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简介：Ateachercanbeanyage.JustaskChrissieMckenney.Shewasonly10whenshestartedteaching.HowdidChrissiegetthejob?Itwasnoteasy.Chrissiewantedtohelpchildrenwhocannothear.Buttheschoolhadneverhadsuchayounghelper.CouldChrissiedoit?FirstChrissielearnedtosign(打手语;手语).Signingisawayoftalkingwithyourhands.

简介：Tibetontheroofoftheworldiscoveredwithsnowforagreaterpartoftheyear,whenafreezingcoldholdssway.Thereislessoxygenintheatmospheretherethaninareasonloweraltitudes.Livinginsuchhostileconditions,Tibetanshaveacravingforrite.ATibetanfolksongsingsprayersofciren,orlongevity.Tibetanherdsmenaccosteachotherwithgreetingsofciren.CountlessnumbersofTibetansarecalledCiren.Folkdrawingsanddancesstagedat

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简介：AbstractIntroduction:Subungual exostosis (SE) is a relatively uncommon benign bone tumor that occurs in the distal phalanges of the toes or fingers.Case presentation:An 8-year-old girl presented for treatment of an acquired mass on the distal right index finger. The patient was preoperatively diagnosed with a benign bone tumor. Surgical resection of the distal right index finger mass was performed under general anesthesia, and histological examination of the resected tissue supported a diagnosis of SE of the right index finger. The surgical outcome was good, with no surgical site infection. Throughout 15 months of follow-up, the patient was asymptomatic with no recurrence.Conclusion:Surgical resection of a mass on the distal right index finger resulted in absence of recurrence during 15 months of follow-up. SE is a benign and uncommon lesion that is infrequently encountered by physicians. This infrequent occurrence may result in delays in diagnosis and treatment. Complete excision of the lesion and careful separation from underlying nail bed structures results in total resolution of the lesion, while providing the lowest risk of recurrence.

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简介：AccordingtoXinhuaNewsAgency,HaikougovernmentwillreleaseeducationvouchersworthRMB400perpersonperyeartochildrenaged3to6whopossessthehouseholdregistrationofthecityandcomplywithfamilyplanningpolicies.Thevoucherscanbeusedinalltheregisteredpublicandprivatekindergartensinthecity.

简介：AbstractIntroduction:Vitiligo and psoriasis are common skin diseases, while its co-occurrence in one patient is rare.Here, we reported a patient with co-occurrence of vitiligo and psoriasis.Case presentation:An 11-year-old girl developed depigmented patches on her right chin for 6 months. The noticed areas of depigmented skin steadily increased in size with no clinical symptoms. Wood’s lamp examination and laser scanning confocal revealed the clinical diagnosis of co-occurrence of vitiligo and psoriasis.Discussion:Speculations related to co-pathogenesis of vitiligo and psoriasis are still elusive, some explanations of this phenomenon like of isomorphic reaction, shared genetic basis of autoimmunity and inflammation, shared cellular immune pathways including Th1, Th17 and related cellular molecules such as TNF-α, IFN-α, IL-17 have been reported.Conclusion:The analysis and summary of the underlying association in co-occurrence of psoriasis and vitiligo may amplify future therapeutic options for both disease. Clinicians should pay attention to the methods that could simultaneously improve these two conditions.

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简介：AbstractIntroduction:Primary angiitis of the central nervous system (PACNS) is a vasculitis confined to the CNS. A small proportion of the lesions may present as a tumor-like mass, which is rarely seen in children.Case presentation:A 5-year-old girl was admitted to our hospital because of an intermittent headache. Brain imaging suggested a space-occupying lesion in the right cerebral hemisphere. The final diagnosis was PACNS with a lymphocytic pattern by stereotactic brain biopsy. Her condition improved after immunotherapy.Conclusion:Pediatricians should consider the possibility of PACNS when encountering intracranial tumor-like lesions. Early diagnosis of tumor-like PACNS and prompt immunotherapy could improve the long-term prognosis and avoid surgery.

