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While now recognized as an aid to predict repeat prostate biopsy outcome, the urinary PCA3 (prostate cancer gene 3) test has also been recently advocated to predict initial biopsy results. The objective is to evaluate the performance of the PCA3 test in predicting results of initial prostate biopsies and to determine whether its incorporation into specific nomograms reinforces its diagnostic value. A prospective study included 601 consecutive patients addressed for initial prostate biopsy. The PCA3 test was performed before ≥12-core initial prostate biopsy, along with standard risk factor assessment. Diagnostic performance of the PCA3 test was evaluated. The three available nomograms (Hansen’s and Chun’s nomograms, as well as the updated Prostate Cancer Prevention Trial risk calculator; PCPT) were applied to the cohort, and their predictive accuracies were assessed in terms of biopsy outcome: the presence of any prostate cancer (PCa) and high-grade prostate cancer (HGPCa). The PCA3 score provided significant predictive accuracy. While the PCPT risk calculator appeared less accurate; both Chun’s and Hansen’s nomograms provided good calibration and high net benefit on decision curve analyses. When applying nomogram-derived PCa probability thresholds ≤30%, ≤6% of HGPCa would have been missed, while avoiding up to 48% of unnecessary biopsies. The urinary PCA3 test and PCA3-incorporating nomograms can be considered as reliable tools to aid in the initial biopsy decision.  相似文献   
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In this paper, we present the integration of an absorbing photonic crystal within a thin-film photovoltaic solar cell. Optical simulations performed on a complete solar cell revealed that patterning the hydrogenated amorphous silicon active layer as a 2D photonic crystal membrane enabled to increase its integrated absorption by 28 % between 300 and 720 nm, comparing to a similar but unpatterned stack. In order to fabricate such promising cells, we developed a high throughput process based on holographic lithography and reactive ion etching. The influences of the parameters taking part in those processes on the obtained patterns are discussed. Optical measurements performed on the resulting “photonized” solar cell structures underline the regularity of the 2D pattern and a significant absorption increase above 550 nm, similarly to what is observed on the simulated absorption spectra. Moreover, our patterned cells are found to be robust with regards to the angle of incidence of the light.  相似文献   
124.
Reviews the book, Memory, war and trauma by Nigel C. Hunt (see record 2010-17048-000). Hunt’s book presents a very different perspective on how memory, war, and trauma interface, drawing upon a variety of sources not frequently accessed by psychologists. He promotes an interdisciplinary approach to studying memory and war; however, rather than drawing upon the usual fields, such as biology or sociology, Dr. Hunt suggests that a careful examination of history and literature are also integral to developing a complete understanding of memory and war. This book is not designed for individuals unfamiliar with the field of trauma and war. Memory, war and trauma highlights the limitations of current empirical approaches to studying war trauma and presents a narrative methodology that he argues will better capture the unique individual experience of trauma. Hunt rightly demonstrates weaknesses of current methods, and suggests that the narrative method may be the solution to some of the problems with current methods. Though his argument is likely that the narrative method should supplement rather than replace current experimental method, one is left feeling that he believes current methods are wholly inadequate and his method is better. Despite this central weakness, this book will be a benefit to psychologists who study and treat individuals touched by war because it will encourage them to think beyond traditional approaches to research and treatment. (PsycINFO Database Record (c) 2011 APA, all rights reserved)  相似文献   
125.
A ground based facility (OLGA), providing magnetic compensation of gravity in oxygen, has been developed. A 2-T superconducting magnetic solenoid is used to create the required magnetic field. A novel electrical supply permits to quickly vary the magnetic field, leading to rapid variation of the acceleration forces applied to oxygen. These variations can be made from overcompensation of gravity (−0.5g) to zero gravity or from zero gravity to reduced gravity (0.4g) with a time constant of 340 ms. This time is typical of the cutoff or reignition of spacecraft engines. Preliminary results on the transient flows induced by these acceleration variations in a reservoir filled with liquid and gaseous oxygen are presented.  相似文献   
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At Mont Terri Underground Research Laboratory (URL) Switzerland, a specific experiment has been performed in a tunnel, in order to investigate the hydro-mechano-chemical (HMC) perturbations induced in the argillaceous formation by forced ventilation. This experiment has been selected in the international project DECOVALEX to be used for process model development and validation. The numerical simulation of the geochemical response to the ventilation experiment (VE) is the object of the present paper, focusing on the transport of chloride as a conservative species and sulphate as a reactive species. Utilising the validated hydro-mechanical (HM) results from earlier steps of the DECOVALEX task, reactive and non-reactive transport models, incorporating the current understanding of the geochemistry at the site, were successfully constructed for the whole experimental period. The associated parametric and process uncertainty analyses clearly demonstrate that the basic HM understanding must be sound. However, to demonstrate this degree of robustness, the explicit inclusion of process representations of water desaturation, liquid vaporisation, species exclusion porosity, and redox processes, is required.  相似文献   
128.
This paper reviews the processes which determine the concentrations of dissolved silicon (DSi) in soil water and proposes a conceptual mechanistic model for understanding the transport of Si through soils to rivers. The net DSi present in natural waters originates from the dissolution of mineral and amorphous Si sources in the soil, as well as precipitation processes. Important controlling factors are soil composition (mineralogy and saturated porosity) and soil water chemistry (pH, concentrations of organic acids, CO2 and electrolytes). Together with production, polymerization and adsorption equations they constitute a mechanistic framework determining DSi concentrations. We discuss how key controls differ across soil horizons and how this can influence the DSi transport. A typical podzol soil profile in a temperate climate is used as an example, but the proposed model is transferrable to other soil types. Additionally, the impact of external forcing factors such as seasonal climatic variations and land use is evaluated. This blueprint for an integrated model is a first step to mechanistic modelling of Si transport processes in soils. Future implementation with numerical methods should validate the model with field measurements.  相似文献   
129.
The current view of instrumental conditioning indicates that performance in the early stage of training is maintained by a representation of the outcome, as indexed by its sensitivity to changes in the value of the reward. In the present study, the authors tested the effects of a disconnection of the prelimbic cortex (PL) and the basolateral nucleus of the amygdale (BLA), using an asymmetric lesion procedure, to determine whether these structures interact sequentially as part of a corticolimbic system. In marked contrast to the effects of bilateral lesions of the PL or the BLA, which both altered rats' sensitivity to outcome devaluation, the disconnection of these 2 brain areas was without an effect on outcome devaluation. These results demonstrate that the PL and the BLA mediate different aspects of outcome representation in goal-directed responding. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
130.
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