曲美他嗪治疗心力衰竭患者的临床疗效

目的：探讨心力衰竭患者应用曲美他嗪治疗的临床疗效。方法将108例心力衰竭患者完全随机分为对照组和观察组,各54例。对照组患者行传统治疗,观察组患者在对照组基础上给予曲美他嗪治疗,比较两组患者的治疗效果。结果观察组患者治疗总有效率为96.3%,明显高于对照组的79.6%,两组比较差异有统计学意义（P＜0.05）;观察组患者不良反应发生率为11.1%,明显低于对照组的22.2%,两组比较差异有统计学意义（P＜0.05）。结论应用曲美他嗪治疗心力衰竭患者,临床效果明显,不良反应少。     

曲美他嗪治疗冠心病合并心力衰竭的临床疗效

目的：探讨曲美他嗪治疗冠心病合并心力衰竭患者的临床疗效。方法将40例冠心病合并心力衰竭患者随机分为两组，20例控制组患者给予常规治疗，20例试验组患者加用曲美他嗪治疗。比较两组患者的临床疗效。结果试验组患者临床治疗总有效率为95.0%，控制组患者总有效率为75.0%，试验组明显优于控制组，比较差异有统计学意义（P＜0.05）。结论曲美他嗪治疗冠心病合并心衰患者疗效确切。     

曲美他嗪联合地尔硫卓治疗心绞痛疗效分析

目的观察曲美他嗪与地尔硫卓联合治疗心绞痛的疗效。方法选取78例心绞痛患者随机分为治疗组和对照组,各39例。对照组给予常规抗心绞痛处理,治疗组在对照组的基础上,给予曲美他嗪片联合地尔硫卓片,观察治疗2周后心绞痛的发生次数、强度和心电图的变化。结果经过治疗后比较,治疗组总有效率为84.62%,对照组总有效率为66.67%,治疗组疗效明显高于对照组(P<0.05)。结论曲美他嗪联合地尔硫卓治疗心绞痛疗效显著,副作用较少,适合临床使用。     

阿托伐他汀与曲美他嗪联用治疗冠心病的临床疗效

目的探讨同时评价阿托伐他汀与曲美他嗪联用治疗冠心病(CHD)的临床治疗效果。方法我院在2011年6月至2012年3月共收治冠心病(CHD)患者86例,将该86例患者随机平均分为2组,即对照组和联合组各43例,2组患者均给予常规治疗(包括给予血管扩张药物、利尿剂、吸氧、钙拮抗剂、β-受体阻滞剂以及硝酸盐等);对照组患者单纯给予曲美他嗪,20mg/d,3次/d;联合组患者采用阿托伐他汀与曲美他嗪联用治疗,其中阿托伐他汀10mg/d,1次/d,曲美他嗪,20mg/d,3次/d;观察并记录对比2组患者治疗后的冠心病(CHD)患者临床症状的改善情况、临床有效率以及是否存在不良反应等。结果 :①治疗后,联合组患者在胸闷、胸痛、乏力以及心悸等等方面的临床症状改善情况明显优于对照组,2组差异具有统计学意义(P<0.05);②治疗后,联合组显效22例、有效18例、无效3例、总有效率93.0%;对照组显效18例、有效17例、无效8例、总有效率81.4%,2组患者临床有效率差异显著,具有统计学意义(P<0.05);③在治疗过程中和完成之后,2组患者均出现了不良反应,其中联合组失眠1例,呕吐1例,恶心1例,对照组失眠1例,呕吐2例,2组患者不良反应方面的差异不显著,没有统计学意义(P>0.05)。结论阿托伐他汀与曲美他嗪联用治疗冠心病拥有更加确切的临床疗效,并且不良反应与单纯采用曲美他嗪治疗差距不大,建议在临床推广使用。     

