There seems to be a resistance of patients and physicians towards aggressive diagnostic evaluation of the symptoms of lung cancer in young people. We here review nine series of young patients with primary lung cancer. Patients below 40 years of age represent between 1.2 and 5% of the total lung cancer population. The distribution of sex and histopathologic findings is different, there being more women, fewer cases of squamous cell and more cases of small anaplastic and adenocarcinoma in the young group. Between 87 and 96% are smokers. There is a delay from the debut of symptoms to the first contact with a general physician of 2.4 to 10.8 months. There is a wide variation concerning tendency to operate with a frequency of curative resection of between 15 and 57%. Based on the survival of young patients who are treated by curative surgical resection, the outcome of surgical treatment for young patients does not differ from the general experience concerning resection in patients of all ages. Young patients who are found inoperable have worse survival than the older patients. Seventy to 90%, more than in the group of patients of all ages, have stadium II or III at the time of diagnosis. In conclusion, physicians should be aggressive with respect to the diagnostic evaluation even of young patients with symptoms suggestive of lung cancer. 相似文献
An international intercomparison of horn gain and polarization measurements at X-band has previously been completed. There were seven participating laboratories with the National Institute of Standards and Technology serving as the pilot laboratory. Two X-band pyramidal standard gain horns with a nominal gain of 22 dB served as the traveling standards. Quantities measured included on-axis fixed frequency gain at 8, 10, and 12 GHz, swept frequency gain between 8-12 GHz and polarization characteristics at the three fixed frequencies. All laboratories performed the fixed frequency-gain measurements. The swept-frequency and polarization measurements were optional, with four laboratories performing swept-frequency measurements and three laboratories measuring polarization. The results of the gain measurements generally agreed within the reported uncertainties which were of the order of 0.1 dB or less 相似文献
An attitude questionnaire, for use with the personnel of a Great Lakes shipping concern, was constructed using rational judgments to assign items to areas of the questionnaire. The areas were nominally those suggested as invariant by Wherry. The degree of agreement between the rational sort and the areas named from the invariant factor characteristics was determined. Attitude characteristics of the surveyed group as well as mechanical and response artifacts are suggested as providing partial explanations of the differences found. Items identified as critical through use of several item indices are compared to evaluate index utility. (16 ref.) (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
CVD growth conditions, particularly growth temperature and partial pressures of the reactant gases, strongly affect the growth
characteristics and properties of GaAs0.6P0.4 epitaxial layers grown on GaAs substrates. For LED’s the most important properties of the material are B/J (brightness per
unit current density) and surface morphology. This paper presents the results of a systematic study of the effect of temperature
and reactant gas partial pressure (at a fixed III/V ratio) on B/J, surface morphology, growth rate, impurity doping and layer
composition. Growth conditions which yield the optimum properties for LED’s are determined. The results are interpreted on
the basis of kinetic and thermodynamic mechanisms controlling the growth process under various growth conditions. At constant
temperature and constant III/V ratio, increasing the partial pressures causes the growth process to change from mass transport
limited, where the growth rate increases with increasing partial pressures, to kinetically limited, where the growth rate
is independent of partial pressures. Good morphology layers are obtained over a range of partial pressures around the transition
from mass transport limited to kinetically limited growth. The B/J peaks at a value of partial pressure in the kinetically
limited regime at which good morphology layers are obtained. Although B/J increases with increasing growth rate in the mass
transport regime, the maximum B/J occurs in the region where growth rate is independent of partial pressures so that growth
rate alone is not sufficient to determine B/J. In contrast to the “parabolic≓ dependence of growth rate on growth temperature,
caused by the transition from the mass transport regime to the kinetic regime, the relative incorporation of As, P, and Te
varies with temperature in the manner predicted from thermodynamics in both regimes. This behavior is consistent with the
growth rate in the kinetic regime being limited by the desorption of chlorine atoms from the growth surface, with the reaction
of As, P, and Te with the Ga proceeding thermodynamically at all temperatures. 相似文献
A substantial amount of recent work has been done in applying singular eigenfunctions to transport problems whose cross sections vary continuously with position. In this article we survey the methodology and results so far obtained, and we briefly discuss some of the many open questions. 相似文献
Hormones excreted in animal waste have been measured in surface and groundwater associated with manure that is applied to the land surface. Limited studies have been done on the fate and transport of androgenic hormones in soils. In this study, batch and column experiments were used to identify the fate and transport of radiolabeled [14C] testosterone in agricultural soils. The batch results indicated that aqueous-phase concentrations decreased for the first 5 h and then appeared to increase through time. The first-order sorption kinetics ranged from 0.08 to 0.640 h(-1) for the first 5 h. Beyond 5 h the increase in aqueous 14C could have been caused by desorption of testosterone back into the aqueous phase. However, metabolites were also produced beyond 5 h and would have likely resulted in the increase in aqueous 14C by sorption site competition and/or by lower sorption affinity. There were weak correlations of sorption with soil particle size, organic matter, and specific surface area. Testosterone was the dominant compound present in the soil column effluents, and a fully kinetic-sorption, chemical nonequilibrium model was used to describe the data. Column experiment sorption estimates were lower than the batch, which resulted from rate-limiting sorption due to the advective transport. The column degradation coefficients (0.404-0.600 h(-1)) were generally higher than values reported in the literature for 17beta-estradiol. Although it was found that testosterone degraded more readily than 17beta-estradiol, it appeared to have a greater potential to migrate in the soil because it was not as strongly sorbed. This study underlined the importance of the simultaneous transformation and sorption processes in the transport of hormones through soils. 相似文献
Skin lesion classification based on in vitro Raman spectroscopy is approached using a nonlinear neural network classifier. The classification framework is probabilistic and highly automated. The framework includes a feature extraction for Raman spectra and a fully adaptive and robust feedforward neural network classifier. Moreover, classification rules learned by the neural network may be extracted and evaluated for reproducibility, making it possible to explain the class assignment. The classification performance for the present data set, involving 222 cases and five lesion types, was 80.5%+/-5.3% correct classification of malignant melanoma, which is similar to that of trained dermatologists based on visual inspection. The skin cancer basal cell carcinoma has a classification rate of 95.8%+/-2.7%, which is excellent. The overall classification rate of skin lesions is 94.8%+/-3.0%. Spectral regions, which are important for network classification, are demonstrated to reproduce. Small distinctive bands in the spectrum, corresponding to specific lipids and proteins, are shown to hold the discriminating information which the network uses to diagnose skin lesions. 相似文献
In early 1973, the phosphorus supply to Shagawa Lake, Minnesota, was reduced by about 80% when a tertiary wastewater treatment plant began operating. Significant reductions in total and soluble reactive phosphorus concentrations have occurred in the lake since that time. By 1976 the average (volume weighted over the entire lake) total and soluble reactive phosphorus concentrations had declined from about 51 and 21 μg l−1 to about 30 and 4.5 μg l−1, respectively, corresponding to 40 and 80% reductions. During 1975 and 1976, chlorophyll a (averaged over the top 5 m) had decreased to less than 50% of the pretreatment level during May-June but during July-August little change had occurred.
A phosphorus residence time model projected equilibrium total phosphorus concentrations of about 12 μg l−1 within 1.5 years. The fact that this level was not reached is attributed to a feedback of phosphorus from the sediments, primarily during summer. This phenomenon has been incorporated into a modified total phosphorus mass balance model which projects the phosphorus pattern through 1976 quite accurately. The close fit of the modified mass balance model implies that the phosphorus supply from the sediments has not diminished since treatment since treatment began, and that further recovery of the lake will depend upon how long this feedback of phosphorus from the sediments continues. 相似文献