查询词典 doubtful case

Given the combination of G.O.P. extremism and corporate power, it's now doubtful whether health reform, even if we get it — which is by no means certain — will be anywhere near as good as Nixon's proposal, even though Democrats control the White House and have a large Congressional majority.

大佬党的极端与大企业的实力的结合使得我们不得不怀疑，即便医疗改革方案得以通过（尽管是否有这样的结局还不得而知），它可能还不如尼克松当年的提案，尽管民主党人控制着白宫，并在国会有着压倒性的优势。

Given the combination of G.O.P.② extremism and corporate power, it's now doubtful whether health reform, even if we get it — which is by no means certain — will be anywhere near as good as Nixon's proposal, even though Democrats control the White House and have a large Congressional majority.

既然老大党是一群极端主义者和财团力量的乌合之众，即使民主党控制了白宫，在国会也占有多数席位，即便我们实施了医保改革，我们也怀疑这项改革会不会向尼克松所说的那么完美。

He was made a collector of the subsidy he had opposed -- a doubtful favor perhaps -- and in 1524 was admitted at Gray's Inn; but he now became the most confidential servant of the cardinal.

他被任命为自己反对的款项筹措官员--这或许是一次可疑的提拔--在1524年，他被接纳入格雷律师联合会（英国大律师协会4个 Inn 之一--译者注）；但他同时也成为了红衣主教大人最信赖的手下。

Not even John XXIII could have been deposed at Constance, had his election not been doubtful and himself suspected of heresy.

甚至不若望二十三世可能会被废黜在康斯坦茨湖，他的当选并没有怀疑和他本人涉嫌异端。

But whilst this was being done in Europe for the benefit of those who could not visit the Holy Land and yet could reach Louvain, Nuremburg, Romans, or one of the other reproductions of the Via Dolorosa, it appears doubtful whether, even up to the end of the sixteenth century, there was any settled form of the devotion performed publicly in Jerusalem, for Zuallardo, who wrote a book on the subject, published in Rome in 1587, although he gives a full series of prayers, etc., for the shrines within the Holy Sepulchre, which were under the care of the Franciscans, provides none for the Stations themselves.

但是，虽然这是在欧洲进行的利益，这些谁无法访问圣地，但可达到鲁汶，纽伦堡，罗马人，或一个其他复制品的威盛苦难，似乎有疑问，甚至达到结束的16世纪，有任何形式的定居的奉献在耶路撒冷进行公开，供Zuallardo ，谁写了一本关於这个问题，发表在1587年在罗马举行，但他提供了全系列的祈祷等，为神社内的圣墓，其中的关怀下的方济各，没有提供自己的监测站。

Introduce the case inference technology in artificial intelligence supply catenary risk estimation, the crucial question such as the description that better land settled case and memory organization, retrieval that matchs case and the adjustment that retrieve a result, designed practical the system of original shape of abiogenesis risk estimation that change.

把人工智能中的案例推理技术引入供应链风险估计，较好地解决了案例的描述与存储组织、匹配案例的检索以及检索结果的调整等关键问题，设计了实用化的偶发风险估计原形系统。

objective to raise the level of regarding congnition,prevention,diagnosis and therapy on multiple organ dysfunction syndrome.methods report the process and correlative therapy on one case who occured with mods involving 6 organs after hemorrhagic shock lead to heartbeat and respiration stopping suddenly and resuscitated resulting in left nephrostome titanium nip falled off accidentally from left kidney lymphatic fastening.at the same time,the author reviewed correlative literature and introduce the investigative progress about mods.results one case who happened with mods following hemorrhagic shock,heartbeat and respiration stopped suddenly was diagnozed and resuscitaed.6 organ dysfuncted including brain,heart,lung,liver,kidney and the digestive system.after being given therapy integrated chinese and western medicines,allopathy and nutritional treatment,all circadian parameters of the case came back in gear and discharged at last.conclusion the mechanism about mods is very complicated.because of serious infection,hurt and oxygen-lack,excessive inflammatery reaction activates multifarious cell factors and inflammatery mediums,which improve the happen-rate of mods.wiping off pathogeny,providing life-sustain treatment and recognising sirs and mods in time and adopting corresponding therapy,such as treatment integrated chinese and western medicines,can improve the hit-rate of cure on mods.

作者：王静恩，蔡金芳，王志华，谢晓洪多器官功能障碍综合征；中西医结合；治疗；休克，出血性目的提高对多器官功能障碍综合征（multiple organ dysfunction syndrome，mods）的认识、预防、诊断、治疗水平。方法报告成功抢救1例经腹腔镜左肾淋巴管结扎手术后左肾静脉钛夹意外脱落失血性休克，导致心跳呼吸骤停复苏后再手术并发mods累及6个脏器功能衰竭过程及有关治疗，并复习相关文献，介绍目前关于mods的研究进展。结果确诊1例因失血性休克心跳呼吸骤停复苏后并发mods，累及脑、心、肺、肝、肾、血液、胃肠等6个脏器。经积极采取中西医结合对症、支持救治，各生理指标全部恢复正常，康复出院。结论 mods的发生机制非常复杂，在严重感染、创伤、缺氧等打击下，失控的过度炎症反应激活多种细胞因子和炎症介质的释放，使mods发生率升高。尽早去除病因，尽早给予各种生命支持治疗，尽早对可能发生全身炎症反应综合征、mods识别并给予干预治疗，包括中西医结合治疗能改善mods的救治成功率。

