prostitution-and-male-supremacy-andrea-dworkin

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博士入学PPT模板

博士入学PPT模板

Results
2.2. Overexpressed of PTBP1 promotes migration of lung cancer cells
Results
2.3. Knockdown of PTBP1 inhibits levels of EMT-related proteins in lung cancer cells
Background
Seven alternative splicing (AS) subgroups: • Exon skipping accounts for nearly 40% of AS events; • alternative 3′ splice site (3′SS) selection (18.4%) and 5′SS
3. Dewei Niu, ******, Shanze Yi, Feng Wang*. Gene cloning, protein expression and functional analysis of a type 3 metallothionein gene from Sonneratia alba with biosorption potential. Polish Journal of Environmental Studies, Accepted. PJOES-00647-2017-02.
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B
A. PTBP1 expression was elevated in LUAD tissues (N=515) compared with normal lung tissues (N=59) according to TCGA database (p<0.01); B. Kaplan-Meier plots of patients with LUAD according to high (N=127) and low (N=375) PTBP1 expression from the TCGA database and compared by paired t-test, p<0.01.

最新ACCP-9抗栓治疗和预防指南英文全文版

最新ACCP-9抗栓治疗和预防指南英文全文版

DOI 10.1378/chest.1412S3 2012;141;7S-47S ChestPhysicians Antithrombotic Therapy and Prevention of Thrombosis Panel Holger J. Schuünemann and for the American College of ChestGordon H. Guyatt, Elie A. Akl, Mark Crowther, David D. Gutterman,Evidence-Based Clinical Practice Guidelinesed: American College of Chest Physicians Therapy and Prevention of Thrombosis, 9th Executive Summary : Antithrombotic/content/141/2_suppl/7S.full.html services can be found online on the World Wide Web at:The online version of this article, along with updated information and7S.DC1.html/content/suppl/2012/02/06/141.2_suppl.Supplemental material related to this article is available at:ISSN:0012-3692)/site/misc/reprints.xhtml (written permission of the copyright holder.this article or PDF may be reproduced or distributed without the prior Dundee Road, Northbrook, IL 60062. All rights reserved. No part of Copyright2012by the American College of Chest Physicians, 3300Physicians. It has been published monthly since 1935.is the official journal of the American College of Chest ChestCHEST / 141 / 2 / FEBRUARY , 2012 SUPPLEMENT 7ST he eighth iteration of the American College of Chest Physicians Antithrombotic Guidelines pre-sented, in a paper version, a narrative evidence sum-mary and rationale for the recommendations, a small number of evidence profi les summarizing bodies ofevidence, and some articles with quite extensivesummary tables of primary studies. In total, this represented 600 recommendations summarized in 968 pages of text. Many readers responded that the result was too voluminous for their liking or prac-tical use. C ognizant of this feedback, we worked hard to minimize the length of the text for the ninth iteration of the guidelines Antithrombotic Therapy and Pre-vention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (AT9) without sacrifi cing key content. A number of topic editors found our shortening edits draconian, but we were determined to produce the leanest product possible.T here were, however, a number of obstacles. In what we believe is a key advance in AT9, we con-ducted a systematic review of what is known about patients’ values and preferences regarding antithrom-botic therapy and included the results as an article in AT9. In another forward step, we recognized the problems with asymptomatic thrombosis as a surro-gate outcome, and devised strategies to estimate reductions in symptomatic DVT and pulmonary embolism with antithrombotic prophylaxis. We felt it important to explain this innovation to users of AT9, and this meant another article. W e included, for the fi rst time, an article on diag-nosis addressing patients with symptoms and signs suggesting DVT. We increased the range of interven-tions we have covered, resulting in additional recom-mendations. Finally, we produced many summary of fi ndings tables, which offer extremely succinct and informative presentations of best estimates of effect and the confi dence associated with those estimates.I f published in the same fashion as the Antithrom-botic and Thrombolytic Therapy, 8th ed: AmericanA bbreviations:ACS 5 acute coronary syndrome; AF 5 atrialfi brillation; AIS 5 arterial ischemic stroke; APLA 5antiphospolipidantibodies; ASA 5 acetylsalicylic acid; AT9 5 Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines; BMS 5 bare-metal stent; CABG 5 coronary artery bypass graft; CAD 5coronary artery disease; CDT 5catheter-directed thrombosis; CHADS 2 5 congestive heart failure, hyperten-sion, age Ն 75 years, diabetes mellitus, prior stroke or transient ischemic attack; CSVT 5 cerebral sinovenous thrombosis; CTPH 5 chronic thromboembolic pulmonary hypertension; CUS 5 com-pression ultrasound; CVAD 5 central venous access device; DES 5 d rug-eluting stent; GCS 5 g raduated compression stockings; H FS 5 hip fracture surgery; HIT 5 heparin-induced thrombocy-topenia; HITT 5 heparin-induced thrombocytopenia complicated by thrombosis; IA 5 intraarterial; ICH 5intracerebral hemor-rhage; IE 5 infective endocarditis; INR 5 international normalized ratio; IPC 5 intermittent pneumatic compression; IPCD 5 inter-mittent pneumatic compression device; IVC 5 inferior vena cava; LDUH 5 low-dose unfractionated heparin; LMWH 5 low-molecular-weight heparin; LV 5 left ventricular; MBTS 5 modifi ed Blalock-Taussig shunt; MR 5 magnetic resonance; PAD 5peripheral artery disease; PCI 5 percutaneous coronary inter v ention; PE 5 pul-monary embolism; PFO 5 patent foramen ovale; PMBV 5 p ercuta-neous mitral balloon valvotomy; PTS 5postthrombotic syndrome; PVT 5 prosthetic valve thrombosis; r-tPA 5 recombinant tissue plas-minogen activator; RVT 5 renal vein thrombosis; SC 5 subcuta-neous; TEE 5 transesophageal echocardiography; THA 5 total hip arthroplasty; TIA 5 transient ischemic attack; TKA 5 total knee arthroplasty; UAC 5umbilical arterial catheter; UEDVT 5 upper-extremity DVT; UFH 5 unfractionated heparin; US 5 ultrasound; UVC 5 umbilical venous catheter; VAD 5 ventricular assist device; VKA 5 vitamin K antagonistAntithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice GuidelinesG ordon H. G uyatt ,M D, FCCP ;E lie A. A kl ,M D, PhD, M PH ;M ark C rowther ,M D ;D avid D. G utterman ,M D, FCCP ;H olger J. S chü n emann ,M D, PhD, FCCP ;f or the American College of Chest Physicians Antithrombotic Therapy and Prevention of Thrombosis Panel *CHEST 2012; 141(2)(Suppl):7S–47S8SExecutive Summarytables) and some tables summarizing the methodsand results, and the risk of bias, associated with the individual studies that contributed to the evidence profi les and summary of fi ndings tables.T he world of medical information is rapidly becom-ing a world of electronic storage and presentation of primary studies, recommendations, and a wide variety of other information of interest to health care prac t itioners. Although our abbreviated paper copy presentation represents a necessary response to a challenging situation, it is also a harbinger of the increasingly electronic world of medical information into which future editions of guidelines are destined to move.S ummary of Recommendations Note on Shaded Text: Throughout this guideline, shading is used within the summary of recommenda-tions sections to indicate recommendations that are newly added or have been changed since the publica-tion of Antithrombotic and Thrombolytic Therapy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Rec-ommendations that remain unchanged are not shaded.E vidence-Based Management of Anticoagulant TherapyF or further details, see Holbrook et al. 1 2.1 Loading Dose for Initiation of Vitamin K Antagonist(VKA) Therapy2.1. For patients suffi ciently healthy to be treated as outpatients, we suggest initiating VKA therapy with warfarin 10 mg daily for the fi rst 2 days followed by dosing based on international normalized ratio (INR) measurements rather than starting with the estimated maintenance dose (Grade 2C) .2.2 Initial Dose Selection and Pharmacogenetic Testing2.2. For patients initiating VKA therapy, we recommend against the routine use of pharma-cogenetic testing for guiding doses of VKA (Grade 1B) . 2.3 Initiation Overlap for Heparin and VKA2.3. For patients with acute VTE, we suggest that VKA therapy be started on day 1 or 2 of low-molecular-weight heparin (LMWH) or low-dose unfractionated heparin (UFH) therapy rather than waiting for several days to start (Grade 2C) .College of Chest Physicians Antithrombotic Guide-lines, this would have resulted in a document with . 850 pages of paper text, an unacceptable length. Given this and with the advice of the journal, we decided to adopt a highly focused print version that includes only this executive summary and the following articles:• An introduction describing the major innovations in AT9 • A methods article explaining how we devel-oped the guidelines (a potential model for other guideline groups interested in optimal rigor) • Recommendations and grading from each arti-cle embedded in the table of contents of each article T hose seeking the rationale for the recommenda-tions, including the supporting evidence, should access the online version of the guideline ( h ttp:///content/141/2_suppl )that includes a narrative summaries and support-ing summary of fi ndings tables. The numbering indi-cated beside the recommendations in this summary is aligned with the sections and tables found in the full articles. Those interested in a deeper under-standing of the evidence can turn to online data supplements for each of the articles that include rec-ommendations. There, they will fi nd evidence pro-fi les (expanded versions of the summary of fi ndingsR evision accepted August 31, 2011. A ffi liations: From the Department of Clinical Epidemiology and Biostatistics (Drs Guyatt, Akl, and Schü n emann) and Depart-ment of Medicine (Drs Guyatt, Crowther, and Schü n emann), McMaster University Faculty of H ealth Sciences, H amilton, ON, Canada; Departments of Medicine and Family Medicine (Dr Akl), State University of New York, Buffalo, NY; Cardiovascular Research Center (Dr Gutterman), Medical College of Wisconsin, Milwaukee, WI.*For complete panel list, see: /content/141/2_suppl/2S F unding/Support : The Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines received support from the National Heart, Lung, and Blood Institute [R13 HL104758] and Bayer Schering Pharma AG. Support in the form of educa-tional grants were also provided by Bristol-Myers Squibb; Pfi zer, Inc; Canyon Pharmaceuticals; and sanofi -aventis US.D isclaimer: American College of Chest Physician guidelines are intended for general information only, are not medical advice, and do not replace professional medical care and physician advice, which always should be sought for any medical condition. The complete disclaimer for this guideline can be accessed at /content/141/2_suppl/1SC orrespondence to: Gordon H . Guyatt, MD, FCCP , Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, L8N 3Z5, Canada; e-mail: guyatt@mcmaster.ca© 2012 American College of Chest Physicians.Reproduction of this article is prohibited without written permission from the American College of Chest Physicians ( h ttp:///site/misc/reprints.xhtml ).D OI: 10.1378/chest.1412S3CHEST / 141 / 2 / FEBRUARY , 2012 SUPPLEMENT 9S3.8 VKA Drug Interactions to Avoid3.8. For patients taking VKAs, we suggest avoid-ing concomitant treatment with nonsteroidal antiinfl ammatory drugs, including cyclooxyge-nase-2-selective nonsteroidal antiinfl ammatory drugs, and certain antibiotics (see Table 8 in mainarticle1 ) (Grade 2C) .F or patients taking VKAs, we suggest avoiding concomitant treatment with antiplatelet agents except in situations where benefi t is known or is highly likely to be greater than harm from bleeding, such as patients with mechanical valves, patients with acute coronary syndrome, or patients with recent coronary stents or bypass surgery (Grade 2C) .4.1 Optimal Therapeutic INR Range4.1. For patients treated with VKAs, we recom-mend a therapeutic INR range of 2.0 to 3.0 (tar-get INR of 2.5) rather than a lower (INR , 2) or higher (INR 3.0-5.0) range (Grade 1B) . 4.2 Therapeutic Range for High-Risk Groups 4.2. For patients with antiphospholipid syn d rome with previous arterial or venous thromboembolism, we suggest VKA therapy titrated to a moderate-intensity INR range (INR 2.0-3.0) rather than higher intensity (INR 3.0-4.5) (Grade 2B). 5.0 Discontinuation of Therapy5.0. For patients eligible to discontinue treat-ment with VKA, we suggest abrupt discontinua-tion rather than gradual tapering of the dose to discontinuation (Grade 2C) .6.1 Unfractionated Heparin (UFH) Dose Adjustment by Weight6.1. For patients starting IV UFH, we suggest that the initial bolus and the initial rate of the continuous infusion be weight adjusted (bolus 80 units/kg followed by 18 units/kg per h for VTE; bolus 70 units/kg followed by 15 units/kg per h for cardiac or stroke patients) or use of a fi xed dose (bolus 5,000 units followed by 1,000 units/h) rather than alternative regimens (Grade 2C) . 6.2 Dose Management of Subcutaneous (SC) UFH6.2. For outpatients with VTE treated with SC UFH, we suggest weight-adjusted dosing (fi rst dose 333 units/kg, then 250 units/kg) with-out monitoring rather than fi xed or weight-adjusted dosing with monitoring (Grade 2C) .3.1 Monitoring Frequency for VKAs3.1. For patients taking VKA therapy with con-sistently stable INRs, we suggest an INR testing frequency of up to 12 weeks rather than every 4 weeks (Grade 2B) .3.2 Management of the Single Out-of-Range INR3.2. For patients taking VKAs with previously stable therapeutic INRs who present with a single out-of-range INR of Յ 0.5 below or above therapeutic, we suggest continuing the current dose and testing the INR within 1 to 2 weeks (Grade 2C) .3.3 Bridging for Low INRs3.3. For patients with stable therapeutic INRs presenting with a single subtherapeutic INR value, we suggest against routinely adminis-tering bridging with heparin (Grade 2C) . 3.4 Vitamin K Supplementation3.4. For patients taking VKAs, we suggest against routine use of vitamin K supplementa-tion (Grade 2C) .3.5 Anticoagulation Management Services for VKAs 3.5. (Best Practices Statement) We suggest that health-care providers who manage oral antico-agulation therapy should do so in a systematic and coordinated fashion, incorporating patient education, systematic INR testing, tracking, follow-up, and good patient communication of results and dosing decisions.3.6 Patient Self-Testing and Self-Management3.6. For patients treated with VKAs who are motivated and can demonstrate competency in self-management strategies, including the self-testing equipment, we suggest patient self-management rather than usual outpatient INR monitoring (Grade 2B) . For all other patients, we suggest monitoring that includes the safe-guards in our best practice statement 3.5. 3.7 Dosing Decision Support3.7. For dosing decisions during maintenance VKA therapy, we suggest using validated deci-sion support tools (paper nomograms or com-puterized dosing programs) rather than no decision support (Grade 2C) .Remarks: Inexperienced prescribers may be more likely to improve prescribing with use of decision sup-port tools than experienced prescribers.10SExecutive Summaryunfractionated heparin (L DUH) bid, LDUHtid, or fondaparinux (Grade 1B) .R emarks: In choosing the specifi c anticoagulant drug to be used for pharmacoprophylaxis, choices should be based on patient preference, compliance, and ease of administration (eg, daily vs bid vs tid dosing), as well as on local factors affecting acquisition costs (eg, prices of various pharmacologic agents in individual hospital formularies).2.4. For acutely ill hospitalized medical patients at low risk of thrombosis, we recommend against the use of pharmacologic prophylaxis or mechan-ical prophylaxis (Grade 1B) .2.7.1. For acutely ill hospitalized medical patients who are bleeding or at high risk for bleeding, we recommend against anticoagulant thromboprophylaxis (Grade 1B) .2.7.2. For acutely ill hospitalized medical patients at increased risk of thrombosis who are bleeding or at high risk for major bleeding, we suggest the optimal use of mechanical thromboprophylaxis with graduated compression stockings (GCS) (Grade 2C) or intermittent pneumatic compres-sion (IPC) (Grade 2C) , rather than no mechan-ical thromboprophylaxis. When bleeding risk decreases, and if VTE risk persists, we sug-gest that pharmacologic thromboprophylaxis be substituted for mechanical thromboprophy-laxis (Grade 2B) .R emarks: Patients who are particularly averse to the potential for skin complications, cost, and need for clinical monitoring of GCS and IPC use are likely to decline mechanical prophylaxis.2.8. In acutely ill hospitalized medical patients who receive an initial course of thrombopro-phylaxis, we suggest against extending the dura-tion of thromboprophylaxis beyond the period of patient immobilization or acute hospital stay (Grade 2B) .3.0 Critically Ill Patients3.2. In critically ill patients, we suggest against routine ultrasound screening for DVT (Grade 2C) .3.4.3. For critically ill patients, we suggest using LMWH or LDUH thromboprophylaxis over no prophylaxis (Grade 2C) .3.4.4. For critically ill patients who are bleeding, or are at high risk for major bleeding, we suggest mechanical thromboprophylaxis with GCS (Grade 2C) o r IPC (Grade 2C) u ntil the7.1 Therapeutic Dose of LM WH in Patients With Decreased Renal Function7.1. For patients receiving therapeutic LMWH who have severe renal insuffi ciency (calculated creatinine clearance , 30 mL/min), we suggest a reduction of the dose rather than using stan-dard doses (Grade 2C) .8.1 Fondaparinux Dose Management by Weight8.1. For patients with VTE and body weight over 100 kg, we suggest that the treatment dose of fondaparinux be increased from the usual 7.5 mg to 10 mg daily SC (Grade 2C) .9.1 Vitamin K for Patients Taking VKAs With High INRs Without Bleeding9.1.(a) For patients taking VKAs with INRs between 4.5 and 10 and with no evidence of bleeding, we suggest against the routine use of vitamin K (Grade 2B) .(b) For patients taking VKAs with INRs . 10.0 and with no evidence of bleeding, we suggest that oral vitamin K be administered (Grade 2C) . 9.2 Clinical Prediction Rules for Bleeding While Taking VKA9.2. For patients initiating VKA therapy, we suggest against the routine use of clinical pre-diction rules for bleeding as the sole criterion to withhold VKA therapy (Grade 2C) .9.3 Treatment of Anticoagulant-Related Bleeding9.3. For patients with VKA-associated major bleeding, we suggest rapid reversal of antico-agulation with four-factor prothrombin complex concentrate rather than with plasma. (Grade 2C) .W e suggest the additional use of vitamin K 5 to 10 mg administered by slow IV injection rather than reversal with coagulation factors alone (Grade 2C) .P revention of VTE in Nonsurgical PatientsF or further details, see Kahn et al. 2 2.0 Hospitalized Acutely Ill Medical Patients2.3. For acutely ill hospitalized medical patients at increased risk of thrombosis, we recom m end anticoagulant thromboprophylaxis with low-molecular-weight heparin [LMWH], low-doseCHEST / 141 / 2 / FEBRUARY , 2012 SUPPLEMENT 11Sknee GCS providing 15 to 30 mm Hg of pressureat the ankle during travel (Grade 2C) . F or all other long-distance travelers, we suggest against the use of GCS (Grade 2C) .6.1.3. For long-distance travelers, we suggest against the use of aspirin or anticoagulants to prevent VTE (Grade 2C) .7.0 Persons With Asymptomatic Thrombophilia7.1. In persons with asymptomatic thrombo-philia (ie, without a previous history of VTE), we recommend against the long-term daily use of mechanical or pharmacologic thrombopro-phylaxis to prevent VTE (Grade 1C) .P revention of VTE in Nonorthopedic Surgical PatientsF or further details, see Gould et al. 3 3.6 Patients Undergoing General, GI, Urological,Gynecologic, Bariatric, Vascular, Plastic, or Recon-structive Surgery3.6.1. For general and abdominal-pelvic sur-gery patients at very low risk for VTE ( , 0.5%; Rogers score, , 7; Caprini score, 0), we recom-mend that no specifi c pharmacologic (Grade 1B) o r mechanical (Grade 2C) p rophylaxis be used other than early ambulation.3.6.2. For general and abdominal-pelvic sur-gery patients at low risk for VTE ( ف 1.5%; Rog-ers score, 7-10; Caprini score, 1-2), we suggest mechanical prophylaxis, preferably with inter-mittent pneumatic compression (IPC), over no prophylaxis (Grade 2C) .3.6.3. For general and abdominal-pelvic sur-gery patients at moderate risk for VTE ( ف 3.0%; Rogers score, . 10; Caprini score, 3-4) who are not at high risk for major bleeding complica-tions, we suggest L MWH (Grade 2B ), L DUH (Grade 2B) , o r mechanical prophylaxis, prefer-ably with IPC (Grade 2C) ,o ver no prophylaxis. R emarks: T hree of the seven authors favored a strong (Grade 1B) recommendation in favor of LMWH or LDUH over no prophylaxis in this group.3.6.4. For general and abdominal-pelvic sur-gery patients at moderate risk for VTE (3.0%; Rogers score, . 10; Caprini score, 3-4) who are at high risk for major bleeding complications or those in whom the consequences of bleed-ing are thought to be particularly severe, webleeding risk decreases, rather than no mechan-ical thromboprophylaxis. When bleeding risk decreases, we suggest that pharmacologic throm-boprophylaxis be substituted for mechanical thromboprophylaxis (Grade 2C) . 4.0 Patients With Cancer in the Outpatient Setting4.2.1. In outpatients with cancer who have no additional risk factors for VTE, we suggest against routine prophylaxis with L MWH or LDUH (Grade 2B) and recommend against the prophylactic use of VKAs (Grade 1B) .R emarks: Additional risk factors for venous throm-bosis in cancer outpatients include previous venous thrombosis, immobilization, hormonal therapy, angio-genesis inhibitors, thalidomide, and lenalidomide.4.2.2. In outpatients with solid tumors who have additional risk factors for VTE and who are at low risk of bleeding, we suggest prophylactic-dose L MWH or L DUH over no prophylaxis (Grade 2B) .R emarks: Additional risk factors for venous thrombo-sis in cancer outpatients include previous venous thrombosis, immobilization, hormonal therapy, angio-genesis inhibitors, thalidomide, and lenali d omide.4.4. In outpatients with cancer and indwelling central venous catheters, we suggest againstroutine prophylaxis with L MWH or L DUH (Grade 2B) and suggest against the prophylactic use of VKAs (Grade 2C) .5.0 Chronically Immobilized Patients5.1. In chronically immobilized persons residing at home or at a nursing home, we suggest against the routine use of thromboprophylaxis (Grade 2C) .6.0 Persons Traveling Long-Distance6.1.1. For long-distance travelers at increased risk of VTE (including previous VTE, recent surgery or trauma, active malignancy, preg-nancy, estrogen use, advanced age, limited mobility, severe obesity, or known thrombo-philic disorder), we suggest frequent ambula-tion, calf muscle exercise, or sitting in an aisle seat if feasible (Grade 2C) .6.1.2. For long-distance travelers at increased risk of VTE (including previous VTE, recent surgery or trauma, active malignancy, pregnancy, estrogen use, advanced age, limited mobility, severe obesity, or known thrombophilic disor-der), we suggest use of properly fi tted, below-12SExecutive Summarygest use of mechanical prophylaxis, preferably with optimally applied IPC, over either no pro-phylaxis (Grade 2C) o r pharmacologic prophy-laxis (Grade 2C) .4.4.2. For cardiac surgery patients whose hos-pital course is prolonged by one or more non-hemorrhagic surgical complications, we suggest adding pharmacologic prophylaxis with LDUH or LMWH to mechanical prophylaxis (Grade 2C) .5.0 Patients Undergoing Thoracic Surgery5.4.1. For thoracic surgery patients at mod-erate risk for VTE who are not at high risk for perioperative bleeding, we suggest L DUH (Grade 2B) , L MWH (Grade 2B) , o r mechanical prophylaxis with optimally applied IPC (Grade 2C)o ver no prophylaxis. R emarks: T hree of the seven authors favored a strong (Grade 1B) recommendation in favor of LMWH or LDUH over no prophylaxis in this group.5.4.2. For thoracic surgery patients at high risk for VTE who are not at high risk for periopera-tive bleeding, we suggest LDUH (Grade 1B) o r LMWH (Grade 1B) o ver no prophylaxis. In addi-tion, we suggest that mechanical prophylaxis with elastic stockings or IPC should be added to pharmacologic prophylaxis (Grade 2C) .5.4.3. For thoracic surgery patients who are at high risk for major bleeding, we suggest use of mechanical prophylaxis, preferably with opti-mally applied IPC, over no prophylaxis until the risk of bleeding diminishes and pharmacologic prophylaxis may be initiated (Grade 2C) .6.0 Patients Undergoing Craniotomy6.4.1. For craniotomy patients, we suggest that mechanical prophylaxis, preferably with IPC, be used over no prophylaxis (Grade 2C) o r phar-macologic prophylaxis (Grade 2C) .6.4.2. For craniotomy patients at very high risk for VTE (eg, those undergoing craniotomy for malignant disease), we suggest adding pharma-cologic prophylaxis to mechanical prophylaxis once adequate hemostasis is established and the risk of bleeding decreases (Grade 2C) .7.0 Patients Undergoing Spinal Surgery7.4.1. For patients undergoing spinal surgery, we suggest mechanical prophylaxis, prefer-ably with IPC, over no prophylaxis (Grade 2C) , u nfractionated heparin (Grade 2C) , o r LMWH (Grade 2C) .suggest mechanical prophylaxis, preferably with IPC, over no prophylaxis (Grade 2C) .3.6.5. For general and abdominal-pelvic sur-gery patients at high risk for VTE ( ف 6.0%; Caprini score, Ն 5) who are not at high risk for major bleeding complications, we recommend pharmacologic prophylaxis with LMWH (Grade 1B) o r L DUH (Grade 1B) o ver no prophylaxis. We suggest that mechanical prophylaxis with elastic stockings or IPC should be added to phar-macologic prophylaxis (Grade 2C) .3.6.6. For high-VTE-risk patients undergoing abdominal or pelvic surgery for cancer who are not otherwise at high risk for major bleeding complications, we recommend extended-duration pharmacologic prophylaxis (4 weeks) with LMWH over limited-duration prophylaxis (Grade 1B) .R emarks: Patients who place a high value on mini-mizing out-of-pocket health-care costs might prefer limited-duration over extended-duration prophylaxis in settings where the cost of extended-duration pro-phylaxis is borne by the patient.3.6.7. For high-VTE-risk general and abdominal-pelvic surgery patients who are at high risk for major bleeding complications or those in whom the consequences of bleeding are thought to be particularly severe, we suggest use of mechan-ical prophylaxis, preferably with IPC, over no prophylaxis until the risk of bleeding diminishes and pharmacologic prophylaxis may be initiated (Grade 2C) .3.6.8. For general and abdominal-pelvic sur-gery patients at high risk for VTE (6%; Caprini score, Ն 5) in whom both L MWH and unfrac-tionated heparin are contraindicated or unavail-able and who are not at high risk for major bleeding complications, we suggest low-dose aspirin (Grade 2C) , f ondaparinux (Grade 2C) , o r mechanical prophylaxis, preferably with IPC (Grade 2C) ,o ver no prophylaxis.3.6.9. For general and abdominal-pelvic sur-gery patients, we suggest that an inferior vena cava (IVC) fi lter should not be used for primary VTE prevention (Grade 2C) .3.6.10. For general and abdominal-pelvic surgery patients, we suggest that periodic surveillance with venous compression ultrasound should not be performed (Grade 2C) .4.0 Patients Undergoing Cardiac Surgery4.4.1. For cardiac surgery patients with an uncomplicated postoperative course, we sug-CHEST / 141 / 2 / FEBRUARY , 2012 SUPPLEMENT 13Sigatran, rivaroxaban, low-dose unfractionatedheparin (LDUH), adjusted-dose VKA, aspirin (all Grade 1B) , or an intermittent pneumatic com-pression device (IPCD) (Grade 1C) .R emarks: We recommend the use of only portable, battery-powered IPCDs capable of recording and reporting proper wear time on a daily basis for inpa-tients and outpatients. Efforts should be made to achieve 18 h of daily compliance. One panel member believed strongly that aspirin alone should not be included as an option.2.1.2. In patients undergoing HFS, we recom-mend use of one of the following rather than no antithrombotic prophylaxis for a minimum of 10 to 14 days: L MWH, fondaparinux, L DUH, adjusted-dose VKA, aspirin (all Grade 1B) , or an IPCD (Grade 1C) .R emarks: We recommend the use of only portable, battery-powered IPCDs capable of recording and reporting proper wear time on a daily basis for inpa-tients and outpatients. Efforts should be made to achieve 18 h of daily compliance. One panel member believed strongly that aspirin alone should not be included as an option.2.2. For patients undergoing major orthopedic surgery (THA, TKA, HFS) and receiving LMWH as thromboprophylaxis, we recommend starting either 12 h or more preoperatively or 12 h or more postoperatively rather than within 4 h or less pre-operatively or 4 h or less postoperatively (Grade 1B) .2.3.1. In patients undergoing THA or TKA, irrespective of the concomitant use of an IPCD or length of treatment, we suggest the use of L MWH in preference to the other agents we have recommended as alternatives: fonda-parinux, apixaban, dabigatran, rivaroxaban, LDUH (all Grade 2B) , adjusted-dose VKA, or aspirin (all Grade 2C) .R emarks: If started preoperatively, we suggest admin-istering LMWH Ն 12 h before surgery. Patients who place a high value on avoiding the inconvenience of daily injections with LMWH and a low value on the limitations of alternative agents are likely to choose an alternative agent. Limitations of alter-native agents include the possibility of increased bleeding (which may occur with fondaparinux, rivar-oxaban, and VKA), possible decreased effi cacy (LDUH, VKA, aspirin, and IPCD alone), and lack of long-term safety data (apixaban, dabigatran, and rivaroxaban). Furthermore, patients who place a high value on avoiding bleeding complications and a low value on7.4.2. For patients undergoing spinal surgery at high risk for VTE (including those with malig-nant disease or those undergoing surgery with a combined anterior-posterior approach), we suggest adding pharmacologic prophylaxis to mechanical prophylaxis once adequate hemo-stasis is established and the risk of bleeding decreases (Grade 2C) . 8.0 Patients With Major Trauma: Traumatic Brain Injury, Acute Spinal Injury, and Traumatic Spine Injury8.4.1. For major trauma patients, we suggest use of LDUH (Grade 2C) , L MWH (Grade 2C) , o r mechanical prophylaxis, preferably with IPC (Grade 2C) ,o ver no prophylaxis.8.4.2. For major trauma patients at high risk for VTE (including those with acute spinal cord injury, traumatic brain injury, and spinal sur-gery for trauma), we suggest adding mechan-ical prophylaxis to pharmacologic prophylaxis (Grade 2C) w hen not contraindicated by lower-extremity injury.8.4.3. For major trauma patients in whom LMWH and LDUH are contraindicated, we sug-gest mechanical prophylaxis, preferably with IPC, over no prophylaxis (Grade 2C) w hen not contraindicated by lower-extremity injury. We suggest adding pharmacologic prophylaxis with either L MWH or L DUH when the risk of bleeding diminishes or the contraindication to heparin resolves (Grade 2C) .8.4.4. For major trauma patients, we suggest that an IVC fi lter should not be used for pri-mary VTE prevention (Grade 2C) .8.4.5. For major trauma patients, we suggest that periodic surveillance with venous compression ultrasound should not be performed (Grade 2C) .P revention of VTE in Orthopedic Surgery PatientsF or further details, see Falck-Ytter et al. 4 2.0 Patients Undergoing Major Orthopedic Surgery: Total Hip Arthroplasty (THA), Total Knee Arthroplasty (TKA), Hip Fracture Surgery (HFS)2.1.1. In patients undergoing THA or TKA, we recommend use of one of the following for a minimum of 10 to 14 days rather than no anti-thrombotic prophylaxis: low-molecular-weight heparin (LMWH), fondaparinux, apixaban, dab-。

