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淄博最好的男科医院淄博治疗精囊炎医院哪家好According to the celiac sprue association根据乳糜泻研究协会的说法there are three major steps that are taken in order to诊断一个人是否患有乳糜泻diagnose a person with celiac disease.需要三个主要的步骤The first step includes a thorough physical examination第一步是进行一个全面的身体检查to look for any signs of celiac disease看被检查人是否有乳糜泻预兆such as fatigue or weight loss.比如疲惫和体重下降A blood panel is also conducted, sometimes referred to还要进行全血细胞计数as a celiac blood panel to look at有时被称为腹腔全血细胞计数other indicators of celiac disease such as antibodies.来检查其中是否有乳糜泻的预兆,如出现抗体Second, a multi-sample biopsy of the duodenal portion第二步,对十二指肠进行多样本组织检查of the intestine is done in order to look at查看是否有由麦胶蛋白引起的possible damage from the gluten.可能的损害The third step includes implementing第三步是the gluten-free diet.执行无麦胶蛋白饮食When the person#39;s health begins to improve当健康状况开始改善的时候symptoms start to diminish and the intestinal villi乳糜泻的症状就会逐渐消失start to repair themselves celiac disease is diagnosed.小肠绒毛也会进行自我修复Please be aware that it is important to keep gluten请注意为了保诊断的准确性in the diet for an accurate diagnosis.要在食品中保留麦胶蛋白Removal of gluten too early before seeing a physician如果去医院检查之前就提前不吃含有can remove signs and symptoms of celiac disease麦胶蛋白的食物,可能会导致乳糜泻的一些症状needed for a successful diagnosis.消失,从而无法做出正确的诊断As you can see in this diagram这张图显示的是there are three different areas of the intestine.三个不同区域The duodenum is the portion of the intestine十二指肠紧连胃部that immediately follows the stomach and也正是where biopsy samples需要从这里提取样本are taken to diagnose celiac disease.进行乳糜泻诊断Now that you understand现在你已经明白了how celiac disease is diagnosed and that乳糜泻如何诊断someone with celiac disease needs to follow乳糜泻患者应该a strict gluten-free diet.严格执行无麦胶蛋白饮食Let#39;s discuss what gluten is现在我们来讨论一下何为麦胶蛋白and where you may find it in the food supply.在何种食物中可以找到麦胶蛋白Gluten is a protein麦胶蛋白是一种蛋白质that gives b dough elasticity在二氧化碳作用下which allows it to rise without collapsing可以使面团膨胀while trapping the CO2.并具有弹性Gluten is what gives b and b-like products麦胶蛋白可以使面包和面包类产品a desirable volume and texture.按人们的要求呈现出不同的大小和质地It is found in wheat, rye and barley as well as麦胶蛋白存在于小麦,黑麦和大麦以及all wheat derivatives including bulgar, couscous麦类衍生品中,如碾碎的干小麦,蒸粗麦粉,面筋mataza, seitan, semolina, triticale, spelt, kamut粗粒小麦粉,黑小麦,斯佩尔特小麦and einkorn and emmer and anything with wheat呼罗珊小麦,单粒小麦,二粒小麦等in the title except for buckwheat.以及除荞麦之外的以麦来命名的物质Someone who is following a strict gluten-free diet执行无麦胶蛋白饮食的人must stay away from these grains应该远离这些谷物as they contain gluten.因为它们含有麦胶蛋白This is a flow chart showing这张流程图显示的是where the grains that contain gluten含有麦胶蛋白的谷物fall within the plant kingdom.在植物王国中如何分布Notice they are all grouped注意,虽然被划分为同一种类in the same species so wheat, rye and小麦,黑麦和大麦中含有麦胶蛋白barley contain gluten while rice, corn, teff而水稻,玉米,埃塞俄比亚画眉草buckwheat, quinoa and amaranth are gluten-free.荞麦,藜麦以及苋菜中没有麦胶蛋白Currently the FDA has目前美国食品及药物no definition for gluten free.对无麦胶蛋白还没有明确的定义The proposed definition of gluten is有人建议应该把麦胶蛋白定义为proteins that naturally occur in a prohibited grain在一些谷物中自然存在的蛋白质and that may cause adverse health effects若进入乳糜泻患者体内则会对健康造成in persons with celiac disease不利影响where a prohibited grain would be defined as wheat其中,一些谷物,被定义为小麦,黑麦和大麦rye, barley or cross-bred hybrids of wheat以及这三者的rye or barley.杂交作物For example triticale is a cross between比如,黑小麦就是wheat and rye.黑麦和小麦的杂交产物This labeling is voluntary for those companies这种分类方法由生产whose products meet the definition of gluten-free.