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(1) The obese patients with PCOS have more serious imbalances in the endocrinological metabolic aspects than non-obesity ones, E2/T lower.(2) The obese patients with PCOS show high levels of insulin and insulin resistance, while those of the non-obesity patients have mainly high level of LH.

(1) 肥胖型较非肥胖型PCOS患者存在尤为严重的内分泌代谢紊乱;(2)肥胖型PCOS主要表现为高胰岛素血症及胰岛素抵抗,而非肥胖型则以促黄体生成素升高为主。

Based on pre-experiment foundation of the earlier period, 60 male patients among 45-65 year old were chosed as the clinical case according to the PADAM diagnosis standard, and were divided into 3 groups according to the block stochastic principle, the observation group (acupuncture combined with BUSEHN capsule), group 1, group 2 (takes orally BUSEHN capsule group), each group had 20 cases, and each group of patients was measured by the method of radio-immunity for the serum level of testosterone, luteinizing hormoha, follicle-stimulating hormone before and after the treatment. By the contrast of the grade of PADAM symptom among three groups before and after treatment ,we can reveal the whole funcamental characteristic of acupuncture combined with herb ,and discuss a new way to enhance the curative effect of acupuncture ,and summarize the endocrinous adjustment of acupuncture for the PADAM's patients and the orchidic improvement by the treatment of acupuncture.

在前期预实验的基础上,选择符合诊断标准的PADAM诊断标准的45-65岁男性患者临床病例60例,按照区组随机原则分为3组,观察组、对照组1、对照组2,每组各20例,采用放射免疫法分别测定各组患者治疗前后血清中血清睾酮、黄体生成素、卵泡刺激素的血清浓度的水平;通过三组及三组间治疗前后PADAM症状评分指数的对比研究,揭示针药结合的整体调节作用特色,探讨提高针灸疗效的新途径;总结出针刺对中老年雄激素缺乏综合征患者的内分泌的调节及针刺对睾丸的改善程度,探讨针药结合治疗本病的机制及针灸增效剂的应用前景,为今后进一步研究打下坚实基础。

Methods 9 patients in 17 intractable Meniere's Disease patients received endolymphatic sac decompression operation. 8 patients received Meniett device therapy after placement of a tympanostomy tube.

17 例顽固性梅尼埃病患者中 9 例采用内淋巴囊减压手术,8 例在中耳植管后采用 Meniett 治疗。

In this context, we have reported recently that the volume of myocardial tissue occupied by perimysial and endomysial collagen was lower in hypertensive patients with HF and depressed ejection fraction, than in hypertensive patients with HF and preserved ejection fraction and normotensive subjects.56 Of interest, the interstitial and perivascular accumulation of collagen fibres was abnormally high in the two groups of patients.

在这种情况下,我们已经说了占用体积perimysial心肌组织人肌内膜胶原水平低的高血压患者用高频和沮丧的射血分数在高血压患者的心力衰竭和保存被罚出场分数与正常血压subjects.56舒张压的利息、间质和血管堆积过高的胶原纤维是在两组病人。

The major PFGE subtype was 3(34strains),1(12 strains),2and 5,Every strains from food has matched PFGE subtype strains in diarrhea patients except subtype 2. The number of homology case of diarrhea patients and food caused by subtype 1/2 were 4 and 12 in 2006 and 2007.[Conclusion] There is close relation between the diarrhea patients of S. Enteritidis and the contaminated poultry in Shanghai.The PFGE subtype 3 is the dominant epidemic strains.

结论上海市肠炎沙门菌病例和食用污染的鸡肉等禽类制品有密切关系,PFGE3型肠炎沙门菌是目前上海市肠炎沙门流行株的优势菌型,2007年发现由鹅肝传播的1/2型肠炎沙门菌可能是3型的变异株并有取代成为流行菌株的趋势。

Abnormal laboratory tests were not found in all patients. X-ray showed soft tissue swelling at involved joints in all patients and MRI showed pachyderma in 1 patients. Epiderm hyperkeratosis and subcuticula fibroplasias were found at PIP 5 joints in 1 patient.

实验室检查未发现异常;6例双手X线检查均见受累关节周围软组织肿胀;1例左手核磁共振成像见:近端指间关节周围软组织增厚;1例左手第5PIP关节膨大处软组织活检见:表皮过度角化,真皮层纤维组织增生。

Conclusion1 Critically ill patients with indwelling catheters were of the high positive rate of microorganisms,and microorganism spectrum was of special properties;BF formed mainly inside the catheter,the occurrence rate of BF inside the catheter was high and the formation time was short;Changes on catheters and the result of microorganisms was positively correlated with the BF formation.2 Indwelling catheter time was the independent risk factors for the BF formatiom, while age、APACHEⅡscore、sex、urine sugar and the types of antibiotic usage were the potential risk factors for the BF formation;Nurses should perfect the catheter measures for critical ill patients,emphasis on the assessment of risk factors of BF formation,and implement special care in high-risk patients.3 In the early stage of BF formation,irrigation could play the role of eradicative BF effectively;While later,it couldn't,but it can delay the speed of BF formation and maturation;In the choice of washing methods,injection type washing method is superior to infusion.

结论1重危患者留置尿管微生物培养阳性率高,且微生物菌谱具有特殊性;重危患者尿管表面BF主要在尿管内壁形成;内壁BF的发生率高,形成时间短;肉眼观察尿管表面改变情况以及微生物鉴定结果与BF形成呈正相关。2尿管留置时间是重危患者留置尿管表面BF形成的独立危险因素;年龄、APAcHEⅡ评分、性别、尿糖定性以及抗生素使用种类是其可能的危险因素;护理过程中应完善重危患者尿管护理措施,注重对BF危险因素的评估,并对高危患者实施重点护理。3 BF形成早期,冲洗能发挥较好的清除作用;BF形成后期,冲洗无法彻底清除尿管表面BF,但冲洗能延缓BF形成与成熟的速度;在冲洗方式的选择上,注洗式冲洗法对尿管BF的清除效果优于输注式冲洗法。

Methods: The concetration o f P-sel in plasma of 5 3 patients with liver cancer at different clinical stage, 22 patients with viral hepatitis B, 14 patients with liver cirrhosis and 30 normal volunteers were det ermined with ELISA method.

利用ELISA法检测了53例不同期肝癌患者、22例慢性乙型病毒性肝炎爱情患者、14例生活肝硬化爱情患者和30例西医健康人血浆中P-sel的含量。

Of the evaluable 39 patients, 32 patients (82%) obtained complete response and 5 patients (13%) had partial response.

在可以评估反应的39位病患中,完全反应者有32位(82%),部分反应者有5位(13%)。

Results: Twenty patients were studied. Fifteen patients were evaluable. There were no complete response. Partial response was achieved in 4 patients.

结果,共有20位病人进入此研究,只有15位可评估治疗反应,无一例完全缓解,有四位达部份缓解,缓解率达27%。

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But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊!不用提了。提到肉,真是糟透了。

Tristan, I have nowhere to send this letter and no reason to believe you wish to receive it.

Tristan ,我不知道把这信寄到哪里,也不知道你是否想收到它。