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31.
BACKGROUND: Major depressive disorder is often marked by repeated episodes of depression. We describe recovery from major depression across multiple mood episodes in patients with unipolar major depression at intake and examine the association of sociodemographic and clinical variables with duration of illness. METHODS: A cohort of 258 subjects treated for unipolar major depressive disorder was followed up prospectively for 10 years as part of the Collaborative Depression Study, a multicenter naturalistic study of the mood disorders. Diagnoses were made according to the Research Diagnostic Criteria, and the course of illness was assessed with the Longitudinal Interval Follow-up Evaluation. Survival analyses were used to calculate the duration of illness for the first 5 recurrent mood episodes after recovery from the index episode. RESULTS: Diagnosis remained unipolar major depressive disorder for 235 subjects (91%). The median duration of illness was 22 weeks for the first recurrent mood episode, 20 weeks for the second, 21 weeks for the third, and 19 weeks for the fourth and fifth recurrent mood episodes; the 95% confidence intervals were highly consistent. From one episode to the next, the proportion of subjects who recovered by any one time point was similar. For subjects with 2 or more recoveries, the consistency of duration of illness from one recovery to the next was low to moderate. None of the sociodemographic or clinical variables consistently predicted duration of illness. CONCLUSION: In this sample of patients treated at tertiary care centers for major depressive disorder, the duration of recurrent mood episodes was relatively uniform and averaged approximately 20 weeks.  相似文献   
32.
When zinc oxide and graphite were placed into an alumina crucible, with a square hole (∼3 mm ×∼3 mm) near the top, and the crucible was covered by an alumina lid and heated at >1050°C, a hollow polycrystal composed of needlelike, ribbon(comb)-like, dendritic, and bulk zinc oxide crystals grew from the hole toward the outside of the crucible. The diameter and length of the polycrystal grown at 1050°C after 1 h were ∼2.2 mm and ∼20 cm, respectively. The diameter increased, while the length decreased, with increasing temperature. Most of the needlelike zinc oxide crystals in the hollow polycrystal were elongated along the c -axis.  相似文献   
33.
This article considers the nature of online religion by examining the websites and religious counseling activities conducted by new Japanese religions. Beginning with an overview of the widespread use of the Internet in Japan and its use in religion, the article examines the cultural and social factors that keep the religious use of the Internet from becoming as pervasive in Japan as it is in the U.S. The article then describes a website with elements of online religion and the Internet-based religious counseling services being provided by ministers of the new Shintō-derived religions of Konkōkyō and Tenrikyō. These activities have successfully given some people who need religious assistance access to religious teaching. In concluding, the article examines the reasons for the success of these efforts, as well as the reasons why they have not expanded in scope, in light of the cultural and organizational advantages and disadvantages that affect Internet use.  相似文献   
34.
Electric power systems are expanding in size and complexity, and the requirement for the energy management system (EMS) is becoming more important. In this computer control system, a single control computer is used mainly as the primary computer and its software is very complicated because of its hugh number of small, quick tasks to obtain high response speed. Therefore, much effort is needed to develop and modify the programs, and the responsiveness of this centralized architecture varies greatly when many faults occur in the power system. This paper describes a new distributed architecture for the EMS. Distributed processors execute the functions cooperatively with periodic access to the common bulletin board database in which information about the power system exist. This architecture facilitates the software development and maintenance, and it also enhances the performance by the parallel processing of the distributed functions.  相似文献   
35.
36.
To support disabled people to use remote controllers, several biological signals are used. The tooth-touch is one of desirable biological signals. This is because it is the simple and natural human behavior. However, a sophisticated signal processing to extract only the tooth-touch sound is needed since the tooth-touch sound is mixed with the voice sound. This paper proposes a lightweight sensing method extracting the tooth-touch without a sophisticated signal processing to eliminate only voice sound from the sound wave in which tooth-touch and voice are mixed. Instead of the audible sound wave, proposal uses a shock wave (i.e., ultrasonic wave) which is generated when the upper tooth and the lower tooth hit each other. Using the shock wave generated to detect the tooth-touch, a trivial high-pass filter can eliminate only voice sound in the lower frequency domain than in the ultrasonic domain including the tooth-touch. Through a preliminary experiment that uses a conventional microphone and well-known digital high-pass filter, we show that the used electret microphone can sense the tooth-touch as ultrasonic wave and the high-pass filter can extract only tooth-touch. Then, we show some robustness of our method by using the sound waves including the voice and tooth-touch. In addition, we design the filtering hardware to implement a small and cheap system-on-chip achieving a real-time operation. Through the implementation of Field Programmable Gate Array, and the simulation, we show that our hardware is small and performs well for a real-time operation.  相似文献   
37.
