柴胡疏肝散联合质子泵抑制剂治疗胃食管反流病临床研究

目的 观察柴胡疏肝散联合质子泵抑制剂（proton pump inhibitors, PPIs）治疗胃食管反流病的临床疗效。 方法 纳入212例胃食管反流病患者,分为糜烂性食管炎（erosive esophagitis, EE）和非糜烂性反流病（non-erosive reflux disease, NERD）两组,每组106例,所收集患者均符合中医肝胃郁热证诊断。EE组和NERD组再各自随机分为治疗组和对照组,每组53例。治疗组给予柴胡疏肝散加PPIs,对照组给予PPIs,疗程均为8周。治疗后通过反流诊断问卷（reflux diagnostic questionnaire, RDQ）了解患者症状及发作频率的改善情况,并在治疗结束4周后随访复发情况。 结果 共198例（占93.4%）患者按方案完成治疗。治疗8周末,4组患者RDQ评分均较治疗前降低（P<0.05）。停药4周末,4组患者RDQ评分均较治疗8周末上升,但均低于治疗前（P<0.05）。在EE患者和NERD患者中,治疗组患者治疗8周末和停药4周末的RDQ评分均低于对照组（P<0.05）。结论 柴胡疏肝散联合PPIs能显著改善肝胃郁热型胃食管反流病患者的症状,疗效明显优于单用PPIs,且能减少停药后的复发。     

Mitigating the Risk to Primitive Accumulation: State-building and the Logging Boom in Solomon Islands

Abstract

In recent years, various forms of inter/transnational state-building have become increasingly common as a way of managing the perceived risk posed by dysfunctional governance in so-called fragile states to Western security. In Solomon Islands, the Australian government has led a robust and expansive regional intervention, designed to build the capacity of the Solomon Islands government and bureaucracy to provide more effective governance. Dominant approaches to state-building link state failure with a failure of development and typically involve considerable efforts to promote economic development through the establishing of institutional structures seen to be supportive of liberal markets. Though economic activity has expanded considerably in Solomon Islands following the initial 2003 intervention, much of this has occurred in the unsustainable logging industry, whose expansion is reliant upon primitive accumulation. Therefore, to the extent that the Regional Assistance Mission to Solomon Islands' (RAMSI) state-building programmes have supported market-led growth, they have unwittingly acted to mitigate the risk to primitive accumulation. However, the logging boom occurring on RAMSI's watch is likely to lead to future social and political instability, either as a result of resource-depletion or due to bottom-up forms of social conflict around the destruction of local habitats.     

刑事涉案财物的处理原则与价值取向

对刑事涉案财物的处置是一个规范行为,应当由法律作出明确且无误的规范。但由于理论研究的深度与广度的双重影响,致使法律的相关规定失于疏漏,也因此使得办案机关在于法无据的情况下各想奇招、各自为政,有的做法甚至违背了国家的法治精神。其实,对刑事涉案财物的处置还是一个价值行为,因为在其背后隐藏着许多不为人知的利益需求和价值取向。只有把这些内容一一揭露出来,我们才能正确理解对刑事涉案财物的处置原则,才能为立法提供必要的理论支撑。     

从中医体质角度认知酒精性肝病

酒精性肝病的形成与湿热体质相关,湿热内蕴贯穿于酒精性肝病进展过程,在此基础上,不同的病程阶段有不同的特征表现.调节湿热内蕴体质是酒精性肝病中西医结合防治的重要策略.     

