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101.
Although enthusiasm for measuring health-related quality of life (HRQL) in clinical trials exists, information is limited on the meaning of scores. We examined the relation between scores from the 34-item Medical Outcomes Study HIV Health Survey (MOS-HIV) and the more detailed HIV Overview of Problems-Evaluation System (HOPES) using the responses of 318 HIV-infected outpatients being treated in Los Angeles and Baltimore. With the HOPES problem statements as independent variables, statistically significant predictors of the variation in MOS-HIV scores for the Physical Function, Mental Health, and Energy/Fatigue scales were identified using stepwise regression. Approximately 60% to 70% of the variation in each of the scores was explained by five to seven different HOPES problem statements, with a single item explaining 47% to 59% of the variation. We created illustrative profiles for each of the three MOS-HIV scales using the HOPES items identified in the regressions. Independent of the scale, persons scoring in the top MOS-HIV quartile tended to report few if any problems, whereas a decline in score to the next quartile was characterized by functional difficulties (e.g., "HIV interferes with work"). The onset of specific problems might trigger further evaluation and potential intervention from health care providers to help maintain patient functioning.  相似文献   
102.
Ferromagnetic and perovskite-like thin films (<1m) of La1–xCaxMnO3+ have been routinely prepared by heat treatment of an amorphous La–Ca–Mn precursor. The precursor was electrodeposited cathodically in the absence of oxygen and water onto polished silver substrates from a nonaqueous solution of the components' nitrates. Analysis by X-ray diffraction and SQUID magnetometry shows these materials exhibit the appropriate structural and magnetic phases indicative of colossal magnetoresistance.  相似文献   
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4. Conclusions Diastolic LV function and myocardial HEP metabolism are impaired only when LVH is caused by permanent pressure or volume overload, and not by a temporary increase in cardiac workload during part of the day as in elite athletes. Therefore, training-induced and pressure/volume-overload-induced LVH seem to represent different phenotypes of LVH, possibly related to genetic reprogramming which only occurs during permanent cardiac overload [17]. Moreover, there is an association between impaired LV diastolic function and altered myocardial HEP metabolism in patients with hypertension and in patients with aortic valve disease. Finally we did not find a correlation between myocardial HEP metabolism and LV mass in any of the groups studied. The latter indicates that LVH should be regarded as an epiphenomenon to cardiac overload, and not as a primary factor causing abnormal HEP metabolism.  相似文献   
105.
The Millimetre and Infrared Testa Grigia Observatory 2.6-m Cassegrain telescope has been designed to allow high-sensitivity observations in the millimeter spectral range. For this purpose, in order to reduce unwanted contributions from local foregrounds, we adopted a sky-chopping technique, by wobbling the telescope subreflector. We describe the design and performance of the wobbling system, which can endure external forced two and three fields square-wave modulation and includes features such as high frequency, high amplitude, high duty cycle, low microphonics, and high stability.  相似文献   
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The advances in the educational field and the high complexity of student modeling have provoked it to be one of the aspects more investigated in Intelligent Tutoring Systems (ITSs). The Student Models (SMs) should not only represent the student’s knowledge, but rather they should reflect, as faithfully as possible, the student’s reasoning process. To facilitate this goal, in this article a new approach to student modeling is proposed that benefits from the advantages of Ontological Engineering, advancing in the pursue of a more granular and complete knowledge representation. It’s focused, mainly, on the SM cognitive diagnosis process, and we present a method providing a rich diagnosis about the student’s knowledge state – especially, about the state of learning objectives reached or not. The main goal is to achieve SMs with a good adaptability to the student’s features and a high flexibility for its integration in varied ITSs.  相似文献   
109.
This paper presents an approach for generating a well-defined cooling pattern over an area of tissue. An array of solid-state microcoolers is used, which could be included in a probe that provides local cooling. This medical instrument can be used for removal of scar tissue in the eye or for the rapid stopping of bleeding due to micro-cuts, which makes it a useful tool to medical doctors and could make surgery more secure to the patient. The array of microcoolers is composed of 64 independent thermo-electric elements, each controlled using an integrated circuit designed in CMOS. The independent control allows the flexible programming of the surface temperature profile. This type of control is very suitable in case abrupt temperature steps should be avoided. Cooling by lateral heat flow was selected in order to minimize the influence of heat by dissipation from the electronic circuits. Moreover, a thermo-electric component with lateral heat allows fabrication of the cooling elements using planar thin-film technology, lithography and wet etching on top of the silicon wafer. This approach is potentially CMOS compatible, which would allow for the fabrication of the thermo-electric elements on top of a pre-fabricated CMOS wafer as a post-process step. Each pixel is composed of thin-films of n-type bismuth telluride, Bi2Te3 and p-type antimony telluride, Sb2Te3, which are electrically interconnected as thermocouple. These materials have excellent thermoelectric characteristics, such as thermoelectric figures-of-merit, ZT, at room temperatures of 0.84 and 0.5, respectively, which is equivalent to power-factors, PF, of 3.62 × 10−3 W K−1 m−2 and 2.81 × 10−3 W K−1 m−2, respectively. The theoretical study presented here demonstrates a cooling capability of 15°C at room temperature (300 K ≈ 27°C). This cooling performance is sufficient to maintain a local tissue temperature at 25°C, which makes it suitable for the intended application. A first prototype was successfully fabricated to demonstrate the concept.  相似文献   
110.
Iterative Learning Control (ILC) is a control strategy to improve the performance of digital batch repetitive processes. Due to its digital implementation, discrete time ILC approaches do not guarantee good intersample behavior. In fact, common discrete time ILC approaches may deteriorate the intersample behavior, thereby reducing the performance of the sampled-data system. In this paper, a generally applicable multirate ILC approach is presented that enables to balance the at-sample performance and the intersample behavior. Furthermore, key theoretical issues regarding multirate systems are addressed, including the time-varying nature of the multirate ILC setup. The proposed multirate ILC approach is shown to outperform discrete time ILC in realistic simulation examples.  相似文献   
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