Towards evidence-based hand exercises in rheumatoid arthritis
Towards evidence-based hand exercises in rheumatoid arthritis
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DOI：
10.1016/s0140-6736(14)61285-x
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发表时间：
2015-01
期刊：
影响因子：
--
通讯作者：
C. Opava;M. Björk
中科院分区：
文献类型：
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作者：
C. Opava;M. Björk
首先，需要自省、反思、谦逊和创新，以设计新的制度或调整现有的制度安排，并建立新的融资机制，同时要有国际团结和明确的目标和目标优先顺序。例如，现在是重新考虑建立一个国际发展组织的想法，还是建立一个国际紧急反应组织以迅速应对流行病和其他自然灾害的时候了？我们能设想一个雄心勃勃的21世纪马歇尔计划来减轻气候变化的影响吗？第二，多边机构和多边主义必须与民族国家携手并进，尊重主权和国家责任的理想，为人类未来的福祉和安全负责。这反过来又要求各国互惠；各国要实现繁荣，就需要有政治意愿来发展更强有力的国家治理和健全、资源充足、包容性强的制度，以确保创新、经济扩张和更公平地分配财富。第三，在我们未来的所有努力中，我们必须承认地方知识、社区和地区团结的价值和重要性。在埃博拉危机的背景下，正如《柳叶刀》的一篇社论所建议的那样，我们需要“在学习地方成功经验的同时，关注社区”。15 .为确保人类福祉和安全拥有一个有复原力的未来，我们需要采取一种全球方针。个人、机构、社会和所有人都必须为地球有限的资源承担集体责任并采取行动，以保证我们栖息地的长期生存，并证明肯尼迪是错误的。
First, introspection, reflection, humility, and innovation are needed to design new institutions or adapt current institutional arrangements and develop new financing mechanisms, with international solidarity and clear prioritisation of objectives and goals. Is it time, for example, to revisit the idea of an international development organisation, 13 or to create an international emergency response organisation to swiftly deal with pandemics and other natural disasters? Could we envision an ambitious 21st-century Marshall Plan to mitigate the effects of climate change? Second, multilateral institutions and multilateralism must work hand-in-hand with nation states and respect the ideals of sovereignty and national responsibility for the future of human wellbeing and security. This, in turn, demands reciprocity on the part of countries; for nations to prosper they need to have the political will to develop stronger country governance and robust, well resourced, and inclusive institutions to ensure innovation, economic expansion, and more equitably distributed wealth. 14 Third, in all our future efforts we must acknowledge the value and importance of local knowledge, community, and regional solidarity. In the context of the Ebola crisis, as a Lancet editorial suggested, we need to “concentrate on community while learning from local successes”. 15 To ensure a resilient future for human wellbeing and security, a whole of planet approach is needed. Individuals, institutions, societies, and all people must take collective responsibility and action for the planet’s finite resources to guarantee the long-term survival of our habitat, and prove JF Kennedy wrong.