严打创新刍议

在我国市场经济不断完善，民主与法制制度不断健全，人民群众对社会治安满意程度不断提高的历史条件下，严打亟需新的突破和创新，需要对其进行新的认识，赋予其新的任务，推动严打在组织形式、打击手段、严打体制等方面的不断创新，并通过严打推动公安工作的改革与创新。     

Case Report:Lance-Adams syndrome:a report of two cases

Chronic post-hypoxic myoclonus, also known as Lance-Adams syndrome (LAS), is a rare complication of successful cardiopulmanry resuscitation often accompanied by action myoclonus and cerebellar ataxia. It is seen in patients who have un-dergone a cardiorespiratory arrest, regained consciousness afterwards, and then developed myoclonus days or weeks after the event. Worldwide, 122 cases have been reported in the literature so far, including 1 case of Chinese. Here we report 2 Chinese LAS patients with detailed neuroimagings. Cranial single photon emission computed tomography (SPECT) of patient 1, a 52-year-old woman, showed a mild hypoperfusion in her left temporal lobe, whereas patient 2, a 54-year-old woman, manifested a mild bilateral decrease of glucose metabolism in the frontal lobes and a mild to moderate decrease of the N-acetyl aspartate (NAA) peak in the bilateral hippocampi by cranial [18F]-fluorodeoxyglucose positron emission tomographic (PET) scan and cranial magnetic resonance spectroscopy (MRS), respectively. We also review the literature on the neuroimaging, pathogenesis, and treatment of LAS.     

Troponin T and Heart Type Fatty Acid Binding Protein (h-Fabp) as Biomarkers in Patients Presenting with Chest Pain

Acute coronary syndrome (ACS) is a term for a range of clinical signs and symptoms suggestive of myocardial ischemia. It results in functional and structural changes and ultimately releasing protein from injured cardiomyocytes. These cardiac markers play a major role in diagnosis and prognosis of ACS. This study aims to assess the efficacy of heart type fatty acid binding protein (h-FABP) as a marker for ACS along with the routinely used hs-TropT. In our observational study, plasma h-FABP (cut-off 6.32 ng/ml) and routinely done hs-Trop T (cutoff 0.1 and 0.014 ng/ml) were estimated by immunometric laboratory assays in 88 patients with acute chest pain. Based on the clinical and laboratory test findings the patients were grouped into ACS (n = 41) and non-ACS (n = 47). The diagnostic sensitivity, specificity, NPV, PPV and ROC curve at 95 % CI were determined. Sensitivity of hs-TropT (0.1 ng/ml), hs-TropT (0.014 ng/ml) and h-FABP were 53, 86 and 78 % respectively and specificity for the same were 98, 73 and 70 % respectively. Sensitivity, specificity and NPV calculated for a cut-off combination of hs-TropT 0.014 ng/ml and h-FABP was 100, 51 and 100 % respectively. These results were substantiated by ROC analysis. Measurement of plasma h-FABP and hs-TropT together on admission appears to be more precise predictor of ACS rather than either hs-Trop T or h-FABP.     

Relationship between hyperuricemia and metabolic syndrome

Objective: To investigate the relationship between metabolic syndrome and hyperuricemia. Methods: A total of 2 374 subjects who received health examination in our hospital from Jan. 2004 to Dec. 2006 were enrolled in our study. Hyperuricemia is defined as ≥7 mg/dl (in men) or ≥6.0 mg/dl (in women). Metabolic syndrome was defined using AHA/NHLBI (American Heart Association/National Heart, Lung, and Blood Institute) criteria. Results: (1) The overall prevalence of hyperuricemia was 13.10%. The condition was more common in men than in women (19.07% vs 3.42%). (2) Among men, uric acid concentration is statistically significantly positively correlated with waist circumference, blood pressure, and triglyceride. Uric acid is negatively correlated with serum high-density lipoprotein-cholesterol (HDL-C). Uric acid concentration is most strongly correlated with serum triglyceride (r=0.379) and waist circumference (r=0.297). Among women, statistically significant positive correlations were noted for the serum uric acid concentrations with waist circumference, triglyceride and fasting plasma glucose. Serum triglyceride (r=0.329) and waist circumference (r=0.234) are most strongly correlated with uric acid concentrations. (3) Men with hyperuricemia had a 1.634-fold increased risk of metabolic syndrome as compared with those without hyperuricemia odds ratio (OR)=1.634, P=0.000. Women with hyperuricemia had a 1.626-fold increased risk of metabolic syndrome (OR=1.626, P=0.000) as compared with those without hyperuricemia. Conclusion: Hyperuricemia is prevalent among Chinese population. Additionally, serum uric acid is positively associated with metabolic syndrome.     

