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find Keyword "自杀" 18 results
  • 有癫痫发作史患者的幻觉发生率与精神病理学意义

    癫痫发作活动已被证明与幻觉有关,而有癫痫发作史的患者产生幻觉的精神病理学意义尚不清楚。该研究的目的是评估有癫痫发作史的患者听幻觉和视幻觉的发生率,并调查它们与一些精神障碍、自杀意念和自杀企图之间的关系。这是一项基于人群的横断面调查,数据来自“成人精神疾病发病率调查”。采用精神病筛查问卷评估听幻觉和视幻觉,临床访谈表评估精神障碍,Logistic 回归评估幻觉经历与精神障碍、自杀意念和自杀企图之间的关系。共有 14 812 例成年患者[58% 为女性;平均年龄(51.8±0.15)岁]被纳入研究,1.39% 报告曾有癫痫发作(54% 为女性),8% 有癫痫发作史的患者述曾有幻觉[OR=2.05,95%CI(1.24,3.28)]。有癫痫发作史的患者出现精神障碍[OR=2.34,95%CI(1.73,3.16)]、自杀意念[OR=2.38,95%CI(1.77,3.20)]和自杀企图[OR=4.15,95%CI(2.91,5.92)]的几率增加。与有癫痫发作史但未曾述有幻觉的患者相比,有癫痫发作史合并幻觉经历的患者发生精神障碍[OR=3.47,95%CI(1.14,10.56)]、自杀意念[OR=2.58,95%CI(0.87,7.63)]和自杀企图[OR=4.61,95%CI(1.56,13.56)]的几率增加。总的来说,超过半数有癫痫发作史合并幻觉经历的患者至少有一次自杀企图。对精神病理的严重程度的校正并不能解释幻觉经历和自杀企图之间的关系。有癫痫发作史的患者合并幻觉经历是精神障碍和自杀行为的高风险标志。有癫痫发作史的患者出现幻觉与自杀企图之间有着尤其密切的关系。临床医生诊治有癫痫发作患者时,应该常规询问患者有无幻觉。

    Release date:2021-02-27 02:57 Export PDF Favorites Scan
  • Experimental Study of pcDNA3/AFP/TK/Angio Fusion Gene Targeting Therapy for Human Primary Liver Cancer

    Objective To study the effects of pcDNA3/AFP/TK/Angio fusion gene targeting therapy for human primary liver cancer in nude mice implanted with SMMC-7721. Methods  Human liver cancer cell line SMMC-7721 was implanted subcutaneously in nude mice to establish experiment model. Animals bearing liver cancer were randomly divided into five groups: control group, vector group, GCV (ganciclovir) group, pcDNA3/TK/Angio group; pcDNA3/AFP/TK/Angio group. Different plasmids were directly injected into tumors and GCV was intraperitoneally administrated simultaneously according to different groups. The growth of tumors was observed and the pathology was examined as well. Serum AFP level was measured by radioimmunology, the ultrastructural change of tumor cells was studied by using electron microscopy, the expressions of MVD and VEGF were respectively detected with immunohistochemistry and the cell apoptosis in situ was detected by TUNEL. Results The success rate to establish subcutaneous implanted liver cancer model in nude mice was 100%. The tumor volume, serum AFP level, VEGF and MVD expressions of pcDNA3/TK/Angio group and pcDNA3/AFP/TK/Angio group were lower than those in control group, vector group and GCV group (P<0.05) and more apoptosis cells could be observed. While the tumor volume, serum AFP level, VEGF and MVD expressions of pcDNA3/AFP/TK/Angio group was lower than those in pcDNA3/TK/Angio group (P<0.05); and apoptosis index was higher than that of the latter (P<0.05).Conclusion pcDNA3/AFP/TK/Angio fusion gene inhibits the growth of tumor remarkably and becomes a promising new biological agent to treat human primary liver cancer.

