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中小企业内部运行机制的法律探究
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作者 杨淼 李迎芳 《大观周刊》 2011年第34期74-74,共1页
在今天较为宽松的政治和经济环境中,中小企业发展的根本出路在于改善和加强内部运行机制,而当前中小企业面临很多问题,致使目前市场上中小企业的运行机制混乱,国家宏观调控和法律规制出现的执行真空更加加剧这种局面的恶化。本文就... 在今天较为宽松的政治和经济环境中,中小企业发展的根本出路在于改善和加强内部运行机制,而当前中小企业面临很多问题,致使目前市场上中小企业的运行机制混乱,国家宏观调控和法律规制出现的执行真空更加加剧这种局面的恶化。本文就关于如何依法规范中小企业内部运行机制,促进中小企业的生存和发展提出了一些看法和建议。 展开更多
关键词 中小企业 内部运行机制 缺法症 律顾问制度
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Gluten sensitive enteropathy in patients with iron deficiency anemia of unknown origin 被引量:3
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作者 Farhad Zamani Mehdi Mohamadnejad +6 位作者 Ramin Shakeri Afsaneh Amiri Safa Najafi Seyed Meysam Alimohamadi Seyed Mohamad Tavangar Ardeshir Ghavamzadeh Reza Malekzadeh 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第48期7381-7385,共5页
AIM: To determine the prevalence of gluten sensitive enteropathy (GSE) in a large group of patients with iron deficiency anemia (IDA) of obscure origin. METHODS: In this cross-sectional study, patients with IDA of obs... AIM: To determine the prevalence of gluten sensitive enteropathy (GSE) in a large group of patients with iron deficiency anemia (IDA) of obscure origin. METHODS: In this cross-sectional study, patients with IDA of obscure origin were screened for GSE. Anti- endomysial antibody (EMA) and tissue transglutamin- ase antibody (tTG) levels were evaluated and duodenal biopsies were taken and scored according to the Marsh classification. The diagnosis of GSE was based on a positive serological test and abnormal duodenal histol- ogy. Gluten free diet (GFD) was advised for all the GSE patients. RESULTS: Of the 4120 IDA patients referred to our Hematology departments, 206 (95 male) patients were found to have IDA of obscure origin. Thirty out of 206 patients (14.6%) had GSE. The mean age of GSE pa- tients was 34.6 ± 17.03 (range 10-72 years). The female to male ratio was 1.3:1. Sixteen patients had Marsh 3,12 had Marsh 2, and 2 had Marsh 1 lesions. The sever- ity of anemia was in parallel with the severity of duode- nal lesions. Twenty-two GSE patients (73.3%) had no gastrointestinal symptoms. Fourteen GSE patients who adhered to GFD without receiving iron supplementation agreed to undergo follow up visits. After 6 mo of GFD, their mean hemoglobin levels (Hb) increased from 9.9 ± 1.6 to 12.8 ± 1.0 g/dL (P < 0.01). Interestingly, in 6 out of 14 patients who had Marsh 1/2 lesions (e.g. no villous atrophy) on duodenal biopsy, mean Hb increased from 11.0 ± 1.1 to 13.1 ± 1.0 g/dL (P < 0.01) while they did not receive any iron supplementation. CONCLUSION: There is a high prevalence (e.g. 14.6%) of GSE in patients with IDA of obscure origin. Gluten free diet can improve anemia in GSE patients who have mild duodenal lesions without villous atrophy. 展开更多
关键词 Gluten sensitive enteropathy Iron deficiency anemia Anti-Tissue transglutaminase antibody Anti-endomysial antibody Gluten free diet
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Efficacy observation of Zhi Shen Tiao Sui acupuncture method for depression after ischemic stroke 被引量:1
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作者 Zhi Yong Huo Xin-hui +1 位作者 Li Pan Hong Jue 《Journal of Acupuncture and Tuina Science》 CSCD 2021年第3期180-186,共7页
Objective To observe the clinical efficacy of Zhi Shen Tiao Sui(regulating the mind and marrow)needling in treating depression after ischemic stroke.Methods A total of 145 patients with depression after ischemic strok... Objective To observe the clinical efficacy of Zhi Shen Tiao Sui(regulating the mind and marrow)needling in treating depression after ischemic stroke.Methods A total of 145 patients with depression after ischemic stroke were recruited between January 2016 and January 2018 and divided into two groups using random number table method,with 72 cases in the control group and 73 cases in the observation group.The control group received conventional treatment for ischemic stroke and medication,while the observation group was given additional Zhi Shen Tiao Sui acupuncture.The two groups were treated for 4 successive weeks.Clinical efficacy was analyzed after treatment.The neurological function pertinent scores[Hamilton depression scale(HAMD),clinical neurological deficit score(CNDS),activities of daily living(ADL),Fugl-Meyer assessment scale(FMA)and Barthel index(BI)scores],as well as the levels of cortisol(CORT)and adrenocorticotropic hormone(ACTH)were recorded in the two groups.Adverse reactions that occurred during treatment were also observed.Results The clinical total effective rate was 82.2%in the observation group,significantly higher than 66.7%in the control group(P<0.05).After treatment,the HAMD and CNDS scores were markedly reduced in both groups(all P<0.05),and the ADL,FMA and BI scores were markedly increased(all P<0.05).The HAMD and CNDS scores were significantly lower in the observation group than in the control group after treatment(both P<0.05),and the ADL,FMA and BI scores were significantly higher in the observation group than in the control group(all P<0.05).The levels of CORT and ACTH declined significantly after treatment in the two groups(all P<0.05),and were markedly lower in the observation group than in the control group(both P<0.05).The adverse reaction rate was 2.7%in the observation group,versus 4.2%in the control group,and the between-group difference was statistically insignificant(P>0.05).Conclusion Compared with sole use of Western medication,medication combined with Zhi Shen Tiao Sui acupuncture can promote the recovery of neurological function,down-regulate the levels of CORT and ACTH and enhance the clinical efficacy in treating patients with depression after ischemic stroke,with a relatively high safety rating. 展开更多
关键词 Acupuncture Therapy Acupuncture Medication Combined COMPLICATIONS Ischemic Stroke DEPRESSION Activities of Daily Living Randomized Controlled Trial
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