简介:Afterthe1992UNConferenceonEnvironmentandDevelopmentinRiodeJaneiro,theconceptofsustainabledevelopmenthasbeenwidelyrecognizedallovertheworld.Morethan100countries,includingChina,haveadoptedsustainabledevelopmentstrategiesaccordingwiththeirownsituations.For20years,
简介:Thispapersummarizes,fromaglobalperspective,themajorprogressintheimplementationoftheAgenda21sincetheUNConferenceonEnvironmentandDevelopment.Theresultsshowthatglobaleconomyhasachievedasubstantialgrowth,andpositiveprogresshasbeenmadeinpovertyeradication,urbanization,andconservationandintensiveuseofnaturalresources.However,relevantinternationalconventionsandcommitmentshavenotyetbeencompletelyfulfilled.Thepaperfurtheranalyzesthecurrentmajorchallengesandfuturetrendsofglobalsustainabledevelopment.Itisarguedthattherearethreemajorchallenges:1)fatalglobalenvironmentalissuesposinganincreasingthreattohumansurvival;2)moreandmoresevereglobalcompetitionfordevelopingspaces;and3)issueshighlightingglobalpeople'slivelihood.Therearefourtrendsofglobalsustainabledevelopment:1)sustainabledevelopmentwillfurtherturnfromconceptintoglobalaction;2)greenwillbethemaintrendofglobaldevelopment;3)emergingdevelopingcountrieswillbecomethemaindrivingforceofglobalsustainabledevelopment;and4)internationalrelationsinthefieldofsustainabledevelopmentwillturntocompetitiveco-operation.
简介:摘要目的探讨急性胃穿孔的治疗方式的选择及治疗疗效。方法选取2008年2月~2011年11月于我院治疗的急性胃穿孔患者21例,对患者病情进行评估后2例采取保守治疗,11例采取单纯性穿孔缝合术,8例采取胃大部切除术,将21例患者治疗效果进行统计分析。结果经治疗,2例保守治疗患者均治愈出院,未出现死亡及复发;11例单纯性穿孔修补术治疗患者治愈出院10例,由于穿孔出现腹腔感染导致多脏器功能衰竭死亡1例;8例胃切除手术治疗患者7例治愈出院,1例由于穿孔面积过大,上消化道出血感染,导致多脏器功能衰竭死亡。结论急性胃穿孔患者早期诊断,选择合适的治疗方式对患者的临床疗效具有重要作用。
简介:摘要目的探讨外科手术治疗胃癌的临床疗效和应用价值。方法回顾性分析2009-2011年间在我院实施外科手术治疗胃癌的21例患者的临床治疗资料。结果本组21例原发性胃癌患者经手术治疗后,发生ICU重症感染而死亡病例数为1例,发生率为4.76%;手术后产生并发症的患者数为4例,发生率为19.05%;所有患者术后随访1年、2年、4年的生存率依次为66.78%,41.64%,35.32%。结论采用外科手术是胃癌的首选治疗,良好的预后取决于患者的身体状况、病理类型和适当的手术方法。临床手术根据患者自身状况、病变位置和病理情况选择最佳的术式,严格把握手术的各个环节,可大大提高手术成功率。