Cognitive Trauma Therapy for Battered Women With PTSD (CTT-BW).

This article describes a second treatment-outcome study of cognitive trauma therapy for battered women with posttraumatic stress disorder (PTSD; CTT-BW). CTT-BW includes trauma history exploration: PTSD education; stress management; exposure to abuse and abuser reminders; self-monitoring of negative self-talk; cognitive therapy for guilt; and modules on self-advocacy, assertiveness, and how to identify perpetrators. One hundred twenty-five ethnically diverse women were randomly assigned to immediate or delayed CTT-BW. PTSD remitted in 87% of women who completed CTT-BW, with large reductions in depression and guilt and substantial increases in self-esteem. White and ethnic minority women benefited equally from CTT-BW. Similar treatment outcomes were obtained by male and female therapists and by therapists with different levels of education and training. Gains were maintained at 3- and 6-month follow-ups. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Twelve-Week Outcomes From an Investigation of High-Dose Nicotine Patch Therapy for Heavy Smokers With a Past History of Alcohol Dependence.

This study reports findings from an investigation of the efficacy of high-dose nicotine patch (NP) therapy for heavy smokers with a past history of alcohol dependence. One hundred thirty participants were randomly assigned to 42 mg or 21 mg of transdermal nicotine for 4 weeks, followed by an 8-week dose titration. Follow-up assessments were conducted at 4 and 12 weeks. Differences between dose conditions were nonsignificant, although unexpectedly, outcomes favored participants in the 21-mg NP condition. Nicotine abstinence at follow-up was related to longer length of alcohol abstinence at time of enrollment. Future research should investigate ways to improve smoking quit rates in this population, including more frequent counseling sessions and/or other pharmacotherapies. These investigations should focus primarily on smokers in early alcohol recovery. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Robert A. Harper (1915-2004).

Presents the obituary for Robert A. Harper (1915-2004). Dr. Harper is noted for his contributions to the field of psychotherapy, particularly to the areas of marriage, family, and sex therapy. In addition, his expertise, good nature, and no-nonsense style made him a popular figure amongst his peers, who elected him to leadership positions in numerous professional organizations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Comparison of Narrative Exposure Therapy, Supportive Counseling, and Psychoeducation for Treating Posttraumatic Stress Disorder in an African Refugee Settlement.

Little is known about the usefulness of psychotherapeutic approaches for traumatized refugees who continue to live in dangerous conditions. Narrative exposure therapy (NET) is a short-term approach based on cognitive-behavioral therapy and testimony therapy. The efficacy of narrative exposure therapy was evaluated in a randomized controlled trial. Sudanese refugees living in a Ugandan refugee settlement (N = 43) who were diagnosed as suffering from posttraumatic stress disorder (PTSD) either received 4 sessions of NET, 4 sessions of supportive counseling (SC), or psychoeducation (PE) completed in 1 session. One year after treatment, only 29% of the NET participants but 79% of the SC group and 80% of the PE group still fulfilled PTSD criteria. These results indicate that NET is a promising approach for the treatment of PTSD for refugees living in unsafe conditions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of Cognitive-Behavioral Treatment for Panic Disorder Versus Treatment as Usual in a Managed Care Setting.

Eighty clients enrolled in a managed care health plan who identified panic disorder as their primary presenting problem were randomly assigned to treatment by a therapist recently trained in a manual-based empirically supported psychotherapy (M. G. Craske, E. Meadows, & D. H. Barlow, 1994) or a therapist conducting treatment as usual (TAU). Participants in both conditions showed significant change from pre- to posttreatment on a number of measures. Those receiving panic control therapy (PCT) showed greater levels of change than those receiving TAU. Among treatment completers, an average of 42.9% of those in PCT and 18.8% in TAU achieved clinically significant change across measures. The results are discussed with reference to the dissemination of PCT and other evidence-based psychotherapies to clinical practice settings. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Alcoholics Anonymous and Relapse Prevention as Maintenance Strategies After Conjoint Behavioral Alcohol Treatment for Men: 18-Month Outcomes.