The main work and the originality points of this dissertation could be concluded as the following parts:(1) To analyze systematically the mathematical model of LES of air flow in great space, under the case of isothermal and non-isothermal, as well as the combined action of buoyancy and strain. Some basic problems are studied about the LES application into airflow simulation of great space, such as boundary conditions, spatial difference scheme and time advancing scheme, time step etc., which creates the basis for the LES application to indoor airflow simulation.(2) Both the instantaneous and time averaged flow field of great space with multiple jets under isothermal and non-isothermal cases are explored with large eddy simulation method, and also discussed the dynamic characteristics and the law of fluidflow in the great space.(3) Based on the results of LES of the great space and the Fanger thermal comfort indexes, it is brought forward the concept of the series of dynamic thermal comfort evaluating indexes, which could be divided into thermal comfort index with time averaged properties PD, PPD, PMV, thermal comfort index with instantaneous properties IPD, IPPD, IPMV, and time averaged thermal comfort indexes TAPD, TAPPD, TAPMV, and transient situations time averaged thermal comfort indexes TTAPD, TTAPPD, TTAPMV. The differences among them and the calculation methods are discussed, and the four kinds of indexes are calculated with the thermal comfort index PD as an example.(4) Based on the LES results it is discussed the hot air stratification phenomena in air-conditioned buildings in the case with air supply and return registers on the ceiling and the case on the sidewall. The fundamentals of the hot air stratification are studied and the relations of estimating hot air stratification are brought forward.(5) With the advanced apparatus such as hot wire film anemometer IFA300 and laser particle field anemoscope, corresponding model test and site measurements have been done, which are compared with the simulation results and LES is proved a very promising method in air flow simulation indoor.

本文主要工作既创新点体现在以下几个方面：(1)系统分析了等温、非等温和考虑剪切力与浮升力综合作用的高大空间大涡模拟数学模型，并研究了高大空间大涡模拟在室内气流仿真应用中的一些基本问题，如边界条件、空间离散格式和时间推进格式、时间步长选择等问题，为大涡模拟在室内气流计算中的广泛应用打下了基础；(2)首次用大涡模拟方法研究了高雷诺数下高大空间多射流在等温、非等温情况下的瞬时流场和时均流场分布，并探讨了多射流流场的动态特性和流动规律；(3)基于大涡模拟的动态仿真结果和Fanger的热舒适指标，首次系统地提出了动态热舒适评价指标体系的概念：即基于时间平均参数的热舒适指标PD、PPD、PMV；基于瞬时参数的瞬时热指标IPD、IPPD、IPMV；基于时间平均热舒适指标TAPD、TAPPD、TAPMV；以及沿行动迹线的时间平均热舒适指标TTAPD、TTAPPD、TTAPMV，并分析了四类热舒适指标的差异性和计算方法，还以PD值为例对四类指标分别进行了计算；(4)基于数十种工况下空调房间大涡模拟的结果，研究了空调建筑上送上回和侧送侧回两种情况下热分层现象，并探讨了热分层的基本规律，首次提出了避免热分层现象的判断公式；(5)在暖通空调领域，首次使用IFA300热线风速仪、激光粒子速度场仪等先进设备，完成了与大涡模拟相对应的模型试验，并把实测结果与仿真结果进行了对比，说明LES在室内气流仿真方面是一种很有前景的方法。

METHODS:the anatomic configurations and hemodynamics of 38 cases on cine-MRI were analysed,including ascending aortic aneurism(10 cases),aortic dissection(21 cases),pericardial hematoma(1 case),hypertrophic cardiomyopathy(3 cases),ASD(1 case),combined ASD and VSD(1 case).

分析 38例心血管疾病的 cine-MRI解剖结构和血流动力学改变，其中升主动脉瘤 10例，夹层动脉瘤 2 1例，心包血肿 1例，肥厚型心肌病 3例，房间隔缺损 2例，ASD并发室间隔缺损 1例。

Results Of five cases,scaphocephaly was seen in one case and oxycephaly and brachycephaly were revealed in two cases respectively.All cases demonstrated the deepened impressions for cerebral gyri.The antedisplacement of the sphenoid body and the smaller orbit were seen in four cases.One case with oxycephaly demonstrated the enlarged supratentorial cerebral ventricles on CT.One case with brachycephaly showed a depressed skull,narrowing of the optic foramen and obvious protrusion of both eyes on CT.Conclusion The radiological manifestations of cranial stenosis were characteristic.

结果 5例狭颅症，1例表现为舟状头畸形，2例表现为尖头畸形，2例表现为短头畸形，5例均可见脑回压迹加深，4例可见蝶骨体前移及眼眶变浅，1例尖头畸形CT扫描可见幕上脑室扩大，1例短头畸形CT扫描示颅骨内板呈波浪状凹陷，视神经孔变窄，双侧眼球明显突出。

Warden: That's a beautiful dog, but don't bring her again.

那是条漂亮的狗，但是不要再把她带来了。

You get up in the morning – no hangover!

你第二天早上起来的时候—不会宿醉！