关节腔注射、运动疗法联合中药熏洗治疗粘连期肩周炎的临床观察

目的 探讨关节腔注射、运动疗法联合中药熏洗治疗粘连期肩周炎的临床疗效。方法 将90例粘连期肩周炎患者随机分为对照组和治疗组,每组45例。对照组采取关节腔注射联合运动疗法治疗,治疗组在此基础上加用中药熏洗治疗,疗程为2周。治疗前后采用视觉模拟量表（visual analogue scale,VAS）评价肩关节疼痛程度,采用肩关节功能Melle评分量表及肩关节活动度评价肩关节活动度和功能,并观察两组临床疗效。结果 治疗后两组患者VAS评分、Melle评分均较治疗前降低（P＜0.05）;两组Melle评分差值比较,差异有统计学意义（P＜0.05）。治疗后两组患者的肩关节外展、内旋、外旋活动度均较治疗前增加（P＜0.05）;治疗组患者肩关节外展、内旋、外旋活动度升高值均显著高于对照组（P＜0.05）。两组临床疗效分布比较,差异有统计学意义（P＜0.05）。结论 两种治疗方案均能减轻肩关节疼痛,改善肩关节功能,关节腔注射、运动疗法联合中药熏洗对粘连期肩周炎的疗效优于关节腔注射联合运动疗法,能更好地改善肩关节功能和活动度。     

益气温阳活血利水法治疗慢性心力衰竭疗效观察

目的 观察益气温阳活血利水法治疗慢性心力衰竭的临床疗效。方法 将40例慢性心力衰竭患者,随机分为治疗组和对照组,每组20例。对照组采用常规西医药物治疗,治疗组在对照组治疗的基础上加用益气温阳活血利水方口服。治疗前后分别观察两组患者左室舒张末内径（left ventricular diastolic dimension, LVDd）、左室射血分数（left ventricular ejection fraction, LVEF）、血浆B型脑利钠肽前体（N-terminal pro-B-type natriuretic peptide, NT-proBNP）、外周静脉压（peripheral venous pressure,PVP）、6 min步行距离（6-minute walk test, 6MWT）。结果 与治疗前比较,两组患者治疗后NT-proBNP、PVP、LVDd均显著降低（P＜0.05）,LVEF、6MWT均显著升高（P＜0.05）;治疗组患者治疗后NT-proBNP、PVP降低程度和LVEF、6MWT升高程度均显著大于对照组（P＜0.05）。结论 益气温阳活血利水法能改善慢性心力衰竭患者的心功能指标,改善患者心功能。     

调肝益肾汤、帕罗西汀单用和联用治疗早泄临床观察

目的观察单用帕罗西汀、调肝益肾汤及帕罗西汀联合调肝益肾汤治疗早泄的临床疗效。方法将96例早泄患者随机分为帕罗西汀组、调肝益肾汤组、中西医结合组,每组32例。帕罗西汀组予以帕罗西汀,每次20mg,口服,每晚1次;调肝益肾汤组予以中药调肝益肾汤口服,每日1剂,早晚分服;中西医结合组联合服用帕罗西汀与中药调肝益肾汤。3组疗程均为8周,比较3组患者治疗前后及停药10周末阴道内射精潜伏时间(intravaginal ejaculatory latency time,IELT)、中国早泄患者性功能指数(Chinese index of sexual function for premature ejaculation,CIPE)及不良反应。结果治疗后及停药10周末,3组患者IELT均较治疗前明显延长(P<0.05),CIPE评分及各条目评分均较治疗前明显升高(P<0.05);与帕罗西汀组、调肝益肾汤组比较,治疗后及停药10周末中西医结合组患者IELT明显延长(P<0.05),CIPE评分及各条目评分明显升高(P<0.05)。停药10周末,调肝益肾汤IELT显著大于帕罗西汀组(P<0.05),而CIPE评分及各条目评分与帕罗西汀组比较,差异均无统计学意义(P>0.05)。3组不良反应发生率比较,差异无统计学差异(P>0.05)。结论调肝益肾汤联合帕罗西汀治疗早泄的短期疗效和长期疗效较好,不良反应少。单用调肝益肾汤因其较好的安全性及长期疗效,亦有一定的临床应用价值。     

