Understanding service users’ and therapists’ experiences of pharmacological treatment for sexual preoccupation and/or hypersexuality in incarcerated sex offenders

This research comprises two qualitative studies understanding the experiences of (1) convicted sex offenders voluntarily receiving pharmacological treatment to reduce sexual preoccupation and (2) therapists working with these offenders. The studies form part of a research programme evaluating the use of pharmacological treatment with sexual offenders. In study one, semi-structured interviews were conducted with 13 sexual offenders receiving selective serotonin reuptake inhibitors. In study two, interviews were conducted with eight intervention staff with varying levels of experience of working with offenders taking anti-libidinals. Thematic analysis was used and in study one, two main themes emerged: (i) the impact of the pharmacological treatment on prisoners’ daily functioning; (ii) barriers to compliance/engagement. In study two, three main themes emerged: (i) offenders’ reluctance to engage with pharmacological treatment; (ii) challenges for therapists; (iii) pharmacology: ‘just another piece of the puzzle’. Findings are discussed in relation to practice and future research.     

Adolescent Refusal of MMR Inoculation: F (Mother) v F (Father)

F (Mother) v F (Father) concerned a dispute between parents as to whether or not their 15 and 11 year old children should receive the MMR inoculation. Mrs Justice Theis took into consideration the wishes of both parents and the two ‘intelligent, articulate and thoughtful’ minors and held that inoculation was in their best interests. The troubled history of the MMR vaccine and its importance to public health provided the backdrop. Whilst the court's efforts to establish the views of the minors are to be commended, the decision is problematic in its assessment of the minors' individual medical interests and capacities, and in the significance placed on their views when determining whether inoculation would be in their best interests.     

《中日韩投资协定》的构建

签署双边投资协定是国家间相互保护投资的主要法律途径。但是近年来,越来越多的经济一体化协定尤其是自由贸易协定在对贸易自由化问题进行规范的同时,也对投资等问题加以规定,形成了自由贸易协定投资规则与双边投资协定并存的局面。为了加速中日韩经济一体化进程,三国决定先行签署《中日韩投资协定》,作为未来中日韩自由贸易协定的组成部分。在这种背景下,对《中日韩投资协定》构建的基本原则、具体条款的设计、与双边投资协定的关系进行深入探讨,可以对正在进行的中日韩三边投资协定谈判提供可行性建议。     

关于民警在群体性事件现场“软处置”存在主要问题的剖析

所谓群体性事件现场＂软处置＂,是指民警在群体性事件现场以对话方式解决参与群体性事件中的群众诉求或利益问题。通过对话能够解决武力威胁和震慑无法解决的问题。在群体性事件现场处置中,受民警自身素质的影响,还无法和参与群体性事件的群众进行对话。表现在：在群体性事件现场处置的形成阶段,民警不愿意与群众对话;在群体性事件现场处置的对峙阶段,民警不懂得与群众对话;在群体性事件现场处置的激化阶段,民警不敢与群众对话;在群体性事件处置各个阶段中,民警不善于与群众对话。     

新型农村合作医疗管理体制改革探讨

本文分析了我国新型农村合作医疗卫生部门管理模式成效及存在的问题,提出新型农村合作医疗管理体制改革的思考与建议     

湿疹外洗方治疗湿热蕴肤型小儿湿疹临床观察

目的 观察湿疹外洗方治疗湿热蕴肤型小儿湿疹的临床疗效。方法 将70例符合纳入标准的湿疹患儿随机分为治疗组和对照组,每组35例（对照组脱落3例,治疗组脱落2例）,治疗组采用湿疹外洗方治疗,对照组采用炉甘石洗剂治疗,连续用药2周,治疗前后对皮损面积、湿疹面积和严重度指数（eczema area and severity index, EASI）、湿热蕴肤证积分、瘙痒程度进行评价。结果 两组基于EASI的疗效、湿热蕴肤证疗效比较,差异均有统计学意义（P＜0.05）,基于瘙痒评分的疗效比较,差异无统计学意义（P＞0.05）;治疗组治疗后皮损面积和湿热蕴肤证积分降低程度明显大于对照组,差异均有统计学意义（P＜0.05）。结论 湿疹外洗方可以较好地缩小湿疹皮损面积,改善中医证候和瘙痒程度。     