曲美他嗪治疗稳定型心绞痛的疗效观察

目的分析观察曲美他嗪治疗稳定型心绞痛的临床疗效。方法随机将56例稳定型心绞痛患者分为对照组和治疗组,对照组给予常规治疗,治疗组在对照组的基础上加用曲美他嗪,两个疗程后,观察两组患者的治疗效果。结果经过2个疗程的治疗后,治疗组与对照组均能减少心绞痛发作,但治疗组明显优于对照组,两组比较差异有显著性（P〈0.05）。结论曲美他嗪治疗稳定型心绞痛疗效确切,可有效改善心绞痛症状,值得临床推广应用。     

复方丹参滴丸联合曲美他嗪治疗不稳定型心绞痛临床疗效观察

目的探讨复方丹参滴丸联合曲美他嗪治疗不稳定型心绞痛的临床疗效。方法将80例不稳定型心绞痛患者随机分为两组各40例,对照组给予常规治疗,治疗组在对照组的基础上加用复方丹参滴丸和曲美他嗪治疗,对照临床疗效。结果治疗组的总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论复方丹参滴丸联合曲美他嗪治疗不稳定型心绞痛疗效较好,值得临床推广应用。     

曲美他嗪联合体外反搏治疗慢性心力衰竭的疗效及对转化生长因子-β1与结缔组织生长因子的调节作用

目的探讨曲美他嗪联合体外反搏治疗慢性心力衰竭的疗效及对转化生长因子-β_(1)(TGF-β_(1))、结缔组织生长因子(CTGF)的调节作用。方法选取2020年3月至2022年1月济南市第五人民医院收治的慢性心力衰竭患者90例作为研究对象,采用随机数字表法分为对照组与观察组各45例。两组均给予利尿、强心及扩张血管等常规治疗,对照组在其基础上增加体外反搏治疗,观察组在对照组基础上增加曲美他嗪治疗。比较两组临床疗效,治疗前后心率、收缩压、舒张压、心功能指标、血清TGF-β_(1)及CTGF水平,同时观察治疗前后的Lee氏心衰评分及明尼苏达州心功能不全生命质量量表(MLHFQ)评分。结果观察组治疗有效率明显高于对照组,治疗后与对照组相比左室舒张末期内径(LVDd)、左室收缩末期内径(LVDs)、左心房内径(LAD)降低,左室射血分数(LVEF)、左室流出道最大血流速度(VLOVT)较高,TGF-β_(1)、CTGF较低,Lee氏心衰评分及MLHFQ评分较低,差异有统计学意义(P<0.05)。结论曲美他嗪联合体外反搏治疗慢性心力衰竭,可有效改善患者的心功能,调节TGF-β_(1)及CTGF水平,确保提高患者的整体治疗效果以及生命质量。     

卡维地洛联合依那普利治疗风湿性心脏病合并慢性心力衰竭疗效观察

目的观察卡维地洛联合依那普利治疗风湿性心脏病合并慢性心力衰竭的临床疗效。方法选取2011年3月～2013年2月我院收治的风湿性心脏病合并慢性心力衰竭的84例患者为研究对象,按随机数字表法分为对照组和观察组各42例,对照组给予依那普利治疗,观察组在其基础上加用卡维地洛治疗,观察两组的疗效。结果治疗6个月时,对照组总有效率78.57%;观察组总有效率95.24%,观察组疗效明显优于对照组(P<0.05);观察组治疗后的LVEF、6MWD水平高于对照组,差异均有统计学意义(P<0.05)。结论卡维地洛联合依那普利可改善风湿性心脏病合并慢性心力衰竭临床症状,改善患者心功能,抑制心室重构,且不良反应少,值得推广应用。     

