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Although self-help/mutual-help groups, like Alcoholics Anonymous, are important factors in the recovery of many chemically dependent individuals, the large dropout rates from such groups and the awareness that many who drop out do not return to dependent behavior raises interesting questions about other paths to sustained abstinence and recovery. Current emphasis on treatment outcome studies provides a means for researching factors in both those who recover with and without the assistance of self-help/mutual-help groups. The authors suggest some questions which might be investigated. 相似文献
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Bo PanD-Y Shang B.Q. Li H.C. de Groh 《International Journal of Heat and Mass Transfer》2002,45(1):125-144
Numerical modeling and analyses are presented of magnetic damping of g-jitter driven fluid flow and its effect on the solutal striation in a simplified Bridgman-Stockbarger crystal growth system under microgravity. The model development is based on the finite element solution of the momentum, energy and solute transport equations under g-jitter conditions in the presence of an external magnetic field. The numerical model is verified by comparison with analytical solutions obtained for a simple parallel plate channel flow driven by g-jitter in a transverse magnetic field. Simulations are carried out to study the behavior of convective flow and solutal transport induced by the combined g-jitter and magnetohydrodynamic forces. Both the idealized single frequency g-jitter force and the real g-jitter perturbation taken during space flight are considered. Results indicate that an applied magnetic field can effectively damp the velocity caused by g-jitter and help to reduce the time variation of solute redistribution. A stronger applied field is more effective in suppressing the convective flows and hence reducing concentration variation. It is found that g-jitter driven flows have the same oscillation period as the driving force with or without the applied field. However, an applied magnetic field shortens the transient period over which the flow field evolves into a quasi-steady state time harmonic oscillation after g-jitter sets in. The flow intensity increases with an increase in g-jitter magnitude but decreases with an increase in the applied field strength. The reduced convection in the liquid pool by the applied magnetic field results in a reduction of the concentration oscillation. The magnetic field is very useful in suppressing the spiking velocities that are induced by the spikes in the real g-jitter data. The damping effect is more pronounced if the magnetic field is switched on before the onset of g-jitter disturbances. 相似文献
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GI Kempen MJ van Heuvelen RH van den Brink AC Kooijman M Klein PJ Houx J Ormel 《Canadian Metallurgical Quarterly》1996,25(6):458-464
Molecular electrostatic potential (MEP) maps of certain 3-methoxy flavone derivatives having different anti-picornavirus activities have been studied. Geometries of the molecules were optimised and charge distributions computed using the AM1 molecular orbital method. Hybridization displacement charges (HDC) were combined with the L?wdin charge distributions to compute the MEP maps. Reliability of the method of computing MEP maps was tested by studying certain other molecules for which ab initio MEP results are available. The anti-picornavirus activities of the flavones have been shown to be related with negative MEP values in two regions, one near the 3-methoxy group and another in a diagonally opposite region near the substituent attached to the C7 atom of the molecules. 相似文献
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Acute graft rejection and delayed function are considered to be the major risk factors of short-term as well as long-term graft survival. We studied the impact of these factors on graft outcome among 109 renal transplant recipients. All recipients were treated with triple drug protocol. The recipients were divided into two groups: I group included 57 patients with delayed graft function (DGF), II group included 52 patients with immediate graft function (IGF). We studied graft survival, incidence of acute rejection, serum creatinine levels and the cause of graft loss for patients in both groups. Acute rejection episodes occurred in 49% of patients from DGF group and 45% of patients from IGF group. Graft survival in IGF group was better than in DGF group. Actuarial graft survival at 1, 2, 3 and 4 years in examined groups was 84%, 82%, 72%, 65% vs. 92%, 86%, 84%, 84%, respectively. One-year graft survival in patients with acute rejection from DGF group and IGF group was significantly lower than in patients who remained rejection free (69%, 74% vs. 94%, 96%). We concluded that delayed graft function decreases long-term graft survival, while immediate graft function has an excellent impact on graft outcome. Acute graft rejection is the strongest risk factor of graft loss. 相似文献
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Between June 1983 and March 1992, we performed a capsular reconstruction procedure through an anterior approach in ten patients (ten shoulders) who had multidirectional laxity of the shoulder and symptomatic atraumatic posterior glenohumeral instability. The procedure included closure of the capsule in the rotator interval and imbrication of the anterior, inferior, and posteroinferior aspects of the capsule by a double-breasting technique that decreases the overall capsular volume. The mean duration of follow-up was sixty months (range, twenty-four to 103 months). According to the system of Rowe and Zarins, the result was graded as excellent for five shoulders, good for four, and poor for one. On the basis of our results, we recommend capsular reconstruction through an anterior approach only in patients who have persistent multidirectional laxity and symptomatic atraumatic posterior instability of the shoulder despite participation in an intensive rehabilitation program. 相似文献
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