Randomized trial of breast self-examination in Shanghai: methodology and preliminary results

BACKGROUND: The efficacy of breast self-examination in helping to reduce mortality from breast cancer has not been rigorously demonstrated. PURPOSE: To assess efficacy, a large, randomized trial was initiated in Shanghai, China. METHODS: From October 1989 to October 1991, 267040 current and retired female employees associated with 520 factories in the Shanghai Textile Industry Bureau were randomly assigned on the basis of factory to either a self-examination instruction group (133375 women) or a control group (133665 women). The women were born within the period from 1925 through 1958. Women in the instruction group were given intensive training in breast self-examination, including the use of silicone breast models and personalized instruction, plus two subsequent reinforcement sessions and multiple reminders to practice the technique. Women in the control group were asked to attend training sessions on the prevention of low back pain. All women have been followed for the development of breast diseases and for death from breast cancer. RESULTS: A high level of participation during the first 4-5 years of the trial was documented among women in the instruction group. Randomly sampled women in this group demonstrated greater proficiency in detecting lumps in breast models than did randomly sampled women in the control group. Approximately equal numbers of breast cancers were detected in the two groups (331 in the instruction group and 322 in the control group) through 1994, which is the last year for which case-finding efforts have been completed. The breast cancers detected in the instruction group were not diagnosed at an appreciably earlier stage or smaller size than those in the control group. More benign breast lesions were detected in the instruction group than in the control group (1457 versus 623, respectively), suggesting a higher index of suspicion for women who received training. Cumulative breast cancer mortality rates through 5 years from entry into the study were nearly equivalent for the two groups. CONCLUSIONS: Breast self-examination has not led to a reduction in mortality from breast cancer in this study cohort in the first several years since the trial began. A shift toward the diagnosis of disease at a less advanced stage in women given instruction has also not been demonstrated. Longer follow-up of participants in this trial is required before final assessment can be made of the efficacy of breast self-examination. IMPLICATIONS: At this time, there is insufficient evidence to recommend for or against the teaching of breast self-examination.     

具有势垒增强层的MSM光电探测器暗电流的计算

将具有完全晶格匹配势垒增强层的MSM－PD简化为一维模型，并通过理论分析，得出了它的暗电流特性，进一步得到器件暗电流与势垒增强层的关系。     

On stability of an input amplitude constrained predictive control system

This paper presents stability results for discrete-time model-based predictive control system subject to an input amplitude constraint. It is shown that the input amplitude constrained control system may provide a stable control system in the sense of BIBO when the system to be controlled is of a class of the system poles which consist of multiple integrators and a stable polynomial. The solution of Diophantine equations and their properties are addressed. Simulation study is also carried out and it is shown that the output of the system may converge to the reference signal for certain degree of constraints.     

聚腈分子的飞秒时间分辨光克尔效应

本文利用飞秒时间分辩光克尔效应，对主链为Ｃ＝Ｎ结构的两种共轭聚腈高分子的溶液和薄膜进行研究，所测得的时间分辨光克尔信号均表现为超快响应。     

一种图文数据库系统的设计与实现

随着计算机技术的发展和水平的提高，图像，声音，图形等多媒体信息逐步应用于管理信息系统之中。文章中提出了图文数据库系统设计中存在的三个基本问题。讨论了介绍了图文数据库系统的设计方法和实现技术。     

电流模精密整流电路

由电压型运算放大器组成的精密整流电路要严格地匹配电阻才能获得精密全波整流波形．本文给出一种具有CCⅡ电路特性由运算放大器AD844所构成的电流模精密整流电路．无需匹配电阻就可输出良好的精密全波整流波形．且具有输入电压范围大，频带宽等特点．     

鱼雷罐喷粉预处理优化研究

在已经得到的描述鱼雷罐喷粉处理基本参数具体表达式的基础上，运用多目标非线性优化方法，对工艺操作参数进行优化。     

Study on Oxygen-Sensing Properties of LaNiO3 Thin Films

The synthesis of rare-earth perovskite-type composition thin films of LaNiO₃ by means of the inorganic-sol-gel (ISG) method was studied. The structural stability under high temperature in reducing atmospheres and the oxygen-sensitivity mechanism of the LaNiO₃ thin films were examined. It is shown that under the experimental conditions, LaNiO₃ decomposes and the valance states of nickel are +2 and +3.     

改进遗传算法在电力系统无功优化中的应用

针对常规遗传算法（GA）的不足,提出了一种改进搜索策略的遗传算法,采取了以下改进措施：在遗传迭代中,根据种群进化过程的个体的适应值大小,对群体进行分级,对级别高的个体进行小范围的搜索,对级别低的个体在大范围内进行搜索,保证群体的多样性的同时,又留住了优良个体。将改进的遗传算法应用于电力系统无功优化,并与常规遗传算法进行了比较,结果表明改进算法在计算速度、收敛性和全局最优搜索能力都有提高。     

电信项目收入再分配模型研究

对收入再分配模型的现状和问题进行了分析,结合对机会成本理论的深度挖掘,创新性地建立了基于资本机会成本的收入再分配系数测算模型（单位业务能力匹配网络资源投资比例分摊法）。