can provide considerable information about mythical elements that go back to the remotest times.

Women＇s Leadership in Business

Contemporary organizations need leaders. Not only the ones, who will manage, but managers, who will be able to lead, create a vision, co-operate with people, eliminate barriers, and find new solutions. Success in the organization management no more depends on the person, who manages （man or woman）, but on how he or she directs it and how he or she achieves the goals. The world is opening to the leadership of women, although this process is still not fast enough. For many organizations, women in the role of leaders have become a big chance, but also a challenge. Breaking stereotypes about the women leaders for many organizations is still not easy. We have to remember that the leader is not about sex, but state of mind and qualities which enable achievement of the objectives inaccessible to others. The key question, therefore, is not about whom the leader is but what kind of personalities is, skills or qualifications are the most important if we look for leaders. This paper focuses on indicating how the leadership of women influences an organization.

Study of impact of Human resource policies on employee engagement

How to mobilize the enthusiasm of employees working in human resources management has always been the core issue. Employee engagement is a positive mental state of employers; it can be used to measure affective, cognitive and behavioral aspects of the organization and work involvement, which embodies the people-oriented management thinking. Employee engagement has a positive and predictive effect on business performance, customer satisfaction, and employee well-being. Employee engagement directly affects individual behavior and business performance, and thus it determines the competitiveness of enterprises. This paper first discusses the academic definition of employee engagement, and then bases on the relevant theoretical models to analyze employee engagement mechanisms and factors influencing decisions, and finally proposes enterprises to enhance employee engagement of specific measures.

Mental EEG Analysis Based on Infomax Algorithm

The patterns of EEG will change with mental tasks performed by the subject. In the field of EEG signal analysis and application, the study to get the patterns of mental EEG and then to use them to classify mental tasks has the significant scientific meaning and great application value. But for the reasons of different artifacts existing in EEG, the pattern detection of EEG under normal mental states is a very difficult problem. In this paper, Independent Component Analysis is applied to EEG signals collected from performing different mental tasks .The experiment results show that when one subject performs a single mental task in different trials, the independent components of EEG are very similar. It means that the independent components can be used as the mental EEG patterns to classify the different mental tasks.

A preliminary study of the Six-Item Screener in detecting cognitive impairment

Objective The present retrospective study was to explore the clinical value of Six-Item Screener （SIS）, which is constituted by 6 items from mini-mental status examination （MMSE）, to identify cognitive impairment. Methods A total number of 1976 patients aged over 50 years, from the Memory Clinic of Huashan Hospital were employed in a battery of neuropsychological tests including MMSE. Subjects with severe conditions, unable to cooperate, or having been previously enrolled, were excluded from this study. The employed subjects were divided into 3 groups： subjective memory complaints （SMCs） （475 cases）, patients with mild cognitive impairment （MCI） （440 cases）, and patients with Alzheimer＇s disease （AD） （1061 cases, including 555 mild, 339 moderate, and 167 severe）. A total score of MMSE and a score of SIS composed of date, month, year, three-word delayed recall from MMSE were calculated. Data were analyzed based on educational background. Results The cut-off of SIS score was 〈 2 for illiterate, 〈 3 for elementary, and 〈 4 for junior high school or above. The sensitivity and specificity of SIS for detecting mild AD were 88.5% and 78.3%, respectively, with an overall accuracy of 83.8%, while for detecting MCI, the sensitivity and specificity were 34.3% and 90.1%, respectively, with an overall accuracy of 63.2%. Conclusion SIS is an effective and reliable instrument for dementia detection in outpatient department. However, it has limited value for MCI identification.

