Chronic heart failure and depressive disorders have a high prevalence and incidence in the elderly. Several studies have shown how depression tends to exacerbate coexisting chronic heart failure and its clinical outco...Chronic heart failure and depressive disorders have a high prevalence and incidence in the elderly. Several studies have shown how depression tends to exacerbate coexisting chronic heart failure and its clinical outcomes and vice versa, especially in the elderly. The negative synergism between chronic heart failure and depression in the elderly may be approached only taking into account the multifaceted pathophysiological characteristics underlying both these conditions, such as behavioural factors, neurohormonal activation, inflammatory mediators, hypercoagulability and vascular damage. Nevertheless, the pathophysiological link between these two conditions is not well established yet. Despite the high prevalence of depression in chronic heart failure elderly patients and its negative prognostic value, it is often unrecognized especially because of shared symptoms. So the screening of mood disorders, using reliable questionnaires, is recommended in elderly patients with chronic heart failure, even if cannot substitute a diagnostic interview by mental health professionals. In this setting, treatment of depression requires a multidisciplinary approach including： psychotherapy, antidepressants, exercise training and electroconvulsive therapy. Pharmacological therapy with selective serotonin reuptake inhibitors, despite conflicting results, improves quality of life but does not guarantee better outcomes. Exercise training is effective in improving quality of life and prognosis but at the same time cardiac rehabilitation services are vastly underutilized.展开更多
Objective In order to characterize the feature of stress response induced by stressor with both physical and psychological natures, the effect of water restriction performed in different experimental modes on the phys...Objective In order to characterize the feature of stress response induced by stressor with both physical and psychological natures, the effect of water restriction performed in different experimental modes on the physiological parameters, psychological behavioral manifestations and brain c-Fos expressions were observed and compared. Methods 58 male Wistar rats were used and randomly divided into three experimental groups （n=18 for each） and a control group （n=4）. In control group, the rats were allowed to access drinking water freely at all experimental period. In the experimental groups the water supply to the rats was restricted. In timed water supply （TW） group, the water was supplied twice a day, 10 min for each in fixed hours every day. In empty bottle-served （EB） and water-restricted （WR） groups, the water was served only once a day for 10 min, either in the early morning or evening, and in the other time point scheduled for water supply only an empty bottle without water was provided in the EB group and nothing was given in the WR group. The quantities of drank water and eaten food, weight-gaining, and behavior score were observed every day. The serum level of corticosterone was assayed and the rats were sacrificed with fixative perfusion of 3 d, 7 d or 14 d respectively, following water restriction （n=6 for each time point in each group）. The brain c-Fos expressions were examined with immunohistochemistry. Results The slowing down of weight-gaining, rise of serum corticosterone level, occurrence of psychological behavioral manifestations of unpeaceful restlessness such as exploring and attacking, enhance of c-Fos expression in the subfomical organ （SFO）, median preoptic nucleus （MnPO）, area postrema （AP）, hypothalamic paraventricular nucleus （PVN）, supraoptic nucleus （SON）, medial （MeA） and central （CeA） amygdaloid nucleus and ventrolateral septum （LSV） were noticed in both EB and WR groups, except the nucleus of solitary tract （NTS） in which the Fos expression was decreased. The changes of Fos expression in most of nuclei in EB group began at day 3, at least persisted till day 7, and backed down at day 14. While in WR group, similar changes started at day 7 and reached its peak at day 14. In TW group, only the concentration of corticosterone at day 7 was slightly increased and the rest indexes observed were unchanged. Conclusion The results indicate that water restriction induces physical as well as psychological stress responses. And the water restrictions experimentally executed in different modes result in different manifestations of behavioral response and brain immediately early gene expression in discrete brain nuclei/regions.展开更多