    Release date:2016-09-08 11:49 Export PDF Favorites Scan
  • 媒体与精神行为障碍的关系

    随着人类社会的发展,生活、生产和行为方式的变化,医学模式也随之改变,现代“文明病”和各种心身疾病改变着“疾病谱”和死亡顺序,心理精神疾病愈来愈引起人们的重视。社会文化环境在疾病过程中起一定作用,其中媒体为信息传播和获取提供了不同的方式和平台。近来有研究发现各种关于自杀、灾难、创伤、吸烟、饮酒等负面信息的媒体报道将会对个人的行为产生负面的影响,甚至会引发精神障碍。因此,媒体与精神行为障碍的关系引起了人们的重视,在此就媒体与精神行为障碍的关系作一综述。

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  • Study on Postpartum Suicide and Relevant Highrisk Factors

    Objective To identify the high risk factors related to postpartum suicide. Methods A total of 40 women with postpartum depression who had suicidal act or ideation were included in the study. They were evaluated by the Edinburgh Postpartum Depression Scale (EPDS), the Life Events Scale (LES) and the Social Support Rate Scale (SSRS), and compared with healthy postpartum women. The multi-element gradual regression analysis was performed to identify the high risk factors. Results Such factors as prior history of depression, negative life events within the previous half year, absence of social support, disease of mothers or infants, and conjugal relationship were significantly correlated with postpartum suicide. Conclusion It might be helpful to reduce the incidence of postpartum suicide by prenatal mental intervention and postpartum crisis intervention.

    Release date:2016-09-07 02:14 Export PDF Favorites Scan
  • Construction of Recombinant Adenovirus Containing tk Gene

    Objective To construct replication-defective adenovirus containing tk gene (ADV-tk). Methods Recombinant adenovirus of ADV-tk was constructed using homologous recombination in cells. After the interested tk gene fragment in the recombinant plasmid obtained was confirmed by PCR, the titre of purified recombinant adenovirus was detected. In vitro study, tk gene in SMMC7721 cells transfected by ADV-tk was investigated by RT-PCR. In vivo study, ADV-tk was injected intraperitoneally into BALB/c nude mice with liver cancer and apoptosis cells in tumor were observed. Results Recombinant adenovirus containing ADV-tk was proved successfully. The titre of purified recombinant adenovirus was 1.4×1010 pfu/ml. In vitro study, tk was integrated and expressed by SMMC-7721 cells. In vivo study, with the injection of ADV-tk, apoptosis cells in tumor increased. Conclusion A replication-defective adenovirus containing tk gene is successfully constructed, which may useful for further research on tumor suicide gene therapy with ADV-tk.

    Release date:2016-09-08 10:54 Export PDF Favorites Scan
  • Analysis on Suicidal Tendency and Its Risk Factors in Undergraduates in a Comprehensive University

    【摘要】 目的 了解在校大学生的自杀倾向及其危险因素,为自杀行为的早期干预提供依据。 方法 2010年10—11月,采用贝克绝望量表以及自编的一般资料问卷对在校大学生进行现场调查,对自杀倾向的影响因素进行单因素与多因素分析。 结果 自杀倾向总检出率为14.9%,单因素分析显示女性、低年级、成绩差、来自县城、独生子女、非班干部、父母职业为知识分子、父母文化程度为大学及以上的大学生自杀倾向发生率明显高于其他;通过Logistic多元回归分析筛选出来与自杀倾向相关的危险因素有一年级、来自城市及县城、家庭收入低。 结论 在校大学生自杀问题应引起足够重视,关注特殊群体,有效预防自杀行为发生。【Abstract】 Objective To explore the prevalence of suicidal tendency and its related risk factors in undergraduates and provide the basis for early intervention to prevent suicide.  Methods The undergraduates were investigated by Beck Hopelessness Scale (BHS) and self-made questionnaire in this study.  Results The generalized prevalence of suicidal tendency was 14.9%. Female, freshman, bad grades, coming from county or one-child family, non class leader, parents’ occupations as intellectuals and parents having a cultural degree of university and above were high risk factors for suicidal tendency. Logistic multivariate regression analysis showed that risk factors for suicidal tendency were freshman, coming from city, county or poor family.  Conclusion The suicide problem in special population like undergraduates in the university needs more attention, and measures have to be taken to effectively prevent suicidal behaviors.

