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1.
Primary biliary cirrhosis (PBC) is an immunologically mediated disease in which activated T lymphocytes attack and destroy epithelial cells in the small intralobular bile ducts of genetically susceptible patients. This article reviews the results of treatment of PBC with immunomodulatory agents. Results with drugs such as glucocorticoids, azathioprine, and chlorambucil have been disappointing because of either limited efficacy (azathioprine), toxicity (chlorambucil), or both (glucocorticoids). Colchicine improved tests of liver function in three prospective studies and was associated with improved survival for up to 4 years. However, survival benefits were lost at 8 years. Colchicine appears to slow the rate of progression of PBC but not to stop it. Preliminary results suggest that colchicine may have synergistic effects if used together with ursodeoxycholic acid, particularly in patients who are only partially responsive to ursodeoxycholic acid. Results with cyclosporine have been disappointing because of limited efficacy and predictable toxicity. The modest improvement in tests of liver function and survival are counterbalanced by the development of hypertension in some and worsening renal function in most. There is little beneficial effect on symptoms or histology. Results with methotrexate are promising. There are improvements in symptoms and tests of liver function that are equal to those seen with ursodeoxycholic acid and significant improvement in liver histology. Some patients, particularly those with striking inflammation and granulomas in portal triads, appear to have achieved sustained remission while on methotrexate. The effects of methotrexate are additive to those of ursodeoxycholic acid in patients whose blood tests have responded only partially to ursodeoxycholic acid. The most effective treatment of PBC will most likely use a combination of drugs such as ursodeoxycholic acid, colchicine, and methotrexate.  相似文献   
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Eich (1985) recently presented a distributed memory model in which the pattern of results used to support the levels-of-processing view of Craik and Lockhart (1972) was modeled by different degrees of similarity between the encoding context and the to-be-recalled item. We report two experiments in which both phonemic and semantic similarity were varied between pairs of words and incidental acquisition (rhyme vs. category judgments) was varied across the same pairs of items. In both experiments the manipulation of the acquisition task produced a difference in cued-recall performance for positive and negative rhyme and category judgments. Recall was better following a category encoding decision than following a rhyme decision. This difference was independent of the effects of similarity, which demonstrated that Eich's (1985) assumptions regarding the effects of similarity are not sufficient to account for the differences resulting from the manner in which subjects encode information. An alternative method of modeling the levels-of-processing effect within the framework of distributed memory models is proposed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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We study experimentally and theoretically two polarization effects in a vertical cavity surface emitting laser submitted to optical feedback. In a first experiment, we obtain flips between two linearly polarized laser modes up to a frequency of 50 MHz using an external cavity with a polarizer. In a second experiment, polarization self modulation is demonstrated up to a frequency of 2.6 GHz, using a quarter wave plate instead. Numerical calculations, based on a four levels model for the active medium, show a good agreement with the experiments.  相似文献   
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Transport properties of 1,1-difluoroethane (R152a)   总被引:2,自引:0,他引:2  
Based on reliable. carefully selected data sets. equations for the thermal conductivity and the viscosity of the refrigerant R 112a are presented. They are valid at temperatures from 240 to 440 K, pressures up to 20 MPa. and densities up to 1050 kg · m–3. including the critical region.  相似文献   
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Placing the radiators of antenna arrays closer than aggravates the problem of power mismatch. Based on efficiency considerations, a general analysis of this effect is presented, putting forward a simple tool to quantify, compare, and optimize the performance of antenna arrays. This analysis is not restricted with respect to the number of radiators or the degree of compactness. In order to improve power matching, a systematic approach for the design of lossless decoupling and matching networks based on 180 directional couplers is suggested for up to eight radiators. Implications of network losses, which have not yet received appropriate attention by researchers in the past, will be analyzed and discussed by means of a manufactured three-element prototype array.  相似文献   
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Cone-beam type X-ray computed tomography (CBCT) is a potential method to measure three-dimensional phase distributions in vessels. An example for that is the measurement of gas profiles in stirred chemical reactors. Such data are highly valuable for the assessment and evaluation of chemical processes, for optimisation of the reactor and stirrer design, and for evaluation of computational fluid dynamics codes used to model the fluid flow and heat transfer in reactive systems. However, there are considerable difficulties for accurate quantitative measurements due to beam hardening and radiation scattering effects. In a theoretical and experimental work we have investigated the non-linear effects of both physical phenomena and developed a suitable measurement setup as well as calibration and software correction methods to achieve a highly accurate measurement of void fraction profiles with CBCT.  相似文献   
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