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71.
72.
End stage renal disease (ESRD) patients on hemodialysis (HD) have an increased oxidative stress, with a high risk of atherosclerosis and other co-morbid conditions. Recent studies have suggested that myeloperoxidase (MPO)—mediated oxidative stress may play a role in the pathogenesis of cardiovascular complications in dialysis patients. Furthermore, dialysis treatment ‘per se’ can aggravate oxidative stress. Hence this study was designed to determine whether HD leads to an alteration in the plasma levels of MPO and malondialdehyde (MDA), a marker of oxidative stress in ESRD patients on maintenance HD. To study the effect of HD, plasma MPO and MDA were determined before and after HD in forty ESRD patients (24 men and 16 women, age between 8 and 71 years, median being 40.5 years) on maintenance HD. Plasma MPO and MDA were assayed by spectrophotometric methods. Haematological and other biochemical parameters were obtained from patients’ case records. Plasma MPO and MDA levels were significantly higher after HD when compared with pre-dialysis levels (p < 0.05). There was no correlation between MPO and MDA (r = 0.184, p = 0.10) and other biochemical parameters (p > 0.05). However, there was a significant correlation between MPO and MDA with haemodialysis vintage (p < 0.05). In univariate regression analysis duration of HD (β = 1.470, p = 0.045, β = 0.388, p = 0.013), was independently associated with MPO and MDA. Although HD is indispensable for survival of patients with ESRD, it is fraught with undesirable side-effects, such as an increase in the plasma MPO and MDA levels. The elevated levels of MPO contribute to the increased oxidative stress as free radicals are produced by the reaction catalyzed by it.  相似文献   
73.
Profound misunderstandings of the implications of rhyme and analogy research (sometimes called ‘new phonics’) for classroom teaching still appear regularly in the reading literature. It has been argued that ‘rhyme and analogy’ researchers do not believe in teaching children grapheme-phoneme correspondences (Chew, 1997). Rhyme and analogy has also been branded as ‘analytic phonics’, which is argued to be inferior to ‘synthetic’ phonics (Watson and Johnston, 1999). Such misconceptions are confusing the debate over how best to teach ‘phonics’, following the publication of the National Literacy Framework (DfEE, 1998). For example, some authors are suggesting that teachers should replace an emphasis on phonological awareness and onset-rime with a teaching programme based on ‘synthetic’ phonics (Deavers and Solity, 1998; Watson and Johnston, 1999). This paper discusses the implications of Goswami and Bryant’s (1990) theory about important causal connections in reading for classroom teaching, and reviews more recent ‘rhyme and analogy’ research within this framework. New research on the nature of the English spelling system and the representation of linguistic knowledge is also discussed. The importance of taking a balanced approach to phonics instruction and teaching children correspondences between letters and phonemes and letter sequences and rimes is emphasised.  相似文献   
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