欲望、碎片与被规范的身体——马修·巴尼艺术中身体的意义

欲望、碎片与被规范的身体——马修·巴尼艺术中身体的意义

读·闻·观83欲望、碎片与被规范的身体——马修·巴尼艺术中身体的意义张多星摘要:马修·巴尼可的作品融装置、身体、音乐、影视、绘画、摄影、行为、设计、服装、文学等诸多因素,构成了一部庞杂的艺术系统,赋予了艺术无边界性,因此也造就了他的艺术鸿篇巨制、令人费解。

我们似乎很难从他奇幻的作品中寻找到一条贯穿其创作始终的线索,但是我们能了解到身体是马修·巴尼作品中常用的表现媒介。

本文试以身体为出发点,探讨马修·巴尼艺术所要诠释的问题。

关键词:马修巴尼;欲望;规范;身体马修·巴尼(Matthew Barney,1967-)出生于美国旧金山,六岁时全家迁往爱达华州。

十二岁时父母离异,马修·巴尼跟随父留在爱达华,其母亲则迁往了纽约,马修·巴尼从小往返于父母之间。

其母亲迁往纽约后成为了一名艺术家,马修·巴尼在他母亲那受到了艺术启蒙。

高中时期,马修·巴尼曾是橄榄球运动员,毕业后考入到了耶鲁大学医学院预科班,其理想是成为一名整形大夫。

不久后他却放弃了自己梦想,转向了学习艺术,1989年大学毕业。

毕业后,马修·巴尼前往纽约开始大胆的艺术实践。

虽然马修·巴尼放弃了医学之路,但是医学上的修养成为了他艺术创作的重要组成部分,使他的作品总是围绕身体展开。

一以身体作为艺术表达从史前即有,而以意志主体作为媒介的行为艺术则是20世纪才出现的一种艺术形式。

从20世纪下半叶始,身体逐渐从被“遮蔽”的历史中解放出来,在艺坛占据着重要位置。

所谓“遮蔽”的身体即身体代表的价值与意义被隐藏了起来。

古希腊伊始,人们所提及的身体并不是完整意义上的身体,就艺术而言,身体只是对“美”本质的反映。

在哲学家们看来,身体是智慧、真理、正义和美德的障碍,那么人类就要将灵魂从肉体中解放出来。

这种肉体与灵魂的二元论至17世纪之前,一直充斥着西方文化生活。

OSHA现场作业手册说明书

OSHA现场作业手册说明书

DIRECTIVE NUMBER: CPL 02-00-150 EFFECTIVE DATE: April 22, 2011 SUBJECT: Field Operations Manual (FOM)ABSTRACTPurpose: This instruction cancels and replaces OSHA Instruction CPL 02-00-148,Field Operations Manual (FOM), issued November 9, 2009, whichreplaced the September 26, 1994 Instruction that implemented the FieldInspection Reference Manual (FIRM). The FOM is a revision of OSHA’senforcement policies and procedures manual that provides the field officesa reference document for identifying the responsibilities associated withthe majority of their inspection duties. This Instruction also cancels OSHAInstruction FAP 01-00-003 Federal Agency Safety and Health Programs,May 17, 1996 and Chapter 13 of OSHA Instruction CPL 02-00-045,Revised Field Operations Manual, June 15, 1989.Scope: OSHA-wide.References: Title 29 Code of Federal Regulations §1903.6, Advance Notice ofInspections; 29 Code of Federal Regulations §1903.14, Policy RegardingEmployee Rescue Activities; 29 Code of Federal Regulations §1903.19,Abatement Verification; 29 Code of Federal Regulations §1904.39,Reporting Fatalities and Multiple Hospitalizations to OSHA; and Housingfor Agricultural Workers: Final Rule, Federal Register, March 4, 1980 (45FR 14180).Cancellations: OSHA Instruction CPL 02-00-148, Field Operations Manual, November9, 2009.OSHA Instruction FAP 01-00-003, Federal Agency Safety and HealthPrograms, May 17, 1996.Chapter 13 of OSHA Instruction CPL 02-00-045, Revised FieldOperations Manual, June 15, 1989.State Impact: Notice of Intent and Adoption required. See paragraph VI.Action Offices: National, Regional, and Area OfficesOriginating Office: Directorate of Enforcement Programs Contact: Directorate of Enforcement ProgramsOffice of General Industry Enforcement200 Constitution Avenue, NW, N3 119Washington, DC 20210202-693-1850By and Under the Authority ofDavid Michaels, PhD, MPHAssistant SecretaryExecutive SummaryThis instruction cancels and replaces OSHA Instruction CPL 02-00-148, Field Operations Manual (FOM), issued November 9, 2009. The one remaining part of the prior Field Operations Manual, the chapter on Disclosure, will be added at a later date. This Instruction also cancels OSHA Instruction FAP 01-00-003 Federal Agency Safety and Health Programs, May 17, 1996 and Chapter 13 of OSHA Instruction CPL 02-00-045, Revised Field Operations Manual, June 15, 1989. This Instruction constitutes OSHA’s general enforcement policies and procedures manual for use by the field offices in conducting inspections, issuing citations and proposing penalties.Significant Changes∙A new Table of Contents for the entire FOM is added.∙ A new References section for the entire FOM is added∙ A new Cancellations section for the entire FOM is added.∙Adds a Maritime Industry Sector to Section III of Chapter 10, Industry Sectors.∙Revises sections referring to the Enhanced Enforcement Program (EEP) replacing the information with the Severe Violator Enforcement Program (SVEP).∙Adds Chapter 13, Federal Agency Field Activities.∙Cancels OSHA Instruction FAP 01-00-003, Federal Agency Safety and Health Programs, May 17, 1996.DisclaimerThis manual is intended to provide instruction regarding some of the internal operations of the Occupational Safety and Health Administration (OSHA), and is solely for the benefit of the Government. No duties, rights, or benefits, substantive or procedural, are created or implied by this manual. The contents of this manual are not enforceable by any person or entity against the Department of Labor or the United States. Statements which reflect current Occupational Safety and Health Review Commission or court precedents do not necessarily indicate acquiescence with those precedents.Table of ContentsCHAPTER 1INTRODUCTIONI.PURPOSE. ........................................................................................................... 1-1 II.SCOPE. ................................................................................................................ 1-1 III.REFERENCES .................................................................................................... 1-1 IV.CANCELLATIONS............................................................................................. 1-8 V. ACTION INFORMATION ................................................................................. 1-8A.R ESPONSIBLE O FFICE.......................................................................................................................................... 1-8B.A CTION O FFICES. .................................................................................................................... 1-8C. I NFORMATION O FFICES............................................................................................................ 1-8 VI. STATE IMPACT. ................................................................................................ 1-8 VII.SIGNIFICANT CHANGES. ............................................................................... 1-9 VIII.BACKGROUND. ................................................................................................. 1-9 IX. DEFINITIONS AND TERMINOLOGY. ........................................................ 1-10A.T HE A CT................................................................................................................................................................. 1-10B. C OMPLIANCE S AFETY AND H EALTH O FFICER (CSHO). ...........................................................1-10B.H E/S HE AND H IS/H ERS ..................................................................................................................................... 1-10C.P ROFESSIONAL J UDGMENT............................................................................................................................... 1-10E. W ORKPLACE AND W ORKSITE ......................................................................................................................... 1-10CHAPTER 2PROGRAM PLANNINGI.INTRODUCTION ............................................................................................... 2-1 II.AREA OFFICE RESPONSIBILITIES. .............................................................. 2-1A.P ROVIDING A SSISTANCE TO S MALL E MPLOYERS. ...................................................................................... 2-1B.A REA O FFICE O UTREACH P ROGRAM. ............................................................................................................. 2-1C. R ESPONDING TO R EQUESTS FOR A SSISTANCE. ............................................................................................ 2-2 III. OSHA COOPERATIVE PROGRAMS OVERVIEW. ...................................... 2-2A.V OLUNTARY P ROTECTION P ROGRAM (VPP). ........................................................................... 2-2B.O NSITE C ONSULTATION P ROGRAM. ................................................................................................................ 2-2C.S TRATEGIC P ARTNERSHIPS................................................................................................................................. 2-3D.A LLIANCE P ROGRAM ........................................................................................................................................... 2-3 IV. ENFORCEMENT PROGRAM SCHEDULING. ................................................ 2-4A.G ENERAL ................................................................................................................................................................. 2-4B.I NSPECTION P RIORITY C RITERIA. ..................................................................................................................... 2-4C.E FFECT OF C ONTEST ............................................................................................................................................ 2-5D.E NFORCEMENT E XEMPTIONS AND L IMITATIONS. ....................................................................................... 2-6E.P REEMPTION BY A NOTHER F EDERAL A GENCY ........................................................................................... 2-6F.U NITED S TATES P OSTAL S ERVICE. .................................................................................................................. 2-7G.H OME-B ASED W ORKSITES. ................................................................................................................................ 2-8H.I NSPECTION/I NVESTIGATION T YPES. ............................................................................................................... 2-8 V.UNPROGRAMMED ACTIVITY – HAZARD EVALUATION AND INSPECTION SCHEDULING ............................................................................ 2-9 VI.PROGRAMMED INSPECTIONS. ................................................................... 2-10A.S ITE-S PECIFIC T ARGETING (SST) P ROGRAM. ............................................................................................. 2-10B.S CHEDULING FOR C ONSTRUCTION I NSPECTIONS. ..................................................................................... 2-10C.S CHEDULING FOR M ARITIME I NSPECTIONS. ............................................................................. 2-11D.S PECIAL E MPHASIS P ROGRAMS (SEP S). ................................................................................... 2-12E.N ATIONAL E MPHASIS P ROGRAMS (NEP S) ............................................................................... 2-13F.L OCAL E MPHASIS P ROGRAMS (LEP S) AND R EGIONAL E MPHASIS P ROGRAMS (REP S) ............ 2-13G.O THER S PECIAL P ROGRAMS. ............................................................................................................................ 2-13H.I NSPECTION S CHEDULING AND I NTERFACE WITH C OOPERATIVE P ROGRAM P ARTICIPANTS ....... 2-13CHAPTER 3INSPECTION PROCEDURESI.INSPECTION PREPARATION. .......................................................................... 3-1 II.INSPECTION PLANNING. .................................................................................. 3-1A.R EVIEW OF I NSPECTION H ISTORY .................................................................................................................... 3-1B.R EVIEW OF C OOPERATIVE P ROGRAM P ARTICIPATION .............................................................................. 3-1C.OSHA D ATA I NITIATIVE (ODI) D ATA R EVIEW .......................................................................................... 3-2D.S AFETY AND H EALTH I SSUES R ELATING TO CSHO S.................................................................. 3-2E.A DVANCE N OTICE. ................................................................................................................................................ 3-3F.P RE-I NSPECTION C OMPULSORY P ROCESS ...................................................................................................... 3-5G.P ERSONAL S ECURITY C LEARANCE. ................................................................................................................. 3-5H.E XPERT A SSISTANCE. ........................................................................................................................................... 3-5 III. INSPECTION SCOPE. ......................................................................................... 3-6A.C OMPREHENSIVE ................................................................................................................................................... 3-6B.P ARTIAL. ................................................................................................................................................................... 3-6 IV. CONDUCT OF INSPECTION .............................................................................. 3-6A.T IME OF I NSPECTION............................................................................................................................................. 3-6B.P RESENTING C REDENTIALS. ............................................................................................................................... 3-6C.R EFUSAL TO P ERMIT I NSPECTION AND I NTERFERENCE ............................................................................. 3-7D.E MPLOYEE P ARTICIPATION. ............................................................................................................................... 3-9E.R ELEASE FOR E NTRY ............................................................................................................................................ 3-9F.B ANKRUPT OR O UT OF B USINESS. .................................................................................................................... 3-9G.E MPLOYEE R ESPONSIBILITIES. ................................................................................................. 3-10H.S TRIKE OR L ABOR D ISPUTE ............................................................................................................................. 3-10I. V ARIANCES. .......................................................................................................................................................... 3-11 V. OPENING CONFERENCE. ................................................................................ 3-11A.G ENERAL ................................................................................................................................................................ 3-11B.R EVIEW OF A PPROPRIATION A CT E XEMPTIONS AND L IMITATION. ..................................................... 3-13C.R EVIEW S CREENING FOR P ROCESS S AFETY M ANAGEMENT (PSM) C OVERAGE............................. 3-13D.R EVIEW OF V OLUNTARY C OMPLIANCE P ROGRAMS. ................................................................................ 3-14E.D ISRUPTIVE C ONDUCT. ...................................................................................................................................... 3-15F.C LASSIFIED A REAS ............................................................................................................................................. 3-16VI. REVIEW OF RECORDS. ................................................................................... 3-16A.I NJURY AND I LLNESS R ECORDS...................................................................................................................... 3-16B.R ECORDING C RITERIA. ...................................................................................................................................... 3-18C. R ECORDKEEPING D EFICIENCIES. .................................................................................................................. 3-18 VII. WALKAROUND INSPECTION. ....................................................................... 3-19A.W ALKAROUND R EPRESENTATIVES ............................................................................................................... 3-19B.E VALUATION OF S AFETY AND H EALTH M ANAGEMENT S YSTEM. ....................................................... 3-20C.R ECORD A LL F ACTS P ERTINENT TO A V IOLATION. ................................................................................. 3-20D.T ESTIFYING IN H EARINGS ................................................................................................................................ 3-21E.T RADE S ECRETS. ................................................................................................................................................. 3-21F.C OLLECTING S AMPLES. ..................................................................................................................................... 3-22G.P HOTOGRAPHS AND V IDEOTAPES.................................................................................................................. 3-22H.V IOLATIONS OF O THER L AWS. ....................................................................................................................... 3-23I.I NTERVIEWS OF N ON-M ANAGERIAL E MPLOYEES .................................................................................... 3-23J.M ULTI-E MPLOYER W ORKSITES ..................................................................................................................... 3-27 K.A DMINISTRATIVE S UBPOENA.......................................................................................................................... 3-27 L.E MPLOYER A BATEMENT A SSISTANCE. ........................................................................................................ 3-27 VIII. CLOSING CONFERENCE. .............................................................................. 3-28A.P ARTICIPANTS. ..................................................................................................................................................... 3-28B.D ISCUSSION I TEMS. ............................................................................................................................................ 3-28C.A DVICE TO A TTENDEES .................................................................................................................................... 3-29D.P ENALTIES............................................................................................................................................................. 3-30E.F EASIBLE A DMINISTRATIVE, W ORK P RACTICE AND E NGINEERING C ONTROLS. ............................ 3-30F.R EDUCING E MPLOYEE E XPOSURE. ................................................................................................................ 3-32G.A BATEMENT V ERIFICATION. ........................................................................................................................... 3-32H.E MPLOYEE D ISCRIMINATION .......................................................................................................................... 3-33 IX. SPECIAL INSPECTION PROCEDURES. ...................................................... 3-33A.F OLLOW-UP AND M ONITORING I NSPECTIONS............................................................................................ 3-33B.C ONSTRUCTION I NSPECTIONS ......................................................................................................................... 3-34C. F EDERAL A GENCY I NSPECTIONS. ................................................................................................................. 3-35CHAPTER 4VIOLATIONSI. BASIS OF VIOLATIONS ..................................................................................... 4-1A.S TANDARDS AND R EGULATIONS. .................................................................................................................... 4-1B.E MPLOYEE E XPOSURE. ........................................................................................................................................ 4-3C.R EGULATORY R EQUIREMENTS. ........................................................................................................................ 4-6D.H AZARD C OMMUNICATION. .............................................................................................................................. 