固守·承继·创新——汤池试验留给我们的启示

伴随着时代的不断发展,中国正大踏步地迈进世界的大舞台。面对多元文化的冲击,中国传统文化的继承与弘扬正面临着诸多的考验,人们为此做出过许多的探索与努力。汤池的庐江中华文化教育中心也正是其中之一。汤池的试验,对于承继传统文化提供的启示是：坚定弘扬传统文化的信念,注重传统文化对人由外而内的塑造以及实现传统与现代的对接。     

Sex differences in the development of mild cognitive impairment and probable Alzheimer’s disease as predicted by hippocampal volume or white matter hyperintensities

This study examined biological sex differences in the development of mild cognitive impairment (MCI) and probable Alzheimer’s disease (AD) development as predicted by changes in the hippocampus or white matter hyperintensities. A secondary data analysis of the National Alzheimer’s Coordinating Center Uniform Data Set was conducted. We selected samples of participants with normal cognition at baseline who progressed to MCI (n = 483) and those who progressed to probable AD (n = 211) to determine if hippocampal volume or white matter hyperintensities (WMH) at baseline predicted progression to probable AD or MCI and whether the rate of progression differed between men and women. The survival analyses indicated that changes in hippocampal volumes affected the progression to probable AD (HR = 0.535, 95% CI [0.300–0.953]) only among women. White men had an increased rate of progression to AD (HR = 4.396, CI [1.012–19.08]; HR = 4.665, 95% CI [1.072–20.29]) compared to men in other race and ethnic groups. Among women, increases in hippocampal volume ratio led to decreased rates of progressing to MCI (HR = 0.386, 95% CI [0.166–0.901]). Increased WMH among men led to faster progression to MCI (HR = 1.048. 95% CI [1.011–1.086]). Women and men who were older at baseline were more likely to progress to MCI. In addition, results from longitudinal analyses showed that women with a higher CDR global score, older age at baseline, or more disinhibition symptoms experienced higher odds of MCI development. Changes in hippocampal volumes affect the progression to or odds of probable AD (and MCI) more so among women than men, while changes in WMH affected the progression to MCI only among men.     

高校党外知识分子思想政治教育工作的传承与创新

高校是党外知识分子的集中之地。在新的社会条件下,做好高校党外知识分子思想政治教育工作,是高等教育全面、协调、可持续发展的重要保障。必须在坚持一致性和多样性统一的前提下,找到最大公约数,画出最大同心圆,为国家实施科教兴国、人才强国和创新驱动发展战略,为高校的改革与发展凝聚人心、汇聚力量。     

“疾病”类英语高频词的学习策略

近年来,高校英语教材中采用的卫生健康方面的文章呈上升趋势,其中涉及的“疾病”名词多而且杂。如何将某些出现频率较高的名词进行分类,方便学生掌握,一直是教师关注的焦点。从炎症疾病、传染病、癌症、老年病和其他常见疾病等五个方面,对与“疾病”相关的英语高频词进行归类,并制定相应的学习策略,有助于学生克服畏难情绪,逐步认识、熟悉、掌握这些词汇。     

旅游中的民族文化整合与传承——以阳朔“印象·刘三姐”为例

文章考察了旅游中的民族文化整合与传承问题,结合具体个案民族文化主题项目"印象·刘三姐"对旅游环境导向中的民族文化和符号进行了以文化整合过程和结构的解析,以其中的民族文化元素山歌的原生、再生、衍生方式加以阐述了传承问题.     

试论民间故事类型的传承与过渡礼仪模式——以“黄粱梦”故事为例

民间故事类型的研究重在传承史的梳理和异文的解读,对故事类型传承的动因有所忽略。从“黄粱梦”故事入手,尝试引入“过渡礼仪模式”,阐释民间故事类型中隐含的生命转换过程即生命的社会性特质。对人类生命社会性特质的理解与传递,或许就是众多的民间故事类型传承至今的重要原因。     

Evidence-Based Programs for Older Adults: A Disconnect Between U.S. National Strategy and Local Senior Center Implementation

While U.S. national policies have been developed to support evidence-based (EB) lifestyle programs for older adults, there has been limited research to determine the extent to which these programs actually reach local communities. This study sought to identify factors that impact the implementation of EB physical activity, nutrition, and chronic disease management programs at regional (Area Agencies on Aging [AAAs]) and community levels (senior Centers [SCs]). Interviews were conducted with directors of four AAAs and 12 SCs to understand their perspectives on EB program implementation. Narratives revealed differences between AAAs and SCs regarding knowledge about EB programs and reasons to promote and adopt these programs. The only agreement occurred when discussing concerns about funding and program inflexibility. Substantial gaps exist between how EB lifestyle programs are promoted and implemented at the regional and community levels.     

Medicare and Amyloid PET Imaging: The Battle Over Evidence

We examine a recent dispute regarding the Centers for Medicare and Medicaid Services’ (CMS) refusal to unconditionally pay for amyloid positron emission tomography (PET) imaging for Medicare beneficiaries being assessed for Alzheimer’s disease. CMS will only pay for amyloid PET imaging when patients are enrolled in clinical trials that meet certain criteria. The dispute reflects CMS’s willingness in certain circumstances to require effectiveness evidence that differs from the Food and Drug Administration’s standard for pre-market approval of a medical intervention and reveals how stakeholders with differing perspectives about evidentiary standards have played a role in attempting to shape the Medicare program’s coverage policies.     

降糖药物——阿尔茨海默病治疗的新思路

流行病学研究表明2型糖尿病（type 2 diabetes mellitus T2DM）能够增加患者发生阿尔茨海默病（Alzheimer＇s disease,AD）的风险。进一步的分子机制研究也表明,胰岛素抵抗以及胰岛素缺乏,这个T2DM特征性和最主要的发病机制也在AD的发病机制中发挥着重要作用。近年来甚至有人提议将AD称作＂3型糖尿病＂。基于这些研究,降糖药物也许是治疗AD的一个新选择。大量的临床试验研究也已经表明AD患者能够从降糖药物中获益,本文将主要介绍胰岛素、二甲双胍、噻唑烷二酮类药物以及胰升糖素样多肽1类似物。     

安徽省某高校大学生住院疾病构成及费用分析

目的：了解安徽省大学生住院疾病构成以及费用发生情况,为高校更好地开展预防保健工作以及完善大学生医疗保障体系提供参考。方法：通过大学生医保信息平台,收集安徽省某高校2015—2016年学生住院信息,运用SPSS20.0进行数据分析。结果：两年内,大学生住院总人数为425人,总住院率0.8%。导致大学生住院的前五类疾病分别为消化系统疾病、呼吸系统疾病、意外伤害、肿瘤和传染病。学生的住院费用有95%以上集中在5 000~20 000元。男生的意外伤害住院率（0.8%）比女生（0.7%）高,差异有统计学意义。结论：学校人群密集,消化系统疾病、呼吸系统疾病和传染性疾病居前,肿瘤疾病经济负担重,学生亚健康状态不容忽视,医保报销后自付费用仍较高。