诊断医生

The quality of interior environment in nursing home residents will become one of the attention-getting subjects due to the gradual increase of aging populations This paper directs at the research of nursing home's interior environment factors in Tainan We use the standard of international practice to analyze the intrinsical data of environmental monitoring and establish the characteristics which from environmental physical reaction of nursing home The research items are air environments (PM10 CO CO2 formaldehyde TVOC) temperate environments and light environment (illumination average brightness daylight factor) etc There are the inductive conclusions of this research: 1 In basic medicine the clinical diagnosis means the theory and technique about physical examination with patients The definition of clinical diagnosis in architecture should be the diagnosis of building preserve and improve the feasible way to extend building's service life and assure the residents of the healthy quality of interior environment The object of clinical diagnosis in architecture is not only to ensure the use of structure and environment quality but also keep the structure and environment quality in sustainable; therefore creating an efficient system of preserving plan is needed 2 It is an accurate and technical circumstance which about improving remedying and reconstructing the problems of structure space This circumstance includes finding questions ensuring causation ascertaining ultimate strength evaluating environment quality estimating the necessary of restoration and implementing on a suitable way Furthermore when reconstructing and ameliorating the appearance of structure space it should be respected and the memories of it should be preserved 3 In clinical diagnosis of environment quality of space the question of physical environment and the deficiencies of structure must be separated The structure space of construction and the high quality of space should be inspected strictly then observed the crucial reason that can find out any invisible and hidden causes The diagnosis of construction is to observe the reason of destroyed structure The environmental diagnosis of indoor and outdoor is to find out the crucial reason that influences health 4 In order to decrease the iterant problems the construction and environment of space should be diagnosed However the destruction by natural strength and artificial using by human are important causes that can affect the service life of construction Searching the cause of disease just like curing the patient which includes inspection diagnosis cure and prevention We tested the thermal conductivity of siding material in this research and then found out the roof east vertical face and west vertical face have most radiant heat especially the construction of RC The characteristics of opaquely outer casing have relations with the thermal conductivity of wall to wiz the ability of heat insulation Therefore increasing the efficiency of heat insulation and decreasing the endoergic factor of insolation are very important to temperate environments

而随著国内老年人人口逐渐增加，逐渐迈向高龄化之同时，对於高龄者使用空间之室内环境品质相关议题之探讨，亦成为未来我们需加以关注之议题之一。主要为针对台南某安养中心室内环境因子进行检测调查工作，利用现场室内环境测定以取得有效的实测数据；再藉由汇整相关国际评估基准，并进行实测数据比对分析，建立老人安养中心对物理环境反应之特性。并以前期相关研究文献回顾与老人安养中心实测案例现场的实验，来了解不同空间物理环境特性之影响，并将结果回馈实际建筑及室内设计之用。调查工作项目包含：空气环境之PM10、CO、CO2、甲醛、TVOC；温热环境之室内温度、相对湿度、人体PMV、PPD；光环境之照度、均齐度、昼光率等因子调查。本研究结果可归纳以下几点结论： 1 所谓临床诊断医学乃相对於基础医学而言，是指实际与病人接触的医疗及护理行为中牵涉到的理论和技术；而建筑的临床诊断的定义应为建筑本体与室内外诊断、维护及改善所有可行的方式来延长建筑物的寿命，并确保人与室内环境空间品质的健康。建筑临床诊断目的为确保结构体与环境品质能继续使用，而能维持所需要的效能及承受能力。一个有效的维护计画体系是必须建立的 2 在建筑空间之问题改善、治疗与修复执行中，是一个精确与技术性的事项，其中包含找出问题、确定原因、评估结构应力强度、评估环境品质、评估修复与改善必要性、选择及执行一个适当的过程。其改善与修复也必须尊重建筑空间原有色彩与形貌，并保留原有记忆及文化。 3 在临床诊断中空间环境品质中，物理性环境问题与结构构件缺陷必须分别判断，诊断建筑空间之结构与空间舒适品质必须详细观察其症结性问题，才能发现任何隐藏及有潜伏性缺陷的原因。建筑本体诊断是观察出建筑本体之破坏原因，而是内外空间环境诊断目的在於的找出影响健康因素之症结性问题。 4 建筑本体与空间环境之预防评估目的为降低与抑制问题的再发生。然而，自然力的破坏与人为使用因素皆是影响建筑生命期之主要因素，找出病源问题就如同医生对病人的处理，包含了侦查、诊断、治疗以及预防。 5 本研究以外墙材料热传导率测试结果发现，屋面与东西向立面是承受辐射热最多的地方，尤以 RC 的建筑更甚，不透明部分的外壳能特性主要与壁体的热传透率即隔热能力有关，但是承受来自日射的吸热影响，因此增加隔热性能与降低日射吸热因子是对温热环境是非常重要的。

