患...病

Consequ more neurasthenia, more aspirin, more expens illnesses, more colitis, append and dyspepsia, more soften brain and harden livers, more ulcer duodenum and lacer intestines, overwork stomach and overtax kidneys, inflam bladder and outrag spleens, dilat heart and shatter nerves, more flat chest and high blood pressure, more diabetes. Bright' disease, beri-beri, rheumatism, insomnia, arterio-sclerosis, piles, fistulas, chronic dysentry, chronic constipation, loss of appetit and weari of life.

因此患神经衰弱症的人更多，吃阿司匹灵药饼的人更多，患贵族病的人更多，患结肠炎、盲肠炎和消化不良症的人更多，患脑部软化和肝脏变硬的人更多，患十二指肠烂溃症和肠部撕裂症的人更多，胃部工作过度和肾脏负担过重的人更多，患膀胱发炎和脾脏损坏症的人更多，患心脏胀大和神经错乱的人更多，患胸部平坦和血压过高的人更多，患糖尿病、肾脏炎、脚气症、风湿痺、失眠症、动脉硬化症、痔疾、瘘管、慢性痢疾、慢性大便秘结、胃口不佳和生之厌倦的人更多。

In a study of 14 hemiplegic patients, those who practiced ankle dorsiflexion using the mirror had more recovery of function in the affected limb than those who underwent direct conditioning.

在镜像治疗中，病患在健侧肢的床边放一面镜子，阻断他们对患侧肢的视线，建立两侧肢体都功能正常的假象；研究中的14名偏瘫病患，患侧肢利用镜子练习踝关节背曲的功能恢复比直接练习者佳。

The results showed an increased mean jitter value, fiber density and abnormal percentage both in EDC and AT muscles in group 1 and II diabetic patients comparing to the normal controls. These findings suggest an impaired or immatured neuromuscular junctions and an evidence of reinnervation through axonal sprouting in the diabetic patients either with or without nerve conduction abnormalities. In conclusion, the changes of axonal degeneration and reinnervation are the main pathophysiological mechanism of diabetic neuropathy, and the SFEMG is more sensitive than routine nerve conduction study in the diagnosis of diabetic neuropathyKeyword Axonal degeneration , diabetes mellitus , neuropathy , single fiber electromyography

结果显示两组糖尿病病患的连续间值差异，肌纤维密度及不正常比率比对照组显著增加(t试验，依序p.01)，在第一组糖尿病患中，伸指总肌的连续波间值差异比第二组高(p.05)，而连续波间值差异与纤维密度之间也成线性相关的增加(伸指总肌，r=0.471，p.01；胫前肌，r=0.386，p.02)，在伸指总肌测得的连续波间值差异上，第一组糖尿病患有75%不正常，第二组有33.3%不正常，而在胫前肌的连续波间值差异上，第一组糖尿病患有83.3%的不正常，第二组有75%不正常，在肌纤维密度的测定中，第一组糖尿病患的伸指总肌有27.8%不正常，胫前肌有58.3%不正常，第二组病患的伸指总肌有25%不正常，胫前肌有41.7%不正常，此结果表示糖尿病神经变造成的神经肌像交接处不稳定及有神经轴再生的重分布现象，因此也证实糖尿病神经病变的主要病理机转为神经的退化所致，而在诊断上单纤维肌电图检查的敏感度也比运动神经传导速度检查为高。

"In particular, most people with RLS have as many as 200 to 300 periodic leg movements per night of sleep, and these leg movements are associated with substantial acute increases in blood pressure and heart rate, which may, over the long term, produce cardiovascular or cerebrovascular disease," said Dr. Winkelman.

在整个研究组中，罹患RLS的病患中6.8%是女性、3.3%是男性，在控制年龄、性别、种族、身体质量指数、收缩压、降血压药物的使用、糖尿病、胆固醇浓度、吸菸史与呼吸中断症，研究者发现罹患RLS病患发生CAD与心脏血管疾病风险高出两倍。

In the second study, interpersonal and social rhythm therapy was 1 of 3 intense psychotherapies that resulted in better outcomes than collaborative care, in a 1-year randomized study that was part of the Systematic Treatment Enhancement Program for Bipolar Disorder trial (Miklowitz DJ et al. Arch Gen Psychiatry 2007;64:419-426). A total of 293 outpatients with bipolar I or II disorder and depression treated with protocol pharmacotherapy were randomized to up to 30 sessions of intensive psychotherapy with 1 of 3 methods — interpersonal and social rhythm therapy, family-focused therapy, or cognitive behavior therapy — or to 3 sessions of collaborative care treatment. Compared with patients treated with brief collaborative care, patients receiving intensive psychotherapy attained remission of depression within a shorter time.

