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  • 1
    Online Resource
    Online Resource
    SAGE Publications ; 2004
    In:  The American Surgeon Vol. 70, No. 6 ( 2004-06), p. 543-545
    In: The American Surgeon, SAGE Publications, Vol. 70, No. 6 ( 2004-06), p. 543-545
    Abstract: Dermatofibrosarcoma protuberans is a low-grade cutaneous neoplasm originating from the dermis with a high propensity for local recurrence. These malignancies are classified as soft tissue sarcoma although regional or distance metastatic spread is rare. Germ-line mutations of p53 have been described with a rare autosomal dominant syndrome in patients with soft tissue sarcoma and breast adenocarcinoma (Li Fraumeni's syndrome). The described case illustrates the rare occurrence of dermatofibrosarcoma protuberans (DFSP) and breast adenocarcinoma with an emphasis on the possibility of a molecular or genetic association.
    Type of Medium: Online Resource
    ISSN: 0003-1348 , 1555-9823
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2004
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  • 2
    Online Resource
    Online Resource
    SAGE Publications ; 2001
    In:  Advances in Structural Engineering Vol. 4, No. 1 ( 2001-01), p. 1-11
    In: Advances in Structural Engineering, SAGE Publications, Vol. 4, No. 1 ( 2001-01), p. 1-11
    Abstract: In this paper, the area coordinate method is generalized to formulate quadrilateral elements. The general theory of area coordinate for quadrilateral elements is presented and new quadrilateral elements for membrane and plate bending are formulated by using the area coordinate method.
    Type of Medium: Online Resource
    ISSN: 1369-4332 , 2048-4011
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2001
    detail.hit.zdb_id: 2026561-X
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  • 3
    Online Resource
    Online Resource
    SAGE Publications ; 2000
    In:  Proceedings of the Human Factors and Ergonomics Society Annual Meeting Vol. 44, No. 29 ( 2000-07), p. 260-263
    In: Proceedings of the Human Factors and Ergonomics Society Annual Meeting, SAGE Publications, Vol. 44, No. 29 ( 2000-07), p. 260-263
    Abstract: Risk is defined as the exposure to the chance of injury or loss. Developing models or methods to evaluate the level of risk for a particular exposure comes from controlled experimentation. Cumulative trauma disorders are one type of loss that contributes to significant pain and suffering for people and for the industry in which these people work. However, no simple model exists which show how physical risk factors may contribute to the development of cumulative trauma disorders. This paper concentrates on efforts to evaluate ergonomic risk and associated outcomes on manufacturing and assembly jobs using existing ergonomic assessment tools to accurately assess risk. This paper concentrates on preliminary results as it relates to the upper extremity.
    Type of Medium: Online Resource
    ISSN: 2169-5067 , 1071-1813
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2000
    detail.hit.zdb_id: 2415770-3
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  • 4
    Online Resource
    Online Resource
    SAGE Publications ; 2000
    In:  Clinical Pediatrics Vol. 39, No. 9 ( 2000-09), p. 553-556
    In: Clinical Pediatrics, SAGE Publications, Vol. 39, No. 9 ( 2000-09), p. 553-556
    Type of Medium: Online Resource
    ISSN: 0009-9228 , 1938-2707
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2000
    detail.hit.zdb_id: 2066146-0
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  • 5
    Online Resource
    Online Resource
    SAGE Publications ; 2004
    In:  Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine Vol. 218, No. 6 ( 2004-06-01), p. 451-459
    In: Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine, SAGE Publications, Vol. 218, No. 6 ( 2004-06-01), p. 451-459
    Abstract: In this paper, an auxiliary methodology called the creative mechanism design is introduced into the innovation of gripping devices for prosthetic hands. This methodology is a systematic approach based on modification of existing devices for the generation of all possible topological structures of mechanisms and mechanical devices. An existing gripping device (Teh Lin ATG-5F prosthetic hand) constructed by a planar six-bar linkage with one degree of freedom is dealt with by using this methodology. Through the processes of generalization, number synthesis, specialization and particularization for the existing design, five new mechanisms are created in this study to apply to anthropomorphic prosthetic hands. The results show that the methodology for creative mechanism design is a powerful tool for creating new categories of mechanisms to avoid existing designs that have patent protection and can help designers in the conceptual phase. Also, this methodology is validated as a useful way to improve prosthetic hands for amputees.
