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61.
There exists a movement within the field of psychology to incorporate religious material into the overall conceptualization and treatment of the client. This article questions the appropriateness of such incorporation and emphasizes instead the distinction the therapist needs to make between religious and psychological material in the psychotherapeutic setting. The therapist must also be aware of how religious material can intensify the transference, resistance, and countertransference, thereby complicating the therapeutic process. Client issues that relate to the religious identity of the therapist or invoke a sense of exclusive similarity in the therapeutic dyad can further complicate the therapy. Such complications suggest that the avoidance of both overt and covert messages that communicate the therapist's personal values and beliefs may be beneficial for therapy. Case examples with 4 clients (aged 18–56 yrs) are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
62.
We describe two cases of congenital chylothorax in siblings with important differences from previously described familial cases. Our findings support the likelihood of an autosomal recessive inheritance in some cases of this condition, rather than X-linked recessive inheritance, which has also been suggested. Autopsy findings from one of these cases and others previously described suggest that the pathophysiological mechanisms involved may be variable.  相似文献   
63.
64.
During studies to develop serum tests of small intestinal permeability, we detected an unidentified disaccharide in HPLC traces of sera from untreated celiacs. This present study aimed to identify the disaccharide and determine whether the presence of the disaccharide in the serum after an oral challenge had potential as a simple screening test for celiac disease. The disaccharide was identified as sucrose by incubation studies of sera with disaccharidases. Twenty untreated celiacs, 15 treated celiacs, and 20 normal or dyspeptic controls were studied for the presence of sucrose in their serum after an oral load (8 g). The results in celiacs were compared with the presence of serum IgA endomysial antibodies. The 10 normal controls were also given a larger sucrose challenge (50 g). Ten of the untreated celiacs and 10 controls had their brush border disaccharidase activities measured. Sucrose eluted in the same position as the unidentified disaccharide in the HPLC trace and the latter could be removed by incubation with sucrase. All untreated celiacs but none of the treated celiacs had sucrose in their serum after the 8-g oral challenge. None of the controls had sucrose in their serum after the 8-g or 50-g challenges. Three untreated celiacs were IgA endomysial antibody negative as were all the treated cases. Brush border sucrase activity was low in untreated celiac disease. The presence of sucrose in the serum after an oral load shows promise as a noninvasive test for celiac disease.  相似文献   
65.
The Women's Health Trial:Feasibility Study in Minority Populations (WHT:FSMP) examined the feasibility of recruiting postmenopausal women from a broad range of racial and socioeconomic backgrounds into a primary prevention trial requiring marked reductions in dietary fat. Postmenopausal women aged 50-79 yr who had no history of cardiovascular disease or cancer and who consumed 36% or more total energy from fat qualified to participate. We randomized the women into dietary intervention (60%) or control (40%) groups; we aimed to randomize 750 women in 18 months in each of the three clinical centers. All centers achieved goals for randomization based on ethnicity, and two centers exceeded overall recruitment goals. The greatest source of randomized participants was mass mailing, followed by items in the media, referrals, and community outreach. Recruitment yields were generally similar for the ethnic groups but lower for less-educated participants. The experience of WHT:FSMP indicates that postmenopausal women from the African-American, Hispanic, and non-Hispanic white communities can be recruited into dietary intervention studies for the prevention of disease.  相似文献   
66.
Beneficial use impairments (BUIs) under the Great Lakes Water Quality Agreement identify environmental issues requiring remedial action within the Great Lakes Areas of Concern (AOCs). We conducted this study to support the assessment of the wildlife component of BUI 3: degradation of fish and wildlife populations. We compared bird and amphibian (frogs and toads) data from the Toronto and Region Conservation Authority’s Terrestrial Long-term Monitoring Program in the Toronto and Region AOC to an adjacent, but otherwise similar, reference watershed, Duffins Creek. Twelve of 13 targets were met within the AOC for forest bird, wetland bird, meadow bird and amphibian populations based on averages of mean annual values at sites within the AOC that were within two standard deviations of averages at sites in the Duffins Creek reference watershed between 2008 and 2017. Even though wildlife populations within the AOC were within the normal range of variability expected from a reference watershed, they were often at lower levels than within the Duffins Creek reference watershed. In addition, forest bird and amphibian populations were negatively affected by urbanization within the AOC and meadow bird indices declined. We conclude that while wildlife populations within the AOC currently meet targets for BUI 3, they continue to be negatively impacted by numerous stressors that are primarily related to past and ongoing urbanization. Thus, continued restoration of wildlife habitat and protection of existing habitat within the AOC is highly recommended.  相似文献   
67.
Experiments using high-efficiency neutron detectors have detected neutron emission from various forms of Pd and Ti metal in pressurized D2 gas cells and D2O electrolysis cells. Four independent neutron detectors based on3He gas tubes were used. Both random neutrons (0.05–0.2 n/s) and time-correlated neutron bursts (10–280 n) of 100-s duration were measured using time-correlation counting techniques. The majority of the neutron burst events occurred at –30°C as the samples were warming up from the liquid nitrogen temperature.  相似文献   
68.
Lewis GJ  Purslow PP 《Meat science》1989,26(4):255-269
Thick transverse slices of bovine M. semitendinosus were cooked for 1 h at 50°–90° and then cooled. Perimysial connective tissue was dissected from the cooked meat and subjected to mechanical testing in a small-scale device. The initial ‘toe’ region of the J-shaped load-extension curve was progressively lost with increasing temperature, the curve becoming more nearly linear after cooking at 90°C. These effects are explained on the basis of the progressive straightening out of the crimps from the collagen fibres, the crimps becoming finally lost at approximately 70°C. The final stiffness of the perimysium at greater extensions was unchanged at higher temperatures. Breaking strength increased from raw to cooked at 50°C, thereafter decreasing at cooking temperatures up to 90°C. it is proposed that this technique of testing isolated perimysium gives a valuable means of directly measuring the effects of cooking, or other treatments, on the intrinsic properties of perimysial collagenous material. Quantitative knowledge of these will help to determine its contribution to the overall mechanical properties, and hence eating quality, of cooked meat.  相似文献   
69.
A comparison between simulation- and measurement-based characterization is provided for the design of one-dimensional, nonadaptive, inverse filters for ultrasonic applications. Both prefiltering and postfiltering are considered by means of two different filtering strategies performed in the time and frequency domains. The results clearly indicate that theoretical methods can be used successfully, provided that the physical limitations of the simulation process are fully appreciated. In some instances, the simulation-based approach is shown to provide superior results, and the reasons for this are explained.  相似文献   
70.
On the analysis of two-dimensional discrete singular systems   总被引:2,自引:0,他引:2  
In contrast to 1-D systems, the 2-D systems have no natural notion of causality. An artificial restriction traditionally imposed to allow recursive solution of these systems is that of recursibility. In this paper we study 2-Dsingular systems, taking advantage of the nonoriented or noncausal nature of these systems to provide a solution even if the requirement of recursibility does not hold. It is shown thatnonrecursible masks may be described using singular 2-D systems. The analysis approach relies on thefundamental matrix.Research supported by the US Fulbright Foundation in Greece and NSF Grant ECS-8805932.  相似文献   
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