Oxidative damage to the eye lens caused by cigarette smoke and fuel smoke condensates

The degree to which a reformed U.S. health care system relies on an adequate supply of primary care physicians will determine the urgency of change in the composition of the medical workforce. In many areas of the United States, the demand for primary care physicians, particularly in managed care settings, far exceeds the supply. In contrast, reports of reduced practice opportunities for medical and surgical subspecialists in the same settings are increasing. As opportunities for and incomes of primary care physicians are enhanced, some medical subspecialists may seek retraining in primary care. This article provides a context for understanding the development of physician retraining programs, examines precedents for retraining physicians, describes four possible pathways through which medical subspecialists might acquire primary care training, and emphasizes the importance of defining the scope of practice and necessary skills for providing primary care. Obstacles to retraining appear to be economic (Who will pay? Is the cost worth the benefit?) and jurisdictional (Who will define core competencies? Who will credential programs and trainees?). The current absence of demand for such retraining programs suggests either that marketplace-induced changes will not take place or that the notion of a primary care provider shortage and an oversupply of medical subspecialists is overstated. The inclusion of physician retraining programs in proposed health reform legislation suggests that policymakers are convinced that such programs offer one viable solution to the nation's medical workforce needs.     

NO/cGMP pathway is involved in exocrine secretion from rat pancreatic acinar cells

OBJECTIVE: To identify factors associated with the initiation of breast-feeding in a predominantly Puerto Rican population living in inner-city Hartford, Conn. DESIGN: Retrospective study of 144 Latino women (mean +/- standard deviation age = 26.3 +/- 5.7 years) with children at least 1 year old but younger than 6 years old (mean +/- standard deviation age = 3.0 +/- 1.2 years) at the time of the survey. Women were recruited from agencies sponsoring health programs for mothers and children. They were interviewed in their homes (69%) or at the Hispanic Health Council, Hartford, Conn (31%). SUBJECTS/SETTING: Low-income Latino women who had at least 1 preschooler at the time of the interview. The women lived in inner-city Hartford, and the overwhelming majority were Puerto Rican and received welfare assistance and food stamps. Seventy-eight percent of the women chose to be interviewed in Spanish; the other 22% were interviewed in English. STATISTICAL ANALYSES: Explanatory variables that related to breast-feeding initiation (P < or = .2) in bivariate chi 2 analyses were entered into a multivariate logistic regression model that was reduced using backward stepwise elimination procedures. RESULTS: Multivariate analyses indicated that breast-feeding the previous child, shorter length of maternal residence in the United States, not receiving prenatal bottle-feeding advice, more recent birth, and higher birth weight were positively associated with breast-feeding initiation. A major reason for choosing not to breast-feed was that women felt socially uncomfortable doing it. APPLICATIONS: Breast-feeding initiation was more likely in Latino women who received prenatal breast-feeding counselling and postpartum support. Mothers of low-birth-weight infants and women breast-feeding for the first time may need additional help. These findings can be used by programs like the Special Supplemental Nutrition Program for Women, Infants, and Children to increase breast-feeding initiation.     

Intercellular communication between dorsal root ganglion cells and colonic smooth muscle cells in vitro

This study demonstrates that the use of high field 1H NMR spectroscopy permits individual detection of phosphatidylcholine and sphingomyelin molecules at the surface of native low density lipoprotein (LDL) particles. Distinct behaviour was observed for the choline head group -N(CH3)3 resonances of these different phospholipids revealing preferential immobilisation for phosphatidylcholine. This suggests the existence of reversible and irreversible phosphatidylcholine-apolipoprotein B interactions and is consistent with microdomain formation at the surface monolayer of LDL. The novel resonance assignment and results show that 1H NMR can provide efficient and practical means for future studies on the structure and dynamics at the LDL surface.     

Evidence for the involvement of the nitric oxide-cGMP pathway in the antinociception of morphine in the formalin test

The effect of inhibition of nitric oxide synthesis and guanylate cyclase on the peripheral antinociceptive effect of morphine was assessed by using the formalin test in the rat. Saline, N(G)-monomethyl-L-arginine, a nitric oxide synthesis inhibitor (50 microg) and methylene blue, a guanylate cyclase inhibitor (500 microg), did not exhibit any antinociceptive activity. However, morphine (10 microg) produced a significant antinociceptive effect in phases 2a and 2b, which was reduced by pretreatment with either N(G)-monomethyl-L-arginine or methylene blue. These results suggest that the local administration of morphine induces antinociception by the activation of the L-arginine-nitric oxide-cGMP pathway.     

Experimental and thermodynamic investigations on MnO-SiO_2-Al_2O_3-MnS system

MnO-SiO₂-Al₂O₃-MnS oxysulfide system has been investigated by experimental phase diagram and activity measurement coupled with thermodynamic modeling.Phase equilibria of the MnO-MnS,MnO-SiO₂-MnS, MnO-Al₂O₃-MnS and MnO-SiO₂-Al₂O₃-MnS systems under low oxygen partial pressure have been experimentally investigated for the temperature range of 1 185 to 1 500℃using equilibration and quenching techniques. Equilibrium phases were analyzed by scanning electron microscope,electron probe X-ray microanalysis（EPMA）, and differential thermal analysis（DTA ）.Phase diagrams were successfully constructed for the systems investigated.Two ternary compounds in the MnO-SiO₂-MnS system were found.Activities of MnO and MnS in MnO-SiO₂-Al₂O₃-MnS liquid oxysulfide solution from very low sulfur concentration to high sulfur concentration at solid MnS saturation were investigated employing gas/liquid/Pt - Mn alloy under controlled atmosphere at 1 500℃.As X（SiO₂）/（X（MnO） + X（SiO₂）） increases in liquid oxysulfide solution,activity coefficient of MnO decreases while that of MnS increases.As X(AlO_1.5) increases,the activity coefficient of MnS increases while no remarkable change was observed for the activity coefficient of MnO.Quantitative analysis of the thermodynamic properties of the oxysulfide solution as well as phase diagram of the system was also earned out by employing the Modified Quasichemical Model in the quadruplet approximation.In view of inclusion utilization for free - cutting steel,it might have an advantage to decrease the Al₂O₃ content and increase the MnO/SiO₂ ratio.     

