肌筋膜疼痛综合征诱因及外治手段研究进展     

林键杰  张翔 《体育科技文献通报》2020,(4):28-31

不良生活习惯和伤后康复不佳导致的肌筋膜疼痛综合征已经成为当前影响人们生活质量的因素之一。本文运用文献资料法,梳理肌筋膜疼痛综合征的诱因及外治(非内服药物治疗)手段,探究其干预手段的疗效,由病因入手,研究最佳干预方法。综合研究表明:(1)肌筋膜疼痛综合征病因包括:骨骼肌及筋膜外伤、风寒入侵机体、慢性劳损、局部肌筋膜慢性炎症损伤等;(2)目前对肌筋膜疼痛综合征康复的方法主要以针刺和温和灸为主,本文纳入针刺治疗和温和灸治疗有效率高达89.5%和100%;(3)其发病的常见部位为腰背部及肩颈部,不同部位、不同病因的肌筋膜疼痛综合征应采取不同的治疗方式,复合治疗方法比单一手段干预效果更佳。  相似文献   

The impact of a statewide trauma-informed child welfare initiative on children’s permanency and maltreatment outcomes     

《Child abuse & neglect》2018

This article presents findings of a state-wide trauma informed child-welfare initiative with the goal of improving well-being, permanency and maltreatment outcomes for traumatized children. The Massachuetts Child Trauma Project (MCTP), funded by the Administration of Children and Families, Children’s Bureau was a multi-year project implementing trauma-informed care into child welfare service delivery. The project’s implementation design included training and consultation for mental health providers in three evidence-based treatments and training of the child-welfare workforce in trauma-informed case work practice. The learning was integrated between child-welfare and mental health with Trauma Informed Leadership Teams which included leaders from both systems and the greater community. These teams developed incremental steps toward trauma-informed system improvement. This study evaluated whether MCTP was associated with reductions in child abuse and neglect, improvements in placement stability, and higher rates of permanency during the first year of implementation. Children in the intervention group had fewer total substantiated reports of maltreatment, including less physical abuse and neglect than the comparison group by the end of the intervention year. However, children in the intervention group had more maltreatment reports (substantiated or not) and total out-of-home placements than did their counterparts in the comparison group. Assignment to MCTP, however, was not associated with an increase in kinship care or adoption. Overall, the results are promising in reinforcing the importance of mobilizing communities toward improvements in child-welfare service delivery.  相似文献   

Application of network meta-analysis in the field of physical activity and health promotion     

Xiwen Su  Daniel J. McDonough  Haitao Chu  Minghui Quan  Zan Gao 《运动与健康科学(英文)》2020,9(6):511-520

Continued advancement in the field of physical activity and health promotion relies heavily on the synthesis of rigorous scientific evidence. As such, systematic reviews and meta-analyses of randomized controlled trials have led to a better understanding of which intervention strategies are superior (i.e., produce the greatest effects) in physical activity-based health behavior change interventions. Indeed, standard meta-analytic approaches have allowed researchers in the field to synthesize relevant experimental evidence using pairwise procedures that produce reliable estimates of the homogeneity, magnitude, and potential biases in the observed effects. However, pairwise meta-analytic procedures are only capable to discerning differences in effects between a select intervention strategy and a select comparison or control condition. In order to maximize the impact of physical activity interventions on health-related outcomes, it is necessary to establish evidence concerning the comparative efficacy of all relevant physical activity intervention strategies. The development of network meta-analysis (NMA)—most commonly used in medical-based clinical trials—has allowed for the quantification of indirect comparisons, even in the absence of direct, head-to-head trials. Thus, it stands to reason that NMA can be applied in physical activity and health promotion research to identify the best intervention strategies. Given that this analysis technique is novel and largely unexplored in the field of physical activity and health promotion, care must be taken in its application to ensure reliable estimates and discernment of the effect sizes among interventions. Therefore, the purpose of this review is to comment on the potential application and importance of NMA in the field of physical activity and health promotion, describe how to properly and effectively apply this technique, and suggest important considerations for its appropriate application in this field. In this paper, overviews of the foundations of NMA and commonly used approaches for conducting NMA are provided, followed by assumptions related to NMA, opportunities and challenges in NMA, and a step-by-step example of developing and conducting an NMA.  相似文献   

