医学检查

Methods Presenting the problems of the examination and the treatment aimed at the asthenopia and analysing the way that how to use evidence-based medicine in the examination and the treatment of the anthenopia.

提出视疲劳检查与治疗中存在的问题，分析如何把循证医学应用到视疲劳的检查和治疗中。

With the development of medical science, timely diagnosis of bleeding and thrombotic diseases, to observe the efficacy of anticoagulant drug dose, such as analysis has become increasingly urgent, and the traditional manual methods and a single check has been solidified as far from enough to meet clinical requirements, The emergence of automatic coagulometer and applications, making the project to check hemostasis and thrombosis has become simple, accurate, reliable, great to meet clinical needs.

随着医学科学的发展，及时诊断出血、血栓性疾病，观察疗效，分析抗凝药物剂量等显得越来越迫切，而传统的手工方法和单一的凝固定性检查已经远远不能满足临床要求，全自动血凝仪的出现和应用，使得止血和血栓项目检查变得简便、准确、可靠、极大地满足了临床诊疗的需要。

The clinical criteria for both diagnosis and efficacy evaluation of disease are also needed. To include all symptoms, tongue manifestations and pulse presentations into case report form, and to compare the differences in these clinical parameters between effective and noneffective cases by multivariate analysis may be helpful to find more specific indications for therapeutic protocol of TCM. Furthermore, It is suggested that two or more clinical trials on one therapeutic protocol are needed to identify its accurate indications.

中医药规范化治疗方案的研究必须体现中医基本理论，遵循现代医学临床试验设计方法以及利用现代医学关于疾病诊断和疗效判断的标准，应将中医证候相关信息纳入临床试验的检查项目之中，开展两次或多次的临床试验，利用多元统计分析方法，对比分析有效和无效人群的特点，寻求与中医药治疗方案有效结局相关的主观症状、舌象和脉象，从而找到该治疗方案的最佳适应症，形成规范的治疗方案。

Digital radiology and image analysis for approximal caries diagnosis.

数字化医学影像技术的发展得益并依赖于微电子、信息技术及材料科学的进步。X线探测器结构及成像性能的不断改进，时间减影、及计算机辅助诊断等新技术应用于牙颌面医学影像检查，数字化医学影像设备的集成一体化等，必将成为未来牙颌面数字化X线成像技术的发展趋势。

"The diagnosis of pneumonia in children with wheezing can be difficult, because the clinical history and auscultatory findings may be difficult to distinguish from those for children without pneumonia," write Bonnie Mathews, MD, from Children's Hospital Boston and Harvard Medical School in Boston, Massachusetts, and colleagues.

July 10， 2009 —根据一项发表於7月号小儿医学期刊的前瞻性世代研究结果，有哮喘症状但没有发烧的儿童，放射线检查证实肺炎的病例并不常见，因此，并不鼓励常规性地建议进行放射线检查。

Dr. Cappy Rothman, the medical director of the California Cryobank, says that his bank does extensive genetic screening."We have a medical advisory board that constantly reviews our testing and adds any additional tests we feel will help protect our clients and their future children," he says.

Capyy Rothman医生，加州精子库的医学主管，称他的精子库会进行大量的基因检测，&我们的医学顾问组会持续检查分析测试结果，并会在认为需要时增加额外的测评以保证我们的客户和他们未来孩子。&

Cotemporary medicine mode emphasizes both experience and evidence, on the base of collecting the case history and physical examination, asking doctor to use of current best evidence to solve the clinical problems by evidence, lay down preventive and treat measure by searching and reviewing documents effectively and founding and using current best evidence.

现代医学模式是在强调经验医学的同时强调循证，即在仔细采集病史和体格检查基础上，要求临床医师进行有效的文献检索，运用评价临床文献的正规方法，发现最有关和正确的信息，最有效的应用证据，根据证据解决临床问题，制定疾病的预防措施和治疗措施。

The standards of evidential material on medical documents as follows:(1) Medical documents including hospital records must been made in stipulated time established by hygeian administrative department;(2) Medical documents must be provided by qualified medical units and doctors;(3) Medical documents must be recorded by doctor-self after check-up, diagnosis and treatment;(4) The form and contents of medical documents must be in accord with the demands of hygeian administrative department.

结果 医学文书属公文性书证，作为证据应具备下列标准：(1)按卫生部门规定时限完成，不能在诉讼后补写；(2)出具的医学文书应是取得执业许可的医疗机构和医务人员；(3)必须是医师亲自诊治、检查；(4)出具医学文书内容和格式必须符合卫生行政部门要求。

To the Editor: The medical mystery in the October 4 issue1 involved a 69-year-old man with left inguinoscrotal erythema, swelling, and tenderness after colonoscopy, during which he had undergone polypectomy of a moderately dysplastic tubular adenoma of the sigmoid colon.

10月4日的&医学秘密&涉及一位结肠镜检查术后发生左侧腹股沟红肿、压痛的69岁男性。他在结肠镜检查时切除了乙状结肠中一个中度不典型增生的管状腺瘤。

The evolution of population aging and M-shaped society lead to a wide acceptance of preventive medicine. Added by the enthusiasm of self-paid medical service market among leading medical centers, high level health examination has become a modern popularity.

随著人口老化与经济M型化，预防医学的观念日趋受到重视，加上目前各大医学中心均极力发展非健保给付的自费医疗，高阶健康检查或健康管理服务已经蔚为潮流。

Cynanchum Lingtai apricot production in the average weight 65 grams, the brightly-colored fruit, juicy rich, sweet-sour taste, sweet from the nucleolus, when the late Qing Dynasty famous Shaanxi, Gansu provinces, the Qing imperial court Tongzhi tribute for years.

灵台生产的牛心杏平均单果重65克，果实色泽鲜艳，汁多味浓，甜酸适口，离核仁甜，清末时就驰名陕、甘两省，清同治年间曾为朝廷贡品。

Chenopodium album,Solanum nigrum, and Amaranthus retroflexus were very susceptible to the herbicides. Polygonum persicaria and Abutilon theophrasti were relatively less susceptible to the herbicides, and Lycopersicon esculentum was not susceptible to it. The relationship between reduction rates of weed biomass and PPM values of weed leaves 2,4, and 6 days after treatment was established.

供试的6种杂草对该混剂的敏感性存在显著差异：红心藜Chenopodium album、龙葵Solanum nigrum和反枝苋Amaranthus retroflexus对该混剂最敏感，ED90值分别为47.65、71.67和29.17g/hm2；春蓼Polygonum persicaria和苘麻Abutilon theophrasti敏感，ED90值分别为96.91、114.20g/hm2；而番茄不敏感。