The influence of breast size on late radiation effects and association with radiotherapy dose inhomogeneity

A prospective assessment of late changes in breast appearance in 559 patients after tumour excision and radiotherapy for early breast cancer noted a strong association with breast size. Only 3/48 (6%) patients with small breasts developed moderate or severe late changes compared with 94/423 (22%) with medium sized breasts and 34/88 (39%) patients with large breasts (p < 0.001). One possibility is that greater radiation changes are related to greater dose inhomogeneity in women with large breasts. To explore this hypothesis, radiation dose distributions were assessed in a separate group of 37 women in whom three-level transverse computer tomographic images of the breast in the treatment position were available. A significant correlation was found between breast size and dose inhomogeneity which may account for the marked changes in breast appearance reported in women with large breasts.     

Exit of the pre-TCR from the ER/cis-Golgi is necessary for signaling differentiation, proliferation, and allelic exclusion in immature thymocytes

A major issue is whether surface expression of the pre-TCR is necessary for signaling the development of immature thymocytes. To address this question, we generated transgenic mice expressing a TCRbeta chain that had a strong endoplasmic reticulum (ER) retrieval signal (TCRbetaER) and that was expressed intracellularly but failed to reach the cell surface. In TCRbetaER transgenic mice, there was a failure of allelic exclusion. Also, the transgene failed to rescue the developmental defects observed in TCRbeta-null mice. In contrast, TCRbeta transgenes with a mutant ER retrieval sequence or lacking this sequence signaled efficient allelic exclusion and suppressed the TCRbeta-/- defect. These data show that exit of the pre-TCR from the ER/cis-Golgi is required for progression through the double-negative thymocyte checkpoint.     

An ergonomic evaluation of nursing assistants' job in a nursing home.

Thirty-eight nursing assistants (NAs) in a nursing home ranked and rated 16 different patient handling tasks for perceived stresses to the low back. The nursing assistants were observed for 79 4 h shifts and were videotaped for 14 4 h shifts to describe a typical workday and to determine the number of patient-handling tasks performed per shift, the use of assistive devices, and biomechanical stresses to the low back. In addition, data were collected on nursing assistants' and patients' characteristics. The top eight ranked tasks included transferring patient from toilet to wheelchair (WC), WC to toilet, WC to bed, bed to WC, bathtub to WC, chairlift to WC, weighing patients and lifting patients up in bed. The mean ratings of perceived exertion for these tasks were between 'somewhat hard' and 'hard'. The estimated compressive force on L5/S1 disc for the 50th percentile patient weight ranged from 3.7 to 4.9 KN. Nursing assistants worked in teams of two and performed 24 patient transfers per 8 h shift by manually lifting and carrying patients. Assistive devices (a hydraulic lift and gait belt) were used less than 2% of the time. Patient safety and comfort, lack of accessibility, physical stresses associated with the devices, lack of skill, increased transfer time, and lack of staffing were some of the reasons for not using these assistive devices. Environmental barriers (such as confined workplaces, an uneven floor surface, lack of adjustability of beds, stationary railings around the toilet, etc.) made the job more difficult. Nursing assistants had a high prevalence of low-back pain and 51% of nursing assistants visited a health care provider in the last three years for work related low-back pain.     

便携机的法律缺陷

便携媒体播放机促成了更多的无意识盗版行为,未经许可复制DVD与制作音频C D副本一样是违法的。     

A sensing strategy for the reverse engineering of machined parts

The reverse engineering of machined parts requires sensing an existing part and producing a design (and perhaps a manufacturing process) for it. We have developed a reverse engineering system that has proven effective with a set of machined parts. This paper describes the system, presents some results, and discusses strategy for a new system.This work was supported by ARPA under ARO grant number DAAH04-93-G-0420, DARPA grant N00014-91-J-4123, NSF grant CDA 9024721, and a University of Utah Research Committee grant. All opinions, findings, conclusions or recommendations expressed in this document are those of the authors and do not necessarily reflect the views of the sponsoring agencies.     

Impact of Preferential P-Diffusion Along the Grain Boundaries on Fine-Grained Polysilicon Solar Cells

Thin-film polysilicon solar cells are a promising low-cost alternative for bulk silicon solar cells due to their reduced material thickness. Recently, we showed that the use of an amorphous silicon/polycrystalline silicon heterojunction emitter instead of a diffused homojunction emitter led to a boost in the open-circuit voltage by 90 mV. Now, we present a full evidence that shows that this improvement is related to the absence of dopant smearing along the grain boundaries. By using scanning spreading resistance microscopy, we found an enlargement of the junction area by a factor of five in case of a homojunction. The tips of the dopant spikes represent lowly doped areas with an enhanced recombination.     

Visual-kinesthetic dissociation in treatment of victims of rape.

A visual–kinesthetic (V–K) dissociation procedure of neurolinguistic programming (NLP) was used in treating rape-induced anxiety and phobic reactions in 2 18- and 19-yr-old rape victims. NLP theory suggests that anxiety reactions experienced by rape victims is a function of the interrelated processes of synesthesia and anchoring. In these 2 case reports, the use of the V–K dissociation technique is explored. From this preliminary basis, further research entailing the use of this treatment procedure is suggested. Implications for clinical practice are noted. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Analysis of first ply failure in composite laminates

The mechanics of transverse cracking in an elastic fibrous composite ply is explored for the case of low crack density. Cracks are assumed to initiate from a nucleus created by localized fiber debonding and matrix cracking. It is found that cracks may propagate in two directions on planes which are parallel to the fiber axis and perpendicular to the midplane of the ply. In general, crack propagation in the direction of the fiber axis controls the strength of thin plies, while cracking in the direction perpendicular to the fiber axis determines the strength of thick plies. The theory relates ply thickness, crack geometry and ply toughness to ply strength. It predicts a significant increase in strength with decreasing ply thickness in constrained thin plies. The strength of thick plies is found to be constant, but it may be reduced by preexisting damage. Results are illustrated by comparison with experimental data.     

Criteria for judging the admissibility of eyewitness testimony of long past events.

Court cases of recovered memories of childhood abuse, in which the victim's testimony may constitute the only evidence available, and a growing body of research demonstrating the inexactitude and suggestibility of autobiographical memory of long past events, are forcing courts and cognitive scientists to seek scientific, principled criteria for admissibility of such testimony. The authors use as examples 2 recent court cases. In the 1st case, a concussion produced total retrograde amnesia for an accident for a period of 3 years, and then, over a few months, the driver claimed his memory returned. In the 2nd, 2 adults reported to the police that they witnessed their sister's murder 35 years earlier, when they were 3 and 5 years old, respectively. The authors provide objective guidelines for courts to determine whether testimony about recovered or very-long-term memory for eyewitnessed events should be admissible. The principles outlined can be expanded easily to include eyewitness testimony in general. (PsycINFO Database Record (c) 2010 APA, all rights reserved)