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961.
OBJECTIVES: (1) To determine whether and how outcome measurements in the ECASS trial are influenced by a shorter time window (0-3 vs. 3-6 h) between onset of symptoms and start of thrombolytic therapy using recombinant tissue plasminogen activator (rt-PA) in acute ischemic stroke. (2) To discuss the results of the ECASS 0- to 3-hour cohort with the results of the National Institute of Neurological Disorders and Stroke Study (NINDSS). DESIGN AND ANALYSIS: Analysis of the 0- to 3-hour and the 3- to 6-hour cohort in accordance with the ECASS protocol. Comparative analysis of the ECASS and NINDSS results following the NINDSS protocol using dichotomized endpoints. MAIN OUTCOME MEASURES: Primary endpoints: modified Rankin Scale, Barthel Index; secondary endpoints: combined Barthel/Rankin, long-term Scandinavian Stroke Scale, National Institutes of Health Stroke Scale, mortality at 30 and 90 days, occurrence of intracranial hemorrhage. NINDS trial endpoint: favorable outcome as defined in the NINDS trial. RESULTS: In ECASS, 87 patients were randomized within 3 h of stroke onset. Differences in favor of rt-PA treatment can be found for all primary and secondary outcome measures in the ECASS 0- to 3-hour cohort, except for mortality at day 30, which is somewhat higher in the rt-pA-treated group. However, due to the small sample size, the differences do not reach statistical significance. Early infarct signs (as defined by the ECASS protocol) are found as early as 2 h after stroke onset. Parenchymal hemorrhages are found significantly more often among rt-PA-treated patients. The results in the ECASS 0- to 3-hour cohort fit well with the results in NINDSS. CONCLUSION: Data from the 3-hour ECASS cohort support the efficacy of early thrombolytic therapy in acute hemispheric stroke patients. Comparing bleeding complications between the ECASS and NINDSS is difficult because of differences in the definition and occurrence of hemorrhagic events.  相似文献   
962.
In order to improve the Zn homogeneity along the axial direction of CdZnTe boule, we have employed a modified Bridgman technique using a (Cd, Zn) alloy source in communication with the melt, whose temperature has been gradually changed from 800 to 840°C during growth. Electron probe microanalysis (EPMA) measurements of Zn composition in the boule shows an excellent homogeneity of Zn along the axis of the CdZnTe boule compared with results in a boule grown by using a fixed source temperature. We have performed a numerical simulation to obtain the approximate temperatures of additional heating and cooling needed to improve the radial Zn homogeneity. CdZnTe boule has been grown by seeded vertical Bridgman furnace with two zones of heater and cooler. Ultraviolet/visible spectroscopic measurements of Zn composition over the length of the boule indicate that the radial distribution of Zn composition is very homogeneous in the body region of the boule, where the radial variation of Zn composition is ±0.0005.  相似文献   
963.
The year 1996 marks the 50th anniversary of the public revelation of the ENIAC, the 50th anniversary of the establishment of the Large Scale Computing Subcommittee of the AIEE under the chairmanship of Charles Concordia, and the beginning of the 50th anniversary celebrations of the IEEE Computer Society and the ACM. Within those years, the computer field has not only developed but has had added to it new concepts and ideas that have transmogrified it into an almost unrecognizable entity. We are reaching the stage of development where each new generation of participants is unaware both of their overall technological ancestry and the history of the development of their specialty, and have no past to build upon. In this article, we look at the study of the history of computing and its applicability to today's technological challenges, and conclude with the recommendation that we need to know enough about our history to protect ourselves from it and not be condemned to repeat it, but also to use it to our advantage  相似文献   
964.
Insensitive current/voltage-mode filters using FTFNs   总被引:1,自引:0,他引:1  
A new configuration for realising insensitive current/voltage-mode filters using two four-terminal floating nullors (FTFNs) is presented. It can provide the curren/voltage-mode filters with reduced sensitivities. Moreover, the current-mode filters can have high output impedance and only grounded capacitors. The proposed universal voltage-mode filter with dual outputs can realise lowpass, bandpass, highpass, notch and allpass filtering functions. Simulation results are given to verify the theoretical analysis  相似文献   
965.
A multiway merge sorting network is presented, which generalizes the technique used in the odd-even merge sorting network. The merging network described here is composed of m k-way mergers and a combining network. It arranges k ordered lists of length n each into one ordered lists in T(k)+[log2k] [log2m] [log2m] steps, where T(k) is the number of steps needed to sort k keys in order; and k and m are any integers no longer restricted to 2  相似文献   
966.
The authors propose an efficient traceback scheme for the parallel hardware implementation of the Viterbi algorithm. Compared to the conventional Viterbi algorithm, where output is selected arbitrarily when multiple survivor paths exist, the proposed algorithm decides decoding output by analysing the survivor paths of consecutive tracebacks. Experimental results show that the proposed algorithm exhibits improved error-correction capability compared to the existing algorithms  相似文献   
967.
968.
OBJECTIVE: Spontaneous spinal epidural hematoma (SSEH) is an idiopathic accumulation of blood in the vertebral epidural space without identifiable predisposing factors. First reported in 1869, the clinical outcome in children younger than 18 years old has not been clearly delineated. DESIGN: A comprehensive review of the English language literature revealed 26 patients younger than 18 years old with reported clinical outcomes. The 27th case is presented. RESULTS: Complete neurologic recovery occurred in 14 of 27 (52%) patients, partial recovery in 12 of 27 (44%) patients, and death in 1 of 27 (4%) patients. CONCLUSION: There is an overall good prognosis for neurologic recovery in children who experience SSEH.  相似文献   
969.
The purpose of this study was to determine how well men recall reproductive information. By using a questionnaire, the authors surveyed men who had undergone orchiopexy for undescended testes and a group of matched control men, all of whom had had surgery at the Children's Hospital of Pittsburgh in Pittsburgh, Pennsylvania (n = 77), and their spouses. Subjects were a random subset of a larger (n = 1,212) male fertility study, which has been ongoing since 1992. In 1994, the spouses of men who participated in the study completed a short telephone survey that contained questions previously asked of their partners. Pearson correlations and kappa statistics were calculated to evaluate the accuracy of male recall of reproductive information. For the continuous measures, such as time to conception and frequency of intercourse, the correlations were high to moderate (r = 0.84 (p < 0.001) and r = 0.45 (p < 0.001), respectively). Agreement between the men and their spouses on the majority of bivariate (yes/no) questions, such as those concerning the use of birth control, as measured by the kappa statistic, was moderate to very good (K ranged from 0.14 to 0.69). Statistics were similar for formerly cryptorchid and control men. Male participants' responses to questions about their reproductive histories were accurate as compared with the responses given by their spouses. In this sample from a large cohort study, men appeared to recall reproductive information with acceptable accuracy.  相似文献   
970.
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