简介:FormulatingtheGSDRFormulatingtheGSDR(globalsustainabledevelopmentreport)isoneoftheimportantachievementsinitiatedbythe"Rio+20"summit,andithasreceivedworldwideattention.Nowadays,theinternationalcommunityhasmadeapreliminaryconsensusontheorientation,keyfocuses,frameworks,andtimescheduleofGSDR.But,therearestillgreatdivergencesintherelationshipbetweenGSDRandSDGs/post-MDGs(sustainabledevelopmentgoals/post-2015developmentagenda),theGSDRorganizationalmodel,andwhethercountrieswritingtheirownnationalsustainabledevelopmentreportornot.AfterreviewingthewholeprocessofformulatingGSDR,somerecommendationsforwritingGSDRfromtheChineseperspectiveareproposed.TheGSDRreportshouldbeascience-basedandpolicy-making-orientedassessmentreport.TheGSDRshouldfocusonthepriorityareasthatSDGs/post-MDGshavealreadyidentifiedascorefields."Limitedinnumber,easytoquantify,anduniversallyapplicable"comprehensiveassessmentindicesofsustainabledevelopmentshouldbeproposed.AGSDRinternationalworkinggroupofexpertsshouldbeestablished.Countriesshouldbeencouragedtoformulatethe"NationalSustainableDevelopmentReport"accordingtotheirowndomesticpractices.GSDRshouldbeintegratedwiththehigh-levelpoliticalforum(HLPF).Meanwhile,somesuggestionsonChina’sparticipationintheGSDRprocessarealsoproposed.China’s2030mid-termandlong-termnationalsustainabledevelopmentgoals(CSDGs)basedonboththeSDGs/post-MDGsanddomesticpracticeareproposed.Accordingtotheimplementationofnationalsustainabledevelopmentgoals,Chinashouldstarttheappropriateassessmentoftheprogressandregularlyreportonthenationalsustainabledevelopment.ChinesescientistsshouldbeencouragedtoactivelyparticipateintheprocessofGSDR.
简介:Sofar,theprogressinbothChinaandtheUnitedStatesinadoptingbatteryelectricvehicleshasbeenlessthanstellar.Andthat’stheopinionoftheUnitedStatesEnergySecurityCouncilwhichhasrecentlycompletedareportonhowthetwocountriescancollaborateonusingnewtechnologiestocleanupvehicleemissions.Thesectionthatconcernsushereisthatonvehicleelectrificationbecauseithasenormousimplicationsfortechnologymetals—especiallylithium,therareearthmagnetmetalsand,ofcourse,graphite.
简介:Renalcellcarcinoma(RCC)accountsforapproximately3%ofallcancercases.RCCsusuallymetastasizetothelungs,bones,liver,orbrain.Only<1%ofpatientswithbonemetastasesmanifestedclavicularRCCmetastases.Thus,clavicularmetastasisastheinitialpresentationofRCCisextremelyrare.WereportapatientwithRCCmetastasistotheleftclavicle,whichwasfirstpresentedwithpaincausedbyapathologicalfracture.Magneticresonanceimagerevealedarenaltumor,andtechnetium-99m–methylenediphosphonatebonescintigraphyshowedmultipleosseousmetastases.Thepatienteventuallyunderwentsurgerytoremovethelateralendoftheleftclavicleandrightkidney.Histopathologyrevealedrenaltumorandclearcellcarcinomaintheclavicle.Finally,wereview17casesofclavicularmetastasesoriginatingfromdifferentmalignancies.
简介:INTRODUCTIONPulmonaryarteriovenousfistula(PAVF)isararecongenitalpulmonaryvascularmalformationwiththeincidenceof2-3/100,000.Itistheabnormalcommunicationbetweenthepulmonaryarteryandpulmonaryvein.Theclinicalmanifestationsofthisdiseasearevarioussothatitiseasytobemisdiagnosed1.Atpresent,DSAisthegoldstandardforthediagnosisof
简介:Objective:Toreportascalatympanidrill-outtechniqueformanagingmalformedfacialnervecoveringtheentireovalwindow(OW).Methods:DatafromthreecaseswithOWatresia,malformedstapesandabnormalfacialnervecourseswerereported,inwhichascalatympanidrill-outtechniquewasemployedwithaTORPbetweenthetympanicmembraneandscalatympanifenestrationforhearingreconstruction.Results:Airconductionhearingimprovedintwoofthethreecasesfollowingsurgery.Inthethirdcase,therewasnoimprovementinairconductionhearingfollowingacanalwallupmastoidectomyandtympanoplasty.Therewerenovertigo,tinnitusorsensorineuralhearinglossinthethreecases.Conclusion:Thescalatympanidrill-outtechnique,whichisbasicallyfenestrationattheinitialpartofthebasalturn,providesachoiceinhearingreconstructionwhentheOWiscompletelycoveredbyabarrentlycoursedfacialnerve.
简介:Objective:Tostudythemainclinicalandhistopathologicalfeaturesof12patientswithHodgkin'slymphoma(HL)diagnosedprimarilyfrombonemarrow(BM)involvement.Methods:Weincluded12acquiredimmunodeficiencysyndrome(AIDS)patientswithHLassistedintheF.J.Mu?izInfectiousDiseasesHospitalsinceJanuary2002toDecember2013.ThediagnosisofHLwithprimaryBMinvolvementinpatientswasconfirmedbyclinical,histopathological,andimmunohistochemicalfindings.Results:Allpatientspresented'B'symptomsandpancytopenia.AllofthemhadstageIVneoplasmdiseasebecauseofBMinfiltration.ThemedianofCD4+T-cellcountswas114cells/μL,andmixedcellularity(MC)wasthemostfrequenthistopathologicalsubtypeof92%cases.Conclusion:Whenothercausesareexcluded,BMbiopsyshouldbeperformedinAIDSpatientswith'B'symptomsandpancytopeniatoevaluateBMinfiltrationbyatypicallymphocytes.
简介:Palliativeradiotherapy(pRT)isprimarilyemployedforpalliationofbonepaininpatientswithcastrate-resistantprostatecancer(CRPC).However,evidencethatpRTinfluencesprostate-specificantigenresponseinpatientswithCRPConsystemictherapyislacking.WedescribethreecasesofCRPCprogressingaftertreatmentwithdocetaxel(n=2)andabiraterone(n=1),whorespondedunusuallyafterpRTforbonepainwiththedevelopmentofasignificantbiochemicalresponseandrestorationofresponsetosystemictherapy.ThepossibilityofpRTinfluencingmetastaticdiseaseinCRPChasnotbeenpreviouslyreported,andraisesthepossibilityofradiation-inducedmodulationofanti-tumorimmuneresponsemechanismsthatmayplayaroleintherestorationofresponsetosystemictreatment.