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41.
我国医疗体制改革是在中国农村和城市全面改革的大背景下进行的。中国改革取得成功的深层动因是允许个人功利的追求。这一背景也深刻影响到了医疗体制改革。医疗体制改革的重要趋向就是医院的市场化。市场化使得医院几乎成为单纯商业化运作的事业,因而市场正义成为医疗公正的取向。这是医疗改革失败的深层精神原因。走出这一困境就必须加大政府投入,使得医院从市场正义回归社会公平的正义;并在克服商业化倾向的同时,还需要有人道主义精神的重建。 相似文献
42.
The expansion of the organic sector in Brazil is seen as a leverage for the social emancipation of the small family farmers. Next to the traditional alternatives circuits of organic food and farming, new powerful capitalistic actors, such as supermarket chains, are rapidly entering the Brazilian organic arena. Can family farming benefit from the development of these “conventional” commercialisation circuits in the organic sector? Research undertaken in 2007, in a green belt rural community of São Paulo, shows how family farmers may have benefited from the implication of large retail chains in the organic sector and how an economically and ecologically outstanding agriculture may arise from these circumstances. However, we highlight the crucial role played by social regulation: only strong solidarity between farmers and the implication of technicians, militants and researchers in the process made it possible to counter the negative effects of the liberal logic governing the development of organic farming via the major retailers. Still, as tougher competition is expected on the regional organic market, the development of short supply chains involving “committed” consumers and the broader integration of the local farmers in networks of organic militancy appear crucial. It would guarantee a continuous enhancement of the local human and social capital, reinforce an emerging process of internal conversion and allow for a stronger social regulation of the future local development pattern. 相似文献
43.
在对Z大学中德合作2+3项目留德学生访谈的基础上,以差异性分析为视角,从教学组织、专业学习和校园生活三个纬度,分析了项目学生对两校园学习的差异性体验,并从文化价值、教育体制、教育投入方面探究其原因,提出了强化国际合作、提升师资能力水平、加大工程实训领域投入等对策。 相似文献
44.
倪靖 《南京林业大学学报(人文社会科学版)》2009,9(3):93-96
3G时代图书馆工作面临新的考验。为了应对这一革命性的冲击,高校图书馆要做好数字化的核心准备工作,逐步建立并完善例如“手机图书馆”的建设。一方面可以提高数字化图书的普及与使用率,另一方面也可以在演进的过程中确实保护高校的既得利益。 相似文献
45.
黄光鑫 《渝西学院学报(社会科学版)》2001,(3)
本文首先定义了三交系、三交系的扩充的概念 ,然后给出了一类三交系的构造方法 ,最后给出了该类三交系的规模的统一公式表示。同时 ,我们得到了一类特殊的三交系判定的充分必要条件 相似文献
46.
《1844年经济学哲学手稿》蕴涵着丰富的哲学思想,奠定了马克思主义哲学的理论基础。本文通过对其中的共产主义理论的分析,就共产主义的特征、科学内核以及存在的争论等问题进行了深入探讨,全面地展示了共产主义理论的思想内涵和现实意义。 相似文献
47.
R W Hart S C Freni D W Gaylor J R Gillette L K Lowry J M Ward E K Weisburger P Lepore A Turturro 《Risk analysis》1986,6(2):117-154
The Color Additives Scientific Review Panel considered whether there was information sufficient to perform a carcinogenic risk assessment on the colors D&C Red No. 19 (R-19), D&C Red No. 37 (R-37), D&C Orange No. 17 (O-17), D&C Red No. 9 (R-9), D&C Red No. 8 (R-8) and FD&C Red No. 3 (R-3) and to evaluate the assessments sent to FDA as part of the petitions for use of the colors for drug and external uses by the Cosmetic, Toiletry and Fragrance Association (CTFA). There is a lack of human data concerning the colors for making a human health assessment, so the assessments are based upon the extrapolation of animal data. The risk assessments are determined for exposure to single chemicals. Excluded from consideration are possible effects from exposure to multiple chemicals, such as co-carcinogenesis, promotion, synergism, antagonism, etc. In the light of recent efforts in establishing a consensus in risk assessment, the Panel has determined that the CTFA assessments for R-10, O-17, and R-9 are consistent with present acceptable usages, although it questions some of the assumptions used in the assessments. The Panel identified a number of general assumptions made, and discusses their validity, their impact on total uncertainty, and the potential options to address the gaps in understanding that necessitate the assumption. The Panel also derived revised risk estimates using more "reasonable" assumptions than "worst-case" situations, for 90th percentile and average exposure. For those assumptions that are easily quantifiable, the Panel's estimates are less than an order of magnitude lower than the CTFA risk estimates, indicating that the underestimates and overestimates of the CTFA risk estimates tend to balance each other. The impact of most of the assumptions is not quantifiable. The assessment for R-3 is complicated by the fact that there is no good skin penetrance study for this color. It was assumed that the penetrance is similar to that of another water-soluble xanthene color, R-19. It is expected that the absorption of the color is not likely to exceed that of the smaller molecule, R-19. Therefore, the risk estimates are similar to the CTFA estimates, but with different reasoning. The estimates for R-8 and R-37 are different from the others in that there is a lack of any exposure or toxicological information on these colors.(ABSTRACT TRUNCATED AT 400 WORDS) 相似文献
48.
本文首先讨论P3、P3e/c项目管理软件与企业管理信息系统集成的必要性和重要性,然后详细地介绍了采用RA引擎(OLE对象)技术来实现P3软件与企业管理信息系统的数据交换,以及与P3e/c交互的原理。分析P3、P3e/c在数据组织上的差异,提出解决方案。最后以实例讨论和分析了这种方法在实际系统中的应用。 相似文献
49.
杨晓莉 《吉林师范大学学报》2000,(2)
本文认为三十年代左翼作家柔石的代表作品《二月》,通过萧涧秋芙蓉镇之行的失败历程,从三个方面揭示出现实主义内涵:1.深刻地批判了二十年代小资产阶级知识分子的人道主义思想。2.批判了二十年代小资产阶级知识分子逃避现实的动摇性。3.指出反封建任务的长期性和艰巨性。 相似文献
50.
AbstractManagement consultants have become ubiquitous in helping improve organizational performance. This paper presents an investigation of the impact of their interventions on organizational sustainability and growth through the performance improvement work carried out for and with their clients. The paper presents the findings of a questionnaire survey of 440 respondents from 206 countries; 197 of respondents were Small and Medium Sized Enterprises (SMEs) and 243 from large organizations. There is a particular focus on knowledge transfer in terms of urgency and impact of the work with regard to the extent to which consulting interventions in SMEs, as well as large multinational corporations, embed long-term sustainability practices. 相似文献