Thyroglossal duct cyst and fistula is one of the most common birth defects. Thyroglossal duct carcinoma occurred in residual thyroglossal tube or thyroglossal duct cyst is a rare disease which is often difficult to diagnosis by clinical examination, and the prognosis by surgical removal is good. We present a 29-year-old female with thyroglossal duct cyst. In our case, the patient underwent thyroglossal duct cysts dissection without systemic preoperative examination for thyroid. Histologic analysis after a Sistrunk procedure revealed a small focus of papillary carcinoma within the TGDC. The patient has been followed up for 1 years without any metastasis.
Adult ; Carcinoma, Papillary ; diagnosis ; Dissection ; Female ; Humans ; Prognosis ; Thyroglossal Cyst ; surgery ; Thyroid Neoplasms ; diagnosis

Objective To evaluate the diagnostic value of the 10 g nylon silk,vibration threshold value,sense of temperature,pain sense and ankle reflex in the diagnosis of diabetic peripheral neuropathy (DPN)and to search an exact diagnostic method of DPN not only economical but also easy to handle.Methods To carry out the measurements of the NCV,10 g nylon silk,vibration threshold value,sense of temperature,pain sense and ankle reflex on the patients who have been diagnosed with diabetes (DM)between April 2014 and June 2014 in the endocrinology department of our hospital.The sensitivity,specificity,positive forecast value,negative forecast value,Youden index and K value serve as assessments of the diagnostic efficiency of clinically diagnostic criteria. Results The sensitivity,specificity,positive forecast value,negative forecast value,Youden index and K value of the ankle reflex are 66.04%,95.56%,97.22%,54.43%,61.60%,and 0.5 1 in mediate accordance with the diagnostic criteria and it is the best one among the five methods.While the sensitivity and accordance of the pressure sense are of the least accordance with the diagnostic criteria.The correspondent value of the combination of vibration threshold sense,temperature sense and ankle reflex are respectively 86.79%,91.11%,95.83%,74.55%, 77.90% and 0.73,in positive accordance with the diagnostic criteria.Conclusion Among the five methods the consistency between the combination of vibration threshold sense,temperature sense and ankle reflect and diagnostic criteria is of positive accordance and can be applied in screening DPN clinically.

Objective To investigate the trait coping styles, emotional intelligence, positive mental characters and the impact of event among Chinese recruits, and the relationship among them. Methods The Trait Coping Style Questionnaire (TCSQ), Schutte's Emotional Intelligence Scale (SSEIS), Positive Mental Characters Scale for Recruits (PMCS-R), and Impact of Event Scale-Revised (IES-R) were used to assess the coping styles, emotional intelligence, positive mental characters and the impact of event in 1 837 male recruits that were divided into two groups (stress group and control group) by considering the scores of the IES-R as the screening criteria (≥35). The data were analyzed by t test, correlation analysis and multiple stepwise regression analysis. Results Totally 148 (8.1%) male recruits with stress were screened, and 163 male recruits without stress were selected using stratified random sampling according to demographic characteristics of age, education level and so on. There were significant differences between stress and control groups in the scores of TCSQ, SSEIS and PMCS-R except utilization of emotions and wisdom. Multiple stepwise regression analyses showed that the negative coping, regulation of emotion and wisdom entered the regression equation of the total score of IES-R in the stress group (F=13.395, R2=0.218, P<0.05). However, in the control group, only negative coping came into the equation of the total score of IES-R (F=22.887, R2=0.155, P<0.05). Conclusion Trait coping styles, emotional intelligence and positive mental characters can predict the impact of stress event among recruits effectively, which could provide theoretical basis for the mental health service in recruits.

