Sickle cell trait-associated deaths: a case series with a review of the literature

This study presents a series of 16 carriers of hemoglobin S (HbS) who died during various circumstances. Many of the cases were associated with mild to moderate exertion. The onset and/or duration of symptoms varied from a few minutes to several hours with many displaying a prolonged lucid interval with stable vital signs. Despite seeking medical treatment, sickle cell trait-related micro-occlusive crisis was never considered in the differential diagnosis. Several cases were associated with sudden death. In those deaths which were delayed, high anion gap and uncompensated metabolic acidosis were typical and were not heat related. Also characteristic were large increases in creatine kinase, alanine aminotransferase, and aspartate aminotransferase along with myoglobinemia. Although the antemortem diagnosis of rhabdomyolysis was made, the underlying cause was never deduced by the clinicians. The sickling found at autopsy is not always a postmortem artifact, and in the right circumstances can be diagnostic.     

The relationship of compliance with anxiety,self-esteem,paranoid thinking and anger

Abstract

The aim of the study was to assess the relationship of compliance with anxiety, self-esteem, paranoid thinking, and anger. The Gudjonsson Compliance Scale (GCS), the State-Trait Anxiety Inventory (STAI), the Rosenberg Self-Esteem Scale, the Paranoia/Suspiciousness Questionnaire (PSQ), and the Novaco Anger Scale (NAS) were administered to 167 University students Compliance correlated positively with state and trait anxiety, low self-esteem, paranoia and suspiciousness, and negatively with acting out feelings of anger (the Behavioural Domain of the NAS). Multiple regression of the test scores showed that paranoid thinking was the single best predictor of compliance. The implications are discussed. It is important to replicate the study on special populations, such as offenders and psychiatric patients, who have problems with low self-esteem, paranoid thinking, and anger.     

完善农村社会养老保险政府责任机制的探讨

新型农村社会养老保险制度的政府责任存在不少问题,表现在农民养老的历史债务偿还机制、农民参保激励机制、基础养老金调整约束机制、不同层级间政府财政责任约束机制、政府养老金最低待遇承诺机制和补偿机制度、隐形成本的化解机制缺失等方面,因此,需要构建政府责任供给机制,不断完善农村社会养老保险制度。     

浅议邓小平的民主法治思想与人本发展观

崇尚法治,反对人治是邓小平法治思想的基础和核心,民主法治思想与人本发展观的完善是邓小平理论的结晶,它的立法、执法、守法等基本思路对维护社会主义市场经济的新秩序,具有广泛深远的意义。     

从工业社会到生态社会:政府的功能与定位

工业文明在给人类社会带来史无前例经济增长的同时,也给人类赖以生存的自然环境带来了毁灭性的破坏。西方学界和政界对此进行了深刻的反思,开始逐步走向关注生态与社会和谐发展之路。中国社会正处于工业化中期,要怎样发展才能避免重蹈西方社会的覆辙?中国工业社会将走向何方?生态社会的理论为我们提供了全新的视野。什么是生态社会?为什么说生态社会是工业社会的必然走向?在从工业社会到生态社会的转变过程中政府该充当什么样的角色?本文通过对这一系列问题的回答,得出结论:生态社会是工业社会的必然走向,然而工业社会不会自发过渡到生态社会,在这个过程中,政府起到了助推器的作用。     

俄罗斯开发远东地区自然资源的动因

当前,俄罗斯正处在一个复杂的国际政治、经济环境中,大力开发远东地区的自然资源对于其经济振兴和国家安全来说既是必由之路,又是明智之举。     

经济发达镇行政管理体制改革的思考

随着我国城镇化进程的快速推进,部分乡镇迅速发展成为经济发达镇,但传统的乡镇行政管理体制使经济发达镇长期处于责任大、权力小、功能弱、效率低的艰难境地,严重制约了经济发达镇自身的建设、发展和管理。本文在总结经济发达镇的基本特征的基础上,分析了经济发达镇的行政管理体制中目前存在的主要问题,并根据广东、浙江、山东等地在推进经济发达镇行政管理体制改革中的实践经验,对我国经济发达镇的行政管理体制改革提出相关对策建议。     

近年来服务型政府建设研究述评

服务型政府是近年来政府管理研究的重点和难点问题。本文选取2006-2009年发表的近70篇论文,试图梳理服务型政府建设的热点和特点,从研究内容、研究视角、研究领域和研究方法予以评述。籍此扩大、巩固研究共识,明晰公共服务体系建设的方向和任务,以推动服务型政府研究水平的不断提高。