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31.
BACKGROUND: Fiberoptic flexible sigmoidoscopy (FFS) is routinely requested preoperatively as part of evaluation of pelvic masses to exclude colonic involvement by the tumor or concurrent colonic neoplasm. The aim of our study was to evaluate the utility of preoperative FFS in patients with suspected gynecologic malignancy. METHODS: FFS, performed using a 60 cm sigmoidoscope, evaluated (1) presence of bowel involvement by the tumor, (2) extrinsic compression by the tumor, and (3) presence of colonic neoplasms. FFS findings were correlated with surgical findings. RESULTS: A total of 107 women underwent preoperative FFS and subsequent surgery. Eleven patients (11%) had lower gastrointestinal symptoms. At surgery, 63% of pelvic tumors were malignant and 37% were benign. The most common abnormality at FFS was colonic polyps in 23 patients (21%). Colonic adenomas were found in 11 patients (10%). Extrinsic compression by the tumor without mucosal abnormalities was seen in 15 patients (14%). The most common intraoperative finding was tumor adhering to the bowel in 18 patients requiring dissection, but only 1 patient required bowel resection. Eight of these 18 patients had preoperative lower gastrointestinal symptoms. All 15 patients with extrinsic compression at FFS had tumor adhering to the bowel. CONCLUSIONS: Pelvic masses cause extrinsic compression at FFS in 14% of patients. This is suggestive of tumor adherent to the bowel at surgery. However, bowel resection is rarely required because of tumor involvement. Most patients with bowel adherence by tumor have lower gastrointestinal symptoms. Colonic adenomas are found in one tenth of patients, mostly in patients older than 50 years of age. Preoperative FFS does not change the surgical management of pelvic tumors. Screening FFS is indicated in all patients with pelvic tumors over age 50, as in persons with average risk, but is otherwise unnecessary in evaluation of pelvic masses.  相似文献   
32.
The purpose of this experiment was to investigate histo-pathologically the pulpal reaction to a glass-ionomer/resin (Geristore) restoration system in human teeth. Black's class I cavities were prepared in 22 human teeth; these were divided into 2 groups, one with the Geristore after cavity was cleaned with 10% NaOCl solution and 3% H2O2 solution (Group G) and the other with the Geristore after the cavity was applied with Mirage-Bond (Group MG). The treated teeth were observed clinically over 90 days after operation. They were then extracted for histological examination. No unpleasant symptoms were noted. A few pathological changes were observed. No histo-pathological score differences were observed between groups G and MG. The average evaluation score of pathological results in both groups G and MG were excellent. Microorganisms observed in the cavity dentin of the group G was fewer than in group MG. In some cases, microorganisms were observed along the dentin walls. In conclusion, the pulpal injury due to this Geristore restoration system was slight, and the system was considered to be safe for the pulp and clinically useful.  相似文献   
33.
BACKGROUND: High-frequency ultrasound biomicroscopy has allowed eye care specialists to evaluate posterior extension of anterior segment tumors. This article evaluates the role of ultrasound biomicroscopy for the diagnosis and management of anterior segment tumors. METHODS: Fourteen patients with anterior segment tumors were selected for evaluation. Each patient underwent a complete clinical examination followed by slit-lamp photography and ultrasound biomicroscopy. RESULTS: Unlike standard ultrasonography of anterior segment tumors, high-frequency ultrasound biomicroscopy allowed quantitative measurements of tumor size, extension within and posterior to the iris, as well as differentiation of solid and cystic lesions. These characteristics were used to differentially diagnose anterior segment tumors and document the response of iridociliary body melanomas to radiotherapy. CONCLUSIONS: This study demonstrates how ultrasound biomicroscopy has become an effective and necessary procedure, used for both the diagnosis and management of anterior segment tumors.  相似文献   
34.
OBJECTIVE: To determine the pharmacokinetics and absolute bioavailability of ciprofloxacin in 12 critically ill patients receiving continuous enteral feeding. Design: a prospective, cross-over study. SETTING: 12-bed surgical intensive care unit in a University Hospital. PATIENTS: 12 stable critically ill patients on mechanical ventilation and receiving continuous enteral feeding (Normoreal fibres) without diarrhea or excessive residual gastric contents ( < 200 ml/4 h). None had gastro-intestinal disease, renal insufficiency (estimated creatinine clearance > or = 50 ml/min) or was receiving medications that could interfere with ciprofloxacin absorption or metabolism. MEASUREMENTS AND MAIN RESULTS: The study was carried out after the fourth (steady state) b. i. d. intravenous (i. v.) 1-h infusion of 400 mg and the second b. i. d. nasogastric (NG) dose of 750 mg (crushed tablet in suspension). Plasma concentrations were measured by high-performance liquid chromatography. The median (range) peak concentration after i. v. infusion was 4.1 (1.5-7.4) mg/l, and that after NG administration was 2.3 (0.7-5.8) mg/l, occurring 1.25 (0.75-3.33) h after dosing. The median [range] areas under plasma concentration-time curves were similar for the two administration routes (10.3 [3.3-34.6] and 8.4 [3.6-53.4] for i.v. infusion and NG administration, respectively). Ciprofloxacin bioavailability ranges from 31 to 82 % (median, 44%). CONCLUSIONS: In tube-fed critically ill patients, a switch to the NG ciprofloxacin after initial i. v. therapy to simplify the treatment of severe infections is restricted to those for whom serial assessments of ciprofloxacin levels are routinely available.  相似文献   
35.
