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31.
BACKGROUND AND OBJECTIVES: We operated on three patients with leiomyosarcoma of the inferior vena cava. METHODS: Complete excision was possible in all three patients. RESULTS: One patient developed widespread metastasis at 23 months, one patient is alive with no evidence of disease at 70 months, and one patient is alive at 15 months. The third patient had subcutaneous and pulmonary metastases at the time of presentation, which are radiologically nondetectable at present following postoperative chemotherapy. CONCLUSIONS: The clinicopathologic features, prognostic factors, and treatment of 130 cases found in a comprehensive literature search and our three cases are reported.  相似文献   
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Librarians, like most professionals, may arrive at a stage in their careers when they start questioning themselves about their job satisfaction and importance. The reasons are many, from not being challenged by their work to abrupt changes in the workplace dictated by management and the economy. At this stage, professionals may begin to feel unappreciated by management and not in control of their work environment. In this piece, I offer some suggestions that could help mid-career librarians to re-energize themselves and survive in a workplace that is in constant flux. How you react to the anxiety of "job disconnect" will affect the rest of your career life. Should you become more proactive at your job, increasing your responsibility and value to your institution? What does your personality have to do with how you adjust to management changes? Does tenure fit into this equation? Should you even think about changing your job at this stage of your career? What other factors could "spice" up your career? Specific strategies and options for each of these questions will be discussed.  相似文献   
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In 4 experiments, preschoolers and kindergartners were asked to pronounce the initial consonants of spoken words. Children performed better on short words, such as bay, than on long words, such as bonus. Words with initial consonant clusters, such as brow, were more difficult for the children than words without initial consonant clusters, such as bar. A consonant cluster at the end of the word did not harm performance. Children did relatively well on words like suppose, for which the word's 1st syllable, /s/, constitutes a correct answer on the initial consonant isolation task. Children did more poorly on words like satin, for which this was not the case. Thus, the linguistic structure of a word affects children's ability to isolate the initial consonant. Implications for the design of phonemic awareness instruction are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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Drawing Power Law Graphs Using a Local/Global Decomposition   总被引:1,自引:0,他引:1  
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Humans appear to reason using two processing styles: System 1 processes that are quick, intuitive, and effortless and System 2 processes that are slow, analytical, and deliberate that occasionally correct the output of System 1. Four experiments suggest that System 2 processes are activated by metacognitive experiences of difficulty or disfluency during the process of reasoning. Incidental experiences of difficulty or disfluency--receiving information in a degraded font (Experiments 1 and 4), in difficult-to-read lettering (Experiment 2), or while furrowing one's brow (Experiment 3)--reduced the impact of heuristics and defaults in judgment (Experiments 1 and 3), reduced reliance on peripheral cues in persuasion (Experiment 2), and improved syllogistic reasoning (Experiment 4). Metacognitive experiences of difficulty or disfluency appear to serve as an alarm that activates analytic forms of reasoning that assess and sometimes correct the output of more intuitive forms of reasoning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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Cyclic urea SD146, a potent HIV protease inhibitor bearing a flat resistance profile, possessed poor solubility and bioavailability, which precluded further development of the compound. In an effort to improve upon the pharmacokinetic profile of the compound, several analogs modified at the P1/P1' residues were prepared and evaluated. Several of those compounds displayed significant improvement of physical properties.  相似文献   
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