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| 1 | 血清乙型肝炎病毒DNA水平的生物学梯度与肝细胞肝癌的风险性相关显示文摘Context: Serum hepatitis B virus (HBV) DNA level is a marker of viral replication and efficacy of antiviral treatment in individuals with chronic hepatitis B. Objective: To evaluate the relationship between serum HBV DNA level and risk of hepatocellular carcinoma. Design, Setting, and Participants: Prospective cohort study of 3653 participants (aged 30-65 years), who were seropositive for the hepatitis B surface antigen and seronegative for antibodies against the hepatitis C virus, recruited to a community-based cancer screening program in Taiwan between 1991 and 1992. Main Outcome Measure: Incidence of hepatocellular carcinoma during follow-up examination and by data linkage with the national cancer registry and the death certification systems. Results: There were 164 incident cases of hepatocellular carcinoma and 346 deaths during a mean follow-up of 11.4 years and 41 779 person-years of follow-up. The incidence of hepatocellular carcinoma increased with serum HBV DNA level at study entry in a dose-response relationship ranging from 108 per 100 000 person-years for an HBV DNA level of less than 300 copies/mL to 1152 per 100 000 person-years for an HBV DNA level of 1 million copies/mL or greater. The corresponding cumulative incidence rates of hepatocellular carcinoma were 1.3%and 14.9%, respectively. The biological gradient of hepatocellular carcinoma by serum HBV DNA levels remained significant (P< .001) after adjustment for sex, age, cigarette smoking, alcohol consumption, serostatus for the hepatitis B e antigen (HBeAg), serum alanine aminotransferase level, and liver cirrhosis at study entry. The dose-response relationship was most prominent for participants who were seronegative for HBeAg with normal serum alanine aminotransferase levels and no liver cirrhosis at study entry. Participants with persistent elevation of serum HBV DNA level during follow-up had the highest hepatocellular carcinoma risk. Conclusion: Elevated serum HBV DNA level (>10 000 copies/mL) is a strong risk predictor of hepatocellular carcinoma independent of HBeAg, serum alanine aminotransferase level, and liver cirrhosis. | Chen C.-J. Yang H. -I. Su J. 王铮(译) 陈云茹(校) | 2006 | 世界核心医学期刊文摘(胃肠病学分册)2006，2，6： | 204 |
| 2 | 急性缺血性卒中患者早期处理指南:美国心脏协会/美国卒中协会对医疗专业人员的指南(续前)显示文摘7静脉溶栓
7.1静脉rtPA
急性卒中的静脉溶栓治疗现已得到普遍接受。美国FDA于1996年批准静脉应用rtPA,部分基于NINDSrtPA卒中试验结果。 | Edward C. Jauch Jeffrey L. Saver Harold P. Adams Askiel Bruno J.J. (Buddy) Connors Bart M. Demaerschalk Pooja Khatri Paul W. McMullan Adnan I. Qureshi Kenneth Rosenfield Phillip A. Scott Debbie R. Summers David Z. Wang Max Wintermark Howard Yonas 李海峰(译) 岳耀先(译) 王琦(译) 张贤军(译) 丁晓君(译) | 2013 | 国际脑血管病杂志2013，21，8： | 975 |
