心源性猝死一级预防植入心律转复除颤器前非持续室性心动过速与植入后恰当治疗的关系

目的探讨植入型心律转复除颤器(implantable cardioverter defibrillator,ICD)用于心源性猝死一级预防时,植入前发生非持续性室性心动过速(non-sustained ventricular tachycardia,NSVT)与植入后ICD恰当治疗的关系。方法本研究为单中心回顾性队列研究,连续纳入2006年1月至2017年12月在北京协和医院住院植入ICD用于一级预防的心脏病患者,患者在住院期间ICD植入前均完善Holter检查。根据Holter检查是否出现NSVT,将患者分为NSVT组及无NSVT组。门诊或电话随访至2018年8月,随访事件包括全因死亡、植入后ICD放电治疗及抗心动过速起搏(antitachycardia pacing,ATP)治疗情况。结果纳入60例符合入选和排除标准的患者,随访时间37 (14～61)个月,KaplanMeier生存曲线及Log-Rank检验提示,NSVT组与无NSVT组相比,全因死亡率无统计学差异(P=0. 108),NSVT组恰当治疗的风险高于无NSVT组(P=0. 033),NSVT和左心室射血分数与ICD恰当治疗独立相关(NSVT:HR=5. 099,95%CI:1. 399～18. 588,P=0. 014;左心室射血分数:HR=1. 077,95%CI:1. 013～1. 145,P=0. 018)。结论 ICD一级预防患者植入前出现NSVT提示接受ICD恰当治疗的风险增加。     

炼油达标污水回用处理试验研究

采用曝气生物滤池、多介质过滤、超滤、反渗透工艺,对炼油达标外排污水进行回用处理中试试验。结果表明,曝气生物滤池对油、COD和浊度去除效果良好,超滤、反渗透膜化学清洗周期达到 2个月以上,脱盐率稳定在98％以上,产水品质达到回用要求。     

污水汽提系统的化学除臭清洗

文章简要介绍了化学除臭清洗剂JX-518的组成,并对采用该清洗剂对污水汽提系统进行化学除臭清洗的清洗过程及注意事项进行了详细介绍。实践证明,清洗后系统残液中硫化物及氨氮可降至很低,取得了很好的清洗效果。     

水溶液全循环法尿素装置中压分解"三种工艺"的比较

以生产数据结合理论计算的方法系统地比较、分析了水溶液全循环法尿素装置中中压分解“三种工艺”的热能利用、甲铵分解率、总氨蒸出率、水平衡量、一分加热器生产能力等方面的情况，提出应用和配置预分离-预蒸馏工艺的方法，评论该工艺在水溶液全循环法中的地位和作用。     

Comparison of Lactic Acid Productivities at High Substrate Conversions in a Continuous Two-stage Fermenter With Cell Recycle Using Different Kinetic Models

The steady-state performance of a two-stage recycle fermenter with two different types (I and II) of configurations for staging was investigated numerically for the continuous production of lactic acid. In Type I the bleed broth withdrawn from the first stage is supplied to the second fermenter, and in Type II both filtrate and bleed broth from the first stage are introduced to the second stage. Using four different kinetic models taken from the literature, the effects of operating parameters on the overall lactic acid productivities and the overall substrate conversions are examined. At moderate conversions, productivities for Type I operation are found to be higher than those for Type II and for the single-stage system. In the case of high conversions close to complete consumption, Type II operation is more efficient than the Type I and single-stage systems. For 99% conversion and 40 kg m^-3 substrate feed concentration, productivities for Type II are predicted to be 14-74% higher compared to those for the single-stage system at the same bleed ratios.     

啤酒废酵母干燥工艺设计的研究

该文设计了一套适用于年产量5万吨以上啤酒厂废酵母干燥的生产工艺，提出了设计要点，并对干燥工艺进行了适用性分析。     

丙烯腈急冷塔喷淋系统流道分析与优化

对国内现有丙烯腈装置急冷塔循环液喷淋器的分流流道进行了研究。对喷头堵塞情况作了理论分析，并运用计算机编程模拟计算出喷淋器中各喷头的流体分布情况。在此基础上提出了分流流道的优化方案，从而改善了急冷塔内的操作状况，减少了丙烯腈在急冷塔内的损失。     

27keV Ar~+斜入射时的Cu-Au合金溅射实验角分布

用27keV Ar~+分别在垂直和倾斜入射情况下,轰击了Cu-Au(30wt％)合金样品,测量了Cu和Au原子的溅射角分布。角分布是用卢瑟福背散射(RBS)技术分析Al捕获膜上的Cu-Au沉积成分而定量得到的。结果表明:(1)在Ar~+倾斜(θ=40°)入射时,Cu原子择优发射,且程度比垂直入射(θ_r=O°)时增强:(2)倾斜入射时,Cu原子的角分布显示出在接近于样品表面法线方向的发射角范围内(θ<45°),发射机率比垂直入射时减小。     

"The association between emotional upset and cardiac arrhythmia during daily life": Correction to Carels et al. (2003).

Reports an error in the original article by R. A. Carels et al (Journal of Consulting & Clinical Psychology, 2003[Jun], Vol 71[3], 613-618). On page 615, Lines 18, 20, 22, of Table 1, the data in the rows that read "Tachycardia in min per hr," "Repetitive PVCs per hr," and "PVCs per hr" are incorrectly reported in the n and % columns. They should have been reported in the M and SD columns. The corrected table is provided. (The following abstract of this article originally appeared in record 2003-00756-023.) Ventricular arrhythmia exhibits considerable within-subject variability that cannot be attributed to clinical status alone. This investigation examined the extent to which cardiac arrhythmia was associated with psychological and physical factors assessed during the hour preceding arrhythmic or nonarrhythmic activity. Approximately twice hourly, 46 patients randomly completed a diary assessing mood and physical symptoms during 24-hr electrocardiographic monitoring. Greater negative emotion was associated with increased arrhythmia. Additionally, greater negative emotion was significantly associated with increased arrhythmia among participants in a low left ventricular ejection fraction group (LVEF). However, this relationship between negative emotion and arrhythmia was not... (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

如何提高干式喷射彩色混凝土的观感质量

从彩色混凝土喷射施工的特点出发，结合工程实例，分析了影响喷射彩色混凝土观感质量的原因和解决方法。指出彩色混凝土喷射工艺可以有效地解决大面积混凝土边坡与周围环境的协调性问题。