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滇西边境山区中小学道德教育“困难性”的研究
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作者 褚远辉 辉进宇 《教育与教学研究》 2018年第1期5-13,共9页
调查发现,滇西边境山区中小学德育取得了明显成效。但也存在问题,滇西边境山区中小学受下列突出问题的叠加影响,凸显了该区域学校道德教育的"困难性":道德教育目标与学生品德实际之间的"距离感"、学生对学校道德教... 调查发现,滇西边境山区中小学德育取得了明显成效。但也存在问题,滇西边境山区中小学受下列突出问题的叠加影响,凸显了该区域学校道德教育的"困难性":道德教育目标与学生品德实际之间的"距离感"、学生对学校道德教育的"接受性障碍"、不同渠道道德教育之间的"离散性"、教师道德示范作用的弱化、中小学道德教育的实效性较低、中小学道德教育的"应试化"色彩较浓厚。消解滇西边境山区中小学德育"困难性"的策略:优化德育要素、强化教师"育德"意识和能力、充分发挥教学主渠道的作用、构建区域性道德教育合力。 展开更多
关键词 滇西边境山区 中小学 道德教育 “困难性” 道德合力
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Lymphocytic esophagitis: Still an enigma a decade later 被引量:2
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作者 Carol Rouphael Ilyssa O Gordon Prashanthi N Thota 《World Journal of Gastroenterology》 SCIE CAS 2017年第6期949-956,共8页
Lymphocytic esophagitis (LE) is a clinicopathologic entity first described by Rubio et al in 2006. It is defined as peripapillary intraepithelial lymphocytosis with spongiosis and few or no granulocytes on esophageal ... Lymphocytic esophagitis (LE) is a clinicopathologic entity first described by Rubio et al in 2006. It is defined as peripapillary intraepithelial lymphocytosis with spongiosis and few or no granulocytes on esophageal biopsy. This definition is not widely accepted and the number of lymphocytes needed to make the diagnosis varied in different studies. Multiple studies have described potential clinical associations and risk factors for LE, such as old age, female gender and smoking history. This entity was reported in inflammatory bowel disease in the pediatric population but not in adults. Other associations include gastroesophageal reflux disease and primary esophageal motility disorders. The most common symptom is dysphagia, with a normal appearing esophagus on endoscopy, though esophageal rings, webs, nodularities, furrows and strictures have been described. Multiple treatment modalities have been used such as proton pump inhibitors and topical steroids. Esophageal dilation seems to be therapeutic when dysphagia is present along with esophageal narrowing secondary to webs, rings or strictures. The natural history of the disease remains unclear and needs to be better delineated. Overall, lymphocytic esophagitis seems to have a chronic and benign course, except for two cases of esophageal perforation in the literature, thought to be secondary to this entity. 展开更多
关键词 Lymphocytic esophagitis intraepithelial lymphocytes spongiosis gastroesophageal reflux disease CD4 T-cells DYSPHAGIA inflammatory bowel disease esophageal rings proton pump inhibitors esophageal dilation
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Treatment of Cough and Dyspnea due to Acute Bronchitis by Plaster for Cough and Dyspnea——A Report of 735 Cases
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作者 陈振甫 周文秀 +2 位作者 高举先 孙江桥 周永生 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2002年第1期5-8,共4页
In the light of the theory of treating the internal disease externally, an externally used plaster for treating cough and dyspnea due to acute bronchitis (Ke Chuan Yi Tie Kang [symbol: see text]-[symbol: see text]) wa... In the light of the theory of treating the internal disease externally, an externally used plaster for treating cough and dyspnea due to acute bronchitis (Ke Chuan Yi Tie Kang [symbol: see text]-[symbol: see text]) was successfully applied to 735 cases of acute bronchitis (the treatment group), with the other 423 cases treated with routine western drugs as controls. The results showed that the cure rate in the treatment group was significantly higher than that in the control group (P 展开更多
关键词 Acupuncture Points Acute Disease Administration Cutaneous Adolescent Adult BRONCHITIS CHILD Child Preschool Comparative Study COUGH Drugs Chinese Herbal DYSPNEA Female Humans Infant Male Middle Aged
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Esophagitis and its causes:Who is “guilty” when acid is found “not guilty”? 被引量:1
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作者 laurino grossi antonio francesco ciccaglione leonardo marzio 《World Journal of Gastroenterology》 SCIE CAS 2017年第17期3011-3016,共6页
Esophagitis is mainly a consequence of gastroesophageal reflux disease, one of the most common diseases affecting the upper digestive tract. However the esophageal mucosa can also be targeted by some infectious, syste... Esophagitis is mainly a consequence of gastroesophageal reflux disease, one of the most common diseases affecting the upper digestive tract. However the esophageal mucosa can also be targeted by some infectious, systemic or chemical conditions. Eosinophilic esophagitis(Eo E) is an immune-mediated inflammatory disease, characterized by eosinophilic infiltration in the mucosa. Esophageal localization of Crohn's disease is not very common, but it should always be considered in patients with inflammatory bowel disease complaining of upper digestive tract symptoms. There are also forms of infectious esophagitis(e.g., Herpes simplex virus or Candida albicans) occurring in patients with a compromised immune system, either because of specific diseases or immunosuppressive therapies. Another kind of damage to esophageal mucosa is due to drug use(including oncologic chemotherapeutic regimens and radiotherapy) or caustic ingestion, usually of alkaline liquids, with colliquative necrosis and destruction of mucosa within a few seconds. Dysphagia is a predominant symptom in Eo E, while infectious, drug-induced and caustic damages usually cause chest pain and odynophagia. Endoscopy can be useful for diagnosing esophagitis, although no specific pattern can be identified. In conclusion when a patient refers upper gastrointestinal tract symptoms and the diagnosis of gastro-esophageal reflux disease is not convincing we should always carefully investigate the patient's clinical history to consider possibilities other than the gastric refluxate. 展开更多
