祛银方联合雷公藤多甙片治疗寻常型银屑病疗效观察

目的:观察祛银方联合雷公藤多甙片治疗寻常型银屑病临床疗效及安全性。方法:74例寻常型银屑病血热证患者随机分为祛银方联合雷公藤多甙片治疗组和雷公藤多甙片对照组。治疗4周后,评价治疗前后患者临床疗效、生活质量指数(DLQI)评分、中医临床症候症状等方面的改变,同时观察不良反应。结果:治疗后治疗组、对照组临床总有效率分别为87%、73%;两组生活质量指数(DLQI)均低于治疗前(P0.01),治疗后两组的DLQI评分有显著性差异(P0.01);治疗组中医症候均有显著性差异(P0.01);对照组除瘙痒症候治疗有显著性差异外(P0.01),余均无显著性差异(P0.05)。结论:祛银方联合雷公藤多甙片治疗寻常型银屑病具有良好的临床效果,尤其在改善中医症状如瘙痒、口渴等方面效果显著,能有效减轻雷公藤的毒副作用,起到减毒增效的作用。     

Effects of a psychomotor intervention programme in preadolescents with Down syndrome / Efectos de un programa de intervención psicomotriz en preadolescentes con síndrome de Down

Movement is key to human physical and mental maturation, hence the importance of non-delayed psychomotor development. Psychomotor development occurs much later in children with Down Syndrome (DS) as compared with typically developing children. The objective of this research is to assess the effectiveness of an intervention programme aimed at the psychomotor development of preadolescents with DS (Experimental Group n = 5, Control Group n = 5), focusing on body schema and spatio-temporal structure. Results show a significant increase in body awareness as well as in concepts of space and quantity. Nevertheless, it is necessary to consolidate these motor abilities in a personalized and more prolonged way in order to minimize psychomotor developmental delays.     

WILSONLINE

No abstract available for this article.     

Tall Poppies in the Workplace: Communication Strategies Used by Envious Others in Response to Successful Women

Controversial media representations of the female body can reflect, reproduce, and even challenge ideological systems or Discourses (Jones, 2003 Jones , A. ( 2003 ). Introduction: Conceiving the intersection of feminism and visual culture . In A. Jones (Ed.), The feminism and visual culture reader (pp. 1 – 7 ). New York , NY : Routledge . [Google Scholar]; Louw, 2001 Louw , P. E. (2001). The media and cultural production . Thousand Oaks , CA : Sage. [Google Scholar]). This article interrogates the discourse surrounding TIME Magazine's recent cover regarding attachment parenting, which featured a mother breastfeeding her toddler. The analysis of 1 online comment board shows that, although multiple meanings were present, the talk regarding the cover was overwhelmingly informed by the Discourse of (Hetero)Sexuality, which defines breastfeeding as a sexualized act only appropriate in private and for children of a certain age. This backdrop of sexuality for breastfeeding is significant not only for mothers’ choices and practices regarding nursing, but also for policymakers who seek to support breastfeeding. In addition, the findings reinforce the importance of attending to the interrelations within and between macro- and microlevels of discourse in investigating symbolic systems through which meanings are constructed.     

影响运动治疗代谢综合征运动学因素的研究进展

通过对国内外运动治疗代谢综合征的理论及应用研究进行搜集、归纳、整理,并对其研究成果进行综合分析总结,得出以下结论：对代谢综合征患者进行运动治疗,运动强度应保持在40%~75%V02max,低强度运动时间为300~420min/周,中等强度运动时间为180~300min/周;每周宜运动5~7次,每次45~60min;运动方式可根据病人的喜好及现有的身体状况进行调整,应以有氧运动为主,辅以力量训练维持瘦体重。旨在为今后运动治疗代谢综合征提供理论依据和实践参考。     

Applying Video Hero Modelling and Praising to Transition-related Behaviours ‘Needing Development’ Exhibited by Students with Down Syndrome: A Preliminary Investigation

The present study examined the effectiveness of video hero modelling and praising (VHMP), which has been proved as effective in behaviour change for students with autism spectrum disorders (ASD), in improving the transition-related behaviours of two elementary-aged students with Down Syndrome (DS). Each participant watched a video in which she exhibited appropriate transition-related behaviours side by side with her hero in the setting where the target behaviours were expected to occur. In addition, the hero praised the student for exhibiting the target behaviours in the video. A multiple-baseline-across-settings design was utilised for one student and an AB design for the other to determine if VHMP contributed to their behaviour change. Results showed that their transition-related behaviours dramatically improved immediately after VHMP was introduced. These findings imply that VHMP can be applied to behaviour change not only for students with ASD but also for those with DS.     

