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101.
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Meaghan C. McHugh Donna E. Howard 《Journal of mental health research in intellectual disabilities》2017,10(4):288-308
Bullying affects approximately 40% of individuals with intellectual and developmental disabilities (IDD). Cyberbullying, a type of bullying facilitated by electronic devices, may be particularly worrisome for parents of children with IDD as constant monitoring is difficult. In this study, ten parents of Special Olympics Maryland athletes completed a survey and participated in in-depth, semi-structured interviews. Interview questions were based on the routine activities theory, whichposits that crime requires a vulnerable target, motivated offender, and lack of effective monitoring. Sixty percent of parents reported that their child with IDD had been bullied at school and, although quantitative analysis indicated no cyberbullying exposure, qualitative analysis implied two children had been cyberbullied. Results suggest parents perceive that individuals with IDD are vulnerable to cyberbullying, require constant monitoring, and have unique resource needs. Cyberbullying is an important health issue for those with IDD; additional research and targeted resources are needed. 相似文献
103.
目的探索不同化学染色法对日本血吸虫虫卵染色的效果,以期获得在镜检下可分辨虫卵和粪渣的染色方法,为粪检血吸虫虫卵的计算机自动化识别奠定基础。方法用AO-EB、罗丹明、中性红、酸性品红、甲苯胺兰、台盼蓝、考马斯亮蓝和孔雀绿等化学染料,选择3个不同浓度和2个不同温度条件,分别对含日本血吸虫虫卵粪液进行染色、涂片镜检,用虫卵和粪渣反差程度作为主要评价指标,比较各种方法的染色效果。结果在8种化学染色方法中,以AO-EB染色和中性红染色的虫卵与粪渣其反差最大,镜下粪涂片中虫卵易于辨认,AO-EB法和中性红法的检出率分别为67.5%和65.0%,明显高于改良加藤法的检出率(40.0%)。结论AO-EB法和中性红染色法有助于提高粪检血吸虫虫卵检出率。 相似文献
104.
Background: Previously, contact allergy to formaldehyde and quaternium‐15 was found to be more prevalent in the United States than in Europe. No such data have been assessed for other contact allergens. Objective: Determine any differences in frequencies of sensitization to contact allergens in the United States and Europe. Methods: Literature study. Comparison of reported frequencies of sensitization to contact allergens routinely tested both in the United States and Europe in recent, large, multicentre studies. Because of the heterogeneity of studies and background parameters, statistical evaluation was not attempted. Results: Major differences were found only for neomycin (USA 10.0–11.8%, mean 11.4%; Europe 1.2–5.4%, mean 2.6%). Most allergens had somewhat higher prevalence in the United States, with rates versus Europe ranging from 1.3 to 1.9. Conclusions: Contact allergy to neomycin is much more prevalent in the United States. Stricter selection of patients for patch testing in United States tertiary referral centres may result in 50% more positive reactions compared to European studies. 相似文献
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目的:调查北京市区学龄前儿童红细胞系列参数及体内必需元素水平,探讨儿童贫血与必需元素之间及必需元素相互间的关系。方法:采用ADVIA120血液分析仪检测北京市区学龄前健康体检儿童静脉血常规,同时采用5100五通道原子吸收光谱仪检测末梢血必需元素,并对检测结果进行统计学分析。结果:①3岁以内儿童HCT、MCV、MCH、CH、Zn、Fe均低于3~6岁组,而RDW、RET%、RET均高于3~6岁组。②本研究299名儿童中,贫血儿童2名(0.67%),均为轻度贫血。③299名儿童中,26.1%儿童存在锌缺乏,铁缺乏占6.0%,钙缺乏占3.1%。女孩锌缺乏率明显高于男孩,3岁以内儿童铁缺乏率明显高于3~6岁儿童。④Zn与Fe、Cu、Ca存在正相关,r值分别为0.402、0.437、0.331,P<0.01;Mg与Fe存在正相关,r值为0.589,P<0.01,与Ca存在负相关,r值为-0.130,P<0.05;RBC与Mg、Fe成正相关,与Ca负相关,r值分别为0.275、0.442、-0.160,P<0.01;Hb与Cu、Zn、Mg、Fe存在正相关,r值分别为0.163、0.262、0.274,0.626,P<0.01;CHr与Zn、Fe成正相关,r值分别为0.215、0.196,P<0.01。结论:随着生活水平的提高,学龄前儿童贫血发生率明显降低,但锌和铁的缺乏率较高,应予以重视。同时在纠正贫血、补充锌、铁时应考虑必需元素之间及必需元素与红细胞参数的关系,进行科学合理的补充,以避免某些元素补充过量所带来的负面影响。 相似文献
109.
