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51.

通过探讨清代江西地区疫灾流行的时空特征、疫病类型及诱发原因,研究发现,清代江西疫灾频度为41.04%,且长期波动上升,并以夏、秋季流行为主;清代不同时期,江西疫灾流行渐趋严重,疫灾重心具有“一路向北”的迁移轨迹,疫灾分布受制于人口分布重心和自然灾害多发地的空间格局;清代江西疫病类型由单一向多样转变,传统疫病的影响开始让位于新型疫病,其中霍乱影响最大;自然灾害、气候变化、战争动乱是诱发清代江西疫灾流行的主要因素,且表现出“多-少-多”的变化路径。

  相似文献   
52.
评价和控制药物不良反应的认识与思考   总被引:1,自引:1,他引:0  
用科学的世界观和方法论指导药物不良反应的评价和控制。从药物不良反应的发生机制、临床表现、因果关系的判定原则出发,与马克思主义哲学的基本观点相结合,提出了几点认识和思考。药物治疗作用与副作用既对立又统一;药物治疗效应向毒性反应的转变是量变到质变的过程;药物过敏反应的发生是内因外因相互作用的结果;药物与不良反应联系强度的判定必须符合前因后果性;药物与不良反应联系强度的判定必须排除混杂因素的干扰,找到内在的、本质的联系。  相似文献   
53.
通过测定维持性透析患者血管通路血流量、Kt/V及尿素清除率(URR),利用自然辨证法中因果关系的复杂性探讨血流量与透析充分性之间的因果关系。选择维持性血液透析患者80例。设定血液透析开始后在线血流量,根据血流量不同分为三组,I组血流量300ml/min,Ⅱ组血流量250ml/min,Ⅲ组血流量200ml/min,计算各组Kt/V值与尿素减少率,观察血流量与Kt/V及尿素减少率之间的相关关系。三组之间Kt/V、URR比较P<0.001,差异均具有显著性;血流量与Kt/V、URR之间呈正相关(r1=0.448,P<0.001;r2=0.413,P<0.001;)随着血流量从300ml/min降到200ml/min,Kt/V、URR分别从1.33±0.33、(68.19±8.86)%降到0.99±0.31、(58.59±13.19)%。血液透析患者的血流量与Kt/V、URR密切相关,两者之间存在因果关系,较高的在线血流量是保证透析充分性的一项重要指标。  相似文献   
54.
    
Most of Spinoza’s arguments for God’s existence do not rely on any special feature of God, but instead on merely general features of substance. This raises the following worry: those arguments prove the existence of non-divine substances just as much as they prove God’s existence, and yet there is not enough room in Spinoza’s system for all these substances. I argue that Spinoza attempts to solve this problem by using a principle of plenitude to rule out the existence of other substances and that the principle cannot be derived from the PSR, as many claim.

Abbreviation: PSR: Principle of Sufficient Reason  相似文献   

55.
    
Abstract

Background: The social challenges that non-binary people experience, due in part to social intolerance and the lack of validation of non-binary gender identities, may affect the mental health and quality of life of this population. However, studies that have distinguished between non-binary and binary transgender identities are lacking.

Aim: To compare the mental health and quality of life of a community sample of non-binary transgender adults with controls (binary transgender people and cisgender people) matched on sex assigned at birth.

Method: A total of 526 participants were included. Ninety-seven were classified as non-binary and were compared with two control groups: 91 people classified as binary and 338 cisgender people. Only transgender people not on gender affirming hormone treatment or who had not undergone gender affirming surgery were included. Participants were invited to complete an online survey that included mental health and quality of life measures.

Results: Non-binary people reported significantly better mental health than binary transgender people, but worse than cisgender people. Overall, there were no significant differences in quality of life between non-binary and binary transgender participants assigned male at birth and transgender females, but non-binary assigned males at birth had better scores on the psychological and social domains of quality of life than transgender males. Quality of life was better across all domains in cisgender people than transgender groups.

Conclusion: There is an inequality with regard to mental health and quality of life between non-binary (and binary) transgender people and the cisgender population that needs to be addressed. The better mental health scores in non-binary people may reflect lower levels of body dissatisfaction among the non-binary population. Mental health problems and poor quality of life are likely to have social causes and hence legislative measures and broader government-led inclusive directives should be put in place to recognize and to validate non-binary identifying people.  相似文献   
56.
While gerontology and issues of aging are attracting more focus and scholarship, little has been done to examine the social constructions of old age as perception, particularly in historical contexts. We use data from gravestones and burial records (1870s–1950s) of a single, large, midwestern cemetery to examine those who were said to have died of old age or senility for patterned differences in the application of these labels. We then compare this labeled group with all others of the same age range in the cemetery for fundamental demographic differences that would explain the presence or absence of these elder-status labels. Though differences in patterns between and within groups were often small and not statistically significant, they are typically in the direction predicted, and contribute to some historical sense of old age as social construction.  相似文献   
57.
浅析颅脑肿瘤切除术后硬膜外血肿形成的原因及预防措施。回顾性分析本科室自2005年7月~2009年7月共计13例脑肿瘤术后硬膜外血肿发生的特点,所有病例血肿均发生于小脑幕上,其中7例位于额部,3例位于颞部,2例位于顶部,1例位于枕部;平均血肿量为(37.3±3.2)ml。脑肿瘤切除术后硬膜外血肿形成机制为多种原因所导致的颅内压及脑脊液动力学改变致硬脑膜与颅骨剥离有关。各环节采取相应预防措施及术后常规复查头颅CT是防治脑肿瘤术后非手术区域硬膜外血肿的关键。  相似文献   
58.
59.
傣医学的哲学基础多源于佛教哲学,其因果联系观就是基于佛教的缘起论观点建立起来的。傣医将此观点广泛用于对人体生命的认识,用以解释生命的产生,解释生理、病理,用于病因学及指导诊断、用药,还用于指导养生,是傣医学重要组成部分。  相似文献   
60.
Jack C. Carloye 《Zygon》1992,27(2):167-185
Abstract. Kant argues that any argument for a transcendent God presupposes the logically flawed ontological argument. The teleological argument cannot satisfy the demands of reason for a complete explanation of the meaning and purpose of our universe without support from the cosmological argument. I avoid the assumption of a perfect being, and hence the ontological argument, in my version of the cosmological argument. The necessary being can be identified with the creator of the universe by adding analogical mental relations. The creation of the universe is then shown to reflect modern scientific cosmology as well as stories and metaphors in the Eastern and Western religious traditions and to resolve the problem of evil.  相似文献   
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