- 最后登录
- 2010-12-8
- 在线时间
- 361 小时
- 寄托币
- 950
- 声望
- 35
- 注册时间
- 2009-11-3
- 阅读权限
- 25
- 帖子
- 3
- 精华
- 0
- 积分
- 917
- UID
- 2720914

- 声望
- 35
- 寄托币
- 950
- 注册时间
- 2009-11-3
- 精华
- 0
- 帖子
- 3
|
发表于 2010-3-30 23:02:04
|显示全部楼层
TOPIC: ARGUMENT51 - The following appeared in a medical newsletter.
"Doctors have longsuspected that secondary infections may keep some patients from healingquickly after severe muscle strain. This hypothesis has now been provedby preliminary results of a study of two groups of patients. The firstgroup of patients, all being treated for muscle injuries by Dr.Newland, a doctor who specializes in sports medicine, took antibioticsregularly throughout their treatment. Their recuperation time was, onaverage, 40 percent quicker than typically expected. Patients in thesecond group, all being treated by Dr. Alton, a general physician, weregiven sugar pills, although the patients believed they were takingantibiotics. Their average recuperation time was not significantlyreduced. Therefore, all patients who are diagnosed with muscle strainwould be well advised to take antibiotics as part of their treatment."
WORDS: 367
TIME: 00:30:00
DATE: 2010/3/29 0:25:30
材料的逻辑:二次感染妨碍严重肌肉损伤病人康复,服用抗生素预防二次感染,所以要服用抗生素。
In this newsletterthe author asserted that a study has consolidated the hypothesis thatsecondary infections may hinder recovery process of severe musclestrain. According to the study results, the author suggested thatantibiotics should be taken to prevent secondary infections, thusreduce the recuperation. However, I found this deduction barely holdswater.
首先,研究对照组人员的构成
1,是不是严重肌肉损伤的,题目中说是针对“severe muscle”,如果不是的话整个研究都没用了
2,原本的身体状况,年龄等会影响康复
In the first place,the author did not mention that the classification of people in thestudy is fair or not. The original hypothesis suggests that secondaryinfections influence the healing process of "severe" muscle strain, butthe author provided no information for the actual muscle straincondition. Perhaps some of the patients selected for this study arejust slightly injured, or one group of patients is of better conditionthan the other. Moreover, the author mentioned nothing about thephysical condition and average age of each group that can alsoinfluence the recuperation process. It is possible that patients in onegroup are generally older than the other group, or they are in poorhealth, thus the natural recovery power of their body is actuallyweaker than normal people. If the patients are divided into two groupsdisproportionally, the experiment itself lost any reliability. Toconvince me that the study has a scientific foothold, the author shouldprovide more information about the conditions of the patients.
其次对实验的操作,
1,
有没有二次感染,如果都没有发生二次感染的话,自然对康复没有影响
2,
有的话,第一组真的抑制了二次感染而第二组没有吗
Even if thepatients are of almost physical condition and are severely injured, theprocess of the study is still full of flaws. First and the mostimportant, it is not clear that all patients are exposed to environmentthat could cause secondary infections. Maybe they stayed in clean roomsall day long that no secondary infections ever occur, thus theantibiotics are totally useless, and the assumption that secondaryinfections reduce recuperation time is totally groundless. Secondly,even all patients are affected by secondary inflections, there is nosuggestion that patients in the first group actually took thoseantibiotics and healed while the control group suffered from secondaryinflections. In short, the author failed to demonstrate any correlationbetween secondary infection and the recuperation time in theexperiment. 这一段攻击的是antibotics是否有效?可是独立成段,很难看出攻击到了题目的哪一点,质疑antibiotics的效果的话,那就得给出为什么会出现这样模棱两可的结果,建议和B1合成一段,借调查人群的攻击点来推出antibiotics的无效
影响结论其他因素:
1,
通常预期的康复时间,这个准不准
2,
PLACEBO和心理暗示的作用
Furthermore, theresult of the study is dubious. Even they did take antibiotics, otherelements can also influence the recuperation time. Maybe the expectedrecuperation time used in the study is longer than the normal level(为什么expected time会有比normal level长的可能呢?我想不出为什么),thus 40 percent quicker is not a big deal. The roles of doctor andplacebo are also important. Maybe patients in the first group have morefaith in their doctor than the second group because he specialized insports injury, thus give themselves optimistic psychiatric suggestionwhich help speed up recuperation. As for the placebo, it is alsopossible that some elements in the sugar pills can slow downrecuperation. Without ruling out those possibilities, the author cannotgive a convincing deduction.
退一万步,抗生素能防止二次感染而使患者更快恢复,推荐所有病人用抗生素也不对。
Last but not theleast, even if antibiotics really work to fight secondary infection andhelp recuperation despite all the flaws in the experiment, it is stilldoubtful that all muscle strain patients should take antibiotics. Afterall, antibiotics are not absolutely safe for people, and its sideeffect on muscle strain patients is still unclear since the result ofthe study is just preliminary. Maybe some are allergic to antibiotics.Therefore the author’s final conclusion of is rather dangerous.
In sum, theexperiment seems poorly designed and lacks a lot of information toprove that secondary infection does slow down recuperation. To persuademe that patients with muscle strain should take antibiotics to preventsecondary infection, the author should provide evidence that the twogroups are of similar physical condition, and one group is free fromsecondary infection while the other is not. Meanwhile other elementsthat could affect recuperation time should be wiped out. |
|