Effect of early acupuncture intervention on post-stroke depression: a randomized controlled trial / 中国针灸

OBJECTIVE@#To observe the effects of conventional drug therapy combined with acupuncture and conventional drug therapy on the morbidity of post-stroke depression and recovery of neurological function in patients with acute stroke, and provide new ideas for prevention and treatment of post-stroke depression.@*METHODS@#Sixty patients were randomly divided into an observation group and a control group, 30 cases in each one.Conventional drug therapy was given in the control group;on the basis of conventional drug therapy,acupuncture was applied at Baihui (GV 20), Sishencong (EX-HN1), Neiguan (PC 6), Hegu (LI 4), Taixi (KI 3), etc. The treatment was given once every day, 6 times a week for 4 weeks in the two groups. The 24 Hamilton depression rating scale (HAMD), modified Edinburgh-Scandinavian stroke scale (MESSS) scores were recored before treatment, after 1 week of treatment, and after 4 weeks of treatment in the two groups,and the morbidity of post-stroke depression was compared between the two groups.@*RESULTS@#After 1 week of treatment, the HAMD scale scores of the two groups were higher than those before treatment (both 0.05). The MESSS scores were lower than those after 1 week of treatment in the two groups (both <0.05), and the score in the observation group was significantly lower than that in the control group (<0.01). After 4 weeks of treatment, the morbidity of post-stroke depression in the observation group was 23.3% (7/30), which was lower than 66.7% (20/30) in the control group (<0.05).@*CONCLUSION@#Early acupuncture intervention on stroke patients can not only promote the recovery of neurological function, but also reduce the morbidity of post-stroke depression effectively.

Welfare state e desenvolvimento / Welfare state and development / Welfare state et développement

The relations between the welfare state and development are frequently portrayed as problematic and even dilemmatic. For example, it is claimed that the welfare state is only possible in developed countries, or that typical welfare state redistribution is necessarily accompanied by weaker economic growth. The main purpose of this article is to systematize the arguments and evidence against these assumptions, featuring the functionality of the welfare state for development in both economic and non-economic terms.

Souvent, les rapports entre l'État du État-providence et le développement sont décrits comme source de problèmes et même de dilemmes. On présume, par exemple, que l'État du État-providence n'est possible que dans des pays développés, ou alors que la redistribution propre à l'Etat-providence a pour contrepartie une croissance économique moindre. Dans cet article, on cherche à réunir des arguments et justifications contraires à ces suppositions. Comme, par exemple, une démonstration sur la fonctionnalité de l'État-providence en faveur du développement, dans le sens économique et non-économique du terme.