依那普利联合螺内酯治疗充血性心力衰竭疗效观察

目的：探讨依那普利联合螺内酯治疗充血性心力衰竭的临床疗效。方法选取2010年6月至2012年6月我院收治的80例患者,经临床诊断均为充血性心力衰竭,随机分为两组。对照组患者给予常规治疗,观察组患者在常规治疗基础上给予依那普利联合螺内酯治疗,观察两组患者治疗效果。结果观察组患者治疗总有效率明显高于对照组（P＜0.05）;两组患者治疗后心率（HR）、左心室射血分数（LVEF）和左心室舒张末期内径（LVEDD）均有明显变化,观察组患者变化水平明显优于对照组（P＜0.05）。结论针对充血性心力衰竭,临床采用依那普利联合安体舒通治疗,患者心功能明显改善,安全性较高。     

缬沙坦治疗慢性心力衰竭临床疗效分析

目的探讨缬沙坦治疗慢性心力衰竭的临床疗效。方法将92例慢性心力衰竭患者分为两组,对照组45例给予常规治疗,治疗组47例于常规治疗基础上给予缬沙坦治疗。结果治疗组、对照组总有效率分别为93.62%、68.89%,治疗组总有效率较高,治疗后LVESD、LVEDD下降更明显,LVEF上升更明显,两组差异有统计学意义(P<0.05)。结论对慢性心力衰竭患者给予缬沙坦治疗,可提高疗效,有效改善心功能,值得推广。     

John Stuart Mill's Theory Of Justice

John Stuart Mill has traditionally been portrayed as self-contradictory and failing to construct a unified social theory. Recent scholarship, however, has challenged this view, finding Mill's work to be creatively synthetic in bridging the antinomies inherent in liberal democratic thought. This revisionist interpretation of Mill is advanced by an understanding of his theory of justice and its role in shaping his policy positions on issues such as welfare, education, voting rights, property rights, taxation, government intervention, and the future of capitalism.     

A Rich Vein for “Reality Mining”北大核心CSSCISSCI

Arik Hesseldahl In the aftermath of the September 11 attacks, U.S. officials quickly turned their attention to other potential targets, including California's Golden Gate Bridge. What would happen if terrorists took down the bridge between San Francisco and Marin County? How much of the region would be affected and for how long?     

John Stuart Mill's Theories of Wealth and Income Distribution

Although he was much influenced by David Ricardo when he wrote the classical part of his Principles , John Stuart Mill was not a Ricardian when he penned his theories of wealth and distribution. They are based on a triple foundation. First, a belief that economics is a moral discipline. Second a theory of custom-driven human behavior. Third, an empirically formed conviction that the institutions of state, education and business cooperate to structure the distribution of income. On the basis of these presuppositions, Mill formulated 1) an institutional theory of the formation of human and non-human wealth and 2) an even more institutional theory of distribution demonstrating how the aforementioned institutions malignantly skew the distribution of income to the advantage of the propertied classes and to the extreme disadvantage of the working class. As a social economist, Mill recommended institutional reforms designed to eradicate the poverty of the working class.     

中国养活自己能力的长期预测:技术和政策分析

中国拥有世界五分之一强的人口 ,收入又在迅速增长。因此 ,国际上很自然地会考虑或推测她在今后的几十年是否有能力养活自己。中国的人口预计将从 2 0 0 0年的 1 2 8亿增长到 2 0 2 0年的 1 4 6亿 ,和 2 0 3 0年的 1 4 9亿。与此同时 ,人均收入的增长将导致对家畜和鱼类产品更大的需求 ,因而对饲料的需求也将有很大的增长     

