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71.
72.
Y Zhang HP Hetherington EM Stokely GF Mason DB Twieg 《Canadian Metallurgical Quarterly》1998,39(6):999-1004
OBJECTIVE: To report our experience with erosion of permanent suture or mesh material after abdominal sacrocolpopexy. METHODS: A retrospective chart review was performed to identify patients who underwent sacrocolpopexy by the same surgeon over 8 years. Demographic data, operative notes, hospital records, and office charts were reviewed after sacrocolpopexy. Patients with erosion of either suture or mesh were treated initially with conservative therapy followed by surgical intervention as required. RESULTS: Fifty-seven patients underwent sacrocolpopexy using synthetic mesh during the study period. The mean (range) postoperative follow-up was 19.9 (1.3-50) months. Seven patients (12%) had erosions after abdominal sacrocolpopexy with two suture erosions and five mesh erosions. Patients with suture erosion were asymptomatic compared with patients with mesh erosion, who presented with vaginal bleeding or discharge. The mean (+/-standard deviation) time to erosion was 14.0+/-7.7 (range 4-24) months. Both patients with suture erosion were treated conservatively with estrogen cream. All five patients with mesh erosion required transvaginal removal of the mesh. CONCLUSION: Mesh erosion can follow abdominal sacrocolpopexy over a long time, and usually presents as vaginal bleeding or discharge. Although patients with suture erosion can be managed successfully with conservative treatment, patients with mesh erosion require surgical intervention. Transvaginal removal of the mesh with vaginal advancement appears to be an effective treatment in patients failing conservative management. 相似文献
73.
The Drug Evaluation Classification Program: using ocular and other signs to detect drug intoxication
EM Kosnoski RL Yolton K Citek CE Hayes RB Evans 《Canadian Metallurgical Quarterly》1998,69(4):211-227
BACKGROUND: A systematic approach to determining drug intoxication has been developed for use by police officers. By considering specific physiological signs, trained officers can detect the effects of seven major drug types. METHODS: Officers follow a 12-step testing sequence and evaluate signs such as pupil sizes and responses, eye movements, heart rate, body temperature, mental timing, and balance. A matrix is then used to compare that subject's signs to those that would be produced by the seven types of drugs. If a pattern match is found, the officer concludes that the subject is under the influence of a drug and specifies the drug type. RESULTS: Several field and laboratory validation studies have been conducted using these procedures. In general, officers were 70% to 90% accurate in determining intoxication status and drug classification, but poly-drug use and drug rebound effects can sometimes cause problems in interpretation. CONCLUSION: Ocular and other physiological signs can be used to detect drug intoxication and classify the type of drug taken. Knowledge of the procedures used in the Drug Recognition Program can enable optometrists to serve as consultants to the police and as expert witnesses in cases involving the use of ocular signs that indicate illicit drug use. 相似文献
74.
Y Yamada EM Webber I Kirillova JJ Peschon N Fausto 《Canadian Metallurgical Quarterly》1998,28(4):959-970
We used KO mice lacking either TNF receptor 1 (TNFR-1) or receptor 2 (TNFR-2) to determine whether signaling at the start of liver regeneration after partial hepatectomy (PH) involves only one or both TNF receptors and to analyze in more detail the abnormalities caused by lack of TNFR-1 receptor, which is required for the initiation of liver regeneration. Lack of TNFR-2 had little effect on NF-kappaB and STAT3 binding, and no effect in interleukin-6 production after PH, but caused a delay in AP-1 and C/EBP binding and in the expression of c-jun and c-myc messenger RNA (mRNA). In contrast to mice lacking TNFR-1, which had deficient hepatocyte DNA synthesis and massive lipid accumulation in hepatocytes, TNFR-2 KO mice had normal liver structure and similar levels of hepatocyte DNA replication as those of wild type mice. We conclude that TNFR-1, but not TNFR-2, is necessary for liver regeneration, and that NF-kappaB and STAT3 binding are activated by signals transduced by TNFR-1. Inhibition of AP-1 and C/EBP binding and in the expression of c-jun and c-myc mRNA in the first 4 hours after PH, as well as the apparent lack of Fos in AP-1 complexes, had no effect on the timing or extent of DNA replication. 相似文献
75.