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • Association between bullying behaviors and risk of non-suicidal self-injuries among adolescents: a meta-analysis

    ObjectivesTo systematically review the association between bullying and risk of non-suicidal self-injury among adolescents.MethodsPubMed, MEDLINE, EMbase, The Cochrane Library, CNKI and WanFang Data were searched from inception to September 1st 2017 to collect studies on the association between bullying and non-suicidal self-injuries. Two reviewers independently screened literature, extracted data and assessed the risk of bias of included studies by Agency for Healthcare Research and Quality (AHRQ). Then, meta-analysis was performed using CMA 2.2 software.ResultsA total of 23 studies involving 18 819 participates were finally included. The results of meta-analysis showed that bullying victims reported more NSSI than uninvolved adolescents (OR=2.41, 95%CI 1.96 to 2.96, P<0.001). The bullying perpetrators reported more NSSI than uninvolved adolescents (OR=2.26, 95%CI 1.39 to 3.68,P=0.001). Individuals acting as both victims and perpetrators could also increase risks of NSSI (OR=2.76, 95%CI 1.17 to 6.51, P=0.02). Using meta-regression, it was found that the relation between NSSI and bullying victimization was significantly moderated by age, with studies in which respondents were younger reporting larger effect sizes than studies in which respondents were older (B=–0.33, 95%CI –0.38 –0.28, P<0.001).ConclusionsThe current study demonstrates that involvement in bullying in any capacity is associated with non-suicidal self-injuries. Due to the limitation of research, more studies are required to verify above conclusions.

    Release date:2018-07-18 02:49 Export PDF Favorites Scan
  • Construction of 5 Copies Hypoxia-Responsive Element Enhanced Suicide Gene Vector Targeting for Hepatocellular Carcinoma

    Objective To design and construct the eukaryotic expressed vector of suicide genes, which contained 5 copies of hypoxia-responsive element (5HRE), promoter of alpha-fetoprotein gene (AFPp) and nitroreductase from Escherichia coli. Methods The constructing processes were as follows: ①The design of primer: Suicide genes of NTR in the Escherichia coli, which contained 6his-tag gene (6his-tag), were cloned by overlapping PCR. ②The construction of 5HRE: The single strand of synthetized HRE oligonucleotide was annealed, and 5HRE was constructed by multiple recombinant clone. ③The recombination of NTR gene, 5HRE, AFPp and pIRES2-EGFP: pIRES2-EGFP, which had removed the instant early promoter of cytomegalovirus, was recombined with NTR gene, 5HRE, AFPp. In this way, the eukaryotic expressed vector of pIRES2-EGFP-5HRE-AFPp-NTR, which carried NTR gene, 5HRE, AFPp was finally constructed. Results NTR gene, which contained the fusion of 684-base pair and 6his-tag gene, was cloned successfully, and its sequence was coincident with the result published by Genbank. A 221-base pair of 5HRE was also constructed, which was in accordance with the expected sequences. The integrity of the eukaryotic expressed vector was verified by restriction enzyme digestion and DNA sequence analysis, respectively. Conclusion The eukaryotic expressed vector of pIRES2-EGFP-5HRE-AFPp-NTR is successfully constructed, which may be used for its further investigation in vitro.

