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Laryngeal tuberculosis was diagnosed in two men, a 73-year-old man Dutch by birth and a 40-year-old one Turkish by birth. In the former patient it was probably primary tuberculosis, in the latter secondary (he had lung tuberculosis as well). The clinical picture was highly suggestive of laryngeal carcinoma in both patients. They both recovered with chemotherapy. Laryngeal tuberculosis may mimic laryngeal carcinoma. The diagnosis is based on Ziehl-Neelsen staining, culture and polymerase chain reaction (PCR) on Mycobacterium tuberculosis. Because laryngeal tuberculosis is highly infectious, the patient has to be nursed in isolation and people in his or her environment have to be screened. The response of laryngeal tuberculosis to chemotherapy is good.  相似文献   
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Ethik in der Medizin - Die prospektive Analyse der ethischen Implikationen medizinisch-technischer Innovationen läuft immer auch Gefahr, sich in den Wunschbildern von Marketingexperten zu...  相似文献   
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In a longitudinal study, Q-sort patterns of German preschool children were analyzed for personality prototypes and related to developmental outcomes up to age 12. Q-factor analyses confirmed 3 prototypic patterns that showed a high continuity and cross-judge consistency; were similar to those found for North American, Dutch, and Icelandic children; and can be interpreted as resilient, overcontrolled, and undercontrolled. Relations reported by R. W. Robins, O. P. John, A. Caspi, T. E. Moffitt, & M. Stouthamer-Loeber (1996) between these 3 patterns and the Big Five were fully replicated. Growth curve analyses showed that the 3 patterns predicted important developmental outcomes in both the social and the cognitive domains. Evidence was found for both traits and types: A continuous dimension of resiliency bifurcates in its lower part into two relatively discrete personality types, overcontrollers and undercontrollers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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Three configurations have been developed to improve the understanding of structural element interactions in food material during deformation. The three configurations combine an inverted confocal scanning laser microscope (CSLM) and a cell that can apply to the sample a specific deformation: continuous shear, linear oscillatory shear and biaxial extension (compression).In the continuous shear and oscillatory shear configurations (OSCs), a zero-velocity plane is created in the sample by moving two plates in opposite direction, maintaining stable observation conditions of the structural behaviour under deformation. The OSC allows simultaneous application of CSLM and diffusing wave spectroscopy, a multiple light scattering technique. The third configuration (compression configuration) allows observation at a stagnation point during rheometric measurements. The configurations accept semi-liquid products (dressing, sauces, dairy products, etc.) for investigations in area such as aggregation, gelation, interactions at interface, coalescence, break-up.  相似文献   
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Lightweight advanced high strength steels (AHSS) with aluminum contents between 4 and 12 weight percent have been the subject of intense interest in the last decade because of an excellent combination of high strain rate toughness coupled with up to a 17% reduction in density. Fully austenitic cast steels with a nominal composition of Fe-30%Mn-9%Al-0.9%C are almost 15% less dense than quenched and tempered Cr-Mo steels (SAE 4130) with equivalent strengths and dynamic fracture toughness. This article serves as a review of the tensile and high-strain-rate fracture properties associated mainly with silicon additions to this base composition. In the solution-treated condition, cast steels have high work-hardening rates with elongations up to 64%, room-temperature Charpy V-notch (CVN) impact energies up to 200 J, and dynamic fracture toughness over 700 kJ/m2. Silicon additions in the range of 0.59–1.56% Si have no significant effect on the mechanical properties of solution-treated steels but increased the tensile strength and hardness during aging. For steels aged at 530°C to an average hardness of 310 Brinell hardness number, HBW, increasing the amount of silicon from 1.07% to 1.56% decreased the room temperature CVN breaking energy from 92 J to 68 J and the dynamic fracture toughness from 376 kJ/m2 to 265 kJ/m2. Notch toughness is a strong function of phosphorus content, decreasing the solution-treated CVN impact toughness from 200 J in a 0.006% P steel to 28 J in a 0.07% P steel. For age-hardened steels with 1% Si, increasing levels of phosphorus from 0.001% to 0.043% decreased the dynamic fracture toughness from 376 kJ/m2 to 100 kJ/m2.  相似文献   
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Lithium ion capacitors are new energy storage devices combining the complementary features of both electric double‐layer capacitors and lithium ion batteries. A key limitation to this technology is the kinetic imbalance between the Faradaic insertion electrode and capacitive electrode. Here, we demonstrate that the Li3VO4 with low Li‐ion insertion voltage and fast kinetics can be favorably used for lithium ion capacitors. N‐doped carbon‐encapsulated Li3VO4 nanowires are synthesized through a morphology‐inheritance route, displaying a low insertion voltage between 0.2 and 1.0 V, a high reversible capacity of ≈400 mAh g?1 at 0.1 A g?1, excellent rate capability, and long‐term cycling stability. Benefiting from the small nanoparticles, low energy diffusion barrier and highly localized charge‐transfer, the Li3VO4/N‐doped carbon nanowires exhibit a high‐rate pseudocapacitive behavior. A lithium ion capacitor device based on these Li3VO4/N‐doped carbon nanowires delivers a high energy density of 136.4 Wh kg?1 at a power density of 532 W kg?1, revealing the potential for application in high‐performance and long life energy storage devices.  相似文献   
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In a 19-year longitudinal study, the 15% most inhibited and the 15% most aggressive children at ages 4-6 years were followed up until age 23 years and were compared with controls who were below average in preschool inhibition or aggressiveness. As adults, inhibited boys and girls were judged as inhibited by their parents and showed a delay in establishing a first stable partnership and finding a first full-time job. However, only the upper 8% in terms of inhibition tended to show internalizing problems, including self-rated inhibition. Aggressive boys showed an externalizing personality profile in the parental and self-judgments, were educational and occupational underachievers, and showed a higher adult delinquency rate than the controls, even after sex and socioeconomic status were controlled. The results suggest delayed social transitions without internalizing problems for most male and female inhibited children and a significant long-term risk of an externalizing profile for aggressive children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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