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BACKGROUND: To define the incidence of BRCA1 mutations among patients seen in clinics that evaluate the risk of breast cancer, we analyzed DNA samples from women seen in this setting and constructed probability tables to provide estimates of the likelihood of finding a BRCA1 mutation in individual families. METHODS: Clinical information, family histories, and blood for DNA analysis were obtained from 263 women with breast cancer. Conformation-sensitive gel electrophoresis and DNA sequencing were used to identify BRCA1 mutations. RESULTS: BRCA1 mutations were identified in 16 percent of women with a family history of breast cancer. Only 7 percent of women from families with a history of breast cancer but not ovarian cancer had BRCA1 mutations. The rates were higher among women from families with a history of both breast and ovarian cancer. Among family members, an average age of less than 55 years at the diagnosis of breast cancer, the presence of ovarian cancer, the presence of breast and ovarian cancer in the same woman, and Ashkenazi Jewish ancestry were all associated with an increased risk of detecting a BRCA1 mutation. No association was found between the presence of bilateral breast cancer or the number of breast cancers in a family and the detection of a BRCA1 mutation, or between the position of the mutation in the BRCA1 gene and the presence of ovarian cancer in a family. CONCLUSIONS: Among women with breast cancer and a family history of the disease, the percentage with BRCA1 coding-region mutations is less than the 45 percent predicted by genetic-linkage analysis. These results suggest that even in a referral clinic specializing in screening women from high-risk families, the majority of tests for BRCA1 mutations will be negative and therefore uninformative.  相似文献   
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Research has continued in the field sidechain liquid crystal polymers over recent years, but it is becoming clearer that this research is being directed away from the traditional technology areas of electro-optic devices and researchers are developing new and exciting applications for this novel state of matter.  相似文献   
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P-type silicon has been patterned using high-energy protons beam prior to electrochemical etching in hydrofluoric acid. The ion beam selectively damages the silicon lattice, resulting in an increase in the local resistivity of the irradiated regions. It is found that the photoluminescence intensity of the irradiated regions increases with proton irradiation into a 0.02 Ω.cm resistivity p-type silicon. By immersing the etched sample into potassium hydroxide, the porous silicon is removed to reveal the underlying three-dimensional structure of the patterned area.  相似文献   
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The study presented is an example of the assessment of the relative sustainability of either option for disposal of domestic sanitary waste, either via the toilet or via the solid waste route. This required an evaluation of the total (social, economic, environmental, and technical) benefit/cost of implementing and adopting the alternative routes and an assessment of public responsiveness to encouragement to change sanitary waste disposal practices. It illustrates how, even for an apparently straightforward either/or question, the assessment of relative sustainability is complex and the amount of data needed to quantify sustainability indicators is prodigious. The study also provides an appraisal of the effectiveness of public campaigns to reduce waterborne disposal. Important information regarding public attitude and behavior in relation to wastewater systems has been acquired and lessons for ways of encouraging behavioral change to more sustainable ways of living have been gleaned.  相似文献   
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30 graduate students in clinical psychology (raters) viewed a videotape recording of an interview with a patient after having read 1 of 3 types of posttherapy information about the patient. One group of raters was presented information associated with a good prognosis, one group was presented information associated with a poor prognosis, and the last group received neutral information about the patient. Half of the members of each group were told that the interview was made at the termination of therapy, the other half were told that it was a 1-yr follow-up interview. All raters then completed scales regarding patient's level of adjustment, psychic distress, amount of change, and success of patient's therapy. Only ratings of pre- to posttherapy patient change varied as a function of prognostic information. Results suggest that although poor prognosis patients are perceived as exhibiting more change than good prognosis patients, only final level of functioning determines global judgments of psychotherapy outcome. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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Various types of drains were inserted into the peritoneal cavity of twenty-eight dogs. After one to seven days, all drains failed to show the presence of 200 cc of colored fluid injected intraperitoneally. On autopsy, all tubes were surrounded and occluded by omentum.  相似文献   
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When exposed to 0.9% NaCl type 304 stainless steel undergoes severe pitting corrosion within a matter of days. However, a Sherman plate fabricated from type 304 stainless steel remained inside a patient's arm for almost 40 years without any visible indications of corrosion. Given the previous understanding of the pathological environments this was considered quite remarkable. It is proposed that the low dissolved oxygen levels found in human-body fluids makes the long-term in vivo environment much more benign than would be anticipated from in vitro experiments. Furthermore, it is proposed that previous cases of localized pitting corrosion on stainless steel implants most likely arose due to the development of short-term aggressive conditions due to pathological changes in the surrounding tissue as a result of the trauma of the implant procedure. In the present case the Sherman plate was sufficiently small that the surrounding tissue was not aggravated sufficiently to lead to the development of such an environment aggressive. The conclusion that surgical implants are at most risk during the first few weeks of service implies that short-term corrosion protection methods, such as coatings, may be more effective than previously thought.  相似文献   
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Data on gonococcal infections confirmed by culture show that the native population of Alaska has an incidence rate many times higher than the other population groups; both sexes and all age groups are affected. In contrast to the remainder of the United States, where gonorrhoea occurs much more often in men, native Alaskan women are as likely to be infected as native Alaskan men.  相似文献   
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