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81.
STUDY OBJECTIVE: To evaluate the efficacy of conservative laparoscopic surgery in a series of patients with stage III-IV endometriosis. DESIGN: Prospective study (Canadian Task Force classification II-1). SETTING: University-affiliated hospital. PATIENTS: All 141 women who underwent conservative operative laparoscopy for stage III-IV endometriosis between January 1993 and December 1996 and were followed for a minimum of 6 months. INTERVENTIONS: Laparoscopic procedures performed with scissors, bipolar coagulation, and hydrodissection. MEASUREMENTS AND MAIN RESULTS: Clinical examination, transvaginal ultrasonography, and pain questionnaire were scheduled every 6 months postoperatively. The cumulative proportion of pregnant patients and cumulative recurrence rate were calculated by Kaplan-Meier method. Twenty-five women (44%) with infertility became pregnant. Twenty-three (51%) had stage III and two (16.7%, p <0.05) had stage IV endometriosis. The 24-month cumulative pregnancy rate was 57.5%. Thirty-one women (22%) reported pain recurrence during follow-up. Five (3.5%) recurrences were confirmed by histologic examination and eight (5.7%) were documented only by clinical and ultrasonographic findings. No recurrence occurred in the first 6 months of follow-up. CONCLUSION: Operative laparoscopy seems to be effective treatment for stage III endometriosis. A larger series with longer follow-up is necessary to clarify its role in the management of stage IV disease. (J Am Assoc Gynecol Laparosc 6(1):55-58, 1999)  相似文献   
82.
A new LTDS method was established to synthesize nm-sized barium titanate crystallites with particle sizes around 10 nm. This LTDS method was the following two features, i.e., (1) a heat of neutralization in a neutralization reaction between strong acid and base can be used as a driving force for a formation of barium titanate, and (2) barium titanate crystallites can be directly synthesized from Ti and Ba ions, not via intermediates. Therefore, using the LTDS method, it can be expected that there is no minimum limit in particle sizes, and also no contamination in barium titanate crystallites. At first, optimum conditions for a formation of barium titanate were screened at various reaction temperatures and Ba/Ti atomic ratios in the starting materials. As a result, the formation of barium titanate was found at higher reaction temperatures than 50°C and higher Ba/Ti atomic ratios than 5. Under a constant temperature, particle sizes decreased with increasing Ba/Ti atomic ratios while under a constant Ba/Ti atomic ratio, particle sizes were independent of reaction temperatures. Finally, barium titanate crystallites with particle sizes below 10 nm were first prepared. These particles were also characterized using various methods.  相似文献   
83.
We report a new method to fabricate self‐organized nanoporous titania films (pore diameter ≈ 30 nm; ≈ 1100 nm thick) and ordered titania nanorod arrays (rod diameter ≈ 30–60 nm; 70–260 nm high) by combined anodizing of superimposed Al/Ti layers sputter‐deposited on glass substrates. The titania nanostructures mimic the ordered nanoporous anodic alumina films via a through‐mask anodization. We propose a new anodizing electrolyte, i.e., a diluted nitric acid solution, for fabricating uniform, self‐organized, ordered nanoporous titania films with parallel cylindrical pores and without any thickness limit. More significantly, the nanoporous titania films contain a small amount of titanium nitride and dissociated nitrogen, and exhibit a moderate transparency and an enhanced absorption throughout the UV and visible light regions of the electromagnetic spectrum. After heating at 600 °C for 2 h, the nanoporous titania films develop a small absorption red‐shift and exhibit high photocatalytic activity under UV illumination.  相似文献   
84.
85.
3-9 MeV electrons were used to introduce impurity Ge atoms into Si wafers from Ge sheets, which are in contact with a Si surface at 20-60‡C in water bath. Concentration-dependent diffusivities of ∼10-18-10-14 cm2sec-1 for Ge in Si were measured. Activation energies of sputtering yield for Ge and of the diffusivity of Ge in Si are estimated to be ∼0.3 eV and ∼0.58 eV, respectively. In a case of hot (∼250‡C) irradiation in ∼1x10-3 Torr vacuum, also the similar concentration profiles of impurity atoms in the substrates were observed.  相似文献   
86.
