We conducted a systematic review of what is known about the relationship between post-traumatic stress disorder (PTSD) and smoking to guide research on underlying mechanisms and to facilitate the development of evidence-based tobacco treatments for this population of smokers. We searched Medline, PsychINFO, and the Cochrane Central Register of Controlled Trials and identified 45 studies for review that presented primary data on PTSD and smoking. Smoking rates were high among clinical samples with PTSD (40%-86%) as well as nonclinical populations with PTSD (34%-61%). Most studies showed a positive relationship between PTSD and smoking and nicotine dependence, with odds ratios ranging between 2.04 and 4.52. Findings also suggest that PTSD, rather than trauma exposure itself, is more influential for increasing risk of smoking. A small but growing literature has examined psychological factors related to smoking initiation and maintenance and the overlapping neurobiology of PTSD and nicotine dependence. Observational studies indicate that smokers with PTSD have lower quit rates than do smokers without PTSD. Yet a few tobacco cessation treatment trials in smokers with PTSD have achieved quit rates comparable with controlled trials of smokers without mental disorders. In conclusion, the evidence points to a causal relationship between PTSD and smoking that may be bidirectional. Specific PTSD symptoms may contribute to smoking and disrupt cessation attempts. Intervention studies that test behavioral and pharmacological interventions designed specifically for use in patients with PTSD are needed to reduce morbidity and mortality in this population. 相似文献
The effect and possible interactive influence of different dietary amounts of wheat bran, fat and calcium on the fecal excretion,
concentration and composition of bile acids was studied in Fischer-344 rats. The fecal bile acids were analyzed using gas-liquid
chromatography. Dietary wheat bran increased both total bile acid excretion and fecal weight without changes in fecal bile
acid concentration. The proportion of fecal hyodeoxycholic acid decreased with increasing dietary fiber, whereas that of lithocholic
and deoxycholic acids increased significantly with fiber intake. The percent content of fecal chenodeoxycholic acid did not
change. Increasing dietary fat led to an increase in bile acid excretion without changes in either fecal weight or bile acid
concentration. In contrast, the level of dietary calcium did not affect the total excretion of bile acids. However, since
calcium increased the fecal weight, it consequently diluted bile acids and decreased their fecal concentration. Dietary fat
and calcium had no influence on fecal bile acid composition. There were no interactive effects of wheat bran, fat and calcium
on fecal bile acids. The finding in this study that dietary fiber, fat and calcium induce significant changes in fecal bile
acids may be of relevance to the potential of bile acids to promote carcinogenesis. 相似文献
A group's staffing level can play an important role in its socialization practices. For example, a group that is understaffed should be more open than an overstaffed group to both prospective and new members. To test this prediction, the leaders of nearly 100 student groups on a college campus were interviewed. These interviews yielded qualitative and quantitative data about the staffing levels in the groups and the methods that they used for recruiting prospective members and assimilating new ones. Analyses of the qualitative data clarified issues such as when understaffing and overstaffing are likely to occur, what kinds of problems they produce in groups, and how groups try to solve those problems. Analyses of the quantitative data revealed that our prediction was correct: As their staffing levels decrease, most groups become more open to prospective and new members. Implications of the results are discussed, and some suggestions for future research are offered. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
For hundreds of years Spitalfields, the 250 acres that border the London Borough of Tower Hamlets and the City of London, has been a first point of settlement for immigrants. Its tradition of political and religious non-conformity and its proximity to the City of London and the docks have acted as a unique beacon to those seeking refuge and economic opportunity in a capital city. Spitalfields has provided a landscape upon which the incomers have engraved a 'home away from home', for themselves and their families. Using the 'Spitalfields experience' as a focal point, the concept and construction of home by migrants in the diaspora is explored, and some of the cultural tools that the Huguenots, eastern European Jews and Bangladeshis—the protagonist subject groups of this essay—have used to construct their homes in the elsewhere are examined. Due to the spatial limitations of this work, language, diet and religion have been selected as the topics under the microscope. All three facilitated the maintenance of links with the sending societies whilst, in some, though not in every instance, creating a bridge to assimilation. The usage and effectiveness of these tools is compared and contrasted and the role played by Spitalfields over the past four centuries in the creation of homes by those in an alien environment is assessed. 相似文献
This study examines the extent to which variations in consumers' sensory assessments of food arise from the inability to report accurately sensory perceptions, from confusion regarding the criteria by which to assess samples, or from differences in their oral breakdown of the products.
Twenty consumers assessed the tenderness of a range of 8 hot, freshly roasted meat samples using Time Intensity (TI). Overall a significant correlation was found between the maximum recorded intensity (Imax) of their TI curves and single sensory scores given by a trained panel. Correlation was significant for only 42% of the consumers individually. Significant correlations were found between the amount of masticatory muscle activity undertaken during chewing (measured using electromyography) and Imax for all but 2 of the consumers. Thus subjects' perceptions were accurately described by their chewing work, suggesting between subject differences in perception arose from differences in the way chewing work was applied to break down the samples. The sensory input from the masticatory muscles may represent the major determinant of perceived tenderness of meat. 相似文献
Technology-assisted instruction has potential for helping students improve their reading skills. In the current studies, PowerPoint software was used to supplement teacher-led reading instruction for elementary-aged students with disabilities who struggled with phoneme blending to read words. The effectiveness of the intervention was assessed using two multiple probe design studies across sets of words based on an onset-rime (word family) strategy. In Study 1, teacher-led instruction was paired with technology-assisted instruction for all intervention sessions for three students in first and second grade. In Study 2, teacher-led instruction occurred between baseline and technology-assisted intervention sessions for three students in third and fourth grade. During the initial instruction sessions, participants recorded their own voices onto PowerPoint slides so that their technology-assisted instruction included self-modelling. Results of both studies indicated that technology-assisted instruction can be effective for helping students learn how to blend phonemes to read words; however, performance varied and there were limitations in each study that should be addressed in future research. Relevant implications for classroom instruction are emphasized. 相似文献
This paper proposes a method for designing robust H?? static output feedback stabilization of Takagi-Sugeno (T-S) fuzzy systems under actuator saturation. In this paper, the input saturation is represented by a polytopic model and the modeling error is assumed a norm-bounded uncertainty. A set invariance condition for robust H?? static output feedback system under actuator saturation is first established. Then, the estimation of the largest domain of attraction for the system is formulated and solved as a Linear Matrix Inequality (LMI) optimization problem. Two examples are used to demonstrate the effectiveness of the proposed design method. 相似文献