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91.
Eight patients with achalasia were treated using laparoscopic esophagomyotomy and anterior (Dor) fundoplication. The procedures were done on patients with clinical, radiological, and manometric diagnoses of achalasia. All procedures were completed laparoscopically. Seven (88%) of the patients were eating by the 3rd postoperative day. The average hospital stay was 4.1 days (2-11 days); analgesic use was minimal. All myotomies were complete, with no patient requiring reoperation or dilation. The only complication was a mucosal laceration in one patient; this was successfully repaired laparoscopically. Follow-up from 8 to 20 months shows that swallowing is excellent in 88 per cent and good in 12 per cent of patients, and no patient requires antireflux medication. These results support minimally invasive surgical myotomy as the treatment of choice for symptomatic achalasia.  相似文献   
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OBJECT: To investigate glycine (Gly) concentrations in low- and high-grade gliomas based on (1)H MR spectroscopic imaging (MRSI) with short and long echo time (TE). Myoinositol (MI) and Gly appear at the same resonance frequency of 3.56 ppm, but due to strong coupling the MI signal dephases more rapidly. Therefore, their contribution to the 3.56 ppm signal should be distinguishable comparing MRSI data acquired at short and long TE. MATERIALS AND METHODS: (1)H MRSI (TE = 30 and 144 ms) was performed at 3 T in 29 patients with histopathological confirmed World Health Organization (WHO) grade II-IV gliomas and in FIVE healthy subjects. All spectra from the gliomas revealed increase of the 3.56 ppm resonance in the short TE spectra. Signal intensities of Gly and MI were differentiated either by analysing the short to long TE ratio of the resonance or by performing a weighted difference. Gly concentrations were compared between high-grade (WHO III-IV) and low-grade gliomas. RESULTS: High-grade gliomas showed significantly higher Gly concentrations compared to low-grade gliomas. CONCLUSION: Appropriate data processing of short and long TE (1)H MRSI provides a tool to distinguish and to quantify Gly and MI concentrations in gliomas. As Gly seems to be a marker of malignancy, more dedicated spectroscopic methods to differentiate these metabolites are justified.  相似文献   
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Photovoltaic properties of 4 µm thick microcrystalline silicon p–i–n solar cells have been studied, over a range of crystallinity determined using Raman spectroscopy. Low-crystallinity material (below 10%) appears to absorb disproportionately strongly in the infrared, possibly due to increased light scattering or to relaxation of the crystal momentum selection rule. A minimum in solar cell efficiency is observed under AM1.5 illumination when VOC ≈ 580 mV, with blue response most strongly affected. This is consistent with a reduction in electron mobility to a value below that of amorphous silicon for low-crystallinity material, in agreement with time-of-flight measurements.  相似文献   
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Microcrystalline silicon carbide (μc-SiC:H) thin films in stoichiometric form were deposited from the gas mixture of monomethylsilane (MMS) and hydrogen by Hot-Wire Chemical Vapor Deposition (HWCVD). These films are highly conductive n-type. The optical gap E04 is about 3.0-3.2 eV. Such μc-SiC:H window layers were successfully applied in n-side illuminated n-i-p microcrystalline silicon thin film solar cells. By increasing the absorber layer thickness from 1 to 2.5 μm, the short circuit current density (jSC) increases from 23 to 26 mA/cm2 with Ag back contacts. By applying highly reflective ZnO/Ag back contacts, jSC = 29.6 mA/cm2 and η = 9.6% were achieved in a cell with a 2-μm-thick absorber layer.  相似文献   
97.
The DNA methyltransferase (Mtase) from Thermus aquaticus (M.TaqI) catalyzes the transfer of the activated methyl group of S-adenosyl-L-methionine to the N6 position of adenine within the double-stranded DNA sequence 5'-TCGA-3'. To achieve catalysis M.TaqI flips the target adenine out of the DNA helix. On the basis of the three-dimensional structure of M.TaqI in complex with the cofactor and its structural homology to the C5-cytosine DNA Mtase from Haemophilus haemolyticus, Tyr 108 and Phe 196 were suggested to interact with the extrahelical adenine. The functional roles of these two aromatic amino acid residues in M.TaqI were investigated by mutational analysis. The obtained mutant Mtases were analyzed in an improved kinetic assay, and their ability to flip the target base was studied in a fluorescence-based assay using a duplex oligodeoxynucleotide containing the fluorescent base analogue 2-aminopurine at the target position. While the mutant Mtases containing the aromatic amino acid Trp at position 108 or 196 (Y108W and F196W) showed almost wild-type catalytic activity, the mutant Mtases with the nonaromatic amino acid Ala (Y108A and F196A) had a strongly reduced catalytic constant. Y108A was still able to flip the target base, whereas F196A was strongly impaired in base flipping. These results indicate that Phe 196 is important for stabilizing the extrahelical target adenine and suggest that Tyr 108 is involved in placing the extrahelical target base in an optimal position for methyl group transfer. Since both aromatic amino acids belong to the conserved motifs IV and XIII found in N6-adenine and N4-cytosine DNA Mtases as well as in N6-adenine RNA Mtases, a similar function of aromatic amino acid residues within these motifs is expected for the different Mtases.  相似文献   
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Nickel, which is the second neighbour to iron in the periodic table of elements, has a significant effect on most of the physical properties of the steels studied here, with the nickel content of the steels varying between 3 and 9%. Density and coercive force increase as the nickel content in the steel increases. By contrast, thermal expansion, modulus of elasticity and shear modulus decrease with increasing nickel content. Because of large scatter in the data, it is not possible to notice any significant influence of nickel content on Poisson's ratio and bulk modulus. Specific heat is also found not to vary with the nickel content of the steel. Electrical resistivity and thermal resistivity values increase, as expected, with increasing nickel content. The results of thermal conductivity measurements on 12 Ni 19 and X 8 Ni 9 have led to the development of modified Smith-Palmer relationships, which allow the calculation of the thermal conductivity values for the present set of steels and other steels with similar compositions.  相似文献   
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