An integrated waveguide-photodiode with an external quantum efficiency as high as 56% (coupled to single-mode fiber) and large bandwidth (5.5-11.2 GHz) at 1.55-μm wavelength is described. This performance was achieved utilizing a vertical impedance matching design for improved guide-detector coupling  相似文献   
87.
In this study, pure Ti was coated on Zr55Al10Ni5Cu30 bulk metallic glass (BMG) using a physical vapour deposition (PVD) technique with magnetron sputtering. Microstructures of Ti coating, BMG substrate and interface were investigated by conventional and high-resolution transmission electron microscopy (TEM and HREM). The electrochemical behavior of Ti-coated Zr55Al10Ni5Cu30 BMG was studied by potentiodynamic polarization curves and electrochemical impedance spectroscopy (EIS) in Hanks' solution. Scanning electron microscopy (SEM) was used to characterize the surface morphology of the coating after electrochemical testing. HRTEM observation reveals that the sputtering Ti coating consists of α-Ti nano-scale particles with the size about 10 nm. The polarization curves revealed that the open-circuit potential shifted to a more positive potential and the passive current density was lower after Ti coating was applied in comparison with that of the monolithic Zr55Al10Ni5Cu30 BMG. Electrochemical impedance spectroscopy (EIS) measurements showed that the Bode plots of Ti-coated Zr55Al10Ni5Cu30 BMG presented one time constant for 1 h and 12 h immersion and two time constants after 24 h immersion. The good bonding condition between Ti coating and Zr55Al10Ni5Cu30 BMG substrate may be responsible for the high corrosion resistance of Ti-coated Zr55Al10Ni5Cu30 BMG.  相似文献   
88.
Nine alkaloid constituents in the root of Aconitum yesoense var. macroyesoense, as well as three acetylated derivatives, were examined for their peripheral vaso-activities by measuring laser-flowmetrically the cutaneous blood flow in the hind foot of mice after intravenous administration. The major constitutive delcosine (1), 14-acetyldelcosine (2) and lucidusculine (3), respectively, had little or very mild vaso-activity. Kobusine (4) and pseudokobusine (5) and three minor constituents, luciculine (6), 1-acetylluciculine (7) and dehydroluciculine (8), together exhibited a rapid increase in blood flow reaching a peak with a magnitude almost equal to that produced by hydralazine, when administered intravenously at the same dosage level of 20 mg/kg. Among them, 4 was characterized by successive reversal of the increase to a decrease in blood flow, while 7 produced a flow with a more delayed peak time. Dehydrolucidusculine (9) exhibited a transient decrease in blood flow prior to occurrence of the increase, as did papaverine. Consequently, it is assumed that the alkaloids, especially those of the C20-diterpenoid type, in the root of this Aconitum plant have peripherally vaso-dilating activities to varying degrees in mice, probably due to their direct action on the cutaneous microvasculature in a similar fashion to that shown by hydralazine. The laser blood flowmetric method would be useful as an in vivo means of qualitative as well as quantitative screening of chemically modified derivatives of peripherally vasoactive agents in mice.  相似文献   
89.
Seeing-while-talking has been a dream of mankind for over a 100 years since the invention of telephone. In the past, various trials were performed in spite of the difficulty in installing the network for the actual service. However, with the progress of ISDN and the advancement of digital signal processing technology, the environment has been changing rapidly. In this paper, an integrated visual communication system is described for the enhanced communication service at 64 kbits/s, the fundamental bit rate of ISDN. The roles of state-of-theart compression of the audio and video signals are discussed and an integrated transmission method based on the priority of the information content is proposed.  相似文献   
90.
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