临床医师

The pathological changes mainly involves distal bronchovesicular and lung parenchyma.It is not common in clinic,however as the improvement of diagnostic technique and recognition,accumulated EAA were diagnosed.

临床上少见，但是随着诊断技术及医师对EAA的认识的逐渐提高，临床上见到的EAA也越来越多。

In this article, a case of cleidocranial dysplasia of a 25-year-old Taiwanese female is reported. She visited Taichung Veterans General Hospital Department of Dentistry for the treatment of dental caries in March, 2005. Her abnormalities were diagnosed by Oral and Maxillofacial Surgeon, and was later certified by physician of Genetic Consultation and radiologist.

本文报告一位25岁台湾女性颅锁骨发育不全病例於民国94年三月至台中荣总牙科部寻求龋齿诊治，经口腔颚面外科医师临床及影像检查后，初步臆断为颅锁骨发育不全症候群，后经遗传谘询及放射线部医师确定诊断为颅锁骨发育不良。

"We need to start thinking of obesity as a psychiatric disorder," said principal investigator Renu Kotwal, MD, in an interview."When patients who live with obesity come in for counseling for it, we have to find out what is driving the obesity. We have to screen for eating disorder pathology, mood issues, and medications that could cause the problems." Dr. Kotwal is an assistant professor of clinical psychiatry at the University of Cincinnati in Cincinnati, Ohio.

主研究员Renu Kotwal医师於访谈中表示，我们必须把肥胖症视为精神病变；当患者步入诊所寻求谘询时，我们必须去发现引起肥胖的原因；饮食异常的病源，情绪上的问题，及可能引发躁郁的其他医疗方式等，皆是我们必须要筛选的项目；Kotwal医师目前在辛辛那提大学担任临床精神科的副教授。

Burstein, MD, PhD, from the Dana-Farber Cancer Institute and Harvard Cancer Center in Boston, Massachusetts, reported phase 2 results of a trial that randomized 62 women with stage IV breast cancer to metronomic chemotherapy (oral cyclophosphamide 50 mg/d once daily and oral methotrexate 2.5 mg twice daily on days 1 and 2 each week) with or without intravenous bevacizumab (10 mg/kg every 14 days).

Burstein医师报告一项第2期临床试验结果，这项临床试验收纳了62位第4期乳癌接受节律性化学治疗（在每周的第一、二天口服cyclophosphamide每天50毫克，以及口服methotrexate 2.5毫克每天两次），加上或是不加上bevacizumab（10毫克公斤，共14天）；「节律性」疗程被定义为使用低剂量、重复投予的化学疗法。

Asked by Medscape Oncolo gy to comment on this finding, Jayne Franklyn, MD, PhD, from Queen Elizabeth Hospital, in Birmingham, United Kingdom, who was not involved with the study, said:"This is an important study, as it involved a large number of patients with a relatively rare form of thyroid cancer, specifically looking at those with the sporadic or noninherited variety of this cancer, and it presents the intriguing possibility that the presence of the mutation is associated with a prediction of tumor behavior and therefore prognosis."

Medscape肿瘤学邀请英国伊丽莎白皇后医院的Jayne Franklyn医师对此发现进行评论，未参与此研究的Franklyn医师表示，这是一个重要的研究，因为它纳入了此一少见甲状腺癌的许多病患，特别是此癌症的偶发或者非遗传变化，且展现出突变与预后有关的可能性；此外，该研究有潜在的临床冲击，但是首先，这些发现需要有其他研究证实重现；这项研究也指出各种甲状腺癌的基因突变与基因表现可提供预后资讯的远景。

Asked by Medscape Oncology to comment on this finding, Jayne Franklyn, MD, PhD, from Queen Elizabeth Hospital, in Birmingham, United Kingdom, who was not involved with the study, said: \"This is an important study, as it involved a large number of patients with a relatively rare form of thyroid cancer, specifically looking at those with the sporadic or noninherited variety of this cancer, and it presents the intriguing possibility that the presence of the mutation is associated with a prediction of tumor behavior and therefore prognosis.\"