An increasingly number of transplant centers have integrated a psychological assessment within their protocol for evaluation of patients being considered for transplantation.This paper highlights the psychological cri...An increasingly number of transplant centers have integrated a psychological assessment within their protocol for evaluation of patients being considered for transplantation.This paper highlights the psychological criteria for inclusion or exclusion for listing,briefly discusses the psychological dynamics of patients,and addresses possible psychotherapy and pharmacological therapy,before and after transplant.展开更多
Social media has become an inevitable part of our lives in the age of network society. People establish multiple identities for themselves, with or without references to the real world, and behave according to those i...Social media has become an inevitable part of our lives in the age of network society. People establish multiple identities for themselves, with or without references to the real world, and behave according to those identities. Self-made components of virtual presence are not limited to identities only; many users also create hyper-personalities for themselves with the help of new technologies. Then, the fundamental question becomes： Why do people create self-made identities and hyper-personalities to portray or hide themselves in social media environments？ The answer to this question has certain connections and implications for behaviors of social media users. Therefore, researchers have investigated why some people find social media attractive and attend whenever possible, while others are afraid of social media and hesitate to attend. Positive and negative behaviors of social media users can be classified as braggadocian and preventative. Braggadocian behaviors are related to courageously taking advantage of social media, whereas preventative behaviors are concerned with avoidance of social media. The dominant behavioral pattern of a user depends on what one can achieve through attending or preventing social media. This paper first discusses basic elements of human behavior that drive social media such as altruism, hedonism, connectionism, homophily, multiple identities, memetics, narcissism, and tribalism. Then, it focuses on precautionary elements of human behavior such as avoidance, escape, blocking, fear, hiding, removal, and protectionism. Whether they are attentive or not, one thing is clear： People refrain or enrich their own lives in social media rather than being abused or watching others in industrial media.展开更多
Network has not only become a habit and lifestyle for university student, but also brought all sorts of ethical misconducts and ethical issues in society. Based on the analysis of college students＇ frustrations, this...Network has not only become a habit and lifestyle for university student, but also brought all sorts of ethical misconducts and ethical issues in society. Based on the analysis of college students＇ frustrations, this paper explores the causes of network behavior anomie for college students, which mainly include： dissatisfaction in real communication, game addiction to the network, craving online pornography, and hooking on online shopping. In addition, it also investigates the ways to wipe out mental frustration in such a cyber era. These ways mainly are to strenzthen online education and management, to make psychological counseling, and to carry on frustration education.展开更多
文摘Chronic heart failure and depressive disorders have a high prevalence and incidence in the elderly. Several studies have shown how depression tends to exacerbate coexisting chronic heart failure and its clinical outcomes and vice versa, especially in the elderly. The negative synergism between chronic heart failure and depression in the elderly may be approached only taking into account the multifaceted pathophysiological characteristics underlying both these conditions, such as behavioural factors, neurohormonal activation, inflammatory mediators, hypercoagulability and vascular damage. Nevertheless, the pathophysiological link between these two conditions is not well established yet. Despite the high prevalence of depression in chronic heart failure elderly patients and its negative prognostic value, it is often unrecognized especially because of shared symptoms. So the screening of mood disorders, using reliable questionnaires, is recommended in elderly patients with chronic heart failure, even if cannot substitute a diagnostic interview by mental health professionals. In this setting, treatment of depression requires a multidisciplinary approach including： psychotherapy, antidepressants, exercise training and electroconvulsive therapy. Pharmacological therapy with selective serotonin reuptake inhibitors, despite conflicting results, improves quality of life but does not guarantee better outcomes. Exercise training is effective in improving quality of life and prognosis but at the same time cardiac rehabilitation services are vastly underutilized.