| 3 | 急性缺血性卒中静脉阿替普酶溶栓治疗的纳入和排除标准的科学依据美国心脏协会/美国卒中协会对医疗卫生专业人员发布的声明(续前)显示文摘19 颅内出血史
根据最初的 FDA 标签和2013年AHA/ASA指南,颅内出血史是静脉阿替普酶治疗缺血性卒中的一项额外禁忌证或排除标准。最近修订后的标签仅将近期 ICH 列为一项警告,并且在禁忌证中删除了ICH史。与前面讨论的静脉阿替普酶治疗排除标准相似,文献回顾仅在大样本回顾性研究中发现了少量这类病例。缺乏相关数据可能是修订后的FDA 标签不再将 ICH 史作为禁忌证而仅将近期ICH 列为一项警告的原因。在这种情况下,FDA 如何定义“近期”一词尚不清楚。有趣的是,对在静脉阿替普酶治疗前通过 MRI 检测脑微出血( cerebral microbleed, CMBs)存在情况进行的研究可为这个卒中亚组患者提供更多的见解。从病理生理学角度,这种微出血的原因尚不清楚,可能反映再灌注损伤或脑血管自动调节功能破坏。因此,在静脉阿替普酶治疗后出现这些损害可能没有意义或是人为信号。 | Dawn O. Kleindorfer Opeolu M. Adeoye Andrew M. Demchuk Jennifer E. Fugate James C. Grotta Alexander A. Khalessi Elad I. Levy Yuko Y. Palesch Shyam Prabhakaran Gustavo Saposnik Jeffrey L. Saver Eric E. Smith 高圆圆 顾雨铖 徐欣 徐曼曼 张佳慧 李韶雅 冒萧萧 陈歆 徐运 | 2016 | 国际脑血管病杂志2016，24，5： | 98 |
| 4 | Spatial Distribution of Heavy Metals in Agricultural Soils of an Industry-Based Peri-Urban Area in Wuxi, China显示文摘In industry-oriented peri-urban areas, the heavy metal accumulation in soils caused by industrialization has become a potential threat. The top soil samples from 27 paddy fields and 75 vegetable fields were collected from a typical industry-based peri-urban area of about 8 km2 in Wuxi, China, to study the accumulation and distribution of As, Hg, Cu, Zn, Pb, Cr, and Cd in comparison with heavy metal contents in soils near developed industrial sites (Guangzhou, China; Wallsend Burn of Tyneside, UK; and Osnabriick, Germany). Kriging interpolation was used to determine the metals' spatial distribution. The results showed that most soils, compared to the background values, contained elevated contents of As, Hg, Cu, Zn, and Pb with some having elevated contents of Cd and Cr. Except for less than 10% of the soil samples of Cu, Zn and Cd contents, these heavy metal contents were lower than the soil threshold levels of the Grade II criteria for the Chinese environmental quality standard. Probably, because of the scattered distribution and diversity of industries in the study area, spatial distributions of these heavy metals from Kriging interpolation indicated little similarity. Nevertheless, when compared with other areas in the Taihu Lake region, mean contents of Cu, Zn, Pb, and Cd were relatively high in the Wuxi peri-urban area. Additionally, compared to soils in agricultural areas around Guangzhou, Osnabriick, or Wallsend Burn, contents of most heavy metals in soils from this area were lower. | ZHAO Yan-Feng SHI Xue-Zheng HUANG Biao YU Dong-Sheng WANG Hong-Jie SUN Wei-Xia I. OEBOERN K. BLOMBACK | 2007 | Pedosphere2007，17，1： | 49 |
| 5 | 东昆仑南缘早三叠世洪水川组的源区特征:来自碎屑组成、重矿物和岩石地球化学的证据显示文摘分布于东昆仑南缘的早三叠世洪水川组系一套由砾岩、砂岩、页岩和鲕粒灰岩等浅海相和河流相沉积物构成的弧前盆地沉积组合。砂岩碎屑组成、重矿物组合、岩石地球化学和古水流综合研究结果表明,洪水川组砂岩物源主要来自于北侧的岛弧带,同时南侧的阿尼玛卿蛇绿混杂带也为其形成提供了部分物源;源区主要出露长英质岩石、变质岩和硅质岩。 | 闫臻 边千韬 Oleg A. Korchagin Igor I. Pospelov 李继亮 王宗起 | 2008 | 岩石学报2008，24，5： | 46 |