统计学方法在微量物证数据处理中的应用

统计学方法在微量物证理化检验工作中受到越来越多的重视,采用有效的统计学方法对检验数据进行分析,不仅能够深度挖掘复杂数据背后信息,还能不断提高数据的应用价值和证据本身的证据价值。本文对目前微量物证领域常用统计学方法进行归纳总结,简要介绍了常用统计方法的应用,对各类方法优缺点进行说明。最后,对法庭科学工作者都比较感兴趣的贝叶斯统计与似然比方法在理化检验数据统计分析中的应用进行了介绍。     

当前青年面临的压力及其应对方式

当前中国青年面临的压力主要有 :价值冲突压力、选择压力、就业和工作压力、学业压力等、婚恋压力以及人际关系压力等。在各种压力下 ,青年人的身心健康状况受到了不同程度的影响。青年人应采取适当的应对方式来平衡自己的心态 ,以应付所面临的各种压力     

浅谈对司警专业学生身体素质与格斗能力的培养

本文以怎样提高司法警察专业学生的身体素质为基础 ,以武术散手 ,拳击等专门技术训练为手段 ,从而达到提高学生格斗能力的培养目的。     

The Role of Perpetrator Alcohol Use in the Injury Outcomes of Intimate Assaults

Little research has been conducted on the role of perpetrator alcohol use in the injury outcomes of intimate assaults, although alcohol use by an intimate partner may be related to more severe assault outcomes (physical injury and need for medical attention) than is no alcohol use. The role of perceived perpetrator alcohol use in the injury outcomes of intimate assaults (N = 909) was analyzed using 1992–1996 National Crime Victimization Survey data. Logistic regression analyses demonstrated that perpetrator alcohol use was associated with increased likelihood of physical injury and marginally associated with more medical attention seeking by the victim when demographic variables and assault characteristics were controlled. Suggestions for future research on the relationship between alcohol and intimate assault outcomes are presented.     

Type and Severity of Abuse as Predictors of Psychiatric Symptoms in Adolescence

There has been little previous research about histories of child maltreatment and psychological symptoms in adolescent psychiatric patients. This study investigated whether type and characteristics of child physical and/or sexual abuse predicted individual differences in symptoms. Participants were 187 patients in day or residential treatment facilities. Abuse was assessed using structured interviews with the adolescent, the therapist, and the caseworker. Participants completed a standardized, self-report measure of internalizing and externalizing symptoms. Adolescents with histories of dual abuse (i.e., sexual and physical abuse) had elevated depression and anxiety compared with nonabused patients. Histories of any type of abuse were associated with elevated posttraumatic symptoms. Among physically abused patients, severity and duration of abuse predicted individual differences in depression and anxiety, whereas severity and concomitant sexual abuse predicted elevated posttraumatic symptoms. Among sexually abused patients, the characteristics of sexual abuse did not predict individual differences in symptoms. Thus, child abuse, particularly dual abuse and severe physical abuse, predicted elevated internalizing symptoms, even in comparison with other adolescent psychiatric patients. The need for replication is discussed.     

Preventing relapse versus “stopping” domestic violence: Do we expect too much too soon from battering men?

Given the deeply entrenched habit patterns that characterize domestic violence, the author questions the enormous demands for change that are immediately placed on both abusive men and the clinicians treating them. Battering men are not only required to abruptly and permanently halt overt physical violence, but they are also expected to stop all expressions of dominance and intimidation, and to abandon all their exploitative attitudes and sex-role expectations as well. While it is feasible and necessary to insist upon the cessation of physical violence in order to protect the spouse and family, to what degree can the clinician also demand a total revolution in the abusive male's attitudes, social behavior, and values? To better demonstrate the excessivity of these demands, the author makes a comparison to the treatment of substance abusers, where the features of relapse and enduring cognitive distortions are expected and permitted as part of the normal extended course of recovery. Instead, the author proposes a more realistic and humanitarian set of therapeutic expectations for change, emphasizing relapse prevention and supportive maintenance.     

担保功能的不足与重构

民事诉讼保全中的担保存在程序功能不足以及实体保障功能缺失的问题，不利于被申请人保全损害赔偿的实现。完善担保的程序功能，确定担保的实体功能，应从保护被申请人利益的角度出发。