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Randomized trial of breast self-examination in Shanghai: methodology and preliminary results 总被引:3,自引:0,他引:3
DB Thomas DL Gao SG Self CJ Allison Y Tao J Mahloch R Ray Q Qin R Presley P Porter 《Canadian Metallurgical Quarterly》1997,89(5):355-365
BACKGROUND: The efficacy of breast self-examination in helping to reduce mortality from breast cancer has not been rigorously demonstrated. PURPOSE: To assess efficacy, a large, randomized trial was initiated in Shanghai, China. METHODS: From October 1989 to October 1991, 267040 current and retired female employees associated with 520 factories in the Shanghai Textile Industry Bureau were randomly assigned on the basis of factory to either a self-examination instruction group (133375 women) or a control group (133665 women). The women were born within the period from 1925 through 1958. Women in the instruction group were given intensive training in breast self-examination, including the use of silicone breast models and personalized instruction, plus two subsequent reinforcement sessions and multiple reminders to practice the technique. Women in the control group were asked to attend training sessions on the prevention of low back pain. All women have been followed for the development of breast diseases and for death from breast cancer. RESULTS: A high level of participation during the first 4-5 years of the trial was documented among women in the instruction group. Randomly sampled women in this group demonstrated greater proficiency in detecting lumps in breast models than did randomly sampled women in the control group. Approximately equal numbers of breast cancers were detected in the two groups (331 in the instruction group and 322 in the control group) through 1994, which is the last year for which case-finding efforts have been completed. The breast cancers detected in the instruction group were not diagnosed at an appreciably earlier stage or smaller size than those in the control group. More benign breast lesions were detected in the instruction group than in the control group (1457 versus 623, respectively), suggesting a higher index of suspicion for women who received training. Cumulative breast cancer mortality rates through 5 years from entry into the study were nearly equivalent for the two groups. CONCLUSIONS: Breast self-examination has not led to a reduction in mortality from breast cancer in this study cohort in the first several years since the trial began. A shift toward the diagnosis of disease at a less advanced stage in women given instruction has also not been demonstrated. Longer follow-up of participants in this trial is required before final assessment can be made of the efficacy of breast self-examination. IMPLICATIONS: At this time, there is insufficient evidence to recommend for or against the teaching of breast self-examination. 相似文献
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黄韬 《硫磷设计与粉体工程》2002,(6):18-21
对颗粒状物料的气力输送 ,人们往往只重视所要采用的输送方式 ,而忽视了输料管连接方式的正确选择、施工与安装。输料管连接方式的正确与否 ,直接影响到输送量和物料的品质。详细介绍了常用的几种连接方式 ,分析了它们的优缺点 ,并提出了比较合理的连接方式 相似文献
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A modified transverse resonance method is presented for analyzing generalized multilayered, multiconductor quasiplanar structures with practical parameters such as finite conductor thickness and mounting grooves. Recurrence relations are obtained by using network theory for obtaining the overall transverse equivalent network. while the discontinuity involving the finite-thickness metal sheet and mounting groove is carried out by a field-theory-based multimodal variational formulation. The frequency behaviors of propagating, evanescent, and complex modes are obtained for several commonly used quasiplanar lines, showing good agreement with published results. Furthermore, a leaky-wave study is carried out for open structures, since the open condition can be included in this formulation without difficulties 相似文献
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