关键反应训练法干预自闭症儿童主动提问技能的个案研究     

郝怡娜  王树林 《保定学院学报》2020,(1):103-110

为探讨关键反应训练法对自闭症儿童主动提问技能的干预效果,采用单一被试研究中的跨行为多基线实验设计对一名自闭症儿童的物品主动提问、人物主动提问、地点主动提问等三个主动提问技能进行干预。研究结果表明关键反应训练法对自闭症儿童主动提问技能具有立即效果、维持效果和类化效果。为此,可以应用关键反应训练法对自闭症儿童进行训练。  相似文献   

试析运动处方治疗抑郁症     

蒋书豪 《体育科技文献通报》2020,(2):143-144

本文采用文献资料法、综述法,以"运动处方""治疗""抑郁症"等为关键词,在中国知网、超星发现等文献网站,搜索相关文献,进行归纳总结。得出结论并提出建议,旨在整理出运动处方治疗抑郁症的研究现状,为今后的研究发展提供参考。  相似文献   

Is everyone in class in agreement and why (not)? Using student and teacher reports to predict within-class consensus on goal structures     

《Learning and Instruction》2021

Students in the same class can differ considerably in their perceptions of teaching quality, but little is known about the drivers of this lack of agreement. In this study, we relied on within-class consensus as a measure of agreement in students' perceptions and explored both student-reported predictors (Sample 1) and teacher-reported predictors (Sample 2) of consensus in students’ ratings of six goal structures dimensions (task, autonomy, recognition, grouping, evaluation, time). Classroom-level results from multi-level models indicated that student-perceived differential teacher treatment negatively predicted consensus regarding evaluation, as well as achievement heterogeneity, whereas instructional clarity positively predicted consensus for recognition, grouping, and evaluation, as well as class-average achievement (Sample 1). Mediating effects of achievement heterogeneity and achievement were not statistically significant. In Sample 2, negative effects of teacher-reported emotional exhaustion and teaching-related anxiety on consensus were observed for several dimensions. Teaching-related enjoyment had no effect.  相似文献   

预见性护理对血液透析患者低血压和不良情绪影响的分析     

罗倩  孙风 《宜春学院学报》2021,(3):82-84,125

目的:分析预见性护理是否减少了血液透析患者低血压和不良情绪的影响。方法:以我院2019年1月-2020年1月100例尿毒症血液透析患者为研究对象,采用随机法分为两组。对照组给予常规护理,实验组实施预见性护理。每组患者在实验前、后采用评分的方式调查得出其焦虑评分、护理满意度评分;实验结束后,由责任护士对患者的治疗依从性进行评分,并观察两组别并发症(低血压)的出现例数。最后,将得到的数据采用SPSS17.0软件进行对比分析。结果:实验组有效降低了透析患者的不良情绪、焦虑程度以及低血压的发生率(P<0.05);同时,实验组也有效提高了透析患者的护理工作满意度及治疗依从性(P<0.05),维护了患者良好的心态和医患关系。结论:预见性护理能够有效减少血液透析患者在治疗所受不良情绪和低血压的影响,提升了血液透析患者的治疗依从性和治疗效果。  相似文献   

中职教育禽病防治课程线上线下混合式教学的应用     

文艳玲 《科教导刊》2021,(2):62-63

研究工作的开展将重点针对现阶段我国中职院校禽病防治教育教学工作的开展做有效的研究和探索,并且会将之融入教育现代化的背景下,通过线上教学和线下教学两种模式对课堂教学工作的开展做有效的构建和发展,借此实现后续教育教学工作的高效推动和建设.另外,研究将在线上教学与线下教学两种模式下搭建一个全新的混合教学平台,借此实现理实一体化、产教融合以及线上与线下资源的共享和共建机制.  相似文献   

高职学生职业技能竞赛的研究与实践——以钟山职业技术学院康复治疗技术专业为例     

聂瑶 《科教导刊》2021,(1):44-45

在当前的高职学院教育、教学工作中,应当合理的引入和应用"职业技能竞赛",通过竞赛的方式来提高人才教育、培养质量及成效.本文以钟山职业技术学院康复治疗技术专业为例,重点就职业技能竞赛在人才培养中的实践应用提出了部分探讨性建议,希望能够为高职学院人才教育工作的落实提供参考.  相似文献   

废物集中处理市场化与企业化的激励机制设计--以大连经济技术开发区为例     

徐雨森  宋海龙  武春友 《预测》2006,25(3):62-65

废物集中处理市场化与企业化运作的本质是环保部门和排污企业向废物集中处理企业委托了废物处理责任。本文采用贝克乐-斯蒂格勒的委托-代理模型，对影响集中处理企业从事道德风险行为的有关因素进行分析，为环保部门制定激励与约束政策提供思路。最后，结合大连经济技术开发区实践进行了案例分析。  相似文献