Quinine and quinidine are reported to potentiate the behavioural effects of serotonergic agents and monoamine uptake inhibitors. We have therefore investigated the presynaptic actions of quinine and quinidine on monoamine uptake and release in rat brain tissue in vitro. Quinidine evoked the release of [3H]5-HT, [3H]noradrenaline and [3H]dopamine from pre-loaded rat brain slices in a concentration dependent manner with EC50 values of 175, 486 and 150 microM, respectively. Quinine induced [3H]monoamine release with similar potencies. Both quinine and quinidine also inhibited the active uptake of [3H]5-HT, [3H]noradrenaline and [3H]dopamine into rat brain synaptosomes with IC50 values in the range 0.13-12.4 microM. The potency of each drug to inhibit [3H]5-HT uptake was significantly higher than that for [3H]noradrenaline or [3H]dopamine. The relative potency of quinidine compared to quinine was more marked in the case of [3H]5-HT (58-fold) than for [3H]noradrenaline (3-fold) or [3H]dopamine (4-fold). The inhibition of [3H]5-HT uptake by quinine and quinidine was competitive in nature and corresponded with the potencies of these drugs to inhibit [3H]paroxetine binding. No correlation was observed between the potencies of quinine and quinidine to induce the release of [3H]monoamines and to inhibit their uptake, suggesting that these effects are mediated by two distinct mechanisms. We conclude that the presynaptic actions of quinine and quinidine on monoamine uptake and release may be implicated in their potentiation of the effects of serotonergic agents and uptake blockers. 相似文献
76.
Reward information is processed in a limited number of brain structures, including fronto-basal ganglia systems. Dopamine neurons respond phasically to primary rewards and reward-predicting stimuli depending on reward unpredictability but without discriminating between rewards. These responses reflect 'errors' in the prediction of rewards in correspondence to learning theories and thus may constitute teaching signals for appetitive learning. Neurons in the striatum (caudate, putamen, ventral striatum) code reward predictions in a different manner. They are activated during several seconds when animals expect predicted rewards. During learning, these activations occur initially in rewarded and unrewarded trials and become subsequently restricted to rewarded trials. This occurs in parallel with the adaptation of reward expectations by the animals, as inferred from their behavioral reactions. Neurons in orbitofrontal cortex respond differentially to stimuli predicting different liquid rewards, without coding spatial or visual features. Thus, different structures process reward information processed in different ways. Whereas dopamine neurons emit a reward teaching signal without indicating the specific reward, striatal neurons adapt expectation activity to new reward situations, and orbitofrontal neurons process the specific nature of rewards. These reward signals need to cooperate in order for reward information to be used for learning and maintaining approach behavior. 相似文献
77.
KG Davey AD Holmes EM Johnson A Szekely DW Warnock 《Canadian Metallurgical Quarterly》1998,36(4):926-930
The FUNGITEST method (Sanofi Diagnostics Pasteur, Paris, France) is a microplate-based procedure for the breakpoint testing of six antifungal agents (amphotericin B, flucytosine, fluconazole, itraconazole, ketoconazole, and miconazole). We compared the FUNGITEST method with a broth microdilution test, performed according to National Committee for Clinical Laboratory Standards document M27-A guidelines, for determining the in vitro susceptibilities of 180 isolates of Candida spp. (50 C. albicans, 50 C. glabrata, 10 C. kefyr, 20 C. krusei, 10 C. lusitaniae, 20 C. parapsilosis, and 20 C. tropicalis isolates) and 20 isolates of Cryptococcus neoformans. Overall, there was 100% agreement between the methods for amphotericin B, 95% agreement for flucytosine, 84% agreement for miconazole, 83% agreement for itraconazole, 77% agreement for ketoconazole, and 76% agreement for fluconazole. The overall agreement between the methods exceeded 80% for all species tested with the exception of C. glabrata (71% agreement). The poorest agreement between the results for individual agents was seen with C. glabrata (38% for fluconazole, 44% for ketoconazole, and 56% for itraconazole) and C. tropicalis (50% for miconazole). The FUNGITEST method misclassified as susceptible 2 of 12 (16.6%) fluconazole-resistant isolates, 2 of 10 (20%) itraconazole-resistant isolates, and 4 of 8 (50%) ketoconazole-resistant isolates of several Candida spp. Further development of the FUNGITEST procedure will be required before it can be recommended as an alternative method for the susceptibility testing of Candida spp. or C. neoformans. 相似文献
78.