Hyperinsulinemia predisposes to NAFLD

Metabolic syndrome contributes to pathogenesis of Type-2 diabetes and CAD. Insulin Resistance is the key factor of metabolic syndrome implicated in development of Non Alcoholic Fatty Liver Disease (NAFLD). In present study we have investigated the prevalence of NAFLD in metabolic syndrome and contribution of metabolic risk factors in causation of NAFLD in non-diabetic North Indian male population. The study was conducted on 495 non-diabetic, nonalcoholic subjects (age 30–65 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, Triglycerides, Cholesterol and its fractions, Insulin, Alanine transaminase, Aspartate transaminase, Gamma glutamyl transferase and free fatty acids. Insulin resistance was estimated by Homeostasis Model and Insulin sensitivity by QUICKI Index. Liver ultrasonographic scanning was used for assessing fatty liver. The prevalence of metabolic syndrome and NAFLD was 24% and 14.8% respectively in non-alcoholic population and 27% of metabolic syndrome had NAFLD which was associated with hyperinsulinemia, insulin resistance, insulin insensitivity along with elevated levels of waist circumference, blood pressure, triglyceride, FFA and decreased HDL-Cholesterol. The prevalence of NAFLD increased with insulin resistance and clustering of metabolic risk factors.     

HIV/AIDS Information in Public Libraries

Abstract

Despite well-publicized advances in the development of antiretroviral therapies, HIV infection remains an incurable condition. Worldwide, the disease threatens to gravely impact a wide range of developing nations, especially in Sub-Saharan Africa, South and Southeast Asia and South America. In the United States, the poor and particularly women of color are at great, and increasing, risk for infection. Public libraries, as trusted public institutions for the dissemination of information, can continue to play an important role in promoting public health information surrounding HIV/AIDS prevention and education. Public libraries are not immune, however, to the political and value-driven public discourse surrounding HIV infection. Through carefully identifying the issues, taking a nonjudgmental service approach, and building collaborations with community based organizations, public libraries can become common ground for providing proactive prevention-focused information services. This article examines the current state of epidemic HIV/AIDS infection, reviews the literature on public library responses, and identifies highly select consumer health and biomedical monographic, serial, audio-visual and Web-based HIV/AIDS information tools.     

Teachers’ expectations of children with Down Syndrome starting school in the United Arab Emirates or United Kingdom

ABSTRACT

Starting school has been shown to correlate with later school outcomes. Teachers working in early years’ settings either in the United Arab Emirates (UAE) or the United Kingdom completed a questionnaire asking them to rate the importance of 20 statements in answer to the question ‘How important are the following for deciding whether a child with Down Syndrome has had a successful first two terms of school?’ Findings demonstrated a different pattern of expectations depending on where the teacher was working. Specifically, teachers in the United Kingdom placed more importance on academic performance and the relationship with the family. Some similarities in the rankings of the scales were also obtained. Teachers, regardless of the location, placed most importance on children’s happiness and knowledge of school routines in successfully starting school. Implications for children with Down Syndrome starting school in the UAE and the United Kingdom are discussed.     

无创正压通气在早产儿呼吸窘迫综合征治疗中的价值分析

目的：分析鼻塞式持续正压通气（CPAP）在治疗早产儿呼吸窘迫综合征（NRDS）中的临床疗效,探讨持续呼吸道正压通气在早产儿呼吸窘迫综合征治疗中的价值。方法：在综合治疗基础上,对大理州妇幼保健院新生儿科2012年10月至2013年10月84例胎龄为32~36周的早产RDS患儿给予CPAP治疗,观察患儿在应用CPAP前及CPAP治疗6 h后的疗效。结果：实施CPAP通气6 h后,患儿青紫消失,吸气性呼吸困难减轻,呼吸频率降至（58.2±4.7）次/min,心率降至（142.8±9.4）次/min,吸入氧浓度为（42.0±7.3）%,而经皮血氧饱和度维持在（94.8±4.5）%,动脉血氧分压升至（8.7±0.7）kPa,动脉血二氧化碳分压降至（5.3±0.6）kPa,差异具有统计学意义。应用CPAP期间除2例病情加重改用有创机械通气外未发生其他明显并发症。结论：使用CPAP对早产儿RDS有较好疗效,且治疗时间越早,痊愈率、成功率越高,无明显副作用。值得基层医院推广使用。