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"Although treatment success with either step-up or step-down treatment is similar, the step-up strategy is more cost effective at 6 months for initial treatment of patients with new onset dyspeptic symptoms in primary care," the study authors write."Nonetheless, patients on initial empirical treatment with proton pump inhibitor show an earlier response, especially in the small subgroup with predominant reflux symptoms."

作者们写到，虽然进阶或降阶组的治疗成效相当，但是进阶策略在治疗开始6个月后对接受初级照护的新发作消化不良症状病患而言是更符合经济效益的；然而，一开始经验疗法使用质子帮浦抑制剂的病患，反应较快，特别是在少数以逆流症状为主的病患中。

In three separate studies, the investigators evaluated 105 adults with type 1 diabetes (mean age, 37 years; mean duration of diabetes, 20 years), 36 adults with type 2 diabetes (mean age, 50 years; mean duration of diabetes, 10 years), and 91 adults with type 1 diabetes (mean age, 39 years; mean duration of diabetes, 20 years). During a four-week period, participants used a hand-held computer to complete 70 trials of cognitive-motor tasks and to enter their current blood glucose reading after each test. Hyperglycemia was defined as blood glucose level higher than 15 mmol/L.

在3个不同的试验中，研究人员评估105位第1型糖尿病患者（平均年龄为37岁；患糖尿病平均时间为20年），36位第2型糖尿病患者（平均年龄为50岁；患糖尿病平均时间为10年），以及91位第1型糖尿病患者（平均年龄为39岁；患糖尿病平均时间为20岁）；在4周期间，受试者使用一种掌上型电脑来完成70种认知运动任务的试验，以及在每次测试后，输入他们目前的血糖读数，血糖高於15 mmolL被定义为高血糖。

Hemochromatosis most likely were all descendants of a common, long-lost ancestor and that the gene responsible for

由于这段独特的DNA，研究人员意识到这些罹患血色素沉著症的病患，很有可能都是同一位远祖的后代，而造成这种疾病的基因可能就位于这段病患中都相同的区域内。

Appropriate settings for the application include the treatment of ketoacidosis, perioperative glucose management, hyperosmolar nonketotic state, gastroparesis with intractable nausea and vomiting, labor and delivery,"learning" a patient's insulin sensitivity, critically ill patients in intensive care units, myocardial infarction, and hyperalimentation.

此应用程式之设定包括治疗酮酸血症、手术前后血糖控制、高渗透压非酮体性状态、胃轻瘫并棘手的恶心呕吐、阵痛与分娩、模拟病患的胰岛素敏感度、加护病房之重症病患、心肌梗塞和高滋养疗法；此软体不可用於对胰岛素过敏之病患或小於18岁者。

Kneel at the casualty's shoulder and position a bearer at the waist to help logroll the casualty onto the uninjured side.

在伤患的肩膀旁跪下，还要安排搬运者位於伤者腰部来帮助将伤患侧起，伤患身体未受伤的一侧要在下面。

But commentator and author Steve Young's blog on the Huffington Post Web site says Bush looks like the "Lounge Lizard in Chief"-- so he advises Democrats to seize the moment and make use of "the irony of a president who's supposed to represent our best, giving the chancellor of Germany an inappropriate and unrequested back rub."

记者王昶闵台北报导〕台大精神部主治医师李宇宙在医界向来以仁心仁术闻名，受到病患爱戴。去年他罹患了肺癌，一位病患竟自觉人生无望而自杀，昨日他举行「今天不写病历—一位精神科医师的人文情怀」新书发表会，宣布即将退休，做好想做的事。

Cows in the perinatal period were used in the experiment.Through clinical symptom and laboratory examination, they were divided into five groups that were healthy multiparity cows,healthy primiparity cows,cows with fatty liver disease, cows with ketosis and cows with rtention fetal membrance. We experimented blood of antepartum 15,8,1 day and postnatal 1,8,15,22 day,then assayed Thyroid hormone, thyroid-stimulating hormone, Iodine ,Selenium, GSH-Px in blood-serum. At last,we analysed data by statistical way .

本实验以处于围产期的57头奶牛为研究对象，通过实验室检查结合临床症状查出其中健康的经产牛、健康的初产牛及患酮病、患脂肪肝、患胎衣不下的自然病例，在奶牛产前15天，产前8天，产前1天，产后1天，产后8天，产后15天和产后22天分别采颈静脉血，检测血清中甲状腺激素(T4和T3)、促甲状腺激素、碘、硒和谷胱甘肽过氧化物酶的含量、摸索出其动态变化并作了统计分析。

Seven patients aged 4 to 19 years, with myelomeningocele and high-pressure or poorly compliant bladders, were identified as candidates for cystoplasty. Each patient underwent bladder biopsy, and urothelial and muscle cells were grown in culture and seeded on a biodegradable bladder-shaped scaffold made of collagen, or on a composite of collagen and polyglycolic acid. About 7 weeks later, the autologous engineered bladder constructs were used for reconstruction, and implanted either with or without an omental wrap. After implantation, patients underwent serial urodynamics, cystograms, ultrasounds, bladder biopsies, and serum analyses.

年纪从4到19岁的7位脊髓脊膜膨出、罹有高压或者功能不良膀胱、被鉴定需进行膀胱成形术的病患，每一位病患接受膀胱切片，将上皮与肌肉细胞在膀胱形状的生物可分解的胶原支架或胶原聚羟基乙酸支架上加以培养；大约7周过后，形成一可自体移植的工程膀胱，移植时包覆或者未包覆网膜；移植后，病患进行一系列的尿路动力学、膀胱造影术、超音波、膀胱切片和血清分析。

"It is far more sensitive than radiography for bone erosion in patients with early rheumatoid arthritis, and can detect pre-erosive features, such as osteitis and synovitis, along with tendonitis and potentially other MRI features that can be used to predict which patients will go on to severe destructive joint damage and irreversible functional disability," Dr.

Peterfy医师进一步指出，对於早期类风湿性关节炎病患而言，MRI在骨质糜烂的诊断上，远比X光摄影灵敏许多，且可侦测到糜烂前的特徵；像是骨炎与滑膜炎、连同肌腱炎与可用於预测严重破坏性关节损害及无法恢复的功能障碍，能一开始就向病患展现准确的预测，进行一个有效率的病患管理是非常重要的。

But the others（motor functional ability, muscle strength, muscle tone）were similar in both group.Conclusion: Thermal stimulation on the paretic hand significantly improved sensory function in chronic stroke patients.

由本实验可以了解，在慢性期的中风病患患侧上肢在传统复健合并冷热交替刺激法可更加改善病患的动作功能等各项能力，尤其是感觉功能恢复。

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。