大学生学习倦怠、自尊与生活满意度的关系研究

目的:探讨大学生学习倦怠、自尊以及生活满意度的关系.方法:采用学习倦怠量表、自尊量表(SES)以及生活满意度量表对446名大学生进行测试.结果:(1)学习倦怠存在性别差异,大学男生在学习倦怠的成就感低方面显著高于大学女生;(2)大三学生在行为不当方面显著低于大四学生;在成就感低方面显著低于大一学生;(3)情绪低落及成就感低对自尊以及生活满意度有显著的预测作用.结论:缓解大学生学习倦怠、提高其自尊水平与生活满意度有利于提高其心理健康.     

Chronic Inflammatory Disease and Osteopathy: A Systematic Review

Background

Chronic inflammatory diseases (CID) are globally highly prevalent and characterized by severe pathological medical conditions. Several trials were conducted aiming at measuring the effects of manipulative therapies on patients affected by CID. The purpose of this review was to explore the extent to which osteopathic manipulative treatment (OMT) can be benefi-cial in medical conditions also classified as CID.

Methods

This review included any type of experimental study which enrolled sub-jects with CID comparing OMT with any type of control procedure. The search was conducted on eight databases in January 2014 using a pragmatic literature search approach. Two independent re-viewers conducted study selection and data extraction for each study. The risk of bias was evaluated according to the Cochrane methods. Heterogeneity was assessed and meta-analysis performed where possible.

Results

10 studies met the inclusion criteria for this review enrolling 386 subjects. The search identified six RCTs, one laboratory study, one cross-over pilot studies, one observation-al study and one case control pilot study. Results suggest a potential effect of osteopathic medicine on patients with medical pathologies associated with CID (in particular Chronic Obstructive Pul-monary Disease (COPD), Irritable Bowel Syndrome, Asthma and Peripheral Arterial Disease) com-pared to no treatment or sham therapy although data remain elusive. Moreover one study showed possible effects on arthritis rat model. Meta-analysis was performed for COPD studies only show-ing no effect of any type of OMT applied versus control. No major side effects were reported by those receiving OMT.

Conclusion

The present systematic review showed inconsistent data on the effect of OMT in the treatment of medical conditions potentially associated with CID, however the OMT appears to be a safe approach. Further more robust trials are needed to determine the direction and magnitude of the effect of OMT and to generalize favorable results.     

Pregnancy Incidence and Correlates in a Clinical Trial Preparedness Study,North West Province South Africa

Introduction

Women in HIV prevention trials often must typically agree to avoid pregnancy. Regardless, some become pregnant. Screening tools predicting pregnancy risk could maximize trial safety and efficiency.

Objectives

We assessed incidence and correlates of pregnancy among women at high HIV risk.

Methods

We enrolled sexually-active, HIV-negative women into an observational cohort (2008–2011). At enrolment demographic, contraceptive, reproductive, pregnancy intention and behavioural data were collected. Women reported if one or both partners wanted or intended for the couple to become pregnant. We measured gender role beliefs using a locally validated eight-point index. We tested HIV and pregnancy, and inquired about sexually transmitted infection symptoms (STIs) at enrollment and monthly. HIV testing included behavioural counselling and condom provision, but did not specifically counsel women to avoid pregnancy. Cox proportional hazard modelling evaluated the associations with pregnancy. The multivariate model included the following variables “Recent pregnancy attempts”, “Gender Roles Beliefs”, ”Self-reported STIs” and “Age”.

Results

We screened 1068 women and excluded (24.6%, 263/1068) who did not report risk behaviour. Non-pregnant, non-sterilized women aged 18–35 (median = 21 years) enrolled (n = 438). Most women reported one partner (74.7%) and a prior live birth (84.6%). Median follow-up time was 6 months (range 0.7–15.5). Pregnancy incidence was 25.1 per 100 women-years (n = 57 pregnancies). Conservative beliefs on gender roles (Adjusted Hazard Ratio (aHR) 1.8; 95% confidence interval [CI] 1.1–2.9), recent pregnancy attempts (aHR 1.9; 95% CI 1.1–3.4) and baseline self-reported STI (aHR 2.5; 95% CI 1.4–4.4) were associated with increased incident pregnancy. Report of no pregnancy intention was associated with lowered pregnancy risk (aHR 0.3; 95% CI 0.1–0.7).

Conclusions

We identified new and confirmed existing factors that can facilitate screening for pregnancy risk.     

Osteopathy may decrease obstructive apnea in infants: a pilot study

Background

Obstructive apnea is a sleep disorder characterized by pauses in breathing during sleep: breathing is interrupted by a physical block to airflow despite effort. The purpose of this study was to test if osteopathy could influence the incidence of obstructive apnea during sleep in infants.

Methods

Thirty-four healthy infants (age: 1.5–4.0 months) were recruited and randomized in two groups; six infants dropped out. The osteopathy treatment group (n = 15 infants) received 2 osteopathic treatments in a period of 2 weeks and a control group (n = 13 infants) received 2 non-specific treatments in the same period of time. The main outcome measure was the change in the number of obstructive apneas measured during an 8-hour polysomnographic recording before and after the two treatment sessions.

Results

The results of the second polysomnographic recordings showed a significant decrease in the number of obstructive apneas in the osteopathy group (p = 0.01, Wilcoxon test), in comparison to the control group showing only a trend suggesting a gradual physiologic decrease of obstructive apneas. However, the difference in the decline of obstructive apneas between the groups after treatment was not significant (p = 0.43).

Conclusion

Osteopathy may have a positive influence on the incidence of obstructive apneas during sleep in infants with a previous history of obstructive apneas as measured by polysomnography. Additional research in this area appears warranted.     

