患...病

The system evaluation inputs 35 case clinical nursing form data, and analysis those data by the system, to obtain nursing diagnosis suggestion list for each case; next, the nursing expert evaluate suggestion list to be whether suitable by five-level Likert scale, and records the nursing diagnosis by the manual way for computation automatic deduction to manual joins proportion.

系统评估则输入35位儿童加护病房病患之真实数据，经系统进行分析及推论，得到各病患之护理诊断建议清单，并请护理专家检视后以五分法进行护理诊断适当性评分，另列出各病患需以手动方式加入之护理诊断，计算自动推论与手动加入之护理诊断的比例。

"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。

The Joint Commission and the US Center for Disease Control and Prevention guidelines recommend an annual flu shot for all patients 50 years or older and a pneumococcus vaccine for patients 65 years or older. But the guidelines call for both vaccinations across the board for all patients with generalized malignancy, given their decreased immunity to naturally occurring pathogens.

联合会与美国疾病管制与预防中心的指引建议，所有50岁以上的病患都应该接受每年一次的流行性感冒疫苗注射，而65岁以上病患每年须接受肺炎链球菌疫苗注射；至於全身性癌症病患，指引的建议是应该接受这两种疫苗注射，因为这些病患对抗这些自然发生病原菌的能力较差。

Eligible candidates were men older than 65 years who had been diagnosed with PD and had at least 2 of the following features: rigidity, resting tremor, and bradykinesia. Subjects with renal, hepatic, cardiac, or thyroid dysfunction or those with known causes of osteoporosis such as primary hyperparathyroidism or renal osteodystrophy were excluded from the study.

收纳标准包括65岁以上男性，被诊断罹患PD且至少包括下列表徵两项以上，分别是肢体僵硬、静止时手抖与运动迟缓；那些罹患肾脏、肝脏、心脏或是甲状腺功能异常的病患，或是罹患已知可能造成骨质疏松症的疾病，包括原发性副甲状腺功能亢进或是肾脏骨质异常的病患都被排除在试验之外。

Results showed that rapid cycling patients were more likely to be female, a fact more evident in bipolar I than bipolar II patients. Rapid cycling patients also showed a younger age of onset and a higher occurrence of depression at study entry. In the year prior to the study, the rapid cycling group showed poorer global functioning and a significantly greater rate of depressive and hypomanic/manic episodes. History of psychosis showed no correlation with rapid cycling but bipolar I patients were more likely to have symptoms of psychosis than bipolar II patients.

研究结果显示，快速循环病患以女性较多，而在两极I及两极II病患中更明显，快速循环病患发病年龄较轻，在研究期间较常出现忧郁症状，研究之前一年，快速循环组显示较低的整体功能，且有明显较高比例的忧郁及轻躁症/狂躁症，但是精神病史显示这与快速循环没有关系，但两极I比两极II病患更容易出现精神病症状。

Urologic cancer surgeons need to think about maintaining long-term kidney function, because that might ultimately affect the overall survival of these patients."The oncologic data are clear," Dr. Blute said. The cancer survival rates are identical for partial and radical nephrectomy, but these new data suggest that there might be a difference in overall survival."This is a cancer database, so we only know that these patients didn't die from cancer, but we don't know what they died from," he explained."Further study is necessary in a population of possible kidney cancer patients who have a history of smoking, diabetes, hypertension, or obesity, which are exactly the conditions that predispose to chronic kidney disease."

泌尿外科医师应该考虑维持长期的肾脏功能，因为这可能最终影响这些病患的整体存活率；Blute医师表示，肿瘤学的数据是清楚的，接受部分与全肾脏切除的癌症存活率是相同的，但这些新数据显示整体的存活率可能有差异，他解释，这是个癌症资料库，因此我们仅知道这些病患并未死于癌症，但是我们不知道他们死于何种原因；未来的研究需要针对有吸菸、糖尿病、高血压、或是肥胖病史，这些状况可能造成慢性肾脏疾病，且可能是罹患肾脏肿瘤的病患进行进一步的研究。

Urologic cancer surgeons need to think about maintaining long-term kidney function, because that might ultimately affect the overall survival of these patients."The oncologic data are clear," Dr. Blute said. The cancer survival rates are identical for partial and radical nephrectomy, but these new data suggest that there might be a difference in overall survival."This is a cancer database, so we only know that these patients didn't die from cancer, but we don't know what they died from," he explained."Further study is necessary in a population of possible kidney cancer patients who have a history of smoking, diabetes, hypertension, or obesity, which are exactly the conditions that predispose to chronic kidney disease."