推拿联合易筋经治疗神经根型颈椎病临床观察

目的 基于国医大师李业甫“治养并重”理论,观察推拿联合易筋经治疗神经根型颈椎病（cervical spondylotic radiculopathy,CSR）的临床疗效。方法 前瞻性收集60例CSR患者,依据其是否愿意接受易筋经习练分别纳入治疗组和对照组,两组各30例。治疗组患者在院接受推拿联合易筋经治疗,出院后1个月继续习练易筋经;对照组在院接受推拿治疗,出院后1个月无任何干预。分别于治疗前、治疗后、出院1个月后观察两组患者颈部肌肉弥散张量成像（diffusion tensor imaging,DTI）参数、疼痛视觉模拟量表（visual analogue scale,VAS）评分、颈椎功能障碍指数（neck disability index,NDI）量表评分,并于出院1个月后评定疗效。结果 与治疗前比较,治疗后两组患者DTI参数中患侧胸锁乳突肌、头夹肌表观弥散系数（apparent diffusion cofficient,ADC）值,VAS评分,NDI评分均明显降低,患侧胸锁乳突肌、头夹肌各向异性分数（fractional anisotropy,FA）值均明显升高,差异均有统计学意义（P＜0.05）;治疗组胸锁乳突肌、头夹肌ADC值,头夹肌FA值,NDI评分改善程度均明显优于对照组（P＜0.05）。与治疗后比较,出院1个月后除对照组患者患侧胸锁乳突肌、头夹肌FA值差异无统计学意义（P＞0.05）外,两组患者胸锁乳突肌、头夹肌ADC值,VAS评分,NDI评分均明显改善,差异有统计学意义（P＜0.05）;且治疗组DTI参数、VAS评分、NDI评分改善程度均明显优于对照组（P＜0.05）。治疗组临床疗效优于对照组（P<0.05）。结论 “治养并重”理论指导下推拿联合易筋经治疗CSR可修复颈肌纤维、减轻疼痛、提高颈椎功能及临床疗效,较单纯推拿疗效更佳。     

戴宁论治睾丸鞘膜积液经验

介绍戴宁主任论治睾丸鞘膜积液的临证经验。戴宁主任认为睾丸鞘膜积液的形成是由于肝、脾、肾三脏的功能受损,导致水湿下注于下焦不能通过阳气气化,遂稽留成为湿邪。临证时以化水作为该病的治疗原则,依其在临床治疗的经验,提出将鞘膜积液该病分为肝郁水滞型、脾虚湿滞型、肾阳亏虚型、寒湿阻络型进行论治,依法选方,在治疗中取得了良好的效果,在临证中具有指导意义,应推广应用。     

区域贸易安排中的国民待遇原则

国民待遇是区域贸易安排的核心原则。该原则在区域贸易安排中,不仅加强了服务贸易的适用,而且引入了投资领域,形成了具有自身特点和风格的国民待遇制度。同时,区域贸易安排吸收了WTO国民待遇原则的文本和经验,在认定标准上类似于WTO标准,却又不同于WTO,为未来WTO国民待遇的扩展和改良提供了借鉴和示范。     

我国工伤保险制度的重大发展与理念创新

《社会保险法》以及新《工伤保险条例》对我国工伤保险制度作了重大发展,扩大了工伤保险的适用范围,调整了工伤认定的范围,简化了工伤处理程序,提高了工伤待遇标准,增加了工伤保险基金的支出项目,减少了停止享受工伤保险待遇的情形,规定了工伤保险基金先行支付和追偿制度,规定了第三人侵权的工伤医疗费用支付,明确了工伤保险基金的统筹层...