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61.
From Dec 23, 1978, through Jan 31, 1979, an outbreak of five laboratory-confirmed cases and four clinical cases of measles occurred in a Vietnamese refugee population living in a single housing complex in Albuquerque, NM. The index cases were in two refugee siblings in whom measles was incubating on arrival in the United States. Despite spread through three subsequent generations of disease transmission within the Vietnamese population, there was no additional spread into the general Albuquerque population. Responsible factors included the age distribution of susceptible persons, the social isolation of the refugee population, and the physical structure of the housing complex. There is a need to identify the problem of imported measles in "ethnic islands" in need of vaccination.  相似文献   
62.
Upon further investigation of the recently reported electrocatalytic oxidation of 1,4-cyclohexadiene to benzene by Rh2(TM4) 4 +2 (TM4=2,5-diisocyano-2,5-dimethylhexane), we have obtained data which strongly implicates the 2e oxidized d7-d7 complex as the electroactive species. This contrasts with the original report which suggested that the le oxidized d7-d8 radical acted as the key species via hydrogen atom abstraction from 1,4-cyclohexadiene. A possible mechanism for the catalysis is proposed.  相似文献   
63.
From January, 1962, through December, 1973, 1,084 patients with cancer of the intrinsic larynx were treated at the Mayo Clinic. Of the 1,084 patients, 136 were retreated after radiation therapy failed to cure their cancer (105 glottic, 30 supraglottic, and one subglottic cancers). Recurrence of glottic cancer was generally recognized later than recurrences in the supraglottic area; likewise, glottic cancers were more advanced at recurrence than supraglottic growths. When feasible, conservation surgery was carried out on both glottic and supraglottic growths. Unfortunately, many growths were too advanced for conservation surgery by the time recurrence was recognized. The concept of "radiate-and-watch" for early glottic and supraglottic cancers is designed to save larynges. The concept is not supported by this study.  相似文献   
64.
The clinical function of patients receiving home care after five surgical procedures was assessed. Hospital patients who normally would have received minimal nursing care at the end of their hospital stay were randomly assigned to an experimental home-care group or a control group who were discharged from hospital after the normal length of stay. Comprisons of "untoward events" (discomfort, infection, delayed healing, or complications) are reported for the two groups in five surgical categories (varicose vein stripping, herniorrhaphy, cholecystectomy, anal and rectal operations and abdominal hysterectomy) where the home-care program operated efficientyl. No apparent differences in the rates of untoward events were noted between hospital and home-care groups. It is concluded that home care should be considered for reasons other than clinical function, such as socio-economic functioning, the wishes of the patient, or more efficient use of hospital space.  相似文献   
65.
Although molecule‐based materials can combine physical and chemical properties associated with molecular‐scale building blocks, their successful integration into real applications depends also on higher‐order properties, such as crystal size, shape, and organization. New approaches involving templating and self‐ or facilitated assembly of nanoscale building blocks to prepare novel multifunctional molecular magnetic materials with complex form and organization are described.  相似文献   
66.
This article deals with plasma ion-nitrocarburising and high power diode laser (HPDL) surface treatment of 13Cr4Ni and X10CrNiMoV1222 martensitic stainless steels to enhance their cavitation erosion resistance. These steels are commonly used in hydro turbines and boiler feed pumps. These treated steels have been evaluated for cavitation erosion resistance and it has been observed that the plasma ion-nitrocarburising process has significantly enhanced the cavitation erosion resistance as compared to untreated steel whereas HPDL-treated steels have shown marginal improvement. This is due to formation of high hardness nitrides during nitrocarburising and formation of moderate hardness martensitic phase due to rapid heating and cooling rates involved in HPDL treatment. The cavitation erosion and micro-hardness data of plasma ion-nitrocarburized as well as HPDL-treated steel samples and their comparison with hard deposits such as stellite and HVOF coating form the main part of the article.  相似文献   
67.
Twin wire arc-sprayed (TWAS) coating of commercially available SHS 7170-cored wire was obtained on Ti6AL4V alloy, and to improve its properties, it was further surface treated with high-power diode laser (HPDL). The cavitation erosion (CE) resistance of TWAS-coated samples was evaluated as per ASTM G-32-2003 and it was compared with laser-treated and untreated Ti6Al4V alloys. The CE resistance of TWAS-coated SHS 7170 samples after HPDL treatment has improved significantly. The main reasons for its improvement are elimination of pores, increased fracture toughness, reduced hardness, and brittleness. The CE resistance of HPDL-treated TWAS coating is compared with water droplet erosion resistance. It is observed that there is a similarity in the both the phenomenon.  相似文献   
68.
Wireless Personal Communications - Energy efficient routing in wireless sensor networks (WSNs) require non-conventional paradigm for design and development of power aware protocols. Swarm...  相似文献   
69.
Terror Management Theory (TMT) suggests that mortality salience (MS), or death reminders, should impact environmental behaviour and decision-making by increasing consumption and resource usage, shifting aesthetic preferences toward cultivated landscapes, and affecting adherence to environmental norms. We examined MS effects on residential flood risk perceptions in Toronto, Canada, following the major urban flood in July 2013. Survey responses were analyzed to assess risk perceptions across nine categories; analyses through the Wilcoxon-Mann–Whitney test show statistically insignificant differences between MS and control groups for all subcategories. Coupled with the TMT literature, the results indicate that existential anxiety is more likely to affect flood risk perceptions through worldview defense when the social dimension of flooding is made clear. Toronto residents’ societal beliefs about flooding play a major role in guiding flood management strategies. Our results provide scholarly and practical direction for flood risk communication strategies to promote the adoption of private flood-prevention measures, suggesting that anthropocentric framing of flooding issues will not induce negative environmental behaviour and may increase concern for flooding issues.  相似文献   
70.
The Drop and Tilt tool position method for five-axis machining positions a toroidal tool to have two points of contact with a tensor product Bézier surface. The method results in high order simultaneous non-linear transcendental equations that are slow to solve. In this paper, an efficient numerical implementation of the Drop and Tilt Method of multi-point tool positioning on tensor product surfaces is presented. The method was implemented in C++, and is a direct method that does not convert the tensor product surface into an intermediate representation such as triangles or point clouds. The method is successfully demonstrated on a number of tensor product Bézier surfaces.  相似文献   
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