Lactose feeding during persistent diarrhoea 总被引:1,自引:0,他引:1
Lactose intolerance is a recognized complication of some episodes of diarrhoea. Whereas it is of clinical importance in relatively few children with acute diarrhoea it seems to be a more common problem in children presenting with persistent diarrhoea, especially in malnourished children with severe diarrhoea. We describe a recent study which also demonstrated adverse clinical and nutritional consequences in the majority of children with mild but persistent diarrhoea consuming 6 g lactose/kg body weight/d. It is desirable to identify these children who need to reduce their lactose intake in order to limit unnecessary dietary changes which are expensive to implement and/or nutritionally disadvantageous. Admission clinical characteristics were analyzed for their ability to predict clinical outcome in a group of 33 children with persistent diarrhoea taking a lactose-containing diet. The results of tests of stool reducing substances and a lactose breath hydrogen test (LHBT) were analyzed in the same group whose clinical management had been independent of the test results. Eighty-nine percent of children who deteriorated had one of the following characteristics: age <12 months, weight-for-height less than -2 SD below NCHS norms or fever >37°C. Children who unequivocally improved while continuing to take lactose could not be selected without the risk of including children who deteriorated. Neither tests of stool reducing substances nor the LBHT improved the predictive value of simple clinical parameters. Reduction of lactose in the diet of children with persistent diarrhoea who have any of these parameters is recommended, but mixing of milk with cereal or substituting with fermented milk products is preferable to milk withdrawal or dilution with water. 相似文献
110.
Hatzichristou D Hatzimouratidis K Bekas M Apostolidis A Tzortzis V Yannakoyorgos K 《The Journal of urology》2002,168(2):615-620
PURPOSE: The necessity for a thorough diagnostic evaluation for erectile dysfunction has been questioned after the availability of effective oral therapies. We determined the impact of the different diagnostic steps on the management strategy for erectile dysfunction. MATERIALS AND METHODS: The study included all patients who presented at an andrology outpatient clinic during a 4-year period. Baseline evaluation included medical and sexual history, blood tests, physical examination and intracavernous injection test. Patients with normal initial screening were evaluated with specific diagnostic procedures. The results were analyzed to identify the diagnostic potential of each screening step separately. RESULTS: Overall 1,644 patients presented at the clinic during the study period, of whom 368 (22.4%) were excluded from study due to severe psychiatric (5.2%) or cardiovascular (2.7%) disease, or to a history of erectile dysfunction less than 3 months in duration (14.5%). In the remaining 1,276 patients with a mean age plus or minus standard deviation of 56 +/- 14 years, and a mean duration of erectile dysfunction of 4.9 +/- 3.4 years medical history revealed erectile dysfunction associated medical conditions in 57%, blood tests identified previously undiagnosed medical conditions in 6.2%, and physical examination and the intracavernous injection test were diagnostic in 13.9% and 2.6%, respectively. Initial screening was negative in 259 cases (20.3%), in which specific diagnostic procedures identified an underlying vascular pathology in 165 (12.9%) and unfavorable penile geometry in 16 (1.3%). The remaining 78 men (6.1%) had no evidence of organic disease. CONCLUSIONS: Baseline diagnostic evaluation for erectile dysfunction can identify the underlying pathological condition or erectile dysfunction associated risk factors in 80% of patients. Such screening may diagnose reversible causes of erectile dysfunction and also unmask medical conditions that manifest with erectile dysfunction as the first symptom. Specific diagnostic procedures may be limited in patients with primary erectile dysfunction or those without risk factors. Such clinical data support previously published guidelines for erectile dysfunction management. 相似文献