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Small intestinal biopsies showed subepithelial collagen deposition with varying degrees of villous atrophy and varying numbers of intraepithelial lymphocytes. Four patients had previous biopsies showing enteropathic changes without collagen deposition. Seven cases were associated with collagenous colitis and 1 also had features of lymphocytic colitis. Three patients also had collagen deposition in gastric biopsies. One case was associated with lymphocytic gastritis. Celiac disease (CD, gluten-sensitive enteropathy) was documented in 4 patients. Five patients made a clinical improvement with combinations of a gluten-free diet and immunosuppressive therapy. Two patients died of complications of malnutrition and 1 of another illness. Clonal T-cell populations were identified in 5 of 6 cases tested. Four of these patients improved clinically after treatment but 1 has died. Collagenous sprue evolved on a background of CD in 4 cases. There was no history of CD in others and these cases may be the result of a biologic insult other than gluten sensitivity.

小肠活检表现为上皮下胶原沉积,绒毛萎缩程度不一,上皮内淋巴细胞浸润数量不等。4例患者以往曾做过活检,表现为其他肠病改变,并没有胶原沉积。7例患者合并胶原性结肠炎,且1例还有淋巴细胞性结肠炎的特征。3例患者胃活检也发现有胶原沉积。1例患者合并淋巴细胞性胃炎。4例患者有乳糜泻(CD,谷蛋白敏感性肠病)病史。5例患者经无麸质饮食和免疫抑制治疗后,临床症状有所改善。2例患者因营养不良合并另一种疾病而死亡。6例患者做了T细胞受体基因重排,其中5例发现有克隆性T细胞群,这5例中有4例治疗后临床症状加重,且1例死亡。4例患者在CD的基础上病发胶原性口炎性腹泻;其余患者无CD病史,他们的发病也许是生物源性损害,而非谷蛋白敏感。

Microsoft and other software companies are now distributing shared software components as "Merge Modules" If you want to distribute a "Merge Module" to your customers as part of your setup file, the "Merge Module" must be wrapped in an MSI file when the file.

微软和其他软件公司正在发行的"合并模块共享的软件组件"如果你想发布的"合并模块",以客户为您的安装程序文件的一部分,"合并模块"必须在一个MSI包文件时,该文件。

Results: In these 38 cases, the incidence came with the order of hydrocephalus, serous cavity fluidify, anterior abdominal wall defect, fetal hydrops.

在主要畸形存在的同时往往合并有其他畸形的存在,甚至是合并复杂的多系统畸形,而一些小的合并畸形较易漏诊。

The preliminary joinder of actions is a kind of joinder with special structure elements,and in history it's legitimacy was once in question.

预备合并之诉是有顺位的诉之合并方式,其构成有特殊的要件。在民事诉讼发展的历史上,预备合并之诉的合法性经过了长期的争论。

Therefore the prevention further aggravates.5、The discussion prevents and controls or not and diabetes merge symptom cerebral infarction\'s transformation hazard factor relations to diabetes merge symptomless cerebral infarction.6、The discussion diabetes merge symptom and the symptomless cerebral infarction\'s Chinese medicine dialectical characteristic,is advantageous to knew the symptom and the card formation mechanism,manifest the Chinese medicine concept of viewing the entire situation,the display Chinese medicine treatment superiority.

因而预防进一步加重。5、探讨对糖尿病合并无症状脑梗塞防治与否和糖尿病合并症状性脑梗塞的转化的危险因素关系。6、探讨糖尿病合并症状性与无症状性脑梗塞的中医辨证特点,有利于重新认识症状与证型的形成机理,体现中医整体观念,发挥中医药治疗优势。

[Objective] To analyze the outcome of internal fixation for occipitalization with atlantoaxial joint dislocation by posterior decompression and occipitocervical fusion [Method] From December 2005 to June 2007,8 patients with occipitalization and atlantoaxial joint dislocation received removal of the posterior arcus of atlas and the enlargement of the posterior edge of the foramen magnum after skull traction performing for an average of 135 daysAll patients were operated on by posterior craniocervical fusion using cervifix internal fixation system and autologous ilium graftsThe clinical efficacy after operation was analyzed by Japanese Orthopaedic Associationneural function score [Result] All the patients were followed up from 6 months to 2 years, average of 15 monthsNo complication was foundAtlantodental interval was 5~9 mm before and 4~6 mm after skull tractionAtlantoaxial joint dislocation didn't completely reducedThe neurological defects were improved to some extents according to the JOA scoreImageology showed all patients had full decompression and bony fusionThe loosening or broken internal fixation was not found [Conclusion] Posterior decompression and fusion is a feasible method for the treatment of occipitalization with atlantoaxial joint dislocation,and the clinical effect is satisfactory