AN INVESTIGATION ON THE EFFECT OF MANGANESE SPECIFICATION IN BASIC OPEN HEARTH PROCESS

本文结合生产研究了鞍钢碱性平爐冶炼重轨和无缝等碳素镇静钢的锰制度.研究结果指出:就上述鋼种而言,熔炼过程中的锰制度对钢中氧、硫含量以及轧制的成品質量並没有实际影响,换句话说,并没有必要规定熔池含锰量高於一定水平(>0.15—0.2%Mn).相反地,熔池含锰较高或在熔炼过程中加入锰铁均使降碳速度趋於缓慢,从而延长了熔炼时间.因此,只要高炉铁水中含硫量能够合乎规定,用低锰生铁作原料对炼钢並无害处.通过高爐生产数据分析,说明在鞍钢的操作条件下完全有可能生产含锰低而含硫合乎上述规定的铁水,应该认为用低锰生鉄冶炼重轨和无缝类型的优質鋼是切实可行的.     

ON THE IMPROVEMENT OF THE QUALITY OF BALL-BEARING STEEL L THE EFFECT OF SMELTING AND CASTING PRACTICE ON NON-METALLIC INCLUSIONS IN BALL-BEARING STEEL

本文是提高滚珠轴承钢质量研究工作的第一部分。研究了碱性电弧炉内不同脱氧制度和浇铸条件对于钢中非金属夹杂物类型和数量的影响设及冶炼和浇铸过程中夹杂物的变化。 试验结果指出,采用下列操作制度可以显著改善滚珠钢中非金属夹杂物: 扒氧化渣后用硅锰合金预脱氧,然后用电石直接造电石渣,保持40分钟以上,还原后期用硅铁粉或电石继续进行扩散脱氧,出钢前炉渣必须变白,采用先出渣后出钢的办法,使渣钢在盛钢桶内得到很好的混合,进一步改善钢中非金属夹杂物。加铝量应在0.5公斤/吨以上。 结果证实,使用焦油处理过的优质盛钢桶内衬砝和汤道砝可以减少外来夹杂物。钢中氮化钛的来源是铁合金中含钛,所以在冶炼优质滚珠钢时应该选用不含钛的铁合金。     

感知风险对大学生网购服装满意度的影响

针对网购感知风险对大学生网购服装满意度影响关系,通过文献分析将网购感知风险要因划分为经济风险、性能风险、社会心理风险、隐私风险和时间风险5个下位要因,同时将满意度要因划分为产品满意度和使用满意度,在此基础上设定研究假设模型、编制问卷并展开调研.SPSS信度检验表明,感知风险的信度为0.812～0.898,满意度的信度为0.859～0.871.SPSS因子探索性分析结果表明:性能风险对感知风险的贡献率最大,为3.312;产品满足对满意度的贡献率最大,为2.232.AMOS验证表明:经济风险对产品满足的路径系数为0.22,关系显著;性能风险对满意度路径系数分别为0.68、0.81,关系显著;时间风险对满意度路径系数分别为0.20、0.51,关系显著;隐私风险对满意度路径系数分别为0.25、0.19,关系显著;其他假设关系不显著.研究结果可以为服装网购商城运营者提供顾客管理、产品构成和营销战略等参考.     

Variable step-size affine projection algorithm based on global speech absence probability for adaptive feedbackcancellation简

A novel approach is proposed for improving adaptive feedback cancellation using a variable step-size affine projection algorithm（VSS-APA） based on global speech absence probability（GSAP）.The variable step-size of the proposed VSS-APA is adjusted according to the GSAP of the current frame.The weight vector of the adaptive filter is updated by the probability of the speech absence.The performance measure of acoustic feedback cancellation is evaluated using normalized misalignment.Experimental results demonstrate that the proposed approach has better performance than the normalized least mean square（NLMS） and the constant step-size affine projection algorithms.     

鼓泡床内气泡-液体两相湍流代数应力模型的数值模拟

现有的气泡 -液体两相流动的数值模拟中 ,或者不考虑湍流 ,或者仅仅考虑液体湍流 ,但是直接模拟和PIV测量结果都表明气泡由于尾迹的作用有强烈的湍流脉动 .本文首次推导和封闭了同时模拟气泡湍流脉动和液体湍流脉动的二阶矩输运方程两相湍流模型 ,并在此基础上建立了代数应力气泡 -液体两相湍流模型 .用代数应力模型模拟了二维矩形断面鼓泡床内气泡 -液体两相流动 .预报结果给出了气泡和液体两相速度场、两相Reynolds应力及湍动能分布和气泡体积分数分布 .模拟结果与PIV测量结果符合很好 ,表明了模型的合理性 .研究结果表明 ,原先静止的液体在气泡因浮力而产生的上升运动的作用下产生回流流动 ,而气泡则只有上升运动 .气泡速度始终大于液体速度 .在床内气泡湍流脉动确实始终很强烈 .液体则由于气泡的作用以及自身速度梯度产生的双重作用而发生湍流脉动 .气泡的脉动显著地大于液体的脉动 .两相湍流脉动都是各向异性的 ,而且气泡湍流脉动的各向异性比液体的更强烈