Medscape肿瘤学邀请英国伊丽莎白皇后医院的Jayne Franklyn医师对此发现进行评论，未参与此研究的Franklyn医师表示，这是一个重要的研究，因為它纳入了此一少见甲状腺癌的许多病患，特别是此癌症的偶发或者非遗传变化，且展现出突变与预后有关的可能性；此外，该研究有潜在的临床冲击，但是首先，这些发现需要有其他研究证实重现；这项研究也指出各种甲状腺癌的基因突变与基因表现可提供预后资讯的远景。

Elisabetta Bugianesi, MD, PhD, who was not involved in the study, agrees that nonalcoholic fatty liver disease in particular is an important clinical entity that can be difficult to identify."NAFLD constitutes a special challenge for physicians for several reasons: any distinction between nonprogressive and progressive disease is only based on liver histology, but NAFLD patients are generally asymptomatic invasive procedures are not easy to propose to accept," she told Medscape via email.

未参与此项研究的Elisabetta Bugianesi医师同意非酒精性脂肪肝病是重要的临床表徵，但是却不易鉴别诊断；她以电子邮件向Medscape表示，NAFLD对医师们构成一个特别的挑战，因为在非进行性和进行性的疾病之间的差别，仅可从肝脏组织判断，但是NAFLD病患一般是没有症状的，所以对於侵入式的诊断方式难以接受。

The primal mission of resident physician normalized training was talented man training, and it's an important way to strengthen continuing education for these graduate of the institution of higher learning, and it's also a important way to guarantee the medical therapic quality and sublimation of medical therapic level.

临床住院医师规范化培训的根本任务是培养人才，是对高等医学院校新毕业生加强继续教育，保证临床医疗质量和提高医疗水平的重要途径。

Several other poster presentations reinforced the message that once-weekly epoetin was effective, although none of these others had a comparator dose. Two posters presented results from meta-analyses of epoetin alfa clinical trials. One was carried out by Pere Gascon, MD, PhD, and colleagues, from the University of Barcelona, in Spain, and involved 4296 patients with mixed tumor types, while the other, reported by Mario Dicato, MD, from the Luxembourg Medical Center, involved 2019 patients with breast cancer. Both concluded that 40,000-IU epoetin alfa is effective and well tolerated; it ameliorates the impact of chemotherapy on hemoglobin and improves quality of life, thus representing "good anemia management," the researchers concluded.

许多其它的墙报研究同样证实每周投予一次红血球生成素是有效的，虽然其它研究中未使用比较组；另两项比较红血球生成素阿法临床试验结果的综合分析，一项是由Pere Gascon医师与其来自西班牙巴塞隆纳大学的同事，收纳了4，296位各种肿瘤种类病患的研究；另一篇是来自Luxembourg医学中心Mario Dicato医师，收纳2，019位乳癌病患的研究，这两项研究的结论都是40，000单位的红血球生成素阿法同样有效、且耐受性佳；该疗法降低化学疗法对血红素的不良影响，且改善了生活质量，因此可以说为是「良好贫血处理」的标竿。

During the course of clinical teaching, clinical teaching ability was improved by the heuristic method, through analysis of pathogeny of haematuria.

方法在临床教学中，通过启发式教学，从血尿病因分析出发培养实习医师正确的临床思维能力。

According to the clear water experiment, aeration performance of the new equipment is good with high total oxygen transfer coefficient and oxygen utilization ratio.

曝气设备的动力效率在叶轮转速为120rpm～150rpm时取得最大值，此时氧利用率和充氧能力也具有较高值。

The environmental stability of that world - including its crushing pressures and icy darkness - means that some of its most famous inhabitants have survived for eons as evolutionary throwbacks, their bodies undergoing little change.

稳定的海底环境─包括能把人压扁的压力和冰冷的黑暗─意谓海底某些最知名的栖居生物已以演化返祖的样态活了万世，形体几无变化。