| 6 | A community-derived classification for extant lycophytes and ferns显示文摘发展史长通知了蕨类植物分类。当我们推断进化的树的能力改善了,针对认出生来的组的分类变得逐渐地预兆、稳定。这里,我们为 lycophytes 和蕨纲植物提供一个现代、全面分类,在下面,利用一条基于社区的途径类水平。我们 monophyly 用作主要标准让 taxa,而且目的识别保存两个广泛地被接受的存在 taxa 和界限并且与我们蕨类植物发展史的理解一致。总共,这个分类对待一在 337 个类, 51 个家庭, 14 目,和二个班估计了 11 916 种类。这个分类没在 lycophyte 和蕨纲植物上作为最后的词被打算分类,而是当前的假设的概括陈述,源于最好的可得到的数据并且在问题由熟悉植物的那些大多数塑造了。我们希望它将在蕨类植物上为最近的文学的那些想要的参考用作一个资源发展史和分类,为指导未来调查的一个框架,和推进讲话的刺激。 | Eric Schuettpelz Harald Schneider Alan R. Smith Peter Hovenkamp Jefferson Prado Germinal Rouhan Alexandre Salino Michael Sundue Thafs Elias Almeida Barbara Parris Emily B. Sessa Ashley R. Field Andre Luis de Gasper Carl J. Rothfels Michael D. Windham Marcus Lehnert Benjamin Dauphin Atsushi Ebihara Samuli Lehtonen Pedro Bond Schwartsburd Jordan Metzgar Li-Bing Zhang Li-Yaung Kuo Patrick J. Brownsey Masahiro Kato Marcelo Daniel Arana Francine C. Assis Michael S. Barker David S. Barrington Ho-Ming Chang Yi-Han Chang Yi-Shan Chao Cheng-Wei Chen De-Kui Chen Wen-Liang Chiou Vinicius Antonio de Oliveira Dittrich Yi-Fan Duan Jean-Yves Dubuisson Donald R. Farrar Susan Fawcett Jose Maria Gabriel y Galan Luiz Armando de Araujo Goes-Neto Jason R. Grant Amanda L. Grusz Christopher Haufler Warren Hauk Hai He Sabine Hennequin Regina Yoshie Hirai Layne Huiet Michael Kessler Petra Korall Paulo H. Labiak Anders Larsson Blanca Leen Chun-Xiang Li Fay-Wei Li Melanie Link-Perez Hong-Mei Liu Ngan Thi Lu Esteban I. Meza-Torres Xin-Yuan Miao Robbin Moran Claudine Massi Mynssens Nathalie Nagalingum Benjamin Ollgaard Alison M. Paul Jovani B. de S. Pereira Leon R. Perrie Monica Ponce Tom A. Ranker Christian Schulz Wataru Shinohara Alexander Shmakov Erin M. Sigel Filipe Soares de Souza Lana da Silva Sylvestre Weston Testo Luz Amparo Triana-Moreno Chie Tsutsumi Hanna Tuomisto IvAn A. Valdespino Alejandra Vasco Raquel Stauffer Viveros Alan Weakley Ran Wei Stina Weststrand Paul G. Wolf George Yatskievych Xiao-Gang Xu Yue-Hong Yan Liang Zhang Xian-Chun Zhang Xin-Mao Zhou | 2016 | Journal of Systematics and Evolution2016，54，6： | 44 |
| 7 | Increasing Incidence and Prevalence of the Inflammatory Bowel Diseases With Time, Based on Systematic Review显示文摘 | Natalie A. Molodecky Ing Shian Soon Doreen M. Rabi William A. Ghali Mollie Ferris Greg Chernoff Eric I. Benchimol Remo Panaccione Subrata Ghosh Herman W. Barkema Gilaad G. Kaplan | 2012 | Gastroenterology2012，，1： | 33 |
