AIM： To estimate the incidence of collagenous colitis （CC） in southern Sweden during 2001-2010. METHODS： Cases were identified by searching for CC in the diagnostic registers at the Pathology Departments in the co...AIM： To estimate the incidence of collagenous colitis （CC） in southern Sweden during 2001-2010. METHODS： Cases were identified by searching for CC in the diagnostic registers at the Pathology Departments in the county of Skane. The catchment area comprised the south-west part of the county （394 307 inhabitants in 2010） and is a mixed urban and rural type with limited migration. CC patients that had under- gone colonoscopy during the defined period and were living in this area were included in the study regardless of where in Skane they had been diagnosed. Medical records were scrutinized and uncertain cases were re- assessed to ensure that only newly diagnosed CC cases were included. The diagnosis of CC was based on both clinical and histopathological criteria. The clinical crite-rion was non-bloody watery diarrhoea. The histopatho- logical criteria were a chronic inflammatory infiltrate in the lamina propria, a thickened subepithelial collagen layer ≥10 micrometers （um） and epithelial damage such as flattening and detachment. RESULTS： During the ten year period from 2001-2010, 198 CC patients in the south-west part of the county of Skane in southern Sweden were newly diagnosed. Of these, 146 were women and 52 were men, i.e., a female： male ratio of 2.8：1. The median age at diag- nosis was 71 years （range 28-95/inter-quartile range 59-81）, for women median age was 71 （range 28-95） years and was 73 （range 48-92） years for men. The mean annual incidence was 5.4/105 inhabitants. During the time periods 2001-2005 and 2006-2010, the mean annual incidence rates were 5.4/105 for both periods [95% confidence interval （CI）： 4.3-6.5 in 2001-2005 and 4.4-6.4 in 2006-2010, respectively, and 4.7-6.2 for the whole period]. Although the incidence varied over the years （minimum 3.7 to maximum 6.7/105） no increase or decrease in the incidence could be identi- fied. The odds ratio （OR） for CC in women compared to men was estimated to be 2.8 （95% CI： 2.0-3.7）. The OR for women 65 years of age or above compared to below 65 years of age was 6.9 （95% CI：5.0-9.7）, and for women 65 years of age or above compared to the whole group the OR was 4.7 （95% CI： 3.6-6.0）. The OR for age in general, i.e., above or 65 years of age compared to those younger than 65 was 8.3 （95% CI： 6.2-11.1）. During the last decade incidence figures for CC have also been reported from Calgary, Canada dur- ing 2002-2004 （4.6/105） and from Terrassa, Spain dur- ing 2004-2008 （2.6/105）. Our incidence figures from southern Sweden during 2001-2010 （5.4/10s） as well as the incidence figures presented in the studies during the 1990s （Terrassa, Spain during 1993-1997 （2.3/10s）, OI- msted, United States during 1985-2001 （3.1/10s）, Orebro, Sweden during 1993-1998 （4.9/10s）, and Iceland during 1995-1999 （5.2/10s） are all in line with a north- south gradient, something that has been suggested be- fore both for CC and inflammatory bowel disease.CONCLUSION： The observed incidence of CC is com- parable with previous reports from northern Europe and America. The incidence is stable but the female： male ratio seems to be decreasing.展开更多
A difficult problem for the system construction of the modem university is the issue how the academic power and the ad- ministrative power can coordinate and orderly operate. The weakening of the academic power and th...A difficult problem for the system construction of the modem university is the issue how the academic power and the ad- ministrative power can coordinate and orderly operate. The weakening of the academic power and the strengthening of the administrative power make the university slope foot forward in the development. To solve this problem, first of all, we should restore the originality of the academic power and the academic tissues. By perfecting the sla＇uctures and functions of the university organizations, improve the control on the power, and make the power operate in its due orbit, to ensure that the modem university system is not a mere formality.展开更多
The contemporary militaries have an increasingly high number of women than in the previous years. This is a positive development that resonates with the democratic dispensations. Despite of some resistance from certai...The contemporary militaries have an increasingly high number of women than in the previous years. This is a positive development that resonates with the democratic dispensations. Despite of some resistance from certain quarters of the society, overall women＇s presence is becoming acknowledged. This increase has a potential to make a positive impact on peacekeeping missions. Their utility is enhanced by their characteristics that are lamented for their incongruence to combat operations. The constructive and reconciliatory nature of peacekeeping mission makes them an important asset. However, their optimal productivity is threatened by the incessant rape that they experience from both their adversaries and the own force. This creates a stressor that compromises their performance. The situation is aggravated by the lack of support after their ordeal. The organisational culture and leadership are not making women＇s presence in operations tenable. Their experience post-rape is characterised by rejection and lack of support from the salient others. This situation requires to be changed urgently to provide a sense of security and care for women. Policies and practices need to be modified to allow optimal performance from the most productive group in the military force.展开更多