From Crisis to Emergency: The Shifting Logic of Preparedness

Following the Second Lebanon War (2006), Israeli preparedness exercises were designed in reference to that crisis event. Hold annually for more than a decade, ‘Turning Point’ exercises are now accompanied by a ‘National Emergency Week’. After three years of fieldwork in the National Emergency Management Authority (NEMA) and the Turning Point administration, we came to realise that the conceptualisation of preparedness for such events has morphed. Through an analytical discussion on the concepts of crisis and emergency, we argue that a shift in orientation has occurred and crisis response gave birth to emergency management. That is, preparedness is no longer driven by historical precedent but has become a form of future-oriented emergency practice. Moreover, we argue, an emergency apparatus – a distinct technology of governance – has emerged that, although varying in form and composition, has become the means and ends of civilian-front preparedness.     

The Impact of the Deepwater Horizon: The Evolving International Legal Regime for Offshore Accidental Pollution Prevention,Preparedness, and Response

The Deepwater Horizon incident in the Gulf of Mexico has ignited unprecedented global attention and debate on and global review of the efficiency and effectiveness of the existing international regimes governing offshore operations; particularly, accidental pollution prevention, preparedness, and response mechanisms. This article looks at these developments.     

中国水仙与欧洲水仙品种RAPD指纹的研究

利用随机多态性DNA(RAPD)技术对中国水仙和欧洲红口水仙共6个品种进行了分析。选用了12个10bp引物共扩增出119条DNA片段。计算各样本间的相似性系数和遗传距离,并采用UPGMA法对遗传距离进行了聚类分析。结果表明：中国水仙3个品种亲缘关系十分密切,红口水仙3个品种亲缘关系较近,而中国水仙与红口水仙3个品种间的亲缘关系较远。建立的水仙RAPD技术体系可帮助育种亲本的选配及水仙品种的鉴定。     

Strategic, Financial, and Design Implications of Extended Producer Responsibility in Europe: A Producer Case Study

Extended producer responsibility (EPR) legislation, making producers responsible for financing and organizing take-back and recycling of waste batteries, packaging, end-of-life vehicles (ELVs), and waste electrical and electronic equipment (WEEE), has been or is currently in the process of being implemented in 29 different countries in Europe following introduction of European Union directives. This article reviews the potential impacts of EPR for waste batteries, packaging, and WEEE on producers distributing products in Europe through a case study of Sony Computer Entertainment Europe (SCEE)—responsible for marketing and distribution of PlayStation products.
There are presently more than 250 producer responsibility organizations (PROs) established to meet EPR obligations in Europe, which contrasts to the single national recycling schemes founded in the late 1990s. SCEE estimates it avoided anetcostof €408,000 in 2005 by introducing competitive review of PRO services (against a total net take-back cost of €401,000).To meet increasingly extensive compliance obligations, SCEE has initiated new activities, with considerable implications for the company's legal, sales data administration, procurement, accounting, and product and packaging approval practices.
Considering the ultimate aim of EPR to establish economic incentives for improved product design, several significant political and practical obstacles are described from SCEE's case and industry situation. Although the principle of EPR is indeed interesting, its practical application in Europe may require refinement. Producers, given adequate support by policy makers, still have opportunities to develop new processes under the WEEE Directive to facilitate design for the environment.     

Antidepressant Utilization and Suicide in Europe: An Ecological Multi-National Study

Background

Research concerning the association between use of antidepressants and incidence of suicide has yielded inconsistent results and is the subject of considerable controversy. The first aim is to describe trends in the use of antidepressants and rates of suicide in Europe, adjusted for gross domestic product, alcohol consumption, unemployment, and divorce. The second aim is to explore if any observed reduction in the rate of suicide in different European countries preceded the trend for increased use of antidepressants.

Methods

Data were obtained for 29 European countries between 1980 and 2009. Pearson correlations were used to explore the direction and magnitude of associations. Generalized linear mixed models and Poisson regression distribution were used to clarify the effects of antidepressants on suicide rates, while an autoregressive adjusted model was used to test the interaction between antidepressant utilization and suicide over two time periods: 1980–1994 and 1995–2009.

Findings

An inverse correlation was observed in all countries between recorded Standardised Death Rate (SDR) for suicide and antidepressant Defined Daily Dosage (DDD), with the exception of Portugal. Variability was marked in the association between suicide and alcohol, unemployment and divorce, with countries depicting either a positive or a negative correlation with the SDR for suicide. Every unit increase in DDD of an antidepressant per 1000 people per day, adjusted for these confounding factors, reduces the SDR by 0.088. The correlation between DDD and suicide related SDR was negative in both time periods considered, albeit more pronounced between 1980 and 1994.

Conclusions

Suicide rates have tended to decrease more in European countries where there has been a greater increase in the use of antidepressants. These findings underline the importance of the appropriate use of antidepressants as part of routine care for people diagnosed with depression, therefore reducing the risk of suicide.     

Butterfly monitoring in Europe: methods,applications and perspectives

Since the first Butterfly Monitoring Scheme in the UK started in the mid-1970s, butterfly monitoring in Europe has developed in more than ten European countries. These schemes are aimed to assess regional and national trends in butterfly abundance per species. We discuss strengths and weaknesses of methods used in these schemes and give examples of applications of the data. A new development is to establish supra-national trends per species and multispecies indicators. Such indicators enable to report against the target to halt biodiversity loss by 2010. Our preliminary European Grassland Butterfly Indicator shows a decline of 50% between 1990 and 2005. We expect to develop a Grassland Butterfly Indicator with an improved coverage across European countries. We see also good perspectives to develop a supra-national indicator for climate change as well as an indicator for woodland butterflies.