Randomized trial of breast self-examination in Shanghai: methodology and preliminary results

BACKGROUND: The efficacy of breast self-examination in helping to reduce mortality from breast cancer has not been rigorously demonstrated. PURPOSE: To assess efficacy, a large, randomized trial was initiated in Shanghai, China. METHODS: From October 1989 to October 1991, 267040 current and retired female employees associated with 520 factories in the Shanghai Textile Industry Bureau were randomly assigned on the basis of factory to either a self-examination instruction group (133375 women) or a control group (133665 women). The women were born within the period from 1925 through 1958. Women in the instruction group were given intensive training in breast self-examination, including the use of silicone breast models and personalized instruction, plus two subsequent reinforcement sessions and multiple reminders to practice the technique. Women in the control group were asked to attend training sessions on the prevention of low back pain. All women have been followed for the development of breast diseases and for death from breast cancer. RESULTS: A high level of participation during the first 4-5 years of the trial was documented among women in the instruction group. Randomly sampled women in this group demonstrated greater proficiency in detecting lumps in breast models than did randomly sampled women in the control group. Approximately equal numbers of breast cancers were detected in the two groups (331 in the instruction group and 322 in the control group) through 1994, which is the last year for which case-finding efforts have been completed. The breast cancers detected in the instruction group were not diagnosed at an appreciably earlier stage or smaller size than those in the control group. More benign breast lesions were detected in the instruction group than in the control group (1457 versus 623, respectively), suggesting a higher index of suspicion for women who received training. Cumulative breast cancer mortality rates through 5 years from entry into the study were nearly equivalent for the two groups. CONCLUSIONS: Breast self-examination has not led to a reduction in mortality from breast cancer in this study cohort in the first several years since the trial began. A shift toward the diagnosis of disease at a less advanced stage in women given instruction has also not been demonstrated. Longer follow-up of participants in this trial is required before final assessment can be made of the efficacy of breast self-examination. IMPLICATIONS: At this time, there is insufficient evidence to recommend for or against the teaching of breast self-examination.     

磁控溅射WO3薄膜特性研究

用磁控溅射法制成WO3薄膜,通过改变成膜的溅射参数来改变WO3薄膜的性能.利用XRD分析了样品的粒径大小,研究了成膜工艺参数对气敏元件性能的影响.结果表明,薄膜中WO3晶粒的平均尺寸为17 nm,该传感器对NOx气体有非常好的灵敏度和选择性,对体积分数为1×10-5的NOx气体灵敏度高于50倍,而对其他干扰气体的灵敏度小于2倍.     

高性能2.5Gb／s用的DFB—LD／EA单片集成器件

报导了采用全ＭＯＣＶＤ生长的１．５５μｍ的单片集成ＤＦＢ＝ＬＤ／ＥＡ组件的 在ＤＷＤＭ系统上的传输测试结果，出纤功率Ｐｆ≥２．５ｍＷ＠Ｉｆ＝７５ｍＡ，边模抑制比ＳＭＳＲ〉３５ｄＢ，调制器反向偏压为２．５Ｖ时的消光比为１４ｄＢ，该发射模块在２．５Ｇｂ／ｓＤＷＤＭ系统上进行了传输试验，传输２４０Ｋｍ后无误码，其通道代价≤１ｄＢ＠ＢＥＲ＝１０＾－１２。     

新型缆用热熔胶的研制

分析了通信线缆用 YH- 4热熔胶组成原料的性能和作用 ,找出影响耐环境高温性能的主要原因 ,并对新研制出的耐环境高温性能 YH- 5热熔胶作了一些分析和探讨 .     

颗粒状物料气力输送系统中输料管的连接方式

对颗粒状物料的气力输送 ,人们往往只重视所要采用的输送方式 ,而忽视了输料管连接方式的正确选择、施工与安装。输料管连接方式的正确与否 ,直接影响到输送量和物料的品质。详细介绍了常用的几种连接方式 ,分析了它们的优缺点 ,并提出了比较合理的连接方式     

A modified transverse resonance method for the analysis ofmultilayered, multiconductor quasiplanar structures with finiteconductor thickness and mounting grooves

A modified transverse resonance method is presented for analyzing generalized multilayered, multiconductor quasiplanar structures with practical parameters such as finite conductor thickness and mounting grooves. Recurrence relations are obtained by using network theory for obtaining the overall transverse equivalent network. while the discontinuity involving the finite-thickness metal sheet and mounting groove is carried out by a field-theory-based multimodal variational formulation. The frequency behaviors of propagating, evanescent, and complex modes are obtained for several commonly used quasiplanar lines, showing good agreement with published results. Furthermore, a leaky-wave study is carried out for open structures, since the open condition can be included in this formulation without difficulties     

一种新型微处理器功能验证

文中介绍一种新型微处理器的验证方法，并对相关的一些验证策略进行深入的讨论。     

电路板故障诊断中神经网络信息融合技术的应用

将信息融合技术应用到导弹电子设备的电路板故障诊断之中．提出了一种基于红外热成像实验的温度故障隶属度函数构造形式以及改进的BP神经网络算法。进行了BP神经网络信息融合故障诊断的实验研究．从结果看信息融合能较好地解决电路板元件故障诊断的不确定性问题。     

Al2O3基耐磨陶瓷涂层的燃烧合成与应用

介绍了燃烧合成表面涂层技术的基本原理 ,开发了相应的制备工艺 ,并在此基础上研制了内覆陶瓷涂层的复合钢管、弯管及弯头。陶瓷涂层主要由α Al2 O3相、部分FeO·Al2 O3相和 3Al2 O3·2SiO2 相组成 ,采用添加剂可以有效提高熔体的流动性 ,使陶瓷的凝固和结晶过程得到进一步控制 ,有助于减少孔隙 ,提高陶瓷涂层的致密度。现场应用试验表明 ,涂层具有较好的耐磨性能 ,可使设备的使用寿命大为延长