文摘Objective In order to characterize the feature of stress response induced by stressor with both physical and psychological natures, the effect of water restriction performed in different experimental modes on the physiological parameters, psychological behavioral manifestations and brain c-Fos expressions were observed and compared. Methods 58 male Wistar rats were used and randomly divided into three experimental groups （n=18 for each） and a control group （n=4）. In control group, the rats were allowed to access drinking water freely at all experimental period. In the experimental groups the water supply to the rats was restricted. In timed water supply （TW） group, the water was supplied twice a day, 10 min for each in fixed hours every day. In empty bottle-served （EB） and water-restricted （WR） groups, the water was served only once a day for 10 min, either in the early morning or evening, and in the other time point scheduled for water supply only an empty bottle without water was provided in the EB group and nothing was given in the WR group. The quantities of drank water and eaten food, weight-gaining, and behavior score were observed every day. The serum level of corticosterone was assayed and the rats were sacrificed with fixative perfusion of 3 d, 7 d or 14 d respectively, following water restriction （n=6 for each time point in each group）. The brain c-Fos expressions were examined with immunohistochemistry. Results The slowing down of weight-gaining, rise of serum corticosterone level, occurrence of psychological behavioral manifestations of unpeaceful restlessness such as exploring and attacking, enhance of c-Fos expression in the subfomical organ （SFO）, median preoptic nucleus （MnPO）, area postrema （AP）, hypothalamic paraventricular nucleus （PVN）, supraoptic nucleus （SON）, medial （MeA） and central （CeA） amygdaloid nucleus and ventrolateral septum （LSV） were noticed in both EB and WR groups, except the nucleus of solitary tract （NTS） in which the Fos expression was decreased. The changes of Fos expression in most of nuclei in EB group began at day 3, at least persisted till day 7, and backed down at day 14. While in WR group, similar changes started at day 7 and reached its peak at day 14. In TW group, only the concentration of corticosterone at day 7 was slightly increased and the rest indexes observed were unchanged. Conclusion The results indicate that water restriction induces physical as well as psychological stress responses. And the water restrictions experimentally executed in different modes result in different manifestations of behavioral response and brain immediately early gene expression in discrete brain nuclei/regions.
文摘An increasingly number of transplant centers have integrated a psychological assessment within their protocol for evaluation of patients being considered for transplantation.This paper highlights the psychological criteria for inclusion or exclusion for listing,briefly discusses the psychological dynamics of patients,and addresses possible psychotherapy and pharmacological therapy,before and after transplant.
文摘Social media has become an inevitable part of our lives in the age of network society. People establish multiple identities for themselves, with or without references to the real world, and behave according to those identities. Self-made components of virtual presence are not limited to identities only; many users also create hyper-personalities for themselves with the help of new technologies. Then, the fundamental question becomes： Why do people create self-made identities and hyper-personalities to portray or hide themselves in social media environments？ The answer to this question has certain connections and implications for behaviors of social media users. Therefore, researchers have investigated why some people find social media attractive and attend whenever possible, while others are afraid of social media and hesitate to attend. Positive and negative behaviors of social media users can be classified as braggadocian and preventative. Braggadocian behaviors are related to courageously taking advantage of social media, whereas preventative behaviors are concerned with avoidance of social media. The dominant behavioral pattern of a user depends on what one can achieve through attending or preventing social media. This paper first discusses basic elements of human behavior that drive social media such as altruism, hedonism, connectionism, homophily, multiple identities, memetics, narcissism, and tribalism. Then, it focuses on precautionary elements of human behavior such as avoidance, escape, blocking, fear, hiding, removal, and protectionism. Whether they are attentive or not, one thing is clear： People refrain or enrich their own lives in social media rather than being abused or watching others in industrial media.
文摘Network has not only become a habit and lifestyle for university student, but also brought all sorts of ethical misconducts and ethical issues in society. Based on the analysis of college students＇ frustrations, this paper explores the causes of network behavior anomie for college students, which mainly include： dissatisfaction in real communication, game addiction to the network, craving online pornography, and hooking on online shopping. In addition, it also investigates the ways to wipe out mental frustration in such a cyber era. These ways mainly are to strenzthen online education and management, to make psychological counseling, and to carry on frustration education.