Feasibility study of the calm baby gently program: An educational baby book intervention on safe practices related to infant crying

BackgroundAbusive head trauma (AHT) is a preventable form of child abuse.ObjectiveThis project used a mixed method design to assess the feasibility of the Calm Baby Gently educational baby book intervention for promoting safe practices related to infant crying in an effort to prevent AHT.Participants and settingThree pediatric practices participated between June 2016 and January 2018, including 1045 caregivers who attended their infant’s 2-month well-child visit.MethodsPediatric providers gave the educational baby book to caregivers at the 1-month well-child visit. Caregivers completed a survey at the 2-month well-child visit on their use and satisfaction with the book and responses to infant crying. Thematic analysis of qualitative feedback was performed. Responses to infant crying were compared quantitatively between caregivers who had and had not read the book.ResultsOf the 819 caregivers (78%) who received the book, 92% (754) read it, and 51% (421) had another caregiver read it. Caregivers considered the book approachable, understandable, validating, and helpful for improving knowledge and skills related to infant crying. The book was rated more helpful by caregivers of younger age, male gender, and non-white race. Controlling for age, gender, and race, caregivers who read the book were more confident (p = 0.033) and had more knowledge on how to respond appropriately to infant crying (p = 0.019) than caregivers who had not read it.ConclusionsCalm Baby Gently is a feasible and well-received AHT prevention program. Randomized controlled trials are needed to better understand its impact on knowledge, behavior, and AHT rates.     

高职课程项目化教学及“驾证式”考核探索——以“建筑识图与构造”课程为例

从高职建筑工程技术专业教育的人才培养目标出发,通过分析目前高职课程教学存在的问题,针对"建筑识图与构造"课程建设,探索实施项目化(任务)教学模式、"驾证式"考核方式、适应课程教学体系构建方法的项目化特色教材的课程建设思路。     

论犯罪故意的认识因素

判断某一因素是否是犯罪故意的认识因素的标准是看该因素是否是决定行为严重社会危害性的因素;犯罪故意的认识因素的内容要以决定行为性质具有严重社会危害性的因素为核心内容,包括行为的性质、行为对象、行为的危害结果、行为与结果之间的因果关系、犯罪客体、法定的特定时间、地点、状况和方法、刑法分则规定的特定的明知,而犯罪主体和违法性不宜作为犯罪故意的认识因素的内容。     

蓝康恒大学模式对建设我国开放大学的启示

蓝康恒大学是泰国第一所开放大学,在长期的实践中形成了极具特色的办学特点。相对于泰国而言,我国的开放大学建设仍处在起步阶段。电大是开展开放教育的重要阵地,应借鉴泰国的成功经验,努力扩大办学自主权,发展“学术超市”,健全考试考核体系,构建各具特色的校园文化,拓展发展空间,提供优质服务,不断发展壮大。     

《刑法修正案（八）》浅析

《中华人民共和国刑法修正案（八）》在体现了相对宽松的刑事政策的同时,也对一些重罪和高危险犯罪采取了较为严厉的刑事政策,可谓宽严相济,这对我国的刑法体系日趋现代化和合理化有着重要的意义,但同时也存在着一些明显的不足,需要进一步研究。     

住培学员对老年综合征的认知和培训需求分析

为提升老年医学科教育教学水平和培养质量,于2021年7月对南京医科大学第一附属医院住培基地54名学员进行问卷调查及统计分析,通过住院医师规范化培训学员对老年综合征的认知和培训需求调查可知:在老年医学科住培周期长于3个月的学员对老年医学核心技术的认知程度,高于住培周期短于3个月的学员(P<0.05).住培学员对相关知识的...