| 8 | Evaluation of the suitability of a partially defatted black soldier fly (Hermetia illucens L.) larvae meal as ingredient for rainbow trout (Oncorhynchus mykiss Walbaum) diets显示文摘Background: Two trials were performed to evaluate a partially defatted Hermetia illucens(HI) larvae meal as potential feed ingredient in rainbow trout(Oncorhynchus mykiss Walbaum) diets. In the first trial, 360 trout(178.9 ± 9.8 g of mean initial body weight) were randomly divided into three experimental groups(4 tanks/treatment, 30 fish/tank). The fish were fed for 78 days with isonitrogenous, isolipidic and isoenergetic diets containing increasing levels of HI, on as fed basis: 0%(HI0, control diet), 25%(HI25) and 50%(HI50) of fish meal substitution, corresponding to dietary inclusion levels of 0, 20% and 40%. In the second trial, 36 trout(4 tanks/treatment, 3 fish/tank) were used to evaluate the in vivo apparent digestibility coefficients(ADC) of the same diets used in the first trial.Results: Survival, growth performance, condition factor, somatic indexes, and dorsal fillet physical quality parameters were not affected by diet. The highest dietary inclusion of HI larvae meal increased dry matter and ether extract contents of trout dorsal fillet. The use of HI larvae meal induced a decrease of valuable polyunsaturated fatty acids(PUFA) even if differences were only reported at the highest level of HI inclusion. The insect meal worsened the lipids health indexes of the same muscle. Dietary inclusion of insect meal did not alter the villus height of the fish. No differences were found among treatments in relation to ADC of ether extract and gross energy, while ADC of dry matter and crude protein were higher in HI25 if compared to HI50.Conclusions: The obtained results showed that a partially defatted HI larvae meal can be used as feed ingredient in trout diets up to 40% of inclusion level without impacting survival, growth performance, condition factor, somatic indexes, dorsal fillet physical quality parameters, and intestinal morphology of the fish. However, further investigations on specific feeding strategies and diet formulations are needed to limit the observed negative effects of the insect meal on the FA composition of dorsal muscle. | M. Renna A. Schiavone F. Gai S. Dabbou C. Lussiana V. Malfatto M. Prearo M. T. Capucchio I. Biasato E. Biasibetti M. De Marco A. Brugiapaglia I. Zoccarato L. Gasco | 2017 | Journal of Animal Science and Biotechnology2017，8，4： | 32 |
| 9 | Reconstruction of May——July precipitation in the north Helan Mountain, Inner Mongolia since A.D. 1726 from tree-ring late-wood widths显示文摘By analyzing statistical characteristics of five tree-ring standard chronologies, early-wood ring width (EWW), late-wood ring width (LWW), total ring width (TRW), minimum early-wood density (MinD), maximum late-wood density (MaxD) and, their climatic response re-spectively, we reconstructed the May to July precipitation using late-wood ring width (LWW) over the north Helan Mountain since A.D. 