Why would he consent to be seen by the best diagnostician in the country?

为什么他还要找全国最棒的鉴别诊断医生呢？

You're the diagnostician.

你是诊断医生

"I can be diagnostician, physician, surgeon, radiographer and all, following the case through from start to finish," said one vet.

02/3/中一位兽医说：我可以从头到尾参与一个病例，因为我既能做诊断医生的工作，又同时能做内科医生，外科医生和放射线技师的工作。

The second is to design and realize a common use medical image processing system with the above enhancement method, then put into clinical practice to improve the working efficiency of diagnostician , reduce the fault rate of diagnosis.

基于此，本文的研究目标是：根据数字X线影像特点，设计并实现一种有效的数字X线影像增强方法，凸现组织边缘和细节信息，并实现一个具备高级影像处理功能的通用影像处理系统，投入临床应用，提高诊断医生的工作效率，减少诊断失误率。

A competent diagnostician can take sources of error into account, but for some symptoms, such as severity of pain, or when the first severe attack of shortness of breath occurred, it is usually not possible to objectively verify the patient's reports.

有能力地诊断医生会重视这些误差，但有时某些症状如严重的疼痛或严重的气急初发，此时通常就不可能客观的验证病人主诉的准确性。

Dr. Michael Vannier is a diagnostic radiologist at the University of Chicago Medical Center.

麦可E凡尼尔医师是芝加哥大学医学中心的放射诊断医生。

Methods There were 100 cases in normal group and 36 cases in group of chest injuries. All cases were performed in volume scan according to conventional chest scan by SIEMENS Sensation 4 MSCT , then performed in thin slice low and high contrast image reconstructions. After that, all the source images were input into CT 3D work stations,costicartilage were imaged by post process software such as multiplanar reconstructions, maximum intensity projection, surface shade display and volume rendering technique. All the pictures were observed and analyzed by two radiologists.

利用西门子Sensation 4 多层螺旋CT机按照胸部常规扫描条件对胸部外伤组36例和对照组100例患者进行容积扫描，然后进行薄层低对比及高对比图像重建，并将重建图像导入CT三维（3D）工作站，利用多平面重建成像、最大密度投影、表面遮盖法成像及容积成像技术对图像进行后处理，由2名CT诊断医生一起对各种后处理图像进行观察和分析。

Collect this unit to there was pathology consultation case to the place between July 2007 in January 2000, diagnose in 155 in be case of illness of polypous shape cystitis, discovery has 41 to be diagnosed to be road of tit shape make water by pathology doctor at first epithelial tumour is signed and issue at the report hind send toward this unit to have consultation below the requirement of urological department doctor.

收集本单位2000年1月至2007年7月间所有病理会诊病例，在155例诊断为息肉状膀胱炎病例中，发现有41例最初被病理医生诊断为乳头状尿路上皮肿瘤并于报告签发后在泌尿科医生的要求下送往本单位进行会诊。

Internists accounted for 91% of the rDx, whereas family practitioners accounted for 5% and obstetricians/gynecologists, 4%.Although PCPs can recognize abscesses reliably, the high MisDX rate for the other conditions led the researchers to suggest that colorectal specialists view PCPs' referring diagnoses with skepticism.

尽管初级保健医生能可靠的诊断脓肿，但鉴于他们对其它疾病的高误诊率，研究者们建议肛肠科专科医生对初级保健医生的转诊诊断应持有怀疑态度。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失