简介：Microbecommunitiesinrhizosphereecosystemsareimportantforplanthealthbutthereislimitedknowledgeofthemintherhizospheresofgeneticallymodified(GM)plants,especialfortreespecies.WeusedtheamplitudesequencingmethodtoanalyzetheV4regionsofthe16SrRNAgenetoidentifychangesinbacterialdiversityandcommunitystructureintwoGMlines(D520andD521),onenon-geneticallymodified(nonGM)lineandinuncultivatedsoil.Afterchimerafiltering,468.133sequencesinthedomainBacteriaremained.Thereweretendominanttaxonomicgroups(with[1%ofallsequences)acrossthesamples.241of551genera(representingaratioof97.33%)werecommontoallsamples.AVenndiagramshowedthat1.926operationaltaxonomicunits(OTUs)weresharedbyallsamples.Wefoundaspecificchange,areductioninChloroflexi,inthemicroorganismsintherhizospheresoilplantedwithpoplars.Takentogether,theresultsshowedfewstatisticaldifferencesinthebacterialdiversityandcommunitystructurebetweentheGMlineandnon-GMline,thissuggeststhattherewasnoorverylimitedimpactofthisgeneticmodificationonthebacterialcommunitiesintherhizosphere.

简介：BackgroundHeartfailureisoneofthemaincausesofdeathduetoprogressivemusculardystrophyofDuchennemusculardystrophy(DMD)inthemajorityofthecases.ThereishighincidenceofarterialthromboembolisminDMDpatientswithsevereheartfailure.However,ithasbeenreceivinglittleattentionwhetheranticoagulativetherapyinDMDpatientswithsevereheartfailureinsinusrhythmshouldbeperformed.HereinwepresentacaseofDMDpatients,withsevereheartfailureinsinusrhythm,whopresentsalargemuralthrombusformationatleftventricularanteriorwall.

简介：AbstractIntroduction:Celiac disease typically presents with symptoms of malabsorption, but extraintestinal manifestations are increasingly reported. Aplastic anemia as the mode of celiac disease presentation is extremely rare in children.Case presentation:We report a 2-year-old boy who presented with loose stools, loss of appetite, and bicytopenia with severe aregenerative normocytic anemia. Investigations, including bone marrow aspirate and biopsy, revealed aplastic anemia. Screening for malabsorption showed increased plasma concentrations of anti-transglutaminase and anti-gliadin antibodies. A duodenal biopsy confirmed the histologic features of celiac disease. The child received a packed red cell transfusion and was started on a gluten-free diet, with a very good prognosis and normalization of both his blood and histological parameters. To the best of our knowledge, our report is the sixth pediatric case in the literature.Conclusion:Screening for celiac disease should be performed in children with unexplained hematological abnormalities such as aplastic anemia with or without gastrointestinal symptoms.

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简介：Treegrowthtraits(treeheight,DBHandstemvolume)andsurvivalfromtwo9-year-old,open-pollinatedprogenytestsofChinesefirwereinvestigatedforheritability,genotype9environmentinteraction,age-agegeneticcorrelationandselectionefficiency.The97and79familiesplantedattwositeswerecollectedfromthethirdcycleseedorchard.Individualheritabilitywasestimatedbetween0.05and0.21fortreeheight,DBH,andvolumeandbetween0.45and1.0forsurvival.Fa

简介：王以铭十届全国人大常委/法律委员会副主任全国工商联副主席做好六个服务,发挥七个作用,求真务实,把中汽联打造成为汽车服务业品牌协会!陈光祖国家商务部汽车产业损害预警专家汽车后市场是块超级蛋糕,祝你们要更好的组织大家把后市场工作越做越好,为建设汽车强国再做奉献!

简介：Ihaveaphoto,oldbutbeautiful,Youcanseegrass,riversandtreesinthephoto,Youcanalsoseemanyanimals.Theyareplayingandsinginghappily.Whatphotoisit？

简介：Otd＊MacDonal.dhad＊afarm＊,