分析后路减压枕颈融合内固定术治疗合并寰枢关节脱位的寰椎枕骨化临床疗效。[方法]2005年12月至2007年6月间,对8例合并寰枢关节脱位的寰椎枕骨化患者在行颅骨牵引治疗一段时间(12~16 d,平均135 d)后采用枕骨大孔后缘扩大,寰椎后弓切除减压取自体髂骨枕颈融合Cervifix系统内固定术,手术后采用日本骨科学会神经功能评分分析临床疗效。[结果]8例患者随访6个月~2年,平均为15个月。8例患者无一例出现术后并发症,术前寰齿前间隙为5~9 mm,经颅骨牵引后为5~7 mm,寰枢关节脱位未能完全复位。手术前后JOA评分示神经症状均有不同程度恢复,影像学检查示枕颈区减压充分植骨区获得骨性融合,无一例出现内固定松动或断裂。[结论]合并寰枢关节脱位的寰椎枕骨化患者术前仔细评估影像学改变,采用颅骨牵引一段时间后行后路减压枕颈融合内固定术的治疗方案是合理可行的,且临床效果满意。

First, we introduce the uniform state feedback for the systems, and define partial merged assignment, unmerged assignment and independent assignment.

我们首先引进了一致状态反馈概念,然后定义了部分合并配置、不合并配置和独立配置概念,这些都以极大系统的相应概念为其特例,得到了它们的判据,最后给出了不合并配置的算法和例子。

objective to sum up the experiences in the diagnosis and the treatment of sternal fracture.methods different treatment approaches were applied to sternal fracture according to whether or not there were fracture shift and complication.results all the 15 patients healed up and left the hospital except that one died from complicated lung contused wound and right main bronchial cracking.conclusion to diagnose sternal fracture is not difficult, but attention should be paid to complicated wound in chest or abdomen.

目的 总结胸骨骨折的诊断与治疗经验。方法依据胸骨骨折无移位、单纯胸骨骨折有移位,胸骨骨折合并有胸腹脏器伤等不同伤情采取不同的处理方法。结果全组15例中除1例合并有广泛肺挫伤、右主支气管破裂死亡者,其余均痊愈出院。结论胸骨骨折诊断不难,但诊断中要注意是否合并胸腹脏器伤。

Met DSM-IV 12-month criteria for major depressive disorder and 10%(75) met DSM-IV criteria for dysthymia. 153 (21%) had a co-morbid substance use problem; 142 (18%) had co-morbid panic syndrome; 202 (26%) had co-morbid anxiety syndrome; 543 (69%) had a co-morbid chronic physical health problem.

(71.3%)是女性; 49%(356/726)符合 DSM-IV 抑郁发作 12 个月的标准, 10%(75)符合 DSM-IV 恶劣心境的标准; 153 (21%)合并物质滥用; 142 (18%)伴有疼痛症状; 202 (26%)合并焦虑症状; 543 (69%)合并慢性躯体健康问题。

Results: The cohort consists of 791 patients with depressive symptoms. 564 (71.3%) are female. 49%(356/726) met DSM-IV 12-month criteria for major depressive disorder and 10%(75) met DSM-IV criteria for dysthymia. 153 (21%) had a co-morbid substance use problem; 142 (18%) had co-morbid panic syndrome; 202 (26%) had co-morbid anxiety syndrome; 543 (69%) had a co-morbid chronic physical health problem.

结果:队列中纳入了791名伴有抑郁症状的患者。564 (71.3%)是女性;49%(356/726)符合 DSM-IV抑郁发作12个月的标准,10%(75)符合DSM-IV恶劣心境的标准;153 (21%)合并物质滥用;142 (18%)伴有疼痛症状;202 (26%)合并焦虑症状;543 (69%)合并慢性躯体健康问题。

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We are in a real jam.

我们的麻烦大了。

Hey, it's Ahmet from India, that foreign exchange guy.

看,那是印度的阿曼特,国际交换生

Because you can make victims of a hypothetical, what is there for not matter.

因为你能对一个灾民作假设,还有什么作不出的事。