China Society for Human Rights Studies Organizes Forum to Study and Implement Guidelines of 3rd Plenum of 18th CPC Central Committee

The China Society for Human Rights Studies （CSHRS） organized on Nov. 28 a forum to study and implement the guidelines of the third plenary session of the 18th Central Committee of the Communist Party of China （CPC）. Executive members of CSHRS and other CSHRS members in Beijing discussed improvement of judicial protection for human rights and legal construction in China. CSHRS President Luo Haocai, who was vice chairman of the 10th National Committee of the Chinese People＇s Political Consultative Conference, delivered a speech at the forum.

Implementation of International Society Guidelines on Chorionicity Determination in Twins:A Multi-Center Cohort Study in China's Mainland

Objective:Ultrasound determination of chorionicity is poor in early pregnancy in China.In an effort to increase the accuracy rate of prompt chorionicity determination,clinical training was provided to primary care physicians.This study assesses the effects of implementing clinical guidelines on chorionicity determination.Methods:A multi-centered cohort study was conducted between January 2014 and June 2017 in 12 hospitals without fetal medicine centers.In 2014,the obstetricians and ultrasound physicians were trained in clinical practice and ultrasound examination relating to chorionicity determination.Linear and binary regression analyses were conducted to identify the effects of introducing the new protocols,including the diagnosis rate of chorionicty and perinatal outcomes,taking the data from 2014 as a baseline.Pregnancy outcomes were additionally adjusted for maternal age.Results:During the period of this study,3,599 twin pregnancies from 12 centers were enrolled,and a total of 2,998 twin pregnancies were extracted.The rate of overall chorionicity determination,including antenatal and postpartum diagnosis,increased successively from 49.5% in 2014 to 93.5% in 2017(P<0.0001).The rate of ultrasonic chorionicity diagnosis before 14 weeks increased from 25.2% in 2014 to 65.0% in 2017(P<0.0001).These changes were associated with decreasing incidence of preterm birth,a lower risk of stillbirth,whether for one(P=0.0456 in 2016)or two fetuses(P=0.0470 in 2016;P=0.0042 in 2017)and a decreased rate of admission to neonatal intensive care unit(43.0% in 2014,37.4% in 2017;P=0.0032).Conclusions:The implementation of a clinical practice guideline improved both overall and early chorionicity determinations.Regular training workshops of antenatal care are recommended to further promote capability in clinical diagnosis and treatment.

Bleeding risk stratification in an era of aggressive management of acute coronary syndromes

Major bleeding is currently one of the most common non-cardiac complications observed in the treatment of patients with acute coronary syndrome(ACS). Hemorrhagic complications occur with a frequency of 1% to 10% during treatment for ACS. In fact, bleeding events are the most common extrinsic complication associated with ACS therapy. The identification of clinical characteristics and particularities of the antithrombin therapy associated with an increased risk of hemorrhagic complications would make it possible to adopt prevention strategies, especially among those exposed to greater risk. The international societies of cardiology renewed emphasis on bleeding risk stratification in order to decide strategy and therapy for patients with ACS. With this review, we performed an update about the ACS bleeding risk scores most frequently used in daily clinical practice.

Procedure for Delisting a Site From the World Heritage List： Is Delisting With Consent or Against the Wish of a State Party Possible？

As of 2015 （UNESCO, 2015）, the over-40-year-old Convention Concerning the Protection of the World Cultural and Natural Heritage （1972） has been ratified by 191 nations, making it a universal and internationally recognised instrument for the protection of cultural and natural heritage. In the meantime, 1007 World Heritage Sites have been inscribed on the World Heritage List （as of February 2015） and two sites have been delisted. This paper discusses the delisting procedure of a site from the World Heritage List based on the Operational Guidelines for the Implementation of the World Heritage Convention （henceforth OG）. First of all, the question of the possibility to delist a site from the World Heritage List, in general, is addressed. And based on this discussion, the necessity of the consent of the State Party to the WHC on whose territory the site to be delisted is located is then examined.