勇于较真碰硬 注重推动实效——一次成功的半年进度通报的做法与启示

决策落实进度通报是决策督查工作中的一个关键环节,定期办好进度通报对于提示领导、帮促基层推动落实具有十分重要而有效的作用。1996年7月初,我们不失时机地将市委、市政府20件要事上半年进度作了全面、客观、准确的通报,对存在的问题及其原因作了深刻剖析,引起了市委、市政府主要领导的高度重视,分别对下一步工作做了具体明确的批示。随后,各级采取系列措施将领导批示变成了实实在在推动工作的实际行动。此举所引起的震动和影响很大,效果极为显著。

广东省印发《财政支农资金到位考评奖励办法》

为贯彻落实《农业法》,确保全省农业投入稳步增长和资金及时到位,近日,广东省向下制定印发了《财政支农资金到位考评奖励办法》。办法规定:支农支出年终调整预算(不含上级追加数,下同)的增长幅度高于财政经常收入的增长幅度,或支农支出年终调整预算数占当年财政总支出12％以上;支农两类支出上半年进度达到55％以上,前三季度达到85％以上;

黄河上中游地区必须加快水土保持治理步伐

目前黄河上中游地区自然灾害仍很频繁，群众生活虽有所提高，但低于全国同期平均水平，严重的水土流失仍制约着当地经济的发展，现有措施量和治理进度已不能适应当前国民经济和社会发展的需要，加快该区水土保持治理步伐势在必行。通过治理进度的纵横对比及政策和劳力分析，认为影响该区进度的一个重要因素是投入严重不足，只要国家加大投入及多形式、多渠道筹集资金，全国水土保持规划纲要中提出“九五”期间年进度．２．９％的目标是完全可行的。

Progression from low-grade dysplasia to malignancy in patients with Barrett's esophagus diagnosed by two or more pathologists

AIM To evaluate annual incidence of low grade dysplasia(LGD) progression to high grade dysplasia(HGD) and/or esophageal adenocarcinoma(EAC) when diagnosis was made by two or more expert pathologists.METHODS Studies evaluating the progression of LGD to HGD or EAC were included. The diagnosis of LGD must be made by consensus of two or more expert gastrointestinal pathologists. Articles were searched in Medline, Pubmed, and Embase. Pooled proportions were calculated using fixed and random effects model. Heterogeneity among studies was assessed using the I2 statistic. RESULTS Initial search identified 721 reference articles, of which 53 were selected and reviewed. Twelve studies(n = 971) that met the inclusion criteria were included in this analysis. Among the total original LGD diagnoses in the included studies, only 37.49% reached the consensus LGD diagnosis after review by two or more expert pathologists. Total follow up period was 1532 patient-years. In the pooled consensus LGD patients, the annual incidence rate(AIR) of progression to HGD and or EAC was 10.35%(95%CI: 7.56-13.13) and progression to EAC was 5.18%(95%CI: 3.43-6.92). Among the patients down staged from original LGD diagnosis to No-dysplasia Barrett's esophagus, the AIR of progression to HGD and EAC was 0.65%(95%CI: 0.49-0.80). Among the patients down staged to Indefinite for dysplasia, the AIR of progression to HGD and EAC was 1.42%(95%CI: 1.19-1.65). In patients with consensus HGD diagnosis, the AIR of progression to EAC was 28.63%(95%CI: 13.98-43.27). CONCLUSION When LGD is diagnosed by consensus agreement of two or more expert pathologists, its progression towards malignancy seems to be at least three times the current estimates, however it could be up to 20 times the current estimates. Biopsies of all Barrett's esophagus patients with LGD should be reviewed by two expert gastroenterology pathologists. Follow-up strict surveillance programs should be in place for these patients.

更新服装设计的思维功能

当今,世界时装设计正迅速发展,时装之苑色彩纷呈,争奇斗妍。随着我国改革开放的不断深入,国际时装新潮汹涌澎湃,吸收、消化、创新、发展已成为我们更新设计观念,进入国际大循环的有效方法之一。而设计观念的更新是出产品、出效益。