Wiltse paraspinal muscle splitting approach for treatment of L5-S1 spondylolisthesis / 中华全科医师杂志

Forty three patients with L5-S1 spondylolisthesis undergoing surgical treatment from April 2012 to November 2014 were included for analysis,including 20 cases received transforaminal lumbar interbody fusion (TLIF group) and 23 cased received posterior lumbar interbody fusion (PLIF group).The incision length,operative time were shorter and blood loss was less in TLIF group than those in PLIF group [(9.6±0.9) vs.(16.1±1.5) cm,(125.6±13.0) vs.(156.4±11.8) minand (218.7±22.5)ml vs.(326.5 ±20.1) ml,respectively,all P =0.000].There was no statistical difference in the S1 pedicle screw (S1PS) insertion point between two approaches[(29.4 ± 1.9) vs.(28.5 ± 1.0) mm,P =0.069],but the distance from the midline to the lateral edge of the screw (12.9 ±3.6) mm,S1PS angle (23.3 ±2.1) ° and length of S1PS length with the sacral body (40.9 ± 2.6) mm in the TLIF group were better than those in PLIF group (P =0.000).Our results demonstrate that the paraspinal muscle approach for the treatment of L5-S1 spondylolisthesis may be superior with less trauma,better functional recovery and stable screw placement.

Pathway analysis among self consistency and congruence,life events and mental health / 中华行为医学与脑科学杂志

Objective To explore the pathway relationship among self consistency and congruence,life events and mental health,and to supply dependable data to psychotherapy and counseling about pilots.Methods Altogether 428 air force pilots were evaluated in air force Hangzhou sanatorium using self consistency and congruence scale (SCCS),life events scale(LES)and symptom checklist 90 (SCL-90).Spearman correlation analysis, one-sample t-test analysis and pathway analysis were used by soft package for social science version 15.0(SPSS 15.0)and AMOSv7.0.Results The results showed that there were significant relationships between all factors of self consistency and congruence and some factors of stressful life events(r=0.134～0.445);there were significant relationships between all factors of self consisteney and congruence and all factors of SCL-90(r=0.110～0.446); and negative life events of family,negative life events of work and negative life events of social communication were all had highly significant relationships with all factors of SCL-90(r=0.248～0.628).The pathway coefficient between life event and mental health Was B=0.39,P<0.01.The pathway coefficient among self consistency and congruence, life event and mental health were B=0.38,B=0.35,P<0.01,and the total adjust effects was 13.3%.Conclusion Self consistency and congruence is a important adjust variable between life events and mental health, can lighten the impact between life events and mental health.

Effects of lie on mental health and the marriage quality of pilot's couples / 中华行为医学与脑科学杂志

Objective To investigate the effects among social mature,mental health and marriage quality of pilot's couples. Methods SCL-90,EPQ and ENRICH were conducted in 288 of pilot's couples. Correlation,regression were analyzed with SPSS 15.0 software. Results The marriage quality of pilot was significantly affected by the social mature and mental health of pilot himself(β=0.203,-0.274,P<0.001);meanwhile the marriage quality of pilot's wife was significantly affected by the mental health of pilot's couples(β=-0.276,-0.185,P<0.01). Conclusion The social mature and mental health of pilot's couples has a great influence in their marriage quality,so the social mature and mental health of pilot's couples should be taken into the system of the psychological counseling and therapy for pilots.

Analysis on characters of serf-consistency and congruence of air force pilots and its influential factors / 中华行为医学与脑科学杂志

AIM Analyze on characters of self-consistency and congruence of air force pilots and its in-fluential factors,so as to provide a background for counseling and psychotherapy.Methords Altogether 428 air force pilots were evaluated in our sanatorium using Self Consistency and Congruence Scale,Life Events Scale,Per-ceived Social Support Scale,Social Avoidance and Distress Scale,Trait Coping Styles Questionnaire,Eysenck Per-senality Questionnaire for Adults and Symptom Checklist 90.Results Self-inconsistent and incongruent and self stiffness of air force pilots were lower than that of army force (-13.10≤t≤-2.45,P<0.05) ;but self flexibil-ity was higher (5.11≤t≤11.98,P<0.01) ;the correlation between self-inconsistent and incongruent and the neuroticism of EPQ was good (0.406≤r≤0.529,P<0.001) ;the correlation between self-inconsistent and in-congruent and all the factors of perceived social support were goed(0.212≤r≤0.377,P<0.01) ;the correlation between it and negative family events was good (r=0.445,P<0.01) ;the correlation between self-inconsistent and incongruent as well as self stiffness and negative coping style was good (r=0.595,0.434,P<0.01);also and social distress was also good(r=0.456,P<0.01);then the result of the multiple factors analysis revealed that : the first reason that affect the self-inconsistent and incongruent of air pilots was negative life events β=0.53;and the second reason was mentality ill health β=0.40.Conclusion The self-consistency and congruence of air force pilots can be improved by replying the negative life events and enhancing mentality health.

Structure and Function of Field Mobile Psychological Counseling and Treatment Centre / 医疗卫生装备

Objective Through the conversion of civil passenger cars, to develop mobile psychological counseling and treatment centre that can afford field operation for our pilot. Methods The internal structure of 28-Seat-MQ6798 type King Dragon bus was rebuilt by installation of equipment related to psychological intervention, the development of psychological intervention plans, the broad participation of military exercises, force of mental health and education, the actual of sudden catastrophic events, and according to the verification results, field psychological counseling and treatment vehicle and psychological intervention plans were verified. Results The field psychological counseling and treatment centre exclusively includes anterior cabin, hinder cabin, storage rooms and psychological testing and psychological intervention equipment, which can be constituted not only the exchange platform of psychological block aid and information exchange on wartime, popularizing mental health knowledge for officers and soldiers at ordinary times, but also the intervention platform of catastrophic events, anti-terrorism and appeasing confusion and violence. Conclusion The field ambulance is necessary for keeping the mentality health of pilots under the wartime in the future.