Toward a Phylogenetic Reconstruction of Organizational Life

Synopsis Classification is an important activity that facilitates theory development in many academic disciplines. Scholars in fields such as organizational science, management science and economics and have long recognized that classification offers an approach for ordering and understanding the diversity of organizational taxa (groups of one or more similar organizational entities). However, even the most prominent organizational classifications have limited utility, as they tend to be shaped by a specific research bias, inadequate units of analysis and a standard neoclassical economic view that does not naturally accommodate the disequilibrium dynamics of modern competition. The result is a relatively large number of individual and unconnected organizational classifications, which tend to ignore the processes of change responsible for organizational diversity. Collectively they fail to provide any sort of universal system for ordering, compiling and presenting knowledge on organizational diversity. This paper has two purposes. First, it reviews the general status of the major theoretical approaches to biological and organizational classification and compares the methods and resulting classifications derived from each approach. Definitions of key terms and a discussion on the three principal schools of biological classification (evolutionary systematics, phenetics and cladistics) are included in this review. Second, this paper aims to encourage critical thinking and debate about the use of the cladistic classification approach for inferring and representing the historical relationships underpinning organizational diversity. This involves examining the feasibility of applying the logic of common ancestry to populations of organizations. Consequently, this paper is exploratory and preparatory in style, with illustrations and assertions concerning the study and classification of organizational diversity.     

Information infrastructure: Who builds broadband networks?

This paper examines the essential difference between the U.S. and Japan, when one considers information infrastructure. There are seven perception gaps between the U.S. and Japan concerning Information Infrastructure policies. These gaps must be understood in order to compare the countries' governmental policies in this area. In looking at the present circumstances, the essential question to answer concerns who is to build, own and operate the network(s) of the infrastructure. Liberalization is certain to be a central factor in the ongoing telecommunications debates. Now that customers have had a taste of the liberalized market-place, the movement toward more open markets will be difficult to stop. When considering options, it is necessary to pay close attention to standardized network access and the increasingly important role software plays. These issues are causing us to take a new approach to the traditional role played by regulators. They also force a closer look at the appropriate structure of utility companies. This paper addresses the above issues in hopes of stimulating dialog on the new telecommunications infrastructure paradigm.     

海岛地区产业演替及资源基础分析--以舟山群岛为例

改革开放以来,舟山市产业构成发生了显著变化,其经济发展过程可以划分为三个阶段。1992年前,是以产业结构渔业占绝对地位的单一结构阶段;1993—1998年,以旅游业为主的第三产业快速发展阶段;上世纪末以来,又进入了新一轮的经济发展时期,即工业产值比重快速增加阶段。根据海岛的自然资源基础和特点,在新世纪的经济发展过程中,舟山市应定位为生态型的港口旅游城市。以港口及临港工业为主导,以海岛旅游和海洋经济为特色,大力发展第二产业和第三产业。海岛地区的主导产业应体现海岛资源优势及区位优势,以集群性环保型产业为主。同时由于海岛地区淡水资源缺乏,主导产业也应着重选择低耗水型产业。     

风险视角下企业治理结构和研发创新——基于委托代理模型的研究

本文基于委托代理模型,从风险的视角研究企业治理结构对研发创新能力的影响。本文构建了一个包含创新活动的委托代理模型进行理论分析,利用动态DEA 模型测算创新能力,并使用2015-2018年我国上市制造业企业数据进行实证检验。实证部分检验了理论结论:委托代理问题不利于企业提升研发创新能力,且客观风险和主观风险厌恶会加剧该负面影响。基于此,本文认为上市企业应根据企业自身研发活动特点有针对性地改善企业治理结构,提出了适当延长代理人任期、推动股权激励计划、提升代理人的风险承担能力等建议。     

生物群落结构原型的仿生学模拟

模拟生命系统管理规律的科学即管理仿生学,是知识时代仿生学研究的新领域与前沿.基于模拟生物群落结构规律的研究目的,采用仿生学模拟的研究方法,以生物群落结构为原型,建立了仿生群落结构模型.结论为:垂直结构、水平结构、时间结构与交错区结构是支持生物群落生命活动的结构规律,以该规律为原型,推理建立了仿生分层结构、仿生优化结构、仿生动态结构与仿生相邻结构,四种仿生结构分别侧重于管理资源的分层管理、局部优化管理、动态过程管理、相邻关系管理,该模型为建立类似生物群落的人造管理系统即仿生群落管理系统提供了仿生结构模型.可以预测,该模型具有广泛的应用价值,能够推动管理仿生学的发展.