4-6E. E MPLOYER/E MPLOYEE R ESPONSIBILITIES ................................................................................................... 4-6 II. SERIOUS VIOLATIONS. .................................................................................... 4-8A.S ECTION 17(K). ......................................................................................................................... 4-8B.E STABLISHING S ERIOUS V IOLATIONS ............................................................................................................ 4-8C. F OUR S TEPS TO BE D OCUMENTED. ................................................................................................................... 4-8 III. GENERAL DUTY REQUIREMENTS ............................................................. 4-14A.E VALUATION OF G ENERAL D UTY R EQUIREMENTS ................................................................................. 4-14B.E LEMENTS OF A G ENERAL D UTY R EQUIREMENT V IOLATION.............................................................. 4-14C. U SE OF THE G ENERAL D UTY C LAUSE ........................................................................................................ 4-23D.L IMITATIONS OF U SE OF THE G ENERAL D UTY C LAUSE. ..............................................................E.C LASSIFICATION OF V IOLATIONS C ITED U NDER THE G ENERAL D UTY C LAUSE. ..................F. P ROCEDURES FOR I MPLEMENTATION OF S ECTION 5(A)(1) E NFORCEMENT ............................ 4-25 4-27 4-27IV.OTHER-THAN-SERIOUS VIOLATIONS ............................................... 4-28 V.WILLFUL VIOLATIONS. ......................................................................... 4-28A.I NTENTIONAL D ISREGARD V IOLATIONS. ..........................................................................................4-28B.P LAIN I NDIFFERENCE V IOLATIONS. ...................................................................................................4-29 VI. CRIMINAL/WILLFUL VIOLATIONS. ................................................... 4-30A.A REA D IRECTOR C OORDINATION ....................................................................................................... 4-31B.C RITERIA FOR I NVESTIGATING P OSSIBLE C RIMINAL/W ILLFUL V IOLATIONS ........................ 4-31C. W ILLFUL V IOLATIONS R ELATED TO A F ATALITY .......................................................................... 4-32 VII. REPEATED VIOLATIONS. ...................................................................... 4-32A.F EDERAL AND S TATE P LAN V IOLATIONS. ........................................................................................4-32B.I DENTICAL S TANDARDS. .......................................................................................................................4-32C.D IFFERENT S TANDARDS. .......................................................................................................................4-33D.O BTAINING I NSPECTION H ISTORY. .....................................................................................................4-33E.T IME L IMITATIONS..................................................................................................................................4-34F.R EPEATED V. F AILURE TO A BATE....................................................................................................... 4-34G. A REA D IRECTOR R ESPONSIBILITIES. .............................................................................. 4-35 VIII. DE MINIMIS CONDITIONS. ................................................................... 4-36A.C RITERIA ................................................................................................................................................... 4-36B.P ROFESSIONAL J UDGMENT. ..................................................................................................................4-37C. A REA D IRECTOR R ESPONSIBILITIES. .............................................................................. 4-37 IX. CITING IN THE ALTERNATIVE ............................................................ 4-37 X. COMBINING AND GROUPING VIOLATIONS. ................................... 4-37A.C OMBINING. ..............................................................................................................................................4-37B.G ROUPING. ................................................................................................................................................4-38C. W HEN N OT TO G ROUP OR C OMBINE. ................................................................................................4-38 XI. HEALTH STANDARD VIOLATIONS ....................................................... 4-39A.C ITATION OF V ENTILATION S TANDARDS ......................................................................................... 4-39B.V IOLATIONS OF THE N OISE S TANDARD. ...........................................................................................4-40 XII. VIOLATIONS OF THE RESPIRATORY PROTECTION STANDARD(§1910.134). ....................................................................................................... XIII. VIOLATIONS OF AIR CONTAMINANT STANDARDS (§1910.1000) ... 4-43 4-43A.R EQUIREMENTS UNDER THE STANDARD: .................................................................................................. 4-43B.C LASSIFICATION OF V IOLATIONS OF A IR C ONTAMINANT S TANDARDS. ......................................... 4-43 XIV. CITING IMPROPER PERSONAL HYGIENE PRACTICES. ................... 4-45A.I NGESTION H AZARDS. .................................................................................................................................... 4-45B.A BSORPTION H AZARDS. ................................................................................................................................ 4-46C.W IPE S AMPLING. ............................................................................................................................................. 4-46D.C ITATION P OLICY ............................................................................................................................................ 4-46 XV. BIOLOGICAL MONITORING. ...................................................................... 4-47CHAPTER 5CASE FILE PREPARATION AND DOCUMENTATIONI.INTRODUCTION ............................................................................................... 5-1 II.INSPECTION CONDUCTED, CITATIONS BEING ISSUED. .................... 5-1A.OSHA-1 ................................................................................................................................... 5-1B.OSHA-1A. ............................................................................................................................... 5-1C. OSHA-1B. ................................................................................................................................ 5-2 III.INSPECTION CONDUCTED BUT NO CITATIONS ISSUED .................... 5-5 IV.NO INSPECTION ............................................................................................... 5-5 V. HEALTH INSPECTIONS. ................................................................................. 5-6A.D OCUMENT P OTENTIAL E XPOSURE. ............................................................................................................... 5-6B.E MPLOYER’S O CCUPATIONAL S AFETY AND H EALTH S YSTEM. ............................................................. 5-6 VI. AFFIRMATIVE DEFENSES............................................................................. 5-8A.B URDEN OF P ROOF. .............................................................................................................................................. 5-8B.E XPLANATIONS. ..................................................................................................................................................... 5-8 VII. INTERVIEW STATEMENTS. ........................................................................ 5-10A.G ENERALLY. ......................................................................................................................................................... 5-10B.CSHO S SHALL OBTAIN WRITTEN STATEMENTS WHEN: .......................................................................... 5-10C.L ANGUAGE AND W ORDING OF S TATEMENT. ............................................................................................. 5-11D.R EFUSAL TO S IGN S TATEMENT ...................................................................................................................... 5-11E.V IDEO AND A UDIOTAPED S TATEMENTS. ..................................................................................................... 5-11F.A DMINISTRATIVE D EPOSITIONS. .............................................................................................5-11 VIII. PAPERWORK AND WRITTEN PROGRAM REQUIREMENTS. .......... 5-12 IX.GUIDELINES FOR CASE FILE DOCUMENTATION FOR USE WITH VIDEOTAPES AND AUDIOTAPES .............................................................. 5-12 X.CASE FILE ACTIVITY DIARY SHEET. ..................................................... 5-12 XI. CITATIONS. ..................................................................................................... 5-12A.S TATUTE OF L IMITATIONS. .............................................................................................................................. 5-13B.I SSUING C ITATIONS. ........................................................................................................................................... 5-13C.A MENDING/W ITHDRAWING C ITATIONS AND N OTIFICATION OF P ENALTIES. .................................. 5-13D.P ROCEDURES FOR A MENDING OR W ITHDRAWING C ITATIONS ............................................................ 5-14 XII. INSPECTION RECORDS. ............................................................................... 5-15A.G ENERALLY. ......................................................................................................................................................... 5-15B.R ELEASE OF I NSPECTION I NFORMATION ..................................................................................................... 5-15C. C LASSIFIED AND T RADE S ECRET I NFORMATION ...................................................................................... 5-16。

谭剑波考研核心词汇

谭剑波考研核心词汇

英语二词汇基础班1考研英语(二)核心词汇课程讲义文都 谭剑波第1天内容提要词根词缀常见单词1.ex-, e- 外 exit, export2.pre- 提前 prepare, preview3.pro- 向前 progress, promote4.per- 每 perform, perspective5.sub-, su- 下 subway, suburb6.super-, sur- 上superb, superior详细内容1.e-, ex- : 外 (out)核心词汇expose v.暴露,受到 → expositionevaluate vt.估计(近estimate,assess) exclude vt.把……排除在外 → exclusive emerge vi.浮现,出现(? submerge) expel vt.排出,开除(repel 排斥,抵制) exterior a.外部的,外在的(近 external)高阶词汇exotic a.外来的,异国的(反 native)eccentric a.古怪的 n.古怪的人(近freak) exempt v.免除(近 release)英语二词汇基础班2exhale v.呼气(反 inhale)extinguish vt.熄灭(? distinguish)2. pre- : 提前,在…之前核心词汇prescribe v.开药方 → prescription previous a.先前的(prior)prevail vi.流行,盛行 → prevalent prejudice n.偏见(bias)高阶词汇preliminary a.初步的,预备的 predecessor n.前辈,前任prestige n.声望,威望 → prestigious pretext n.借口,托辞: excuse3.pro- : 向前,在…前面核心词汇promote vt.促进,提升 prospect n.前景prosperous a.繁荣的(flourishing) profound a.深刻的,渊博的,深远的 prolong vt.延长(lengthen)高阶词汇prominent a.卓越的,显著的(eminent) protest v. n.抗议 prohibit vt.禁止 provoke vt.挑衅,激怒 propel vt.推进,驱使4.per- 每核心词汇permit v.许可 → permission perspective n.观点,角度 personnel n.人员,人事部门3perceive v.察觉,感知 → perception高阶词汇permanent a.永恒的,持久的 perpetual a.永恒的,持久的 perspiration n.出汗5.sub-, su- 下核心词汇suburb n 郊区 ← urban subsidy n 补助金,津贴substance n.物质 → substantial sustain vt.支撑,维持(maintain) suspend vt.悬挂,暂停 → suspension高阶词汇submerge v.淹没(? emerge)submit vt.提交 vi.服从 → submissive subordinate v.服从 n.下属(inferior) substitute n.替代品(alternative) submarine n 潜水艇6.super-, sur- 上核心词汇superior n.上司 a. 优良的,更好的(反 inferior) supervisor n.监督人,管理员 → supervision superb a.极好的,一流的高阶词汇superficial a.表面的,肤浅的 surpass vt.超过,胜过superstition n.迷信 → superstitious4第2天内容提要词根词缀常见单词1.re- 返回;重复 return, repeat2.dis- 否定;分开 dislike, dismiss3.de- 向下;离开;加强 decrease, depart,4.audi 听(son) audio, audience5.dict 说(fess) predict, indicate6.auto 自己 automatic, automobile7.cap,cep,cip 头,拿 capital, capitain8.sum 拿comsume, rusume详细内容1.re- 返回;重复核心词汇revenue n.收入,税收 resource n.资源 resume n.简历remedy n.治疗法,药物 reaction n.反应reflect v.反射,反映refine vt.提炼 → refined a.优雅的 recommend vt.推荐 reveal vt.揭示,展现reserve vt.保存,储备 → reservation recession n.衰退2.dis- 否定;分开核心词汇disappointed a.失望的5discourage vt.阻碍,使泄气(dismay) discharge vt. n.排放(emission) discard vt.丢弃,抛弃: get rid of dispose vi.处理 → disposable discriminate v.歧视 ← criminaldistract v.分散(注意力)→ distraction3.de- 向下;分离;加强核心词汇decrease v.减少(decline, diminish) devalue v.贬值derive v.起源(? deprive) define vt.定义 → definitedepression n.沮丧,忧愁 → depressive a.郁闷的4.audi 听; soni 声音核心词汇audience n.听众,观众(spectator) auditorium n.大礼堂(? stadium)高阶词汇supersonic n.超声波(ultrasonic)5.dict 说(fess)核心词汇predict v.预测(foresee, forecast) addict vt.对…有瘾,沉溺于dedicate vt.奉献,致力于(devote) indicate vt.指出,显示 → indication高阶词汇contradict vt.反驳,同…相矛盾 verdict n.裁决,判决(judgment) confess v.坦白,忏悔,招供6.auto:自己6核心词汇automatic a.自动的automobile n.汽车(vehicle)autograph n.亲笔签名(signature) authority n.权威,当局 → authorize高阶词汇autocracy n.独裁(? democracy) autonomy n.自治权 → autonomous7.cap-,cep,cip 头,拿 (sum)核心词汇capture vt.捕获: catchexception n.例外 → exceptionalperceive vt.感知,察觉 → perception participate vi.参加,分享: take part in anticipate v.预期,预料(foresee) principle n.原则 principal n.校长discipline n.学科: subject高阶词汇capacity n.能力,容量 capability n.能力handicapped a.残废的: disabled deceive vt.欺骗 → deceptionlandscape n.地形,地貌;风景(scenery)8.sum 拿核心词汇consume vt.消耗 → consumption assume vt.假设 → assumption presume vt.推测 → presumption resume n.简历 v.恢复第3天内容提要词根词缀 常见单词1.fore- 前(anti) before, forward2.post- 后 postpone, postgraduate3.inter- 相互之间 internet, international4.trans- 转移,穿过 translate, transport5.ced, cess 走 procedure, process6.gress 走 progress, aggressive7.vent,vad 走 advent, convention8.cise, sect 切 decision, section详细内容1. fore- 前(anti)核心词汇foresee v.预见(forecast,foretell )foremost a.最重要的 ad.首先,第一forefront n.最前线,最前沿antique n.古董anticipate vt.预期,预料高阶词汇forefather n.祖先(ancestor)forerunner n.先驱;先兆2.post- 后(after)核心词汇78postpone v.推迟: put offpostgraduate n.研究生(? postdoctor)高阶词汇postscript n.附言,后记(? preface)3.inter- 相互之间核心词汇interview v. n.面试,接见interpret v.解释,口译 → interpreter高阶词汇interplay n.相互影响 interaction n.相互作用 interfere vi.干涉,妨碍 intervention n.干涉 interval n.间隔4.trans- 转移,穿过核心词汇transaction n.交易(exchange) transform v.改变(alter) transport v.运输 transfer v.转移,转换transmit v.传播(convey, spread)高阶词汇transplant v.移植transient a.短暂的(temporary) transition n.过渡,转换5.ced, cess 走核心词汇procedure n.程序,步骤proceed vi.进行,继续: go forward9process n.过程 vt.加工,处理access vt.接近 n.通道,途径(approach) accessible a.可接近的(? assessable) exceed v.超过 → excessive succeed v.继承 → successive高阶词汇recession n.衰退(? depression)concession n.妥协,让步(compromise) unprecedented a.空前的(unparalleled) predecessor n.前辈(forerunner)6.gress 走核心词汇aggressive a.侵略性的,攻击性的 congress n.国会7.ven, vent 走(vad)核心词汇prevent v.预防,防止advent n.到来,出现 ← adventure avenue n.林荫大道,大街revenue n.收入,税收(income) venue n.活动地点: placeconvention n.大会,惯例 → conventional高阶词汇revenge vt.报仇intervention n.干涉(interference) invade vt.入侵 → invasive evade vt.逃避 → inevitable8.cise, cide 切(sect,seg)核心词汇suicide n.自杀(? commit) decisive a.决定性的,果断的10coincidence n.巧合 sector n.部分,扇形第4天内容提要 词根词缀常见单词1.anti-,contra-,counter- 反 antiwar, contrary2.sym, syn 同 sympathy, symbole3.para- 并列,旁边 paragraph, parallel4.fac, fec, fic 造,做(ag) factory, agency5.fin 范围(scope) define, definite6.flu 流fluid, fluent 7.flect,flex 弯; rect 直 reflect, correct 8.plic, plex 重叠, tor 扭 distort, tornado详细内容1. anti-,contra-,counter- 反核心词汇antisocial a.反社会的contradict v.反驳,矛盾→ contradiction counterpart n.对应的人或物(? peer)高阶词汇anticlockwise a. ad.逆时针的(counter~) anti-animal-abuse n.反动物虐待Antarctica n.南极洲: the South Pole11controversial a.有争议的 → controversy2.sym, syn 同核心词汇symbol n.符号,象征 → symbolizesympathy n.同情心 → sympathize, sympathetic compassion n.同情 → compassionate3.para- 并列,旁边核心词汇parallel v.平行 a.平行的parade v. n.游行paradise n.天堂,人间仙境高阶词汇paradox n.似是而非的话paralyze v.瘫痪parasite n.寄生虫4.fac, fec, fic 造,做(ag)核心词汇facility n.设备,工具 → facilitatemanufacture vt. n.制造faculty n.能力,系、学院,全体老师effective a.有效的efficient a.高效的 → efficiencyproficient a.熟练的,精通的artificial a.人造的,人为的beneficial a.有益的superficial a.表面的,肤浅的deficit n.赤字(? budget)agency n.中介,代理处agenda n.议程5.fin 范围(scope)核心词汇12define vt.给…下定义 → definationdefinite a.明确的infinite a.无限的,无穷的(unlimited)finance n.财政 → financial高阶词汇confine vt.限制(restrict)scope n.范围(scale 规模)telescope n.望远镜microscope n.显微镜6.flu 流核心词汇fluid a.流动的 n.液体(liquid)flush v.冲洗,冲刷influence vt. n.影响 → influential高阶词汇influx n.流入,涌入affluent a.丰富的,富裕的: wealthy7.flect,flex 弯; rect 直核心词汇reflect v.反射,反映,反思 → reflectionconflict vi. n.冲突,斗争(clash)flexible a.灵活的direction n.方向regulation n.规则(? irregular)8.plic, plex 重叠, tor 扭核心词汇complicated a.复杂的(complex)distort vt.扭曲(twist)高阶词汇duplicate vt.复制13explicit a.清楚的 ← explainimplicit a.含蓄的 ← implytornado n.龙卷风(cyclone)torture vt.折磨(afflict)14第5天内容提要 词根词缀常见单词 1.bi-, di, 二bicycle, dioxide 2.uni-, mono 一unique, monday 3.hemi-, semi- 半hemishpere, semicircle 4.frag,fract,rupt 破fragile, interrupt 5.form 形式formal, reform 6.gen 基因,生(ori)gene, genius, origin 7.grav,griv 重 lev 轻Gravity, relieve 8.mag, maj 大 mini 小major, mini skirt详细内容1. bi-, di-, du- 二核心词汇combine v.联合(unite)diverse a.不同的 → diversity高阶词汇duplicate vt.复制carbon dioxide 二氧化碳bilateral a.双边的2.uni-, mono 一核心词汇uniform n.制服universal a.普遍的英语二词汇基础班 15高阶词汇monotonous a.单调的monopoly n.垄断3.hemi-, semi- 半; homo- 同核心词汇hemisphere n.半球semicircle n.半圆semifinal n.半决赛高阶词汇semiconductor n.半导体homosexual n.同性恋homogeneous a.同类的4.frag,fract,rupt 破核心词汇fragile a.易碎的,脆弱的eruption n.爆发(outbreak)bankrupt vt.破产 a.破产了的corrupt a.腐败的高阶词汇fraction n.小部分fragmentation n.片段,碎片5.form 形式核心词汇uniform n.制服formal a.正式的(? former)transform vt.改变(alter)formation n.形成,构成高阶词汇format vt.格式化 n.格式,版本formula n.公式,方案formulate vt.制定16conform vi.遵守,符合(comply)formidable a.难以对付的,可怕的6.gen 基因,生(ori)核心词汇genius n.天才,天赋(talent)generate vt.产生 → generationgenerous a.慷慨的,大方的 → generosityexaggerate v.夸张pregnant a.怀孕的(? abortion)originate v.起源(derive)orientation n.倾向(inclination)horizon n.地平线,眼界(outlook)高阶词汇genre n.流派,类型: typehomogeneous a.同类的,同性质的indigenous a.本土的(aboriginal)ingenious a.聪明的,有独创性的7.grav,griv 重; lev 轻核心词汇grave n.坟墓 a.严重的,低沉的gravity n.重力relieve vt.减轻,解除 → relief高阶词汇elevate vt.举起,升高 → elevatorgrieve v.感到悲伤 → grief 忧伤aggravate vt.加重alleviate vt.减轻8.mag, maj 大; mini 小核心词汇major n.专业 → majoritymagnify vt.扩大,放大 → magnificentminimize vt.最小化 → minimal17maximize vt.最大化 → maximal第6天内容提要 词根词缀常见单词 1.habit, hibit 保持habitat, exhibit 2.tain 保持contain, container 3.serv 保留reserve, perserve 4.her, hes 粘ahere, hesitate 5.hum, geo,ter 土human, humid, territory 6.loc 地方local, location bor 劳动laboratory 8.lect, leg 说,选择 (opt)lecture, select, option详细内容1. habit, hibit 保持核心词汇habitat n.栖息地inhabitant n.居民(dweller, resident)exhibit vt.展览(expose)inhibit vt.抑制(restrain)prohibit vt.禁止: forbid2.tain 保持,拿核心词汇attain vt.达到,获得obtain vt.获得,得到maintain vt.维持,维修sustain vt.支撑,供养 → sustainableentertainment n.娱乐(amusement)18高阶词汇detain v.拘留(? arrest, deport)retain vt.保持,保留: remain3.serv 保留核心词汇observe vt.观察reserve vt.储存,储备 → reserviorpreserve vt.保持,保护 → preservativeconserve vt.保存,节约 → conservative4.her, hes 粘核心词汇adhere vi.坚持(stick to it)hesitate vi.犹豫 → hesitantheritage n.遗产inherit vt.继承 → inherent高阶词汇cohesive a.有凝聚力的coherent a.粘着的,连贯的,一致的5.hum, geo,ter 土核心词汇humid a.潮湿的(moist)humanity n.人性,人道,人文科学humble a.粗陋的,谦卑的(modest)humiliate vt.羞辱(insult)geography n.地理geology n.地质territory n.领土,领域(realm)高阶词汇eternal a.永恒的 → eternity 不朽external a.外部的(exterior)internal a.内部的(interior)terrestrial a.陆地的(反 marine)196.loc 地方核心词汇locate vt.位于,定位 → locationlocalize v.局部化allocate vt.分配(allot,apportion)bor 劳动核心词汇laboratory n.实验室高阶词汇elaborate v.精心制作,详细阐述 a.精致的(delicate) collaborate vi.合作: cooperate8.lect, leg 说,选择 (opt)核心词汇dialect n.方言legend n.传奇 → legendaryneglect vt.忽视 → negligible 微不足道的elegant a.优雅的(graceful)delegate vt. n.代表(representative)intelligent a.聪明的,智能的补充词汇legislate v.立法 → legislaturelegitimate a.合法的,合理的。