关键词 ESOPHAGITIS Gastroesophageal reflux disease Eosinophilic esophagitis Crohn’s disease Herpes simplex virus MANOMETRY Candida CAUSTIC DYSPHAGIA Chest pain
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Self-expanding metallic esophageal stents:A long way to go before a particular stent can be recommended 被引量:1
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作者 Pankaj Jain 《World Journal of Gastroenterology》 SCIE CAS CSCD 2011年第48期5327-5328,共2页
We agree that the covered self-expanding metal stents (SEMSs) fare better than the uncovered stents as recurrent dysphagia due to tumor ingrowth is common with uncovered stent. Recent American College of Gastroenterol... We agree that the covered self-expanding metal stents (SEMSs) fare better than the uncovered stents as recurrent dysphagia due to tumor ingrowth is common with uncovered stent. Recent American College of Gastroenterology Practice Guideline on the Role of Esophageal Stents in Benign and Malignant Diseases concludes that SEMSs cannot be routinely recommended in conjunction with chemo-radiation. The comparison of ultraflex and choostent in the Italian study found no difference in the palliation of dysphagia, rate of complications and survival rate. 展开更多
关键词 Self-expanding metallic esophageal stents DYSPHAGIA esophageal stents
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The Interpretation of Mathematical Difficulties in Primary School: Which Perspective to Choose?
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作者 Thomas Rajotte 《Journal of Literature and Art Studies》 2015年第10期901-910,共10页
Research on learning difficulties in mathematics adopts one of two distinct perspectives. According to the first, learning difficulties are due to the intrinsic characteristics of the student. For supporters of the se... Research on learning difficulties in mathematics adopts one of two distinct perspectives. According to the first, learning difficulties are due to the intrinsic characteristics of the student. For supporters of the second perspective, those difficulties result from the interaction between the student and the school system. The objective of this study is to test the validity of these two perspectives in interpreting learning difficulties in mathematics among at-risk students. To this end, we collaborated with normally achieving (undiagnosed) and at-risk students. Results show that the second perspective is better suited to the interpretation of learning difficulties in mathematics students 展开更多
关键词 MATHEMATICS problem solving learning difficulties INTERPRETATION INTERVENTION
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Transmitted cardiovascular pulsations on high resolution esophageal impedance manometry, and their significance in dysphagia
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作者 Naueen A Chaudhry Kamran Zahid +2 位作者 Sara Keihanian Yunfeng Dai Qing Zhang 《World Journal of Gastroenterology》 SCIE CAS 2017年第44期7840-7848,共9页
AIM To investigate the behavior of pulsatile pressure zones(PPZ's) as noted on high resolution esophageal impedance manometry(HREIM), and determine their association with dysphagia.METHODS Retrospective, single ce... AIM To investigate the behavior of pulsatile pressure zones(PPZ's) as noted on high resolution esophageal impedance manometry(HREIM), and determine their association with dysphagia.METHODS Retrospective, single center case control design scr-eening HREIM studies for cases(dysphagia) and controls(no dysphagia). Thoracic radiology studies were reviewed further in cases for(thoracic cardiovascular) thoracic cardiovascular(TCV) structures in esophageal proximity to compare with HREIM findings. Manometric data was collected for number, location, axial length, PPZ pressure and esophageal clearance function(impedance). RESULTS Among 317 screened patients, 56% cases and 64% controls had PPZ's. Fifty cases had an available thoracic radiology comparison. The distribution of PPZ's in these 50 cases and 59 controls was similar(average 1.4 PPZ/patient). Controls(mean 31.2 ± SD 12 years) were a significantly younger population than cases(mean 67.3 ± SD 14.9 years) with P < 0.0001. The upright posture PPZ pressure was higher in controls(15.7 ± 10.0 mm Hg) than cases(10.8 ± 9.7 mm Hg). Although statistically significant(P = 0.005), it was a weak predictor using logistic regression and ROC model(AUC = 0.65). Three dysphagia patients had partial compression from external TCV on radiology(1 aberrant subclavian artery, 2 dilated left atrium). The posture(supine vs upright) with more prominent PPZ's impaired bolus clearance in 9 additional cases by > 20%. CONCLUSION Transmitted TCV pulsations observed in HREIM bear no significant impact on swallowing. However, in older adults with dysphagia, evidence of impaired bolus clearance on impedance should be evaluated for external TCV compression. These associations have never been explored previously in literature, and are novel. 展开更多
关键词 High resolution esophageal manometry DYSPHAGIA Dysphagia lusoria Dysphagia cardia Esophageal motility Thoracic cardiovascular structures Esophageal disorders
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