Creating Surplus Labour: Neo-Liberal Transformations and the Development of Relative Surplus Population in Indonesia

ABSTRACT

Many among the world’s population are surplus to the requirements of capital accumulation. These are people who become engaged in precarious employment both in rural and urban contexts and those who are involuntarily unemployed. Their presence has been particularly acute in “peripheral countries.” Mainstream economic literature explains this in terms of the dual labour market, where it is argued that surplus labour will eventually disappear with market-led economic development. Contrary to this explanation, this article argues, using Marx’s concept of relative surplus population (RSP), that under the existing neo-liberal framework such labour vulnerability is continually being created. This article charts the developmental history of Indonesia and demonstrates that the growth of RSP is an outcome of a neo-liberal transformation which favours capital accumulation at the service of global markets. Neo-liberal adjustments shape the development of RSP in three related ways. First, the adjustments change class relations and transform state orientation. Second, the reconfiguration of class dynamics and the state shapes the model of accumulation. Third, the model of accumulation eventually affects the size of RSP. It is argued that the disconnection between the domestic agricultural development and industrialisation has contributed to the maintenance of a large RSP in Indonesia.     

试析拉祜族原始宗教与伦理道德的关系

拉祜族的原始宗教与其传统的伦理道德有着密切的关系,伦理道德中的不少内容都是由原始宗教中的信仰、禁忌所构成的,伦理道德的传承和维系也大多由原始宗教中的神秘力量来控制.在建设社会主义精神文明的今天,我们应处理好原始宗教与建设现代伦理道德的关系,改造和废除落后、腐朽的内容,弘扬和提升有益的、积极的内容.     

Drug booms and busts: poverty and prosperity in a Nicaraguan narco-barrio

Abstract

The income generated by the drug economy can often be substantial for the different parties involved, even at the lowest rung of this illicit trade. Yet the drugs trade is also a notoriously volatile activity, meaning that drug-related prosperity is highly prone to boom-and-bust cycles. Drawing on ongoing longitudinal ethnographic research in urban Nicaragua, this article explores the consequences of the cyclical nature of the drugs trade, tracing its unequal patterns of capital accumulation, as well as what happened to those who benefited from the drug economy when it became more exclusive and then subsequently moved on elsewhere.     

Capital Accumulation,Hegemony and Socio-ecological Struggles: Insights from the ENTITLE Project

This special issue presents findings and reflections of scholars who participated in the European Network of Political Ecology (ENTITLE). By mobilising conceptual frameworks from several strands of Marxist and post-structuralist theory—and empirically engaging with a range of historico-geographical processes—the articles in this issue contribute to debates in political ecology in two main ways. First, they critically analyse the political economy and ecology of contemporary capitalism, with an emphasis on accumulation strategies associated with the uneven expansion and crisis of neoliberalism. Specifically, they unpack and critically extend the frameworks of “accumulation by dispossession” and “nature's neoliberalisation” to engage with, among other cases, the political ecology of “austerity” in Southern Europe; historical and contemporary cases of “capital-driven disasters”; and political ecological dynamics taking place around relationships of “rent”. Second, the authors of this special issue analyse new and re-emerging forms of socio-ecological resistance and contestation, including both distributional struggles and movements against “commons' enclosures”. Moreover, they focus on how struggles can (and do) move from contesting capitalist forms of dispossession towards creating alternative “hegemonic” projects and blocs, by critiquing received “common sense” and constructing and performing alternative political ecological imaginaries informed by principles of solidarity and “commoning”. Taken together, the articles in this special issue present new ways of thinking and enacting political and ecological struggles outside established scholarly traditions and conventional disciplines.     

Housing prices and wealth inequality in Western Europe

Abstract

Comparative political economy (CPE) has robustly examined the political and institutional determinants of income inequality. However, the study of wealth, which is more unequally distributed than income, has been largely understudied within CPE. Using new data from the World Income Database (WID), this article examines how economic, political and institutional dynamics shape wealth-to-income ratios within Western European and OECD countries. It is found that the political and institutional determinants that affect income inequality have no short- or long-run effects on the wealth-to-income ratio. Rather, the rise in wealth-to-income ratios is driven by rising housing prices, as well as price changes in other financial assets, not home ownership or national saving rates. The article concludes by examining how the changing dynamics of housing prices and wealth inequality will increasingly shape intergenerational – and associated class-based – political conflict in Western Europe.