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Increasingly, children with Down syndrome are receiving their education in mainstream schools but little research has investigated whether these placements may influence language and memory development. The present study compared 22 children with Down syndrome in mainstream school placements matched for chronological age with 22 children attending special schools in a different LEA where mainstream placements were rare. The children were assessed to obtain measures of the following language and memory abilities: receptive vocabulary; grammar comprehension; sentence repetition; digit span; face recognition; and memory for hand movements. Children in mainstream placements achieved significantly higher scores for vocabulary, grammar and digit span measures, but not for non-language based memory measures. More importantly, even after controlling for age and receptive vocabulary, grammar understanding and digit spans were significantly greater for the mainstream children. 相似文献
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The emphasis on more overt managerial actions by primary school head teachers is considered, in relation to the effects of this change on their work‐styles. Methods of studying managerial work are highlighted before the outcomes of North American and Australian research on elementary school principalship are offered. The lack of systematisation and the methodological weaknesses in the British research on primary headship are highlighted, while a survey of recent research reveals the limited knowledge. It is argued that systematic study of head teacher activity could be a valuable tool in refining models for head teacher development. 相似文献
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Delayed diagnosis and treatment of extreme hypertriglyceridemia due to rejection of a lipemic sample
Jan Van Elslande Samira Hijjit Katrien De Vusser Michel Langlois Bjrn Meijers Ann Mertens Bart Van der Schueren Glynis Frans Pieter Vermeersch 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2021,31(2)
IntroductionMost laboratories routinely determine haemolysis, icterus and lipemia indices to identify lipemic samples and reject potentially affected results. Hypertriglyceridemia is the most common cause of lipemia and severe hypertriglyceridemia (≥ 11.3 mmol/L) is a major risk factor of acute pancreatitis.Laboratory analysisA 56-year-old woman attended the outpatient clinic for a follow-up visit 1 month after a kidney transplantation. Her immunosuppressive therapy consisted of corticosteroids, cyclosporine, and mycophenolic acid. The routine clinical chemistry sample was rejected due to extreme lipemia. The comment “extreme lipemic sample” was added on the report, but the requesting physician could not be reached. The Cobas 8000 gave a technical error (absorption > 3.3) for the HIL-indices (L-index: 38.6 mmol/L) which persisted after high-speed centrifugation. The patient was given a new appointment 2 days later. The new sample was also grossly lipemic and gave the same technical error (L-index: 35.9 mmol/L).What happenedThe second sample was manually diluted 20-fold after centrifugation to obtain a result for triglycerides within the measuring range (0.10–50.0 mmol/L). Triglycerides were 169.1 mmol/L, corresponding to very severe hypertriglyceridemia. This result was communicated to the nephrologist and the patient immediately recalled to the hospital. She received therapeutic plasma exchange the next day and did not develop acute pancreatitis.Main lessonThis case illustrates the delicate balance between avoiding the release of unreliable results due to lipemia and the risk of delayed diagnosis when results are rejected. Providing an estimate of the degree of hypertriglyceridemia might be preferable to rejecting the result. 相似文献
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论我国体育法律体系的完善 总被引:7,自引:3,他引:4
张杰 《体育成人教育学刊》2004,20(2):43-44
我国《体育法》的颁布与实施,对推动我国体育事业的蓬勃发展起到了巨大的作用,相关部门也依据《体育法》制定了很多部门性和地方性的法规与规章,使得体育领域发生的大多数事件有法可依。但我国体育法制依然相对滞后、体育法律体系还未真正成型。在分析我国现有体育法律、法规与规章概况的基础上,就完善我国体育法律体系提出了对策与建议。 相似文献
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Membership in civil rights and women's liberation organizations in the United States was tracked over a period of 22 years. Men's social and fraternal organizations were also tracked as a comparison group. Systematic fluctuations in membership suggest that this criterion would be useful for identifying the developmental stages of a movement. In addition, peaks in membership were correlated with historical events. Implications and directions for future research are discussed. 相似文献
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This paper is based on the Franklin Lecture given at the Guild of Educators on 17 November 2005 at the Bakers’ Hall, London. 相似文献