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AM Lacy 《Canadian Metallurgical Quarterly》1998,10(3):279-86; quiz 288
Due to aesthetic and periodontal factors, patients often seek treatment to close diastemata. This condition may be eliminated by either direct or indirect techniques. Indirect techniques generally require multiple visits to facilitate the placement of laminate, crown, or bridge restorations, and involve significant financial expense. Direct techniques can be economical and successful, although they present unique challenges in the achievement of satisfactory proximal contacts and contours. This article describes three clinical techniques that may be employed to treat anterior and posterior diastemata in a single appointment.  相似文献   
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This first controlled psychotherapy trial for seasonal affective disorder (SAD) compared SAD-tailored cognitive-behavioral therapy (CBT), light therapy (LT), and their combination to a concurrent wait-list control. Adults (N = 61) with major depression, recurrent with seasonal pattern, were randomized to one of four 6-week conditions: CBT (1.5-hr twice-weekly group therapy), LT (10,000-lux for 90-min/day with administration time individually adjusted), combined CBT + LT, or a minimal contact/delayed LT control (MCDT; LT following 6 weeks of monitoring). CBT, LT, and CBT + LT significantly and comparably improved depression severity relative to MCDT in intent-to-treat and completer samples. CBT + LT (73%) had a significantly higher remission rate than MCDT (20%). Using prospectively measured summer mood status to estimate the "functional" population, CBT + LT also had a significantly larger proportion of participants with clinically significant change over treatment compared with MCDT. The LT condition outcomes virtually replicated results from prior trials. CBT, alone or combined with LT, holds promise as an efficacious SAD treatment and warrants further study. If replicated, CBT + LT's remission rate would represent a clinically meaningful improvement over the 53% observed across LT studies. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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Wiener systems consist of a linear dynamic system whose output is measured through a static non-linearity. In this paper we study the identification of single-input single-output Wiener systems with finite impulse response dynamics and polynomial output non-linearities. Using multi-index notation, we solve a least squares problem to estimate products of the coefficients of the non-linearity and the impulse response of the linear system. We then consider four methods for extracting the coefficients of the non-linearity and impulse response: direct algebraic solution, singular value decomposition, multi-dimensional singular value decomposition and prediction error optimization.  相似文献   
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With the increasing interest in biopolymer nanofibers for diverse applications, the characterization of these materials in the physiological environment has become of equal interest and importance. This study performs first-time simulated body fluid (SBF) degradation and tensile mechanical analyses of blended fish gelatin (FGEL) and polycaprolactone (PCL) nanofibrous meshes prepared by a high-throughput free-surface alternating field electrospinning. The thermally crosslinked FGEL/PCL nanofibrous materials with 84–96% porosity and up to 60 wt% PCL fraction demonstrate mass retention up to 88.4% after 14 days in SBF. The trends in the PCL crystallinity and FGEL secondary structure modification during the SBF degradation are analyzed by Fourier transform infrared spectroscopy. Tensile tests of such porous, 0.1–2.2 mm thick FGEL/PCL nanofibrous meshes in SBF reveal the ultimate tensile strength, Young's modulus, and elongation at break within the ranges of 60–105 kPa, 0.3–1.6 MPa, and 20–70%, respectively, depending on the FGEL/PCL mass ratio. The results demonstrate that FGEL/PCL nanofibrous materials prepared from poorly miscible FGEL and PCL can be suitable for selected biomedical applications such as scaffolds for skin, cranial cruciate ligament, articular cartilage, or vascular tissue repair.  相似文献   
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A molecular dynamics simulation study was performed to investigate the role of liquid vinyl ester (VE) resin monomer interactions with the surface of pristine vapor-grown carbon nanofibers (VGCNFs). These interactions may influence the formation of an interphase region during resin curing. A liquid resin having a mole ratio of styrene to bisphenol-A-diglycidyl dimethacrylate VE monomers consistent with a commercially available 33 wt.% styrene VE resin was placed in contact with both sides of two pristine graphene sheets overlapped like shingles to represent the outer surface of a pristine VGCNF. The relative monomer concentrations were calculated in a direction away from the graphene sheets. At equilibrium, the styrene/VE monomer ratio was higher in a 5 Å thick region adjacent to the nanofiber surface than in the remaining liquid volume. The elevated concentration of styrene near the nanofiber surface suggests that a styrene-rich interphase region, with a lower crosslink density than the bulk matrix, could be formed upon curing. Furthermore, styrene accumulation in the immediate vicinity of the nanofiber surface might, after curing, improve the nanofiber–matrix interfacial adhesion compared to the case where the monomers were uniformly distributed throughout the matrix.  相似文献   
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Obtaining a firm anatomic contact has been a difficult criteria in placing Class II posterior composite restorations. Various techniques have been developed and a number of products marketed to accomplish this task, but none have combined the necessary qualifications of ease, simplicity, and effectiveness for consistent and predictable results. To address this challenge, two innovative devices--a precontoured (biplanar concave) sectional matrix band and a light--focusing tip-have been developed. Using a clinical case presentation, this article describes the application of these devices to obtain high quality proximal contacts, even in widely separated teeth. The learning objective of this article is to familiarize clinicians with this procedure. The technique is simple and universally applicable with a variety of posterior composite materials and placement methods.  相似文献   
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The aim of this work was to develop new bifunctional alkylating agents which damage DNA in a selective manner. In order to extend our previously published work on conformationally restricted nitrogen mustards containing one piperidine ring, new bispiperidine derivatives were designed with varying lengths of carbon chain between the two rings and structure-activity relationships in these systems were studied. Thus samples of new bispiperidine salts 22-26 with chloromethyl groups at the 2-positions and a bridge between the two nitrogen atoms of 2-6 carbon atoms were synthesized. The analogous new bis(p-nitrophenylcarbamates) 17-21 were also prepared. The free bases were designed to be bifunctional alkylating agents via aziridinium ion formation with different distances between the two alkylating sites. The bispiperidines 22-24 were shown to alkylate guanines at the 7-position in the major groove of DNA more selectively than melphalan. The bispiperidine 22 with the shortest two carbon bridge was the most reactive but it was less cytotoxic than melphalan in a human colon carcinoma cell line (IC50 value approximately 30 microM) and in a human chronic myeloid leukaemia cell line (IC50 value approximately 12 microM). The most cytotoxic compound in the latter cell line was the carbamate 17, with an IC50 value of approximately 0.3 microM, and carbamates 17, 19 and 20 were most potent in a panel of human ovarian carcinoma cell lines. These compounds also showed circumvention of acquired cisplatin resistance in three paired cell lines. The carbamates 17-21, however, were less efficient at alkylating and cross-linking naked DNA than the bispiperidines 22-26.  相似文献   
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