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Most ankle sprain research is either false or clinically unimportant:A 30-year audit of randomized controlled trials
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作者 Chris M.Bleakley Mark Matthews James M.Smoliga 《Journal of Sport and Health Science》 SCIE 2021年第5期523-529,共7页
Background:Lateral ankle sprain is the most common musculoskeletal injury.Although clinical research in this field is growing,there is a broader concern that clinical trial outcomes are often false and fail to transla... Background:Lateral ankle sprain is the most common musculoskeletal injury.Although clinical research in this field is growing,there is a broader concern that clinical trial outcomes are often false and fail to translate into patient benefits.Methods:We audited 30 years of experimental research related to lateral ankle sprain management(n=74 randomized controlled trials)to determine if reports of treatment effectiveness could be validated beyond statistical certainty.Results:A total of 77%of trials reported positive treatment effects,but there was a high risk of false discovery.Most trials were unregistered and relied solely on statistical significance,or lack of statistical significance,rather than on interpreting key measures of minimum clinical importance(e.g.,minimal detectable change,minimal clinically important difference).Conclusion:Future clinical trials must adopt higher standards of reporting and data interpretation.This includes consideration of the ethical responsibility to preregister their research and interpretation of clinical outcomes beyond statistical significance. 展开更多
关键词 Ankle sprain False discovery MCID MDC
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视力减弱补偿率研究 被引量:4
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作者 汪岚 余丽萍 Judy Danley 《中国法医学杂志》 CSCD 2013年第4期338-340,共3页
视功能损伤是伤残评定常见内容之一,我国有关标准多采用损伤述明规定,而在法医伤残评定中,由于损伤复杂多样性,往往因有多个标准可适用,而出现鉴定意见不确定。国标GB/T 16180—2006《劳动能力鉴定职工工伤与职业病致残等级》(下称《... 视功能损伤是伤残评定常见内容之一,我国有关标准多采用损伤述明规定,而在法医伤残评定中,由于损伤复杂多样性,往往因有多个标准可适用,而出现鉴定意见不确定。国标GB/T 16180—2006《劳动能力鉴定职工工伤与职业病致残等级》(下称《工伤》标准)规范性附录A.8规定: 展开更多
关键词 法医临床学 残废等级 视力 视力减弱补偿率
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无晶体眼视觉损伤程度评价研究 被引量:2
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作者 汪岚 Judy Danley +1 位作者 余丽萍 丛广林 《中国法医学杂志》 CSCD 2013年第5期409-411,共3页
无晶体眼是眼部常见损伤之一,往往与其它功能损伤伴发,伤残评定较为复杂。目前我国司法鉴定界对此尚无一致认识,鉴定标准理解不一,影响了鉴定意见的科学性和公正性。笔者通过借鉴国外有关规定和经验,提出解读我国GB/T16180-2006... 无晶体眼是眼部常见损伤之一,往往与其它功能损伤伴发,伤残评定较为复杂。目前我国司法鉴定界对此尚无一致认识,鉴定标准理解不一,影响了鉴定意见的科学性和公正性。笔者通过借鉴国外有关规定和经验,提出解读我国GB/T16180-2006劳动能力鉴定职工工伤与职业病致残等级》(下称《工伤》标准)相关规定方法,为正确适用标准、妥善解决无晶体眼伤残评定提供参考方案。 展开更多
关键词 法医临床学 残废等级 视力 无晶体眼
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Leaf/shoot level ecophysiology in two broadleaf and two needle-leaf species under representative cloud regimes at alpine treeline
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作者 Adriana Sanchez Nicole M.Hughes William K.Smith 《Journal of Plant Ecology》 SCIE 2016年第6期762-772,共11页
Aims The effects of clouds are now recognized as critically important to the understanding of climate change impacts on ecosystems.Regardless,few studies have focused specifically on the ecophysiological responses of ... Aims The effects of clouds are now recognized as critically important to the understanding of climate change impacts on ecosystems.Regardless,few studies have focused specifically on the ecophysiological responses of plants to clouds.Most continental mountain ranges are characterized by common convective cloud formation in the afternoons,yet little is known regarding this influence on plant water and carbon relations.Here we compare the ecophysiology of two contrasting,yet ubiquitous growth forms,needle-leaf and broadleaf,under representative cloud regimes of the Snowy Range,Medicine Bow Mountains,southeastern Wyoming,USA.Methods Photosynthetic gas exchange,water use efficiency,xylem water potentials and micrometeorological data were measured on representative clear,overcast and partly cloudy days during the summers of 2012 and 2013 for two indigenous broadleaf(Caltha leptosepala and Arnica parryi)and two needle-leaf species(Picea engelmannii and Abies lasiocarpa)that co-occur contiguously.Important Findings Reductions in sunlight with cloud cover resulted in more dramatic declines in photosynthesis for the two broadleaf species(ca.50-70%reduction)versus the two conifers(no significant difference).In addition,the presence of clouds corresponded with lower leaf conductance,transpiration and plant water status in all species.However,the more constant photosynthesis in conifers under all cloud conditions,coupled with reduced transpiration,resulted in greater water use efficiency(ca.25%higher)than the broadleaf species.These differences appear to implicate the potential importance of natural cloud patterns in the adaptive ecophysiology of these two contrasting,but common,plant growth forms. 展开更多
关键词 gas exchange light response curves water use efficiency xylem water potential
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