Ninety men with alcohol problems and their female partners were randomly assigned to 1 of 3 outpatient conjoint treatments: alcohol behavioral couples therapy (ABCT), ABCT with relapse prevention techniques (RP/ABCT), or ABCT with interventions encouraging Alcoholics Anonymous (AA) involvement (AA/ABCT). Couples were followed for 18 months after treatment. Across the 3 treatments, drinkers who provided follow-up data maintained abstinence on almost 80% of days during follow-up, with no differences in drinking or marital happiness outcomes between groups. AA/ABCT participants attended AA meetings more often than ABCT or RP/ABCT participants, and their drinking outcomes were more strongly related to concurrent AA attendance. For the entire sample, AA attendance was positively related to abstinence during follow-up in both concurrent and time-lagged analyses. In the RP/ABCT treatment, attendance at posttreatment booster sessions was related to posttreatment abstinence. Across treatment conditions, marital happiness was related positively to abstinence in concurrent but not time-lagged analyses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

基于ARM内核的嵌入式肿瘤热疗系统

采用基于ARM内核的嵌入式系统开发小型超声热疗仪是肿瘤热疗系统开发领域中应用嵌入式技术的一个全新尝试，实现了上、下位机一体化设计。嵌入式肿瘤热疗系统包括组织温度采集与转换系统、超声功率控制信号发生模块、存储管理系统、人机交互系统（包括液晶显示及键盘输入）以及其他基本功能模块。根据热疗实际需要对PID控制算法进行改进与优化，提高了治疗中肿瘤组织温度的控制品质。实验结果表明，系统设计可靠，满足临床肿瘤热疗要求。     

α放射性核素靶向治疗研究进展:α核素的制备与分离北大核心CSCD

α放射性核素靶向治疗(targeted alpha therapy,TAT)技术作为一种很有前景的肿瘤放疗手段近些年来正不断发展。因α放射性核素具有线性传能密度(linear energy transfer,LET)高、射程短、放射生物学效应和细胞毒性强等特点,TAT在微小肿瘤、散在性肿瘤及发生微转移肿瘤的治疗上展现出了独特的优势。但是,由于可用于TAT的α核素来源非常有限,且其制备和纯化也十分困难,这就导致α核素的获取成为了制约TAT技术发展的主要因素之一。针对α放射性核素靶向治疗中α核素的获取问题,本文从核素的性质、制备技术及分离方法的角度对几种适用于靶向治疗的α放射性核素(^(225)Ac、^(213)Bi、^(212)Pb、^(212)Bi、^(227)Th、^(223)Ra、^(230)U、^(226)Th、^(211)At、^(149)Tb)的研究现状进行了概述。     

华南地区医用I类放射源辐射安全监管现状分析

从管理角度,分析了华南地区医用I类放射源治疗装置的运行现状,指出在辐射安全与防护方面存在持证率低、放射源活度与辐射安全许可证不符、放射源退役渠道不畅等主要问题,并提出了相应的意见和建议。     

腺病毒载体携带HSV1-TK报告基因感染BMSCs后摄取~(131)I-FIAU的实验研究

用内部核糖体进入序列(IRES)将报告基因单纯疱疹I型病毒胸苷激酶(HSV1-TK)和治疗基因脑源性神经营养因子(BDNF)连接,双启动子法将TK-IRES-BDNF与增强绿色荧光蛋白(EGFP)包装到重组腺病毒载体中,得到Ad5-TK-IRES-BDNF-EGFP,扩增、纯化、测定病毒滴度;以感染复数(MOI)为0、50、100、150、200、250感染体外培养的骨髓间充质干细胞(BMSCs),以重组腺病毒Ad5-EGFP为无效对照病毒。荧光显微镜下观察感染细胞的绿色荧光细胞阳性率。四甲基偶氮唑蓝(MTT)比色法检测感染细胞增殖能力。碱性成纤维细胞生长因子(bFGF)和表皮生长因子(EGF)诱导感染细胞向神经元细胞分化,显微镜下观察细胞形态变化。实时定量聚合酶链反应(RQ-PCR)和2-△△CT法分析两目的基因的相对表达量(CT)。观察感染细胞对131I-FIAU的摄取情况。重组腺病毒Ad5-TK-IRES-BDNF-EGFP在MOI为150可高效感染BMSCs,感染细胞存活率98%,且保持良好的神经元细胞诱导分化能力。RQ-PCR检测两目的基因随着腺病毒MOI增加表达增强,且TK和BNDF两基因的表达有良好的线性相关(r=0.973,P0.05,n=3)。在前3h可见感染目的基因组细胞对131I-FIAU的摄取程度与时间呈正相关,3h感染目的基因组对131I-FIAU摄取率可达(31.42±0.46)%(n=3),随后增加不明显。各点感染目的基因组摄取率均显著高于对照组(t=23.06–173.83,P0.05,n=3)。重组腺病毒载体能高效、低毒感染BMSCs,IRES介导两目的基因表达有良好的线性相关。本研究表明感染目的基因细胞可有效介导HSV1-TK摄取131I-FIAU,为后续放射性核素报告基因活体显像示踪转基因BMSCs治疗脑梗死提供了细胞水平依据。