患...病

However, at least 1 outside observer urged caution in interpreting these findings."The reliability and validity of high-resolution computerized tomography in kidney failure has been questioned," Ell Friedman, MD, nephrologist and Distinguished Teaching Professor of Medicine at the State University of New York Downstate Medical Center in Brooklyn, told Medscape Nephrology . He cited a recent study by Barraclough et al ( Nephrol Dial Transplant . Published online before print May 1, 2008) showing significant imprecision in HRCT-derived validation of coronary calcification in kidney failure patients, depending on who reads the results.

然而，至少一位以上的外部观察者表示在阐释这些研究发现时必须特别小心，布鲁克林纽约州立大学Downstate医学中心的肾脏学家与卓越教学医学教授Ell Friedman医师向Medscape肾脏学表示，高解析度电脑断层扫描应用於肾脏衰竭上的信度与效度已经受到质疑；他引用最近一项由Barraclough等人（发表於Nephrol Dial Transplant，於2008年5月1日线上发表）的研究结果，显示HRCT延伸的肾脏衰竭病患冠状动脉钙化检验有相当程度的误差，取决於谁判读检验结果。

This study "confirms for me that there does not appear to be harm in the use of ACE inhibitors or ARB agents right up until the time the patient goes on dialysis, and they should be continued after starting dialysis," said nephrologist Leslie Spry, MD, who was not involved in this research. Dr. Spry, who is medical director of the Dialysis Center of Lincoln, Nebraska, and a spokesperson for the National Kidney Foundation, told Medscape Nephrology that these findings demonstrate that "the benefit is still there late in the disease, and even after the onset of dialysis."

未参与此研究的肾脏科医师Leslie Spry表示，此研究确认了使用ACE抑制剂或ARB制剂没有明显伤害，直到病患开始接受透析，且在开始透析之后还可以继续使用；国家肾脏基金会发言人、内布拉斯加州林肯透析中心医疗主任Spry医师向Medscape Nephrology 表示，这些发现点出了RAS抑制剂的好处在疾病后期、甚至开始透析之后仍然存在。

"Corticosteroid" for some serious visual impairment in patients with optic neuritis is helpful.

"皮质类固醇"对某些严重视力受损的视神经炎病患是有帮助的。

But the Danish study was smaller than the Swedish one: it involved 106 acoustic neuroma patients and 212 healthy controls.

但是，丹麦的研究规模较瑞典的来得小，只有106个听神经瘤病患对照212个控制组。

During follow-up for up to 26 months, patients were monitored for occurrence of fatal or nonfatal CV events.

在后续达26个月的追踪期间，观察这些病患是否发生致命或非致命CV事件。

Dr. Fassler stressed that many individuals with ADHD are still not being diagnosed or receiving treatment, and parents have many questions about the most appropriate care for their child, which the guide was designed to address. Subcommittee member Adelaide Robb, MD, added that the guide is written in an easy-to-understand question-and-answer format. In addition to unraveling the complexities of ADHD medications, the guide also discusses other ADHD issues such as stimulant medication and addiction, school and ADHD, behavioral treatments, and nonproven treatments. It concludes with lists of recommended reading for children and adults.

Fassler医师强调，许多ADHD病患仍未被诊断或接受治疗，双亲对其小孩的最适当治疗存有疑虑，而这些是此一规范所要表达的；小组委员会成员Adelaide Robb医师指出，该规范是以简单易懂的问答形式撰写，为了阐明复杂的ADHD药物，该规范也讨论其它有关ADHD的议题，如刺激性药物与加成作用、学校与ADHD、行为治疗，以及一些尚未经证实的治疗；结论列出一些提供给小孩和成人的建议读物。

Health Canada approved an implantable bridge-to-transplantation device (CardioWest Temporary Total Artificial Heart , made by SynCardia Systems, Inc), for use in patients eligible for heart transplant who are at risk of imminent death from nonreversible biventricular failure.

10月27日，加拿大卫生署核准一种植入性移植前装置（CardioWest暂时性人工心脏〔TAH－t〕，由SynCardia系统公司制造），使用於因不可逆双心室衰竭而有立即死亡风险，且适合进行心脏移植的病患。

An expert committee identified 807 of these patients as having nonspecific chest pain, with no underlying heart condition.

由一个专家委员会辨识其中807名病患为非特定胸痛，没有潜在的心脏问题。

AMI patients admitted on weekends had higher mortality than those admitted during weekdays. Higher physician volume is associated with lower in-hospital AMI mortality. Furthermore, patients cared for by cardiologists have lower mortality than those cared for by non-internists. Additionally, patients admitted to teaching hospitals have lower mortality than those admitted to nonteaching hospitals.

急性心肌梗塞病患周末住院较平常日住院有较高的住院死亡风险，较高的医师服务量与较低的急性心肌梗塞住院死亡风险有关，心脏专科医师治疗的住院死亡风险相较其他非内科医师为低，教学医院治疗的住院死亡风险亦较非教学医院为低。

Group therapy using this type of structured, psychoeducational approach provides a comfortable and nonthreatening environment and provides practical information and strategies. The program is also designed to provide mentally stimulating exercises for individuals with mild cognitive impairment and apathy, which are common in geriatric patients, he noted.

他指出，团体治疗利用此架构，以心理教育方式提供舒适的无威胁的环境，提供实用的资讯与策略，计划也为轻微认知缺损者和冷淡者设计心理刺激运动，这两种类型的病患也是老年人常有的。

For a big chunk of credit-card losses; the number of filings (and thus charge-off rates) would be rising again, whether

年美国个人破产法的一个改动使得破产登记急速下降，而后引起了信用卡大规模的亏损。

Eph. 4:23 And that you be renewed in the spirit of your mind

弗四23 而在你们心思的灵里得以更新