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民国时期医患关系日趋紧张,因各种医疗纠纷而导致的中医药讼案经常发生,由此产生的医疗鉴定问题成为医界和司法界关注的焦点.民国中医界重视医疗鉴定权,反对由西医单方主导医疗鉴定,通过由职业团体、学术团体、医学院校等主体设立各类鉴定机构,力争保证医疗鉴定的专业性和客观性,不断提高鉴定水平. 相似文献
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Ni Dai Dingyao Xu Xiyao Zhong Li Li Qibo Ling Zhaode Bu 《Journal of thoracic disease》2014,6(5):564-567
We have entered an open access publishing era. The impact and significance of open access is still under debate after two decades of evolution. Open access journals benefit researchers and the general public by promoting visibility, sharing and communicating. Non-mainstream journals should turn the challenge of open access into opportunity of presenting best research articles to the global readership. Open access journals need to optimize their business models to promote the healthy and continuous development. 相似文献
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Simona Zaami Francesco Paolo Busardò Fabrizio Signore Nicola Felici Vito Briganti Giovanni Baglio 《The journal of maternal-fetal & neonatal medicine》2018,31(11):1412-1417
Aims: The aim of this study was to examine 24 cases of obstetric brachial plexus palsy (OBPP) in 41,002 deliveries occurred at San Camillo–Forlanini Hospital in Rome, during the period 2000–2012.Materials and methods: A population-based retrospective case-control study was designed and the database of the hospital was searched; for each case, maternal and fetal records were examined and some risk factors were evaluated.Results: A statistically significant association between the 24 cases OBPP and the following risk factors: primiparity (p?.014), birth weight (p?.002), maternal age (p?.02), diabetes (p?.03) and shoulder dystocia (p?.003) was found, moreover all the OBPP cases were recorded only in vaginal deliveries.Conclusions: The absence of OBPP cases in cesarean deliveries highlighted in this study supports the option of proposing an elective cesarean in the presence of known risk factors after a full disclosure with the mother of risks and benefits in order to obtain a valid consent. Furthermore, when cases of OBPP occur, communication between the physician and the parents of newborns is crucial and it may represent a valid risk-management tool to reduce malpractice lawsuits. 相似文献
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阐述了数字水印的定义、特性、分类与算法,并从版权保护、使用控制、注释、操作跟踪、内容认证、主页防护及隐蔽通信7方面探讨了数字水印技术在图书馆中的应用。 相似文献
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As a result of the expanded use of health-related quality of life (HRQL) measures in clinical trial research, a variety of legal and ethical issues have surfaced. These issues can be put in the form of the following questlons: (1) Under what circumstances should access to HRQL measures be restricted? (2) Under what circumstances is it appropriate for the developers of HRQL measures to assert their intellectual property rights to the instruments? (3) Under what circumstances is personal profit from the sale and use of HRQL measures legally and socially appropriate? Access to HRQL research is to be encouraged since this is necessary for this field to progress. However, the need for protection against misuse of ongoing work is real and may justify the assertion of intellectual property rights. HRQL measures developed entirely with public monles should remain in the public domain or be managed for the public good. Instruments developed with private funds or with a mix of public and private funds should be treated in a manner that refiects a fair balance between the rights of the private developer and those of the scientific community and the public. HRQL questionnaires are regularly being refined; such work is costly. Investigators continuing research directly related to instrument refinement might reasonably ask for compensation from those who wish to use their work. 相似文献
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Gelareh Sadigh Aryan Jalilvand Kush Singh Richard Duszak 《Journal of the American College of Radiology》2019,16(1):108-114
Objectives
The world’s largest scholarly literature pirate website, Sci-Hub, permits readers to bypass journal paywalls, thus facilitating no-cost copyright-infringing article downloads. We studied download characteristics of internationally pirated radiology journal articles.Methods
All download request events between September 2015 and February 2016 were retrieved from Sci-Hub’s public server logs. Focusing on high-impact factor radiology journals, we targeted uniquely identifiable diagnostic imaging and radiation oncology journals with a 2015 Thompson Reuters impact factor of ≥2. Pirated article download characteristics were assessed at the individual article, journal, and geographic level.Results
Of all 27,819,965 pirated article downloads, 105,075 (0.4%) were from 49 radiology journals with high impact factor. Total monthly radiology downloads ranged from 6,715 to 24,449. Downloads were most frequent for papers from Radiology (10,357 of 105,075; 9.9%), NeuroImage (10,121; 9.6%), and the International Journal of Radiation Oncology Biology (8,025; 7.6%). The most downloaded articles were published in European Radiology, RadioGraphics, and NeuroImage. By country, download requests were most frequent from China (17,975 of 105,075; 17.1%), India (7,969; 7.6%), and Iran (7,327; 7.0%), but on a per capita basis, were most common in Portugal (210.8 per 1,000,000 population), Chile (135.4), and Tunisia (113.8). Only 4,450 (4.2%) of download requests were from the United States.Conclusions
Copyright-infringing downloading of pirated radiology journal articles occurs frequently across the world and impacts nearly all top impact-factor journals. New publisher pricing and business models, akin to those for digital music, may be necessary to disincentivize pirating and ensure journal financial sustainability. 相似文献10.
【目的】提出大数据时代我国科技期刊发展的方向,为提升科技期刊竞争力提供有益借鉴。【方法】采用文献分析法系统分析我国科技期刊在大数据应用方面存在的问题,并结合抽象演绎法提出构建科技期刊大数据体系的方法。【结果】对科技期刊出版业来说,大数据不仅改变了出版流程,使其得到完全重构,也改变了传统的出版模式,使科技期刊在原始积累的基础上不断创新,催生出全新的发展道路。【结论】建议科技期刊从资源整合优化、完善知识内容标引、提供个性化精准服务、加强融媒体出版和加强版权及数据安全5个方面与大数据应用相结合,提升自身竞争力。 相似文献