简介：摄影家就是为追寻和记录永恒而生的,他们用独具的慧眼去审视整个世界,我想没有人会比他们更明白将永恒凝固成瞬间的方法。世界上没有多少城市能像北京一样留下那么多的永恒,几百年前的思想,仍然在左右着我们现代人的灵魂。每个人心中的永恒其实都是那么一瞬间,留在心中的画面只有那一幅,也是最受震撼的那一幅。然而对于上苍来说,几百年的历史就是那样的一瞬间,必将永远流传。

简介：Theeffectivenessofmechanicalventilation,bothinvasive(byendotrachealintubation)andnon-invasiive(bynegativepressureventilation)wasestablishedduringtheepidemicsofpolioinEuropeandNorthAmericainthelain1950sandearly1960s.Theindicationsforventilationhaveincreasedsincethattime,andinvasiveventilationserviceshavebecomeconcentratedinhighly-staffedcriticalcareunitsand.insomepartsofEurope,respiratorycareunits.

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简介：全新MINICLUBMANJohnCooperWorks车窗立柱采用了黑色处理，而车顶则使用了纯红色进行覆盖，向外突出的后视镜也采用了红色进行点缀。新车尾部线条富有张力，凸显了新车的战斗气质。

简介：作为世界上十大畅销车型之一的MINI,其半世纪的传奇经历令人赞叹不已。从上世纪60年代起,MINI就成为了世界时尚的风向标。不仅始终走在时尚尖端,可为客户个性化制定车身的营销手法更是MINI畅销的不二法宝。

简介：迷你薄饼的做法很简单：把面包、番茄和意大利软芝士混合在一起就行了。唔……真好吃!

简介：可以预言未来的闪盘；夜猫子的好礼物；专为Wii设计的存储卡；太空水疗按摩浴缸；孩子们的圣诞礼物；游走天下；可以显示天气预报的咖啡机；iPod的好伙伴；慢炖；来自远方的问候；指引征途；把你的自行车放上墙。

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简介：瞄准：评估影响多囊肝疾病的非侵略、侵略的治疗的结果的因素。方法：有到2006年6月的从1986年7月的完全的后续的病人的临床的文件的分析。结果：41个病人(男性，7；女性，34)，11.9年变老的47.8+/-，和5.7+/-6.7年后续，被学习。硷性磷酸酯酶(AP)举起(15%病人)与侵略治疗的要求被联系(信息技术，P=0.005)。信息技术率是更高的在比非征兆的病人征兆(65.4%对14.3%，P=0.002)，并且在拿神经质的代替治疗(HRT)的女人(P=0.001)。包囊复杂并发症(CC)是更经常的(22%)在征兆的病人组织(P=0.023)。有身体质量的病人索引(BMI)>(59%)25在它以后有一个趋势到复杂并发症(P=0.075)。腹的疼痛为信息技术(78%)是最普通的症状(56%)和指示。十九个病人(46%)要求了第一种信息技术：12开的开窗术()，4laparoscopic开窗术(LF)和有肝的切除术(FHR)的3开窗术。三要求了第二种信息技术，并且一个人要求了第三个过程。复杂并发症在32%由于第一种信息技术被发现(16.7%，LF25%，FHR66.7%)，并且在在66.7%的第二种信息技术(100%)。后续死亡率是0。结论：症状，提高的AP，和CC的存在与信息技术要求被联系。HRT与症状和信息技术要求的存在被联系。有BMI>的病人25有一个趋势产生信息技术复杂并发症。复杂并发症的比例在FHR和秒信息技术组是更高的。RS是更经常的在以后。

简介：Non-invasiveventilation(NIV)istheprovisionofventilatorysupportwithoutinstrumentationoftheairway.Itcanbeachievedusinganegative-pressuremachine(e.g.‘ironlung')or,morecommonly,withpositivepressureadministeredthroughawell-fittingmask.Thiscontributionconsiderspositivepressureventilationonly;negativepressureisnowseldomused.

