重复原文：
近年来, 随着心血管外科技术和体外循环技术的提高, 心脏外科手术病人的死亡率已大大降低。但在涉及主动脉弓部及其他复杂心脏手术中, 由于存在手术时间长、essay_lab-scientist损伤大、全脑缺血再灌注损伤或低流量灌注导致的缺血缺氧等因素, 不可避免的会造成脑损伤。而自从深低温停循环（Deep Hypothermic Circulatory Arrest, DHCA）与深低温停循环+顺行选择性脑灌注(Antegrade Selective Cerebral Perfusion , ASCP)这一技术被应用到临床上, 通过低温停循环方式创造无血、安静的手术视野。复杂的心血管疾病的手术安全性和疗效显著改善。但是在临床广泛应用的过程中,越来越多的学者发现 DHCA术后, 暂时或永久的神经系统并发症仍高达 4 % ~ 25%。
降重范例：
最近几年，心脏病人由于接受手术而死亡的概率已经在体外循环和心血管两方面技术的改善下明显减小。不过在遇到很多繁琐的心脏手术和主动脉弓部时，大脑会因为时间长、危害大、脑部血液不足而再次灌注的手术和在流量不足情况下产生的血液缺乏和氧气缺乏等受到无法避免的伤害。当临床医学中使用了深低温停体外循环和它与顺行选择性脑灌注的配合使用两项技术后，这两项技术使得繁琐的心血管病手术得到了安全上的保障，还让手术的效果更加的明显。在其被普遍使用到临床中后，因深部低温和循环停止手术产生的短期和长期神经系统疾病的概率处在4 % -25%的高水平上。
以上用了几个常用的医学论文降重复方法分别是：打乱次序，知识重组。通过理解后加入自己的观点，这样再注明出处，论文降重复之路好漫长，来一剂良方让忘记这些扰人之事，祝顺利通过论文查重检测，立即毕业。
重复原文：
绩效管理通过设定科学合理的组织和个人绩效目标为组织和个人指出了努力方向；管理者通过绩效辅导实施及时发现下属工作中存在的问题，给下属提供必要的工作辅导和资源支持，下属通过工作态度以及工作方法的改进，保证绩效目标的实现；在绩效考核评价环节，对组织或个人的阶段工作进行客观公正的评价，明确组织和个人对企业的贡献，通过激励绩效优秀的组织和个人，使之继续努力提升绩效，督促低绩效的组织和个人找出差距改善绩效；在绩效反馈面谈阶段，通过考核者和被考核者面对面的交流沟通，帮助被考核者分析工作中的长处和不足，鼓励下属扬长避短，对绩效水平较差的组织和个人，考核者应帮助被考核者制定详细的绩效改善计划和措施，同时绩效反馈阶段，考核者应和被考核者就下一阶段工作提出新的绩效目标，在企业正常运营情况下，新的目标应超出前一阶段目标，激励组织和个人进一步提升绩效。降重范例：
个人和组织可以通过绩效管理预设的个人绩效计划和科学化的组织系统，找到自身前进努力的方向；企业管理人员，可以利用绩效管理的辅助实现，快速了解到员工在工作中出现的问题，并及时加以矫正和资源帮助，而员工则在改善工作方法和工作态度的基础上，进一步保证绩效计划的达成；在业绩考核评估阶段，可以利用绩效管理公正客观地实现对个人以及组织阶段性任务完成质量的评价，进而清楚的知道个人以及组织在阶段性工作中所起到的不同作用，以此对业绩优秀的个人或组织进行激励，可以进一步提高业绩效果，也使得绩效低的个人或组织取长补短改善自身存在的差距和不足；在绩效信息的面谈反馈环节，可以利用绩效管理进一步帮助业绩上出现问题的员工，考核人员通过与接受的考核员工进行面对面沟通，帮助分析工作环节中优势和缺陷，鼓励他们保持优势，改善不足之处，而对工作业绩水平低下且久提不高的个人或组织，考核者还可以提供明确完善的绩效改观计划，并实时对计划的进行加以影响指导，在绩效信息面谈反馈时，考核人员和接受的考核员工也可以对下一步工作做出新的努力目标，那么如此，在企业运营正常的情况下，旧有目标被新目标超越，既有利个人和组织继续创造新业绩，实现自身价值，也有利于企业绩效循环向前提高，实现自身再发展。
重复原文：
Trust is a crucial part of strategic supplier relationships. It also reflects how much a company is convinced that its partner can perform effectively, is not ill-intended and has enough motivation to bring benefit to the relationship (Sarang, 2016). This opinion is in line with that of Thomas et al (2013) whose definition of trust is the inclination to depend on an individual, or an entity, in which a party has confidence.
Lewicki et al (1995) classifies trust into three different groups: calculus-based trust, knowledge-based trust, and identification-based trust. When organizations think that the interests and costs of complying the existing contract will exceed the benefits by prioritising self-interest, calculus-based trust originates (Lewicki et al, 2006).Based on this definition of trust, companies are more likely to believe that cooperative outcomes can be realized because failure to collaborate will lead to serious losses. Knowledge-based trust originates from accumulated experience, which will prompt a firm to predict whether the cooperating company will stick to its own high standard which involves responsibilities (Johnson et al., 2005). This includes different relationship-based behaviours like custom-built relationship-specific investment, knowledge and information sharing and communication (Anderson et al, 1989). As a matter of fact this kind of trust always begins at the interpersonal level due to the fact that it needs large amount of information and interaction, which can increase the trustworthiness of another company. Identification-based trust is inherently motivated by strong emotions (Andersen et al, 2006). This type of trust is built on the mutual recognition and acceptance between suppliers and buyers that they are conducive to forming long-term relationships (Koehn, 1997). Apart from this, having common benefits and sharing values also serve as the base of the evolution of identification-based trust (Ness and Haugland, 2005).
降重范例：
Trust is a critical component of strategic supplier relationships and reflects the degree to which a company is convinced that its partner has the capability of performing effectively, has a good intention and is motivated enough to benefit the relationship (Sarang, 2016). This view coincides with that of Thomas et al (2013) who define trust as the inclination to rely on an individual, or entity, in whom a party has confidence.
Lewicki et al (1995) divide trust into three different categories: calculus-based trust, knowledge-based trust, and identification-based trust. When organizations consider that the interests and costs of obeying the existing contract will surpass the benefits by putting self-interest above them, calculus-based trust takes shape (Lewicki et al, 2006). According to this definition of trust, firms are inclined to believe that collaborative outcomes can be realized because failure to cooperate will result in severe losses. Knowledge-based trust is derived from accumulated experience, which will encourage a firm to predict the possibilities that the cooperating firm will maintain its own high standard to the responsibilities involved (Johnson et al., 2005). This involves various relationship-based behaviours such as custom-built investment specific to the relationship, information and knowledge sharing and communication (Anderson et al, 1989). This type of trust in fact always start at the interpersonal level because it requires a lot of interaction and information, which can heighten the credibility of another corporation. Identification-based trust is constitutionally motivated by strong emotions (Andersen et al, 2006). This kind of trust is based on the mutual acceptance and recognition between buyers and suppliers that they are each conducive to forming sustainable relationships (Koehn, 1997). As well as this, sharing values and possessing common benefits also act as the foundation of the evolution of identification-based trust (Ness and Haugland, 2005).
