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Osteomyelitis in uncommon locations can present unusual diagnostic difficulties. A patient with primary sternal osteomyelitis who presented with pain over the right supraclavicular area and a radiologic picture of a pleural-based right upper lung mass is discussed. A triple-phase bone scan was consistent with the diagnosis, and a needle aspiration of the mass revealed a staphylococcal abscess. Percutaneous drainage of the contiguous abscess and a prolonged course of antibiotic therapy cured the infection. 相似文献
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D Jacob-Wilk EE Goldschmidt J Riov A Sadka D Holland 《Canadian Metallurgical Quarterly》1997,35(5):661-666
In response to a light pulse, hamsters normally generate phase advances that are positively correlated with the length of their circadian period (tau). To determine whether this is a general property of the phase-shifting oscillator, the present study looked for a correlation between tau and phase-advance size not only for photic but also for nonphotic shifts. Syrian hamsters, Mesocricetus auratus, were entrained to light-dark cycles with a periodicity of either 23.67 h (the short-T group) or 24.33 h (the long-T group); after release into constant darkness, the short-T and long-T groups exhibited short and long taus, respectively. These animals were then induced to run in a novel exercise wheel for 3 h, starting at circadian time (CT) 7, or were exposed to 20 min of light, starting at CT 19. The size of the ensuing phase advances did not differ between the short-T and long-T groups not only for the nonphotic stimulus but also for the photic one, an unexpected result for the photic stimulus. Within the short-T groups for photic and nonphotic stimuli, the shorter tau was, the larger the phase advances were, another unexpected relationship. Another experiment where phase delays were induced by light pulses at CT 15 also failed to yield significant differences between the short-T and long-T groups. Independently of their after-effects on tau, T cycles may influence the capacity of the pacemaker to phase shift in ways that are still unclear but at least similar for both photic and nonphotic shifts. 相似文献
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Braver Sanford L.; Wolchik Sharlene A.; Sandler Irwin N.; Sheets Virgil L.; Fogas Bruce; Bay R. Curtis 《Canadian Metallurgical Quarterly》1993,7(1):9
Reports the results of a 3-wave longitudinal study of a sizable, regionally representative sample of both noncustodial and custodial parents interviewed initially before their divorce was final. A model was tested that predicted the noncustodial parent's postdivorce contact with the child and the payment of child support from a series of factors related to a social exchange orientation. This orientation highlights the noncustodial parent's implicit calculation of the rewards vs the costs of continuing involvement and support of the child. It was found that noninvolvement was, in general, well-predicted, both cross-sectionally and longitudinally, by the model. The most powerful factor in the model was the noncustodial parent's perception that he or she had some control over the child's upbringing. Among fully employed noncustodial parents who reported high perceived control, there was an excellent record of involvement and child support payment. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
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We report a very rare case of an avulsion of the pectoralis major tendon in association with a two-part proximal humerus fracture. Pectoralis major tendon avulsion was confirmed intraoperatively during open reduction and internal fixation of the humerus fracture. In retrospect, the preoperative radiographic finding of posterolateral and proximal displacement of the humeral shaft suggested an injury to the pectoralis major. Because others have reported that the best treatment of a pectoralis major tendon avulsion is surgical repair, we feel that it is important to suspect such an injury in a proximal humerus fracture when this anatomic displacement is present. 相似文献