Objective To explore the mediation effect of adult attachment on the relationship between childhood trauma and borderline personality disorder(BPD) in recruits.Methods Childhood trauma questionnaire-28 short form (CTQ-SF),adult attachment scale (AAS) and personality diagnostic questionnaire-4+ (PDQ-4+) were administered to 1 750 recruits in the autumn of 2013.Results The scores of physical neglect,emotional neglect,emotional abuse,sexual abuse,physical abuse,attachment anxiety,attachment close and dependence and BPD were 11.05±3.04,10.00±3.54,6.73±2.32,5.92±2.06,5.83± 1.97,3.02 ± ±0.53,3.19±0.44,2.45± 2.04,respectively.BPD had significantly positive correlation with childhood trauma and attachment anxiety (r=0.353,0.284,P＜ 0.01),and significantly negative correlation with attachment close and dependence(r=-0.198,P＜0.01).Childhood trauma,attachment close and dependence and attachment anxiety could positively predict BPD(F=142.172,P＜0.01),which could explain 19.6％ of the total variation.Structure equation model and Bootstrap test showed that childhood trauma not only directly predict BPD in recruits,but also indirectly predict BPD in recruit through attachment close and dependence and attachment anxiety (x2/df=11.472,RMSEA =0.077,NFI =0.943,RFI =0.901,IFI =0.948,TLI =0.902,CFI =0.948),and the mediational path through attachment close and dependence and attachment anxiety with the effect size were 10.8％ and 8.1％,and the total mediational effect size was 18.9％.Conclusion Adult attachment exerts a multiple mediation effect on the relationship between childhood abuse and BPD in recruits.

Objective To explore the relationship between personality and depression,especially to investigate mediating effect of positive mental characters.Methods A sample of 1 933 male recruits was assessed with eysenck personality questionnaire (EPQ),positive mental characters scale for recruits (PMCS-R) and self-rating depression scale (SDS).Results The scores of introversion-extroversion,psychoticism,neuroticism,positive mental characters and depression were 55.26±10.59,42.85±7.25,42.35± 11.67,3.80±0.64,0.45±0.11,respectively.There were correlations among personality,positive mental characters and depression in recruits (P＜0.05).Regression analysis indicated that introversion-extroversion,psychoticism and neuroticism predicted depression directly,and it could explain 42.6％ of the total variance (F=476.28,P＜0.05).Hierarchy regression analysis showed that positive mental characters mediate the relationship between personality (introversion-extroversion,psychoticism,neuroticism) and depression (the mediation effect was 0.22,0.19 and 0.11 respectively,P＜ 0.05).Conclusion Recruits' personality affects depression not only directly,but also indirectly through positive mental characters.

Objective To study the relationship between psychological health and social support and coping style in general hospitals. Methods 756 nurses from 3 general hospitals were enrolled by cluster sampling and were investigated by Symptom Checklist 90(SCL-90),Social Support Rate Scale(SSRS)and Simplified Coping Style Questionnaire(SCSQ).The investigation results were analyzed. Results The general level of psychological health of nurses was not optimistic with a positive rate Of 37.04％. The somatizatlon factor of the head nurses was different from that Of normal nurses. Significant difference existed in the following aspects such as somatization, depression and terror factors between night shift nurses and day shift nurses. Relativity could be seen between social support and coping style and psychological health. Conclusion Hospital managers should attach importance to the psychological health of nurses. At the same time they should supply positive social support and instrucitons of coping style to improve the general level of psychological health.

Roles of sympathicus, sensory neuropeptides (SNP), metabolites of cyclooxygenase, metabolites of lipoxygenase, endothelium derived relaxing factor (EDRF), reactive oxygen (ROS) and potassium channels (PC) in the hypoxic pulmonary vasoconstriction (HPV) and hypoxic cerebral vasodilation (HCVD) were studied in intact rats, rabbits and dogs. Results were as follows: during hypoxia, the excitation of sympathicus results in a constriction of both pulmonary and cerebral vessels; SNP, EDRF and the opening of 4-AP sensitive PC caused the dilation of both of them; metabolites of lipoxygenase mediated HPV and HCVD, whereas metabolites of cyclooxygenase were their modulators; hypoxia induced blockade of the ATP sensitive PC mediated HPV, but had no effect on HCVD; reduction of O_2~+ in the lung might potentiate HPV, but had no effect on HCVD. It is suggested that the alteration of lipoxygenase metabolites, ROS and ATP sensitive PC are factors accounting for the difference in response of pulmonary and cerebral vassels to hypoxia.