A binary blend which consists of two incompatible polymers such as poly(vinyl chloride) and polyethylene has been performed through a partial co-crosslinking reaction with peroxide to give a co-crosslinked blend with a uniform dispersion of small polyethylene particles and with an improved mechanical property. The results are obtained through the formation of a co-crosslinked product which acts as a potential solid phase dispersant as well as a well-bonded reinforcing interlayer on polyethylene particles uniformly dispersed in poly(vinyl chloride) matrix. The resulting blends (PVC/PE=10/90 wt) give carbon spherules of 0.5 to 1m diameter through pressure-carbonization at 650° C for 1 h.  相似文献   
38.
The nuclear spin dynamics in nuclear spin ordered solid3He in low magnetic fields on the melting curve has been studied by pulsed NMR down to 0.6 mK. The free induction decay signals (FID) were measured in single crystals of solid3He at three operating frequencies of 920, 1380, and 1840 kHz. The FIDs were nonexponential and dependent on the rf pulse strength p H 1 t w , where is the gyromagnetic ratio,H 1 is the rf field strength, andt w is the pulse width. At small p they decayed almost linearly in time with a small exponential tail at the end. When p was further increased they became shorter and neither exponential nor linear in time. At large p they decayed very rapidly and sometimes could not be observed at all because of the dead time of the NMR detection system. Such behavior of the FID was observed in many different single crystals in the given temperature range at 920 kHz. Tsubota and Tsuneto have shown by solving the nonlinear equations of motion numerically that the motion of the nuclear spin becomes chaotic when the tipping angle exceeds a critical value. Comparing their result with our experimental results, we concluded that some of the results of the rapid decay of the FID at large p might be attributed to the onset of the chaotic motion. At 1840 kHz it is expected that the nonlinear effects in the equations of motion become less effective than that at 920 kHz. In fact, at this operating frequency the FIDs even at large p and the tipping angle-dependent frequency shift could be observed. These frequency shifts were in rather good agreement with Namaizawa's theory provided an effective tipping angle was taken into account.  相似文献   
39.
Fine and coarse diamond powders were shock-compacted at peak pressures of 77, 90, and 108 GPa. The densification and consolidation mechanisms of diamond powders under shock compression were investigated. The densification behaviour of the diamond powders depended strongly on the particle size of the starting materials. Fine diamond powders were densified primarily by plastic deformation, while coarse diamond powders were densified mainly by particle fracture. The relative densities of the compacted diamond samples increased with an increase in the initial particle size of the diamond and with shock pressure. The consolidation mechanism of the diamond powders under shock compression was closely related to the densification mechanism, and depended on the initial particle size of the diamond. At a shock pressure of 90 GPa, particle sizes of 2 to 4 m grade and 10 to 20 m grade were desirable as the starting material in order to produce well-bonded diamond compacts. Diamond compacts having microhardness values over 80 GPa were obtained from 2 to 4 m grade and 10 to 20 m grade diamond powders at a shock pressure of 90 G Pa, and their relative densities were 88.5% and 91.0%, respectively.  相似文献   
40.
5-Fluorouracil (5-FU) is a cornerstone drug used in the treatment of colorectal cancer (CRC). However, the development of resistance to 5-FU and its analogs remain an unsolved problem in CRC treatment. In this study, we investigated the molecular mechanisms and tumor biological aspects of 5-FU resistance in CRC HCT116 cells. We established an acquired 5-FU-resistant cell line, HCT116RF10. HCT116RF10 cells were cross-resistant to the 5-FU analog, fluorodeoxyuridine. In contrast, HCT116RF10 cells were collaterally sensitive to SN-38 and CDDP compared with the parental HCT16 cells. Whole-exome sequencing revealed that a cluster of genes associated with the 5-FU metabolic pathway were not significantly mutated in HCT116 or HCT116RF10 cells. Interestingly, HCT116RF10 cells were regulated by the function of thymidylate synthase (TS), a 5-FU active metabolite 5-fluorodeoxyuridine monophosphate (FdUMP) inhibiting enzyme. Half of the TS was in an active form, whereas the other half was in an inactive form. This finding indicates that 5-FU-resistant cells exhibited increased TS expression, and the TS enzyme is used to trap FdUMP, resulting in resistance to 5-FU and its analogs.  相似文献   
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