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51.
52.
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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54.
本文在简要介绍福建煤炭集团的战略定位和发展趋势的基础上 ,分析了福建煤炭集团产业结构存在的主要问题 ,提出了当前福建煤炭集团结构调整的对策思考。 相似文献
55.
56.
Yubin Yang Hui Lin Jixi Jiang 《IEEE transactions on systems, man, and cybernetics. Part A, Systems and humans : a publication of the IEEE Systems, Man, and Cybernetics Society》2006,36(1):162-172
This paper presents a computer-aided cloud-analysis approach by effectively modeling the integration of heterogeneous satellite-observed data and remote sensing images. First, automatic cloud detection and tracking methods are proposed to identify the georeferenced cloud objects in satellite remote sensing images. Then, a data integration modeling mechanism is designed to collect meaningful properties of those detected clouds by integrating the heterogeneous satellite-observed data and imaging into a unified cloud database. Finally, based on the integrated global data schema, a two-phase data mining method employing the decision tree algorithm is implemented to analyze and forecast the meteorological activities of all the cloud objects. Experimental results have shown that the proposed data integration model can effectively extract and synthesize all the useful information from heterogeneous data sources to generate a unified view of knowledge, on the basis of which the evolvement trends of clouds can be analyzed properly. 相似文献
57.
58.
Combined shape and sizing optimization of truss structures 总被引:1,自引:0,他引:1
In this paper, an evolutionary optimization method is presented for weight minimum problem of a 3-dimensional truss structure
in terms of nodal coordinates and element cross-sectional areas. The structure is subject to stress, local buckling and displacement
constraints. Two types of design variables with different natures are optimized separately: (1) a fully stressed design (FSD)
and scaling techniques are applied to sizing variables and (2) the evolutionary node shift method is applied to shape variables.
Alternating procedure is utilized to couple the two types of variables and to combine the results. The optimum solution is
achieved gradually from the initial configuration design. Two typical truss structures are examined to illustrate the validity
of the method.
Received: 22 October 2001 / Accepted: 04 June 2002
This research work is supported by the National Natural Science Foundation of China under the guarantees no. 10072050 and
10172072, respectively. 相似文献
59.
石油系油浆与煤系闪蒸油的焦化性能——I.热解条件的影响 总被引:3,自引:2,他引:1
通过偏光显微镜观察了石油系油浆(LH)与煤系闪蒸油(SN)焦化后所得焦块的光学结构。结果表明,在较宽条件下两种原料单独焦化均得不到取向度高的流线型结构。将两种原料以一定比例混合后先热解丙焦化所得焦块的光学结构明显好于二者混合后直接焦化所得焦块的光学结构,其中LH和SN以3:2的重量比混合后在440℃、1MPa下热解3.5h然后再在530℃、1MPa下焦化8h所得焦块为具有较高取向度的流线型结构,适合于作为针状焦的起始原料。 相似文献
60.
地热、温泉水利用中氡的防护 总被引:2,自引:0,他引:2
地热作为一种比较经济、方便的新能源的同时,也给公众和环境带来辐射影响。本文介绍了地热和温泉水中~(222)Rn 的放射性水平及其对人体健康的影响,对地热、温泉水利用中氡的防护措施提出了一些建议。 相似文献