法布里珀罗基模共振英文

法布里珀罗基模共振英文

法布里珀罗基模共振英文The Fabryperot ResonanceOptics, the study of light and its properties, has been a subject of fascination for scientists and researchers for centuries. One of the fundamental phenomena in optics is the Fabry-Perot resonance, named after the French physicists Charles Fabry and Alfred Perot, who first described it in the late 19th century. This resonance effect has numerous applications in various fields, ranging from telecommunications to quantum physics, and its understanding is crucial in the development of advanced optical technologies.The Fabry-Perot resonance occurs when light is reflected multiple times between two parallel, partially reflective surfaces, known as mirrors. This creates a standing wave pattern within the cavity formed by the mirrors, where the light waves interfere constructively and destructively to produce a series of sharp peaks and valleys in the transmitted and reflected light intensity. The specific wavelengths at which the constructive interference occurs are known as the resonant wavelengths of the Fabry-Perot cavity.The resonant wavelengths of a Fabry-Perot cavity are determined bythe distance between the mirrors, the refractive index of the material within the cavity, and the wavelength of the incident light. When the optical path length, which is the product of the refractive index and the physical distance between the mirrors, is an integer multiple of the wavelength of the incident light, the light waves interfere constructively, resulting in a high-intensity transmission through the cavity. Conversely, when the optical path length is not an integer multiple of the wavelength, the light waves interfere destructively, leading to a low-intensity transmission.The sharpness of the resonant peaks in a Fabry-Perot cavity is determined by the reflectivity of the mirrors. Highly reflective mirrors result in a higher finesse, which is a measure of the ratio of the spacing between the resonant peaks to their width. This high finesse allows for the creation of narrow-linewidth, high-resolution optical filters and laser cavities, which are essential components in various optical systems.One of the key applications of the Fabry-Perot resonance is in the field of optical telecommunications. Fiber-optic communication systems often utilize Fabry-Perot filters to select specific wavelength channels for data transmission, enabling the efficient use of the available bandwidth in fiber-optic networks. These filters can be tuned by adjusting the mirror separation or the refractive index of the cavity, allowing for dynamic wavelength selection andreconfiguration of the communication system.Another important application of the Fabry-Perot resonance is in the field of laser technology. Fabry-Perot cavities are commonly used as the optical resonator in various types of lasers, providing the necessary feedback to sustain the lasing process. The high finesse of the Fabry-Perot cavity allows for the generation of highly monochromatic and coherent light, which is crucial for applications such as spectroscopy, interferometry, and precision metrology.In the realm of quantum physics, the Fabry-Perot resonance plays a crucial role in the study of cavity quantum electrodynamics (cQED). In cQED, atoms or other quantum systems are placed inside a Fabry-Perot cavity, where the strong interaction between the atoms and the confined electromagnetic field can lead to the observation of fascinating quantum phenomena, such as the Purcell effect, vacuum Rabi oscillations, and the generation of nonclassical states of light.Furthermore, the Fabry-Perot resonance has found applications in the field of optical sensing, where it is used to detect small changes in physical parameters, such as displacement, pressure, or temperature. The high sensitivity and stability of Fabry-Perot interferometers make them valuable tools in various sensing and measurement applications, ranging from seismic monitoring to the detection of gravitational waves.The Fabry-Perot resonance is a fundamental concept in optics that has enabled the development of numerous advanced optical technologies. Its versatility and importance in various fields of science and engineering have made it a subject of continuous research and innovation. As the field of optics continues to advance, the Fabry-Perot resonance will undoubtedly play an increasingly crucial role in shaping the future of optical systems and applications.。

抗抑郁药联合使用治疗难治性抑郁症的临床研究进展

抗抑郁药联合使用治疗难治性抑郁症的临床研究进展

抗抑郁药联合使用治疗难治性抑郁症的临床研究进展高燕;刘岩;翟金国【摘要】抑郁症是一常见的精神障碍,多呈慢性、复发性病程.目前,药物治疗仍然是最常用治疗方法.然而,有些患者对单一抗抑郁药物系统治疗反应不佳,即通常所称的难治性抑郁症(TRD).针对TRD的治疗已有多种疗法,其中之一为抗抑郁药物的联合治疗,即同时用两种或以上的抗抑郁药物治疗,如米氮平联合SSRIs等.本文就目前抗抑郁药联合治疗TRD的研究进展进行综述.【期刊名称】《四川精神卫生》【年(卷),期】2017(030)004【总页数】5页(P379-383)【关键词】抑郁症;难治性抑郁症;抗抑郁药;联合治疗【作者】高燕;刘岩;翟金国【作者单位】济宁医学院精神卫生学院,山东济宁 272067;徐州市东方人民医院精神科,江苏徐州 221004;济宁医学院精神卫生学院,山东济宁 272067【正文语种】中文【中图分类】R749.05抑郁症是严重影响人类健康的常见精神障碍,根据世界卫生组织(World Health Organization,WHO)的最新估计,目前有3.22亿人罹患抑郁症,从2005年至2015年,增加了18.4%[1]。

占全球总人口15%的人群会在一生中的某个阶段患上抑郁症[2]。

目前,抗抑郁药是抑郁症的一线治疗方法,被广泛使用。

在临床试验中,不管最初选择哪种抗抑郁剂,经标准治疗后,总体缓解率为42%~46%[3-4],并且药物治疗对约一半的抑郁症患者不能产生持续的抗抑郁效果[5]。

诸如此类对至少两种足量、足疗程抗抑郁药治疗且依从性好,患者仍然无效,称之为难治性抑郁症(treatment-resistant depression,TRD)。

与其他抑郁症患者相比,TRD患者社会功能更差、生活质量更低,共病率和自杀率更高,并能预测对之后治疗的响应情况:1年内对标准治疗的响应率约为10%。

对精神科医生来说,TRD的治疗是一较复杂的问题,也是目前面临的一大挑战。

chap 12a

chap 12a
Copyright © 2012 Pearson Education, Inc. All rights reserved.
What accounts for the changes in sexual behavior?
Contraceptives
Secularization
Feminist Movement
Variety in Human Sexuality

A Cross Cultural View
Sexual
attitudes and behavior vary from culture to
culture. There is also variety in sexual behavior within the same culture.
Copyright © 2012 Pearson Education, Inc. All rights reserved.
The Interactionist Perspective

Sexual deviance has to do with varying definitions of reality and with the impact of labeling and stigmatization on self-concept and self-worth.
Copyright © 2012 Pearson Education, Inc. All rights reserved.
The Functionalist Perspective

Deviant behaviors, such as prostitution and pornography, continue to exist because they perform important functions for society, such as

英文怪物蔓迪试读范文

英文怪物蔓迪试读范文

英文怪物蔓迪试读范文In the realm of contemporary literature, where captivating narratives and complex characters reign supreme, the emergence of a peculiar and intriguing work of fiction has sparked the interest of avid readers worldwide. "Mandy," the latest literary creation by the enigmatic author, E.L. Wainwright, promises to take its audience on a thrilling journey through the darkest corners of the human psyche, blurring the lines between reality and the supernatural.The story follows the life of Mandy, a seemingly ordinary young woman whose outward appearance belies a haunting and otherworldly presence within. From the very first page, the reader is drawn into Mandy's world, a world where the mundane and the extraordinary coexist in a delicate balance, constantly threatening to tip the scales in favor of the unknown.Wainwright's masterful storytelling immediately captivates the reader, weaving a web of intrigue and suspense that is impossible to escape. The author's command of language is nothing short of remarkable, as they effortlessly navigate the complexities of Mandy'sinner turmoil, painting a vivid and unsettling portrait of a woman torn between her human desires and the dark forces that seem to consume her.One of the most striking aspects of "Mandy" is the author's ability to blend genres seamlessly, creating a narrative that defies easy categorization. It is part psychological thriller, part supernatural horror, and part character study, all woven together with a deft hand that leaves the reader both enthralled and disturbed.The protagonist, Mandy, is a truly captivating and multifaceted character, one who challenges the reader's perceptions and preconceptions at every turn. Wainwright masterfully explores the depths of Mandy's psyche, delving into the shadows of her past and the haunting secrets that lurk within her subconscious. As the story unfolds, the reader is drawn deeper and deeper into Mandy's world, finding it increasingly difficult to discern where the human ends and the monster begins.The supporting cast of characters in "Mandy" are equally compelling, each adding their own unique layers to the overall narrative. From Mandy's well-meaning but ultimately oblivious parents to the enigmatic and unsettling figures who seem to orbit her life, the author weaves a tapestry of relationships that are as complex as they are unsettling.One of the most remarkable aspects of "Mandy" is the way in which Wainwright blends the supernatural and the mundane, creating a world that feels both familiar and profoundly unsettling. The author's attention to detail is meticulous, with every setting, every interaction, and every subtle nuance contributing to the overall sense of unease that permeates the story.The pacing of "Mandy" is masterful, with the author skillfully building tension and suspense throughout the narrative. Just when the reader thinks they have a handle on the story, Wainwright throws in a curveball, leaving them scrambling to keep up with the twists and turns of the plot.The climax of the novel is truly a tour de force, as Wainwright pulls out all the stops, delivering a heart-pounding and deeply unsettling conclusion that will leave the reader both exhilarated and unsettled. The final moments of the story are a testament to the author's storytelling prowess, as they weave together the various threads of the narrative into a seamless and unforgettable finale.One of the most remarkable aspects of "Mandy" is the way in which it challenges the reader's preconceptions about the nature of reality and the human condition. Throughout the story, Wainwright forces the reader to confront their own fears and anxieties, questioning thevery foundations of their beliefs and the boundaries between the natural and the supernatural.The language and style of "Mandy" are equally impressive, with Wainwright's prose striking a delicate balance between the lyrical and the unsettling. The author's command of imagery and metaphor is truly remarkable, as they paint vivid and haunting scenes that linger in the reader's mind long after the final page has been turned.Overall, "Mandy" is a masterful work of fiction that deserves to be hailed as a modern classic of the genre. Wainwright's ability to blend the psychological and the supernatural, the familiar and the terrifying, is truly awe-inspiring, and the result is a novel that is both deeply unsettling and profoundly moving.For those who love a good scare, "Mandy" is a must-read, a captivating and unsettling journey into the darkest corners of the human psyche. But for those who seek something more, a deeper exploration of the human condition and the nature of reality, this novel is an absolute must-read, a work of fiction that will linger in the mind and the heart long after the final page has been turned.。

福建南音音乐结构的特点

福建南音音乐结构的特点

9期。

3.邵义强钢琴与钢琴音乐[M].台北:全音乐谱出版社,1982年。

4.Brauchli,Bernard(1998),The Clavichord,Cambridge University Press,ISBN0-521-63067-3注释:[1].Edwin M.Ripin."Clavichord".In L.Root,Deane. Grove Music Online.Oxford Music Online.Oxford University Press.(subscription required)[2].Jeans,Susi(1951),The Pedal Clavichord and Other Practice Instruments of Organists,Proceedings of the Royal Mu-sical Association,77th Sess.,1950-1951,Oxford University Press,JSTOR766144[3].Brinsmead,Edgar.History of the Pianoforte,London, 1879.pp.90-91.[4].Riemenschneider,Albert(1950),Preface and transla-tions of forewords by Friedrich Griepenkerl to Organ works of J. S.Bach2067,C.F.Peters.[5].Speerstra,Joel(2004),Bach and the Pedal Clavichord: an Organist's Guide,University of Rochester Press,ISBN1-58046-135-2[6].Williams,Peter(2003),The Organ Music of J.S.Bach (2nd ed.),Cambridge University Press,pp.4-6,ISBN0-521-89115-9.福建南音位于我国东南,是中国现存最古老的乐种之一,起源于前秦、兴于唐、形成于宋,它是中原音乐文化与闽南当地民间音乐融合,最具代表性的一种叙事特性的音乐体裁。

2013 阴茎勃起功能障碍诊断与治疗指南

2013 阴茎勃起功能障碍诊断与治疗指南

中华医学会男科学分会《阴茎勃起功能障碍诊断与治疗指南》指导专家:王晓峰朱积川姜辉贺占举辛钟成贾金铭主编:白文俊北京大学人民医院张志超北京大学第一医院邓庶民卫生部北京医院编委(按姓名拼音排序):洪锴北京大学第三医院李海松北京中医药大学东直门医院李景敏民航总医院刘保兴中日友好医院苏鸿学卫生部北京医院田龙北京朝阳医院袁亦铭北京大学第一医院张光银北京同仁医院张国喜北京大学人民医院张凯北京大学第一医院秘书:张晓威北京大学人民医院1目录第一章阴茎勃起功能障碍的定义、流行病学、病因、危险因素及分类 (3)第一节阴茎勃起功能障碍的定义及流行病学 (3)第二节阴茎勃起功能障碍的病因及危险因素 (4)第三节阴茎勃起功能障碍的分类 (9)第二章阴茎勃起功能障碍的诊断方法 (10)第一节基本项目 (10)第二节扩展项目 (12)第三节深入项目 (13)第四节以治疗方法导向的诊断项目...................................................................... 错误!未定义书签。

第三章阴茎勃起功能障碍的治疗. (17)第一节治疗原则、目标及疗效评价标准 (17)第二节基础治疗 (17)第三节 5型磷酸二酯酶抑制剂(PDE5i)治疗 (19)第四节其他药物治疗 (23)第五节器械(真空装置)治疗 (27)第六节血管手术治疗 (28)第七节假体植入治疗 (29)第四章阴茎勃起功能障碍的预防 (31)参考文献 (33)附录一ED基本诊断流程图 (47)附录二ED的治疗流程图 (48)2第一章阴茎勃起功能障碍的定义、流行病学、病因、危险因素及分类第一节阴茎勃起功能障碍的定义及流行病学一. 定义阴茎勃起功能障碍(erectile dysfunction,ED)是指阴茎持续不能达到或维持足够的勃起以完成满意的性生活[1],病程三个月以上。

二. 传统医学定义阴茎勃起功能障碍在祖国传统医学中即为“阳痿”,先秦时期称作“不起”,汉唐时期多作“阴痿”,宋元时期医家开始从“阳”的角度命名本病,《扁鹊心书》中首载“阳萎”一名,明代周之干的《慎斋遗书》首载“阳痿”之称,并广为后世医家沿用[2]。

