总的

objective to evaluate efficacy of extracorporeal shock wave lithotripsyfor treating ureteral stones in situ,investigate the cause of higher re-treatment rate.methods total of 687 patients with ureteral stone were received eswl between january 2000 and december 2004,included 455 male(66.2%) and 232 female(33.8%) patients,6 cases have bilateral ureteral calculi,12 cases have unilateral multiple calculi.hence,together 709 ureteral calculi were treated.patients upper ureteral calculi were treated in the supine position,for lower ureteral calculi patients were turned prone.to reduce eswl-induced renal trauma and pain,using lower energy source,adjusted power setting from 9.8 to 13.2kv,limited 1500 shock wavs per one session.no auxiliary procedure were used before eswl.the stone size was measured as the surface area of stone length by stone width on x-ray film.the interval between two treatment sessions was two weeks.results of 709 ureteral calculi,the overall stone free rate was 97.3%(690 calculi),re-treatment rate was 34.1%(292 calculi).according to the performed treatment sessions,one session 467 calculi,the mean stone size 37.27mm2,stone free rate 65.4%(464 calculi).two sessions 138 calculi,the mean stone size 62.48mm2,stone free rate 18.4%(131calculi).three sessions 52 calculi,the mean stone size 79.60mm2,stone free rate 7.1%(50calculi).four sessions 19 calculi,the mean stone size 101.63mm2,stone free rate 2.4%(17calculi).fivesessions 33 calculi,the mean stone size 119.33mm2,stone free rate 3.9%(28 calculi).overall 19 cases(2.7%)turned to other treatment modalities.of 335 upper ureteral calculi,303 achieved stone free (95.8%),re-treatment rate was 38.5%(129 calculi).of 374 lower ureteral calculi,369 achieved stone free(98.7%),re-treatment rate was 30.2%(113 calculi).the re-treatment rate of upper ureteral calculi was higher than lower ureteral calculi(p＜0.05,χ2=5.40).the difference of stone-free rate between upper and lower ureteral calculi was no significant(p＞0.05,χ2=0.15).conclusion eswl should be considered first line therapy for ureteral stone still.stone burden are the main variable of higher re-treatment rate,upper ureteral stone may moving with respiring during eswl.so efficinet shock wave was decreared,re-treatment rate become higher.

目的 评估体外震波碎石治疗输尿管结石的疗效，探讨再治疗率高的原因及输尿管结石的治疗选择。方法回顾2000年1月～2004年12月间eswl治疗输尿管结石的临床资料687例，男455例（66.2%），女232例（33.8%），平均年龄46.6岁（15～83岁）。有双侧输尿管结石6例，单侧多发性输尿管结石12例（4颗1例，3颗2例，2颗9例），共计输尿管结石709颗（含透光结石13颗）。应用上海爱申公司生产的desunit6030型碎石机，c臂x线球管做结石定位。上段输尿管结石（肾盂输尿管交界处至骶髂关节上缘）取仰卧位，下段输尿管结石（骶髂关节上缘下至输尿管口）取俯卧位。为减少eswl引起的肾损伤和疼痛，应用较低的能量，震波发生器电压从9.8～13.2kv，震波频率1.5s。每次治疗设定为1500次震波。治疗后3天摄腹部平片或b超，以后每隔7日重复检查。假如结石未碎或有残留结石最长径＞3mm以上，再次eswl，两次治疗的间隔时间为两周。结石的大小用x线片上的表面积（mm2表示。结果 709颗输尿管结石总的治愈率为97.3%（690颗），再治疗率34.1%（242颗）。其中一次治疗467颗，平均结石大小37.27mm2，治愈464颗（65.4%），3颗改治疗；两次治疗138颗，平均结石大小62.48mm2，治愈131颗（18.5%），7颗改治疗；第1和第2次治疗治愈率（1个月治愈率）为83.8%。3次治疗52颗，平均结石大小79.60mm2，治愈50颗（7.1%），2颗改治疗；4次治疗19颗，平均结石大小101.63mm2，治愈17颗（2.4%），2颗改治疗；5次及5次以上治疗33颗，平均结石大小119.33mm2，治愈28颗（3.9%），5颗改治疗。总计19颗（2.7%）结石改变治疗方式。上段输尿管结石335颗，治愈321颗（95.8%），再治疗129颗（38.5%）。下段输尿管结石374颗，治愈369颗（98.7%），再治疗113颗（30.2%）。经χ2检验，上、下段输尿管结石的再治疗率差异有显著性（χ2=5.40，p＜0.05），治愈率差异无显著性（χ2=0.15，p＞0.05）。不良反应：血压升高13例（1.9%），震波区域疼痛26例（3.8%），震波进入处皮肤点状淤血33例（4.8%），肉眼血尿128例（18.6%），均于第2、3天自行消失。结论 eswl目前仍是输尿管结石的第一线治疗，结石的大小是再治疗率高的主要因素。结石的位置有影响，上段输尿管结石可随呼吸移动，有效震波次数减少，再治疗率比下段输尿管结石高。eswl前注重病例筛选可降低再治疗率。

