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A summary statement for the Workshop on Late Effects of Irradiation to the Head and Neck in Infancy and Childhood is presented. The Workshop, conducted by the National Cancer Institute with the cooperation of several other organizations, was convened to determine the present status of knowledge about thyroid disease related to irradiation of the head and neck and to develop guidelines with respect to detection, diagnosis, treatment, and followup. It was decided that surgical exploration should be considered for all palpable thyroid nodules, particularly those that are firm and clearly demarcated and appear as a "cold" area on the scan. Persons at risk because of prior irradiation to the head or neck should have regular reexaminations every one to two years.  相似文献   
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This paper presents a moment matching approach for constructing an equivalent model of an ATM cell arrival process based on inter-cell arrival time measurement. As compared to a renowned parameter-matching technique proposed by Heffes and Lucatoni, the advantage of this approach is that the matching parameters are more easily obtained in real traffic situation. This approach has been tested on an MMBP[Poisson] process, and results show that only the first four moments are required to capture the key characteristics in this process.  相似文献   
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When hot rolled tough pitch copper is made from copper scraps, lead is intentionally or unintentionally added to the melt. The major role of this lead seems to be the removal of metallic tin by the formation of PbO–SnO2. A continuously cast and hot rolled copper rod was preheated at temperatures between 673–1173 K for 1 h prior to cold drawing. The maximum diameter of the PbO–SnO2, of 1–2 μm, was obtained by preheating at 873 K. This preheating temperature also produced the maximum decrease in the recrystallization temperature and the maximum electrical conductivity of the 89.4% cold drawn wire within the investigated experimental range. This can be attributed to a decrease in the dissolved impurity concentration due to the growth of PbO–SnO2 particles at that temperature. The decrease in recrystallization temperature enhanced the room temperature multiple upset weldability. When preheated at 1173 K, Zn2SnO4 particles were formed, but the recrystallization temperature increased and the electrical conductivity decreased due to the dissolution of PbO–SnO2. This revised version was published online in November 2006 with corrections to the Cover Date.  相似文献   
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Competence as communication skills and as skilled practice of asepsis were studied by observing four nurses while interacting with patients and performing intravenous procedures. Nurses were observed using sterile equipment for methods of intravenous therapy. Asepsis is performed frequently, but through misunderstanding in the learning of asepsis or improper model learning the nurses may establish incorrect routines. When performing procedures, unexpected factors can distract both the expert and the inexperienced, resulting in a failure to apply basic aseptic techniques. The nurses showed an interest in the patient by listening and giving responses. Nurses may control interactions with the patient by using undesirable communication skills which include incomplete sentences, incomplete explanations and closed questions. Asked to evaluate their own behavior, the nurses did not estimate whether or not the appropriate skills were applied in observed situations. To improve the quality of nursing care performance it is recommended to further develop and apply skill training programs.  相似文献   
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The topic of interest in this paper is the behavior of a plug-flow tubular reactor with recycle under feedback control of the rcgutalor type. Attention is devoted mainly to the problem of stabilizing those sicady-slatc profiles which are unstable in the absence of control, but the investigation also includes the controlled behavior of those steady states which arc naturally liable. The study reported in this paper is theoretical; it invokes methods of linear stability analysis and computer simulations in considering two separate cases involving different controlled and manipulated variables. The class of controller functions considered includes the conventional proporIionaI-integraderivative controller. The principal discovery is that the presence of any time delay, regardless of its magnitude, in the controller response prevents stabilization of a naturally unstable state by means of control Strategics of this type. In one of the cases considered, It Is shown that if time delay in the control action is totally absent, stabilization can be achieved; in the other case, stabilization is shown to be possible only if both the time delay in the controller and the transportation lag in the recycle line are zero. The study reported here is based on a hypothetical zero-order reaction, but the icsutls ate linked Io prior experimental observations. Also, other realistic aspects of the basic problem are discussed, and the need for further work is pointed out.  相似文献   
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A mathematical model has been developed for the prediction of cracks in the continuously cast steel beam blank through the fully coupled analysis of fluid flow, heat transfer, and deformation behavior of a solidifying shell. Fluid flow and heat transfer in the strand mold were analyzed with a three-dimensional (3-D) finite-volume method (FVM). For the complex geometry of the beam blank, a body-fitted coordinate (BFC) system was employed. Thermo-elastic-plastic deformation behavior in the strand was analyzed using the finite-element method (FEM) based on the two-dimensional (2-D) slice model. The thermal fields of the strand calculated with the FVM were used in the analysis of the deformation behavior of the strand. Through the iterative analysis of the fluid flow, heat-transfer, and deformation behavior, the coupling parameter of the heat-transfer coefficient between the strand and the mold was obtained. In order to describe the thermophysical properties and thermomechanical behavior of steel in the mushy zone, the microsegregation of solute elements was assessed. Consequently, some characteristic temperatures of steel as well as variations of phase fractions with temperature were determined. The probability of cracking in the strand, originating from an interdendritic liquid film, was quantified as a crack susceptibility coefficient. Recirculating flows were developed in the web and flange-tip regions. The development of a solidifying shell in the flange-center region was retarded by the inlet flow from a submerged entry nozzle (SEN). An air gap was formed mainly near the flange-tip corner. Surface cracks in the web and fillet regions and internal cracks in the flange-tip region were predicted.  相似文献   
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In early 2000,large domestic shipyards introduced shipbuilding 3D computer-aided design (CAD) to the hull production design process to define manufacturing and assembly information.The production design process accounts for most of the man-hours (M/H) of the entire design process and is closely connected to yard production because designs must take into account the production schedule of the shipyard,the current state of the dock needed to mount the ship’s block,and supply information.Therefore,many shipyards are investigating the complete automation of the production design process to reduce the M/H for designers.However,these problems are still currently unresolved,and a clear direction is needed for research on the automatic design base of manufacturing rules,batches reflecting changed building specifications,batch updates of boundary information for hull members,and management of the hull model change history to automate the production design process.In this study,a process was developed to aid production design engineers in designing a new ship’s hull block model from that of a similar ship previously built,based on AVEVA Marine.An automation system that uses the similar ship’s hull block model is proposed to reduce M/H and human errors by the production design engineer.First,scheme files holding important information were constructed in a database to automatically update hull block model modifications.Second,for batch updates,the database’s table,including building specifications and the referential integrity of a relational database were compared.In particular,this study focused on reflecting the frequent modification of building specifications and regeneration of boundary information of the adjacent panel due to changes in a specific panel.Third,the rollback function is proposed in which the database (DB) is used to return to the previously designed panels.  相似文献   
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