简介：除了常规触诊方法，运动(ROM)和活动性的脊椎的范围上的检查能帮助决定病理学的排水量并且因此为针的tuina操作提供稳固的基础。

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简介：欧·享利是美国著名的短篇小说家。本文是他的代表作之一。本文讲述了一名身患疾病的女孩将自己的性命寄托在一片藤叶上，其间会发生什么事呢？请看……

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简介：人的意志力有时候非常强大，只是需要你用到恰当的地方。有的时候它看起来更像心理暗示，你的暗示越强烈，事情就会向着你暗示的方向前进。就像本文中的女主人公Johnsy一样。Johnsy的命运最终会如何呢？看完本文，答案将会揭晓。

简介：Leafshapesarenotonlytheusefulindicatorsinplanttaxonomy,butalsotheimportantfactorsaffectingenergyandmaterialexchangeinleaves.Inthispaper,wecollectedandscannedtheleavesofNitrariatangutoruminDengkouofInnerMongoliaAutonomousRegion（themeanannualprecipitation145mm）andMinqinofGansuProvince（themeanannualprecipitation115mm）andN.sphaerocarpainDunhuang,andthenanalyzedleafshapeparameterswithImage-ProPlus6.0imageprocessingsoftwareandleafδ13CvaluesintheisotopelaboratoryoftheChineseAcademyofForestry.Theresultshowedthat:1)asleafareaincreasedwithincreasingwateravailabilitytheincreasesintheleaflengthandwidthwereasynchronously;2)withthesameleafwidth,the1eavesofN.tangutorumandN.sphaerocarpaweresignificantlylongerinhighwateravailableconditions;and3)althoughthereweresignificantlydifferencesinwateravailabilitybetweenDengkouandMinqin,aswellasbetweenthebottomandmiddleofthealluvialfanneartheEastLakeinDunhuang,theleafδ13CvaluesofN.tangutorumorN.sphaerocarpaweresimilarindifferentwaterconditions（P>0.05）.Ourresultssuggestedthattheratioofleafperimetertoareawouldbeanimportantfactorwhichlinkedleafshapetoplantwaterphysiology.Duringgrowingprocedureofleafarea,leaflengthincreasewaspriortoitswidthtoalleviatethereductioninratioofperimetertoareaandmaintainwateruseefficiencyoftheplant.

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简介：位于威斯康星州梅库恩的TitanSpine公司，在2013年获得与公司的种植体表面技术以及内骨骼椎间装置设计和专业化的系统器械相关的四项专利。在钛合金装置上经过一种适当的处理形成一个织构化的表面，为促进融合位置骨骼生长产生最佳的表面能。

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简介：Aleafinclinationangledistributionmodel,whichisapplicabletosimulateleafinclinationangledistributioninsixheightsoflayeredcanopyatdifferentgrowthstages,wasestablishedbycomponentfactorsaffectingplanttypeinrice.Theaccuracyofthesimulationresultswasvalidatedbymeasuredvaluesfromafieldexperiment.Thecoefficientofdetermination(R2)andtherootmeansquareerror(RMSE)betweenthesimulatedandmeasuredvalueswere0.9472and3.93%,respectively.Thesimulationresultsshowedthatthedistributionofleafinclinationanglesdifferedamongthethreeplanttypes.TheleafinclinationangleswerelargerinthecompactvarietyLiangyoupeijiuwitherectleavesthanintheloosevarietyShanyou63withdroopyleavesandtheintermediatevarietyLiangyouY06.TheleafinclinationanglesweredistributedinthelowerrangeinShanyou63,whichmatchedupwithfieldmeasurements.Thedistributionofleafinclinationanglesinthesamevarietychangedthroughoutthesevengrowthstages.Theleafinclinationanglesenlargedgraduallyfromtransplantingtobooting.Duringthepost-bootingperiod,theleafinclinationangleincreasedinShanyou63andLiangyouY06,butchangedlittleinLiangyoupeijiu.Ateverygrowthstageofeachvariety,canopyleafinclinationangledistributiononthesixheightsofcanopylayerswasvariable.Ascanopyheightincreased,thelayeredleafareaindex(LAI)decreasedinallthethreeplanttypes.However,whiletheleafinclinationanglesshowedlittlechangeinLiangyoupeijiu,theybecamelargerinShanyou63butsmallerinLiangyouY06.Thesimulationresultsusedintheconstructedmodelwereverysimilartotheactualmeasurementvalues.Themodelprovidesamethodforestimatingcanopyleafinclinationangledistributioninriceproduction.

