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81.
The mechanism of inner bearing stiffness of bipolar hip prostheses has been investigated. The Ultra-high Molecular Weight Polyethylene (UHMWPE) component of the Bateman bipolar hip prosthesis has been subjected to a series of static and dynamic tests to assess water absorption and creep. Although deformation of the UHMWPE occurred, this did not produce an increased resistance to movement in the inner bearing. 相似文献
82.
The results of external beam radiotherapy for clinically localized adenocarcinorna of the prostate in 448 patients treated in the period 1980–90 were reviewed. The average follow up was 4.9 years. The patients were aged 44–87 years (median 69 years) and all had histopathological evidence of adenocarcinoma by needle biopsy or transurethral resection of prostate. The histopathological grading was: 127 G1; 154 G2; 127 G3; 12 G4; 28 Gx. Clinical staging according to TNM (American Urological Association) was: 29 T0 (A2); 4 T1 (B1); 173 T2 (B2); 176 T3 (C1); 63 T4 (C2); 3 Tx. Routine surgical pelvic lymph node staging was not performed but patients had radiological (computerized tomography scan or lymphogram) nodal staging: 350 N0; 22 N1; 12 N2; 64 Nx. High energy linear accelerator external beam radiotherapy was given by multiple fields to total doses of 50–70 Gy (median 60 Gy). The majority of patients (307, 69%) was treated by a uniform policy under the care of one radiation oncologist (HM). The rates of local and distant failure at 5 years were 10% (s.e. = 2%) and 42% (s.e. = 3%), respectively. The late complication rate at 5 years was 25% (s.e. = 2%), comprising mild 16%, moderate 7% and severe 1.3%. The 5 year overall survival rate was 64% (s.e. = 2%) and the cancer-specific survival rate was 74% (s.e. = 3%). Both histological grade and clinical stage were strongly predictive of overall survival and distant failure. Only histological grade was predictive of local failure. Treatment with external beam radiotherapy for this common cancer resulted in survival and disease control rates that compare favourably with other published radiotherapy series and has been accompanied by acceptably low morbidity. 相似文献
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后路脊椎V型截骨术治疗创伤性脊柱后凸畸形 总被引:1,自引:1,他引:0
目的总结应用椎弓根钉-棒系统后路脊椎V型截骨术治疗创伤性脊柱后凸畸形的临床经验、技术要点及效果。方法将创伤性脊柱后凸畸形的病人分为两组,进行对比分析。治疗组:应用椎弓根钉-棒系统后路V型截骨内固定术29例;对照组:应用前路椎体骨折复位内固定融合术26例。结果与对照组相比,治疗组术后畸形复发率显著低于对照组(P〈0.05),断钉、松动等并发症发生率显著低于对照组(P〈0.05),骨折不融合、纠正后凸畸形度数对比无显著性差异(P〉0.05)。结论应用椎弓根钉-棒系统后路V型截骨术治疗的创伤性脊柱后凸畸形可有效防止手术后畸形再发生,矫正后凸畸形彻底、安全、可靠。 相似文献
86.
Histopathological Diagnosis of Partial and Complete Hydatidiform Mole in the First Trimester of Pregnancy 总被引:8,自引:0,他引:8
Neil J. Sebire Rosemary A. Fisher Helene C. Rees 《Pediatric and developmental pathology》2003,6(1):69-77
The diagnosis of molar pregnancy is a continuing diagnostic problem for many practicing histopathologists who are required
to examine specimens of products of conception, particularly since changes in gynecological management in recent years have
resulted in uterine evacuation at earlier gestations. The aim of this review is to provide practical, up-to-date, diagnostically
useful information regarding the histological diagnosis of molar disease in early pregnancy. Pathophysiological issues relevant
to molar pregnancies, such as genetic abnormalities, will be briefly summarized, but nonhistopathological aspects of molar
disease will not be covered in detail in this review. 相似文献
87.
G W Fisher 《Journal of the American Optometric Association》1988,59(8):588-589
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90.
Thomas A. Blakely Jr. Francis M. Crinella Todd D. Fisher Lorraine Champaigne Frances W. Beck 《Journal of developmental and physical disabilities》1994,6(1):1-22
Since Samuel Orton's (1937) assertion that dyslexia reflects abnormal brain organization, the relationship of learning disabilities
to brain dysfunction has been the topic of considerable debate. Recently, learning-disabled individuals have been studied
in conjunction with those known to have neurological dysfunction, in a search for common subtypes. In the present study, a
population of 177 children, ages 9-0 to 14-0, were assessed on an augmented version of the Children's Halstead-Reitan Battery.
One hundred twenty-nine Ss were learning-disabled, 37 of whom also had verified brain damage. The remaining 48 children had
neither learning disabilities nor evidence of brain damage. Patterns of neuropsychological performance were determined using
Tryon's clustering methods. The procedure yielded six subject clusters: (A) and (B)—children with low general intellectual
ability; (C) children who are clumsy and lethargic; (D) children with language dysfunction; (E) children with faulty spatial
orientation; and (F) children with no detectable neuropsychological deficits. These clusters were similar to those identified
by investigators who have used other subject-clustering methods. Brain-damaged individuals were more prevalent in some clusters
(e.g., A and B) than in others (e.g., E and F), and substantial numbers of learning disabled subjects were also found in clusters
where brain-damaged individuals tended to cluster, indicating similar neuropsychological profiles. The cluster structure was
validated by comparison with subtypes identified by other investigators, as well as by tests of association between clusters
with exogenous factors (e.g., history of prematurity; seizures). 相似文献