基于“肝肾失调”探讨阿片类物质心瘾形成的中医病理基础

阿片类物质滥用是目前社会及医学领域的一大难题,其戒断复杂而艰难,关键问题在于阿片类物质心瘾难以戒除。阿片类物质心瘾是指物质滥用者对阿片类物质强烈持久的渴求和难以抑制的用药欲望,其形成的核心机制在于成瘾者对于阿片类物质的异常动机。异常动机的形成在于两个方面,即"产生动机不良"以及"控制不良动机能力下降",本研究即从异常动机形成的两个方面切入,通过类比法、引证法及演绎法进行理论研究,分析认为阿片类物质心瘾的形成与肝肾功能的失调相关相关性,研究认为不良动机形成的关键在于阿片类物质引起的肝失疏泄功能的异常,而控制不良动机能力下降则与肝胆主谋略司决断以及肾所藏之志功能的异常相关。     

POSTMENOPAUSAL MOTHERHOOD: IMMORAL,ILLEGAL? A CASE STUDY

The paper explores the ethics of post-menopausal motherhood by looking at the case of Adriana Iliescu, the oldest woman ever to have given birth (so far). To this end, I will approach the three most common objections brought against the mother and/or against the team of healthcare professionals who made it happen: the age of the mother, the fact that she is single, the appropriateness of her motivation and of that of the medical team.     

WHAT MOTIVATES WOMEN TO TAKE PART IN CLINICAL AND BASIC SCIENCE ENDOMETRIOSIS RESEARCH?*

BACKGROUND: The objective of this study was to identify factors motivating women to take part in endometriosis research and to determine if these factors differ for women participating in clinical versus basic science studies. METHODS: A consecutive series of 24 women volunteering for participation in endometriosis-related research were asked to indicate, in their own words, why they chose to volunteer. In addition, the women were asked to rate, on a scale of 0 to 10, sixteen potentially motivating factors. The information was gathered in the form of an anonymous self-administered questionnaire. RESULTS: Strong motivating factors (mean score > 8) included potential benefit to other women's health, improvement to one's own condition, and participation in scientific advancement. Weak motivating factors (mean score < 3) included financial compensation, making one's doctor happy, and use of 'natural' products. No difference was detected between clinical and basic science study participants. CONCLUSION: This study is the first study to specifically investigate the factors that motivate women to take part in endometriosis research. Understanding why women choose to take part in such research is important to the integrity of the informed consent process. The factors most strongly motivating women to participate in endometriosis research related to improving personal or public health; the weakest, to financial compensation and pleasing the doctor.     

The meaning of the present: hope and foreclosure in narrations about people with severe brain damage

In this article, I consider narratives told within a clinical setting. I argue that personnel in a day center for people with acquired brain damage are constantly involved in narrating about the disabled participants. The negotiation of who the participant is, and foremost will be, is in constant negotiation in regard to issues of hope. I further argue that hope is a meaning-making process and, as such, it has been defined as crucially connected to time. Hope has been said to enable a connection between the present and the future, because action taken in the present could bring about (positive) change in the future. However, I show that hope, in relation to narratives told about people with severe disabilities that are considered "incurable," must be understood within a realm of narrative foreclosure. Time seems to have lost the openness of its horizon for these people, and a narrative that tells of immediacy rather than chronology is created, resulting in hope being established within the present.     

Does an ant-dispersed plant,Viola reichenbachiana,suffer from reduced seed dispersal under inundation disturbances?

Many plant species use ants as seed dispersers. This dispersal mode is considered to be susceptible to disturbances, but the effect of natural, small-scale disturbances is still unknown. We investigated how small-scale disturbances due to inundation affect seed dispersal in Viola reichenbachiana, a dominant myrmecochorous herb in riparian forests. Inundation disturbances were high in depressions and low on hillocks of the forest floor. We found that V. reichenbachiana was similarly abundant at highly and less disturbed sites, contrary to other, non ant-dispersed species. We also found that the motivation of ants to disperse seeds was higher at highly disturbed sites. Nevertheless, the number of seeds dispersed was similar at highly disturbed and weakly disturbed sites and seedlings of V. reichenbachiana were equally abundant. We conclude that inundation disturbances do not interfere with mutualistic seed dispersal by ants in V. reichenbachiana, and suggest that this may possibly contribute to the persistence of V. reichenbachiana under inundation.     

