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31.
32.
To investigate the outcome of Graves' thyrotoxicosis after antithyroid drug management, data from 81 patients, treated in Chang Gung Memorial Hospital at Taipei and Linkou from October 1981 to March 1990, were analyzed. The gender ratio of female to male was 59:22. The mean age of onset was 33.1 +/- 10.5(15-60) year-old. All the patients were treated with antithyroid drug (Thionamide group) for a duration of 11 to 63 months (mean +/- SD = 28.1 +/- 9.8 months). Forty of 81 patients (49.4%) were remained remission after up to 2 years of follow-up. Those patients relapse usually occurred within 2 years after discontinuation of treatment (34/41), and only one exceptional case relapsed after 3 years. Three conditions affected the relapse rate. Patients with larger goiter (grade II-III) and shorter duration of treatment (< 23 months) had a higher relapse rate than those-with smaller goiter (grade O-I) [29/46 vs. 12/35; chi 2 = 6.576, p = 0.010; p = 0.015 in stepwise logistic regression (LR)] and longer duration of treatment (> or = 23 months) (15/20 vs. 26/61; chi 2 = 6.316, p = 0.012; p = 0.020 in LR). Patients with higher pre-treated serum triiodothyronine (T3) level (T3 > or = 300 ng/dl) had a higher relapse rate than those with lower T3 level (T3 < 300 ng/dl) in univariate analysis (30/50 vs. 11/31, chi 2 = 4.601, p = 0.032), but no significant difference by LR (P = 0.094). Other clinical parameters including age, sex, past history, family history, thyroxine (T4) level, T3/T4 ratio, thyroid autoantibodies, staging of ophthalmopathy, responsiveness to thyrotropin-releasing hormone stimulation test at the end of treatment, and whether combined treatment with thyroxine had no significant difference between the relapse and remission groups. These data suggest: (a) patients with larger goiter (grade II-III had higher relapse rate; (b) most of the recurrent thyrotoxicosis patients relapsed within two years after drug withdrawal; (c) continuing treatment for more than twenty-three months produces better outcome; (d) patients with Graves' thyrotoxicosis should be followed up for at least three years after withdrawal of antithyroid drug. 相似文献
33.
Responds to the discussion by A. H. Yee et al (see record 1994-09250-001) of A. R. Jensen's (e.g., see record 1986-18910-001) research on racial differences in abilities and states that the references to Jensen's work are dated. Jensen notes more recent research (Jensen and P. A. Whang; see PA, Vol 81:1181 and 20927) and provides an explanation for his research focus on Black–White differences in cognitive abilities. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
34.
An inulin syrup made from Jerusalem artichoke tubers, either in its commercial form or after ultrafiltration, was freeze-dried and used as a prebiotic ingredient in the small-scale manufacture of wafer crackers. The flours used for the preparation of wafer batters were from wheat, rye or spelt wheat, or 1:1 combinations of wheat flour and rye flour or wheat flour and spelt wheat flour. Batter viscosity was strongly influenced by the selection of the flour type, but remained within technologically acceptable limits. The ultrafiltration of the inulin syrup, using a 1 kDa membrane, resulted in a significant reduction of the content of free sugars and minerals which, in turn, had a significant impact on the CIE-Lab color values of the wafer crackers. Using spelt wheat flour instead of wheat flour significantly increased wafer cracker firmness measured by penetration, as did the incorporation of ultrafiltered freeze-dried instead of native freeze-dried Jerusalem artichoke syrup. Sensory analysis revealed a significant influence of product formulation on appearance, flavor and texture of the wafer crackers. It can be concluded from quality scores, which were calculated by using weighting factors assigned to the sensory attributes, that wheat flour may be partially replaced by rye flour or spelt wheat flour without negatively affecting the sensory properties of the wafer crackers. 相似文献
35.
Enhanced C (EC) is a set-oriented, extensible, C-like language. EC uses data abstractions to define new types. These data abstractions, called clusters, are macro-like devices that perform substitution on the typed syntax tree. Debugging programs that use clusters raise problems that are not encountered in ordinary programming languages. At compile time there is a need to determine and report whether the macro expansion will result in a legal program before this expansion actually takes place. At run-time the problems are how to account for replaced statements and how to handle variables whose types have been established by the clusters, variables that disappear, or variables whose names have been changed. This article presents these problems and their solutions as implemented by the EC compiler and the EC symbolic debugger. Similar debugging problems appear in other languages: The need to handle variables at run time is common to all languages that support data abstraction even if the abstractions are procedure oriented; also, a mild form of the problem of the replaced statement appears in inline procedure substitution of Ada. The solutions developed for the EC debugger apply to these cases as well. 相似文献
36.
A methodology for evaluating the reactivity of titanium with mould materials during casting has been developed. Microhardness
profiles and analysis of oxygen contamination have provided an index for evaluation of the reactivity of titanium. Microhardness
profile delineates two distinct regions, one of which is characterised by a low value of hardness which is invariant with
distance. The reaction products are uniformly distributed in the metal in this region. The second is characterised by a sharp
decrease in microhardness with distance from the metal-mould interface. It represents a diffusion zone for solutes that dissolve
into titanium from the mould. The qualitative profiles for contaminants determined by scanning electron probe microanalyser
and secondary ion mass spectroscopy in the as-cast titanium were found to be similar to that of microhardness, implying that
microhardness can be considered as an index of the contamination resulting from metal-mould reaction. 相似文献
37.
This paper analyses the potential roles of computerized systems in supporting the decision-making process. Toward this end, we propose an expository process model of decision-making and develop a framework that provides the infrastructure for the analysis. The proposed process model draws on two well-known models in the literature and enumerates eight distinct phases in decision-making. The framework developed is based on an integration of this process model with Simon's notion of 'decision-structuredness'. Unlike any of the existing frameworks, the suggested framework permits a micro-level analysis of support system roles. The analysis is intended as a pre-design guide, to help systems developers and users to identify support potential and possibilities, and to target their activities accordingly. 相似文献
38.
Hartouni E.P. Jensen D.A. Klima B. Kreisler M.N. Rabin M.S.Z. Uribe J. Church M. Gara A. Gottschalk E. Hylton R. Knapp B.C. Sippach F.W. Stern B. Wiencke L. Christian D. Gutierrez G. Holmes S.D. Strait J.B. Wehmann A. Avilez C. Correa W. Rosales A. Forbush M. Huson F.R. White J. 《IEEE transactions on nuclear science》1989,36(5):1480-1484
A novel technique for both online and offline computation is presented. With this technique, a reconstruction analysis in elementary particle physics, otherwise prohibitively long, has been accomplished. It will be used online in an upcoming Fermilab experiment to reconstruct more than 100000 events per second and to trigger on the basis of that information. The technique delivers 40 gigaoperations per second, has a bandwidth on the order of gigabytes per second, and has a modest cost. An overview of the program, details of the system, and performance measurements are presented 相似文献
39.
40.
Although multidisciplinary pain programs have been demonstrated to be effective, the processes of improvement have yet to be clarified. Cognitive-behavioral models posit that improvement is due, in part, to changes in patient pain beliefs and coping strategies. To test the relationships between treatment outcome and changes in beliefs and coping strategies, 94 chronic pain patients (aged 21–64 yrs) completed measures of physical and psychological functioning, health care utilization, pain beliefs, and use of pain coping strategies at admission and 3 to 6 mo after inpatient pain treatment. Improved functioning and decreased health care use were associated with changes in both beliefs and cognitive coping strategies. However, changes in some coping strategies, such as exercise and use of rest, were not associated with improvement. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献