Results of treatment of cancer of the cardia

Cancer of the cardia is traditionally discussed with cardiac cancer of the lower portion of the esophagus and upper gastric cancer invading the esophagus, and the specific characteristics of cancer of the cardia have never been clearly defined. We reviewed the outcome of 172 patients with adenocarcinoma of the cardia who had undergone radical surgery between 1949 and 1994 in the Division of Gastrointestinal Surgery of the Cancer Institute Hospital. The centers of the tumors were located within 2 cm above and below the boundary between the esophagus and the stomach, and their longitudinal diameter was less than 8 cm. We divided the patients into an early period (1949-1979; n = 79) and a late period (1980-1994; n = 93), and focused on the historical transition. There were no differences in patient gender or histology between the two periods. However, the late period was associated with fewer cases of esophageal invasion and shorter longitudinal diameter, as the age of the population advanced. The number of advanced cancers such as the localized and infiltrative type had decreased, and early cancer and early clinical stage had become more common, but despite the fact that the number of early cancers had increased, extended dissection, such as thoracic and paraaortic lymph node dissection, was performed more frequently. By clinical stage, the long-term outcome markedly improved in Stage I patient in the late period, and tended to improve in Stage II and III patients. This appears to have been attributable to the prevention of micrometastasis by extended dissection, although the number of early cancers is another major potential cause. There were no differences in the outcome of Stage IV patients between the two periods, and further advances in multimodality therapy must be awaited. The range of resection is basically proximal gastrectomy, and if there are adequate indications, the prognosis is favorable. In view of the status of lymphatic flow and lymph node metastasis, and long-term results, lateroaortic lymph node dissection is important. Since the number of early cancer patients has been increasing, if intraabdominal recurrence is prevented, intrathoracic lymph node dissection will contribute greatly to the outcome of such patients.     

Comparison of the results of surgical and conservative treatment of fractures of the diaphysis of the tibia

In this paper is treated the fundamental problematic of the fracture of the diaphysis of the tibia and the therapeutic results after the conservative and operative treatment are confronted. Among 518 patients with 433 open fractures and 35 with closed fractures of the diaphysis of the tibia, successful treatment of more 2/3 was obtained in the period from 1968 to 1972. Following our casuistics and literature, whose results are similar, we find out that the average total treatment of the osteosynthesis of the fracture of the diaphysis was shortened for 2,5 months depending upon the type and the localisation of the fracture. Apolied methods of the operative and conservative and conservative treatment in relation to the velocity of the medical cure as well as to the extreme anatomical-functional results are analised. We noticed that osteosynthesis, made by the intermedullary nail and the extension of the canals or by a small AO table, by the achieved stability makes conditions of immediate motions and an early rehabilitation. Because of that it gives the best functional results.     

四辊破碎机车刀架的改造

针对四辊破碎机车刀架车削中存在的几个问题,详细介绍了电动车刀架的结构和工作原理,建立主要设计参数的数学表达式,并进行适当的分析。改造后,这种电动车刀架运行平稳、可靠、方便、省力,取得了预期的效果。     

转炉炉壳热应力分析

根据实际转炉建立实体模型。以有限元为手段,考虑了炉衬和炉壳材料的物性参数随温度变化的特点和炉衬与炉壳之间膨胀间隙,计算了转炉炉壳在温度载荷和炉衬膨胀压力同时作用下的热应力。所得结果可为转炉炉壳设计提供依据。     

Validation of a model of psychosocial determinants of occupational health of geriatric nurses

The purpose of this study was to verify a model of relationships between psychosocial factors and health for 8066 francophone nurses working in geriatric care in Québec. A random sample of 1990 subjects was drawn and a participation rate of 77.9% and 55% was obtained for the two-time study taken twelve months apart. Based on the theory of Maddi and Kobasa (1984), the model was reproduced for the two-time periods with the aid of structural equations. The analyses showed that three variables exert a direct influence on psychological distress: professional burnout, occupational stressors and hardiness. Also, variables have a direct effect on burnout: listed in order of importance, these are hardiness, occupational stressors, work support, active strategies of coping and employment status. In dealing with the work stressors, the nurses who are hardy make use of active strategies of coping and look for support form their colleagues. The results of the study help to better understand the psychological and social resources that best favor adaptation of working women in highly demanding work environments. The fallout of the study converges towards the quality of life of helping professionals and towards the cost and quality of health and social services.     