    Release date:2016-09-08 11:49 Export PDF Favorites Scan
  • Correlation between interpersonal stress and suicidal ideation: a meta-analysis

    ObjectiveTo systematically evaluate the correlation between interpersonal stress and suicidal ideation. MethodsThe PubMed, EMbase, Cochrane Library, CBM, WanFang Data and CNKI databases were searched to collect studies on the correlation between interpersonal pressure and suicidal ideation from database inception to April 27, 2022. Two researchers independently screened the literature, extracted data and assessed the risk of bias of the included studies. Meta-analysis was then performed using Stata 14.0 software. ResultsA total of 42 studies including 3 cohort studies, and 39 cross-sectional studies, with a total sample size of 193 810 participants were included. Meta-analysis showed that the risk of suicidal ideation was higher in people who had experienced interpersonal pressure than in people who had not (OR=2.11, 95%CI 1.99 to 2.23, P<0.01). Subgroup analysis showed that people in the Americas who had experienced interpersonal pressure were more strongly associated with suicidal ideation than people in other regions of the studied area. Young adults in the study who had experienced interpersonal pressure were more strongly associated with suicidal ideation than other studied age groups; People who had experienced partner pressure were more strongly associated with suicidal ideation than those who had experienced other types of interpersonal pressure. ConclusionThis study shows that people who have experienced interpersonal pressure are at greater risk of suicidal ideation, and there are certain differences among study areas, subjects and types of interpersonal pressure. Due to the limited quantity and quality of the included studies, more high-quality studies are needed to verify the above conclusion.

    Release date:2023-04-14 10:48 Export PDF Favorites Scan
  • The investigation of suicide related risk factor of the teenagers after trauma

    Objective To investigate the suicide related factors of the teenagers after trauma and further discuss the prevalence and related factors of suicide idea plan and behavior. Methods Using the general information questionnaire and the Youth Risk Behavior Survey (YRBS) to investigate the primary and secondary students in the nine worst-hit areas in Wenchuan earthquake of 2008, with cluster random sampling and the class as a sampling unit, to extract random 110 primary and middle schools and gather their general information, disaster-related cases and scores of suicide in YRBS. According to the different types of data, we used descriptive statistics,t test,Chi square test and Logistic regression analysis and respectively use single factor analysis and multivariate logistic regression analysis for suicide idea, plan and behavior. Results A total of 7 833 questionnaires were sent out and a total of 7 521 questionnaires were collected and the recovery rate was 96. 02%. Among them, there were 6 875 valid questionnaires (91.41%) and 636 invalid questionnaires. According to the investigation, the prevalence of the primary and secondary students which had seriously considered suicide was 6. 90%, which had a plan to commit suicide was 4.00% and which tried to take over the action of suicide was 2.70%. With general information for the independent variable, logistic regression analysis showed that whether there had seriously considered suicide as the dependent variable: age (OR=1.178, 95%CI 1.098 to 1.178) and changed in family structure after the earthquake (OR=1.360, 95%CI 1.360 to 1.085) were risk factors for post disaster the teenagers with suicide idea; whether there had been plan to commit suicide as the dependent variable: age (OR=1.099, 95%CI 1.050 to 1.150), the history of being buried in ruin (OR=2.155, 95%CI to 1.104 to 4.205) and changed in family structure after the earthquake (OR=1.495, 95%CI 1.128 to 1.981) were risk factors for post disaster the teenagers with suicide plan; whether took over the action of suicide as the dependent variable: male (OR=1.513, 95%CI 1.122 to 2.039) and changed in family structure after the earthquake (OR=1.555, 95%CI 1.112 to 2.175) were risk factors for post disaster the teenagers with suicide behavior. Conclusion Age and changed in family structure after the earthquake were the risk factors for suicide idea and age was positively correlated with suicidal idea. Age, had the history of being buried in ruin and changed in family structure after the earthquake were the risk factors for suicide plan and age was positively associated with suicide plan. Male and changed in family structure after the earthquake were the risk factors for suicide behavior. Among them, changed in family structure after the earthquake was the common risk factor. So there should be targeted psychological assessment and psychological rehabilitation intervention to avoid the risk of suicide among the teenagers after the disaster.

    Release date:2017-04-01 08:56 Export PDF Favorites Scan
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