华蟾素肝动脉栓塞治疗对中晚期原发性肝癌患者生存质量的影响

目的 评估肝动脉华蟾素注射液栓塞治疗对中晚期肝癌患者生存质量的影响。方法 将80例中晚期原发性肝癌患者随机分为治疗组和对照组，每组40例。两组患者均采用肝动脉栓塞术治疗，治疗组和对照组患者分别给予华蟾素注射液和表阿霉素注射液灌注。治疗前及TAE术后6周，分别采用美国东部肿瘤协作组ZPS评分标准（Eastern Cooperative Oncology Group, Zubrod-ECOG-WHO, ZPS）、中文版FACT-Hep量表（Functional Assessment of Cancer Therapy-Hepatobiliary, FACT-Hep）评价患者的生存质量。结果 两组治疗前ZPS评分、FACT-Hep量表各维度评分及总分比较，差异均无统计学意义(P>0.05)。TAE术后6 d，治疗组ZPS评分显著改善(P<0.01)；治疗后6周，治疗组FACT-Hep量表各维度评分及总分均显著高于对照组(P<0.05，或P<0.01)。结论 华蟾素注射液肝动脉给药联合碘油栓塞治疗方案可改善中晚期肝癌患者生活质量。     

Why is it taking so long to move down the road?: Creating a regional border agreement in the DMV as an alternative for the Interstate Compact on the Placement of Children

The Interstate Compact on the Placement of Children (ICPC) is an agreement between all 50 states and the District of Columbia governing the process of placing a foster child out of state. Notorious for its long wait times and system backlog, the ICPC presents a host of problems for children attempting to move mere minutes across state lines to be with a relative or kin placement instead of state foster care. In an effort to make this process smoother, 18 different “border agreements” have been adopted by several neighboring states across the U.S. Such border agreements give temporary placement licenses to relatives and kin while the ICPC process is ongoing. While this is a good start towards a solution, the ICPC could be further streamlined if border agreements were used more widely, especially in regional contexts. This article considers the possibility of such a regional agreement between the District of Columbia, Maryland, and Northern Virginia (known as the “DMV”). By comparing and contrasting two existing border agreements in these three jurisdictions, a regional DMV border agreement can be created implementing the best terms of both agreements.     

冷战时期东南亚地区安全复合体:产生、演进与建构

研究东南亚地区安全复合体的产生、发展的演进历程,是我们把握冷战时期东南亚地区安全格局演变的关键主线,也是了解同期地区主义与区域安全之间互动关系的重要途径。安全复合体的出现为开展地区安全合作创造了条件,也是安全区域主义发展的起点。冷战时期东南亚地区安全复合体在构建过程中遵循了安全连续统一体的演进规律,地区安全结构经历了从冲突竞争为基调到对话合作为主旋律的显著变化。东盟国家一方面借此调解和缓和地区国家间的矛盾冲突,达到团结和整合地区安全力量的目的;另一方面试图通过推动"地区中立化"的安全机制,实现冷战两极体系下东南亚地区安全格局的平衡和稳定。从寻求"共同安全"到地区"合作安全"的最终建构,东盟把一个分裂对抗的东南亚逐步发展过渡成为一个团结互助、相互依存,愿意为了地区和平、稳定和发展而共同奋斗的发展中国家地区主义合作典范。同时,冷战时期培育"合作型"安全复合体的实践培养了东盟国家间的政治安全互信,增强了对地区的认同,这为冷战后东盟地区安全结构向更高一级的"安全共同体"升级打下了坚实的基础。