内科

The issue of nonadherence to tamoxifen therapy—and indeed, oral cancer therapy in general—is one that is beginning to generate more interest and concern in the medical community, says Ann Partridge, MD, MPH, a staff member in the Department of Medical Oncology at Dana-Farber Cancer Institute and Assistant Professor in the Department of Medicine at Harard Medical School who has also studied the topic extensiely.

医学博士、公共卫生硕士、Dana-Farber癌症研究所肿瘤内科成员、哈佛医学院医学系副教授Ann Partridge对这个课题也有广泛的研究，他说，这种不坚持他莫西芬治疗的问题——实际上通常是癌症的口服药物治疗——是一个医学界开始产生更多兴趣和关注的问题。

As reported in the Archives of Internal Medicine, multivariable analysis indicated hat patients with persistently uncontrolled BP were more likely to be nonadherent to medication (odds ratio =1.73) and to have had their therapy intensified (OR=1.31) relative to those with high BP that was brought under control over time.

内科文件》中报道，多元分析提示：血压持续未得到控制的患者更多的存在不持续服药( oR=1.73)，并且加强药物治疗（OR=1.31与那些血压在研究过程中得到控制的高血压患者相关。

Daniel King, MD, from the medical intensive care unit of Soroka University Medical Center in Beer-Sheva, Israel, said that in a nonselected series of 128 consecutive patients admitted to the intensive care unit, the mortality rate was 43% in patients with a positive cTnl test while it was 10% in patients with a negative cTnI test and 19% for the group as a whole.

来自以色列Beer-ShevaSoroka大学医学中心医学内科加护病房的Daniel King医师表示，在连续进入加护病房的128位非选择性病患之中，cTnl测试阳性的病患其死亡率为43%，而cTnl测试阴性的病患死亡率为10%，整体的死亡率则为19%。

The clinical manifestations of senile acute pancreatitis are nontypical and severe with many complications; active comprehensive internal treatment can improve the prognosis of the patients.

老年人急性胰腺炎具有临床表现不典型、病情重、并存症多的特点，积极内科综合治疗，能改善患者预后。

Modern medicine thinks its etiopathogenesis is complex and nosogenesis is not very clear.

偏头痛是一种常见、多发的神经内科病，是以一侧或双侧发作性、波动性的头痛。

Omental adhesion syndrome is a relatively common disease. Auxiliary examination has poor specificity for diagnosis of the disease.

大网膜粘连综合征为普外科及消化内科相对常见疾病，但目前辅助检查对诊断该病无特异性。

Besides routine ophthalmologic examination and ocular muscle examination,general check-up and blood biochemical examination were also included.

常规的眼科检查和眼肌专科检查，内科行全身检查及实验室血生化检查以确诊糖尿病；部分病例辅以影像学检查。

Results:In this group there were respectively 8 calculi of intrahepatic duct,9 calculi of extrahepatic duct,4 stenosis of bile duct,3 duodenal papillitis,2 excess residual cystic duct and 2 stubble cholecystitis,which were managed surgically.There were respectively 1 duodenal diverticulum,10 bile back flow gastritis,5 functional dyspepsia,1 chronic pancreatitis and 1 ulcer,which were cured via expectant treatment.

结果：本组肝内胆管结石8例，肝外胆管结石9例，胆管狭窄4例，十二指肠乳头炎3例，胆囊管残留过长2例，残株胆囊炎2例，分别采用外科手术治疗；十二指肠憩室1例，胆汁返流性胃炎10例，功能性消化不良5例，慢性胰腺炎1例，溃疡病1例，采用内科保守治疗好转。

Disposable Peelable Introducer: The product has been bearing CE mark. In general, it is mainly used in the field of urology surgery and heart medicine. The particular configuration is convenient for the introducer peeled directly from the assisting implanted instrument.

一次性使用无菌导管鞘：该产品通过了欧共体CE认证，主要用于泌尿外科和心内科，它的优点在于输助其它器械进入后可撕开鞘管直接取出。

"A trucut needle biopsy device that can be used to obtain specimens from the pancreas and other perigastric organs under EUS guidance has been developed and successfully tested in animals," write Alberto Larghi, MD, PhD, from the College of Physicians and Surgeons, Columbia University, in New York City, and colleagues.

来自于纽约市美国综合大学内科医生和外科医生学院的Alberto Larghi， MD，PhD和其同事表示，能够在EUS原则下取得胰腺和其它的在胃周围附近器官的组织样品的一个trucut引导针取活组织检查装置已经被发展并在动物中成功地测验。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。