Objective To explore sleep quality and related psychological factors among young army cadres to provide theoretical basis for health interventions. Method A total of 1 100 young army cadres aged 18 to 34 were assessed with Pittsburgh sleep quality index (PSQI), Symptom Checklist-90 (SCL-90) and Center for Epidemiologic Studies Depression Scale by cluster random sampling. Based on CES-C scores, cadres were divided into two groups named depression group and non-depression group;850 sergeants were served as the control group. T test, chi-square test and multiple regressions were used in data analysis. Result Sleep problems were found in 13.5% of the cadres and 12.1% sergeants. General status of sleep quality of cadres was worse than sergeants' and norm's. Exercise less, physical disease and psychological problems were the risk factors. Multiple stepwise regression analysis showed that depression factors of SCL-90 had the most significantly predictive effect on sleep quality (r=0.552, Beta=0.387), followed by somatization (r=0.552, Beta=0.223), two factors could explain 32.7% of PSQI scores variation. Correlation analysis showed that depression is closely related to subjective sleep quality, sleep duration, sleep disorder and daytime dysfunction (all r>0.3). Cadres' depression (11.11 ± 6.62) was significantly lower than norm's (12.30 ± 10.39) and higher than sergeants'(8.11 ± 6.56). PSQI scores of depression group (6.05 ± 3.13) were significantly higher than non-depression group's (3.56 ± 2.69) and norm's (3.23 ± 3.12). Conclusion Depression is a major correlation factor of the sleep quality. Regular exercise, improvement of the physical and psychological health quality, and reducing depression are effective ways to improve sleep quality.

Objective To examine the impact of stressful training on recruits and relationships with adult attachment,neuroticism and negative coping style.Methods 1 962 recruits were assessed with aduh attachment scale (AAS),impact of event scale-revised (IES-R),Eysenck personality questionnaire (EPQ) and trait coping style questionnaire (TCSQ).Results (1) 67.84％ of recruits reported the varying degrees of stress,and the total average of IES-R was 1.25±0.53.The impact of training of only-child recruits (1.28±0.56) was higher than that of none-only-child (1.22±0.51) (P＜0.05).The total average of attachment close was 3.73±0.51,attachment depend was 3.24±0.53,and attachment anxiety was 2.40±0.77.(2) Attachment anxiety,neuroticism and negative coping style were all positively correlated with impact of training (r =0.384,0.570,0.543,all P＜ 0.01).Attachment close and depend were both negatively correlated with impact of training (r=-0.221,-0.251,all P＜ 0.01).(3) Neuroticism and negative coping style played a completely intermediary role between adult attachment and impact of training.(4) The multiple group analysis showed that the mediation model was adapted to the only-child or none-onlychild recruits.Conclusion Adult attachment can predict impact of training to some extent in the intermediary roles of neuroticism and negative coping style.

Objective To explore the relationship between avoidant personality disorder and trait coping style,especially the mediating effect of positive mental characters. Methods A sample of 8 500 male recruits was assessed with personality diagnostic questionnaire?4+( PDQ?4+) , positive mental characters scale for recruits(PMCS?R) and trait coping style questionnaire(TCSQ). Results The scores of avoidant personality disorder group were lower than control group on wisdom((3.41±0.77) vs (3.76±0.74)),courage ((3.62±0.76) vs (4.05±0.78)),humanity((3.59±0.75) vs (3.98±0.72)),justice((3.64±0.75) vs (4.02 ±0.76)),temperance((3.58±0.85) vs (4.01±0.83)),transcendence((3.77±0.72) vs (4.13±0.71)),posi?tive mental characters((3.60±0.66) vs (3.99±0.62)) and trait coping style((32.74±6.71) vs (36.61± 6.23)),while negative coping style score was higher than control group((30.87±6.91) vs (22.79±6.96)) respectively,with statistical significance( all P<0.01) . Avoidant personality disorder had significantly negative correlation with positive mental characters and trait coping style( r=-0.323,-0.320,all P<0.01) ,and signif?icantly positive correlation with negative coping style ( r=0.579, P<0.01). Positive mental characters had significantly positive correlation with trait coping style( r=0.548, P<0.01) ,and significantly negative corre? lation with negative coping style( r=-0.289, P<0.01). Hierarchy regression analysis showed that positive mental characters mediate the relationship between trait coping style ( positive coping style,negative coping style) and avoidant personality disorder ( the value of mediating effect was 50.07%,6.36%) . Conclusion ?Recruits’ avoidant personality disorder affects trait coping style not only directly,but also indirectly through positive mental characters.