泌尿外科医师应该考虑维持长期的肾脏功能，因为这可能最终影响这些病患的整体存活率；Blute医师表示，肿瘤学的数据是清楚的，接受部分与全肾脏切除的癌症存活率是相同的，但这些新数据显示整体的存活率可能有差异，他解释，这是个癌症资料库，因此我们仅知道这些病患并未死於癌症，但是我们不知道他们死於何种原因；未来的研究需要针对有吸菸、糖尿病、高血压、或是肥胖病史，这些状况可能造成慢性肾脏疾病，且可能是罹患肾脏肿瘤的病患进行进一步的研究。

Based on an intention-to-treat analysis, patients treated with pioglitazone had a significant increase in limb fat compared with those receiving placebo (0.38 vs 0.05 kg; P =.051). No difference was found, however, in the patients treated with stavudine. After excluding these patients, the increased limb fat was even greater for the pioglitazone-treated patients (0.45 vs 0.04 kg; P =.013). Other improvements included increased thigh circumference (1.4 vs 0.2 cm; P =.017) and tricipital skin-fold thickness (0.9 mm vs 0.4 mm; P =.047). No difference was found in subcutaneous abdominal fat or visceral fat.

根据意向分析，接受pioglitazone治疗相较于接受安慰剂的病患，肢体脂肪显著地增加（0.38相较于0.05公斤；P＝。051）；除了使用stavudine治疗的病患外，并没有发现差异；在排除这些病患后，接受pioglitazone治疗的病患，肢体脂肪显著地增加（0.45公斤比0.04公斤；P＝。013）；其它变化包括大腿围增加（1.4相较于0.2公分；P＝。017），以及三头肌皮肤厚度（0.9公厘相对于0.4公厘；P＝。047），至于皮下脂肪或是脏器脂肪并没有差异。

Based on an intention-to-treat analysis, patients treated with pioglitazone had a significant increase in limb fat compared with those receiving placebo (0.38 vs 0.05 kg; P =.051). No difference was found, however, in the patients treated with stavudine. After excluding these patients, the increased limb fat was even greater for the pioglitazone-treated patients (0.45 vs 0.04 kg; P =.013). Other improvements included increased thigh circumference (1.4 vs 0.2 cm; P =.017) and tricipital skin-fold thickness (0.9 mm vs 0.4 mm; P =.047). No difference was found in subcutaneous abdominal fat or visceral fat.

根据意向分析，接受pioglitazone治疗相较於接受安慰剂的病患，肢体脂肪显著地增加（0.38相较於0.05公斤；P＝。051）；除了使用stavudine治疗的病患外，并没有发现差异；在排除这些病患后，接受pioglitazone治疗的病患，肢体脂肪显著地增加（0.45公斤比0.04公斤；P＝。013）；其他变化包括大腿围增加（1.4相较於0.2公分；P＝。017），以及三头肌皮肤厚度（0.9公厘相对於0.4公厘；P＝。047），至於皮下脂肪或是脏器脂肪并没有差异。

Dr. Spitz listed several factors that can contribute to a delay in diagnosis. He observed that some physicians expect epilepsy patients to present with grand mal seizures, that comorbid conditions such as cardiac disease and cancer can mask seizure activity, and that patients can be extremely confused for a day or two after mild seizures."The recovery period from an epileptic seizure is longer and more dramatic in someone who is 70 as opposed to someone who is seven," he said.

Spitz医师开出几项会造成诊断延误的因子，他观察到一些医师认为癫痫病患会有重癫痫的发作，comorbid的症状如心脏疾病和癌症会掩盖发作活动，病患在轻微发作后一两天会极度困惑，他表示，70岁病患癫痫症发病到复原的期间比七岁病患更长和更惊人，Spitz进一步表示，一旦被诊断出，老年病患的发病通常是轻微的，并且能用药物治疗。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。