Using previously applied methods a survey of joint symptoms was undertaken among 4232 adults, evenly distributed between affluent and poor areas of Karachi, Pakistan. Only six cases of definite rheumatoid arthritis (RA) (1958 ARA criteria) were identified in the 245 persons who complained of joint problems of at least 4 weeks duration. The prevalence was 0.9 [confidence interval (CI) 0.21-3.61] and 1.98 (CI 0.55-5.1) per thousand in the poor and affluent districts, respectively. These were substantially less than prevalence rates reported in the West but were similar to figures derived from other developing countries. There was no obvious impact of current living standards on the findings. The relative paucity of older female subjects in both the affluent and poor communities may account at least in part for the low rates observed. The infrequency of rheumatoid nodules in Southern Asians with RA illustrates the difficulty of applying existing diagnostic criteria to this community. 相似文献
In this technical note, a thin circular plate resting on a two-parameter (Pasternak-type) foundation is studied under concentrated central and distributed loads. The governing equations of the plate are derived for static loading case considering the lift off (uplift) of the plate from the foundation. For the approximate solution, a Galerkin technique is adopted and the free vibration mode shapes of the completely free plate are chosen as the displacement functions. The technique yields a system of algebraic nonlinear equations, and its solution is accomplished by using an iterative method. The numerical results are obtained for evaluation of the behavior of the plate and then given comparatively in figures. Although in the case of a tensionless Winkler foundation, the lift off of the plate from the foundation takes place, when the displacement of plate is negative, while in case of the two-parameter foundation the lift off appears when the slopes of the foundation surface and that of the plate are not equal. 相似文献
PURPOSE: Gabapentin (GBP), lamotrigine (LTG), tiagabine (TGB), topiramate (TPM), vigabatrin (VGB), and zonisamide (ZNS) are all in use as "add-on" treatment for patients with refractory epilepsy. There have been no comparative randomized controlled trials allowing an evidence-based choice between these drugs. We report a series of meta-analyses of randomized placebo-controlled add-on trials in which these drugs have been tested in patients with partial epilepsy. This work provides an estimate of each drug's efficacy and tolerability compared with placebo. These estimates are compared across drugs to give broad estimates of comparative efficacy and tolerability. METHODS: Trial reports were found by searching Medline, by searching through journals by hand, and by contacting the pharmaceutical industry. The outcomes chosen were the proportion of patients who (a) have a > or = 50% reduction in seizure frequency (50% responders); (b) withdrew from the study (any reason); or (c) reported the following side effects: ataxia, dizziness, fatigue, nausea, or somnolence. Overall odds ratio (OR) with 95% confidence intervals (CIs; 50% responders) or 99% CIs; side effects) were calculated. RESULTS: Twenty-nine trials were included, representing 4,091 randomized patients. The ORs for 50% response (95% CI) were GBP, 2.29 (1.53-3.43); LTG, 2.32 (1.47-3.68); TGB, 3.03 (2.01-4.58); TPM, 4.07 (2.87-5.78); VGB, 3.67 (2.44-5.51); and ZNS, 2.7 (1.36-4.47). ORs for discontinuation were GBP, 1.36 (0.75-2.49); LTG, 1.19 (0.79-1.79); TGB, 1.81 (1.21-2.70); TPM, 2.56 (1.64-4.00); VGB, 2.58 (126-5.27); and ZNS, 4.23 (1.71-10.49). CONCLUSIONS: We have clear evidence that each of these drugs is better than placebo at preventing seizures. When results are compared across drugs, the confidence intervals overlap, and we have no conclusive evidence of differences in efficacy or tolerability. Despite this, the agent that appears most effective may be twice as effective as the agent that appears least effective, and the agent that appears most likely to cause discontinuation may be 4 times more likely to do so than the treatment that appears least likely to do so. Comparative randomized studies are needed further to evaluate these drugs. 相似文献
In this article, the Cattaneo–Christov heat flux model is implemented to study non-Fourier heat and mass transfer in the magnetohydrodynamic flow of an upper-convected Maxwell fluid over a permeable stretching sheet under a transverse constant magnetic field. Thermal radiation and chemical reaction effects are also considered. The nonlinear partial differential conservation equations for mass, momentum, energy and species conservation are transformed with appropriate similarity variables into a system of coupled, highly nonlinear ordinary differential equations with appropriate boundary conditions. Numerical solutions have been presented for the influence of elasticity parameter (α), magnetic parameter (M2), suction/injection parameter \((\lambda ),\) Prandtl number (Pr), conduction–radiation parameter (Rd), sheet stretching parameter (A), Schmidt number (Sc), chemical reaction parameter \(\left( {\gamma_{c} } \right)\), modified Deborah number with respect to relaxation time of heat flux (i.e., non-Fourier Deborah number) on velocity components, temperature and concentration profiles using the successive Taylor series linearization method (STSLM) utilizing Chebyshev interpolating polynomials and Gauss–Lobatto collocation. The effects of selected parameters on skin friction coefficient, Nusselt number and Sherwood number are also presented with the help of tables. Verification of the STSLM solutions is achieved with existing published results demonstrating close agreement. Further validation of skin friction coefficient, Nusselt number and Sherwood number values computed with STSLM is included using Mathematica software shooting quadrature.
2-Hydroxy-3-(1-naphthyloxy)propyl methacrylate (NOPMA) monomer was synthesized from reaction of 2-[(2-naphthyloxy)methyl]oxirane with methacrylic acid in the presence of pyridine. The polymerization of NOPMA was carried out by free radical polymerization method in the presence of AIBN at 60 °C. The structure of monomer and polymer was characterized by 1H-NMR, 13C-NMR and FT-IR spectroscopy techniques. The glass transition temperature and average-molecular weights of poly(NOPMA) were measured using differential scanning calorimetry and gel permeation chromatography, respectively. The thermal degradation behavior of poly(NOPMA) has been investigated by FT-IR studies of the partially degraded polymer and thermogravimetry. The cold ring fractions (CRFs) were collected at two different temperatures, initially fraction-1 (CRF1) is from room temperature to 320 °C, and the other fraction-2 (CRF2) is from 320 to 500 °C. The volatile products of the degradation were trapped at ?195 °C (in liquid nitrogen). All the fractions were characterized by FT-IR, 1H and 13C-NMR spectroscopic techniques, and the cold ring fractions (CRFs) were also characterized by GC–MS. For the degradation of polymer, the major compound between products of CRFs is α-naphthol. The GC–MS, FT-IR and NMR data showed that depolymerization corresponding to monomer was not prominent below 320 °C in the thermal degradation of poly(NOPMA). The mode of thermal degradation containing formation of the major products was identified. The dielectric permittivity (ε′), the loss factor (ε″) and conductivity (σac) were measured using a dielectric analyzer in the frequency range of 50 Hz to 20 kHz. 相似文献
The aim of this study is to investigate the process of friction stir welding (FSW) by using finite element method (FEM). Currently, the materials that are difficult to be joined with conventional fusion methods can now be easily joined with the method of friction stir welding. In this paper, the welding capability of many different materials with this method has been investigated by using analytical and numeric methods. In this study, a finite element (FE) model was developed for welding process with friction stir welding of AZ31 magnesium alloy. This model was performed by the software of DEFORM 3D finite element in 960, 1,964, and 2,880 rpm rotational speeds and in 10 and 20 mm?min?1 transverse speeds. The temperature values taken from experiments and the temperature values with FEM are compared, and according to these results, it can be stated that the FE model gives reasonable results with experimental results based on temperatures values. Hence, the FE model can be used to predict other parameters of FSW process in future studies. 相似文献