简介：@乐嘉：高铁，速度慢了．人丁依旧．不旺不凋，众人面孔浮现着与从前一样的神情．大家都少了当初的振臂高呼，似乎忘了当时的愤慨与恐惧．追问结果的也弱了．因为看上去人们每天要关心好多事。娱记友人告诉我．圈里再爆的料最多也就热乎一个月．小料就一周．他们要玩命地寻找刺激．因为这个世道大家口味都重了。

简介：MINICooper、MINI裙、MINIMP3播放器、MINI笔记本电脑……体积越小越能受到青睐,如果让你拥有一张MINI型的时尚银行卡是不是很酷?赶快行动吧,招商银行近期已经推出了一款VISAMINI信用卡,为什么说它MINI,原因是卡的面积比普通信用卡小43%,使用这样一张小巧玲珑的信用卡,顿时能让你的生活MINI起来!

简介：美容保养品的mini包装，限时保养，受尽了女性的青睐；随身而行的香氛，轻巧又具瞬间强效保养的特征，掀起了2004年旅途肌肤保养的限时快乐风潮！

简介：极速响应时间明基过去曾推出FP93V，外形与现时的FP93VW几乎完全一亲，两者的最大分别在于FP93VW配备了宽荧幕，反应时间亦由8毫秒加速至5毫秒，这两项改变有助于优化计算机的多媒体表现。

简介：NEWMINIDRIVERASSlSTSYSTEMSMINI即将换代的消息基本上路人皆知了。路人们不知道的是全新MINI将会采用一套相当完备的驾驶员辅助系统。与以往MINl只能对宝马的i-Drive系统望其项背不同，全新的区套驾驶员辅助交互系统不仅是结合了MINI用户的各种需求开发，而且在功能上大有赶超i-Drive的嫌疑。

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简介：AbstractBackground:Although existing mycological tests (bronchoalveolar lavage [BAL] galactomannan [GM], serum GM, serum (1,3)-β-D-glucan [BDG], and fungal culture) are widely used for diagnosing invasive pulmonary aspergillosis (IPA) in non-hematological patients with respiratory diseases, their clinical utility in this large population is actually unclear. We aimed to resolve this clinical uncertainty by evaluating the diagnostic accuracy and utility of existing tests and explore the efficacy of novel sputum-based Aspergillus assays.Methods:Existing tests were assessed in a prospective and consecutive cohort of patients with respiratory diseases in West China Hospital between 2016 and 2019 while novel sputum assays (especially sputum GM and Aspergillus-specific lateral-flow device [LFD]) in a case-controlled subcohort. IPA was defined according to the modified European Organization for Research and Treatment of Cancer/Mycoses Study Group criteria. Sensitivity and specificity were computed for each test and receiver operating characteristic (ROC) curve analysis was performed.Results:The entire cohort included 3530 admissions (proven/probable IPA = 66, no IPA = 3464) and the subcohort included 127 admissions (proven/probable IPA = 38, no IPA = 89). Sensitivity of BAL GM (≥1.0 optical density index [ODI]: 86% [24/28]) was substantially higher than that of serum GM (≥0.5 ODI: 38% [39/102]) (χ2 = 19.83, P < 0.001), serum BDG (≥70 pg/mL: 33% [31/95]) (χ2 = 24.65, P < 0.001), and fungal culture (33% [84/253]) (χ2 = 29.38, P < 0.001). Specificity varied between BAL GM (≥1.0 ODI: 94% [377/402]), serum GM (≥0.5 ODI: 95% [2130/2248]), BDG (89% [1878/2106]), and culture (98% [4936/5055]). Sputum GM (≥2.0 ODI) had similar sensitivity (84% [32/38]) (Fisher’s exact P = 1.000) to and slightly lower specificity (87% [77/89]) (χ2 = 5.52, P = 0.019) than BAL GM (≥1.0 ODI). Area under the ROC curve values were comparable between sputum GM (0.883 [0.812-0.953]) and BAL GM (0.901 [0.824-0.977]) (P = 0.734). Sputum LFD had similar specificity (91% [81/89]) (χ2 = 0.89, P = 0.345) to and lower sensitivity (63% [24/38]) (χ2 = 4.14, P = 0.042) than BAL GM (≥1.0 ODI), but significantly higher sensitivity than serum GM (≥0.5 ODI) (χ2 = 6.95, P = 0.008), BDG (χ2 = 10.43, P = 0.001), and fungal culture (χ2 = 12.70, P < 0.001).Conclusions:Serum GM, serum BDG, and fungal culture lack sufficient sensitivity for diagnosing IPA in respiratory patients. Sputum GM and LFD assays hold promise as rapid, sensitive, and non-invasive alternatives to the BAL GM test.

