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Echocardiographic Estimates of Right Ventricular Systolic Function in Dogs with Myxomatous Mitral Valve Disease
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E.H. Chapel B.A. Scansen K.E. Schober J.D. Bonagura 《Journal of veterinary internal medicine / American College of Veterinary Internal Medicine》2018,32(1):64-71
Background
Right ventricular (RV) dysfunction independently predicts outcomes in human myxomatous mitral valve disease (MMVD). There is limited information regarding RV systolic function in dogs with MMVD.Hypothesis
Right ventricular systolic function differs among stages of disease, decreasing in decompensated MMVD.Animals
Thirty‐sixclient‐owned dogs with MMVD not receiving oral cardiovascular medications.Methods
Prospective clinical study. Dogs were categorized according to disease severity as ACVIM Stage B1, B2, or C. Seven echocardiographic indices of RV systolic function were measured. Groups were compared by 1‐way ANOVA and Tukey's HSD test. Frequencies of cases with cardiac remodeling falling outside previously established reference intervals were compared using Fisher's exact test. Intra‐ and interobserver measurement variability was calculated for each RV function index.Results
The indices TAPSE (P = 0.029), RV StL (P = 0.012), and RV StRL (P = 0.041) were significantly different between groups. A greater proportion of B2 dogs (7 of 12) had TAPSE values above reference intervals compared with B1 (2 of 12) or C (2 of 12) dogs (P = 0.027). Measurement variability of TAPSE, RV S', and RV StG was clinically acceptable.Conclusions and Clinical Importance
Right ventricular systolic function differs between stages of MMVD, increasing in stage B2, and declining in stage C. The prognostic importance of RV function indices, particularly TAPSE, might be worth evaluating in dogs with MMVD. 相似文献2.
Diagnostic Value of Right Pulmonary Artery Distensibility Index in Dogs with Pulmonary Hypertension: Comparison with Doppler Echocardiographic Estimates of Pulmonary Arterial Pressure
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住宅问题是关系民生,关系社会和谐的关键问题。一方面,住宅权是一项基本人权,建立住房保障制度是政府的法律义务,政府应建立合理的住房保障制度,保障中低收入者“居者有其屋”;另一方面,建立住房保障制度要以实现社会正义为价值目标,在住房保障制度的设计中应遵循差别原则,调节社会和经济利益分配,将高收入者的一部分收入适当地转移给低收入人群,使处于住房最不利地位的贫困者能够尽可能大地获得住房利益。 相似文献
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集体林权流转主体若干问题研究——以福建集体林权制度改革为研究对象 总被引:1,自引:0,他引:1
在分析福建省实践中的林权流转主体范围的基础上,重点对主体之一的联户法律性质及其权利行使进行了探讨,并结合《物权法》的规定,指出林权证是确定林权主体资格的法律依据。 相似文献
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An integrated hydro-economic modelling framework to evaluate water allocation strategies II: Scenario assessment 总被引:2,自引:0,他引:2
Biju George Hector MalanoBrian Davidson Petra HellegersLuna Bharati Sylvain Massuel 《Agricultural Water Management》2011,98(5):747-758
In this paper the results of an assessment of the hydrological and economic implications of reallocating water in the Musi sub-basin, a catchment within the Krishna Basin in India, are reported. Policy makers identified a number of different but plausible scenarios that could apply in the sub-basin, involving; supplying additional urban demand from agricultural allocations of water, implementing a number of demand management strategies, changing the timing of releases for hydropower generation, changing the crops grown under irrigation, reducing existing stream flows and allowing for more environmental flows. The framework chosen to undertake this assessment was a simulation model that measures and compares the economic values of water allocation scenarios determined from a water allocation model that accounts for supplies of groundwater and surface water across a number of regions and over a variety of uses. Policy makers are provided with the range of measures on the security of the supply of water and the social costs and benefits of reallocating water between sectors and across regions within the sub-basin. Taking water from agriculture to supply urban users has a greater impact on irrigation supplies during dry years. It was also found that changing the allocation of water between sectors, by taking it away from agriculture had a large positive economic impact on the urban sector. Yet the costs involved in undertaking such a strategy results in a significant loss in the net present value of the scheme. Stream flow reductions, if significantly large (at around 20%), were found to have a large physical and economic impact on the agricultural sector. Implementing water saving strategies in Hyderabad was found to be more cost effective than taking water from agriculture, if rainwater tanks are used to achieve this. Changing the timing of hydropower flows resulted in best meeting of irrigation demand in NSLC and NSRC. Under this scenario, the crops grown under irrigation were found to have a significant economic impact on the sub-basin, but not as large as farmers undertaking crop diversification strategies, ones which result in farmers growing less rice. The security of supplying water to different agricultural zones has significantly improved under this scenario. Finally, releasing water for environmental purposes was found to have only a minor impact on the agricultural sector. 相似文献
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“三农”问题错综复杂,已经对中国全面建设小康社会和实现现代化形成“瓶颈”性制约。但其无论如何复杂,怎么变换,都离不开农民利益这个核心问题。关键是要坚持以人为本的科学发展观和统筹城乡发展的指导思想,充分认识农民利益的重要意义,树立综合全面的、整体协调的、区别对待的、脚踏实地的、可持续发展的、客观公正的、有制度保障的农民利益观,才能够实现好、维护好、发展好农民利益,从而推动“三农”问题的根本解决。 相似文献
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农村土地国有化是在我国现实基础上的最佳选择,制度转换的路径是:国家以法律形式宣布所有土地为国家所有,取消农村土地的集体所有,农民现在承包的土地使用权归农民,使用年限为40年,到期后所有土地由国家无偿收回. 相似文献
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新出台的《农民专业合作社法》规定了农民专业经济合作组织在市场经济中的行为,促进了农村经济走向规范化和法制化。但关于农民经济合作组织为何种法人,排除农民金融合作组织于合作领域之外是否合理,合作社的投资方式以及政府在这些关系中的定位等问题还存在一定的缺陷,须立法加以完善,文章对以上问题作了相关思考。 相似文献