Efficacy evaluation on electroacupuncture for Alzheimer's disease

Objective： To observe the clinical efficacy of electroacupuncture（EA） on Alzheimer＇s disease（AD）.Methods： A total of 50 AD patients were randomly allocated into a Western medication（WM） group（n=25） and an acupuncture plus medication（APM） group（n=25）. Patients in the WM group took oral huperzine A capsules. In addition to huperzine A capsules, patients in the APM group also received EA at Shenting（GV 24）, Baihui（GV 20）, Dazhui（GV 14）,Fengfu（GV 16）, Mingmen（GV 4） and Yongquan（KI 1）. The needles on the above points were connected to G6805-Ⅱelectric stimulator [3 pairs： Shenting（GV 24） and Baihui（GV 20）; Dazhui（GV 14） and Fengfu（GV 16）; and bilateral Yongquan（KI 1）]. The needles were retained 25 min. The treatment was done once a day, and 10 times made up a course of treatment.The patients received a total of 3 treatment courses. There was a 3-day interval between two courses. The mini-mental state examination（MMSE） and Hasegawa dementia scale revised（HDS-R） were conducted before and after treatment. The clinical efficacies were evaluated when the treatment was completed.Results： Before treatment, there were no between-group statistical differences in MMSE and HDS-R scores（both P〈0.05）.After treatment, the MMSE and HDS-R scores in the APM group were significantly higher than those in the WM group（both P〈0.05）. The total effective rate in the APM group was 88.0%, versus 76.0% in the WM group, showing a statistical difference（P〈0.05）.Conclusion： EA is effective for AD and can improve clinical symptoms in AD patients.

Severity of dentofacial deformity, the motivations and the outcome of surgery in skeletal Class Ⅲ patients

Objective To study the relationship between severity of skeletal Class Ⅲ malocclusion and the patient's emotional status, as well as motivation for seeking surgical correction and satisfaction with the outcome of the surgery Methods One hundred and forty consecutive Chinese patients with skeletal Class Ⅲ malocclusion who had been treated with a combined orthodontic and surgical approach were studied Sixty seven percent (40 males and 54 females) responded to a questionnaire Fifty four percent had two jaw deformities, 32% mandibular hyperplasia and 14% maxillary hypoplasia Surgical procedures: 77% received two jaw surgeries, 15% maxillary advancement and 8% mandibular setback This was a retrospective study based on questionnaires with numerical scale ranked answers (0: not at all; 1: a little; 2: moderately; 3: quite a bit; and 4: extremely) Results ANB angle was significantly negatively correlated with feelings about the nickname related to their facial problems (embarrassment: r =-0 30, P <0 01; worn out r =-0 32, P <0 01; angry r = -0 24, P <0 05) ANB angle also had a significant negative correlation with the reasons for having the surgery (pressure from their friends: r =-0 21, P <0 05, and referred by physician: r =-0 24, P <0 05) Changes in life style as a result of surgery were significantly negatively correlated with the ANB angle before treatment, positive influence on relationships with the opposite sex ( r =-0 25, P <0 05), positive influence in social activiies ( r =-0 22, P <0 05) Conclusion The psychological status before surgery and the outcome following orthognathic surgery in patients with skeletal Class Ⅲ malocclusion were closely related to severity of the malocclusion

Observation on clinical effect of tuina plus Western medication for functional dyspepsia due to liver qi stagnation and spleen deficiency

Objective：To observe the clinical effects of tuina plus Western medication for functional dyspepsia （FD） due to liver qi stagnation and spleen deficiency.Methods：A total of 72 patients in conformity with the inclusion criteria of FD were randomly divided into an observation group and a control group based upon the random number table,36 cases in each group.The control group was treated with mosapride citrate dispersible tablets,and the observation group was treated with the same tablets plus tuina.Before the treatment and 4 weeks after the treatment,the clinical symptoms,quality of life （QOL） and depression severity were observed by the scale,and were followed up two months later after the treatment for assessment of the clinical effects.Results：After the treatment and at the follow-up,the symptom scores of FD and the sores of Hamilton depression rating scale （HAMD） in both groups decreased,and the scores in Chinese version of quality of life questionnaire for functional digestive disorders （Chin-FDDQL） increased,with statistically significant differences in comparison with the same group before the treatment （all P〈0.05）.In comparison between the two groups at the same time point after the treatment,the scores of FD symptoms,HAMD and Chin-FDDQL were improved better in the observation group than those in the control group,with statistically significant differences （all P〈0.05）.The total effective rates at the follow-up were 91.7% in the observation group and 75.0% in the control group,without statistical difference between the two groups （P〉0.05）.The rate of clinical cure and remarkable effect was 66.7% in the observation group,higher than 41.7% in the control group,it is higher in the observation group than that in the control group,with a statistically significant difference between the two groups （P〈0.05）.Conclusion：Tuina plus Western medication is precise in the therapeutic effects for FD due to liver qi stagnation and spleen deficiency and can effectively relieve clinical symptoms,elevate the QOL and alleviate depression severity of the patients.Moreover,it＇s better than the treatment by Western medication alone in the long-term therapeutic effects.