1726. The explained variance is 42% (R2adj = 41%, F = 31.46, p < 0.000001). After 11-a moving average, the explained variance reaches 82% (F = 156.9, p < 0.05). On the decadal scale, the rainfall reconstruction of the northern Helan Mountain displays a quite similar variation pattern with that of the April to early July precipitation in Baiyinaobao, east of Inner Mongolia for the last 150 years. It may reflect the intensity variation of the East Asia Summer Monsoon front to a certain extent. Spectrum analysis shows 11-a and 22-a periodicities in the May to July precipitation reconstruction at the north Helan Mountain. | LIU Yu SHI Jiangfeng V. Shishov E. Vaganov YANG Yinke CAI Qiufang SUN Junyan WANG Lei I. Djanseitov | 2004 | Chinese Science Bulletin2004，49，4： | 29 |
| 10 | CHARACTERIZATION OF POWDER FLOWABILITY USING MEASUREMENT OF ANGLE OF REPOSE显示文摘In response to the need in industry for a quick and reproducible method of measuring the flowability o powders in processes involving transport and storage, the apparently simple idea of measuring angle of repose has bee revived. The simple tester first used has evolved over a number of years into the present version which is shown to b capable of handling quite small samples of powders that are even slightly cohesive. Experimental data are presented an results shown to compare consistently with the better known Hausner ratio. | D. Geldart E. C. Abdullah A. Hassanpour L. C. Nwoke I. Wouters | 2006 | China Particuology2006，4，3： | 28 |
| 11 | 金融化:涵义和影响显示文摘 | 托马斯·I.帕利 房广顺(译) 车艳秋(译) 徐明玉(译) | 2010 | 国外理论动态2010，，8： | 28 |
| 12 | 功能相关性冠心病:64层CT血管成像与SPECT心肌灌注成像的对照性研究显示文摘目的在单光子发射计算机断层显像(SPECT)影像显示心肌灌注缺损的冠心病(CAD),前瞻性利用64层CT对其进行血管成像评估,以心肌灌注影像作为参考标准,确定其评估准确性。方法所有病人在知晓研究细节包括放射剂量后签署知情同意书。研究方案经地方机构审查委员会批准。对于将行选择性传统冠状动脉造影的病人,在造影前行64层CT血管成像及^99Tc^m-替曲膦SPECT心肌灌注成像(1日腺苷负荷-静息方案)。在CT血管成像中冠状动脉直径狭窄≥50%被定义为狭窄,结果与心肌灌注成像表现进行对照。CT血管成像以定量冠状动脉血管造影为参考标准。 | O. Gaemperli T. Schepis I. Valenta P. Koepfli L. Husmann H. Scheffel 邱建星(译) 唐光健(校) | 2008 | 国际医学放射学杂志2008，31，5： | 24 |
| 13 | 全髋关节置换术后血栓预防 使用便携式加压器或低分子量肝素的前瞻性随机对照研究显示文摘背景:血栓栓塞性疾病是全髋关节置换术后常见的并发症。本研究的目的在于比较新型便携式加压器与低分子量肝素在静脉血栓预防中的安全性和有效性。方法:全髋置换患者随机接受为期10d便携式加压器或者低分子量肝素预防治疗。术中开始使用加压器,并且这组患者在术后日服81mg的阿司匹林。使用肝素者,术后12-24h开始注射低分子量肝素。在10-12d后,所有患者行多普勒超声筛查双下肢小腿、大腿部深静脉血栓;有肺栓塞临床症状的患者均接受肺部螺旋CT扫描评价。记录两组出血和于预性治疗情况(即:依从性)。术后12周进行深静脉血栓和肺栓塞证据的临床评估。结果:410例患者(414髋)进行随机化分组;392例患者(395髋)进行手术安全性评估,386例(389髋)治疗结果有效。两组间的一般临床情况无差异。加压组严重出血发生率O%,低分子量肝素组6%。加压组远端和近端深静脉血栓发生率分别为3%、2%,肝素组3%、1%。肺栓塞发生率加压组1%,肝素组1%,无致命性肺栓塞。随访12周,1例加压组患者出现两项事件(深静脉血栓和肺栓塞),该患者术后第12天多普勒超声检查阴性。在静脉血栓栓塞预防上两组比较无明显差异。结论:全髋置换术后静脉血栓栓塞预防,便携式加压器与低分子量肝素比较,可明显减少严重出血。 | CliffordW. Colwell Jr. Mark I. Froimson Michael A.Mont Merrill A. Ritter Robert T. Trousdale Knute C. Buehler Andrew Spitzer Thomas K. Donaldson Douglas E. Padgett 勘武生(译) | 2010 | 中华骨科杂志2010，30，6： | 24 |