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简介：AbstractOutbreak of COVID-19 is ongoing all over the world. Spine trauma is one of the most common types of trauma and will probably be encountered during the fight against COVID-19 and resumption of work and production. Patients with unstable spine fractures or continuous deterioration of neurological function require emergency surgery. The COVID-19 epidemic has brought tremendous challenges to the diagnosis and treatment of such patients. To coordinate the diagnosis and treatment of infectious disease prevention and spine trauma so as to formulate a rigorous diagnosis and treatment plan and to reduce the disability and mortality of the disease, multidisciplinary collaboration is needed. This expert consensus is formulated in order to (1) prevent and control the epidemic, (2) diagnose and treat patients with spine trauma reasonably, and (3) reduce the risk of cross-infection between patients and medical personnel during the treatment.

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简介：许多米饭点叶(系统程序设计语言)异种是为理解在植物涉及强风抵抗，细菌的老家抵抗和规划房间死亡的机制的理想的来源。在米饭的50点叶异种的基因控制被描绘了，一些点叶基因也被孤立。这篇文章考察为他们的显型，和他们对主要米饭疾病的抵抗回答负责的点叶基因的起源，基因模式，隔离和描述。

简介：AbstractPurpose:Gunshot wounds are the second leading cause of spinal cord injuries. Surgical intervention for gunshot injury to the spine carries a high rate of complications. There is a scarcity of data on civilian gunshot injuries to the spine in Pakistan. Approximately 60 cases over the last 10 years have been recoded, with unusual presentation and neurological recovery. Thus it is imperative to fill this gap in data, by reviewing cases of civilian gunshot injuries to spine presenting at a tertiary care hospital (Aga Khan University Hospital, Karachi).Methods:This is a retrospective cohort study. Patients of all ages who presented to the emergency department of Aga Khan University Hospital, with gunshot injuries to spine between January 2005 and December 2016 were included in the study. Data were collected on neurological status (American Spinal Injury Association score was used for the initial and follow-up neurological assessment), extent of cord transection, motor and sensory deficits. The patients were further grouped into those with cord transection, and those with fractures of the bony spine but an intact spinal cord. These patients were then followed and the outcomes were recorded.Results:A total of 40 patients were identified. The mean ± SD of patients age was (30.9 ± 9.5) years. Of the 40 patients with gunshot wounds, 31 had the medical imaging performed at the facility, and hence they were included in this categorization. The remaining 9 patients were excluded from this additional grouping. Thirteen patients were managed surgically and 27 patients underwent the conservative management. The mean ± SD of follow-up was (8.7 ± 7.2) months. In our study, the thoracic spine was the most commonly injured region in gunshot injuries. Of the 31 patients with medical imaging performed at our institute, 17 (54.8%) had cord transection, of whom 8 (47%) ultimately developed paraplegia.Conclusion:The prognosis of gunshot injuries to the spine can be varied depending on whether the spinal cord is intact or transected. This will help healthcare providers to plan the further management of the patient and counsel them accordingly.

简介：所谓企业的敏捷性通常可以被理解为，企业能够比较容易地实施各种可能的业务创新，而且企业实施这些业务创新的代价和风险是可控的。典型的业务创新可以包括：

简介：BackgroundSpinalpainisaserioushealthandsocial-economicproblem.Endoscopicspinesurgeryasatreatmentoptionforspinalpainhasgainedtremendousattentionandgrowthinthepast2decades,andavarietyofendoscopictechniqueshavebeeninventedtotreatawiderangeofspinalconditions.PurposesThepurposesofthis2-partreviewarticleareto1)overviewthepublishedtechniquesofendoscopicspinesurgery,2)summarizetheapplicationsofthesetechniquesintreatingvariousspinalconditions,and3)evaluatetheclinicalevidenceofthesafetyandeffectivenessoftheseendoscopictechniquesintreatingsomeofthemostcommonspinalconditions.Thefirstpartofthereviewarticleprovidesanoverviewofcurrentlymostcommonlyusedtechniques.MethodsWesearchedthePubMeddatabaseforpublicationsconcerningendoscopicspinesurgeryandreviewedtherelevantarticlespublishedintheEnglishlanguage.ResultsDiscectomyandforaminotomyarethemostcommontypesofspinesurgerythatcancurrentlybedoneendoscopically.Endoscopictechniqueshavebeenusedtotreatawiderangeofspinaldisorderslocatedinthelumbar,cervical,aswellasthethoracicregionsofthespine.