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51.
OBJECTIVE: This study investigated hypotheses concerning the importance of symptoms of numbing in posttraumatic stress disorder (PTSD). METHODS: Symptoms of PTSD were assessed in 72 female rape victims and 86 female victims of nonsexual assault approximately 3 months after the crimes occurred. A principal-components factor analysis of subjects' symptoms was then undertaken. RESULTS: The analysis yielded three factors: arousal/avoidance, numbing, and intrusion. These were somewhat different from the symptom clusters in DSM-III-R, since effortful avoidance and numbing symptoms did not load on the same factor. Numbing symptoms appeared to be particularly important in identifying individuals with PTSD. CONCLUSIONS: The results imply that there are two patterns of posttrauma symptoms, one characterizing PTSD and the second characterizing a phobic reaction.  相似文献   
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This paper starts a sequence of three articles that follow an unconventional approach in finite element research. The ultimate objective is to construct high-performance elements and element-level error estimators for those elements. The approach takes off from our previous work in high-performance elements and culminates with the development of finite element templates. The present paper concentrates on the patch test and evolved versions of the test that have played a key role in this research. Following a brief review of the historical roots, we present the Individual Element Test (IET) of Bergan and Hanssen in an expanded context that encompasses several important classes of new elements. The relationship of the IET to the multielement forms A, B and C of the patch test and to the single-element test are investigated. An important consequence of the IET application is that the element stiffness equations decompose naturally into basic and higher-order parts. The application of this decomposition to the “sanitization” of the non-convergent BCIZ element is described and verified with numerical experiments. Two sequel papers in preparation are subtitled ‘the algebraic approach’ and ‘element-level error estimation’. These apply the fundamental decomposition to the derivation of templates for specific mechanical elements and to the construction of element-level error estimators, respectively.  相似文献   
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The United States Food and Drug Administration (FDA) is charged with assuring the safety and effectiveness of a variety of medical products and the FDA's Center for Devices and Radiological Health is responsible for premarket and postmarket regulation of medical devices. In this paper, we review--from device classification and clinical studies to the final marketing application--FDA's premarket requirements and postmarket requirements as they relate to deep brain stimulation devices.  相似文献   
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The aim of the present study was to evaluate renal and liver distribution of two monoclonal immunoglobulin light chains. The chains were purified individually from the urine of patients with multiple myeloma and characterized as lambda light chains with a molecular mass of 28 kDa. They were named BJg (high amount of galactose residues exposed) and BJs (sialic acid residues exposed) on the basis of carbohydrate content. A scintigraphic study was performed on male Wistar rats weighing 250 g for 60 min after i.v. administration of 1 mg of each protein (7.4 MBq), as the intact proteins and also after carbohydrate oxidation. Images were obtained with a Siemens gamma camera with a high-resolution collimator and processed with a MicroDelta system. Hepatic and renal distribution were established and are reported as percent of injected dose. Liver uptake of BJg was significantly higher than liver uptake of BJs (94.3 vs 81.4%) (P < 0.05). This contributed to its greater removal from the intravascular compartment, and consequently lower kidney accumulation of BJg in comparison to BJs (5.7 vs 18.6%) (P < 0.05). After carbohydrate oxidation, there was a decrease in hepatic accumulation of both proteins and consequently a higher renal overload. The tissue distribution of periodate-treated BJg was similar to that of native BJs: 82.7 vs 81.4% in the liver and 17.3 vs 18.6% in the kidneys. These observations indicate the important role of sugar residues of Bence Jones proteins for their recognition by specific membrane receptors, which leads to differential tissue accumulation and possible toxicity.  相似文献   
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Proper integration of scheduling and control in Flexible Manufacturing Systems will make available the required level of decision-making capacity to provide a flexibly-automated, efficient, and quality manufacturing process. To achieve this level of integration, the developments in computer technology and sophisticated techniques of artificial intelligence (AI) should be applied to such FMS functions as scheduling. In this paper, we present an Intelligent Scheduling System for FMS under development that makes use of the integration of two AI technologies. These two AI technologies — Neural Networks and Expert Systems — provide the intelligence that the scheduling function requires in order to generate goodschedules within the restrictions imposed by real-time problems. Because the system has the ability to plan ahead and learn, it has a higher probability of success than conventional approaches. The adaptive behavior that will be achieved contribute to the integration of scheduling and control in FMS.  相似文献   
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Describes radio receivers that monitor transmissions from beacons on geosynchronous satellites. The receivers can detect ionospheric perturbations of a 300-3000 s period in the electron density integrated from beacon to receiver, for amplitudes as low as (1-2)×1013 m-2. Data are used in studies of atmospheric acoustic and acoustic-gravity waves  相似文献   
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This study, guided in part by G. A. Marlatt and J. R. Gordon's (1985) abstinence violation effect (AVE) model, examined whether variability in cognitive and emotional reactions to binges accounts for recurrence of binge eating. Attributional, cognitive, and affective reactions to 2 successive binges, as well as the latencies between each binge and a subsequent binge, were evaluated through a series of structured phone interviews with 50 nonpurging normal-weight female bingers. Reported mood after binging was unrelated to binge latency. However, when Ss made more intense internal, global, and uncontrollable causal attributions for a binge, a subsequent binge followed significantly sooner. Within-subject variations in AVEs across binges prospectively predicted within-subject variations in the speed with which another binge followed. Analyses suggested that cognitive states (e.g., AVE and guilt) evoked by particular events were better predictors of how quickly binging repeats than were stable differences in attributional style. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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