焦炭热性能指标意义浅析

通过对焦炭在高炉内的历程及其变化规律的剖析,阐述焦炭热性能指标的意义,形象地把焦炭在高炉内的损耗分为三部分(M1,M2,M3)。指出M2对焦比及焦炭价格有一定的指导作用。     

降低薄板钢表面夹杂的攻关实践

针对柳州钢铁集团公司钢板表面夹杂严重的质量问题，从管理和工艺方面对夹杂物来源进行分析，找出问题所在，提出了改善措施，基本消除了这一质量缺陷，从而获得了显著的经济效益。     

浅析《野草》的版画特征

鲁迅先生一生热爱美术作品,对版画中木刻兴趣尤甚.<野草>作为其"写心之作",亦呈现出一些与木刻版画一致的审美特征:一是具有木刻版画的色彩特征,多对比、多冷色,有阴郁的美感;二是具有木刻版画的力度特征,环境描写、人物刻画处处刀锋毕现,遒劲有力,有一种"力之美".     

Treatment of a case of macrodactyly of the thumb

An unusual association between macrodactyly of the thumb and a severe abnormality of the thenar eminence is presented. A reduction of the soft tissues and opponens transplant gave a satisfactory cosmetic and functional result.     

Comparison of rates of infection of two methods of emergency ventricular drainage

The rates of infection of two methods of external ventricular drainage in use at Atkinson Morley's Hospital--namely, (a) percutaneous drainage with Rickham reservoirs and (b) tunnelled ventriculostomies--were compared in this retrospective review. Percutaneous drainage of CSF with Rickham reservoirs was associated with a 27% rate of infection as identified by positive microbiological cultures; tunnelled ventriculostomy catheters had a 10% infection rate. The difference in the infection rate between the two methods was statistically significant (P < 0.015). Other variables examined, including the age and sex of the patients and the reasons for ventricular drainage, were not associated with an increased rate of infection. Most infections from either method were caused by a coagulase negative staphylococcus. The average duration of ventricular drainage before identification of positive cultures was 5.7 days for Rickham reservoirs and 6.0 days for ventriculostomies.     

膨润土类型对昆钢铁精矿造球性能的影响

为改善昆钢铁精矿的造球性能,对昆钢球团添加钙基膨润土和钠基膨润土进行了对比试验。结果表明,钠基膨润土能使生球落下强度、抗压强度显著提高;而钙基膨润土在改善球团爆裂温度方面优于钠基膨润土。因此,在造球生产过程中通过选择钠基或钙基膨润土,或通过两种膨润土搭配,可制备出综合性能优良的球团矿。     

Quality of life of relatives of mental patients

Usage of quality of life of psychiatric patients' relatives as the parameter of estimation of the quality of psychiatric care is considered. By means of standard questionnaire elaborated by the authors as well as by means of both individual and group conversations the quality of life was analyzed in 40 relatives which lived together with psychiatric patients. Different spheres of their life and difficulties (financial, social-psychologic, production) were examined in families with such patients. The defects of psychiatric care that had direct influence on the quality of life of the psychiatric patients' relatives are outlined.     

