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51.
用特制的中药通过穴位导入伤部临床治疗385例,其中男177例,女208例,平均年龄33.59岁,脑力劳动者116例,其余为运动员(173例)和体力劳动者;新伤136例,病程平均5.96天,旧伤249例,病程平均8.27个月。以肌肉伤最多,占42.6%,其次为韧带伤。治疗次数为1~15次,新伤平均治疗3.73次,旧伤平均治疗4.98次。疗程1~80天,新伤平均4.32天,旧伤平均5.49天。治疗结果痊愈205例占53.25%,显效65例占16.88%,有效87例占22.6%,无效13例占3.38%,总有效率为96.62%,优良率占70.13%(痊愈和显效)。取得了疗效多、疗程短、治疗次数少的效果,是目前治疗运动创伤和一般软组织损伤较为理想的手段。要取得好的疗效,还与中药配方是否合理,药液的浓度、纯净度以及取穴是否准确有关。  相似文献   
52.
Why do volunteers choose to contribute thousands of unpaid hours per week to Australian archives? This paper presents the results of a nationwide web survey that provides insight into the demographics, motivations and experiences of volunteers in Australian archives. The findings provide a representative overview of formal volunteers in Australian archives, determining ‘who’ they are, the value of the contributions they provide and the level of training and support offered to them. This study is a continuation of existing discussions about volunteers in Australian archives and represents an opportunity for the development of stronger relationships with Australian archival volunteers and, through them, the communities our archives serve.  相似文献   
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Recently, a few buildings within the Espacio para la memoria in Buenos Aires have been designated as a UNESCO Centre where, amongst other educational activities, evidentiary materials of the past repression are to be stored and displayed. Another building in the complex houses a Community Centre operated by the Mothers of the Plaza de Mayo, where the mandate is to learn about and continue the revolutionary ideals of those disappeared during the repression. Amid these commemorative projects, designating a space for exhibiting art presents a significant opportunity for posing difficult questions, which go beyond the terms of information and idealization. Through a close reading of Diana Dowek's art exhibit, ‘A Long March’, the paper invites us to consider how art can draw out a particular haunting temporality that holds the present open to provocative questions that are difficult to pose and sustain amid the strictures of this commemorative site.  相似文献   
55.
Despite an increased awareness regarding the prevalence and impact of childhood trauma, especially childhood sexual abuse (CSA), few studies examine the clinical reporting of such childhood experiences. This study compared the prevalence of childhood trauma recorded in individual's clinical notes to those ascertained with a structured validated questionnaire, examined which forms of childhood trauma were less likely to be reported to the treating mental health team and established which demographic or clinical factors were associated with reporting of childhood trauma. The prevalence of childhood trauma was ascertained using both the Childhood Trauma Questionnaire (CTQ) and a lifetime retrospective clinical note review in 129 individuals attending a general adult mental health service. Individuals were evaluated for the presence of mental health disorders, impulsivity, symptom severity and disability. Using the CTQ, childhood trauma was noted in 77% of individuals and recorded in 38% of individual's clinical notes (p < 0.001). The greatest differences between CTQ reporting and clinical note documentation were noted for emotional neglect (62% versus 13.2%), physical neglect (48.1% versus 5.4%) and CSA (24.8% versus 8.5%). Childhood trauma was associated with increased psychopathology and greater symptom severity, and was particularly prevalent for individuals with personality disorders. This study demonstrated high rates of childhood trauma amongst adults attending a general adult mental health service. Furthermore, we demonstrated high rates of either non-enquiry from mental health professionals and/or high rates of non-documentation of childhood trauma by mental health professionals. Given the disparity between reporting of childhood trauma in clinical notes and findings with the CTQ, the use of a standardised questionnaire for the assessment of childhood trauma should be considered when performing a comprehensive mental health history.  相似文献   
56.
BackgroundLittle evidence exists regarding outcomes of therapeutic interventions for maltreated children who are removed from their birth families and then adopted. This study follows on from a previous evaluation of the Neuro-Physiological Psychotherapy (NPP) model, which found significant, positive and sustained post-treatment change.ObjectiveTo compare the outcomes for the NPP intervention group to those of a control group.Participants and settingParticipants were families who received the NPP intervention and families who, following assessment, did not receive the NPP intervention as recommended.MethodsGroups were matched in terms of demographics and presentation at assessment. A comparison of outcomes took place using ANCOVA.ResultsSignificant differences were found between group measures of Behavioral Regulation Index (moderate effect size, Cohen’s d = .435; F(1, 1505) = 14.476, p = .000) and Global Executive Functioning (BRIEF) (small effect size, Cohen’s d = .147; F(1, 3506) = 7.771, p = .008); mental health difficulties common in maltreated children (ACC/ACA) (small effect size, Cohen’s D = .212; F(1, 1100) = 6.197, p = .020) and externalizing behavior (CBCL) (small effect size, Cohen’s D = .025; F(1, 686) = 5.420, p = .025). A comparison of parent responses on quantitative aspects of a structured interview using chi-square analysis revealed significant differences between the groups on relationship quality (x2 (2, N = 53) = 10.453, p = .005 with a medium effect size, Cramer’s V = .444), disruption (x2 (1, N = 54) = 4.998, p = .025. The effect size was medium with Cramer’s V = .304), parental separation rates (x2 (1, N = 45) = 9.474, p = .002. The effect size was moderate with Cramer’s V = .459) and several indicators for longer-term social inclusion. The results are discussed in the light of the model’s neurodevelopmental and sequential approach, which focuses on sensory integration, affect regulation and therapeutic life story work alongside parent and school support.ConclusionsImplications regarding current treatment guidelines for this population are discussed; and a call is made for interventions which actively consider and address the neurodevelopmental impact of maltreatment.  相似文献   
57.
