医师

"This development is extremely important both to patients and to the public health in general," AAAAI President Michael Schatz, MD, said during the press briefing."This permits us to provide better care of our patients by allowing us to identify the individuals who can safely take penicillins. The alternative effective antibiotics they may otherwise be prescribed are usually more expensive. From a public health perspective, these alternative antibiotics are also broader spectrum, which can contribute to overall antibiotic resistance." Dr. Schatz is also the chief of allergy at Kaiser Permanente in San Diego, California.

AAAAI的总裁Michael Schatz医师在记者会中表示，这项研发对於患者及一般大众的健康都非常的重要；这项试剂产品可以让我们确认有哪些患者可以安全的接受盘尼西林治疗，藉此我们可以对患者提供更好的照护；其他可用的抗生素一般而言都会比较贵，从大众保健的议题来看，其他的抗生素范围广泛，会造成整体的抗生素抗药性；Schatz医师同时也是圣地牙哥Kaiser Permanente的过敏科主任。

"The take-home message of this study for clinicians is that obese people with asthma need to be followed more carefully because it's harder to control their asthma, so they are more likely to end up in the hospital," said study coauthor Michael Schatz, MD, chief of allergy at Kaiser Permanente San Diego Medical Center, California."My advice for obese asthmatics is: be vigilant to keep your asthma symptoms in check, make sure you know what to do when your symptoms worsen, and do whatever you can to lose weight."

研究共同作者、加州圣地牙哥Kaiser Permanente医学中心过敏科主任Michael Schatz医师表示，本研究提供给医师们的重点是，肥胖气喘患者需要仔细地追踪，因为会比较难控制他们的气喘，所以他们比较可能住院；我对于肥胖气喘患者的建议是，对于自己的气喘症状要有所警惕，确保知道当症状恶化时应该如何处置，且尽可能减重。

Andrezj Wiececk, MD, who cochaired the session at which these data were presented, noted that there was no mention of the criteria used to define LT."I think this is fundamental, because then you can select patients for long-term protocols," said Dr. Wiecek, head of the Department of Nephrology, Endocrinology, and Metabolic Diseases at Silesian University School of Medicine in Katowice, Poland. He was not involved in the study.

发表会中的共同主持人Andrezj Wiececk医师表示，该研究中并未提到LT的条件；波兰Katowice Silesian大学医学院肾脏学、内分泌学与代谢疾病科主任Wiececk医师表示，我认为这是很基本的，因为接著你可以选择进行长期研究的病患；他并未参与这项研究。

"While the precise prevalence and incidence depends on the criteria used, all studies agree that it is a common disorder, affecting a substantial proportion of individuals in the general population, and presenting frequently to general practitioners and to specialists," write Robin Spiller, MD, from the University Hospital in Nottingham, United Kingdom, and colleagues.

"虽然确切的发生率和流行率取决于使用的标准，但是所有的研究都表明这是一个常见疾病，大多数人都受到该病的影响，全科医师和专门医师都经常碰到该病病人，"英国诺丁汉大学医院Robin Spiller医学博士及其同事写到，IBS是很麻烦的疾病，对病人的生活质量和社会功能有着显著的负面影响。

"While the precise prealence and incidence depends on the criteria used, all studies agree that it is a common disorder, affecting a substantial proportion of indiiduals in the general population, and presenting frequently to general practitioners and to specialists," write Robin Spiller, MD, from the Uniersity Hospital in Nottingham, United Kingdom, and colleagues.

"虽然确切的发生率和流行率取决于使用的标准，但是所有的研究都表明这是一个常见疾病，大多数人都受到该病的影响，全科医师和专门医师都经常碰到该病病人，"英国诺丁汉大学医院Robin Spiller医学博士及其同事写到，IBS是很麻烦的疾病，对病人的生活质量和社会功能有着显著的负面影响。

METHODS: Fifteen subjects (12 residents and 3 attendings trained in the management of spinal trauma) reviewed radiographs and CT scans of 50 patients and scored them according to the CSISS. Six residents scored the patients 1 month before an instructional lecture given by the senior author and then again immediately following the lecture to assess teachability of the new classification system.

15名研究对象(经过脊柱创伤救治培训的12名住院医师和3名主治医师)阅读了50名患者的X线片和CT扫描，根据CSISS对其进行评分。6名住院医师在资深作者举办指导性课程前1月对患者进行评分，接受课程培训后立即再次评价新分类系统的可教性。

Dr. Tilson and colleagues developed a screening checklist tool based on the American Academy of Pediatrics and American Diabetes Association guidelines with some modifications. Participating physicians were to screen all children aged 10 to 18 years for elevated BMI. Children with a BMI higher than the 85th percentile were assessed for the risk factors of race/ethnicity, family history of type 2 diabetes, acanthosis nigrans, and hypertension (defined as systolic blood pressure higher than the 90th percentile for age and height).

Tilson医师与同事根据美国小儿医学会与美国糖尿病医学会的治疗指引进行部份修改，研发了一种核对清单；参与的执业医师筛选所有BMI过高的10至18岁儿童，BMI高于前15%的儿童接受筛选种族／信仰、第二型糖尿病家族史、棘状黑色素瘤与高血压（以高于同年龄与身高前10%的收缩压来定义）。

If the technology and equipment of the medical institution in the city cannot satisfy the needs of treating the member, the customer service specialist will activate the domestic transfer mechanism and arrange an ambulance or other vehicle as may be necessary under the circumstance to transfer the member from the place of first visit to the nearest suitable medical institution under the escort of a physician or nurse, with ANFA bearing the expenses incurred by the transfer (including the expenses of transport from the scene to the place of first visit).

安法会员在中国境内，因为意外伤害或突发疾病时，可协助会员安排特约医疗机构；若该城市内医疗机构的技术、设备无法满足会员治疗之条件，客服专员即启动境内转送机制，安排救护车或其他交通工具，由医师或护士陪同，转送会员从初诊地至邻近适宜的医疗机构，并承担上述转送费用以及从出事地到初诊地的运送费用，医疗转送必须由《安法24小时医疗服务中心》的医师及会员的主治医师共同认定方可启动。

For an ANFA member who has fallen into critical conditions in China due to an accident or disease outbreak, ANFA specialists will activate the domestic transfer mechanism by arranging an ambulance or other vehicle as may be necessary under the circumstances to transfer the member from the place of first visit to the nearest most suitable medical institution under the escort of one physician or nurse, with ANFA bearing all the expenses (including the reasonable costs incurred by the transport from the scene to the place of the first visit), if the physicians of ANFA 24-Hour Medical Service Center and the doctors in charge of the member believe that the technology and equipment of the medical institution of the local city cannot satisfy the needs of treatment.

安法会员在中国境内，因意外伤害或突发疾病致紧急情况时，《安法24小时医疗服务中心》的医师及会员的主治医师认为该城市之该医疗机构内的技术、设备无法满足会员治疗之条件时，安法专员将为您启动境内转送机制，安排救护车或其它适当交通工具，由一名医师或护士陪同转送会员，从初诊地至邻近最适当的医疗机构，并承担上述转送费用（包含从出事地点到初诊地点合理的运送费用）。

Most patients receiving long-term acid suppression therapy for physician-diagnosed PUD in community practice settings are likely to have HP-negative, uninvestigated dyspepsia.

Allison医师及其同事表示，在检验及治疗曾罹患PUD病患的建议指导方针中，假设PUD可以被处理，并且成功的消灭HP可以排除未来治疗及用药的需求，大多数在社区医院经医师诊断为PUD，且接受长期酸抑制治疗的病患，常呈现HP阴性反应，且有未诊断出的消化不良症。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失