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Radiological gout manifestations are detectable in the early stage, but also especially in the chronic stage of gout. Whereas in the early stage only soft tissue mutations (bursitis inflammation) and light calcium deposits are usually discernible, chronic gout leads to asymmetrical, diverse forms of osseous destruction, favouring smaller joints, but also affecting larger ones, which are caused by the intra-articular and extra-articular deposit of tophus material, corresponding to the progression and degree of severity of the illness. Radiologically-detectable changes in other organs, such as the kidneys, will be addressed. The high number of, and to some extent very characteristic, osseous mutations are compared with those mutations which are very similar to the diagnoses of other syndromes affecting the joints. Specifically, problems in differentiating diagnosis of rheumatoid arthritis, arthritis psoriatica, chondrocalcinosis, and other diseases of the joints will receive special mention. Reference is also made to the extreme diagnostic difficulties resulting from the rare but nevertheless conceivable influence of gout on the spine or sacroiliac joints. The method of magnetic resonance imaging for gout shows a characteristic signal behaviour of the tophus material. It has been determined that, through magnetic resonance tomography, interosseous tophi can be detected earlier and in a more widespread manner than with the aid of native X-ray images, such that an increase in the use of this method is to be expected. 相似文献
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A common injector geometry upstream of a static mixer is the centerline injector. A flow instability can arise due to viscosity differences between the injected core‐flow and the outer co‐flow. This instability can adversely affect the effectiveness of the mixing operation. An experimental investigation of miscible viscosity‐stratified flow in a circular geometry was performed using Laser Induced Fluorescence (LIF) and Particle Image Velocimetry (PIV). The experimental results for the stable region agree with the analytical results. The unstable region exhibits different modes depending on the viscosity ratio, volume flux ratio, and Reynolds number. The modes include wavy core‐flow with fissures and wavy core‐flow with core breakup. The time‐averaged experiment velocity profiles for the unstable core indicate a broadening of the jet at the centerline, which is consistent with the LIF visualization. 相似文献
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Tobin David L.; Johnson Craig; Steinberg Stacey; Staats Marian; Dennis Amy Baker 《Canadian Metallurgical Quarterly》1991,100(1):14
Investigated a multifactorial approach to the assessment of bulimia nervosa by means of hierarchical factor analysis. 245 bulimia nervosa patients and 68 patients with either anorexia nervosa or eating disorders not otherwise specified were administered a self-report battery that was organized into 21 dimensions relevant to eating disorder patients. When dimensions from this battery were subjected to hierarchical factor analysis, support for bulimia nervosa as a unique diagnostic category was obtained. However, the emergence of 3 secondary factors and 6 primary factors suggests that bulimia nervosa can also be described more complexly. The emergence of a multifactorial model of bulimia nervosa that incorporates several existing unidimensional models suggests the potential for both divergent and complicated clinical presentation in bulimia nervosa patients. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
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Reviews the empirical literature available on the phenomenon of depression in Alzheimer's disease (AD). Although not extensively studied, there is accumulating evidence to suggest that depression affects a large number of patients with AD and can have profound effects on both the long-term functioning of these patients and the well-being of their caregivers. Thus far, the field is dominated by studies of prevalence. Considerably rarer are studies investigating etiology, association with other aspects of the disease, impact on patients and caregivers, assessment, and treatment. The conceptual issues, methodological differences, and implications of the studies that exist thus far are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
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Compared attributions for negative wife behavior offered by 3 groups of husbands: 22 maritally violent and distressed, 17 nonviolent but maritally distressed, and 17 nonviolent and nondistressed. Husbands rated wife behaviors presented in 9 hypothetical problematic marital situation vignettes. On a measure of responsibility attributions, violent husbands were more likely than nondistressed husbands to attribute negative intentions, selfish motivation, and blame to the wife. On a measure of possible negative wife intentions, violent husbands were more likely than either distressed or nondistressed men to attribute negative intentions to the wife. Exploratory analyses suggested that certain types of marital situations (e.g., jealousy and rejection from wife) were particularly likely to elicit attributions of negative intent from violent husbands. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
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Abstract: Researchers frequently approach questions dealing with local fiscal decision‐making using economic models. These models typically base the demand for public services on a set of socioeconomic characteristics that serve as rough proxies for voter preferences. Our study focuses more directly on preference formation and explores the nature of the relationship between citizens’ attitudes about police services and their willingness to pay for them. We pay particular attention to the role of demographic traits, television media, and direct contact with service providers. We present data from a survey of Connecticut adults and use these data to test direct and indirect effects models with regression analysis. We find evidence that attitudes about police predict willingness to pay for police services, holding the demographic attributes of respondents constant. We also find that the effects of some demographic traits on demand for services are mediated by preferences, as are some types of experience and media exposure. 相似文献