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21. A comparison of British geological publications over the last century and a half reveals not simply an increasing emphasis on the primacy of research, but also a changing definition of what constitutes an acceptable research paper.

将过去一个半世纪英国地质学领域的出版物做一下比较，(我们)就会发现不仅对科研的主导地位的强调不断攀升，而且一篇可接受的科研论文所包含的内容的定义也有所变化。

22. Nancy Dubler, director of Montefiore Medical Center, contends that the principle will shield doctors who "until now have very, very strongly insisted that they could not give patients sufficient mediation to control their pain if that might hasten death."

Nancy Dubler，Montehore医疗中心的主任，认为这一原则将会保护这样一些医生，他们到目前为止还强烈坚持他们不能够给病人足量的镇痛剂来控制他们的疼痛，如果这么做会加速他们的死亡的话。

23. On another level, many in the medical community acknowledge that the assisted suicide debate has been fueled in part by the despair of patients for whom modern medicine has prolonged the physical agony of dying.

在另一个层面上，很多医疗界的人承认，关于医生帮助下的自杀的讨论部分是因为病人的绝望情绪，对他们来说，现代医学已经延长了死亡的身体痛苦。

24. It identifies the under treatment of pain and the aggressive use of "ineffectual and forced medical procedures that may prolong and even dishonor the period of dying" as the twin problems of end of life care.

它把对疼痛的治疗不足和盲目积极使用"有可能延长死亡时间甚至让死亡过程蒙羞的无效并且强迫性的医疗手段"视为生命临终医护的两个问题。

延伸阅读：

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