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Social support and survival among women with breast cancer 总被引:1,自引:0,他引:1
BACKGROUND: Two recently reported randomized trials, one among patients with advanced breast cancer and the other among patients with early stage melanoma, suggested that social support may affect survival favorably. This study assesses relationships of social support indicators with 7-year survival among women diagnosed with localized or regional stage breast cancer. METHODS: All newly diagnosed patients with surgically treated localized or regional disease in seven Quebec City hospitals in 1984 were considered for this analysis. Among 235 eligible patients, 224 (95%) participated in a home interview 3 months after surgery. This interview provided information on the use of confidants in the 3 months after surgery. Data on disease and treatment characteristics were abstracted from patients' medical records. RESULTS: Compared with women who used no confidant in the 3 months after surgery, the hazard ratio for the 7-year period was 0.61 (95% confidence interval [CI], 0.33-1.12) among those who had used at least one confidant, 0.54 (95% CI, 0.28-1.06) in women who used two or more types of confidant, and 0.51 (95% CI, 0.22-1.18) among those whose confidants included either physician or nurse. These results were adjusted for age, presence of invaded axillary lymph nodes, adjuvant radiotherapy, and adjuvant systemic therapy (hormone or chemotherapy). CONCLUSION: These results support the view that social support may be associated with longer survival among women with localized or regional stage breast cancer. 相似文献
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Carbamoyl-phosphate synthetase (CPSase) consists of a 120-kDa synthetase domain (CPS) that makes carbamoyl phosphate from ATP, bicarbonate, and ammonia usually produced by a separate glutaminase domain. CPS is composed of two subdomains, CPS.A and CPS.B. Although CPS.A and CPS.B have specialized functions in intact CPSase, the separately cloned subdomains can catalyze carbamoyl phosphate synthesis. This report describes the construction of a 58-kDa chimeric CPSase composed of Escherichia coli CPS.A catalytic subdomains and the mammalian regulatory subdomain. The catalytic parameters are similar to those of the E. coli enzyme, but the activity is regulated by the mammalian effectors and protein kinase A phosphorylation. The chimera has a single site that binds phosphoribosyl 5'-pyrophosphate (PRPP) with a dissociation constant of 25 microM. The dissociation constant for UTP of 0.23 mM was inferred from its effect on PRPP binding. Thus, the regulatory subdomain is an exchangeable ligand binding module that can control both CPS.A and CPS.B domains, and the pathway for allosteric signal transmission is identical in E. coli and mammalian CPSase. A deletion mutant that truncates the polypeptide within a postulated regulatory sequence is as active as the parent chimera but is insensitive to effectors. PRPP and UTP bind to the mutant, suggesting that the carboxyl half of the subdomain is essential for transmitting the allosteric signal but not for ligand binding. 相似文献
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Summary The throughput of a satellite channel communication is depending upon the link protocol. It is well known that the classical HDLC protocol is inadequate when applied to satellite links instead of short terrestrial links. Several modifications have been proposed to overcome this problem. The present paper gives an analysis and evaluation of a new class of protocols called Virtual Subchannel schemes which splits the satellite link into several components; these subchannels are assigned for transmission in cyclic order and are controlled independently of each other by the classical HDLC procedure. 相似文献
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A simple electronic circuit is proposed as an analog of the excitable membrane. It is based on the Hodgkin-Huxley model and their squid axon voltage clamp data. The simulated potassium and sodium conductances are reproduced satisfactorily and the electronic action potentials are very similar to the experimentally recorded ones. Since this analog contains only a few electronic elements, it is small and inexpensive to build. It could be very useful as a means of simulating a wide variety of membrane conductances and different types of action potentials. Also, the simplicity of the circuit makes it an ideal unit to build complex neuron networks. 相似文献
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We have investigated the axial distribution of the liquid phase in a three-phase fluidized bed in which the particles were glass beads of two different diameters, 710-850 μm and 2 mm. Two methods were used to reduce the axial heterogeneity and homogenize the bed: the use of packing elements and the addition of a small quantity of a high molecular weight polymer. The use of packing elements was shown to be very efficient in controlling phases distribution in the bed. The packing consisted of 1 mm thick steel horizontal plates punched and stretched to obtain parallelogram-shaped openings. The addition of a high molecular weight polyisobutylene (BASF Oppanol B246, Mu, =6.15 Lo6) on the phase distribution was also studied. Low polymer concentrations up to 397 ppm (based on the liquid phase) were investigated. The addition of the polymer reduced bubble coalescence and allowed for a better distribution of the phases. 相似文献
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Recent progress in road and lane detection: a survey 总被引:2,自引:0,他引:2
The problem of road or lane perception is a crucial enabler for advanced driver assistance systems. As such, it has been an active field of research for the past two decades with considerable progress made in the past few years. The problem was confronted under various scenarios, with different task definitions, leading to usage of diverse sensing modalities and approaches. In this paper we survey the approaches and the algorithmic techniques devised for the various modalities over the last 5 years. We present a generic break down of the problem into its functional building blocks and elaborate the wide range of proposed methods within this scheme. For each functional block, we describe the possible implementations suggested and analyze their underlying assumptions. While impressive advancements were demonstrated at limited scenarios, inspection into the needs of next generation systems reveals significant gaps. We identify these gaps and suggest research directions that may bridge them. 相似文献
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