无麦胶蛋白食品的公司自由采纳Gluten-free labeling was proposed in 20072007年就有人提出了无麦胶蛋白分类and as of 2009 still remains in draft form.的建议,但到2009年依然还处于筹备状态Because of this lack of labeling it is important因为缺少这种分类for those who have celiac disease所以对于乳糜泻患者来说to carefully labels in order to determine仔细阅读标签确定食品是否whether the food contains gluten or not.含有麦胶蛋白是非常重要的 Article/201505/377199淄博一四八医院龟头炎症 In many ways,plastic is the perfect material:we can make it strong and rigid enough to build spaceships and replace bones,or thin and flexible enough to makes shopping bags,that weigh as much as a nickel but carry up to 8 kilograms.在很多方面,塑料都是完美材料,塑料可以非常牢固坚硬,以制造航天飞船,替代骨骼,也可以很薄很坚韧,以制造购物袋,一块薄镍币厚度的塑料袋就能撑8公斤重量。And unlike other materials,plastic doesn#39;t rust or rot,it can last for centuries,even when we only need it to last a few seconds.We make tons of plastic precisely because it#39;s cheap,durable and yet expendable.But the features of plastic that make it so useful to us have also transformed life in the oceans,where as much as 10% of our discarded plastic-millions of tons per year-ends up.但是和其他材料不同的是,塑料保和省锈蚀也不会腐烂,即便我们有时只需要几秒钟,塑料却能挺过好几个世纪。人们大量生产塑料因为它便宜又耐用,但是塑料依然属于消耗品。人们懂得利用塑料的特性,但也因为如此,塑料改变了海洋生物,每年全球10%的废弃塑料进入海洋。Big pieces of plastic are definitely bad news for marine animals like whales,albatross,and sea turtles which risk getting tangled in the debris or ingesting large pieces of it.Yet despite the publicity about huge garbage patches in the sea.most of the ocean#39;s plastic isn#39;t big,our castaway shopping bags and soda bottles get weakened by sunlight.and torn apart in the wind and the waves into little bits of plastic confetti.对于鲸,信天翁和海龟等海洋生物来说,大块塑料当然不好,海洋生物可能被塑料缠住,或吞下大块塑料。虽然媒体中出现在海中的都是大块塑料,但是大多数海洋中的塑料并不大,购物袋和汽水瓶会在阳光下变薄 被海风和海浪撕扯成为小块碎渣。On the micro-scale,though,it#39;s still super durable the microorganisms that decompose ripped-up bits of wood and seaweed down into simpler organic compounds can#39;t easily digest plastic.So while the plastic confetti gets broken into smaller pieces,it doesn#39;t go away it just sps out over time.从微观角度看,塑料依然无法被微生物分解,分解木头和海藻的微生物无法轻易消化塑料。所以虽然塑料碎渣碎成更小颗粒,但并未消失 时间过去,塑料只是扩散开来。Which is why we#39;ve found;microplastics;pretty much everywhere in the oceans,from the Arctic to the Antarctic,and from the seafloor to the surface.Unlike the easy-to-observe impacts of large plastic trash.the effects of microplastics are as subtle and difficult to trace as the fragments themselves:the durable fragments can serve as new real estate,on which small ocean creatures can grow and multiply;or choke slightly larger ocean creatures that think the plastics are food;or attract and collect toxic chemicals,which become introduced into the food chain if the particles are eaten;and probably a million other problems we haven#39;t noticed yet.这就是为什么几乎全世界任何海洋中都发现了塑料微粒,从北极洲到南极洲,从海底到海面 和大块塑料垃圾不同,塑料微粒的影响不易观察,和微粒本身一样,其造成的影响微妙且很难追踪:耐性良好的碎片会成为生物新的栖息地,小型海洋生物在其上生长繁殖。稍稍大些的海洋生物会认为塑料是食物,如果吞下就造成阻塞。塑料也会吸附并积累有毒化学物质 如果微粒被动物吃下会进入食物链。也许还有更多问题,只是我们还未察觉到。Because we#39;ve only recently started paying attention to all these microplastics in the oceans.But it#39;s undeniable how much plastic trash we#39;ve introduced into marine ecosystems,and the wonderful durability of plastic guarantees it#39;ll be an issue for years to come.it#39;s possible we can decrease further impact by Switching to biodegradable plastics,dumping less plastic in the oceans,or cleaning up the patches of sea most strewn with plastic.因为我们也只是刚刚开始关注海洋中的塑料微粒问题。人类向海洋生态系统倾倒塑料垃圾数量之巨不容置疑,塑料惊人的耐性肯定会在未来的日子里成为一项难题,但是我们可以改用生物降解塑料减少以后塑料造成的影响,减少向海洋倾倒的塑料量,或是清理堆满塑料的海岸。But until we do,the question is,will the oceans be plastic enough to deal with our favorite material?不过在此之前,我们要问海洋是否能够适应我们最喜欢的塑料? Article/201501/355414淄川区医院男科专家

