Randomized trial of breast self-examination in Shanghai: methodology and preliminary results

BACKGROUND: The efficacy of breast self-examination in helping to reduce mortality from breast cancer has not been rigorously demonstrated. PURPOSE: To assess efficacy, a large, randomized trial was initiated in Shanghai, China. METHODS: From October 1989 to October 1991, 267040 current and retired female employees associated with 520 factories in the Shanghai Textile Industry Bureau were randomly assigned on the basis of factory to either a self-examination instruction group (133375 women) or a control group (133665 women). The women were born within the period from 1925 through 1958. Women in the instruction group were given intensive training in breast self-examination, including the use of silicone breast models and personalized instruction, plus two subsequent reinforcement sessions and multiple reminders to practice the technique. Women in the control group were asked to attend training sessions on the prevention of low back pain. All women have been followed for the development of breast diseases and for death from breast cancer. RESULTS: A high level of participation during the first 4-5 years of the trial was documented among women in the instruction group. Randomly sampled women in this group demonstrated greater proficiency in detecting lumps in breast models than did randomly sampled women in the control group. Approximately equal numbers of breast cancers were detected in the two groups (331 in the instruction group and 322 in the control group) through 1994, which is the last year for which case-finding efforts have been completed. The breast cancers detected in the instruction group were not diagnosed at an appreciably earlier stage or smaller size than those in the control group. More benign breast lesions were detected in the instruction group than in the control group (1457 versus 623, respectively), suggesting a higher index of suspicion for women who received training. Cumulative breast cancer mortality rates through 5 years from entry into the study were nearly equivalent for the two groups. CONCLUSIONS: Breast self-examination has not led to a reduction in mortality from breast cancer in this study cohort in the first several years since the trial began. A shift toward the diagnosis of disease at a less advanced stage in women given instruction has also not been demonstrated. Longer follow-up of participants in this trial is required before final assessment can be made of the efficacy of breast self-examination. IMPLICATIONS: At this time, there is insufficient evidence to recommend for or against the teaching of breast self-examination.     

Performance characteristics of parallel resonant convertor

Using a set of characteristic curves derived from the stateplane analysis, a novel approach to the design of the parallel resonant convertor (PRC) is presented. It will be shown that the steady-state response of the convertor can also be obtained from these characteristic curves     

Direct evaluation of singular integrals in elastoplastic analysis by the boundary element method

This paper presents a new method for the direct and accurate evaluation of strongly singular integrals in the sense of Cauchy principal values and weakly singular integrals over quadratic boundary elements in three-dimensional stress analysis and quadratic internal cells in two-dimensional elastoplastic analysis by the boundary element method. A quadratic triangle polar co-ordinate transformation technique is applied to reduce the order of singularity of the singular integrals. Next, a form of Stokes' theorem is introduced in order to remove the singularity in the Cauchy principal value integrals; therefore, the evaluation of these integrals can be carried out by standard Gaussian quadrature. Numerical examples of 2-D elastoplastic problems and a 3-D elastic problem show the effectiveness and efficiency of the method.     

PP-g-MAH对PA6/PP/TLCP三元共混物的增容改性作用

研究了PP-g-MAH对PA6／PP／TLCP三元共混体系的增容作用以及对共混物流变性能和力学性能的影响。通过共混物的DSC、SEM、POM、流变性能和力学性能测试，结果表明，PP－g-MAH对共混体系有明显的增容作用，共混物的力学性能（拉伸强度和冲击强度）得到提高；由于TLCP的加入，共混物的熔体粘度大大低于PA6的熔体粘度。     

一种新型冰箱测试系统设计与应用

介绍了一种用于冰箱检测的新型测试系统，并在WIN98环境下用VB6．0实现该系统软件。该系统可以同时对四台冰箱的温度参数及其中一台冰箱的耗电量进行检测，该系统具有成本低，性能稳定的优点。