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1.
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.  相似文献   

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The effect of 20 different antibiotics on chemotaxis by human neutrophils was studied. Human leukocytes incubated with chloramphenicol, rifampin, sodium fusidate, and tetracyclines in vitro showed markedly depressed migration. The mechanisms by which these antibiotics affect leukotaxis are discussed.  相似文献   

4.
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.  相似文献   

5.
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。  相似文献   

6.
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".  相似文献   

7.
Investigated whether self-ratings of ability can be used as substitutes for ability tests in an industrial setting. 114 undergraduates first completed a questionnaire asking them to rate themselves on 10 ability areas. The Ss were then given a battery of tests designed to test these same ability areas. Tests included the Employee Aptitude Survey Test of Visual Pursuit and Manual Speed and Accuracy, the Revised Minnesota Paper Forms Board Test, Personnel Tests for Industry—Verbal and Numerical, the Otis Self-Administering Tests of Mental Ability, and the Bennett Mechanical Comprehension Test. In addition, the potential moderator effects of sex, general intelligence, self-esteem, and social desirability were investigated. Correlations between self-rated and tested abilities, although generally significant, were too small to have any practical significance. The self-ratings were also unable to diffentiate between those who would score high and low on the ability tests, even for extreme self-rated groups. No moderator effects were found. It is concluded that self-reports of ability could not substitute for ability tests. (16 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   

8.
Translated from Poroshkovaya Metallurgiya, No. 2(326), pp. 9–12, February, 1990.  相似文献   

9.
Acute vascular insufficiency following intra-arterial injection of a variety of drugs has been recognized for many years. The present study addresses the hypothesis that this vascular insufficiency may be due to vasospasm. Intra-arterial injections of logarithmic doses of drugs of abuse from the barbiturate, narcotic, non-narcotic analgesic, and amphetamine groups were studied in baboons. All drugs except amphetamine produced significant increases in femoral flow. Dextroamphetamine produced insignificant alteration in flow. Solid excipients, cornstarch, and talcum powder when injected intra-arterially decreased flow, and vascular obstruction was shown angiographically. These data suggest that vasospasm is not a primary response of intra-arterial injection of drugs of abuse.  相似文献   

10.
转炉炉壳热应力分析   总被引:5,自引:1,他引:4  
任学平  郭志强  邹家祥 《炼钢》2001,17(6):47-49
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。  相似文献   

11.
Some theories of personality hold that an individual's perception of others is influenced by his own personality characteristics; more specifically, that a trait of low social value will be projected more into others, and that insight into the possession of these characteristics reduces this distortion. These 2 hypotheses were tested by having a group of college students rate each other (including themselves) on degree of friendliness or hostility. Agreement with group rating about self yielded the insight score. In general, the hypotheses were supported; the "friendly" Ss were most accurate in their perception of others, and insight was positively associated with accurate perception. From Psyc Abstracts 36:04:4HL16M. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   

12.
膨润土类型对昆钢铁精矿造球性能的影响   总被引:1,自引:0,他引:1  
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。  相似文献   

13.
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.  相似文献   

14.
A comparative study was performed using three routes of administration of sisomicin (1 mg/kg as single dose): intramuscular injection, intravenous rapid injection, and 1-hour infusion. Intravenous administration resulted in higher blood levels immediately after the injections than by the intramuscular route; however, later, the intramuscular injection resulted in optimal blood levels. High levels of sisomicin which were bactericidal for most Gram-negative bacilli were found in the urine of the treated patients. The antimicrobial activity of the serum obtained 1 hour after administration of sisomicin, as determined against 20 strains of Gram-negative microorganisms isolated from blood cultures, was identical with all three routes of administration of sisomicin.  相似文献   

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16.
Summary The abrasive capacity of carbides and borides of titanium, zirconium, hafnium, vanadium, chromium, tantalum, molybdenum, and tungsten was investigated.  相似文献   

17.
张兴强  叶运福 《冶金设备》2005,(6):71-72,47
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。  相似文献   

18.
Conclusions Thermal and x-ray phase analyses have been carried out to determine the conditions of reactive sintering of components resulting in the formation of borides of the platinum-group metals. It has been established that the reactive sintering temperature steadily falls as the d level of the platinum-group metals fills up.Translated from Poroshkovaya Metallurgiya, No. 8 (104), pp. 25–30, August, 1971.  相似文献   

19.
Exposure of proteins on the surface of the small (30S) ribosomal subunit of Escherichia coli was studied by the hot tritium bombardment technique. Eight of 21 proteins of the 30 S subunit (S3, S8, S10, S12, S15, S16, S17, and S19) had virtually no groups exposed on the surface of the particle, i.e., they were mainly hidden inside. Seven proteins (S1, S4, S5, S7, S18, S20, and S21) were all well exposed on the surface of the particle, thus being outside proteins. The remaining proteins (S2, S6, S9 and/or S11, S13, and S14) were partially exposed. On the basis of these results a reconcilement of the three-dimensional protein map of the small ribosomal subunit has been done and corrected model is proposed.  相似文献   

20.
Allozyme electrophoresis was carried out in starch gel to compare the electrophoretic patterns for acid phosphatase (AcP, EC 3. 1. 3.2), peroxidase (Po, EC 1.11.1.7) and esterase (Est, EC 3. 1. 1. 1). It was found in this study that isoenzymes AcP1, AcP2 and Po1, Po2 were coded by 2 loci respectively and they were monomorphic. It is possible to determine 4 loci responsible for esterase zymogram, among which isoenzyme Est3 region either consisted of a fast (Est3-F) band in the case of Oncomelania hupensis isolated from Anhui, or a slow (Est3-S) band in snails from Yunnan. The Rf values of the fast and slow bands were 0.362 +/- 0.027 and 0.340 +/- 0.036, respectively. Snails from Yunnan, at the upper reaches of the Yangtze River, are proved to be resistant to infection with Anhui-Hubei strain of Schistosoma japonicum in the mainland of China, while snails from Anhui, at the lower reaches of the Yangtze, susceptible to infection with Anhui-Hubei strain of S. japonicum.  相似文献   

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