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OBJECTIVE: To review the clinical presentation, treatment, and outcome in a series of children with ovarian neoplasms. DESIGN: A retrospective review of the medical records in a case series of 29 girls with ovarian neoplasms. The length of follow-up ranged from 6 months to 7 1/2 years and averaged 3.0 years in the girls with malignant tumors. SETTING: The patients were treated at a large referral children's hospital. PATIENTS: Twenty-nine girls with ovarian neoplasms were treated from 1976 to 1992. The average age of the patients was 10 years and ranged from 2 to 16 years. MAIN OUTCOME MEASURES: The principal outcomes examined were mortality and surgical morbidity. RESULTS: The most common presenting symptoms for these ovarian tumors in pediatric patients included chronic abdominal pain, an abdominal mass, or distention. Three girls presented with precocious puberty or hirsutism. In 27 cases, the tumor was a primary ovarian lesion. In two patients, the ovarian mass was the presenting finding for a stage IV non-Hodgkin's lymphoma. Seventeen tumors were benign and 12 were malignant. Tumors originating from the germ-cell line predominated (n = 17). Seven of the 10 ovarian malignant neoplasms were stage I at the time of diagnosis. All but one of the girls with malignant tumors received either adjunctive radiation therapy or multiple-agent chemotherapy. Two girls with sex cord/stromal cell tumors who presented with stage I disease ultimately developed widespread metastases. Both girls with large epithelial tumors survived. All of the girls with benign tumors and seven (70%) of 10 with malignant lesions survived. CONCLUSION: Ovarian tumors are unusual lesions in the pediatric population. Unlike in adults, such neoplasms generally originate from the germ-cell line. Whereas most ovarian tumors in girls are benign, some children have malignant tumors that are very aggressive and do not respond well to adjuvant therapy. In particular, malignant sex cord/stromal cell tumors, even when they present at an early stage, may behave unpredictably.  相似文献   
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This paper is aimed at presenting a simple yet effective procedure to implement a mesh‐independent p‐orthotropic enrichment in the generalized finite element method. The procedure is based on the observation that shape functions used in the GFEM can be constructed from polynomials defined in any co‐ordinate system regardless of the underlying mesh or type of element used. Numerical examples where the solution possesses boundary or internal layers are solved on coarse tetrahedral meshes with isotropic and the proposed p‐orthotropic enrichment. Copyright © 2002 John Wiley & Sons, Ltd.  相似文献   
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Wind energy conversion systems (WECS) produce fluctuating output power, which may cause voltage fluctuations and flicker. Flicker assessment in networks may be difficult since its evaluation requires long computing time and special procedures to calculate the flicker severity index, Pst. In this paper, a frequency domain method to study flicker propagation is presented. This method is based on propagation of frequency components from WECS output currents throughout the grid. In this way, a fast flicker analysis in a network of any size can be performed. Also, an algorithm for flicker measurement in the frequency domain, which allows Pst calculation, is proposed. Several study cases have been performed, and results have been compared with time domain simulations, showing good agreement between them  相似文献   
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The effects of acute pentobarbital treatment were assessed using a complex operant test battery containing five tasks in which correct performance is thought to depend upon processes associated with short-term memory and attention [delayed-matching-to-sample (DMTS)], color and position discrimination [conditioned position responding (CPR)], motivation [progressive ratio (PR)], time perception [temporal response differentiation (TRD)], and learning [incremental repeated acquisition (IRA)]. Adult, male rhesus monkeys were tested 15 min after IV injection of saline or pentobarbital (1, 3, 5.6, 10, or 15 mg/kg). Behavioral endpoints measured included percent task completed, response rate or latency, and response accuracy. The order of task sensitivity to disruption by PBT was TRD > IRA = DMTS = PR > CPR, in which sensitivity was defined as a significant disruption in any aspect of task performance. PBT slowed response rates at 10.0 and/or 15.0 mg/kg in all tasks. Accuracy was decreased in the TRD task at > or = 5.6 mg/kg but doses of > or = 10.0 mg/kg were required to decrease accuracy in the IRA, DMTS, and CPR tasks. Thus, behavior thought to model time perception (TRD) was more sensitive than behavior modeling learning (IRA), short-term memory and attention (DMTS), and motivation (PR). CPR was the least sensitive behavior. Because pentobarbital exerts its effects at least in part via GABA systems, the effects in the current study were compared with those of a previous study of the acute effects of diazepam. The two compounds exerted fundamentally different effects on operant test battery performance.  相似文献   
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Social dominance orientation (SDO) has been proposed as an important variable in the explanation of prejudice. We distinguish between three conceptualizations of SDO: SDO as a personality trait (personality model), SDO as a moderator of the effects of situational variables (Person X Situation model), and SDO as a mediator of the effect of social position on prejudice (group socialization model [GSM]). Four studies (N = 1,657) looking at the relations between social positions, SDO, and prejudice in a natural setting and in a laboratory setting provide strong support for the GSM. In contrast to previous correlational findings, there is evidence of a cause (dominant social position), an effect (prejudice increases), and a mediator (SDO). These results suggest new perspectives on the integration of individual and contextual determinants of prejudice. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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Thin layers of silver and titanium were deposited onto commercial Ti–48Al particles by magnetron sputtering prior to their consolidation by hot isostatic pressing and subsequent heat treatment. Based on picnometry and electron probe microanalysis results, average values of 1.5 and 2.5 at.%, respectively, were obtained for the silver and titanium contents in the coated particles. The surface modified Ti–48Al particles exhibited improved sintering ability than the unmodified ones. The consolidated samples have duplex microstructures formed by γ-TiAl and γ-TiAl + α2-Ti3Al grains. Ag-rich nanoprecipitates were detected in the microstructure of the compacted Ti-48Al + Ag sample. The coatings are no longer visible at the grains boundaries after a subsequent homogenization heat treatment at 1200°C. The highest values of hardness and Young’s modulus were obtained for the Ti–48Al + Ag sample, associated with a higher density and a lower percentage of pores.  相似文献   
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