Implanon子宫内节育器使用说明书

Implanon子宫内节育器使用说明书

162J Fam Plann Reprod Health Care 2005: 31(2)CASE REPORT/BOOK REVIEWSPrior to removal it is essential to identify the position of the implant by palpation. Careful palpation of the proximal and distal ends of the implant is important.Incorrect placement of the implant deeper in the subcutaneous tissue and subsequent increase in the patient’s weight could result in difficulty with palpation of the implant. Difficulty with removal in the present case was probably due to insertion of the implant at an angle as seen in the ultrasound images (Figures 1 and 2).Additional factors might have been the patient’s weight gain and postinsertion fibrosis.Implanon can be visualised with all ultrasound transducers (i.e. high, medium and low frequency).However, the best results are obtained with very high frequency linear array transducers of 12 and 15 MHz.2When using a low or intermediate frequency transducer,application of a large amount of gel enhances the visibility of the implant. The manufacturer’s medical information department have specified use of ultrasound frequencies above 8 MHz based on expert opinion from radiologists. In the present case, the radiologist decided to use a transducer of frequency 11 MHz.The ultrasound probe is placed at right angles to the longitudinal direction of the implant. Following identification of the acoustic shadow cast by the implant,the exact position of the two ends is visible as a clear echogenic spot.3The transducer is then rotated by 90º to obtain a longitudinal view of the implant.The present case emphasises that in difficult cases in which the Implanon is not easily palpable, even though ultrasound localisation of Implanon is done prior to attempting removal, incorrect plane of insertion, weight gain, fibrosis and scar tissue from previous failed attempts can make subsequent removal difficult. Removal of Implanon in the ultrasound room immediately after localisation is best practice but may be difficult to organise. There have been no previous reported cases in the literature of difficulty in removal of Implanon due to weight gain. During the long waiting time incurred for removal of Implanon our patient lost a stone in weight,which possibly made the final surgical retrieval easier.However, in complex cases such delays can be reduced by establishing a clear referral system to particular surgeons and radiologists who have developed expertise in this area.A modification of the recommended removal technique may also need to be considered in difficult cases.Statements on funding and competing interests Funding.None peting interests.None identified.References 1 Mascarenhas L. Insertion and removal of Implanon: practical considerations. Eur J Contracept Reprod Health Care 2000; 5(Suppl.2): 29–34.2 Kapstein M, Ganpat R. Localisation of nonpalpable single-rod contraceptive implants using ultrasound sonography. Eur J Contracept Reprod Health Care 2002; 7(Suppl. 1): 86.3 Lantz A, Nosher JL, Pasquale S, Siegel RL. Ultrasound characteristics of subdermally implanted Implanon contraceptive rods. Contraception 1997; 56: 323–327.Book ReviewsCommon Breast Lesions:A Photographic Guide to Diagnosis and Treatment. S Pilnik (ed.). Contributing authors: S Jormark (pathologist), E Morton (radiologist), F Pezzulli (radiologist), N Schulman (plastic and reconstructive surgeon) (all from Lennox Hill Hospital, New York, NY , USA). Cambridge, UK:Cambridge University Press, 2003. ISBN: 0 52182357 9. Pages: 272 (including 50 line diagrams,200 halftone and 400 colour plates). Price:£110.00 (hardback)Common Breast Lesions is a beautiful book:hardback, glossy with full colour and black and white photographs and clear text. It is divided into two sections: Section I – Reasons for breast consultation; Section II – Multidisciplinary roles in the treatment of breast lesions – roles of the clinician, radiologist, pathologist, surgeon and plastic surgeon.This book is edited by an American as a basic guide in the diagnosis and surgical treatment of breast lesions. His stated goal was to produce a book that would be suitable for the needs of medical students who would then carry it into their practice. I feel it would be of limited interest to medical students, American ones at that!This book is Mr Samuel Pilnik’s personal experience based on 14 000 records of patients he has treated over the last 35 years. He simply cannot resist photographs of very rare lesions he has seen; lesions one sees once in a lifetime.Picture after picture of little bits of people in glorious technicolour left me feeling a little nauseous. Each little lump looking remarkably like the others. I find his style quite condescending and old fashioned. There is no evidence base apparent in his approach and certainly no discussion. The text is repetitive; in parts whole paragraphs simply repeated!Scattered through the chapters was basic information about the structure and physiology of the breast, which I appreciated. However, whole chapters dedicated to surgical anatomy were less useful. Apart from surgery and radiology, there was minimal reference to other treatments such as tamoxifen or chemotherapy.His ‘multidisciplinary team’consists entirely of doctors. There is no mention of the hugecontributions of physiotherapists, radiographers,nurses, breast care nurses, psychologists,counsellors, general practitioners and a primary care team. More importantly, there is barely a reference or a thought about the most important person: the patient herself. He is paternalistic in his approach to the patient – I get no feeling of her being part of his team!This book started for me with great promise but I ended it with a feeling of disappointment and irritation.Reviewed by Sarah Cay , MRCGP, DFFP Staff Grade Doctor in Reproductive Health Care,Edinburgh, UK Psychotropic Drugs and Women: Fast Facts (1st edn). V Hendrick and M Gitlin. New York,NY: WW Norton & Company, 2004. ISBN: 0 39370421 1. Price: £14.39. Pages: 256 (paperback)The importance of gender differences in psychopharmacology is gradually becoming recognised by researchers and clinicians. This handbook for health professionals is written by North American authors in a concise, easy-to-read style.There are nine chapters, each with a brief introduction followed by bullet points and tables.The tables contain information on different drugs,which is useful for looking up a specific drug or making comparisons. The first two chapters deal with psychopharmacological treatment in women and gender differences. They include interesting facts such as the wide fluctuations in serum levels of certain drugs at different times in the menstrual cycle, and the ability of sodium valproate to induce polycystic ovarian syndrome. The last chapter touches upon the effects of endogenous and exogenous steroid hormones on the brain.The remaining chapters deal with different psychiatric conditions, from depression to eating disorders. An interesting chapter on premenstrualdysphoric disorder is included. In each chapter pregnancy and breastfeeding are discussed indetail. Treatment considerations for women ofreproductive age and peri/postmenopausal women are also mentioned. Although the main emphasis is on drug treatment, the authors provide some information on commonly used non-pharmacological treatment options with reference to current evidence on efficacy and safety.Drugs are generally referred to by the genericname, with the North American brand name in brackets. Unfortunately contraceptive and hormone replacement therapy preparations are listed only as the brand name. Certain recommendations are controversial and are not in keeping with UK practice (for example, emphasis on the use of benzodiazepines in the treatment ofgeneralised anxiety disorder, and the treatment of side effects of psychotropic drugs with amphetamines or Viagra ®).Despite these limitations, this is an interesting and well laid out book that is likely to be particularly relevant to general practice, but is also a useful reference for any health professional dealing with female patients.Reviewed by Dr Louise Melvin , MRPharmS, MRCOG Clinical Research Fellow, Simpson’s Centre for Reproductive Health, Edinburgh, UK 161-162 JFPRHC Apr 05 3/30/05 3:04 PM Page 2on August 5, 2023 by guest. Protected by copyright./J Fam Plann Reprod Health Care: first published as 10.1783/1471189053629473 on 1 April 2005. Downloaded from。

MBA词汇马全海

MBA词汇马全海

MBA词汇马全海psychology-----psychological,technology-----technologicalphotography 摄像术photographicautography 自传,biography 传记audi- 听:audio 音频的,video 视频的audience 听众,auditory 听力的,audible 听的见的audit 审核,审计bio- 生物的:biotechnology 生物工艺学,biobalance生物平衡,bioactive(a.)生物活性的,bioactivity(n.)生物活性cent- 百:percent-----percentage(n.)百分比century 百年kilometers 千米,kilogram 一公斤claim- clam- 叫喊:proclaim宣告,声明clamour喧闹claim 还有索赔,夺取的意思claim tag托运收据claim lives 夺取生命claim statement 索赔声明cosm- 宇宙,世界:cosmobiology宇宙生物,cosmochemistry 宇宙化学cosmodom 太空,cosmology 宇宙学metropolitan大都市的-----metro轻轨-----subway地铁cosmopolis 国际大都市microcosm 微观世界,macrocosm 宏观世界cycl- 圆,环:recycle 回收,recyclable 可再生的cycle index 循环指数-----chain index链指数circulate (v.) 循环,circuit电路,circus 马戏场,encircle 包围,围绕geo- 地球,土地:geocentrism 地心说,socialism 社会主义suicide 自杀-----geocide 地球灭忘,doomsday 世界末日hydra- 水的:hydrate 水合物,hydration 水合作用,hydracide 氢酸hydracyclone水力旋风器,hydroelectric 水力发电,dehydrate 脱水carbonhydrate 碳水化合物lingu- 语言的:linguistics 语言学multilingual 多语的,unilingual 单语的,colingual 共语的,coexist 共存,cooperate 合作liter- 文字,字母:letter 字母,illiterate 不识字的,literacy 识字扫盲:deal with the illiteracyliberal/literal translation 意译/直译literati 文人墨客obliterate 去除-phone 声音:phonetics 语音学symphony交响乐,sympathy同情,synonym同义词,antonym反义词同传:simultaneous interpretation,交传:consecutive interpretation psych- 心理的:psychologist 心理学家,psychiatrist 精神科医生,psychiatric 精神病院scend- scent-爬蹬:ascendant 向上的,descendent 后代servant仆人,civil servant公务员,civil law民法,civil airline民用飞机criminal law 刑法descent (v./n.) 下降,下坡transcend 超越tele- 远:television 电视,telephone 电话,telegraph 电报therm- 热的:thermos 热水瓶diathermal 透热的,diameter 直径,dialogue 对话前缀anti- 抵抗,反对:antipathy 反感,antibacterial 抗菌的,antibody 抗体antiterrorism反恐,antithesis 对立面,反论auto- 自己的:autoanalysis 自我分析,autobalance 自动平衡autocode 自动编码,decode 解码,encode 加码,code 密码bi- 双边的:bilingual 双语的,biannual 一年两次的bisexual 双性恋,homosexual 同性恋counter- 反对,对应,应对:counterclaim反索赔,countermeasures 应对措施counterattack 反击,counterblow 反击,countercoup 政变counter command 撤销命令,counter argument 抗辩,counter attract 反吸引,counter part 对应部分foreign counter part 外国同行dis- 相反:discomfort-----uncomfortable,unbelievable-----disbeliefdisappear 消失,disorder 杂乱discourage 打断念头,discourage somebody from doing somethingencourage somebody to somethingdisarm 解除武装,disproof 反证,discover 发现,disclose 掀开discard 抛弃,dispassionate 平心静气的dismay 沮丧,lose heart 沮丧,lose one’s heart被某人夺走芳心en-,-en 使:enlarge 扩大,enlarge spaceenroll 登记,注册,enchain 束缚,enlighten 启发-----enlightenmentI was enlightened by what he said.broad 宽的,board 板,aboard 上船了,abroad 国外boarding pass 登机牌broaden one’s horizon 拓宽视野wide-----widen,tight-----tighten,fast-----fastenex- 向外:extrovert 外向的人,introvert 内向的人export 出口,import 进口extra 额外的,expose 暴露的,exclude 排除在外的include 包含在内,exclusive 排除在外,extract 提取explicit 坦率的,implicit 含蓄的ex-boyfriend 前任男友former/last president 前任总统,late president 已故总统im-in- 不:impersonal 非个人的,objective 客观的impassive/indifferent 漠不关心的,morality 道德,moral 道德的,immorality 不道德,modesty 谦虚impossible 不可能,impolite 不礼貌,impatient 没耐心的impartial 公正的,inglorious 不光彩的,incapable 无能力的injustice 不公正的,inconsistent 不一致的inter- 相互:interpersonal 人际的,interpose 介入,impose 强加interfere with干扰,interference,interrelate 相互关联,intervene 干扰mal- 坏,不良:malpractice 不法行为,malodor 恶臭,maocontent 不满意的micro-微小的:macro-宏,micro world 微观世界,micro economic 微观经济microwave oven 微波炉,macro management 宏观调控micro biology 微生物学,macroscale 大范围,macroclimate 大气候mini- 小的:miniskirt 超短裙,miniature 微缩画,miniwar 小型战争dwarf 小矮人,minimal 最低限度,maximum 最大,minimum 最小diminish 使变小(慢慢的)mis-错的:misunderstanding 误解,misled 误导,misspell 拼写错misdoing/malpractice 做坏事,maltreat/mistreat 虐待abuse 虐待,滥用treat 对待,治疗AA制:Go Dutch 请客:My treatmischievous 恶作剧的multi- 多的:multiple choice 选择题,multifunction 多功能的,multimedia 多媒体mass media大众传媒,multicultural 多种文化,multitude 多数non- 否定:nonsense 无意义的行为,make sense 有意义,nuisance 讨厌的人或者事non-exist 不存在的-----nonexistent-----nonexistencenonresistant 不抵抗的,nonaddictive 不上瘾的,be addictive to 上瘾out- 超过,过度:例句1. The child has outgrown the cloth.outlive (寿命)活得长例句2. Our class has outnumbered theirs.outdate 过时,outgoing外向的,outside 外面的outdoors户外的,outskirts 郊外outbreak 爆发,output 输出,产量,outcome 结果例句3. The output of the factory has doubled.over- 过度,超:work over time 加班,OT 加时赛over timeoverweight 超重overweigh 胜过obese-fat-overweight-strong-moderate-fit-thin-skinny-slim例句1. The benefits of A far outweigh its harms.overdo 做过头了,overdose 过量用药,overcrowded 过度拥挤overcome 克服post- 在…后:postgraduate 研究生,graduate 本科毕业生,undergraduate 本科生bachelor’s degree 学士学位postdoctoral 博士后,postpone 推迟A is posterior/inferior/prior/superior to Bsense of superiority 优越感pre- 在…前:preview 预习,review 复习,prepay 预付prehistory 史前,prefix 前缀,precaution 预防,precautious 预防的prevent 阻止的,predict 预告,preceed 向前,foresee 预知precedented 有先例的,it’s unprecedented hot 史无前例的热Re- 再,重:regain,retell,replay,relive,recall,reappear,repeat,recur semi- 半:semi colony 半殖民,semitransparent 半透明sub- 次的,低于:sub office 分办公室,subtitle 副标题,字幕,subconscious 潜意识subscribe 用户trans- 转换,横过:transparent 透明的,translation 翻译,transaction 交易transcribe 誊写,describe 描述,prescribe 开处方transfer 转递,transmit 转播,transcend 超越,transnormal 超常的tri- 三倍的:trilateral 三边的,bilateral 双边的,triangle affair 三角恋triple 三倍的,tripod 三角架,tricycle 三轮车under- 在下,不足:underground 地下的,under develop-developing-developed countryunderestimate 低估,underrated(比例)低估,undergo正在进行中的,undergoing a changeuni- 单一的:unite 结合,in unison 一齐地,unify 统一,unit one 第一单元同根词pose,expose,impose,propose,dispose,suppose,opposeCompose:创作,写作composition 作文,composer 作曲家be composed of/consist of: 由…构成=be made up of例句:The class is composed of 40 students.Expose:揭露exposition 世博会,说明文argumentation 议论文Impose:强加impose something on somebody 强加某物于某人Propose:建议proposal(n.) refuse-----refusal,survive-----survival适者生存:Fittest survivesDispose:安排,处理dispose of a problemSuppose:假设Suppose that…应当suppose to 例句:You’re not supposed to use my phone.Oppose:反对opponent对手opposite 反面的Interpose 介入2.abstract,contract,extract,distract,subtract,attractAbstract:(a.)抽象的,(n.)摘要深入浅出:have an in-depth study of something and express it in a simplelanguage.Contract:(n.)合同,协议,(v.)收缩contact with somebody 与某人签协议Extract:提取extract oil 炼油extract tooth 拔牙extract a promise 逼迫做出承诺Distract:分散注意力distraction,distractiveSubtract:减add 加,multiply 乘,divide 除Attract:吸引attractive 有吸引力的press,depression,express,impress,oppress,suppressCompress:压缩comrade 同事,common 共同的例句:Compress two-week-work into one.compress lips 咬嘴唇Depress:情绪沮丧,萧条Great Depression 大萧条,depressed 心情不好Express:(v.)表达express your idea,expression 表情very expressive 具有积极表现力的(a.)快递的EMS express mail service,express way/trainImpress:是记住impressive 印象深的,impression 印象Leave/give a deep impression on somebody 对某人留下深刻印象Oppress:压迫,镇压哪里有压迫,哪里就有抵抗:Where there is oppression, there is resistance.Suppress:忍住,禁止suppress one’s smile/bleeding/the truth4.preserve,conserve,reserve,deserve,observepreserve:储存,储存preserve the fresh fruit in the refrigerator.Conserve:(v.)储存,保护conserve our national heritage/energy/fuelconservative (a.) 保守的Reserve:保留,保护reservation,reserved 保留的(n.)保护区natural reserveDeserve:该得的,活该的you deserve itObserve:观察,庆祝,遵守observe a holiday=celebrateobserve a law5.exhibit,inhibit,prohibitExhibit:展示exhibition 展览=show=displayInhibit:自我约束inhibit desire 禁欲inhibit somebody from doing something 禁止某人做某事Prohibit:禁止forbid by authority 官方规定禁止的Smoking is prohibited. Prohibited articles 违禁物品形近词1.attribute,contribute,distributeAttribute:归结于attribute…to 把…归结于Edison attributed his success to 1% of inspiration and 99% of perspiration.Contribute:奉献make contribution to/contribute to 对…做奉献有助于the pills will contribute to your illness.Distribute:分发,分布例句1.The teacher distributes the materials.2. The company has many offices distributing in different parts of our country. 