D. E. Spahr K. Friedrich J. M. Schultz R. S. Bailey 《Journal of Materials Science》1990,25(10):4427-4439
Microstructure and fracture mechanical behaviour of injection-moulded, longer glass fibrereinforced polypropylene (Verton* aspect ratio 320) were studied as a function of fibre volume fraction and compared to that of shorter fibre-filled polypropylene (aspect ratio 70). Toughness was measured using instrumented notched lzod and falling weight impact tests, as well as compact tension specimens. It was found that the addition of longer fibres generally increased the toughness of the material, although more significant increases were seen in the impact tests than were seen in the compact tension test. For the latter results, a correlation between toughness improvement and microstructural details was performed on the basis of the microstructural efficiency concept, a semi-empirical approach of the formK
c,C = (a* +nR)K
c,M, where,K
c,C andK
c,M are the fracture toughnesses of the composite and the matrix, respectively,a* is a matrix stress correction factor,n is a scaling parameter andR is a fibre reinforcement effectiveness factor. The latter corrects for differences in the composite microstructures, and incorporates effective fibre orientation factors, layering of injection moulded parts, and fibre volumes in the different layers.Nomenclature
a
crack length
-
a
*
matrix toughness correction factor
-
A
cross-sectional area
-
B
thickness of the sample plaques
-
C
thickness of the composite core regions
-
E
peak
energy adsorbed up to the maximum force in the impact load-displacement curve
-
E
t
tensile modulus
-
F
max
maximum force in impact force-displacement curves
-
f
p
fibre orientation factor
-
f
pe
effective orientation factor
-
f
pe,C
effective orientation parameter, core region
-
f
pe, s
effective orientation parameter, surface region
-
F
critical load in the tensile test load-displacement curves
-
K
c
critical stress intensity factor/fracture toughness
-
K
L
fracture toughness of the composite materials
-
K
d
dynamic fracture toughness
-
K
L
fracture toughness of the matrix
-
L
test with crack parallel to the mould filling direction
-
M
microstructural efficiency factor
-
n
scaling parameter for reinforcement effectiveness factor (energy absorbtion ratio)
-
R
reinforcement effectiveness factor
-
S
thickness of the composite surface regions
- T
test with crack perpendicular to the mould filling direction
-
V
f
fibre volume fraction
-
V
m
matrix volume fraction (= 1 —V
f)
-
W
specimen width
-
W
f
fibre weight fraction
-
W
m
matrix weight fraction (= 1 —W
f)
-
X
n
number average fibre length
-
X
v
volume average fibre length
-
Y(a/ W)
polynomial correction for compact tension specimens
-
variable in effective orientation factor formula
-
variable in effective orientation factor formula
- B
strain to break
- c
density of the composite
- f
fibre density
- m
matrix density
- F
fracture strength
-
fibre angle with respect to a reference direction 相似文献
79.
80.
Schultz S 《Computers in healthcare》1992,13(13):32-4, 36-7
A group of 60 university hospitals and medical centers has evolved from its original goal of gaining greater purchasing clout to a new goal: The University Hospital Consortium is becoming an information corporation, with the enormous information potential to affect treatment outcomes, practice patterns and clinical research. Sam Schultz, UHC's vice president of Information Services, tells Computers in Healthcare his organization is on the verge of a new age of discovery. 相似文献