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21.
目的:探讨切开复位锁定钢板内固定治疗跟骨骨折的临床疗效。方法:分析2008年9月至2011年9月,行切开复位植骨锁定钢板内固定治疗跟骨骨折100例(共103足)。男性76例,女性24例,其中单侧97例,双侧3例。年龄18-64岁,平均(33.19±5.97)岁。按Sanders分型Ⅱ型28例,Ⅲ型62例,IV型10例。均采用跟骨外侧L型切口,切开复位锁定钢板内固定。结果:92例获得随访,随访时间6-30个月,平均18个月。应用Maryland评分系统进行疗效评定。优46例、良40例、中4例(1例双侧跟骨骨折),优良率93.4%。其中1例出现骨不愈合,再次行距下关节融合术,1例出现皮肤坏死经换药后治愈,1例出现腓肠神经症状。结论:切开复位植骨锁定钢板内固定是治疗跟骨骨折的有效方法。  相似文献   
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农村养老受到诸多社会力量的支持,政府为农村养老提供了政策支持;家庭养老作为目前农村最重要的养老力量,具有广泛存在的空间和合理性;老年人自给自足也能保障晚年生活。但是这些力量也都有自己鞭长莫及之处,在农村集体经济发展、村集体自主管理力量不断加大的同时,由村集体或村民自创的社区养老服务的新形式成为一种重要的养老力量,综合分析各种农村社区养老要素及个案来看,农村社区养老服务将在今后有着广泛的发展空间。  相似文献   
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The study examines selected roles of the information sector in the national economy. Among the findings are the following: (1) the information sector conducts relatively little international trade, in comparison to its domestic activity. Roughly 12% of U.S. exports are attributable to the information sector; over 97% of the sector's output is sold within the U.S.; and the sector's exports account for only a small fraction of 1% of GNP. (2) The historical pattern of employment shows that the portion of information workers has risen from 8% of the U.S. work force in 1870 to 41% in 1970. Relatively little of this growth is the result of new technological innovations such as telephones, radio, television and, more recently, computers. Rather, the growth of public and private bureaucracies, which now total 26% of our total work force, largely explains the growth of the sector. (3) Unemployment within the information sector has consistently been lower than in either the manufacturing or agricultural sectors of the national economy. (4) Since 1967, the high technology elements of the information sector, such as electronic components, computers and telecommunications equipment have experienced appreciably less price rise than has the economy as a whole. However, over the same time period, the service elements of the sector, including finance and insurance, education and medical care, have experienced greater rates of inflation than has the economy as a whole.  相似文献   
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The primary objectives of this investigation were to examine the attributions, emotional reactions, and coping strategies of shy/withdrawn and aggressive girls and boys and to examine whether such social cognitions differ within the relationship context of friendship. Drawn from a sample of fifth and sixth graders (M age = 10.79 years; SD = .77), 78 shy/withdrawn, 76 aggressive, and 85 control children were presented with hypothetical social situations that first involved unfamiliar peers, and then a mutual good friend. Results revealed group and gender differences and similarities, depending on the relationship context. From our findings emerges a central message: friends' involvement during interpersonal challenges or stressors mitigates children's attributions, emotions, and coping responses.  相似文献   
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Coaching is a promising method for providing professional development, which takes many forms. One such form is real-time coaching through bug-in-ear technology. This study explored the social validity of bug-in-ear coaching when provided as a form of professional development with preservice and in-service early childhood educators. Data from two studies were qualitatively analyzed to describe early childhood educators’ perceptions of the acceptability of bug-in-ear coaching with respect to the learning opportunities provided, feasibility, difficulties, and child-level outcomes. Findings suggest that BIE is deemed to be important and effective at producing educator and child outcomes. Further, educators are satisfied with the intervention and view it to be an acceptable means for receiving professional development.  相似文献   
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ABSTRACT

One of the six strategic planning goals of Northern Arizona University (NAU) is to strengthen its relationship with Native Americans and to become one of the nation's leading universities serving Native American students. Considering its close geographic proximity to several tribal communities—particularly the Navajo Nation, which represents 44% of Native American Students at NAU—several programmatic and collection management activities have been instituted at the university's Cline Library as a response to this broader university goal. The library's outreach efforts, though, extend beyond the university's Native American student population and include activities designed to collaborate with tribal communities in a more direct and inclusive manner. Furthermore, incorporating concepts of critical librarianship into the library's teaching, learning, and public programming helps provide a progressive theoretical framework for improving relationships between the university and Native American communities. This case study provides an overview of existing programmatic and policy-based initiatives at the library and discusses where improvements could be made to help foster a closer and more meaningful relationship with Native American students, faculty, and patrons.  相似文献   
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There is growing concern regarding the amount and type of violence that young children are exposed to on a daily basis. Through media, popular toys and video games violent images are consistently present in children’s lives starting at a very young age. This paper discusses (a) the growing presence of young children’s exposure to media violence, (b) the influence of media violence on early childhood development and well-being, (c) the impact of media violence on young children with disabilities, and (d) recommendations for addressing this national dilemma within the context of family-professional partnerships. A list of related web resources is also included.  相似文献   
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