Hemodialysis in the United Kingdom

Hemodialysis was a neglected aspect of nephrology in the UK. At the request of the Renal Association, the first UK Haemodialysis Masterclass was organized in 2007. The articles in this supplement arose from that meeting. Here, an overview of UK hemodialysis services and nephrology training is presented as background. Government‐funded dialysis should be provided to all UK citizens who require it. In 2005, there were 17,645 patients receiving hemodialysis, 5057 on peritoneal dialysis and 19,074 with kidney transplants, looked after by 359 nephrologists working in 73 National Health Service renal units. Renal replacement therapy incidence and prevalence remain comparatively low, at 108 and 694 per million population, respectively. Whether this represents inadequate provision or genuinely lower need remains unclear. The Renal Association sets clinical practice guidelines for dialysis, and audits performance via the UK Renal Registry. Postgraduate medical education is undergoing radical change in the UK. This is driven by the reduction in trainee doctors' working hours to 48 hr/week (mandated by the European Working Time Directive), and the governments' wish to reduce the duration of training, but also by a desire to formalize training, Our challenge is to continue to produce talented clinical nephrologists educated in breadth and depth, despite the reduced emphasis on clinical experience and omission of period of scientific research. The future for hemodialysis services in the UK is, however, promising with an expansion in the number of specialists and dialysis centers, and a growing interest in dialysis practice and research.     

与时俱进 加快发展高职教育 推动我国工业化快速发展

当前,我国正在实施工业化的发展战略,要加快工业化的发展,必须大力发展和加强高等职业教育。在高等职业教育发展上,要实现从注重量到既注重量更注重质的转变;在培养方式上,要实现从只重技能到既重视技能又重视可持续发展能力培养的转变;在培养目标上,要实现从培养学生能力到培养复合型人才的转变。     

《钢结构工程施工质量验收规范》修订简介

简要介绍《钢结构工程施工质量验收规范》(GB 5 0 2 0 5 - 2 0 0 1)的修订原则、方法以及对原规范进行修订中新增加的内容及要求 ,并进行了详细解释 ,以便于对新规范的理解     

Risk Factors for Course of Posttraumatic Stress Disorder Among Vietnam Veterans: A 14-Year Follow-Up of American Legionnaires.

Risk factors affecting the course of posttraumatic stress disorder (PTSD) are poorly understood. As part of a larger study on characterizing exposure to herbicides in Vietnam, the authors investigated this issue in a random sample of 1,377 American Legionnaires who had served in Southeast Asia during the Vietnam War and were followed over a 14-year period. High combat exposure, perceived negative community attitudes at homecoming, minority race, depression symptoms at Time 1, and more anger at Time 1 predicted a more chronic course. Community involvement at Time 1 was protective and associated with decreased risk at Time 2. Discomfort in disclosing Vietnam experiences was associated with an increased risk for developing PTSD but did not predict its course. Combat exposure predicted PTSD course more strongly than any other risk factor. Findings suggest recovery from PTSD is significantly influenced by perceived social support. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Religion and spirituality: Linkages to physical health.

Evidence is presented that bears on 9 hypotheses about the link between religion or spirituality and mortality, morbidity, disability, or recovery from illness. In healthy participants, there is a strong, consistent, prospective, and often graded reduction in risk of mortality in church/service attenders. This reduction is approximately 25% after adjustment for confounders. Religion or spirituality protects against cardiovascular disease, largely mediated by the healthy lifestyle it encourages. Evidence fails to support a link between depth of religiousness and physical health. In patients, there are consistent failures to support the hypotheses that religion or spirituality slows the progression of cancer or improves recovery from acute illness but some evidence that religion or spirituality impedes recovery from acute illness. The authors conclude that church/service attendance protects healthy people against death. More methodologically sound studies are needed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The time course of spoken word learning and recognition: Studies with artificial lexicons.

The time course of spoken word recognition depends largely on the frequencies of a word and its competitors, or neighbors (similar-sounding words). However, variability in natural lexicons makes systematic analysis of frequency and neighbor similarity difficult. Artificial lexicons were used to achieve precise control over word frequency and phonological similarity. Eye tracking provided time course measures of lexical activation and competition (during spoken instructions to perform visually guided tasks) both during and after word learning, as a function of word frequency, neighbor type, and neighbor frequency. Apparent shifts from holistic to incremental competitor effects were observed in adults and neural network simulations, suggesting such shifts reflect general properties of learning rather than changes in the nature of lexical representations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

做人贵在清白,做事必须认真,做学问要敢于好高骛远,善于实事求是

结合自身的学习、工作经历，与研究生畅谈如何学会“做人、做事、做学问”。     

W‐band physical layer design issues in the context of the DAVID–DCE experiment

This paper aims at focusing on the aspects concerning the physical layer design for an innovative satellite communication experiment. Such an experiment, denoted by the acronym DAVID–DCE (Data and Video Interactive Distribution—Data Collection Experiment) is based on the exploitation of the W‐band (75–110 GHz) for high‐bit‐rate satellite transmission. The potential advantages of using of the W‐band are mainly related to the great bandwidth availability, and to the absence of interference. Moreover, an expected result of the experiment is a substantive improvement in the communication system's performances in the presence of meteorological phenomena (e.g. rain) as compared with the more conventional Ka‐band satellite transmission. On the other hand, problems to be faced concern the non‐ideal behaviours of hardware devices employed for high‐frequency digital transmission. In particular, carrier recovery and timing recovery are the most crucial signal‐processing tasks to be carefully considered in the design of the physical level of the system, because they considerably suffer from hardware impairments. The purpose of this work is to illustrate the proposed solutions in terms of the most critical modulation, demodulation and synchronization design issues, together with the effects of non‐ideal behaviours of hardware components on BER performances. Copyright © 2004 John Wiley & Sons, Ltd.     

论大学生体育参与动机的培养

大学生具有良好的参与动机是实现体育教学目标的一个重要前提条件。本文通过对体育参与动机内涵及影响体育参与动机的心理因素的分析，提出了大学体育教学中如何培养大学生正确的体育参与动机的一些想法，以供广大体育工作者参考。