Therapeutic efficacy and mechanism of heat-sensitive moxibustion for vascular dementia

Objective:To observe the clinical efficacy of heat-sensitive moxibustion for vascular dementia and explore its mechanism.Methods:A total of 70 patients with vascular dementia were randomized into an observation group and a control group,with 35 cases in each group.The control group was treated with piracetam,and the observation group was treated with heat-sensitive moxibustion on the basis of the treatment of the control group.The treatment lasted for 8 weeks.Before and after the treatment,the mini-mental state examination(MMSE),activity of daily living(ADL)and traditional Chinese medicine(TCM)symptom scores were assessed,and the levels of acetyl choline(Ach)and homocysteine(Hcy)were measured.The efficacy was evaluated after treatment.Results:The total effective rate of the observation group was significantly higher than that of the control group(P<0.05).After treatment,the MMSE and ADL scores in the observation group decreased significantly,and were lower than those in the control group(all P<0.05);the TCM symptom score of the observation group decreased significantly(P<0.05),while that of the control group had no significant change(P>0.05);the plasma Ach level in the observation group increased significantly(P<0.05),and the Hcy level decreased significantly(P<0.05),which were statistically different from those in the control group(both P<0.05).Conclusion:Heat-sensitive moxibustion plus piracetam is effective in treating vascular dementia.It can significantly improve dementia symptoms and ADL,which may be related to the correction of plasma Ach and Hcy levels.

Music electric stimulation of points for anxiety:a multi-center randomized controlled clinical trial

To observe the therapeutic efficacy of music electric stimulation of points in treating anxiety. Methods： By adopting a design of multi-centered randomized controlled trial （RCT）, a total of 270 patients with anxiety were randomized into a treatment group and a medication group. The treatment group was intervened by music electric stimulation of points, while the medication group was intervened by oral administration of doxepin. The two groups were evaluated by using Hamilton anxiety rating scale （HAMA） and Chinese revised edition of self-rating anxiety scale （SAS-CR） before and after the intervention. The therapeutic efficacies were also compared. Results： The total effective rate was 93.6% in the treatment group versus 92.3% in the medication group, and the between-group difference was statistically insignificant （P〉O.05）. After the treatment, the aggregate scores of HAMA and SAS-CR were significantly changed in both groups （both P〈0.001）, and the inter-group differences were statistically insignificant （P〉O.05）. Conclusion： Music electric stimulation of points can produce equivalent efficacy in treating anxiety compared to doxepin. Thus, it can be taken as a choice in the treatment of anxiety.

Alzheimer's disease treated with combined therapy based on nourishing marrow and reinforcing Qi

OBJECTIVE:To study the efficacy and safety of combined Traditional Chinese Medicine(TCM) therapy based on nourishing marrow to improve intellect and reinforcing Qi to activate bloodon mild to moderate Alzheimer's disease(AD).METHODS:Sixty-six patients with AD,whoseMini-Mental State Examination(MMSE) score were from 10-24,were randomized equally into an intervention group and a control group.The control group was given Aricept(5 mg,once daily).The intervention group was further divided into Yang-Qi deficiency(n = 18) and of Yin-Qi deficiency(n = 15)subgroups.Patients in the Yang-Qi deficiency group were intravenously administered Shenfu injection,60 mL,and deproteinized calf blood injection(DCBl),1.2 g,once daily.The Yin-Qi deficiency group was given Shenmai injection,60 mL,and DCBl,1.2 g,once daily.Each course lasted 21 days.RESULTS:Compared with the control group and with pre-treatment in the same group,MMSE,clinical dementia rating,and activities of daily living scale scores in the intervention group were significantly improved(all P<0.05).These metrics mildly improved in the control group compared with before treatment(P>0.05).No adverse effects were observed in any group during treatment.CONCLUSION:We found that combined TCM therapy is effective and safe for managing mild to moderate AD.