ABSTRACT

When Iris Chang published The Rape of Nanking in 1997, exactly sixty years after the Nanjing Massacre, the subtitle The Forgotten Holocaust of World War II, called attention to one of the greatest human tragedies in the twentieth century. As a powerful historic reminder, The Rape of Nanking aims “to understand the event so that lessons can be learned and warnings sounded.” This paper focuses on Chang’s role as a writer/fighter who uses words to fight forgetfulness with a forceful narrative concerning one of the most dreadful traumas in the collective psyche of the Chinese people. It produces quite a number of “afterlives,” including different Chinese translations in Taiwan and mainland China, a nanking winter (2008), a play by the second-generation Chinese Canadian playwright Marjorie Chan, Nanjing Requiem (2011), a novel by the first-generation Chinese American novelist Ha Jin, and The Nanjing Massacre: Poems (2013), a collection of poems by the third-generation Chinese Hawaiian poet Wing Tek Lum. Furthermore, the docudrama Iris Chang: The Rape of Nanking (2007), directed by Bill Spahic and Anne Pick, presents a filmic representation of the short fascinating life of this passionate writer. This paper discusses how Chang, role as a writer and activist, fights against amnesia with remembrance as well as her rich legacy to the world across linguistic, generic, and semiotic boundaries. Chang’s text and its afterlives strive to give voice to those nameless war victims as a step towards truth, justice, reconciliation, and peace.  相似文献   
58.
Cruelty toward companion animals is a well-documented, coercive tactic used by abusive partners to intimidate and control their intimate partners. Experiences of co-occurring violence are common for children living in families with intimate partner violence (IPV) and surveys show that more than half are also exposed to abuse of their pets. Given children's relationships with their pets, witnessing such abuse may be traumatic for them. Yet little is known about the prevalence and significance of this issue for children. The present study examines the experiences of children in families with co-occurring pet abuse and IPV. Using qualitative methods, 58 children ages 7–12 who were exposed to IPV were asked to describe their experiences of threats to and harm of their companion animals. Following the interviews, template analysis was employed to systematically develop codes and themes. Coding reliability was assessed using Randolph's free-marginal multirater kappa (kfree = .90). Five themes emerged from the qualitative data, the most common being children's exposure to pet abuse as a power and control tactic against their mother in the context of IPV. Other themes were animal maltreatment to discipline or punish the pet, animal cruelty by a sibling, children intervening to prevent pet abuse, and children intervening to protect the pet during a violent episode. Results indicate that children's experiences of pet abuse are multifaceted, potentially traumatic, and may involve multiple family members with diverse motives.  相似文献   
59.
寻根文学的崛起有其深刻的历史背景。创作群体的涵制策略折射出历史和现实的“双重恐怖”在作家心灵上所遗留下来的“精神内伤”,他们重回故里的形象搜寻和把时间空间化的做法,客观上为政府排忧解难,同时为主流话语掌握民间资源提供了方法论和认识论的基础,而他们对当地古语民俗的考证和发掘,则隐含一种亚文化崇拜的反现代性倾向。  相似文献   
60.
Childhood sexual abuse (CSA) is a widely acknowledged trauma that affects a substantial number of boys/men and has the potential to undermine mental health across the lifespan. Despite the topic’s importance, few studies have examined the long-term effects of CSA on mental health in middle and late life for men. Most empirical studies on the effects of CSA have been conducted with women, non-probability samples, and samples of young or emerging adults with inadequate control variables. Based on complex trauma theory, the current study investigated: a) the effect of CSA on mental health outcomes (depressive symptoms, somatic symptom severity, hostility) in late life for men, and b) the moderating effects of childhood adversities and masculine norms in the relationship between CSA and the three mental health outcomes. Using a population-based sample from the 2004–2005 Wisconsin Longitudinal Study, multivariate analyses found that CSA was positively related to both depressive and somatic symptoms and increased the likelihood of hostility for men who reported a history of CSA. Both childhood adversities and masculine norms were positively related to the three outcomes for the entire sample. Among CSA survivors, childhood adversities exerted a moderating effect in terms of depressive symptoms. Mental health practitioners should include CSA and childhood adversities in assessment and treatment with men. To more fully understand the effects of CSA, future studies are needed that use longitudinal designs, compare male and female survivors, and examine protective mechanisms such as social support.  相似文献   
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