| 14 | Optimization of suspension system of off-road vehicle for vehicle performance improvement显示文摘Vehicle suspension design includes a number of compromises to provide good leveling of stability and ride comfort. Optimization of off-road vehicle suspension system is one of the most effective methods, which could considerably enhance the vehicle stability and controllability. In this work, a comprehensive optimization of an off-read vehicle suspension system model was carried out using software ADAMS. The geometric parameters of suspension system were optimized using genetic algorithm (GA) in a way that ride comfort, handling and stability of vehicle were improved. The results of optimized suspension system and variations of geometric parameters due to road roughness and different steering angles were presented in ADAMS and the results of optimized and conventional suspension systems during various driving maneuvers were compared. The simulation results indicate that the camber angle variations decrease by the optimized suspension system, resulting in improved handling and ride comfort characteristics. | M. Mahmoodi-Kaleibar I. Javanshir K. Asadi A. Afkar A. Paykani | 2013 | Journal of Central South University2013，20，4： | 24 |
| 15 | 颅内出血患者抗栓药逆转指南美国神经重症监护学会和美国重症医学会对医疗卫生专业人员的声明显示文摘背景抗栓药的使用,包括抗凝药、抗血小板药和溶栓药,在过去10年中日益增多并且预计将继续上升。虽然抗栓药相关性颅内出血可能是灾难性的,但快速逆转凝血功能障碍可能有助于限制血肿增大和改善转归。方法美国神经重症监护学会联合美国重症医学会组建了一个国际性多机构委员会,涉及的专业领域包括神经重症监护、神经内科、神经外科、卒中、血液学、血液病理学、急诊医学、药学、护理和指南制定,目的是进行文献评价并制定一份循证实践指南。该委员会进行了正式的文献检索,并对符合标准的研究进行了评价。结果利用GRADE方法学,委员会提出了在颅内出血情况下逆转维生素K拮抗药、直接Xa因子拮抗药、直接凝血酶抑制药、普通肝素、低分子肝素、类肝素、戊多糖、溶栓药和抗血小板药的推荐意见。结论该指南提供了及时和循证的抗栓药逆转策略以协助临床医生治疗抗栓药相关性颅内出血。 | Jennifer A. Frontera John J. Lewin Ⅲ Alejandro A. Rabinstein Imo P. Aisiku Anne W. Alexandrov Aaron M. Cook Gregory J. del Zoppo Monisha A. Kumar Ellinor I. B. Peerschke Michael F. Stiefel Jeanne S Teitelbaum Katja E. Wartenberg Cindy L. Zerfoss 杨一萍 谢丽丽 宁小金 季宇腾 柯开富 | 2016 | 国际脑血管病杂志2016，24，11： | 24 |
| 16 | Serum IL-6, TNFα and CRP levels in Greek colorectal cancer patients: Prognostic implications显示文摘AIM: The significance of preoperative serum IL-6, TNFαand CRP levels in the progression of colorectal cancer (CRC) has not been fully elucidated. Our intention was to investigate their role and identify their prognostic significance.METHODS: The IL-6, TNFα and CRP levels were measured in 74 CRC patients and the relationships between their elevation s and both the clinicopathological factors and prognosis of patients were investigated. Serum concentrations of human IL-6 and TNFα were determined by enzyme-linked immunosorbent assay (ELISA). CRP was measured by an immunoturbinometric method.RESULTS: Median IL-6, TNFα