The impact of testosterone replacement therapy on glycemic control,vascular function,and components of the metabolic syndrome in obese hypogonadal men with type 2 diabetes

Objective: This study set out to assess effects of testosterone replacement therapy (TRT) on parameters of metabolic syndrome and vascular function in obese hypogonadal males with type 2 diabetes mellitus (DM2).

Study design: Fifty-five obese hypogonadal diabetic males on oral hypoglycemic treatment were enrolled into this one-year, double-blind, randomized, placebo-controlled clinical study. Group T (n?=?28) was treated with testosterone undecanoate (1000?mg i.m. every 10?weeks) while group P (n?=?27) received placebo.

Methods: Anthropometrical and vascular measurements – flow-mediated dilatation (FMD) and intima media thickness (IMT) – biochemical and hormonal blood sample analyses were performed at the start of the study and after one year. Derived parameters (BMI, HOMA-IR, calculated free testosterone (cFT) and bioavailable testosterone (BT)) were calculated.

Results: TRT resulted in reduction of HOMA-IR by 4.64?±?4.25 (p?p?p?=?.005).

Conclusion: TRT normalized serum testosterone levels, improved glycemic control and endothelial function while exerting no ill effects on the study population.     

Applying the Housing First approach to single-site permanent supportive housing

This study explored how the U.S. Departments of Housing and Urban Development-Veterans Affairs Supportive Housing (HUD-VASH) program applies Housing First principles in the context of ten single-site programs. Focus group discussions with 64 HUD-VASH staff and community partners explored how the programs were influenced by Housing First principles and specific strategies to implement these principles in a single-site setting. Focus group respondents described resourceful ways that the principles of Housing First were implemented in their programs specifically related to (1) housing choice and structure, (2) separation of housing and services, (3) service philosophy, and (4) service array. Several of the Housing First domains cite the importance of integrated housing and the provision of services off-site; it was of particular interest to learn how single-site programs address these issues logistically. Lessons learned from this study include the importance of leveraging the independent yet overlapping tasks of case management and property management to ensure functional – if not geographic – separation of housing and services; maintaining staff on-site to address Veterans’ needs; working with community service organizations to complement the array of service available to residents; and housing single-site programs in mixed-use buildings.     

“90后”大学生思政课教学新思路探析——以宁夏师范学院为例

＂90后＂大学生群体具有坚定的政治信仰、强烈的爱国热情、明确的价值取向;生活态度总体上积极健康,人生目标明确。但是由于各方面原因,这一群体对未来充满了不确定感,紧张、压抑、焦虑的情绪比较严重,如果不能妥善引导和疏通,情况堪忧。高校思政理论课在解决这些问题上发挥着重要作用。因此,思政课应从构建和谐师生关系和创新教学方法等方面,提高其教学实效性。     

“90后”大学生思政课教学新思路探析——以宁夏师范学院为例

＂90后＂大学生群体具有坚定的政治信仰、强烈的爱国热情、明确的价值取向;生活态度总体上积极健康,人生目标明确。但是由于各方面原因,这一群体对未来充满了不确定感,紧张、压抑、焦虑的情绪比较严重,如果不能妥善引导和疏通,情况堪忧。高校思政理论课在解决这些问题上发挥着重要作用。因此,思政课应从构建和谐师生关系和创新教学方法等方面,提高其教学实效性。     

湖北农村居民持久收入与消费的协整分析

一般认为,持久收入是决定居民消费需求的基本因素。采用湖北省1978-2009年的农村居民持久收入与消费支出的年度统计数据,对湖北省农村居民的实际持久收入与消费进行协整分析。结果发现,湖北省农村居民的长期和短期消费弹性分别是0．857和0．728,二者之间存在着长期均衡和短期波动调整关系,持久收入是影响消费需求的决定性因素。在此基础上,提出相应政策建议,即大力提高农村居民的持久收入,从根本上激活农村消费市场和提高农村居民的消费水平。     

青年新移民定居行为的城市个案研究——基于合肥市经济技术开发区住宅区青年新移民访谈

城市青年新移民指的是在我国城镇化进程当中产生的从农村户籍变为城市户籍的群体,以及户籍虽未变动,但在城市工作和生活时间较长,已定居或有强烈定居倾向的青年群体。作为青年新移民城市融合问题的一个具体切入点,从居住的角度,基于“定居是青年新移民城市融合必要步骤”的假设,以中部省会城市舍肥为研究个案,通过访谈式调查,归纳城市青年新移民的定居类型,并就城市青年新移民当前居住状态、定居意愿、定居策略与过程、定居影响因素等调研内容作出初步研究结论。     

The role of eviction in veterans’ homelessness recidivism*

Eviction is one of the leading causes of homelessness in the U.S.A. Though permanent supportive housing (PSH) helps participants maintain housing, some still leave due to eviction. This study aimed to determine whether eviction is an important predictor of recidivism and time to return to homelessness for participants exiting PSH. The characteristics and post-exit service use of 2802 Veteran PSH participants were analyzed based on exit reason. A Cox proportional hazards survival analysis modeled risk factors for returning to homelessness within 360 days of exit. Compared with other exiters, evicted Veterans remained in the program for less time, were less likely to be receiving service-connected compensation, and used more services – particularly mental health and substance use services – following their exit, and those who returned to homelessness did so more quickly. Identifying participants who might benefit from more intensive services, project-based housing, or income supports may prevent evictions and subsequent returns to homelessness.     

原发性高血压患者颈动脉内膜中层厚度与踝臂指数的相关性研究

目的探讨原发性高血压患者颈动脉内膜中层厚度（IMT）与踝臂指数（ABI）的关系。方法156例原发性高血压患者作为高血压组，137例健康体检者作为对照组，所有患者行双侧颈动脉内膜中层厚度（IMT）及踝臂指数（ABI）的测定。结果①高血压NIMT大于对照组（P〈0．05），ABI小于对照组（P〈0．01）。（参高血压组IMT与ABI呈负相关（R〈0．01），对照组二者无显著相关性（P〉0．05）。结论ABI可作为高血压患者颈动脉粥样硬化的指标，适合作为高血压人群常规筛查的手段。     

构建和谐社会背景下的户籍制度改革

户籍制度长期以来是影响我国和谐社会关系构建、发展的瓶颈,由此引发的问题日益增多。为从根本上解决问题,我们必须统一立法,让隐藏在户口背后的劳动、人事、工资、教育、卫生、物价等相关社会管理制度与户籍制度脱钩;取消城乡之间、地区之间迁徙的行政限制,户口管理机关仅以申请人所提供的住所证据来登记户口;实现全国范围内统一的社会保障、社会福利制度。     

所得税会计方法探讨

所得税会计方法采用了应付税款和纳税影响会计法两种 ,当企业同时出现永久性差异和时间性差异时 ,能够选择其中任何一种方法 ,正确进行所得税会计的处理。