表格内词汇后缀-able,-ible 有能力的:uncontrollable 不可操纵的,controllability 可控性Make a sensible decision=make a wise decision 明智的决定Weather in Shanghai is changeable.Girls are more changeable.Knowledgeable person 有学识的人Inflammable 可燃的、易燃的,inflammability 可燃性、易燃性Flame (n.) 火焰,inflame (v.)点燃Adaptability 习惯力----adaptVariability 多样性,vary 变化,a variety of 各类各样A wide variety of goods 琳琅满目的商品Conceivable 可想象----conceive (v.)想象Deceive 欺骗,deceptive 欺骗的appearance can be deceptiveWe can’t judge a person by appearance 不能够貌取人Responsible 负责的,reliable 可靠的Imaginable 可想象的,imaginative 富有想象力的imaginary 想象的=not realrespective 分别的write your name on the paper respectivelyrespectable 可敬的,respectful 满怀敬意的stressful,peaceful,beautiful,colorful,wonderful-age 表状态,性质:wreck tragedy 空难Tonnage 吨位,mileage 英里数,percentage 百分比Advantage 优势,disadvantage 劣势Take advantage of 利用,have advantage over…比…有优势Make good use of time/energy 利用时间/能源Patron (n.)赞助人(v.)赞助,patronage 赞助的行为Sponsor 发起人Drain 排水,drainageMarriage 婚姻-ant,-ent 人,物:participate in sth. 参加,participant 参与Apply for a job 求职,applicant 求职者Correspond 联络,correspondent 联络员,correspond withContacts 联系人President 总统,preside 主持Student 学生,resident 居民Tyrant 暴君,tyranny 暴政Aspirant 有追求的人,aspire 有抱负,inspire 鼓舞-arian 派别,主义的人:utilize 利用,vegetarian 素食主义者-dom 性质,状态,行为:cosmodom 太空站,filmdom 影视界,newspaperdom 新闻界Wisdom 智慧----wise-ee,er,or,ess:employer----employee,trainer----trainee,interviewer----intervieweeexaminer----examineereturnee 归国人员,appointee 被任命,absentee 缺席者teacher,learner,visitor,inspector 视察者,teenager,singeractor----actress,waiter ----waitress,lioness 母狮,hostess 女主人goddess 女神-hood 身份,性质:childhood 童年,boyhood 少年时期,girlhood 少女时期Studenthood 学生时代,youthhood 青春期,likelihood可能性-ify 使…化:classify 分类,clarify 澄清,specify 具体化-ish 似…的:womanish=sissy 娘娘腔,womanlike 女人般的(细心)childish=naïve=too simple 幼稚的,childlike 孩子般的(无邪)foolish,snobbish 势力的,selfish 自私的,selfishless 无私的jobless,tireless 不知累的,homeless 无家可归的-ism 主义,学说:Marxism 马克思主义,socialism 社会主义,capitalism 资本主义feudalism 封建主义,imperialism 帝国主义,fatalism 宿命论optimism 乐观主义,pessimism 悲观主义,extremism 极端主义structurism 结构主义,terrorism 恐怖主义,idealism 唯心主义materialism 唯物主义,postmodernism 后现代主义communism 共产主义-ize,ise,yze …化:memorize 经历,Advertise 做广告,criticize 批判industrialize 工业化,popularize 使流行、推广,exercise-like 有…性质的:steellike 钢铁般的-ogy 学科:geology 地质学,geography 地理-ous,eous,ious:courageous 勇敢地,simultaneous 同时的Cautious 小心的,be cautious of 小心Poisonous 有毒的,humorous 幽默的,zealous热情的Marvelous=amazing-wonderful-ward 方向:inward 内向的,up/down ward 向上/下Forward/backward 向前/后形近义近词法1)分属于两个不一致词根的词Complaint,compliantComplaint----complain,compliant----complyVenerable,vulnerableRespectable 可尊敬的Achilles’ Hell:vulnerable pointEffect,affect,effortHave effect on 对…产生影响Insistently,consistentlyInsist on:坚持(观点,办法),persist in:(做事)坚持She insists on going home alone. He persists in learning English every day.Insistently 坚持的Consistently 一致的be consistent with 前后一致言行不一致:what he does is inconsistent with what he says.Stick to:goal,principle,hold on:坚持着,别挂电话,adhere to:policy,guide line Perseverance 毅力Retain,remain,-tain (p15.4)Attain a goal实现目标,entertain the guest 招待、款待,entertainmentContain:包含、容纳this classroom contain 100 studentsContainer 容器Detain:扣留the flat tire detained him on his way home 拖延The police detain the man for further inquire 进一步审问Detain by business 有事要做,因此耽搁Obtain:获得acquire/obtain knowledgeRetain:保留、留住we retain=reserve the rights to take further actionsThe boss took all kinds of measures to retain the talents.Sustain:支撑,持续sustainable development 可持续进展sustained economic growth 经济持续进展Maintain:保持、维修Release,relieveRelief 宽恕Scare,scarceScared 使惊吓的,scary 吓人的,sacred 神圣的,sacrifice 牺牲Serve,severServer 服务器,severe 严厉的、严重的he was severely injured in the accident2)由同源动词或者名词派生出来,其意义分别不一致Affection:affection,affectationAffectionate 关切的,affectionately 关切地Consider:considerable,considerateConsiderable=amount 很多的,considerate=thoughtful 体谅的Continue:continuous,continualContinuous:不间断的continual 间断的记:长的不断短的断Continually cry,continuous blood supplyCredit:credible,credulousIncredible 不可信的,incredulous 不可轻信的We were all incredulous when he told the incredible story.Deceive:deceitful,deceptiveA deceitful child 不诚实的孩子Appearance can be deceptiveDiffer:DifferentiateA differ from B,differentiate these two words 区别这两个词This word differs from that one, so you must differentiate them.Sense:sensitive,sensibleMake a sensible decisionSensitive to 对…敏感的+ music/language/lightSentimental 多愁善感的,sensational 有轰动效应的,sensational news形近词2.assure,ensure,reassure,insure,secureAssure:保证,assure sb. of sth. 向某人保证某事She assured the leaders of her loyalty. 表忠心Ensure:确保,ensure success/securityThey’re made a lot of efforts that the work is on time.Ensure sth./thatReassure:打消疑虑What she said reassured me. I’m reassured by what she said.Insure:上保险,insurance 保险He insures his property against fire. Health insurance 寿险He had himself insured. 给自己买保险Secure:安全,security/safe guard 保安,body guard 保镖3. confine,confirm,conform,confrontConfine:限制≈limitLimit your consumption/expenseConfine space,the bird is confined in the cage,confine your speech to 10 mins.Confine the fire within/to a small/certain area.Confine your attention to your own business 专注于自己的事Confirm:确认reconfirm,double confirm 反复确认a confirmed rumor 一个被证实的谣言,(P11.3) conform,inform,reform,perform,transform,uniformConform:a.保持一致,A is conformed to/with B,conform A with Bconform the copy with/to the originaloriginal:原产地,原创的b.遵守,conform to the customs 海关,when in Rome, do as Romans do.Inform:通知,information 消息,inform sb. of sth./that…Assure sb. of sth,remind sb. of sth.The picture reminds me the sweet memory.Convince sb. of sth. 说服Reform:改革reform old habits,old habits die hard 江山易改,本性难移Perform:表演,表现perform well执行the police didn’t perform his duty…Execute a task/person,implement a plan/policySb. been executed 执行死刑CEO:chief executive officerTransform:transformers 变形金刚Uniform:统一的,制服Confront:be confronted with=be face with 面临遭遇:She’s confronted with/by two men who asked her for money.相对:My house confronts hers.4. assume,presumed,resume,consumeAssume:想象,承担I assumed that you have heard it. I assumed that…我以为He independently assumed the costs of operating the company.Assume a obligation 承担责任to take care of his aunt.Presume:假设,假定From the way they talked, I presumed that they’re married.Let’s presume that what he said is true.A man is presumed to be innocent before he’s proved guilty.Resume:恢复,简历Resume negotiation 恢复谈判,简历:CV curriculum VitaeConsume:消费,consumer 消费者CPI:consumer price indexTime consuming 耗时的,energy consuming 费力的妒火中烧:She’s consumed by his jealousy or anger.5. bold,fold,mold,scold,withhold,thresholdBold:大胆的,make a bold decision,a bold warrior 武士Fold:折叠,folder 文件夹fold blanket/letterMold/mould 模具,casting mold,pudding mold,mold candle/stature/charactersScold:责备,scold for being lazyWithhold:克制,阻止,制止,忍住,The dam is too weak to withhold the rising water.I withhold my support. Withdraw 撤退Threshold:门槛,at the threshold of sth. 在…的开始6. diffuse,discount,dismay,disruptDiffuse:传播,to diffuse a rumor/knowledge/learningDiscount:打折80% discount 打2折In discount打折买的,at discount 以多少折扣买的Dismay:沮丧in dismay 灰心的He listen to the teacher in surprise. 吃惊的听He looked at me in dismay. 沮丧的看She stared at the intruder in dismay 惊恐的看I was dismayed at the class because the teacher kept talking rubbish=the class dismayed me ……Disrupt:使中断(P11.4)Bankrupt,corrupt,disrupt,erupt,InterruptBankrupt:破产,破产的人,I’m a bankrupt. I’m Bankrupt.The pessimistic ways bankrupt his company.Corrupt:腐败,corruptionThe government is very corrupt. Some bad leaders corrupt our government.Bribe 贿赂,bride 新娘,bridegroom 新郎Disrupt:使中断protesters disrupt president’s speechThe electricity was disrupted. 停电了The tsunami disrupted the communication.Interrupt:= break in 打断Sorry to interrupt 插话Erupt:爆发火山爆发:Volcano erupt近义词1.Coarse,rough,crudeCoarse:粗糙的,coarse sand 粗沙低俗的,coarse joke,manner,languageRough:表面粗糙(surface),反义词:SmoothRough road,skin,edge of book粗略的:a rough estimate 粗略的估计Rough draft 粗稿,rough drawingCrude:未加工的crude oil 原油,crude rubber 天然橡胶,crude idea 不成熟的办法粗俗的crude joke粗暴的crude interference in our country’s domestic affairs. 粗暴干涉我国内政2.Bald,bare,blank,vacantBald:秃的,不长草He is a bald. Bald mountain/lawn直率的言辞Bare:bare feet 光脚,walking bare feetBlank:空的fill the blanks,blank areaVacant:vacant room没人住的房子,vacancy 职位的空缺,空地Empty:空的没东西的Hollow:中空的3.Certificate,diploma,qualification,license,guaranteeCertificate:证书Diploma:文凭Qualification:资格License:执照,许可证drive license 驾驶证,plate 汽车牌照Guarantee:证明,保证guarantee never smoke again4.Allowance,pension,bonusAllowance:津贴,补助Pension:退休金,养老金Bonus:额外的奖金,加分题5.Meeting,conference,convention会议规模依次变大Convention:会议,惯例by international convention 按国际惯例同根词1.Evolve,involve,revolve,solveEvolve:进化,theory of evolution 进化论,evolve from/intoInvolve:包含,involvement,be involved in卷入,I don’t want to be involved in your business.Language learning involves hardworking,corporation and some talents.Revolve:旋转,revolution 革命,cultural revolution 文化大革命Revolving door 旋转门,revolver 左轮手枪,pistol 小手枪,revive 复活Solve:解决,solution 解决办法2.Insist,persist,resist,consist,assistInsist on,persist in,adherer to,Resist:抵抗,irresistible 不可抵抗的Her charm is irresistible.Cannot resist the temptation 抵制不住诱惑Consist:由…构成,作曲,创作be made up of=be composed ofAssist:协助,assistance 助手,shop assistant 售货员3.见前4.见前5.Describe,inscribe,prescribe,subscribe,manuscript,conscribeDescribe:描述Inscribe:题字,记下来,inscription 碑文,题词Prescribe:开处方,命令,prescription 处方Subscribe:服务+ to/for,subscriber 用户Conscribe:招募,conscription 征兵Manuscript:手稿,script 剧本,tape script 听力原稿6.见前形近词1.Cautious,conscious,conscientious,curiousCautious:小心的precaution 预防措施Conscious:意识,be conscious of 意识到=be aware ofConscientious:尽责的,She is an conscientious assistant.Conscience:良心,work by my conscience,conscienceless 没良知的Grateful:感谢的,ungrateful 没良心的Curious:好奇的,curiosity(n.)2.Collaborate,cooperate,coordinateCollaborate:相互扶持,coexist 共存Coordinate:协调(配合)Cooperate:合作3.Derive,deprive,deserve,deceiveDerive:从…中得到的,derive a conclusion from factsThe word holiday is derived from the “holy” and “day”.Deprive:剥夺,deprive sb. of sth. …No one could deprive you of your right to survive.Deserve,deceive 见前4.Domestic,dramatic,dynamicDomestic:家养的,domestic animal 家畜Dramatic:戏剧性的,dramatically change 戏剧性的变化,drama 戏剧Our living condition has dramatically improved.Dynamic:活力的,dynamite 炸药,vigorous 活跃的,energetic 活跃的5.Imitate,intimate,simulate,stimulateImitate:模仿,imitate on 模仿…Intimate:亲密的,intimate friends 亲密的朋友Simulate:模拟、假设Stimulate:刺激,激发,what he said stimulate the emotion使兴奋,stimulant 兴奋剂6.Destiny,dignityDestiny:命运,fate 命运,fatalism 宿命论Be destined to 注定=be doomed to (sth. Bad)Doomsday 世界末日Dignity:尊严近义词1.Flock,swarm,herd,pack,crowdFlock:羊群,鸟群a flock of birds物以类聚:birds of a feather flock togetherSwarm:蜂群a swarm of bees,a swarm of people冲进swarm into the hallHerd:兽群a herd of …Herb 草本Pack:(v.) 打包package 包裹,unpack 拆包Load 装载,unload 卸载,install 安装,uninstall 卸载upload 上传,download 下载a pack of airplanes 一组飞机crowd:a crowd of people 一群人,it’s very crowded 拥挤2.Glance,glimpse,glare,peep,peerGlance:瞥一眼扫视Glimpse:瞥一眼无意中看见Peep:偷窥,peeper 偷窥狂Peer:认真看,凝视,peer up at the clear sky 凝视天空Peer through a crack in the door 从门缝眯眼看Peer into the shop windowGlare at 怒视,stare at 盯着看,gaze at 深情的凝视,glance at 瞥一眼It’s impolite to stare at others.3.Fragile,delicate,feeble,vulnerableFragile:易碎的,脆弱的fragile emotion,a fragile cup,she looks fragile 憔悴Delicate:微妙的,易碎的a delicate instrument 易碎的仪器delicate relationship 微妙的关系Feeble:单薄的身体虚弱,弱不禁风a feeble old manHis pulse is very feeble 脉搏弱Feeble personality 软弱的个性,feeble excuse 没有说服力的借口Feeble resistance 无力的抵抗Vulnerable:易受攻击的,vulnerable point/spot 弱点Ankle is his vulnerable point4.Despise,scorn,discriminate,defyDespise:鄙视,看不上,despise coward 鄙视懦夫Scorn:(厌恶)藐视,I scorn his sentimentality.Discriminate:歧视racial/sexual discrimination 种族,性别歧视Sense of superiority 优越感Defy:藐视,defy authority 藐视权威5.Drawback,handicap,defect,blunderDrawback:缺点,缺陷,不足之处,set back 挫折Handicap:障碍(功能),cultural handicaps 文化障碍,academic handicap 学习障碍Language handicap 语言障碍,physical handicap 身体障碍,mental handicapDisable 残疾的Defect:不足,瑕疵=flaw flawless 完美无瑕的There are some flaws in our educational system.Image defect 图像瑕疵Blunder:犯大错,跌跌撞撞blunder into the room同根词1.Distinguish,extinguish,distinct,extinct,instinctDistinguish:区别distinguish A from B,our distinguished guest 贵客Extinguish:灭火fire extinguisher 灭火器Extinct:(v.) 灭绝的in danger of extinctionInstinct:直觉,本能,tell from my instinct 根据我的直觉=my instinct tell me that…Distinct:明显的,清晰地,特殊的,显赫的,截然不一致的There’s a distinct possibility that he has fallen asleep.Distinct honor 名声显赫To be the CEO of that company is a distinct honor.On two occasions, he did the same thing in two distinct ways.2.Avert,convert,divert,invertAvert:躲开,转移to avert an accident 避免一场事故,avert one’s eyes 移开目光Aversion 厌恶,aversion of the outside world 对外部世界的厌烦Convert:转变,换算convert feet into meters,water convert into iceDivert:转移注意力使…高兴divert one’s attention from/to sth.Invert:使颠倒inversion 颠倒3.Claim,acclaim,exclaim,reclaim,proclaimClaim:宣称,索赔,索取He claim that he’s the best teacher in that field宣布对…有主权we claim that islandThe earthquake claimed thousands of lives.Acclaim:向…欢呼,拥护,赞赏The heroes are highly acclaimed. 高度赞赏The people acclaimed the heroes who had won their great honor for their country.Exclaim:喊叫exclaim in pain/delight/anger,the boy exclaimed that he’s starving.Exclaim against 指责Reclaim:使改正,改造,开拓reclaim criminals 改造罪犯,reclaim a land 开拓土地Reclaim a person from the life of vice 改邪归正Proclaim:宣告,宣布proclaim/declare a war 宣战Declaration of Independence 独立宣言4.见前5.Concede,precede,recedeConcede:让步concession 让步concession speechconcede a point in an argument 承认别人的观点是对的reluctant,unwillingness 不情愿的Precede:排在前面的A precedes B in the alphabet147 countries precede us in per capita income.Recede:衰退economic recession 经济衰退depression6.Incur,occur,recurRise,raise,arise,arouseRise:抬起,升起sun rise/setRaise:抚养arise a childArise:出现new problems arise/come up before the old ones are solvedArouse:激起,引起,唤起Incur=arise,incur sb’s displeasureOccur:发生=happen,it occurred me that…突然想到…Recur:回想,复发this kind of illness is very likely to recur.If this kind of cheating recurs, you’ll be fired.形近词1.dense,tense,intense,intensive,extensiveDense:密集的,dense population/forest,the road is dense with traffic=heavy=traffic jamIt rains heavily 雨下的大Tense:紧张,he’s a tense/nervous person,tense nerve 神经紧张Psychiatric problem 神经病,psychiatrist 精神病医生Mental problem 心理问题=psychological problemA tense game 紧张的比赛时态:past tense 过去式Intense:猛烈的,intense/fierce competition 猛烈的竞争Intense interest 非常感兴趣,I can’t bear/stand the intense light 强光Intensive:密集的、深入的、透彻的,intensive training 密集训练intensive reading 精读,extensive reading 泛读,a 4-day intensive courseintensive discussion 深入讨论,in-depth study 深入研究have an in-depth study about/on sth.Extensive:广泛的、全面的,after extensive hearings and study, we want to …知识面广:Extensive knowledgeAn extensive report on sth. 全面报道,extensive repair 大修2.adapt,adjust,adoptAdapt:习惯、改编:adapt yourself in a new environmentI can’t adapt myself to the new life style of that place. Hairstyle 发型Adapt a novel to the screen/into a movie.Adapt a play from English to Chinese.Adjust:调整:adjust seat/the height of a seatAdjust expenses to income 量入为出Adjust watch/an error/a clothAdopt:领养、采纳、使用,adopt a positive attitude toward/to sth.Adopt a suggestion/idea,adopt a child3.access,assess,assetAccess:进入,have/gain access to sth.The hackers can easily get access to our computers. Computer virus 病毒With this ID card, you can have free access to the school library.Identity card 身份证IQ:intelligence quotient,EQ:Emotional quotientAssess:评估,The house is assessed at one million.To assess the loses/damage after a earthquake/accident.Assessment (n.) 评估Asset:资产,He invested all his assets into the gold/real estate.National asset 国宝,knowledge/wisdom is my asset4.outbreak,output,outcome,outsetOutbreak:breakout 爆发,the outbreak of the warOutput:put out 产量,输出output of informationOutcome:come out 结果Outset:set out 开始出发titude,longitude,gratitude,altitude,magnitudeLatitude:纬度Longitude:经度Gratitude:感激,be grateful to sb. for sth.,ungrateful 没良心Altitude:海拔Magnitude:巨大的、庞大的,magnify 放大,夸大近义词1.mark,sign,symbol,label,stain,signal,spotMark:标记、标志,the launching of that manmade satellite mark the new area of China.做记号Sign:签名、标记、路标、标志、签字,sign of forgivenessSymbol:象征,the white color is the symbol of purity.Label:标签,Don’t label yourself a bad person。

