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11.
While abundant clinical and angiographic data are available regarding features of acute or abrupt closure at the site of balloon angioplasty, little morphologic information is available. This study discusses morphologic-histologic causes for acute closure after angioplasty in 130 necropsy patients. Intimal-medial flaps, elastic recoil, and primary thrombosis were the three leading morphologic causes for closure. Data were subdivided into time categories: abrupt (< 1 day), acute (< 1 week), and early (< 1 month). Intimal-medial flaps remained the most common cause for angioplasty closure despite time from angioplasty to documented occlusion. Morphologic recognition of types and frequencies of angioplasty closure are discussed, and specific mechanical, pharmacologic, or combined treatments are reviewed.  相似文献   
12.
Although adaptive explanations for menstruation go back at least twenty-five hundred years, in the last decade two new hypotheses have been advanced. The first suggests that menstruation evolved to cleanse the uterus of pathogens introduced by sperm, and the second argues that the function of endometrial regression (with the associated menstruation in humans) is to save energy by getting rid of tissue, rather than maintaining it in the absence of an available blastocyst. Both these suggestions may be questioned on the grounds that they do not take into account the physiology of the reproductive processes involved. Menstruation is not an independent physiological process and is unlikely to have been selected for independently of the evolutionary events that led to it. Furthermore, most primitive menstruating animals would have menstruated infrequently, and many may have reproduced or died without ever menstruating. In order to provide a context for understanding how menstruation may have come about, the evolution of the female vertebrate reproductive tract is briefly reviewed. In later stages, the coevolution of the embryo and uterus resulted in an intimate association between the trophoblast and the uterine blood vessels. As the embryo became more invasive, the uterus responded with increased cellular growth and differentiation of the endometrium to accommodate it. This reached its peak in mammals (such as rodents and humans), where the embryo passes through the epithelium into the endometrial stroma, which responds with differentiation of cells and blood vessels. Progesterone, secreted after ovulation, plays a crucial role in preparation for pregnancy. In addition to its well-known effects on the uterus, progesterone may be important in suppressing the inflammatory reaction that would be expected in response to the presence of a foreign body, such as an embryo. It is also suggested that vascular and cellular differentiation of the endometrial stroma has evolved by adaptation of the inflammatory (granulation tissue) reaction. When progesterone levels fall at the end of the cycle, there is tissue breakdown and bleeding. The uterus then reforms for the next ovulatory cycle. It is shown that the female reproductive tract has multiple functions that must occur in sequence. The coevolution of the embryo and maternal tract thus led to the close contact of two genetically different tissues, and problems such as the inflammatory reaction had to be overcome. Menstruation is a necessary consequence of these evolutionary changes, and needed no adaptive value in order to evolve.  相似文献   
13.
The ability of several variables to distinguish unipolar deflections due to local activation from those due to nonlocal activity is studied. A model of polyphasic deflections based on atrial recordings during reentrant tachycardia was used to facilitate distinction of local and distant activity by methods independent of the test variables. The performances of variables were assessed by comparing areas under receiver operating characteristic curves. Optimal thresholds of test variables were identified by maximizing statistics which corrected for the pretest probability of local activation. It was found that the greatest negative first derivative of the unipolar potential discriminated between local and distant ventricular signals, but performed less well than the ratio of the first derivative to the potential for distinguishing between local atrial signals and distant ventricular signals. A linear combination of the potential and the ratio of the first derivative and the potential performed well for all groups of signals studied. Optimal criteria for detecting local activation are discussed  相似文献   
14.
Atrial natriuretic peptide (ANP) and sodium nitroprusside (SNP) increase cGMP in vascular smooth muscle cells and act as vasodilators in some, but not all, blood vessels. In this present study, we attempted to correlate the ability of these two agents to dilate blood vessels with the ability to increase cGMP in cultured vascular smooth muscle cells. In the isolated guinea pig heart, SNP dose-dependently increased coronary flow while ANP was ineffective. In smooth muscle cells cultured from the coronary system, SNP increased intracellular cGMP in a dose-dependent manner while ANP had no effect on cGMP in these cells. In isolated guinea-pig thoracic aorta, precontracted with K+, both ANP and SNP produced relaxation and ANP was the more potent. In smooth muscle cells cultured from the aorta, ANP and SNP increased cGMP and the potency relationship was similar to the intact vessel. These results support the view that phenotypic properties of vascular smooth muscle cells can account for differences in the response of blood vessels to vasodilators.  相似文献   
15.
More than half of all U.S. infants and toddlers spend at least 20 hr per week in the care of a nonparent adult. This article uses survival analysis to identify which families are most likely to place their child in care and the ages when these choices are made, using data from a national probability sample of 2,614 households. Median age at first placement is 33 months, but age varies by geographic region, mother's employment status during pregnancy, mother's education level, and family structure (1 vs. 2 parents, mother's age at 1st birth, and number of siblings). Controlling for these effects, differences by race and ethnicity are small. Implications for studies of child-care selection and evaluations of early childhood programs are discussed.  相似文献   
16.
Partial evaluation is a symbolic manipulation technique used to produce efficient algorithms when part of the input to the algorithm is known. Other applications of partial evaluators such as universal compilation and compiler generation are also known to be possible. A partial evaluator receives as input a program and partially known input to that program, and outputs a residual program which should run at least as efficient as the input program with restricted input. In this paper we study the case where both the input and residual programs are logic programs, being the partial evaluator itself a logic program. Up to now, partial evaluators have failed to process large “non=toy” examples. Here we present extensions to partial evaluators whic will allow us to produce more efficient residual programs using less computing resources, during partial evaluation. First, the introduced extensions allow the processing of large examples, which is not possible with the previous techniques. This is now possible since the extensions use less CPU time and memory consumption during the partial evaluation process. Second, the extended partial evaluator produces smaller residual programs, producing important CPU time optimizing effects. With the standard techniques, a partial evaluator will most probably act as a pessimizer, not as an optimizer. Examples are given.  相似文献   
17.
18.
Data on the growth of cracks tested in aqueous solutions were interpreted in terms of surface force theory. For applied stress intensity factors greater than 0.25 MPa · m½, the position and the slope of the curves and their dependence on pH and ion concentration can be explained in terms of surface force theory, provided these forces are of a magnitude and range that are representative of those involved in the cohensive bonding of solids. Weaker forces, such as structural, double-layer, or dispersion forces, have little effect on crack growth in silica glass for K I > 0.25 MPa · m½.  相似文献   
19.
中国加入WTO后,中国洗涤用品行业面临着新的机遇与挑战,中国洗涤用品市场将面临更加激烈的竞争。由于环保的呼声越来越高,中国已开始在部分地区禁磷。中国洗涤用品工业将如何发展,其前景如何,专家的看法又如何,就这些问题本刊专访了有关人士。  相似文献   
20.
Modifications in hardware, including the addition of a computer, and in operating procedures, were made to a commercial mercury porosimeter to facilitate thermal and mechanical equilibration. These modifications reduce temperature changes in the hydraulic fluid which cause an ‘apparent hysteresis’ even in the mercury-only blank. These modifications also allow the allocation of additional time for slow processes such as mercury extrusion from the porous samples analyzed in this work.Hysteresis observed between intrusion and extrusion mercury porosimetry data has been interpreted by a generalized analysis. Without specifying a particular pore shape, detailed features of sample compaction, mercury retention, and contact-angle changes can be identified by this method. The hysteresis in the mercury porosimetry data of the samples analyzed in this work are completely consistent with contact-angle hyteresis.  相似文献   
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