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Cancer Drug Trials Often Halted Early An increasing number of clinical trials for new cancer treatments are being halted before the risks and benefits have been fully evaluated, say Italian researchers, who warn that this growing trend could put patients at risk of harm from new therapies rushed into use. The researchers looked at 25 randomized, controlled clinical trials that were stopped early because the treatments had started to show benefit to patients. 'When we analyzed 25 trials over a 10-year period between 1997 and 2007, we found a consistent increase in prematurely stopped trials—more than 50 percent were stopped within the last three years', study co-author Giovanni Apolone said at a news conference Tuesday. Of 14 trials halted early and published between 2005 and 2007, the researchers found that 11(79 percent) of them were used to support drug approval applications submitted to the European Medicines Agency and the U.S. Food and Drug Administration. 'This suggests a strong commercial component in stopping trials prematurely. In fact, this strategy could guarantee quicker access to the market for companies. On the other hand, a quicker clinical drug development may lead to an ' immature' benefit/risk balance of new drugs', Apolone said. He and his colleagues 'are aware that trials stopped early because they are showing benefit may result in identification of promising new treatments for patients. However, findings obtained following this strategy should be considered to be preliminary results that require subsequent confirmation'. It can take several years for the long-term benefits or harmful side effects of a new treatment to become apparent, Apolone noted, but the average duration(持续时间) of the 25 studies he and his colleagues analyzed was 30 months, with a range from 12 to 64 months. They also found that at the time five of the studies were stopped, they'd enrolled less than 40 percent of the total number of patients planned for final analysis. 'Clinical trials need to stop early for superior benefit whenever there's proof beyond reasonable doubt that the new treatment really is superior. That would be an ethical obligation', Stuart Pocock, a professor of medical statistics at the London School of Hygiene and Tropical Medicine in the United Kingdom, said at the news conference. 'However, too many trials are stopped early claiming efficacy(功效) without strong evidence being available'. The number of prematurely stopped clinical trials has increased recently.
A.
Right
B.
Wrong
C.
Not mentioned
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【多选题】关于税款征收,下列说法正确的是:()。
A.
税务机关应当加强对税款征收的管理,建立健全责任制度。
B.
税务机关根据保证国家税款及时足额入库,方便税务机关征税,降低税收成本的原则,确定税款征收的方式。
C.
税务机关应当将各种税收的税款、滞纳金、罚款,按照国家规定的预算科目和预算级次及时缴入国库。
D.
税务机关不得占压、挪用、截留,不得缴入国库以外或者国家规定的税款帐户以外的任何帐户。
【单选题】关于税款征收,下列说法正确的是:()
A.
税务机关应当加强对税款征收的管理,建立健全责任制度。
B.
税务机关根据保证国家税款及时足额入库,方便税款入库,降低税收成本的原则,确定税款征收的方式。
C.
税务机关应当将各种税收的税款,按照国家的预算科目和预算级次及时缴入国库。
D.
已缴入国库的税款、滞纳金、罚款,税务机关不得擅自变更预算科目和预算级次。
【简答题】税务机关应当加强对税款征收的管理,建立健全(),并根据保证国家税款及时()入库,()纳税人,()税收成本的原则,确定税款征收的方式。
【单选题】糖皮质激素诱发和加重感染的主要原因是
A.
病人对糖皮质激素不敏感
B.
糖皮质激素用量不足
C.
糖皮质激素能直接促进病源微生物繁殖
D.
糖皮质激素抑制免疫反应,降低机体抵抗力
E.
使用糖皮质激素时未使用有效的糖皮质激素
【单选题】关于税款征收,下列说法正确的是:()
A.
税务机关应当加强对税款征收的管理,建立健全责任制度。
B.
税务机关根据保证国家税款及时足额入库,方便税款入库,降低税收成本的原则,确定税款征收的方式。
C.
税务机关应当将各种税收的税款(滞纳金罚款),按照国家规定的预算科目和预算级次及时缴入国库。
D.
已缴入国库的税款、滞纳金、罚款,税务机关可以变更预算科目和预算级次。
【简答题】存取控制机制主要包括哪两部分
【单选题】糖皮质激素诱发和加重感染的主要原因是
A.
病人对糖皮质激素不敏感
B.
糖皮质激素用量不足
C.
糖皮质激素能直接促进病原微生物繁殖
D.
糖皮质激素抑制机体防御功能,降低机体抵抗力
E.
使用糖皮质激素时未使用合理的给药方式
【单选题】糖皮质激素诱发和加重感染的主要原因是
A.
病人对糖皮质激素不敏感
B.
糖皮质激素用量不足
C.
糖皮质激素能直接促进病源微生物繁殖
D.
糖皮质激素抑制免疫反应,降低机体抵抗力
【判断题】税务机关根据保证国家税款及时足额入库,方便税务机关征收税款,降低税收成本的原则,确定税款征收的方式。
A.
正确
B.
错误
【单选题】检查粪便中的寄生虫卵应
A.
留取全部粪便
B.
取边缘部位的粪便
C.
取中间部位的粪便
D.
取个同部位的粪便
E.
随机取少许粪便
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