公共管理经典书目

公共管理经典书目

公共管理经典书目(一)基础理论经典原著1、威尔逊:《行政学之研究》,《国外政治学》1987年第6期、1988年第1期。

2、古德诺:《政治与行政》,华夏出版社1987年版。

3、泰罗:《科学管理原理》,中国社会科学出版社1990年版。

4、法约尔:《工业管理与一般管理》,中国社会科学出版社1998年版。

5、马克斯·韦伯:《经济与社会》,商务印书馆1997年版。

6、怀特:《行政学概论》,上海商务印书馆1947年版。

7、西蒙:《管理行为》,北京经济学院出版社1988年版。

8、西蒙:《管理决策新科学》,中国社会科学出版社1982年版。

9、沃尔多:《行政国家:美国公共行政的政治理论研究》,纽约:罗纳德出版社1948年版。

10、林德布洛姆:《决策过程》,上海译文出版社1988年版。

11、德罗尔:《逆境中的政策制定》,上海远东出版社1996年版。

12、雷格斯:《行政生态学》,台湾商务印书馆1985年版。

13、弗雷德里克森:《新公共行政学》,美国亚拉巴马大学出版社1980版。

14、奥斯特罗姆:《美国公共行政的思想危机》上海三联书店1999年版。

15、尼斯坎南:《官僚制与公共经济学》,中国青年出版社2004年版。

16、詹姆斯·Q·威尔逊:《官僚机构:政府机构的作为及其原因》,三联书店2006年版。

17、奥斯特罗姆:《公共服务的制度建构》上海三联书店2000年版。

18、布坎南、塔洛克:《同意的计算:立宪民主的逻辑基础》,中国社会科学出版社2000年版。

19、缪勒:《公共选择理论》,中国社会科学出版社1999年版。

20、罗森布鲁姆:《公共行政学:管理、政治和法律的途径》,中国人民大学出版社2002年版。

21、R·J·斯蒂尔曼:《公共行政学:概念与案例》,中国人民大学出版社2004年版。

22、罗伯特•登哈特:《公共组织理论》,中国人民大学出版社2003年版。

23、沙夫里茨、海德:《公共行政学经典》,中国人民大学出版社2004年英文版。

TheBattleoftheBoyne

TheBattleoftheBoyne

The Battle of The BoyneThe Battle of the Boyne: From the point of view of Europe and Louis XIV the war in Ireland was part of that between Louis and his enemies in the league of Augsburg. The alliance including: Catholic Emperor Leopold and Pope Alexander VIII- who objected to the French domination in Europe and the treatment by Louis of the church in France. Although William was a sincere, tolerant King free from bigotry, liberal and enlightened. This was one instance when the King was wiser and more considerate than the Parliament which now controlled him. The Parliament, always concerned with expenditures of revenues, allowed concerns for the cost of the war to lead to Irish and Catholic intolerance. The Pope: Alexander VIII -was William's ally. William was Calvinist but was tolerant- there were Catholic officers in his army. The war was not for the Irish nor for the Protestant cause but against the Bourbon Absolutists and for the freedom of Europe.The Landing of JamesII James IIwent to Ireland because Tryconnellwas loyal and Ireland mightprovide a jumping off point toScotland and England, but, he wasalso strongly motivated by LouisXIV-to divert William III from hiscontinental campaign and free upFrench Armies.When James landed in 1689 heset up a Parliament in Dublin toconfiscate Protestant lands.Triconnell had already purgedProtestants from the army and allgovernment positions. When James was expelled from England Triconnel began to increase the size of the army.Once James had been removed from office it was feared that the Papists planned to massacre Protestants. The poorly paid military levies had already begun to plunder the country. As a result there was a mass exodus of Protestants to England. Other Protestants such as those at Londonderry prepared for their self defense.Just as intolerance in France following the revocation of the Edict of Nantes lead to the loss of Protestant capitol, skills, and resources, so too in Ireland the Protestant flight saw the departure of Ireland's many successful businessmen along with their large stores of hard currency.Jean-Antoine de Mesmes, Comte d' Avaux was sent by Louis XIV to represent him as ambassador to Jame's court. James had retired to St Germain where he was provided for by Louis. Despite his fatalism James agreed to lead the campaign to Ireland. When James arrived the army was disorganized. In addition to having to have to deal with the ongoing civil war it had to deal with the legacy of its prior history as a dispersed force and with the demoralizing effects of the replacement ofall Protestant officers with Catholics carried out by Tryconnell.The disrupton caused by the arrival of James and the call to arms left the country virtually without an economy. Protestant business had fled, trade with England was halted, and many left the fields to grow wild in order to join the armies.No provision had been made for the supply of a great army, and those who served as mercinary soldiers soon took to the countryside and to robbery and pillaging to obtain their livelyhood. The shortage of hard currency lead the army to melt down brass guns and to resort to copper currency.Despite his fancy welcome to Dublin James and his army appeared to the Irish not as a force of liberation but as a cancerous scourge upon the land.William of Orange landed and immediately put a stop to the plundering which members of his army had engaged in-he hanged the plunderers. He brought many guns, men, and supplies including a prototype of the first machine gun a wheel-engine that could fire 150 muskets at once and then when turned fire the same number again.In stark contrast the Irish forces possessed no artliery nor siege skills. Prior to the Battle of the Boyne the Irish Army had been forced to give up the siege of Derry but had fared better in the winter months than the English army. Jame's evil and incompetant advisor Melfort had resigned and things were looking up for the army by December. If Louis followed through with French assistance there was a chance of defeating the English. James had also succeeded in alienating the French. The French general Rosen was sent back to France and James insisted that he be replaced by Antonin Nompar de Caumont Comte de Lauzun (shown here)Look at Lauzun,(what a stark contrast to the warlord celtic chieftain Neill O'NeillLook at Neillno wonder the French never saw eye to eye with the Irish!) a man with little or no military skills or experience. This act in turn alienated D'Avaux who was a very able advisor. The French were beginning to feel that support for James would be putting valuable men and money into incompetant hands. By the first half of 1690 resentment for the French in Ireland was high and the king's council was divided by continual argument.Prelude to the Boyne...Prior to the march to the Boyne James had assembled his main army at Dundalk. James sent an advance party of the grenadier companies of four regiments, commanded by Colonel Fitzgerald of Lord Bellews's regiment and sixty mounted dragoons under Colonel Lawrence Dempsey to the four-mile pass. The party drove back 300 English infantry and dragoons to take the pass. In this engagement Colonel Dempsey was mortally wounded and Captain Farlow was captured and proved to be a valuable source of information. After hearing of the size of the army and of the many artillery and of the fleet which had orders to coast down to Drogheda and lend the land forces a helping hand James made the fateful decision to leave the strategic pass and retreat to the Boyne. Had James made a full and complete retreat he could have had a chance but reflecting upon the requirement of Kings to take risks James hesitated and the decision was made to hazard a battle near by on the Boyne without the benefit of the strategic position held earlier.The Lay of the land....The River Boyne, ran at the foot of the plateau. The Left bank completely commands the right from Drogheda to Slane Bridge and especially above the ford of Oldbridge. The plateau above was where William pitched his main camp on July 10. The river at the foot of the plateau was easily fordable when the tide was out,and even when it was high water several fords remained passable. That of Rossnaree, five miles above Oldbridge a nd two miles short of Slane Bridge, which had been broken was one available at all states of the tide. the s everal fords at Oldbridge were quite easy at half flood, that lower down at Donore was only a vailable at low water. William chose to cross the river at three separate points. Jame's principal camp and headquarters was at Ramullin on the top of the elevated ground to the right of Oldbridge-some distance from the river bank beyond the range of cannon shot. The Little village of Oldbridge was the site of two infantry regiment positions. Oldbridge is described as a miserable little village with little available defenses save garden walls and a few cottages.It was a bright and cloudless morning.... Tuesday July 1,1690 (old calendar new calendar July 12) when The Battle of the Boyne was fought.James II: 25,000 men. Many raw levies- Ill armed./Short of Guns/.The Irish wore the white cockade-in honor of their French support. James also had some English, Germans and Dutch in his army. James did not fight himself, but, rather, left the leadership of his army entirely to his general : Sarsfield. Irish and French fought together.The Jacobites had taken up position on the south bank of the River Boyne to the West of Dundalk.Wiliam's assets included: 36,000 men/a composite army made up of-Danes, English, Dutch and French HugueWilliam's elite unit was the Dutch Blue Guards- They were Catholic! The men were highly drilled,and well armed with a strong artillery. The soldiers wore green sprigs. William's General was: Marshal Schomberg (William only spent 2weeks in Ireland) Marshal Schomberg (Protestant general once in service of France who left France when the Edict of Nantes was revoked four years before.) was 80 years old. William was suffering from a wound- While on a night reconnaissance he was shot in the shoulder blade by the enemy while parading ( as was his custom riding his horse in full regalia) -following the dressing of his wound William got back on his horse and further encouraged his troops!Wiliam deployed his forces on the northern Bank of the Boyne.A cannonade by both sides was launched and lasted for a day and a night before the battle. The night before William annoyed his generals by developing his own strategy. Schomberg was not pleased and returned to his tent mutterning that he had been more used to give such orders than to receive them.William was to order a direct frontal assault across the Boyne, while his right wing, lead by one of Schomberg's sons (Meinhard) was to march up river to the Slane toturn the enemy's left flank.James commanded Sarsfield to hold a body of horse in the rear for his escape.James did not listen to warnings that William would make flanking movement to cross the Boyne at Slane. He also did not accept offers of assistance from Louis XIV of sea and land power.Sunrise: Schomberg''s men were seen along the height going to make that flanking move.James orders his whole wing, part of center,six remaining guns to meet flanking division.Too late!- the enemy crossed the river William's army- almost exclusively foot soldiers marched ten abreast into the river. A hedge,building and breastwork fortification near the water held them back but the Dutch Blue Guards prevailed. The Irish foot fell back in confusion. The French cavalry attempted to save the day and had some success....Other fords were hotly contested. Low water-created other crossing points.One battalion of infantry held the ford at Oldbridge-it was attempted by William's men. For half a mile the Boyne was filled with thousands of armed men trying to get to the opposite bank. Schomberg took Oldbridge. Seven battalions went down to the help of the infantry. Two battalions of Irish Guards scattered them but cavalry went across another ford and attacked the infantry. Bravely responding to the threat of the French cavalry Schomberg left the bank from which he was watching and without armor rode into the battle. He cried to the French Hugenot troups around Him: Come on,gentlemen:there are your persecutors!" Schomberg was killed-The Death of SchombergBut William stepped in to take his place. Of William at the battle it was said: "one of the most remarkable pecullarities of his man, ordinarily so saturnine and reserved, was that dange acted on him like wine, opened his heart, loosened his tongue, and took away all appearance of constraint from his manner. On this memorable day he was seen wherever the peril was greatest. One ball struck the cap of his pistol: another carried off the heel of his jackboot; but his lieutenants in vain implored him to retire to some station from which he could give his orders without expo sing a life so valuable to Europe. His troups, animated by his example, gained ground fast.-Lord Macauley,History of England. William at the head of a contingent from Enniskillen said: "Gentlemen I have heard much of you. Let me see something of you." Cavalry was brought up to help battalions to retire-but then charged again and again 10 times. Then, holding back William's men they rejoined James.The battle raged all day. At 5 p.m. James left the field and at the end of the day the Irish were forced to retire-but in good order for the most part. It was in reality a drawn battle. Celebrated by a Te Deum in Catholic Vienna the battle began the end of Louis XIV in Europe and the downfall of the Old English Loyalist aristocracy (Catholic Norman with Gaelic survivors and later Elizabethan additions). In this way theoutcome of the battle in political terms was an exchange of aristocracies- the Protestant and Anglican ascendancy replaced the Old Irish and Catholic aristocracy. Gaelic culture was transferred from the highest ranks to the peasantry to be guarded there till its rediscovery in the 19th century. Importantly advances made in England in the development of a constitutional monarchy were protected from those who would wish to revive absolutism. This is of worldwide significance.For an important battle casualties were slight- fifteen hundred Jacobites and five Hundred Williamites. Due to William's weakened condition -fatigue from battle and his wound- the army failed to pursue the French and Jacobites. The Important thing was however was not that they were able to fight another day but that James had himself, been soundly defeated and was prepared to abandon the struggle and call his army off.James reached Dublin at 10:00 he had taken 200 men. Lady Tryconnell met him at Castle-gate. Upstairs she asked him what he would have for supper -He gave her an account of what a breakfast he had got which made him have little stomach for his supper . It is said that when he declared that the Irish army had run away she answered, "but Your Majesty won the race"The armies of James both Irish and French marched back in good order to Dublin. They rested and prepared to head out again. James railed at them and stated that the Irish had basely fled the field and he would never lead an Irish army again and advised the armies to submit to the Prince of Orange. He went to Waterford, took a ship to Kinsale and then to France. And with James left the threat of Absolutism to Ireland. James requested that the Irish surrender as they no longer had a chance. They did not do this and carried out a long war against England which they lost. As a result of this attack upon England ( and against the best wishes of William) Parliament implemented a tough set of penal laws against Catholics. This outcome was also a consequence of the role of the foreign Jesuit advisors and French Catholic influence which had instigated and supported James.It is surprising that to this day many Irish can not understand why it was that when Irish armies brought in foreign assistance (especially from Catholic entities to fight against England), that England punished Irish Catholics.History shows that the settlement at the treaty of Limerick ( which allowed the Irish army to go unharmed to France) was a rather mild one. Most soldiers who lost wars in the period did not usually survive the peace.Undoubtedly had James triumphed Ireland would have seen unparalleled religious intolerance and, its resources would have been taken to feed the armies of France. James also would have destroyed the Gaelic language and culture-he is on record as wanting to do so.Arguments of support for this Stuart tyranny should be closely re-examined as few merits for it are found in the historical record.Following the end of the war William called a parliament to safeguard Catholics "in particular as may preserve them from any disturbance upon the account of their saidreligion" but the Irish and English Landed classes remembering that William was called to reign but not to rule went forth with the Penal laws.。

杀虫剂和驱虫剂说明书

杀虫剂和驱虫剂说明书

2036 Pesticides and RepellentsBenomylBenomilo. Methyl 1-(butylcarbamoyl)benzimidazol-2-ylcar-bamate.C 14H 18N 4O 3 = 290.3.CAS — 17804-35-2.ProfileBenomyl is a fungicide used for the treatment and control of fun-gal plant diseases.◊ References.1.WHO. Benomyl. Environmental Health Criteria 148. Geneva:WHO, 1993. Available at: /documents/ehc/ehc/ehc148.htm (accessed 23/04/04)2.WHO. Benomyl health and safety guide. IPCS Health and Safety Guide 81. Geneva: WHO, 1993. Available at: /documents/hsg/hsg/hsg81_e.htm (accessed 23/04/04)T oxicity. Although experimental evidence in animals has sug-gested a possible link between benomyl and congenital eye de-fects (anophthalmia) the association could not be confirmed in humans.1-41.Gilbert R. “Clusters” of anophthalmia in Britain. BMJ 1993;307: 340–1.2.Bianchi F, et al. Clusters of anophthalmia. BMJ 1994; 308: 205.3.Kristensen P, Irgens LM. Clusters of anophthalmia. BMJ 1994;308: 205–6.4.Castilla EE. Clusters of anophthalmia. BMJ 1994; 308: 206.Benzyl BenzoateBencilo, benzoato de; Bensylbensoat; Bentsyylibentsoaatti; Benzil Benzoat; Benzil-benzoát; Benzilbenzoatas; Benzoato de bencilo;Benzoato de Benzilo; Benzoesäurebenzylester; Benzyl Benz.;Benzyl-benzoát; Benzyle, benzoate de; Benzylis benzoas; Benzylu benzoesan.C 6H 5.CO.O.CH 2.C 6H 5 = 212.2.CAS — 120-51-4.ATC — P03AX01.ATC Vet — QP53AX11.Pharmacopoeias. In Eur . (see p.vii), Int., Jpn, and US.Ph. Eur . 6.2 (Benzyl Benzoate). Colourless or almost colourless crystals, or a colourless or almost colourless oily liquid. F.p. is not below 17°. Practically insoluble in water; miscible with alco-hol, with dichloromethane, and with fatty and essential oils.Store in well-filled airtight containers. Protect from light.USP 31 (Benzyl Benzoate). A clear, colourless, oily liquid with a slight aromatic odour. Practically insoluble in water and in glycerol; miscible with alcohol, with chloroform, and with ether.Store at a temperature not exceeding 40° in well-filled airtight containers. Protect from light.Adverse Effects and T reatmentBenzyl benzoate is irritant to the eyes and mucous membranes and it may be irritant to the skin. Hypersensitivity reactions have been reported. If ingested, benzyl benzoate may cause stimula-tion of the CNS and convulsions. Systemic symptoms have been reported on excessive topical use. For poisoning associated with topical use the skin should be washed. Appropriate symptomatic measures should also be instituted.Uses and AdministrationBenzyl benzoate is an acaricide used in the treatment of scabies (p.2035) although other treatments are generally preferred. A 25% emulsion is applied to the whole body, usually from the neck down (although the BNF considers that application should be extended to the scalp, neck, face, and ears). If the application is thorough, one treatment may suffice, although the possibility of failure is lessened by a second application within 5 days. Al-ternatively, three applications at 12-hour intervals, without bath-ing, may be made, followed by bathing 12 hours after the last application. The BNF recommends one application to the whole body, repeated, without bathing, on the next day, and washed off24 hours later; a third application may sometimes be necessary.Benzyl benzoate is not generally recommended for infants and children, but if used the application should be diluted to mini-mise the risk of irritation, although this also reduces efficacy. Benzyl benzoate has also been used as a pediculicide. Benzyl benzoate is also used as a solubilising agent.PreparationsBP 2008: Benzyl Benzoate Application; USP 31: Benzyl Benzoate Lotion.Proprietary Preparations (details are given in Part 3)Austral.: Ascabiol; Benzemul; Braz.: Acarsan; Bencocan; Benzibel†; Ben-zin†; Benzoax; Benzoben†; Benzocan†; Benzolato†; Benzolina†; Benzolom†;Benzotisan; Miticocan; Parasimed; Pruridol; Sanasar; Sarnaton†; Sarnezan†;Sarnilab; Sarnodex; Scabenzil; Scabioid; Zilaben; Ger.: Acaril†; Acarosan†;Antiscabiosum; Gr.: Benzogal; Irl.: Ascabiol†; Israel: Scabiex; Ital.: Mom Lozione Preventiva; Mex.: Ansar; Hastilan; Pol.: Novoscabin; Port.: Acar-ilbial; Neo-Acarina†; Piozil; S.Afr.: Ascabiol; UK: Ascabiol; Venez.: Benzal-cor; Benzo-Bencil; Benzodit†; Niostal†.Multi-ingredient: Arg.: Anusol D uo S; Anusol-A; Arnecrem†; Bencil Scab; Detebencil; Hexabencil; Perbel; Permecil; Sapucai†; Scabioderm; Aus-tral.: Anusol; Belg.: Pulmex; Pulmex Baby; Braz.: Anusol-HC; Fr.: Allerbio-cid S†; Ascabiol; Sanytol†; Hong Kong: Anusol-HC†; Hung.: Novascabin;Irl.: Anugesic-HC; Anusol-HC; Ital.: Antiscabbia Candioli al DDT T erapeu-tico; Antiscabbia CM; Dekar 2; Prurex; Skab 2; Malaysia: Anucare; Anusol;NZ: Anusol; Pol.: Cetriscabin; S.Afr.: Anugesic; Singapore: Anusol;Spain: T ulgrasum Cicatrizante; Yacutin; Swed.: T enutex; Thai.: Anusol;UK: Anugesic-HC; Anusol-HC, Plus HC; Sudocrem; USA: Anumed;Anumed HC; Hemril; Venez.: Kertyol.Bioallethrin (BAN)Allethrin I; Bioaletrina; Depallethrin. (RS )-3-Allyl-2-methyl-4-oxo-cyclopent-2-enyl (1R ,3R )-2,2-dimethyl-3-(2-methylprop-1-enyl)-cyclopropanecarboxylate.C 19H 26O 3 = 302.4.CAS — 584-79-2.ATC — P03AC02.ATC Vet — QP53AC02.ProfileBioallethrin is a pyrethroid insecticide (see Pyrethrum Flower,p.2049). It is used topically, with the synergist piperonyl butox-ide (p.2049), in the treatment of pediculosis (p.2034). It is also used in anti-mosquito devices and for the control of household insect pests.◊ References.1.WHO. Allethrins. Environmental Health Criteria 87. Geneva:WHO, 1989. Available at: /documents/ehc/ehc/ehc87.htm (accessed 23/04/04)2.WHO. Allethrins health and safety guide. IPCS Health and Safe-ty Guide 24. Geneva: WHO, 1989. Available at: /documents/hsg/hsg/hsg024.htm (accessed 23/04/04)PreparationsProprietary Preparations (details are given in Part 3)UK: Actomite.Multi-ingredient: Arg.: Limpacid; Para Piojicida; Scabioderm; Austral.:Paralice†; Belg.: Para; Braz.: Sarnapen†; Canad.: Para†; Fr.: Para Special Poux; Ger.: Jacutin N; Spregal; Israel: Monocide; Ital.: Cruzzy; Neth.:Para-Speciaal.BrodifacoumBrodifacum; WBA-8119. 3-[3-(4′-Bromobiphenyl-4-yl)-1,2,3,4-tetrahydro-1-naphthyl]-4-hydroxycoumarin.C 31H 23BrO 3 = 523.4.CAS — 56073-10-0.ProfileBrodifacoum is an anticoagulant rodenticide. It is reported to be effective in warfarin-resistant strains of rodents.◊ References.1.WHO. Anticoagulant rodenticides. Environmental Health Criteria 175. Geneva: WHO, 1995. Available at: /documents/ehc/ehc/ehc175.htm (accessed 23/04/04)2.WHO. Brodifacoum health and safety guide. IPCS Health and Safe-ty Guide 93. Geneva: WHO, 1995. Available at: /documents/hsg/hsg/hsg093.htm (accessed 23/04/04)T oxicity. Brodifacoum, a second-generation anticoagulant ro-denticide, inhibits prothrombin synthesis to cause bleeding that may be occult.1 It is absorbed from the gastrointestinal tract; der-mal absorption is possible. Poisons containing 100mg in each kg of bait are not hazardous to man; more concentrated forms are particularly hazardous and their availability should be restricted.Baits, which should be prepared only by trained personnel,should contain a suitable marker-dye.There have been reports of poisoning with brodifacoum.2-101.WHO. Safe use of pesticides: ninth report of the WHO expert committee on vector biology and control. WHO Tech Rep Ser 720 1985. Av ai l a b l e a t : h t t p ://l i b d o c.wh o.i n t /t rs /WHO_TRS_720.pdf (accessed 21/07/08)2.Watts RG, et al. Accidental poisoning with a superwarfarin compound (brodifacoum) in a child. Pediatrics 1990; 86:883–7.3.Ross GS, et al. An acquired hemorrhagic disorder from long-acting rodenticide ingestion. Arch Intern Med 1992; 152:410–12.4.Kruse JA, Carlson RW. Fatal rodenticide poisoning with brodi-facoum. Ann Emerg Med 1992; 21: 331–6.5.Tecimer C, Yam LT. Surreptitious superwarfarin poisoning with brodifacoum. South Med J 1997; 90: 1053–5.6.Corke PJ. Superwarfarin (brodifacoum) poisoning. Anaesth In-tensive Care 1997; 25: 707–9. Rosa FG, et al. Brodifacoum intoxication with marijuana smoking. Arch Pathol Lab Med 1997; 121: 67–9.ler MA, et al. Rapid identification of surreptitious brodifa-coum poisoning by analysis of vitamin K-dependent factor ac-tivity. Am J Emerg Med 2006; 24: 383.9.Olmos V , López CM. Brodifacoum poisoning with toxicokinet-ic data. Clin Toxicol 2007; 45: 487–9.10.Kapadia P, Bona R. Acquired deficiency of vitamin K-depend-ent clotting factors due to brodifacoum ingestion. Conn Med 2008; 72: 207–9.BromadioloneBromadiolona. 3-[3-(4′-Bromobiphenyl-4-yl)-3-hydroxy-1-phe-nylpropyl]-4-hydroxycoumarin.C 30H 23BrO 4 = 527.4.CAS — 28772-56-7.ProfileBromadiolone is an anticoagulant rodenticide.◊ References.1.WHO. Anticoagulant rodenticides. Environmental Health Criteria 175. Geneva: WHO, 1995. Available at: /documents/ehc/ehc/ehc175.htm (accessed 23/04/04)2.WHO. Bromadiolone health and safety guide. IPCS Health and Safety Guide 94. Geneva: WHO, 1995. Available at: /documents/hsg/hsg/hsg094.htm (accessed 23/04/04)T oxicity. Bromadiolone, a second-generation anticoagulant ro-denticide, inhibits prothrombin synthesis to cause bleeding that may be occult.1 It is absorbed from the gastrointestinal tract; der-mal absorption is possible. Poisons containing 100mg in each kg of bait are not hazardous to man; more concentrated forms are particularly hazardous and their availability should be restricted.Baits, which should be prepared only by trained personnel,should contain a suitable marker-dye.There have been reports of poisoning with bromadiolone.2-51.WHO. Safe use of pesticides: ninth report of the WHO expert committee on vector biology and control. WHO Tech Rep Ser 720 1985. Av a i l a b l e a t : h t t p ://l i b d o c.w h o.i n t /t r s /WHO_TRS_720.pdf (accessed 21/07/08)2.Greeff MC, et al . “Superwarfarin” (bromodialone) poisoning in two children resulting in prolonged anticoagulation. Lancet 1987; ii: 1269.3.Chow EY , et al. A case of bromadiolone (superwarfarin) inges-tion. CMAJ 1992; 147: 60–2.4.Grobosch T, et al. Acute bromadiolone intoxication. J Anal Tox-icol 2006; 30: 281–6.5.Lo VM, et al. Bromadiolone toxicokinetics: diagnosis and treat-ment implications. Clin Toxicol 2008; 1–8.NHNOOCH 3ON H 3CNH OCO O CH 2CH 3OH 3C CH 3H 3COH 3C H H H*and epimer at c*OOHOBrOO OHOHBr。

chinadaily双语新闻:研究发现超重者死亡风险更低

chinadaily双语新闻:研究发现超重者死亡风险更低

英语资源频道为⼤家整理的china daily 双语新闻:研究发现超重者死亡风险更低,供⼤家学习参考:)New research shows that overweight or even mildly obese people have a lower risk of early death than people considered to be normal weight.最新研究表明,超胖或轻度肥胖者⽐正常体重者早逝风险更低。

Researchers examined the results of 97 studies. Most of the studies were less than 10 years old. They included almost three million adults from around the world, including the United States, Canada, China, Taiwan, Brazil, India and Mexico.研究⼈员检查了97项研究的成果,其中⼤多数研究是在10年之内完成的。

研究涵盖了来⾃世界各地的近300万成年⼈,其中包括美国、加拿⼤、中国、中国台湾、巴西、印度和墨西哥。

The researchers work at the National Center for Health Statistics, part of the United States Centers for Disease Control and Prevention.这些研究⼈员就职于美国疾病控制与预防中⼼下属的美国卫⽣统计中⼼。

They found that people who are considered overweight or slightly obese were five to six percent less likely to die from all causes than people of normal weight. People with higher obesity ratings, however, had almost a 30 percent greater risk of death compared to normal-weight individuals.他们发现,被认为超重或轻度肥胖者因各种原因死亡的可能性要⽐正常体重者低5%-6%。

