网络语言“X+的说”句法现象探究

"X+的说"是网络语言中新出现的句法现象,"的说"是个具有高确信度的语气词,表达说话人对事件、意志、感情的强烈肯定,突出强调说话人所说的内容确实是这样的。其中"X"可以是陈述句也可以是祈使句。"X+的说"句式可以视为是一种有标记的句式,"的说"是高确信度的标记。由于网络交际这个大语境的要求,"X+的说"句式也具有机器化和宣告性的特点。但"X+的说"还有自己的特点,"的说"承载了表达语言主观性的功能。"的说"的产生是动词"说"逐渐虚化,和"的"粘合在一起表示语气的过程,是一个主观化的过程。     

PubMed和CBMWeb中有关艾滋病的文献分析

目的：探讨艾滋病从发现至今的研究现状和发展趋势。方法：采用主题词检索的方法对PubMed和CBMWeb中所收录的有关艾滋病的论文进行文献计量学分析。结果：我国对艾滋病的研究与国际形势大体一致,文献的总量偏重于基础医学、临床医学类和公共卫生领域,心理学和社会学领域的研究相比而言非常薄弱。并且近十年我国在艾滋病研究方面的进展很快。结论：艾滋病研究应加强对治疗尤其是预防和控制方面的研究,并且需要医学人员、心理学家、社会学家的共同努力．     

Testofen,a specialised Trigonella foenum-graecum seed extract reduces age-related symptoms of androgen decrease,increases testosterone levels and improves sexual function in healthy aging males in a double-blind randomised clinical study

This study examined the effect of Testofen, a specialised Trigonella foenum-graecum seed extract on the symptoms of possible androgen deficiency, sexual function and serum androgen concentrations in healthy aging males. This was a double-blind, randomised, placebo-controlled trial involving 120 healthy men aged between 43 and 70 years of age. The active treatment was standardised Trigonella foenum-graecum seed extract at a dose of 600?mg/day for 12 weeks. The primary outcome measure was the change in the Aging Male Symptom questionnaire (AMS), a measure of possible androgen deficiency symptoms; secondary outcome measures were sexual function and serum testosterone. There was a significant decrease in AMS score over time and between the active and placebo groups. Sexual function improved, including number of morning erections and frequency of sexual activity. Both total serum testosterone and free testosterone increased compared to placebo after 12 weeks of active treatment. Trigonella foenum-graecum seed extract is a safe and effective treatment for reducing symptoms of possible androgen deficiency, improves sexual function and increases serum testosterone in healthy middle-aged and older men.     

The experience of motherhood for alienated mothers

This qualitative study examined the alienated mothers' experience of motherhood. Data were collected by in‐depth semi‐structured interviews with 10 women whose children refused any contact with them. Findings revealed one main theme, ‘Merging vs. detachment’, consisting of four subthemes or motifs in these women's narratives: (i) marriage as an illusion of salvation from an abusive home; (ii) giving birth to a child as compensation for chaotic childhood experiences; (iii) husband exploiting and abusing their sense of failing motherhood; and (iv) the husband and mother‐in‐law expelling the mother. These findings were interpreted within the framework of Bowen's theory. The interpretation suggests that impairment in the mothers' and ex‐husbands' differentiation of the self is manifest in the shattered mother–child relations and in the mothers' loss of their children in the struggle with their mothers‐in‐law. Implications for practice are included.     

Community-Based Long Term Care

Through the Living at Home Program (LAHP) 20 communities across the United States have developed cooperative networks involving multiple health and social services providers. The LAHP networks have sought to increase access to care, reduce duplication of services, and identify and fill service gaps. The LAHP national evaluation is examining the inter-organizational linkages that have been implemented by the networks and the characteristics of 1500 clients enrolled for care. Preliminary findings at the midpoint of the evaluation indicate that the networks have moved from a reliance on informal communication and coordination mechanisms at baseline to the use of more formal structural mechanisms over time. Despite the lack of formal targeting criteria, the networks have enrolled a quite frail elderly population. Future analyses will examine variability across the networks in client targeting and service utilization, In order to shed light on the need for utilization review of community based long term care.     

