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排序方式: 共有258条查询结果,搜索用时 15 毫秒
1.
The purpose of this study was to examine the factors which affect the level of fatigue among patients participating in clinical trials in which this symptom had been assessed with the EORTC QLQ-C30. Data were assembled from 2390 patients in ten clinical trials in which the QLQ-C30 had been used to assess baseline and on-study quality of life. The relationship between the level of fatigue reported by the patients on the fatigue scale of this questionnaire and patient and disease characteristics was assessed in univariate and multivariate cross-sectional analyses. In addition, changes in fatigue scores were compared in a longitudinal analysis among patients on two arms of an anti-emetic trial whose emesis control was markedly different. Baseline fatigue levels differed substantially among patients taking part in the different trials. Factors associated with greater fatigue severity on univariate analysis included: female gender, presence of metastatic disease, and poorer performance status. In addition, on multivariate analyses the oldest patients were found to have less fatigue, as were patients with breast cancer, while patients with ovarian and lung cancer experienced greater fatigue. Patients on the arm of the anti-emetic trial in which emesis was better controlled showed significantly less increase in fatigue after receiving chemotherapy. The fatigue scale of the QLQ-C30 appears to provide a useful approach to assessing this important symptom. The relationships found between fatigue and patient and disease characteristics need further exploration as does the degree to which the QLQ-C30 fully captures this dimension of quality of life. 相似文献
2.
JA Burger A Ochs K Wirth DP Berger R Mertelsmann R Engelhardt M Roessle K Haag 《Canadian Metallurgical Quarterly》1997,8(2):200-202
BACKGROUND: The increase in portal vascular resistance is a significant complication of metastatic disease to the liver or locally advanced cancer, e.g., biliary cancer. PATIENTS AND METHODS: This paper describes the successful palliative treatment of two cancer patients with portal hypertension presenting with the symptoms of tense ascites, mesenteric congestion, and severe variceal bleeding. By creating a stenttract between a hepatic vein and a main branch of the portal vein and/or by placing an extendable stent into the portal vein, the transjugular intrahepatic portosystemic stent-shunt (TIPS) technique was used to decompress the portovascular system. RESULTS: The TIPS-technique offers a new, safe and effective palliation for malignant portal hypertension. In both patients, the symptoms of the portal hypertension disappeared after the procedure. This was accompanied by a significant improvement of the patients performance status allowing an early ambulation. CONCLUSION: Our findings demonstrate the feasibility and effectiveness of the TIPS procedure as a minimal invasive treatment for portal vein decompression in selected tumor patients. 相似文献
3.
Knight S. Rabideau G. Chien S. Engelhardt B. Sherwood R. 《Intelligent Systems, IEEE》2001,16(5):70-75
The most interesting places can often be the most dangerous ones, and space exploration is no exception. The dynamic surfaces of comets, the turbulent atmospheres of the gas giants, and the hypothesized subsurface ocean of Europa all call for exploration, and are all very risky for on-site robotic explorers. The Casper (continuous activity, scheduling, planning, execution, and replanning) software system provides critical reasoning capabilities to robotic explorers. To show how it works, we first describe Casper's internal workings and then look at the Three Corner Sat and the Autonomous Sciencecraft Constellation missions, highlighting Casper's contributions to each. 相似文献
4.
Filter-driven optimization based on the extended Kalman filter concept is used here for the numerical solution of crack and
flaw identification problems in elastodynamics. The mechanical modeling of the studied two-dimensional problem, which includes
the effect of unilateral contact along the sides of the crack, is done with the help of the boundary element method. The effect
of various dynamical test loads and the applicability of this method for crack and defect identification in disks are investigated.
The work has been supported by the German Research Foundation (DFG). Partial support has been provided by a Greek-German Research
Cooperation Grant (IKYDA2001). This support is greatfully acknowledged. 相似文献
5.
Marek Engelhardt Martin Schanz Georgios E. Stavroulakis Heinz Antes 《Optimization and Engineering》2006,7(1):63-79
An inverse problem in engineering mechanics is considered where the position and the geometry of three-dimensional, ellipsoidal
defects are identified by using measurements of the mechanical response under static loading on the external surface of the
structure. The problem is solved by appropriate combination of genetic optimization (GO) and boundary element method (BEM)
and following previously published two-dimensional problems. The three-dimensional case presents some additional difficulties.
Furthermore, the function of several genetic operators and the effect of the parameters of genetic optimization on the efficiency
of the solution has been numerically examined. 相似文献
6.
Derivatives of o-Phenylenephosphate. XV. Synthesis of Tris-(o-phenylenedioxy)-phosphorate(V) The structure of an orthophosphate which had been supposed earlier to represent type 1 , has been proven to be a compound having only one P-nucleus in the molecule, with a penta( 4 ) resp. hexacoordinated ( 5 ) structure depending on the solvent. The triethyl-ammonium salt 8 of this first example of a hexacoordinated phosphoric acid with 6 P O-bonds ( 5 ) is formed simply from tri- als well as from tetra- and pentacoordinated derivatives of phosphorous resp. phosphoric or thiophosphoric acid. 相似文献
7.
This paper presents and compares methods for inspecting products using machine vision systems. This research compares the Mahalanobis Taguchi System (MTS) with a method based on principal component transformation and multi-modal overlap methods, and which is called the Principal component Feature overlap Measure (PFM). In an example application, the PFM achieves significantly higher Signal/Noise-ratios (+80 dB) and equal or better classification performance than MTS with a lower number of classification features (-75%). 相似文献
8.
H. Engelhardt B. Hallstedt M. Drüe A. Löffler M. Schick M. Rettenmayr 《Advanced Engineering Materials》2012,14(5):319-323
An experimental approach employing temperature and concentration gradients is presented that is suitable for determining a sequence of solvus concentrations in a single experimental cycle. The Al–Mg–Si system is used as an example. Al solid solutions (“(Al)”) with different compositions and Mg2Si precipitates were equilibrated in the temperature range between 350 and 550 °C. The equilibrium compositions of (Al) were measured by energy dispersive X‐ray spectroscopy in the transmission electron microscope. The coupled temperature‐concentration values represent a path on the ternary solvus surface. Calphad calculations using different thermodynamic data sets were carried out to relate the experimental results to phase diagram evaluations. The measured solvus path agrees well with solvus data calculated with most recent thermodynamic parameter sets. The experimental approach can be applied to multicomponent alloys irrespective of their number of components with the same experimental effort. The efficiently generated solubility data are suitable to support phase diagram evaluations of multicomponent systems by the Calphad method. 相似文献
9.