糖尿病文献

糖尿病文献

• Components identified in LP extracts include flavonoids黄酮, ascorbicacid抗坏 血病维生素, beta-carotene胡萝卜素, anthocyanin花青素, phenols酚类, and total saponins皂苷
Materials and Methods
• 2.1. Preparation of Standardized Labisia pumila Aqueous Extract. • 2.2. Animal Care and Treatments. Wistar rats,exposed to dihydrotestosterone二氢 睾酮(DHT) from puberty to adult age to develop PCOS characteristics,After 7 wk of DHT exposure,PCOS-LP and PCOScontrol。
2.4. Cell Culture and Treatment.
• Mouse 3T3-L1 preadipocyte • Differentiation • >80% adipocyte differentiation, 3T3-L1 cells 100 g/mL of LP or 10 M rosiglitazone since day 0 • At day 9, adipocytes were incubated in lowglucose DMEM containing 2% fatty acid-free BSA , serum starved for 24 h. • day 10, the RNA and protein were extracted for further analysis
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Prostitution and Male Supremacyby Andrea DworkinCopyright © 1993, 1994 by Andrea Dworkin.All rights reserved.[Andrea Dworkin delivered this speech at a symposium entitled "Prostitution: From Academia to Activism," sponsored by the Michican Journal of Gender and Law at the University of Michigan Law School, October 31, 1992.]I'm very honored to be here with my friends and my peers, my sisters in this movement.I also feel an awful lot of conflict about being here, because it is very hard to think about talking about prostitution in an academic setting. It's really difficult.The assumptions of academia can barely begin to imagine the reality of life for women in prostitution. Academic life is premised on the notion that there is a tomorrow and a next day and a next day; or that someone can come inside from the cold for time to study; or that there is some kind of discourse of ideas and a year of freedom in which you can have disagreements that will not cost you your life. These are premises that those who are students here or who teach here act on every day. They are antithetical to the lives of women who are in prostitution or who have been in prostitution.If you have been in prostitution, you do not have tomorrow in your mind, because tomorrow is a very long time away. You cannot assume that you will live from minute to minute. You cannot and you do not. If you do, then you are stupid, and to be stupid in the world of prostitution is to be hurt, is to be dead. No woman who is prostituted can afford to be that stupid, such that she would actually believe that tomorrow will come.I cannot reconcile these different premises. I can only say that the premises of the prostituted woman are my premises. They are the ones that I act from. They are the ones that my work has been based on all of these years. I cannot accept--because I cannot believe--the premises of the feminism that comes out of the academy: the feminism that says we will hear all these sides year after year, and then, someday, in the future, by some process that we have not yet found, we will decide what is right and what is true. That does not make sense to me. I understand that to many of you it does make sense. I am talking across the biggest cultural divide in my own life. I have been trying to talk across it for twenty years with what I would consider marginal success.I want to bring us back to basics. Prostitution: what is it? It is the use of a woman's body for sex by a man, he pays money, he does what he wants. The minute you move away from what it really is, you move away from prostitution into the world of ideas. You will feel better; you will have a better time; it is more fun; there is plenty to discuss, but you will be discussing ideas, not prostitution. Prostitution is not an idea. It is the mouth, the vagina, the rectum, penetrated usually by a penis, sometimes hands, sometimes objects, by one man and then another and then another and then another and then another. That's what it is.I ask you to think about your own bodies--if you can do so outside the world that the pornographers have created in your minds, the flat, dead, floating mouths and vaginas andanuses of women. I ask you to think concretely about your own bodies used that way. How sexy is it? Is it fun? The people who defend prostitution and pornography want you to feel a kinky little thrill every time you think of something being stuck in a woman. I want you to feel the delicate tissues in her body that are being misused. I want you to feel what it feels like when it happens over and over and over and over and over and over and over again: because that is what prostitution is.Which is why--from the perspective of a woman in prostitution or a woman who has been in prostitution--the distinctions other people make between whether the event took place in the Plaza Hotel or somewhere more inelegant are not the distinctions that matter. These are irreconcilable perceptions, with irreconcilable premises. Of course the circumstances must matter, you say. No, they do not, because we are talking about the use of the mouth, the vagina, and the rectum. The circumstances don't mitigate or modify what prostitution is.And so, many of us are saying that prostitution is intrinsically abusive. Let me be clear. I am talking to you about prostitution per se, without more violence, without extra violence, without a woman being hit, without a woman being pushed. Prostitution in and of itself is an abuse of a woman's body. Those of us who say this are accused of being simple-minded. But prostitution is very simple. And if you are not simple-minded, you will never understand it. The more complex you manage to be, the further away from the reality you will be--the safer you will be, the happier you will be, the more fun you will have discussing the issue of prostitution. In prostitution, no woman stays whole. It is impossible to use a human body in the way women's bodies are used in prostitution and to have a whole human being at the end of it, or in the middle of it, or close to the beginning of it. It's impossible. And no woman gets whole again later, after. Women who have been abused in prostitution have some choices to make. You have seen very brave women here make some very important choices: to use what they know; to try to communicate to you what they know. But nobody gets whole, because too much is taken away when the invasion is inside you, when the brutality is inside your skin. We try so hard to communicate, all of us to each other, the pain. We plead, we make analogies. The only analogy I can think of concerning prostitution is that it is more like gang rape than it is like anything else.Oh, you say, gang rape is completely different. An innocent woman is walking down the street and she is taken by surprise. Every woman is that same innocent woman. Every woman is taken by surprise. In a prostitute's life, she is taken by surprise over and over and over and over and over again. The gang rape is punctuated by a money exchange. That's all. That's the only difference. But money has a magical quality, doesn't it? You give a woman money and whatever it is that you did to her she wanted, she deserved. Now, we understand about male labor. We understand that men do things they do not like to do in order to earn a wage. When men do alienating labor in a factory we do not say that the money transforms the experience for them such that they loved it, had a good time, and in fact, aspired to nothing else. We look at the boredom, the dead-endedness; we say, surely the quality of a man's life should be better than that.The magical function of money is gendered; that is to say, women are not supposed to have money, because when women have money, presumably women can make choices, and one of the choices that women can make is not to be with men. And if women make the choice not to be with men, men will then be deprived of the sex that men feel they have a right to. And if it is required that a whole class of people be treated with cruelty and indignity and humiliation, put into a condition of servitude, so that men can have the sex that they think they have a rightto, then that is what will happen. That is the essence and the meaning of male dominance. Male dominance is a political system.It is always extraordinary, when looking at this money exchange, to understand that in most people's minds the money is worth more than the woman is. The ten dollars, the thirty dollars, the fifty dollars, is worth much more than her whole life. The money is real, more real than she is. With the money he can buy a human life and erase its importance from every aspect of civil and social consciousness and conscience and society, from the protections of law, from any right of citizenship, from any concept of human dignity and human sovereignty. For fifty fucking dollars any man can do that. If you were going to think of a way to punish women for being women, poverty would be enough. Poverty is hard. It hurts. The bitches would be sorry they're women. It's hard to be hungry. It's hard not to have a nice place to live in. You feel real desperate. Poverty is very punishing. But poverty isn't enough, because poverty alone does not provide a pool of women for men to fuck on demand. Poverty is insufficient to create that pool of women, no matter how hungry women get. So, in different cultures, societies are organized differently to get the same result: not only are women poor, but the only thing of value a woman has is her so-called sexuality, which, along with her body, has been turned into a sellable commodity. Her so-called sexuality becomes the only thing that matters; her body becomes the only thing that anyone wants to buy. An assumption then can be made: if she is poor and needs money, she will be selling sex. The assumption may be wrong. The assumption does not create the pool of women who are prostituted. It takes more than that. In our society, for instance, in the population of women who are prostituted now, we have women who are poor, who have come from poor families; they are also victims of child sexual abuse, especially incest; and they have become homeless.Incest is boot camp. Incest is where you send the girl to learn how to do it. So you don't, obviously, have to send her anywhere, she's already there and she's got nowhere else to go. She's trained. And the training is specific and it is important: not to have any real boundaries to her own body; to know that she's valued only for sex; to learn about men what the offender, the sex offender, is teaching her. But even that is not enough, because then she runs away and she is out on the streets and homeless. For most women, some version of all these kinds of destitution needs to occur.I have thought a lot in the last couple of years about the meaning of homelessness for women.I think that it is, in a literal sense, a precondition, along with incest and poverty in the United States, to create a population of women who can be prostituted. But it has a wider meaning, too. Think about where any woman really has a home. No child is safe in a society in which one out of three girls is going to be sexually abused before she is eighteen. 1 No wife is safe in a society in which recent figures appear to say that one out of two married women has been or is being beaten. 2 We are the homemakers; we make these homes but we have no right to them. I think that we have been wrong to say that prostitution is a metaphor for what happens to all women. I think that homelessness really is that metaphor. I think that women are dispossessed of a place to live that is safe, that belongs to the woman herself, a place in which she has not just sovereignty over her own body but sovereignty over her actual social life, whether it is life in a family or among friends. In prostitution, a woman remains homeless. But there is something very specific about the condition of prostitution that I would like to try to talk about with you.I want to emphasize that in these conversations, these discussions about prostitution, we are all looking for language. We are all trying to find ways to say what we know and also to find out what we don't know. There is a middle-class presumption that one knows everything worth knowing. It is the presumption of most prostituted women that one knows nothing worth knowing. In fact, neither thing is true. What matters here is to try to learn what the prostituted woman knows, because it is of immense value. It is true and it has been hidden. It has been hidden for a political reason: to know it is to come closer to knowing how to undo the system of male dominance that is sitting on top of all of us.I think that prostitutes experience a specific inferiority. Women in general are considered to be dirty. Most of us experience this as a metaphor, and, yes, when things get very bad, when terrible things happen, when a woman is raped, when a woman is battered, yes, then you recognize that underneath your middle-class life there are assumptions that because you are a woman you are dirty. But a prostitute lives the literal reality of being the dirty woman. There is no metaphor. She is the woman covered in dirt, which is to say that every man who has ever been on top of her has left a piece of himself behind; and she is also the woman who has a purely sexual function under male dominance so that to the extent people believe that sex is dirty, people believe that prostituted women are dirt.The prostituted woman is, however, not static in this dirtiness. She's contagious. She's contagious because man after man after man comes on her and then he goes away. For instance, in discussions of AIDS, the prostituted woman is seen as the source of the infection. That is a specific example. In general, the prostituted woman is seen as the generative source of everything that is bad and wrong and rotten with sex, with the man, with women. She is seen as someone who is deserving of punishment, not just because of what she "does"--and I put does in quotes, since mostly it is done to her--but because of what she is.She is, of course, the ultimate anonymous woman. Men love it. While she is on her twenty-fourth false name--dolly, baby, cutie, cherry tart, whatever all the pornographers are cooking up this week as a marketing device--her namelessness says to the man, she's nobody real, I don't have to deal with her, she doesn't have a last name at all, I don't have to remember who she is, she's not somebody specific to me, she's a generic embodiment of woman. She is perceived as, treated as--and I want you to remember this, this is real--vaginal slime. She is dirty; a lot of men have been there. A lot of semen, a lot of vaginal lubricant. This is visceral, this is real, this is what happens. Her anus is often torn from the anal intercourse, it bleeds. Her mouth is a receptacle for semen, that is how she is perceived and treated. All women are considered dirty because of menstrual blood but she bleeds other times, other places. She bleeds because she's been hurt, she bleeds and she's got bruises on her.When men use women in prostitution, they are expressing a pure hatred for the female body. It is as pure as anything on this earth ever is or ever has been. It is a contempt so deep, so deep, that a whole human life is reduced to a few sexual orifices, and he can do anything he wants. Other women at this conference have told you that. I want you to understand, believe them. It's true. He can do anything he wants. She has nowhere to go. There is no cop to complain to; the cop may well be the guy who is doing it. The lawyer that she goes to will want payment in kind. When she needs medical help, it turns out he's just another john. Do you understand? She is literally nothing. Now, many of us have experiences in which we feel like nothing, or we know that someone considers us to be nothing or less than nothing, worthless, but for a woman in prostitution, this is the experience of life every day, day in and day out.He, meanwhile, the champion here, the hero, the man, he's busy bonding with other men through the use of her body. One of the reasons he is there is because some man has been there before him and some man will be there after him. This is not theory. When you live it, you see that it is true. Men use women's bodies in prostitution and in gang rape to communicate with each other, to express what they have in common. And what they have in common is that they are not her. So she becomes the vehicle of his masculinity and his homoeroticism, and he uses the words to tell her that. He shares the sexuality of the words, as well as the acts, directed at her, with other men. All of those dirty words are just the words that he uses to tell her what she is. (And from the point of view of any woman who has been prostituted--if she were to express that point of view, which it is likely she will not--the fight that male artists wage for the right to use dirty words is one of the sicker and meaner jokes on the face of this earth, because there is no law, no rule, no etiquette, no courtesy that stops any man from using every single one of those words on any prostituted woman; and the words have the sting that they are supposed to have because in fact they are describing her.) She's expendable. Funny, she has no name. She is a mouth, a vagina, and an anus, who needs her in particular when there are so many others? When she dies, who misses her? Who mourns her? She's missing, does anybody go look for her? I mean, who is she? She is no one. Not metaphorically no one. Literally, no one.Now, in the history of genocide, for instance, the Nazis referred to the Jews as lice and they said, we are going to exterminate them. 3 In the history of the slaughter of the indigenous people of the Americas, those who made policy said, they're lice, kill them. 4 Catharine MacKinnon talked earlier about gender cleansing: murdering prostitutes. She is right. Prostituted women are women who are there, available for the gynocidal kill. And prostituted women are being killed every single day, and we don't think we're facing anything resembling an emergency. Why should we? They're no one. When a man kills a prostitute, he feels righteous. It is a righteous kill. He has just gotten rid of a piece of dirt, and the society tells him he is right.There is also a specific kind of dehumanization experienced by women who are prostituted. Yes, all women experience being objects, being treated like objects. But prostituted women are treated like a certain kind of object, which is to say, a target. A target isn't any old object. You might take pretty good care of some objects that you have around the house. But a target you go after. You put the dart in the hole. That's what the prostitute is for. What that should tell you is how much aggression goes into what a man does when he seeks out, finds, and uses a prostituted woman.One of the conflicts that I feel about talking here, being here, is that I am afraid that anything I say that is even slightly abstract will immediately move everyone's mind off of the fundamental issue. And the fundamental issue is what is done to women who are in prostitution, what exactly prostitution is. But I have to risk that because I want to say to you that you can't think about prostitution unless you are willing to think about the man who needs to fuck the prostitute. Who is he? What is he doing? What does he want? What does he need? He is everyone. I want you to take one hour, on Monday. I want you to walk through your school, and I want you to look at every man. I want you to take his clothes off with your eyes.I want you to see him with a stiff prick. I want you in your mind to put him on top of a woman with money on the table next to them. Everyone. The dean of this law school, the professors, the male students, everyone. If you are going to the emergency room, I want you to do it. If you have a heart attack, I want you to do it with the intern who is taking care ofyou. Because this is the world that prostituted women live in. It is a world in which no matter what happens to you, there is another man who wants a piece of you. And if you need something from him, you have to give him that piece.Men who use prostitutes think they are real big and real brave. They're very proud of themselves--they brag a lot. They write novels, they write songs, they write laws--productive folk--and they have a sense that they are very adventurous and heroic, and why do they think that? Because they are predators who go out and hump women--they rub up against a woman who's dirty and they live to tell about it. Goddamn it. They live to tell about it. Unfortunately. Virtually all the time, no matter what they have done, no matter what harm they have done to her--they live to tell about it, sing about it, write about it, make television shows about it, make movies about it. I would like to say to you that these men are cowards, that these men are brutes, that these men are fools, that these men are able to do what they do because they have the power of men as a class behind them, which they get because men use force against women. If you want a definition of what a coward is, it's needing to push a whole class of people down so that you can walk on top of them. Societies are organized so that men have the power they need, to use women the way that they want to. Societies can be organized in different ways and still create a population of women who are prostituted. For instance, in the United States the women are poor, the women are mostly incest victims, the women are homeless. In parts of Asia, they were sold into slavery at the age of six months because they were females. That is how they do it there. It does not have to be done the same way in every place to be the same thing.Male dominance means that the society creates a pool of prostitutes by any means necessary so that men have what men need to stay on top, to feel big, literally, metaphorically, in every way; and yet men are our standard for being human. We say we want to be human. We say that we want them to treat us like human beings. In a male-dominant society, men are the human beings. I want to point out to you that we use the word human metaphorically. We are not talking about how men act. We are talking about an idea, a dream, a vision that we have, of what a human being is. We are saying that we do not want them stepping on top of us; we are also saying implicitly that they are not a good enough standard for what being human is because look at what they are doing to us. We cannot want to be like them because being like them means using people the way that they use people--for the sake of establishing one's importance or one's identity. I am saying that in part men are mythological figures to us when we talk about them as human beings. We are not talking about how men really behave. We are talking about the mythology of men as arbiters of civilization. This political movement involves understanding that the human qualities that we want in life with each other are not qualities that characterize the way men really behave.What prostitution does in a society of male dominance is that it establishes a social bottom beneath which there is no bottom. It is the bottom. Prostituted women are all on the bottom. And all men are above it. They may not be above it much but even men who are prostituted are above the bottom that is set by prostituted women and girls. Every man in this society benefits from the fact that women are prostituted whether or not every man uses a woman in prostitution. This should not have to be said but it has to be said: prostitution comes from male dominance, not from female nature. It is a political reality that exists because one group of people has and maintains power over another group of people. I underline that because I want to say to you that male domination is cruel. I want to say to you that male domination must be destroyed. Male domination needs to be ended, not simply reformed, not made a little nicer, and not made a little nicer for some women. We need to look at the role of men--reallylook at it, study it, understand it--in keeping women poor, in keeping women homeless, in keeping girls raped, which is to say, in creating prostitutes, a population of women who will be used in prostitution. We need to look at the role of men in romanticizing prostitution, in making its cost to women culturally invisible, in using the power of this society, the economic power, the cultural power, the social power, to create silence, to create silence among those who have been hurt, the silence of the women who have been used.We need to look at the role of men in creating a hatred of women, in creating prejudice against women, in using the culture to support, promote, advocate, celebrate aggression against women. We need to look at the role of men in creating a political idea of freedom that only they can actually have. Isn't that funny? What is freedom? Two thousand years of discourse and somehow it manages to leave us out. It is an amazingly self-serving monologue that they have had going here. We need to look at the role of men in creating political systems that subordinate women; and that means that we have to look at the role of men in creating prostitution, in protecting prostitution--how law enforcement does it, how journalism does it, how lawyers do it. We need to know the ways in which all those men use prostitutes and in doing so destroy the human dignity of the women.The cure to this problem is political. That means taking power away from men. This is real stuff; it is serious stuff. They have too much of it. They do not use it right. They are bullies. They do not have a right to what they have; and that means it has to be taken away from them. We have to take the power that they have to use us away from them. We have to take the power that they have to hurt us away from them. We have to take their money away from them. They have too much of it. Any man who has enough money to spend degrading a woman's life in prostitution has too much money. He does not need what he's got in his pocket. But there is a woman who does.We need to take away their social dominance--over us. We live in a tyranny of liars and hypocrites and sadists.Now, it will cost you to fight them. They have to be taken off of women, do you understand me? They need to be lifted up and off. What is intractable about prostitution is male dominance. And it is male dominance that has to be ended so that women will not be prostituted.You, you--you have to weaken and destroy every institution that is part of how men rule over women. And don't ask if you should. The question is how, not if. How? Do one thing, rather than spend your lives debating if you should do this or if you should do that and do they really deserve it and is it really fair? Fair? Is it really fair? Darlings, we could get the machine guns out tonight. Fair? We break our own hearts with these questions. Is it fair? Don't respect their laws. No. Don't respect their laws. Women need to be making laws. I hope that Catharine MacKinnon and I have set an example. We have tried to. There is no reason for any woman, any woman in the world, to be basically performing fellatio on the current legal system. But mostly that is what one is in law school to learn how to do.What I hope you will take away from here is this: that any vestige of sex hierarchy, any, will mean that some women somewhere are being prostituted. If you look around you and you see male supremacy, you know that somewhere where you cannot see, a woman is being prostituted, because every hierarchy needs a bottom and prostitution is the bottom of male dominance. So when you accommodate, when you compromise, when you turn a blind eye,you are collaborating. Yes, I know that your life is also at stake but yes you are collaborating, both things are true, in the destruction of another woman's life.I am asking you to make yourselves enemies of male dominance, because it has to be destroyed for the crime of prostitution to end--the crime against the woman, the human-rights crime of prostitution: and everything else is besides the point, a lie, an excuse, an apology, a justification, and all the abstract words are lies, justice, liberty, equality, they are lies. As long as women are being prostituted they are lies. You can tellS the lie and in this institution you will be taught how to tell the lie; or you can use your lives to dismantle the system that creates and then protects this abuse. You, a well-trained person, can stand with the abuser or with the rebel, the resister, the revolutionary. You can stand with the sister he is doing it to; and if you are very brave you can try to stand between them so that he has to get through you to get to her. That, by the way, is the meaning of the often misused word choice. These are choices. I am asking you to make a choice.Copyright © 1993, 1994 by Andrea Dworkin. All rights reserved. First published in Michigan Journal of Gender & Law, Vol I, 1993.。

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