在第二项研究中，个体间与社会节律疗法是三种密集精神治疗中的一环，这些治疗的预后比联合照护好，这项研究是一项为期一年的随机分派研究，且是Systematic Treatment Enhancement Program for Bipolar Disorder试验的一部份（Miklowitz，等人Arch Gen Psychiatry 2007；64：419-426），总共有293位罹患第一或第二型双极性异常与忧郁症，且正在接受药物治疗疗程的门诊病患，他们被随机分派接受高达30次的密集精神治疗，分别是个体间与社会节律疗法、家庭疗法或是认知行为治疗，或是接受三次的联合照护治疗；相较於接受行为治疗照护的病患，接受密集精神治疗的病患达到忧郁症状消退的时间较快。

With the progress of our society, people have higher self-awareness. In medicine, patients' self-decision right is getting more respect. However, doctor/patient relation in Taiwan has been getting worse in recent years. The number of medical lawsuits is increasing, including patients accusing doctors in violation of informed consent rule.

中文摘要随著社会之进步，人民自我意识之提高，在医疗方面，病患自我决定权亦日渐受到重视，但另一方面，近年来我国之医病关系亦日趋恶化，医疗诉讼与日俱增，其中亦包括病患主张医师违反「告知后同意法则」而产生之医疗诉讼类型，究其原因，应与医病间之沟通不良有关。

Patients were randomized to receive radiotherapy (n = 214) or usual care and observation (n = 211). Radiation was delivered by external beam at a dose of 60 to 64 Gy in 30 to 32 fractions.

这些病患被随机分派接受放射线疗法（共214位病患），或是一般性疗法（共211位病患）；放射线疗法透过体外射线方式投予，剂量为60至64葛雷，分为30至32次。

"These findings support the current strategy of directing patients with suspected acute coronary syndrome to the nearest hospital with acute care facilities, irrespective of the availability of a catheterisation laboratory, and argue against early routine transfer of these patients to tertiary care hospitals with interventional facilities," the authors write."Our results do not suggest that an invasive approach to patients with acute coronary syndrome is harmful but that a more restrictive selective use of invasive procedures, as usually applied to patients first admitted to a community hospital, is at least as effective as a more liberal routine use."

研究人员表示，这些发现支持了目前将怀疑是急性冠状动脉疾病病患送到最近的、具有紧急照护设施医院的策略，不论该医院是否具有心导管设施，并且争议早期固定将这些病患转送到具有介入设施三级医院的作法；我们的结果暗示，对急性冠状动脉疾病患者进行侵入性的作法是有害的，但是侵入性手术的受限，就像将病患送到社区医院一样，与更不受限的作法比起来是同样有效的。

A similar dose comparator study, using another product, was reported in a neighboring poster by Ulrich Kleeberg, MD, from Haematologisch-Onkologische Praxis Altona, in Hamburg, Germany. This study compared epoetin beta at a dose of 30,000 IU once weekly with 10,000 IU given thrice weekly in 1458 patients. Most of these patients had solid tumors (371 had hematologic cancers) and were undergoing chemotherapy.

德国汉堡Praxis Altona城区Ulrich Kleeberg医师於另一项发表的壁报中，使用不同的药品，却得到相同的结果；这项研究针对1，458位病患比较红血球生成素贝他（NeoRecormon， Roche），以每周投予30，000单位、或每周三次10，000单位的疗效，这些病患绝大多数罹患固体肿瘤（其中371位罹患血液肿瘤），并且接受化学疗法。

A similar dose comparator study, using another product, was reported in a neighboring poster by Ulrich Kleeberg, MD, from Haematologisch-Onkologische Praxis Altona, in Hamburg, Germany. This study compared epoetin beta at a dose of 30,000 IU once weekly with 10,000 IU given thrice weekly in 1458 patients. Most of these patients had solid tumors (371 had hematologic cancers) and were undergoing chemotherapy.

德国汉堡Praxis Altona城区Ulrich Kleeberg医师于另一项发表的墙报中，使用不同的药品，却得到相同的结果；这项研究针对1，458位病患比较红血球生成素贝他（NeoRecormon， Roche），以每周投予30，000单位、或每周三次10，000单位的疗效，这些病患绝大多数罹患固体肿瘤（其中371位罹患血液肿瘤），并且接受化学疗法。

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。