The general effect will be an overall toning and revitalizing of the skin.

总的效果将是一个整体色调和振兴的皮肤。

The invention discloses a multiple address method for communication technology, wherein the overall system bandwidth is sectionalized based on the users' service requirement, and the system sub-segment module allocates the user with corresponding transmitting sub-segments to transmit the user information.

本发明公开了一种新的用于通信技术的多址方法，它是根据用户的业务需求，将系统总的带宽进行分段，由系统子段分配模块为该用户分配相应的传输子段来传递用户的信息。当用户的数据率较低的时候，分配一个传输子段；当用户的数据率较高的时候，分配多个传输子段。

Results Total incidence rate of injury was46.9%,male was higher than female.Falling and collidingwere high-incidence injuries;high-incidence risk behaviors were being spited,break out traf-fic regulation,fighting and so on.Psychological problems had higher incidence,such as no security sense and unhealthy psychological states.Conclusion There are many kinds of risk behaviors which caused injury among teenagers.

结果 总的伤害报告率为46.9%，男生高于女生；普通初中的学生是伤害的高发人群；跌落伤和物体砸伤或碰伤是发生率较高的伤害类型；发生率较高的危险行为主要为受到欺辱、交通违章、与他人打架等；感到没有安全保障、非健康的心理状态等心理问题的发生率较高。

Results Total incidence rate of injury was46.9%,male was higher than female.Falling and collidingwere high-incidence injuries;high-incidence risk behaviors were being spited,break out traf-fic regulation,fighting and so on.Psychological problems had higher incidence,such as no security sense and unhealthy psychological states.

结果 总的伤害报告率为46.9%，男生高于女生；普通初中的学生是伤害的高发人群；跌落伤和物体砸伤或碰伤是发生率较高的伤害类型；发生率较高的危险行为主要为受到欺辱、交通违章、与他人打架等；感到没有安全保障、非健康的心理状态等心理问题的发生率较高。

I am a cyclist, and my legs are really muscular as it stands — do I still need to do squats as part of the total workout experience?

我是一名车手，我的腿真的肌肉，因为它代表-我仍然需要做蹲的一部分，总的锻炼体验？

In the Subtotals dialog, in the Group by box, select the column that you want to add the subtotals to.

在分类汇总对话框的分类依据框里选择要添加分类汇总的列。

"What I'm going to have are not official deadlines, what I'm going to have jacos that the general goals undergrounds, if the bills (generals on the ground, in a bill, the) president sign such bill, and I think that you see conserved this in the Democratic party and most Republicans are willing to sit down and work with our our way through this."

&我们不会要不自然的的期限，我们不会加枷锁在总的基础条款上，总统不会签署这样一份议案。而且我认为你们将会看到民主党内的保守派和大多数共和党人愿意坐下来，以商谈如何通过这个。&

A single machine scheduling problem with batchs setup time depending on sequence is proposed. The math model to minimize setup times is upbuilt. An improved adaptive hybrid genetic algorithm is brought up for solving this scheduling problem. Several operators are redesigned according to the characteristic of this scheduling problem. Follow job optimization recombination crossover is advanced for transmitting the good character to the offspring. To improve the mountain climbing ability of the genetic algorithm, the mutation is replaced by a local optimization algorithm.

提出了一种具有序依赖setup time的单机器批量生产调度问题，以总的setup time最小为目标建立了该生产调度问题的数学模型，设计了一种改进的自适应混合遗传算法求解该生产调度问题，对遗传算法的交叉和变异算子均按照该调度问题的特点进行了改进，提出一种&紧后任务选优重组交叉算子&，该算子能将调度排序上的优良性状很好地遗传到下一代群体中。

Wiling to hear from you with the total cost price and bank account informations.

希望能听到购买MP3的总的价格和你银行的信息

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。