Adults with Down Syndrome and Alzheimer's Disease

Abstract

An increasing number of people with Down syndrome are at risk of dementia resulting from Alzheimer's disease. Many reside in community group homes. When they are affected by dementia, the challenge to agencies providing group homes is how to best provide continued housing and provide effective dementia-related care management. In the general population, long term care is typically provided in nursing facilities, often in special care units (SCUs). This study evaluated select factors found in group homes and SCUs to determine which is able to provide a better quality of life for people with Down syndrome affected by dementia. Interviews, using quality of life indicators, were conducted at 20 sites, equally selected from group homes and SCUs, on the basis of their experience with people with dementia. Results indicate that group homes can provide conditions associated with better quality of life and, additionally, operate with lower staffing costs due to the non-utilization of medical staff.     

Why can patients with erectile dysfunction be considered lucky? The association with testosterone deficiency and metabolic syndrome

Metabolic syndrome (MetS) is a diagnostic category, based on a cluster of risk factors (hyperglycemia/diabetes, abdominal obesity, hypertriglyceridaemia, low HDL cholesterol and hypertension), which identifies subjects at high risk for forthcoming type 2 diabetes mellitus and cardiovascular (CV) diseases. Recently, a close association between MetS, erectile dysfunction (ED) and male hypogonadism has been reported. In patients with MetS, hypogonadism can exacerbate sexual dysfunction and arteriogenic ED because of its typical symptoms, such as decreased sexual desire and mood disturbances. On the other hand, hypogonadism per se has been associated with an increased risk of CV and overall mortality. Obesity and in particular central obesity is nowadays considered the most important determinant of MetS-induced hypogonadism whereas hypertension and diabetes play a major role in ED associated with MetS. This review analyses the current literature regarding the relationship between ED, MetS and hypogonadism emphasising the epidemiological and psychopathological aspects and stressing the concept that ED subjects are ‘lucky’, because ED offers a unique chance to undergo medical examination and therefore to improve not only their sexual but, most importantly, their overall health.     

航空装备教学方法及任职教育模式的研究与实践

揭示航空装备的内在联系,确立以功能作为航空装备认知主线的教学思想。构建了功能主线教学法和1+X任职教育模式,提升了航空装备创新教育水平。     

The Political Role of Service Delivery in State‐Building: Exploring the Relevance of European History for Developing Countries

Concerns about failed and fragile states have put state‐ and nation‐building firmly on the academic and policy agenda, but the crucial role of public services in this process has remained underexplored. The 1960s and ‘70s generated a substantial set of literature that is largely missing from current writing. It identified state penetration, standardisation and accommodation as key processes in the state‐ and nation‐building sequence. This article analyses these three processes in Western Europe in the seventeenth to nineteenth centuries, and the role of public services therein, to explore how they may help us to understand the success and failure of state‐ and nation‐building in developing countries and fragile states.     

Increased prevalence of premature ejaculation in men with metabolic syndrome

This prospective study aimed to investigate the relationship between metabolic syndrome (Met S) and premature ejaculation (PE) among men. The study included 300 consecutive male patients (53.6 y?±?8.7) who attended the urology clinic (December 2013–September 2014), mostly complaining of renal/ureteric calculi. A diagnostic approach was undertaken to include demographics, clinical features and laboratory investigations of the study subjects. Both erectile function and PE were evaluated using the International Index of Erectile Function (abridged form, IIEF-5) and Premature Ejaculation Diagnostic Tool (PEDT) questionnaires, respectively. Results identified 182 (60.7%) men had Met S. Prevalence of PE was significantly higher in the subjects with Met S than the controls (35.2% vs 7.6%, p?< 0.001). Patients with Met S and PE had significantly higher PEDT scores (15.4 vs 6.7), smaller waist circumference (108.3?cm vs 111.5?cm) and higher fasting blood sugar (187?mg% vs 161?mg%) than those with no PE (p?p?=?0.047 and <0.001, respectively) with PE in Met S. In conclusion, PE has a high prevalence in Met S. Patients with Met S should be questioned about PE. Both ED and systolic hypertension may be associated with PE. Prevention of Met S should be considered, and this may be of help to decrease the prevalence of PE.