901例社区2型糖尿病血瘀证的影响因素研究

目的 了解血瘀证在社区2型糖尿病患者中的分布及其相关影响因素。 方法 以社区901例2型糖尿病患者为研究对象,采集其相关临床信息并进行中医辨证分析,采用单因素分析和Logistic回归分析考察血瘀证的影响因素。 结果 901例2型糖尿病患者中,单纯血瘀脉络证165例,阴虚热盛证、湿热困脾证、气阴两虚证、阴阳两虚证分别为137、135、334、130例,分别兼夹血瘀证55、57、200、101例,各证型兼夹血瘀证的比例明显不同（P<0.05）。单因素分析结果显示,年龄、病程、高血压并发症、收缩压、体质量、体型是血瘀证的影响因素,舒张压、血脂水平不是血瘀证的影响因素;二项分类Logistic回归分析结果显示,年龄、高血压并发症、收缩压是血瘀证的影响因素。 结论 血瘀证是社区2型糖尿病患者的主要证型,年龄越大,具有高血压并发症,收缩压较高者易于出现血瘀证,尚不能认为病程、体质量和体型是2型糖尿病血瘀证的影响因素。     

婚姻家庭法中的儿童最大利益原则

儿童最大利益原则是《儿童权利公约》中规定的原则,是保护儿童权利的根本准则。它确立了一个重要理念,即涉及儿童的所有行为均应以"儿童的最大利益"为首要考虑。婚姻家庭法中如何体现该原则,现行法律存在较多疏漏,尤其在离婚后父母对未成年子女监护权和探视权的行使方面仍然存在许多需进一步完善的地方。     

风湿骨痛胶囊治疗寒湿型风湿性疾病80例

目的：观察风湿骨痛胶囊对寒湿型风湿性疾病的治疗作用。方法：治疗组80例，口服风湿骨痛胶囊，每日3次，每次4粒，疗程为3周；对照组40例，口服复方雪莲胶囊，每日2次，每次2粒，疗程亦为3周。结果：治疗组显效10例（12．5％），好转62例（77．5％），总有效率90．0％；对照组显效6例（15．0％），好转29例（72．5％），总有效率87．5％。两组总有效率比较无显性差异（P＞0．05）。结论：风湿骨痛胶囊具有祛风除湿、温经散寒、活血通络之功效，对中医辨证属于寒湿型的各种风湿性疾病有良好的疗效。     

The psychodynamics of the presidential assassin and an examination of the theme/graphic variables of his threatening correspondence

A case of fatal Reye's syndrome presenting as the second sudden infant death in a family is described. The increasing interest in fatty change in the liver in cases of sudden infant death syndrome is noted and it is suggested that standardised interpretation of findings is essential if its significance is to be correctly evaluated.     

挤压综合征大鼠血清酶浓度变化的初步研究

目的观察挤压伤大鼠血清肌酸激酶(CK)、肌酸激酶心肌同功酶(CK-MB)浓度的变化,阐明肢体挤压伤大鼠早期是否存在心脏损伤。方法复制挤压伤大鼠动物模型,全自动生化分析仪检测血清CK、CK-MB浓度的变化。结果挤压伤后12h,血清CK、CK-MB浓度显著升高,并持续48h以上。结论肢体挤压伤早期可能有心脏损伤的存在。     

The malleable homo sovieticus: transnational entrepreneurs in post-communist East Central Europe

This paper investigates the coping strategies of post-1989 East Central European transnational migrant entrepreneurs. Paradoxically, rather than facilitating transfer into the region of liberal-democratic orientations and practices, the incorporation of East Central Europe into late 20th-century consumer capitalism based on short-cycle flexible production in sectors unregulated by legal-institutional frameworks reproduces some of the features of the accustomed homo sovieticus syndrome: in particular, the reliance on the beat-the-system/bend-the-rules orientation on informal/crony patronage and connections, and immediate consumption rather than deferred gratification/investment-oriented capital accumulation renders effective strategies of economic action in the new situation. The effects of so-informed transnational migrant entrepreneurs' activities on the transformation processes in their home-countries are also discussed.     

从异化劳动到异化消费——以异化为线索看资本主义社会批判维度的转变

在马克思那里,异化的概念不仅仅是一个哲学范畴,更是一种理论的分析模式与思维方法,异化的思维方法成为了后来西方马克思主义者的重要思维方法.从对异化劳动的批判到对异化消费的批判,这显示了当代资本主义社会发生了新的变化,西方马克思主义学者针对这些新变化,开展了新维度的社会批判.他们的观点在一定程度上发展了马克思主义的理论空间,拓展了马克思主义的现实视野,更对我们坚持科学发展观,构建人与自然和谐发展的社会主义生态文明有重要的启示意义.     

A NATIONWIDE SURVEY OF MANDATORY PARENT EDUCATION*

In an effort to take positive steps toward coping with problems for families and children created by high levels of separation and divorce, ever increasing civil caseloads and the exposure of children to interparental conflict, court‐affiliated educational programs have emerged in the United States for parents separating from their spouse or partner or going through a divorce. This article will provide an overview of the creation of such programs and their development, which includes a discussion regarding the numerous states currently mandating parents to attend. It will summarize some of the research which has been conducted as to the efficacy of the programs and will provide the results of our nationwide research for each state's parent education status. There is a discussion of domestic violence issues and sensitivities in the context of parent education programs and possible future directions for mandatory parent education.     

转变中的公共行政范式——从官僚制行政走向民主制行政

官僚制行政不可避免地面临着自身组织、权力和人的异化和社会变迁下的诸多困境。在此背景下，民主制行政从被历史遗忘的角落里重新被人发掘并成为一种新的替代性的公共行政范式。     

SEX EDUCATION LEFT AT THE THRESHOLD OF THE SCHOOL DOOR: STRICTER REQUIREMENTS FOR PARENTAL OPT‐OUT PROVISIONS

Current state law creates the risk that, if sex education is not provided to a child in public school, no similar instruction will be given to the child. Legislatively enacted opt‐out provisions give parents broad control over their child's education by granting them the option to have their child excused from any sex education requirements within a public school's curriculum. Through public school sex education, professionals provide youth information aimed at protecting them from the dangers of pregnancy and sexually transmitted diseases (STDs). A stricter statutory opt‐out provision should be enacted by state legislatures that only allows parents to excuse their child from sex education after a parent attends a 90‐minute STD prevention course and receives the instructional material used in the school's sex education curriculum. Parents should be provided up‐to‐date information and a structural framework designed by the school to encourage them to discuss with their child the many sexual issues addressed within a school's sex education curriculum.