悲观主义者——比如临床诊断的抑郁症病人，他们的问题是，他们有能力改变将来——消极的预期将结果推向消极的方向。

The problem with pessimistic expectations, such as those of the clinically depressed, is that they have the power to alter the future; negative expectations shape outcomes in a negative way.

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临床表现具有诊断意义者为颈静脉怒张，肝大，腹水，心电图t波普遍低平或倒置。

Clinical manifestations of diagnostic significance were marked venous engorgement in the neck, hepatomegaly, ascites, and flattened or inverted t waves on electrocardiogram.

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因两者的手术及治疗方案不同，在术前能明确的鉴别诊断有利于临床治疗。

For the different operation way between RCC and TCC, this differential diagnosis is very important to clinical treatment.

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