Hunger and light level alter response to bait by Pacific halibut: laboratory analysis of detection, location and attack

Laboratory experiments with Pacific halibut Hippoglossus stenolepis revealed that hunger level had a significant effect on the first detection of bait, the number of baits located and attacked, the time required to locate and attack baits and handling times. In all cases, feeding motivation and efficiency increased with hunger. Light level influenced general locomotory activity and location and attacks on baits, but not detection or handling times. The effect of light was interactive with fish hunger level. Hungry fish could locate and consume baits in all light levels, ranging from daylight conditions to near darkness (10⁻⁸ µmoles photons m⁻² s⁻¹), but location, attack and handling times were all significantly elevated in low light conditions, and attack rates were significantly reduced. In the dark, only 50% of the baits were located and only 17% were attacked. Performance metrics were relatively similar among three higher light treatments (10⁻⁵, 10⁻³ and 10⁻¹ µmoles photons m⁻² s⁻¹) where bait location and attack were more efficient. Active space and effective area associated with baited fishing gear will vary because hunger and light levels affect variation in bait detection, locomotion and feeding behaviour. Consequently, fishing activity and stock assessments that depend upon bait may be compromised by spatial and temporal variation in prey abundance, time of day, season, depth and other environmental variables that influence feeding motivation and efficiency.     

Role of aromatization in anticipatory and consummatory aspects of sexual behavior in male rats

The present study was designed to test the hypothesis that aromatization is involved in the maintenance by testosterone of the appetitive component of male sexual behavior. We measured appetitive sexual behavior by administering behavioral tests in bilevel chambers and quantifying anticipatory level changes during a 5-min period prior to introduction of a stimulus female. In addition, we recorded standard measures of consummatory male sexual behavior after the female was introduced. Following 3 weekly tests, level-changing behavior reached a plateau and remained stable for up to 10 weeks. After 10 bilevel tests, rats were given subcutaneous testosterone capsules to clamp circulating androgen at physiological levels. Rats were tested and divided into two groups that were matched for measures of sexual behavior. One group was then treated with the nonsteroidal aromatase inhibitor, Fadrozole (2.5 mg/kg/day), given subcutaneously in beta-cyclodextrin and the other group was treated with vehicle. Within 1 week of Fadrozole treatment, the number of anticipatory levels changes was significantly reduced, but not the latency to begin searching. Fadrozole treatment also significantly reduced all measures of copulatory behavior over the period of treatment and increased latencies to first mount, intromission, and ejaculation. After 8 weeks, both treatment groups were given an additional Silastic capsule filled with estradiol and tested for 4 additional weeks. Estrogen treatment partially restored level-changing behavior, mounts, and intromissions but had little effect on ejaculations. These results support the view that aromatization is important for maintaining both the appetitive and the consummatory aspects of sexual behavior in male rats.     

Implicit power motivation predicts men's testosterone changes and implicit learning in a contest situation

This study tested the hypothesis that implicit power motivation moderates men's testosterone responses to victory or defeat in a contest situation. It also explored to what extent postvictory testosterone increases are associated with enhanced implicit learning of behavior instrumental for winning a contest. Salivary testosterone levels were assessed in 66 male adults several times before and after a contest whose outcome (winning or losing against a competitor on an implicit learning task) was varied experimentally. Among participants low in activity inhibition, a measure of impulse control, the power motive was a significant positive predictor of testosterone increases (15 min postcontest; r = 0.71, P = 0.01) and implicit learning (r = 0.68, P < 0.05) after a victory, whereas it was a significant negative predictor of implicit learning (r = -0.58, P = 0.01) but not of testosterone increases (r = -0.08, ns) after a defeat. Moreover, among participants low in activity inhibition testosterone increases were associated with enhanced implicit learning (r = 0.38, P < 0.05) and there was statistical evidence that in winners testosterone increases mediated the effect of power motivation on implicit learning. Participants high in activity inhibition did not display this pattern of results.