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11.
Introduction: Several studies have indicated that erectile dysfunction (ED) patients also suffer from lower urinary tract symptoms (LUTS). We investigated a group of men with LUTS and assessed their sexual function with the aim of being able to predict ED risk factors and introduce ED treatments earlier for this patient group.

Methods: International Prostate Symptom Score (IPSS), Overactive Bladder Symptoms Score (OABSS) and Sexual Health Inventory for Men (SHIM) score were obtained from 236 men with LUTS at their first out-patients visit. Clinical parameters such as body mass index, prostate volume, residual urine volume and prostate specific antigen were also evaluated. The relationship between the SHIM score and other clinical data was analyzed.

Results: According to the SHIM score, ED in men with LUTS was severe 15%, moderate 19%, moderate to mild 28%, mild 17%, normal 7% and data was incomplete in 14%. Based on the results of a multivariate analysis, aging (p?p?=?0.024) were significantly correlated to severe and moderate ED. Furthermore, among OAB symptoms score items, urge urinary incontinence was a risk factor for severe and moderate ED (p?=?0.005).

Conclusion: Aging and OAB (notably urinary urge incontinence) are risk factors for severe and moderate ED in men with LUTS.  相似文献   
12.
This article describes couples attending family counselling in Sweden. The study group is compared with clinical groups and non-clinical groups. Self-rating instruments were com-pleted by 317 women and 312 men to evaluate the following: marital satisfaction (DAS), expressed emotion (QAFM), family climate (FC), psychiatric symptoms (SCL-90) and sense of coherence (SOC). This group had several problems: marital relationships, disrupted family functioning, dyadic interactions characterised by criticism and open arguments, and multiple psychological symptoms. The women were espe-cially discontent in the relationship, and they exhibited higher symptom strain and lower sense of coherence than the men did. Compared with non-clinical populations, this group was severely distressed and was similar to in-patient families in child psychiatric clinics. The low sense of coherence of the individuals in the group under study means that their sense of having a meaningful life and their ability to comprehend and manage problems were severely compromised. Adequate and comprehensive treatment within the framework of social pro-grammes should be made available to these couples and others in a similar situation.  相似文献   
13.
弘扬中华民族的优秀文化文学传统,其深远历史意义与重大现实意义无论怎样估价都不会过分。然而,在当下"国学热"中却出现了一些令人忧思的症候:读经复古,诋毁或否定五四新文化、新文学运动的历史意义便是其中显著的两种。应该以科学态度对这两种症候进行深度剖析,对中国文化、特别是儒家文化传统以及五四新文化新文学的"反传统"给出实事求是的科学阐释。  相似文献   
14.
The current study examined passive leadership as a potential antecedent of two commonly studied workplace stressors (i.e. workload and work–family conflict), and investigated its negative effect on employee burnout and physical symptoms via these stressors. We collected two waves of data from 274 focal participants, and one wave of data from their co-workers. Results showed that both self-reported and co-worker-reported passive leadership was positively related to employee burnout and physical symptoms, as well as workload and work–family conflict. Additionally, workload and work–family conflict partially mediated the effects of passive leadership on burnout and physical symptoms, respectively. Our findings support the notion that passive leadership can create a stressful workplace and have a detrimental effect on employees’ health.  相似文献   
15.
Consider the situation where measurements are taken at two different times and let Mj(x) be some conditional robust measure of location associated with the random variable Y at time j, given that some covariate X=x. The goal is to test H0: M1(x)=M2(x) for each xx1,?…?, xK such that the probability of one or more Type I errors is less than α, where x1,?…?, xK are K specified values of the covariate. The paper reports simulation results comparing two methods aimed at accomplishing this goal without specifying some parametric form for the regression line. The first method is based on a simple modification of the method in Wilcox [Introduction to robust estimation and hypothesis testing. 3rd ed. San Diego, CA: Academic Press; 2012, Section 11.11.1]. The main result here is that the second method, which has never been studied, can have higher power, sometimes substantially so. Data from the Well Elderly 2 study, which motivated this paper, are used to illustrate that the alternative approach can make a practical difference. Here, the estimate of Mj(x) is based in part on either a 20% trimmed mean or the Harrell–Davis quantile estimator, but in principle the more successful method can be used with any robust location estimator.  相似文献   
16.
本文基于模糊因果网络分析,提出了系统症结辨识的一种新思路,实例研究了吉林省轻工业发展现状的主要症结所在.  相似文献   
17.
文化诗学的意义就是要把“内部批评”和“外部批评”结合起来,把结构与历史结合起来,把文本与文化结合起来,加强文学理论和文学批评的历史深度和文化意味,走出一条文学理论的新路来.文学批评必须坚持以审美检验为中心.在分析文学文本的时候,应把文本看成是历史的暂时的产物,不能就文本论文本,而要抓住文本的症侯,放置于特定的历史语境中,以历史文化的视野去细细地分析、解读和评论.20世纪90年代末和21世纪初出现的中国的文化诗学,是一个文学理论话语,折射出社会的时代的要求,是对于社会发展平衡的一种呼吁.  相似文献   
18.
本文概述了苏东演变的两个主要历史教训。并根据我国国情,提出如何反对腐败,建立制度化、法律化的民主制的若干看法。  相似文献   
19.
Abstract

Urban transit operators, compared to other occupational groups, have higher rates of mortality and morbidity. A major risk factor is the highly stressful objective environment. This study used structural equation modelling to test a model hypothesizing that transit operators’ coping behaviours in responding to daily job hassles mediate the associations of work stress with burnout and substance use. The study sample consisted of 1231 transit operators who participated in the San Francisco MUNI Health and Safety Study. The results showed a direct and strong association between transit operators’ daily job stress and symptoms of occupational burnout even when a series of controls and coping behaviours were considered. In addition, use of “disengage-deny” and escapist strategies to cope with job stress was positively associated with burnout; the job stress–burnout association was partially mediated through such coping practices. Daily job stress was related to substance use only indirectly and mediated through burnout and use of “disengage-deny” and escapist coping strategies. “Disengage-deny” coping strategies might help reduce substance use whereas escapist coping strategies might increase such use. Overall, our findings suggest that coping behaviour may be an important correlate of transit operators’ ill health. Interventions enabling healthy coping behaviours may help reduce health risks for this occupational group.  相似文献   
20.
Major depression is one of the four most prevalent psychiatric diseases in Taiwan. Furthermore, a study showed that 45 per cent of the family caregivers of persons with persistent psychiatric disability were at risk of depression. The present study aimed at examining if caregivers experienced more depressive symptoms than the general population while controlling for other variables (direct effect), and if the constellation of correlates of depressive symptoms was different between the general population and caregivers (interaction effect). Data from 1979 subjects were gathered in a national survey, using stratified random sampling. The results revealed that the caregivers experienced significantly more depressive symptoms than the general population. However, the effect disappeared when other variables were taken into account. Life stress appeared to be more important than coping and social support. The other two common correlates of depressive symptoms were age and being unmarried. Relational stress mattered especially for caregivers. Lastly, social support variables were significant only for the general population; satisfaction with support could buffer the negative effect of survival stress on depressive symptoms.  相似文献   
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