Though sometimes too lazy to work as hard as her sisters, Linda has a more avid fondness for the limelight.



A.mercurial B.gallant C.ardent D.frugal

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  • IX. Forensic AppraisalAs a categorical matter, the science of Shaken Baby Syndrome (SBS) can no longer support a finding of proof beyond a reasonable doubt in triad-only (三联征) cases — cases which represent a significant number of SBS prosecutions. Put simply, here change has raised the real possibility of past error.In the past, the mere presence of retinal hemorrhaging, (视网膜出血) subdural hematoma (硬膜下血肿), and cerebral edema (脑水肿) was taken to mean that a baby had been shaken hard enough to produce what were conceptualized as whiplash forces. According to the conventional understanding of SBS, the application of rotational acceleration and deceleration forces to the infant’s head causes the brain to rotate in the skull. Abrupt deceleration allows continuing brain rotation until bridging veins are stretched and ruptured, causing a thin layer of subdural haemorrhage on the surface of the brain. Retinal hemorrhages were thought to result from a similar causal mechanism. Most significantly, the triad of symptoms was believed to be distinctly characteristic of violent shaking.Despite its lingering presence in the popular imagination, the scientific underpinnings of SBS have crumbled over the past decade as the medical establishment has deliberately discarded a diagnosis defined by shaking. Although no single nomenclature has emerged in its place, doctors are now in widespread agreement that SBS is an unhelpful characterization, and that the presence of retinal hemorrhages and subdural hematoma cannot conclusively prove that injury was inflicted.Although it may be tempting to conclude simply that science evolves, and leave the inquiry there, the story is more complex; an object lesson in scientific overreaching and the challenge of correction.A number of forces coalesced to transform SBS from a certain diagnosis into its current state of flux. Most importantly, in the mid- to late-1990s, medical research, including the SBS literature, became subject to a heightened level of scrutiny. The new evidence-based medicine standards required doctors to derive their research from methods that are scientific and statistically rigorous. The change triggered a review of the evidence supporting a number of areas of medicine, and included a comprehensive effort to examine the science underlying SBS.The application of the evidence-based framework to the SBS literature resulted in a remarkable determination: the medical literature published prior to 1998 contained inadequate scientific evidence to come to a firm conclusion on most aspects of causation, diagnosis, treatment, or any other matters pertaining to SBS.83. One learns from the paragraphs that SBS is ___.84. The presence of the following syndromes makes the doctors believe that a baby was shaken hard, except ___.85. According to the last paragraph, the following statement is NOT correct ___.86. One can foresee that after the recent research result based on evidence, ___.



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    问题2:
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