简介：BackgroundHybridcoronaryrevascularization(HCR)isanalternativecoronaryrevascularizationstrategythatcombinesaminimallyinvasive,survivaladvantageoftheleftinternalmammaryartery(LIMA)-leftanteriordescending(LAD)coronaryarterybypasswithless-invasivepercutaneouscoronaryintervention(PCI)tonon-LADcoronarylesionsbyusingdrug-elutingstents.Wereportourexperienceofhybridminimallyinvasiveapproachin15patients.MethodsFromDecember2012toOctober2013,15patientsunderwentrevascularizationoftheleftanteriordescendingarterythroughminimallyinvasivecoronaryarterybypassgrafting(MIDCAB).Allpatientsbyendoscopicassistbeatingheartcoronaryarterybypassgrafting.Sevenpatientswerescheduledforahybridprocedure.Percutaneouscoronaryinterventionofnon-LADwasperformed3to5dayspreoperatively.Demographicdata,perioperativeoutcome,andannualfollow-upwereobtainedfromallthepatients.ResultsIn-hospitalmortalitywas6.67%.Therateofconversiontofullmediansternotomywas13.3%.Ventilationtimewas6.9±5.1h.Bloodlossvolumewas241±67.8mL.ICUstaywas21.3±10.8h.Hospitalpostoperativestaylastedfor7.5±1.3days.PriortoPCIpatientsshowed100%patentLIMA(Tables3and4).Ameanfollow-upwas8.5months.Oneyeargraftpatencyratewas100%(8/8patientsfor254-slicetomography).Twopatientsrequiredreintervention.ConclusionsMinimallyinvasivehybridcoronaryrevascularizationisasafe,feasibleandefficaciousapproachwithgoodresultsandshouldbeperformedinselectedpatientsbysurgeonswithexperienceinminimallyinvasivebypasssurgerypluscollaborationwithcardiologists.elutingstents.

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简介：Primaryandmetastaticlivertumorsareanincreasingglobalhealthproblem,withhepatocellularcarcinoma(HCC)nowbeingthethirdleadingcauseofcancer-relatedmortalityworldwide.SystemictreatmentoptionsforHCCremainlimited,withSorafenibastheonlyprospectivelyvalidatedagentshowntoincreaseoverallsurvival.Surgicalresectionand/ortransplantation,locallyablativetherapiesandregionalorlocoregionaltherapieshavefilledthegapinlivertumortreatments,providingimprovedsurvivaloutcomesforbothprimaryandmetastatictumors.Minimallyinvasivelocaltherapieshaveanincreasingroleinthetreatmentofbothprimaryandmetastaticlivertumors.Forpatientswithlowvolumedisease,thesetherapieshavenowbeenestablishedintoconsensuspracticeguidelines.Thisreviewhighlightstechnicalaspectsandoutcomesofcommonlyutilized,minimallyinvasivelocaltherapiesincludinglaparoscopicliverresection(LLR),radiofrequencyablation(RFA),microwaveablation(MWA),high-intensityfocusedultrasound(HIFU),irreversibleelectroporation(IRE),andstereotacticbodyradiationtherapy(SBRT).Inaddition,theroleofcombinationtreatmentstrategiesutilizingtheseminimallyinvasivetechniquesisreviewed.