AMI患者PCI术后BNP相关分析及应用研究

目的:观察PCI术对AMI患者血浆中BNP的水平变化,探讨PCI对AMI患者预后的影响.方法:采用快速荧光免疫测定法对50例AMI患者PCI治疗前、治疗后7d内每日同一时间取静脉血进行BNP的测定和50例对照组血浆BNP水平进行检测.结果:AMI患者血浆BNP在行PCI术后与对照组比较有显著性差异(P<0.05),PCI治疗后呈明显下降趋势.结论:AMI患者经PCI治疗血浆BNP水平变化说明PCI术对改善AMI患者的预后有重要意义.     

Development of children with autism spectrum disorders in special needs education schools in the Netherlands: a three-year follow-up study

The purpose of the study was to investigate the development of symptomatology and academic growth of children with autism spectrum disorders (ASD) attending a special needs education school in the Netherlands as well as to explore the relationship between academic achievement and symptom reduction of those children. To this end a three-year follow up study was conducted by using multiple informants. The group of children with autism was compared with a group of children having other diagnoses but attending the same school. Results showed that teachers’ and parents’ perceptions about children’s symptomatology development differed significantly. Even though teachers reported a significant symptom reduction of ASD symptoms after two years of school attendance the parents of the same children did not. Furthermore, it was found that both groups of children had gains in different aspects of school-based cognitive skills; however, no association was found between symptom reduction and academic growth of the children. Implications of the study are discussed.     

Understanding the dynamics between preterm infants and their families

The high‐tech environment of the Special Care Baby Unit (SCBU) may seem a million miles away from the classroom, but the baby who has been born prematurely, wired up in an incubator in the former, will in five years' time be a learner in the other. The journeys through our education system of children who have survived premature birth to become learners are causing teachers, psychologists, therapists and carers to explore innovative learning pathways, new psychological and therapeutic interventions, and creative care approaches to meet their needs. While much is known about the serious physical and sensory problems of preterm babies, less is known about their psychological, educational and socio‐emotional difficulties. This article attempts to identify key targets for holistic intervention with families of premature infants. An approach used at the Champion Early Intervention Centre (Burwood Hospital, Christchurch, New Zealand) is described, from which practitioners of school‐aged children can draw teaching and learning implications.     

大学生心理健康状况的时相特征及其体育干预

采用SCL-90症状自评量表,对400名不同性别、年级在校大学生心理健康状况,进行了测评分析,根据心理健康状况的时相特征,提出了多维的干预措施。并强调不应仅限于对有问题困扰的个体进行心理支持,更应关注群体的心理健康教育,同时认为体育干预有助于建立适应和对抗应激的自我保护机制,并以充满活力的身体活动作为改善心境状态的最佳手段。     

河北省中年超重与肥胖人群综合干预措施的分析研究

目的：通过对河北省中年超重与肥胖人群运动与营养现状的综合分析,了解中年超重与肥胖人群的膳食和体育活动特点,归纳影响因素及预防措施。方法：采用问卷调查法和文献资料法,对影响肥胖的因素作逐个分析。结果：中年超重与肥胖人群在体育锻炼、不良饮食习惯及行为等方面存在着无锻炼或锻炼水平低,坐姿活动时间较长,食欲好、食量大、进食速度快等现象。结论：采用持之以恒的饮食控制＋体育锻炼＋行为矫正的综合干预措施是防控中年人超重与肥胖的有效手段。     

The longer‐term effects of reading interventions delivered by experienced teaching assistants

This study explored the responsiveness of children at risk of reading problems in Year 1 to a phonics intervention delivered by teaching assistants (TAs). Based on their non‐word decoding skills in the immediate post‐tests, 74 children were clustered together at the high end as ‘treatment responders’ (n = 49) and at the low end as ‘treatment non‐responders’ (n = 25) and were followed up at the end of Key Stage 1, 16 months after the intervention finished. The treatment‐responder group was superior in all areas of rated attainment and, unlike the non‐responders, achieved national averages in most teacher ratings of attainment. These results suggest that experienced TAs can help two out of three children at risk of reading difficulties.     

Living with children diagnosed with autistic spectrum disorder: parental and professional views

The number of children diagnosed with an autistic spectrum disorder (ASD) is rising and is now thought to be as high as 1:100. While the debate about best treatment continues, the effects of having a child diagnosed with ASD on family life remain relatively unexplored. This article, by Karola Dillenburger of Queens University Belfast, Mickey Keenan of the University of Ulster, Alvin Doherty from the Health Service Executive Western Region, Tony Byrne of Parents' Education as Autism Therapists (PEAT) and Stephen Gallagher of the University of Ulster, sets out to adjust that balance. Drawing upon data from a comprehensive study of parental needs, these authors argue that parental and professional views do not always concur; that families make extraordinary sacrifices; that siblings are affected; and that parents are under tremendous stress. Parents argue that educational and social service supports are not efficient and that they are forced to rely largely on support from within the family or from friends. In particular, some important differences between parental and professional perceptions became apparent in relation to interventions based on Applied Behaviour Analysis (ABA). The authors of this article propose that these differences need to be taken seriously by teachers and other professionals as well as by policy-makers.     

Using visual strategies simultaneously to support students with learning disabilities in mathematics

We provide insight into how multiple visual strategies can be used simultaneously to increase access to and success with challenging mathematics at the secondary level for students with learning disabilities. Drawing on a teaching philosophy based on recognising student strengths and needs, we argue the potential benefits of using visual strategies during instruction and intervention to best meet student needs. Examples from our work with a high school student with a learning disability are presented to provide insight into how visual strategies can increase understanding and success with mathematics as it becomes more abstract at the secondary level. We urge practitioners and researchers to explore the benefits of incorporating simultaneous visual strategies into secondary mathematics learning.     

Ineffective pathways and the price of conjecture

The inclusion of children with special educational needs into mainstream schools needs effort and cooperation by all those involved. Both educators and medical professions need to be skilled in identifying and supporting neurodiversity. This study explores the cross-professional understanding and support of four of the most prevalent neurodiversities: autism spectrum condition, attention deficit hyperactivity disorder, developmental coordination disorder and dyslexia, to evaluate the efficiency of the diagnostic pathway and the subsequent support. Questionnaires were distributed throughout a number of training events for medical and educational practitioners asking what a condition was, and how it could be supported. Using a thematic analysis, data from 189 responses were examined and cross-referenced with diagnostic criteria, in addition to identifying the overarching themes of support. Results show a serious gap in awareness and knowledge of neurodiversity in both medical and educational sectors, followed by a cacophony of intervention, breaking the pathway for diagnosis before it begins and ultimately failing children and their families.     

Including pupils with autistic spectrum disorders in mainstream schools

The number of pupils with autistic spectrum disorders (ASD) being educated in mainstream schools is increasing. However, there is growing concern about their educational experiences. Research suggests that such pupils make easy targets for bullies, and are considered difficult to teach by teachers. Furthermore, pupils with ASD are more than 20 times more likely to be excluded from school than those without special educational needs. In light of such evidence, the aim of this article is to outline evidence‐based strategies to facilitate the presence, participation, acceptance and achievement of pupils with ASD in mainstream settings. The strategies are presented thematically, as follows: (i) challenge stereotypes and raise expectations, (ii) create order from chaos, (iii) promote peer understanding, (iv) develop social skills, (v) adapt academic subjects, and (vi) modify conversational language. These strategies are not intended to be completely comprehensive – rather, they are starting points on a journey towards inclusion for those with ASD.