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这一篇是我根据证据--》前提--》结论 的顺序改的,觉得这样写好象逻辑上挺顺的。但又感觉好象有点问题,希望和大家共同探讨!
TOPIC: ARGUMENT51 - The following appeared in a medical newsletter.
"Doctors have long suspected that secondary infections may keep some patients from healing quickly after severe muscle strain. This hypothesis has now been proved by preliminary results of a study of two groups of patients. The first group of patients, all being treated for muscle injuries by Dr. Newland, a doctor who specializes in sports medicine, took antibiotics regularly throughout their treatment. Their recuperation time was, on average, 40 percent quicker than typically expected. Patients in the second group, all being treated by Dr. Alton, a general physician, were given sugar pills, although the patients believed they were taking antibiotics. Their average recuperation time was not significantly reduced. Therefore, all patients who are diagnosed with muscle strain would be well advised to take antibiotics as part of their treatment."
Before recommending all patients who are diagnosed with muscle stain to take antibiotics as auxiliary treatment, a complete examination to the evidence afforded by the author is needed. The author seem to have been convinced the hypothesis that secondary infections will seriously influenced the treatment of patients who have muscle stain are true without considering some other factors which may have impaired the credibility of the assertion.
First of all, the reliability of the clinical experiment that two groups of patients are respectively treated by two doctors from different departments is open to doubt. On one hand, the author does not afford any information regarding the two groups of patients, such as ages, gender, health conditions, and so on, which seriously impact the accuracy of result of the treatment. For example, perhaps the group patients treated by Dr. Newland are young men and have stocky body and another group treated by Dr. Alton who are over 60 years old and so have bad health, and so the former apparently can recover more quickly than the latter. On the other hand, it is also quite possible that two doctors from different departments adopt distinct cures for their patients, which leads to the disparity of treatment. Furthermore, the doctor in sports possible adopted one kind of new radio therapy which extremely promotes the recovery of patients; but the physician did not. Consequently, the result of treatment is different.
Granted that the result of the experiment is tenable and the suspect of doctors that "secondary infections may keep some patients from healing quickly after severe muscle strain" is true, there is no evidence to show that secondary infections will certainly occur after severe muscle stain. In fact, there are a myriad of dangerous factors that will occur after one suffers from severe muscle strain. For instance, it is entirely likely that due to the dysfunction of body after severe muscle strain, the body's other tissues and organs gradually worsen and so prevent some patients from restoring fast. For that matter, the hypothesis of doctors is not meaningful in general and therefore cannot be used widely unless the author can afford some reliable facts to exclude other risk factors.
Even if secondary infections must occur, the assertion that all patients with muscle strain should use antibiotics during treatment is not persuasive in that the author seems to have confused some important concepts. Can "some people" involved in the hypothesis represent "all patients"? Can "severe muscle strain" be equal with "muscle strain"? Obviously, they can not. In fact, perhaps those who easily get secondary infections after severe muscle strain have certain special constitution, which make them extremely sensitive to antibiotics; conversely, the majority of patients who muscle strain do not. In addition, the side effects also seem to be overlooked. It is entirely possible that the treatment of using antibiotics will have an unfavorable influence on the female in long term. Further, it probably seriously impacts the ability of the female to bear their children. Without taking the cases into consideration, It is too premature to adopt the hypothesis for the overall patient with muscle strain.
In summery, in order to undergird his or her suggestion, the author should further evaluate the validation and generality of the hypothesis; otherwise, it can not be convincing.
[ 本帖最后由 aunknown 于 2007-1-4 00:35 编辑 ] |
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