职校生网络心理现状调查与研究

调查显示，上网对职校生的情绪、交际和心理的影响不明显；由于上网时问过长，学生的身体健康受到不良影响；一部分学生对网络的认识不全面，自我约束力弱化，道德意识淡薄。职业学校必须理性、客观地对待学生上网，满足学生的信息需求以及情感需要；要引导学生正确利用网络，有目的、有计划地组织学生上网，并通过丰富课余文化生活减少学生上网频率，同时加强学生的道德教育。     

Parent-child interaction as a dynamic contributor to learning and cognitive development in typical and atypical development / Influencia dinámica entre la interacción padre/madre-hijo y el aprendizaje y el desarrollo cognitivo en el desarrollo típico y atípico

Abstract

Converging evidence suggests that parent-infant interaction is one of the most crucial formative influences on child development. In neurodevelopmental disorders, however, different timings and trajectories of development may add a layer of difficulty to the existing challenges of dyadic interaction. The current study therefore set out to compare the specific aspects of dyadic interaction (i.e., responsiveness, directiveness, attentiveness, positive affect, liveliness, mutuality and engagement) between parent-infant dyads with Down syndrome, Williams syndrome and typical development. Video clips of parent-infant play interaction were rated using a validated tool, namely, the Social Interaction Measure for Parents and Infants. Significant effects emerged with respect to infant group on the quality of dyadic interaction, with the multiple comparison tests revealing differences between atypically and typically developing infant-parent dyads. The findings are discussed in relation to the effects of dyadic interaction on the linguistic and socio-cognitive development of atypical children.     

The New ‘Functional Mathematics’ for Learners with Down Syndrome: Numeracy for a Digital World

ABSTRACT

This paper explores the challenge of determining the mathematics curriculum for students with Down syndrome in our digital age where the tools of mathematics including electronic calculators and smartphone applications are readily available. Aspects once considered essential for ‘functional mathematics’ such as written calculation, using cash and telling time can be undertaken with easily accessible devices. Deeper concepts such as generalising through algebra, making decisions about money, and engaging in mathematical problem solving and applications are now a possibility. This paper explores the challenge through the theoretical perspectives of Educational Quality of Life and Numeracy Development, presenting five principles for mathematics curriculum planning. The possibility exists of using year level appropriate mathematics curriculum to build lifelong numeracy – ‘functional’ mathematics for a new age.     

Moving beyond the minimum: socially just pedagogies and Asperger’s syndrome in UK higher education

A year‐long longitudinal study was conducted to gain insight into the lives of eight students who had a label of Asperger’s syndrome during their transitions into higher education in the UK. Reflecting on life history data, the findings suggest that universities might actually be maintaining and (re)producing barriers that perpetuate the exclusion and ghettoisation of disabled people. The analysis goes beyond an acknowledgement of institutional disabling practices to pinpoint the subtle impacts of issues of pedagogy, learning, teaching, and assessment. It is argued, therefore, that inclusive education needs to engage more directly with the specific issues faced by learners with the label of Asperger’s syndrome. However, rather than viewing this as an issue of special education for distinctly impaired learners, Asperger’s syndrome must be understood with reference to wider questions of how higher educators respond to diversity and difference.     

Inclusion,exclusion and children's rights

Abstract

This case study examines the experiences of a student who was excluded twice from a mainstream school while preparing for GCSE examinations. The authors are the student and his aunt. The exclusions were for an indefinite period and were triggered as a result of the school's inability to respond adequately to recurring epileptic seizures. The student, who has Asperger syndrome and a statement of special educational needs, had not broken any disciplinary code. Teachers' understanding of the label ‘special educational needs’ is questioned. The SEN and Disability Act 2001 has far-reaching implications for school ethos and culture. Schools' failure to anticipate the needs of students with disabilities or SEN may well lead to unlawful discrimination. Inclusive schools will need to recognize that in meeting students' individual needs the institution itself may need to change. Barriers to genuine parent partnership in education must be overcome, and children's participation rights, as confirmed in the UN Convention on the Rights of the Child, must be respected.     