The sensitivity, transient response and sensitivity mechanism of a surface acoustic wave humidity sensor using porous anodically oxidized aluminium (alumina) films as mechanical interfaces have been studied theoretically and experimentally. It is found that the sensitivity of alumina films of 1.0 μm thickness is -0.034 m/(s %RH) and is the same order as that of polyimide films. The transient response of alumina films to humidity is about one order faster than that of polyimide films. For the sensitivity mechanism, the phase-velocity change is attributed to the mechanical perturbation caused by the absorption of water molecules. The equivalent density change of alumina films between 0 and 100%RH is about 0.7%. In addition, the actual stiffness constants of alumina films are two orders less than those of bulk alumina.  相似文献   
36.
This paper proposes a novel human-robot symbiosis system named a Robotic Office Room (ROR). The understanding, recording and retrieving of telephone call behavior are successfully demonstrated as a typical example of an office work-supporting function of ROR. A unique object model is proposed, which accumulates information concerning motion of the object. This model enables the system to understand human behavior, not by monitoring the motion of the human, but by monitoring the motion of the object-typically, a telephone or pen. Since the model requires the system to pay spatial and temporal attention only to the target object and related motions, it saves computing power. Repertoires of understandable behavior can easily be expanded by simply adding new object models. The ROR is equipped with networked machines. The concept of "ubiquitous link" consisting of unique image channels and remote control channels is proposed. The image channel and the remote control channel utilize TV images and either ultrasonic waves or infrared rays, respectively. Such cooperative support of humans by networked machines is realized that when a human starts to talk on the phone, the ROR not only starts to record the image of the human's behavior, utilizing a VCR, but also turns down the volume on an audio set. The experiment proved the feasibility of the ROR as an integrated robotic system to support human office work.  相似文献   
37.
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   
38.
Inhalational anesthetics was previously reported to suppress glioma cell malignancy but underlying mechanisms remain unclear. The present study aims to investigate the effects of sevoflurane and desflurane on glioma cell malignancy changes via microRNA (miRNA) modulation. The cultured H4 cells were exposed to 3.6% sevoflurane or 10.3% desflurane for 2 h. The miR-138, -210 and -335 expression were determined with qRT-PCR. Cell proliferation and migration were assessed with wound healing assay, Ki67 staining and cell count kit 8 (CCK8) assay with/without miR-138/-210/-335 inhibitor transfections. The miRNA downstream proteins, hypoxia inducible factor-1α (HIF-1α) and matrix metalloproteinase 9 (MMP9), were also determined with immunofluorescent staining. Sevoflurane and desflurane exposure to glioma cells inhibited their proliferation and migration. Sevoflurane exposure increased miR-210 expression whereas desflurane exposure upregulated both miR-138 and miR-335 expressions. The administration of inhibitor of miR-138, -210 or -335 inhibited the suppressing effects of sevoflurane or desflurane on cell proliferation and migration, in line with the HIF-1α and MMP9 expression changes. These data indicated that inhalational anesthetics, sevoflurane and desflurane, inhibited glioma cell malignancy via miRNAs upregulation and their downstream effectors, HIF-1α and MMP9, downregulation. The implication of the current study warrants further study.  相似文献   
39.
Knowledge based approach is effective for renovating design and manufacturing processes. The objective of this paper is to investigate roles and usages of expert engineering knowledge in high-quality manufacturing, and to study a practical knowledge capturing method for realizing engineering support tools. An engineer oriented interface for a capturing method is proposed, and a flexible representation framework is studied for various types of expert knowledge. An integrated knowledge-based system has been developed for mold design support. The results have been evaluated by design and manufacturing of molds for cellular phones, and have shown substantial reduction of lead time for mold production.  相似文献   
40.
The rates of absorption of oxygen into aqueous cuprous chloride solutions containing hydrochloric acid were measured at 15, 25 and 35°C using a baffled agitated vessel operated batchwise and the experimental results were analyzed with the chemical absorption theory. The reaction between oxygen and cuprous chloride was found to be second order, i.e. first order with respect to oxygen and CuCl2? ion which is the actual reactive species in aqueous cuprous chloride solutions containing hydrochloric acid. The reaction rate constants were calculated and correlated as a function of temperature.  相似文献   
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