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41.
Head trauma     
Progress in research includes studies concerning the pathophysiology and outcome of pediatric head injury, the pathology of the hippocampus in fatal injury, and the use of multivariate statistics to predict outcome in survivors. Recent research has confirmed and extended findings regarding the differential effects of closed head injury, depending on the age of the individual. These studies indicate that the consequences of head injury are more severe in older adults and in children younger than 2 years. Neuroimaging findings include evidence for delayed brain injury as a major cause of mortality and disability. Functional brain imaging provides evidence for cerebral dysfunction that is not appreciated by structural brain imaging techniques and may have a stronger relationship to neurobehavioral sequelae. The neurobehavioral sequelae frequently implicate frontal dysfunction, even in the absence of structural findings on computed tomography or magnetic resonance imaging. Studies of mild head injury have expanded our knowledge concerning the pathogenesis of postconcussional symptoms, including a preinjury vulnerability based on recent life events. Persistent postconcussional symptoms after mild head injury are frequently associated with emotional disturbance of clinical proportions.  相似文献   
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Inflammation in nasal and airway tissue caused by allergens, microbial infection, and air pollution are likely to be regulated by inflammatory mediators produced by airway epithelial cells. We have therefore investigated the baseline expression of a number of cytokine genes known to be important inducers and modulators of inflammation, in freshly isolated human nasal epithelium. Cells were obtained by superficial scraping of turbinate tissue, and cDNA for polymerase chain reaction (PCR) amplification was reverse-transcribed directly from lysates of 3 x 10(3) to 5 x 10(3) epithelial cells using random hexamers. Constitutive expression of relatively high levels of interleukin-8 (IL-8) mRNA but undetectable levels (< 1 mRNA copy/cell) of granulocyte/macrophage colony-stimulating factor (GM-CSF), IL-6, IL-1, or tumor necrosis factor (TNF) mRNA were found after PCR amplification of the cDNA. IL-8 protein, but not IL-6, was identified in the nasal epithelial cells by immunocytochemistry. Infection with respiratory syncytial virus (RSV) or stimulation of nasal epithelium for 4 h with TNF or IL-1 in vitro resulted in a 4- to 10-fold increase in IL-8 mRNA expression but not in the expression of detectable levels of mRNA for the other cytokines. IL-8 was secreted by RSV-, IL-1-, and TNF-stimulated as well as unstimulated nasal epithelial cells after 6 to 20 h of culture. Neither IL-6, GM-CSF, nor TNF activity/immunoreactivity was detectable in the culture supernatants. Thus, it appears that IL-8 is a major cytokine of human nasal epithelium, constitutively expressed and readily secreted upon virus infection or stimulation with IL-1 and TNF.  相似文献   
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Examined intake profiles of 54 depressed women survivors of child sexual abuse presenting for a specialized group therapy program at a community mental health center. The 32 therapy completers were compared with the 22 dropouts. Both groups possessed extensive and severe childhood and adult abuse histories. Both were extremely socially disadvantaged and clinically impaired as measured on the Millon Clinical Multiaxial Inventory (MCMI). Dropouts were more likely to have been battered as children and to have been sexually abused only within the family. Completers were more likely to have been multiply offended both by intrafamilial and extrafamilial perpetrators. The groups differed in terms of marital status and extent of economic dependence on spouse. Dropouts appeared to be more actively enmeshed in the abuse cycle at the time of therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
46.
This paper presents an overview and personnal perspective on recent developments and current practice in computer process model. The basic concepts behind conventional process control are reviewed to provide a starting point for the non-control specialist and process engineer. The ensuing sections on Internal Model Control (IMC), Model Predictive Control (MPC) and adaptive control illustrate the evolution of control technology from the traditional multiloop strategies to the modern, multivariable, model-based, computer control systems now being used in industry. The paper does not provide a complete, critical review of process control. However, the discussion and the recommended references should provide a good starting point for anyone wanting to become familiar with current practice and some of the new directions of process control.  相似文献   
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The objective of this study was to determine the effects of fat supplementation from canola seed (CS) on ruminal fermentation and postruminal digestion of OM, carbohydrates, and energy of diets containing different levels of forage. Six ruminally and duodenally cannulated beef steers (354 kg +/- 18) were given ad libitum access to six isonitrogenous diets that were offered twice daily in a 6 x 6 Latin square design. Treatments were arranged as a 2 x 3 factorial with two forage levels (70 vs 30% of dietary DM as corn silage) and three forms of CS supplementation including no CS or CS added at 10% of dietary DM as whole CS treated with alkaline hydrogen peroxide or untreated crushed CS. Fat from CS provided 5% of dietary DM. The remaining dietary ingredients were corn, canola meal, molasses, and urea. No interactions (P > .05) between dietary forage level and CS supplementation were observed for ruminal characteristics or digestion of OM, carbohydrates, and energy in the rumen, postruminally, or in the total tract. Fat supplementation from CS did not affect (P > .05) DMI. With few exceptions, fat supplementation did not affect (P > .05) ruminal, postruminal, or total tract digestibilities of OM, structural and nonstructural carbohydrates, and GE. Ruminal disappearance of GE was decreased (P < .05) when diets were supplemented with fat from whole treated CS, and total tract digestibilities of OM and GE were decreased (P < .05) when diets were supplemented with fat from CS in either form. Ruminal pH, concentrations of NH3 N and total VFA, and molar proportions of acetate, propionate, and butyrate were not affected (P > .05) by fat supplementation. Results suggest that fat supplementation from CS (at 5% of dietary DM) as whole treated or untreated crushed had no negative effects on ruminal fermentation of OM, carbohydrates, or energy when steers were given ad libitum access to diets containing high or low forage.  相似文献   
49.
This work presents two new error estimation approaches for the BEM applied to 2D potential problems. The first approach involves a local error estimator based on a gradient recovery procedure in which the error function is generated from differences between smoothed and non‐smoothed rates of change of boundary variables in the local tangential direction. The second approach involves the external problem formulation and gives both local and global measures of error, depending on a choice of the external evaluation point. These approaches are post‐processing procedures. Both estimators show consistency with mesh refinement and give similar qualitative results. The error estimator using the gradient recovery approach is more general, as this formulation does not rely on an ‘optimal’ choice of an external parameter. This work presents also the use of a local error estimator in an adaptive mesh refinement procedure. This r‐refinement approach is based on the minimization of the standard deviation of the local error estimate. A non‐linear programming procedure using a feasible‐point method is employed using Lagrange multipliers and a set of active constraints. The optimization procedure produces finer meshes close to a singularity and results that are consistent with the problem physics. Copyright © 2002 John Wiley & Sons, Ltd.  相似文献   
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