    Type of Medium: Online Resource
    ISSN: 0954-4119 , 2041-3033
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2004
    detail.hit.zdb_id: 2032763-8
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  • 6
    Online Resource
    Online Resource
    SAGE Publications ; 2001
    In:  American Journal of Rhinology Vol. 15, No. 3 ( 2001-05), p. 211-216
    In: American Journal of Rhinology, SAGE Publications, Vol. 15, No. 3 ( 2001-05), p. 211-216
    Abstract: Sarcoidosis is a chronic granulomatous disease of unclear etiology with a propensity to involve the lower respiratory tract, but may also involve the upper respiratory tract. Histologically. it is characterized by non-caseating granulomas of various organ systems. Although nasal and sinus involvement is uncommon, patients with sarcoidosis presenting with nasal and sinus complaints may have sinonasal sarcoidosis or simply rhinosinusitis. We reviewed the cases of six patients with pulmonary sarcoidosis who developed chronic sinonasal disease. All six patients had intranasal findings consistent with sinonasal sarcoidosis. but only four had histologic evidence of sinonasal sarcoidosis. These four patients continue to require extensive therapy including topical steroids. systemic steroids, intralesional steroid injections. and nasal irrigations. We conclude that patients with histologically proven sinonasal sarcoidosis present a significant therapeutic challenge because their symptoms and physical findings are often persistent despite aggressive medical and surgical therapy. Their recalcitrant sinonasal disease is thought to result from the destruction of cilia and mucus-producing glands by the granulomatous process.
    Type of Medium: Online Resource
    ISSN: 1050-6586 , 1539-6290
    RVK:
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2001
    detail.hit.zdb_id: 2083922-4
    detail.hit.zdb_id: 2554548-6
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  • 7
    In: Vascular Surgery, SAGE Publications, Vol. 35, No. 4 ( 2001-07), p. 251-256
    Abstract: Recent literature advocates carotid endarterectomy on duplex alone. The authors hypothesized that carotid angiography adds information that alters clinical management in a substantial number of patients compared to the use of carotid duplex examination alone. The records of 182 consecutive patients who underwent carotid artery duplex and subsequent carotid/cerebral angiography for suspected carotid artery stenosis between January 1998 and April 1999 were reviewed retrospectively. Carotid artery duplex examinations were stratified based on stenosis: 〈 39%, 40% to 59%, 60% to 79% (moderate), 80% to 99% (severe), 100%. Carotid stenosis on angiograms was determined by NASCET criteria. New information found at angiography included vertebral, subclavian, or arch atherosclerosis, intracranial pathosis, or a change in duplex stenosis category to a degree of stenosis not requiring surgery. Clinical importance was attributed to angiograms that altered the patients' management plan. Angiography provided additional information in 53% (97/182) of patients. Vertebral disease was found in 25.1%, subclavian disease in 16.4%, intracranial disease in 15.3%, aortic arch disease in 3.3%. Patient treatment was altered in 30% (55/182). Angiographic findings downgraded the stenosis to medical therapy in 20.9% (38/182). The surgical plan was influenced in 5.5% (10/182). Nine intracranial aneurysms were discovered. Carotid angiography was essential for vascular bypass surgery planning in 3.3% (6/182). Angioplasty was performed in 2.2% (4/182). The accurate determination of stenosis is critical in determining optimal treatment of patients with carotid artery stenosis. Routine carotid angiography remains valuable in the clinical treatment of these patients.