4760例孕中期产前筛查和产前诊断产妇随访结果分析

目的：探讨孕中期产前筛查和产前诊断在临床中的应用和意义。方法：应用时间分辨法,以血清AFP、β-HCG作为指标,对4 760例在孕15～20＋6周孕妇进行产前筛查,对筛查为高风险的孕妇进行一对一的遗传咨询和产前诊断,并在产后3月内对其分娩结局进行随访观察。结果：随访中发现有不同程度畸形、流产、死胎等不良妊娠共29例：高风险者6例,低风险者23例。其中羊水染色体异常2例、超声检查检出各种畸形（开放性神经管畸形如脊柱裂、小头畸形、脑膨出等）6例、内脏畸形（如先心病、肾发育不良、胎儿宫内发育异常等）5例。不明原因死胎、晚期流产3例,21-三体新生儿1例（产前筛查唐氏高风险而拒绝羊水穿刺细胞学检查所致）。结论：孕中期产前筛查和产前诊断可降低出生缺陷的发生。     

冰雪项目优秀运动员运动性疲劳的中医分型和诊断标准的研究

运用中医理论结合现代医学思想，对优秀冰雪运动员“运动性疲劳”症候进行调查、分析，制订出一套“运动性疲劳”的中医分型方法，并提出各型疲劳症候的诊断标准，以及“运动性疲劳”、“虚劳”与“脏腑虚劳”的鉴别诊断。     

Bardet–Biedl Syndrome: A Rare Cause of Chronic Kidney Disease

Bardet-Biedl syndrome (BBS) is a rare autosomal recessive condition characterized by retinitis pigmentosa, postaxial polydactyly, central obesity, and renal involvement. Renal failure is the commonest cause of death. We report a case of BBS with chronic kidney disease (CKD) at younger age (17 year) from India. This diagnosis should be considered in patients with renal disease and the characteristic phenotype of retinitis pigmentosa, postaxial polydactyly and central obesity. These patients should undergo regular monitoring of renal function test to early diagnosis and treatment of CKD to prevent morbidity and mortality. Renal transplantation is a viable option of renal replacement therapy in these patients. These findings are valuable for comparing phenotype of BBS patients with CKD from various national and international centers.     

A Study of Carotid Atherosclerosis in Patients with Non-alcoholic Fatty Liver Disease

Non-alcoholic fatty liver disease shares many features of metabolic syndrome and its presence could signify a substantial cardiovascular risk above and beyond that conferred by individual risk factors. This study is an attempt to investigate the association of non-alcoholic fatty liver disease with carotid intima-media thickness and plaque as surrogate measures of increased cardiovascular risk. The study was conducted on 645 non diabetic, non alcoholic subjects in the age range of 20–60 years. Metabolic syndrome was assessed by using ATP III and ADA (2005) criteria. Anthropometric factors—waist circumference and blood pressure were measured. Fasting serum samples were analyzed for glucose, triglyceride, cholesterol and its fractions, insulin, alanine and aspartate transaminases, gamma glutamyl transferase and free fatty acids. Insulin resistance and secretion were calculated by homeostasis model and insulin sensitivity by QUICKI index. Liver ultrasonographic scanning was used for assessing fatty liver. Carotid atherosclerosis was assessed by B-mode ultrasonography of common carotid artery and internal carotid artery. The prevalence of non-alcoholic fatty liver disease was 15.6 % in non alcoholic population and 68.5 % of non-alcoholic fatty liver disease had metabolic syndrome, which was associated with hyperinsulinemia, insulin resistance, insulin insensitivity along with elevated levels of waist circumference, blood pressure, triglyceride, FFA and decreased HDL cholesterol. NAFLD patients had markedly greater carotid intima media thickness than non NAFLD subjects with MCIMT of 591.6 ± 108 and 489.5 ± 132.4 μm (P < 0.001) and plaque prevalence of 19.2 and 2.2 %, respectively, thus the carotid intima media thickness is associated with NAFLD.     

Down Syndrome with End-Stage Renal Disease

Down syndrome is one of the most common genetic causes of learning disabilities in children. Although the incidence of renal and urological involvement in Down syndrome is not very common, monitoring of patients with Down syndrome for renal diseases should be done regularly as patient’s age into the second and third decades. With increased survival, it appears that a growing number of these patients present with chronic renal failure. Down syndrome patients are apparently not suited for peritoneal dialysis because of lacking cooperation. This procedure can be prone to failure, mainly because of an increased risk of peritonitis. Handling such patients especially those on peritoneal dialysis is challenging. Here we report a case of Down syndrome with end-stage renal disease treated with hemodialysis for 6 months. To the best of our knowledge and current literature review this is the first case report of a patient with Down syndrome undergoing hemodialysis.