锂离子电池安全性研究现状

锂离子电池广泛用于小型电源驱动设备,但其安全性一直是人们关注的焦点。综述了锂离子电池安全性的研究现状及其进展,对短路试验、过充试验、穿钉试验以及热稳定性进行了总结。     

本钢冷轧厂轧机工作辊轴承润滑现状及研究

对本钢冷轧厂轧机工作辊轴承润滑前存在的问题进行了分析并针对这些问题采取解措施进行了改造研究，最终采用工作辊轴承的油气润滑方式具有低能耗、易控制、润滑集中、润滑效果好、系统维护方便和安全性能高等特点。     

Stability of hydrophobic nuclei of protein molecules depending of the degree of packing

The values of free energies for the formation of hydrophobic cores with different degree of packing of nonpolar side chains have been calculated. It has been shown that the difference between the values of free energy for tightly packed cores inaccessible to water solvent molecules and the values of free energies for less tightly packed hydrophobic cores whose surface is in contact with the water solvent, is 50-60 kJ/mol and coincides with the value of the enzyme free energy change during its interaction with the substrate.     

Rehabilitation of disorders of the breaking of voice

The adolescent's breaking of the voice is the result of the substitution of the chest voice (or heavy mechanism) for the head voice (or light mechanism). In cases of late breaking, the voice is abnormally high-pitched and feeble, often with a distorted timbre, while the larynx is normal and pubescent. Such people are generally not fully aware of their voices' real nature. Therapy classically resorts to laryngeal manipulations, of which a new technique is put forward. Another therapeutic approach is based, on the one hand, on critical listening compared with a control male voice, thus enabling the subject to become aware of his own voice, and, on the other hand, on high intensity work which helps passing from head to chest voice.     

The effect of quality of anodes on the process of electrolytic of manganese dioxide

During the electrosynthesis of manganese dioxide, the anode material and anode current density (i _a) exert the largest influence on the characteristics of electrolysis and the quality of the obtained material. The activation of anodes, which consists of the deposition of the titanium-manganese alloy on the titanium base of the electrode by the thermal-diffusion method, prevents passivation at i _a = 100 and 200 A/m². The electrochemical characteristics of electrolysis for NTMA (a built-up titanium-manganese activated anode) and ATDP (an experimental activated anode with thermodiffusion coating) anodes at i _a = 100 and 200 A/m² have close values. The voltage across the bath does not exceed 2.2–3.0 V, the current efficiency is 95–98%, and electrical power consumption is 1.33–1.80 (kW h)/kg. The chemical composition and the crystalline modification of electrical manganese dioxide corresponds to the requirements of GOST (State Standard) 25823-83. The activated ATDP anodes behave similarly to the known HTMA anodes. After electrolysis, no variations in the surface layer are found on them.     

平果堆积型铝土矿成矿规律及赋存特征

广西平果铝土矿属岩溶堆积型铝土矿,其矿体的形成、规模、含矿率、矿石质量与沉积铝土矿层、岩溶洼地大小、矿源层的所处位置、地形地貌关系密切。文章对该矿床的成矿过程、控矿因素及富集特点进行了阐述,对矿床的赋存层位及含矿层的特征等方面进行了分析,为该类矿床的地质工作提供参考。     

Replication of the multidimensionality of activities of daily living

We attempted to replicate the three-dimensional factor structure of a previously proposed ADL scale and demonstrate an association between the advanced ADL dimension and cognitive function. Data used in these analyses were baseline assessments of health and functional status of hospitalized patients enrolled in a randomized controlled trial of case managers as a means of reducing health care utilization. We submitted 14 items from the OARS to a two-stage process of principal components factor analysis. Four significant dimensions emerged that were remarkably similar to the advanced, basic, and household ADL dimensions reported by Wolinsky and Johnson (1991). In this sample of hospitalized patients, however, incontinence emerged as a weak fourth dimension. Multiple regression of SPMSQ mental status examination scores on these ADL dimensions demonstrates the association between cognitive function and the advanced ADL dimension. These data confirm that the underlying structure of ADLs consists of at least three separate dimensions, one of which is aligned with cognitive capacity.