    Type of Medium: Online Resource
    ISSN: 0042-2835
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2001
    detail.hit.zdb_id: 2095223-5
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  • 8
    Online Resource
    Online Resource
    SAGE Publications ; 2001
    In:  Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis Vol. 21, No. 3_suppl ( 2001-12), p. 67-71
    In: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis, SAGE Publications, Vol. 21, No. 3_suppl ( 2001-12), p. 67-71
    Abstract: Encapsulating peritoneal sclerosis (EPS) is recognized as a serious complication of peritoneal dialysis. The aim of this study was to determine the incidence, clinical features, and variation in mortality rates for EPS. ♦ Design A prospective multicenter design was used, in which peritoneal dialysis patients were pre-registered by facilities across Japan and the incidence of EPS was observed in the registrants. The registrants were followed for a total of 4 years to accurately observe the onset of EPS. ♦ Results As of April 1999, 2216 peritoneal dialysis patients from 64 facilities were registered. By the end of March 2001, 332 patients had dropped out, and 17 of the dropouts had developed SEP. The incidence was 0.77%. After excluding 110 patients who died, the incidence in 2106 patients was 0.81%. The incidence of EPS increased with the duration of peritoneal dialysis. Of the 17 patients with EPS, 12 developed the condition after discontinuing peritoneal dialysis and changing to hemodialysis. During the 2-year survey period, 6 of the 17 EPS patients died. The interval from onset to death was 10.8 ± 5.8 months (range: 3 – 19.5 months). ♦ Conclusions From this prospective multicenter study, the current incidence of EPS is 0.77% (0.81% when dropout owing to death is censored). After a follow-up of 2 years, we conjecture that the incidence of EPS will increase. The incidence, etiology, and prognosis of EPS will be further clarified by periodic observation of dropouts until the end of March 2003.
    Type of Medium: Online Resource
    ISSN: 0896-8608 , 1718-4304
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2001
    detail.hit.zdb_id: 2075957-5
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  • 9
    Online Resource
    Online Resource
    SAGE Publications ; 2002
    In:  Progress in Transplantation Vol. 12, No. 4 ( 2002-12), p. 280-288
    In: Progress in Transplantation, SAGE Publications, Vol. 12, No. 4 ( 2002-12), p. 280-288
    Type of Medium: Online Resource
    ISSN: 1526-9248 , 2164-6708
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2002
    detail.hit.zdb_id: 2864264-8
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  • 10
    Online Resource
    Online Resource
    SAGE Publications ; 2001
    In:  Sexual Abuse Vol. 13, No. 2 ( 2001-04), p. 65-77
    In: Sexual Abuse, SAGE Publications, Vol. 13, No. 2 ( 2001-04), p. 65-77
    Abstract: The impact of cognitive-behavioral interventions was assessed for 28 low-moderate risk and 20 high-risk sexual offenders on conditional release to the Greater Toronto Area. Goal Attainment Scaling (GAS—T. Hogue, 1994) for sexual offenders was used to rate clinical and motivational elements of treatment taken from reports written at pretreatment, posttreatment, and after 3 months of community follow-up. Results indicated that both groups of offenders benefited from treatment, although low-moderate risk offenders showed consistently better results on all measures. Performance along nonrelapse prevention related dimensions increased from pretreatment to posttreatment and remained relatively steady in the community. Relapse prevention related treatment components showed a steady increase from pretreatment throughout follow-up in the community for low-moderate risk offenders, but not for high-risk offenders. Both groups improved substantially in level of motivation from pretreatment to posttreatment; however, only those in the low-moderate risk group maintained their motivation levels once released to the community. These results are discussed with respect to the effectiveness of cognitive-behavioral treatment of sexual offenders.
    Type of Medium: Online Resource
    ISSN: 1079-0632 , 1573-286X
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2001
    detail.hit.zdb_id: 2018683-6
    SSG: 2,1
    SSG: 5,2
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