淄博医院治疗早泄When Jo was 9 years old, the family moved to a village outside Chepstow on the edge of the Forest of Dean.乔9岁的时候,家里搬到了切普斯托外的乡村,就在迪安森林的边缘。Here was a location that offered a whole range of imaginative possibilities...magical creatures, mystery and intrigue.这是一个给想象力提供了无穷可能性的地方,充满了魔法生物,神秘,阴谋。I#39;m very drawn to forests.我对森林着了迷。And it#39;s my favorite part of the Hogwarts grounds.这也是霍格沃茨里我最喜欢的地方。The advantage of a forest is it can be so many things.森林的迷人之处在于它包含了太多的东西。It can be a place of enchantment.它可以成为一个充满魔力的地方。You never imagine a crowd in a forest. It#39;s a solitary place.你无法想象森林里会有拥挤的人流,这是一个离群索居的地方。Is it because it used to be a place of shelter and safety to us, I suppose.我想这是我们寻求庇护和安全的地方。So I think- I#39;m very drawn to them. Even though they can be spooky.尽管森林里可能有可怕的东西,但我就是对它们着了迷。Jo wrote stories from an early age.乔很小的时候就开始写故事。There was resonant material all around her.她身边有那么多灵感元素。She even lived next door to a graveyard.甚至她就住在墓地的旁边。The family lived in this house.一家人住在这幢房子里。Jo and her sister, Di, earned extra pocket money as part-time cleaners of St. Luke#39;s church.乔和她的小戴在圣路克教堂做兼职清洁工赚零花钱。I cannot overstate how cold it got in this church in winter when we were cleaning it. It was freezing.毫不夸张地说,你无法想像有多冷。我们冬天在这里打扫,冷死了。For a pound each. It#39;s tragic, really.每人赚一磅,真的挺惨。We must be in here loads.在这里肯定有我们的记录。Because we used to sign this book all the time.因为以前我们总是在这本书上签名。Oh, God, I know- Oh, look, it#39;s me. There I am.上帝,我就知道,看,这就是我,就在这里。Me and Di together.我和小戴签在了一起。;Joanne Rowling, age 12. Dianne Rowling, age 10.;“乔安妮·罗琳,12岁。戴安妮·罗琳,10岁。”There#39;s a name I stole for Harry Potter.我在这里偷了一个名字放在《哈利·波特》里。For an unpleasant character as well.还是个讨厌的人物。Hide the book. Lock it away.把书藏起来,锁起来。Heh, heh. Forgotten about that.我已经忘了这件事了。Yes.是的。 Article/201510/404514淄博友谊泌尿外科 周村区文昌湖人民医院地址

山东省淄博治疗阳痿多少钱 Learn to turn down an invitation graciously with the right response and enjoy your time by yourself, guilt free.以得体的方式优雅地拒绝邀请,毫无愧疚地享受独处的时间。You Will Need你需要Manners礼貌A prior engagement提前约会Future plans未来的计划Steps步骤STEP 1 Be truthful1.坦诚If you#39;re dealing with a close friend, be truthful. If you don#39;t want to go, say you don#39;t want to go. A good friend will understand.如果是亲密的朋友,坦白一点。如果你不想去,直接说自己不想去。真正的朋友会理解你的。STEP 2 Don#39;t offer an excuse2.不要给出理由If the asker is not a close friend, say thank you for the invitation. Then, simply say you cannot attend, without offering an excuse.如果要请你的人并不是亲密的朋友,告诉对方感谢他的邀请。然后简单地说自己不能去,不需要给出理由。Don#39;t use a lie as an excuse. Lies lead to more lies, and, if you get caught, it can lead to embarrassment.不要用谎话作理由。一个谎话需要更多谎话来圆。如果被抓住的话会很尴尬。STEP 3 Stand firm3.坚定立场If the inviter asks why you can#39;t attend, simply answer that you#39;re not free that day. It#39;s not a lie, but it should satisfy their question.如果对方问你为何不能参加,简单地回答当天没有空。这并不是谎言,但是可以回答他们的问题。STEP 4 Show empathy4.表示遗憾Express how you are sorry about missing out on the event.表示自己对错过聚会感到非常遗憾。STEP 5 Plan another engagement5.安排另外一场约会Explain how you are excited to see them at a different event, or make other plans for just the two of you.解释你在另外一场活动中看到他们会非常高兴,或者为你们两人安排其他的计划。视频听力译文由。 Article/201410/336736淄博哪个男科医院能治疗早泄淄博市割包皮手术价格



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