爱情像狗又像猪

每个人身上都有特定的动物属性。因此，爱情里有人“忠诚得像狗”、有人“狡猾得似狐狸”。可是，我们依然能“动物着”并爱着，比如粱朝伟与刘嘉玲，一个是贪玩热情如海豚，另一个是冷静睿智像猫头鹰；还有，隐忍如食草动物的李亚鹏以及强势如食肉动物的王菲……     

Gestational trophoblastic tumor in pregnancy: a case report and review of the literature

A case of gestational trophoblastic tumor (GTT) concurrent with an intrauterine pregnancy is reported in a 21-year-old gravida 2 para 0 (0010) who presented with dyspnea, orthopnea, headache, and blurring of vision at 33 weeks age of gestation. She had a history of hydatidiform mole for which curettage was done. Chest radiograph showed pulmonary metastases, with pleural effusion on both lungs. Serum beta subunit of human chorionic gonadotropin was abnormally elevated for age of gestation. Due to worsening maternal pulmonary condition, the patient underwent primary, low segment cesarean section and was subsequently started on multidrug chemotherapy. This is the first reported case of GTT in pregnancy in the Philippines in which both the mother and the infant survived. Several hypotheses regarding its origin, its diagnosis, and its management and prognosis are presented. This case report emphasizes the importance of early diagnosis and treatment to improve the prognosis of both the mother and the infant.     

The value of dipyridamole echocardiography in risk stratification before vascular surgery: A multicenter study

PURPOSE: Patients undergoing major vascular surgery are at relativelyhigh risk of cardiac events, and pharmacological stress echocardiographyis increasingly used for peri-operative risk strattfication. PATIENTS AND METHODS: One hundred and twenty-one patients undergoing vascular surgery(age 65±7 years) were studied by dipyridamole echocardiographytesting in six different centres. Of the total 136 patients,15 were subsequently excluded because surgery was either cancelled(n=8) or postponed pending cardiac revascularization (n=7) becauseof the presence of a ‘high-risk’ stress echo response(identified ‘a priori’ as a positive dipynidamoleecho cardiography testing with a dipyridamole-time <5 minand/or a peak wall motion score index>2, upon scoring eachsegment from 1=normal to 4=dyskinetic in an 11-segment model) RESULTS: No major complications occurred during dipyridamole echocardiographytesting. Technically adequate images were obtained in all patients;however, in one patient only the low dipyridamole dose (56 Prig.kg^–1 over 4 min) was given to limit side effects. Of the121 patients undergoing surgery 28 (23%) had a positive test.Pen-operative events occurred in nine patients (8%) two deaths,two myocardial infarctions, five cases of unstable angina. Sensitivityand speccificity of dipyridamole echocardiography testing forpredicting cardiac events were 78% and 81%, respectively, witha positive predictive value of 25% and a negative predictivevalue of 98% Dipyridamole echocardiography testing effectivelysingled out patients with, from those without, events, but neitherclinical parameters, such as Detsky score, nor baseline echoparameters, such as resting wall motion score index or ejectionfraction were able to distinguish between such patients. CONCLUSION: In conclusion, dipyridamole echocardiography testing is safeand well tolerated in patients undergoing major vascular surgery,and provides an effective pre-operative screening test for riskstrat fi cation of these patients mainly due to the extremelyhigh negative predictive value. Stress echocardiography is abetter discriminator than clinical and rest echocardiographicvariables.     

让眼睛变大1.5倍的化妆术

让美目变大，并不仅仅是在视觉上让眼睛大一点，再大一点。而是要令双眸水润清澈，宛如一汪清泉嵌入眼中；让眼窝的色彩华美而高雅，仿佛气质美女浑然天成。     

个性奥运彩妆

这是中国百年来最热烈的夏天。奥运点燃了每个人的激情，就连色彩，也在诠释着每个人内心飞扬的梦想。     

MANY HELPING HEARTS: AN EVALUATION OF PEER GATEKEEPER TRAINING IN SUICIDE RISK ASSESSMENT

Literature reviews on suicide prevention programs have presented conflicting results on the efficacy of school-based prevention programs. Gatekeeper training and peer helping are both recommended as part of a comprehensive school-based prevention program, yet there is no literary evidence of the systematic evaluation of gatekeeper training for peer helpers. This study evaluated the efficacy of such training with high school peer helpers using a repeated measures design. Significant gains in knowledge about suicide and skills for responding to suicidal peers were evident immediately after training and 3 months later. There was also a significant improvement in positive attitudes toward suicide intervention following training. Although there was no control group, the research offers tentative support for the efficacy of training peer helpers in suicide risk assessment and indicates the importance of additional training for peer helpers.