基金Supported by The Swedish Energy Agency, Region Sk ne and Kock’s Foundation in Trelleborg
文摘AIM： To estimate the incidence of collagenous colitis （CC） in southern Sweden during 2001-2010. METHODS： Cases were identified by searching for CC in the diagnostic registers at the Pathology Departments in the county of Skane. The catchment area comprised the south-west part of the county （394 307 inhabitants in 2010） and is a mixed urban and rural type with limited migration. CC patients that had under- gone colonoscopy during the defined period and were living in this area were included in the study regardless of where in Skane they had been diagnosed. Medical records were scrutinized and uncertain cases were re- assessed to ensure that only newly diagnosed CC cases were included. The diagnosis of CC was based on both clinical and histopathological criteria. The clinical crite-rion was non-bloody watery diarrhoea. The histopatho- logical criteria were a chronic inflammatory infiltrate in the lamina propria, a thickened subepithelial collagen layer ≥10 micrometers （um） and epithelial damage such as flattening and detachment. RESULTS： During the ten year period from 2001-2010, 198 CC patients in the south-west part of the county of Skane in southern Sweden were newly diagnosed. Of these, 146 were women and 52 were men, i.e., a female： male ratio of 2.8：1. The median age at diag- nosis was 71 years （range 28-95/inter-quartile range 59-81）, for women median age was 71 （range 28-95） years and was 73 （range 48-92） years for men. The mean annual incidence was 5.4/105 inhabitants. During the time periods 2001-2005 and 2006-2010, the mean annual incidence rates were 5.4/105 for both periods [95% confidence interval （CI）： 4.3-6.5 in 2001-2005 and 4.4-6.4 in 2006-2010, respectively, and 4.7-6.2 for the whole period]. Although the incidence varied over the years （minimum 3.7 to maximum 6.7/105） no increase or decrease in the incidence could be identi- fied. The odds ratio （OR） for CC in women compared to men was estimated to be 2.8 （95% CI： 2.0-3.7）. The OR for women 65 years of age or above compared to below 65 years of age was 6.9 （95% CI：5.0-9.7）, and for women 65 years of age or above compared to the whole group the OR was 4.7 （95% CI： 3.6-6.0）. The OR for age in general, i.e., above or 65 years of age compared to those younger than 65 was 8.3 （95% CI： 6.2-11.1）. During the last decade incidence figures for CC have also been reported from Calgary, Canada dur- ing 2002-2004 （4.6/105） and from Terrassa, Spain dur- ing 2004-2008 （2.6/105）. Our incidence figures from southern Sweden during 2001-2010 （5.4/10s） as well as the incidence figures presented in the studies during the 1990s （Terrassa, Spain during 1993-1997 （2.3/10s）, OI- msted, United States during 1985-2001 （3.1/10s）, Orebro, Sweden during 1993-1998 （4.9/10s）, and Iceland during 1995-1999 （5.2/10s） are all in line with a north- south gradient, something that has been suggested be- fore both for CC and inflammatory bowel disease.CONCLUSION： The observed incidence of CC is com- parable with previous reports from northern Europe and America. The incidence is stable but the female： male ratio seems to be decreasing.
文摘A difficult problem for the system construction of the modem university is the issue how the academic power and the ad- ministrative power can coordinate and orderly operate. The weakening of the academic power and the strengthening of the administrative power make the university slope foot forward in the development. To solve this problem, first of all, we should restore the originality of the academic power and the academic tissues. By perfecting the sla＇uctures and functions of the university organizations, improve the control on the power, and make the power operate in its due orbit, to ensure that the modem university system is not a mere formality.
文摘The contemporary militaries have an increasingly high number of women than in the previous years. This is a positive development that resonates with the democratic dispensations. Despite of some resistance from certain quarters of the society, overall women＇s presence is becoming acknowledged. This increase has a potential to make a positive impact on peacekeeping missions. Their utility is enhanced by their characteristics that are lamented for their incongruence to combat operations. The constructive and reconciliatory nature of peacekeeping mission makes them an important asset. However, their optimal productivity is threatened by the incessant rape that they experience from both their adversaries and the own force. This creates a stressor that compromises their performance. The situation is aggravated by the lack of support after their ordeal. The organisational culture and leadership are not making women＇s presence in operations tenable. Their experience post-rape is characterised by rejection and lack of support from the salient others. This situation requires to be changed urgently to provide a sense of security and care for women. Policies and practices need to be modified to allow optimal performance from the most productive group in the military force.