and CRP levels weresignificantly higher in CRC patients than in normal controls.High levels of serum IL-6, TNFα and CRP were correlated with larger tumor size. Furthermore, high IL-6 and high CRP levels were associated with reduced overall survival.CONCLUSION: Serum IL-6, TNFα and CRP levels definitely increase in CRC patients. Pre-operative serum elevation of IL-6 and CRP was thus found to be predictor of the prognosis of CRC patients. The clinical value of TNFα in CRC needs to be further investigated. | Nikolaos I. Nikiteas Nikolaos Tzanakis Maria Gazouli George Rallis Kessaris Daniilidis George Theodoropoulos Alkiviadis Kostakis George Peros | 2005 | World Journal of Gastroenterology2005，11，11： | 23 |
| 17 | 大别山东段高压变质岩中的金刚石显示文摘近年报道在某些超基性岩和苦橄岩中发现过金刚石。Sobolev报道了苏联北哈萨克斯坦的高压变质带中有金刚石产出,并认为是苏联西部地区(Pridneprove)第三系中金刚石砂矿的原生矿。本文报道的大别山高压变质岩中金刚石与北哈萨克斯坦变质岩中者有若干相似之处,是这类金刚石产出在世界范围内的第二例,在国内为首例。 | 徐树桐 苏文 刘贻灿 江来利 季寿元 A. I. Okay A.M.C. Sengor | 1991 | 科学通报1991，36，17： | 22 |
| 18 | 华北克拉通北部1.70Ga非造山环斑花岗岩岩套显示文摘北京裂谷是古元古代晚期(1.85~1.60Ga)在华北克拉通太古代基底上直接发育的初生夭折裂谷。U-Pb年龄表明,位于裂谷的断陷台阶至断陷中的四条平行的东西向岩带是同时的岩套。这包括北部大庙斜长(苏长)岩-纹长二长岩杂岩体(Sm-Nd1735Ma);赤城—古北口岩带的斜长岩、含橄石英正长岩(1697Ma)及富钾和环斑花岗岩(1702~1696Ma);沙厂环斑花岗岩杂岩体(1715~1683Ma)及南部平谷—蓟县火山岩带(1625Ma)。在裂谷作用晚期诱发的双峰式岩浆活动具有被动式裂谷模式。大致与裂谷阶梯状向南断陷过程相配合的,从铁镁质向硅铝质岩浆转化的侵位序列及初始Sr0组成,反映了一个从地幔派生至下地壳深熔作用的连续熔融事件。以长期低Sm/Nd和Rb/Sr比及大为推迟的Pb同位素演化为特征的环斑花岗岩,具有一个纯粹的太古代母岩来源,在全球已知环斑花岗岩中是唯一不与古元古代造山地壳相联系的典型。在岩浆侵位前至少800Ma,其太古代母岩已从地幔分离出来,使本区成为非造山花岗岩的一个最佳实例。全部Sm/Nd比演化反映了极低部分熔融程度,不但双峰式岩石具显著钾质碱性地球化学特征。 | 郁建华 付会芹 I.哈巴拉 O.T.拉莫 M.发斯乔基 J.K.莫坦森 | 1996 | 华北地质矿产杂志1996，11，3： | 21 |
| 19 | 法律的“乌龙”:公共政策的意外后果显示文摘为何许多法律总是无法达到它们预想的目标?为何人类最伟大的智慧也无法解决基本的社会弊病?本文搜集的大量证据表明:(1)法律的限制条款破坏了社会平衡,引起反弹,导致法律无法产生重大的社会变革;(2)许多法律背后潜藏的目的是促进社会的团结,而且仅仅是为了促进社会团结。作者的结论认为,法律和制定法律的政治本质上是宗教实践,其理性分析的基础极为薄弱。因此,一方面许多法律没有功效,另一方面又大受欢迎。 | 罗格.I.鲁茨 刘呈芸 | 2005 | 经济社会体制比较2005，，2： | 21 |
| 20 | 综合性卒中中心医疗质量的度量标准:对脑卒中联盟综合性卒中中心推荐意见的详细随访美国心脏协会/美国卒中协会对医疗专业人员的声明显示文摘背景卒中是一种主要的残疾和死亡原因。脑卒巾联盟提议,建立初级卒中中心(primary stroke center,PSC)和综合性卒中中心(comprehensive stroke center,csc)以分别为需要基本或高级下预的卒中患者提供适当的医疗服务。从2003年开始,美国医疗卫生机构认证联合委员会和各州已指定了一些PSC,目前正在考虑CSC的指定工作。为了推进该过程,我们提出了一套CSC应追踪监测医疗质量并促进质量改进的标准和相关数据。方法和结果我们分析了现有指南、综述和其他文献,以识别区分CSC与PSC的主要特征;起草了一套标准和相关数据元素,以评价这些卒中医疗方面的关键部分;然后通过反复修改达成共识。我们提出的这套标准和相关数据元素,涵盖了CSC内缺血性脯血管病、非外伤性蛛网膜下腔出血和腩出血患者专、№医疗的主要方面。结论我们提出这套标准,旨在为CSC的标准化数据采集提供一个框架,以促进当地医疗质量改进,并允许对来自不同CSC的数据进行合并分析。这将有助于将来CSC国家执行标准的制定。 | 何晟(译) 蔡可夫(译) 张元媛(译) 胡旻婧(译) 倪耀辉(译) 芮瑛(译) 柯开富(译) Dana Leifer Dawn M. Bravata J.J. (Buddy) Connors Ⅲ Judith A. Hinchey Edward C. Jauch S. Claibome Johnston Richard Latchaw William kikosky Christopher Ogilvy Adrian I. Qureshi Debbie Summers Gene Y. Sung Linda S. Williams Richard Zorowitz | 2011 | 国际脑血管病杂志2011，19，3： | 21 |
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