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41.
OBJECTIVE: To estimate the frequency of perioperative morbidities in patients who underwent anesthesia and a surgical procedure with no preoperative laboratory testing. MATERIAL AND METHODS: We conducted an electronic database search of medical records of 56,119 patients who underwent surgical or diagnostic procedures and anesthesia at Mayo Clinic Rochester in 1994 and found 5,120 who had no laboratory tests done within 90 days before the procedure. From this group, we randomly selected 1,044 patients (87 from each month) to document the absence of preoperative tests, the presence of preexisting disease (by organ system), the type of anesthetic agent, and the outcomes and tests intraoperatively and postoperatively. RESULTS: The 1,044 patients ranged in age from 0 to 95 years (median age, 21). No deaths or major perioperative morbidities occurred (0.0%; exact 95% confidence interval, 0.00 to 0.35%). Although 10 patients underwent blood typing and screening for antibodies immediately preoperatively, no blood transfusions were necessary. Intraoperatively, 17 laboratory tests and 1 electrocardiogram were obtained, and 3 results were abnormal. Postoperatively, 42 blood tests and 2 electrocardiographic procedures were performed. Five of the 42 blood tests showed abnormal results (hemoglobin levels in 3, serum sodium in 1, and arterial blood gases in 1). One electrocardiogram showed normal findings, and the other revealed normal results except for premature ventricular contractions. No laboratory test done intraoperatively or postoperatively was found to change surgical or medical management substantially. One patient who had unanticipated blood loss during an outpatient procedure was admitted to the hospital for observation. CONCLUSION: All 1,044 patients, 97% of whom were relatively healthy, with no recent laboratory testing safely underwent anesthesia and an operation. We conclude that patients who have been assessed by history and physical examination and determined to have no preoperative indication for laboratory tests can safely undergo anesthesia and operation with tests obtained only as indicated intraoperatively and post-operatively. Current anesthetic and medical practices rapidly identify perioperative indications for laboratory evaluation as they arise.  相似文献   
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43.
在不同频率流量和阻水程度条件下,采用一维明渠非恒定流网河数学模型,分析规划中的佛山市桥梁群对区间河道洪季行洪、枯季水环境的影响,计算洪季不同频率洪峰流量下规划桥梁群对区间河道行洪洪水位、分流比的影响,枯季时规划桥梁群对区间河道过流量、分流比的影响,结果表明,利用一维网河数学模型计算佛山市中心组团规划桥梁群对区间河道断面平均水位、流量和流速的影响,结果有足够的数值精度,是可信的。  相似文献   
44.
一种平面魔T结构的研究   总被引:1,自引:0,他引:1  
周明  陈荻 《舰船电子对抗》2007,30(4):119-120
为在小体积范围内产生雷达和信号、差信号,介绍了一种宽带平面型魔T结构的实现方法。通过选取合适的电路结构,并借助微波EM分析软件,在微带线和槽线的基板上实现了平面型魔T结构电路功能,在较宽的频带内实现了良好的幅相特性,并给出了测试结果。同时表明作为一种传输线结构二槽线,有其独特的优点和应用价值。  相似文献   
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46.
We discuss the performance, of a normal metal hot electron bolometer (NHEB) that we have measured at 0.3 K. We found that the noise equivalent power was limited by the amplifier noise. To improve the NHEB power response and to make it more robust and reliable we propose to substitute the normal metal with heavily doped silicon. The heavily doped silicon behaves like a metal with lower carrier concentration and has a smaller electron–phonon thermal coupling. We have fabricated superconductor-doped silicon-superconductor contacts (S-Sm-S) and we have used them as thermometers and coolers.  相似文献   
47.
Inorganic–organic hybrid materials are attracting a strong scientific interest mainly for their outstanding inherent mechanical and thermal properties, which can be traced back to the intimate coupling of both inorganic and organic components. By carefully choosing the experimental parameters used for their synthesis, chemically and thermally stable acrylate-based hybrid material embedding the zirconium oxocluster Zr4O4(OMc)12, where OMcCH2C(CH3)C(O)O, can be deposited as UV-cured films on aluminium alloys.

In particular, the molar ratios between the oxocluster and the monomer, the polymerisation time, the amount of photo-initiator and the deposition conditions, by using an home-made spray-coating equipment, were optimised in order to obtain the best performing layers in terms of transparency and hardness to coat aluminium alloy (AA1050, AA6060 and AA2024) sheets. Furthermore, it was also evaluated whether the hybrid coatings behave as barrier to corrosion.

Several coated samples were prepared and characterised. Environmental scanning electronic microscopy (ESEM) and scratch test were used to investigate the morphology of the films and to evaluate their scratch resistance, respectively. Electrochemical impedance spectroscopy (EIS) was performed in order to evaluate if the coatings actually protect the metallic substrate from corrosion.

In order to measure shear storage modulus (G′) and loss modulus (G″) of the materials used for coatings, bulk samples were also obtained by UV-curing of the precursors solution. Dynamical mechanical thermal analysis (DMTA) was performed in shear mode on cured disks of both the hybrid materials and pristine polymer for comparison. The values of Tg were read off as the temperatures of peak of loss modulus. The length and mass of all the samples were measured before and after the DMTA analysis, so that the shrinkage of the materials in that temperature range was exactly evaluated.  相似文献   

48.
The present work is aimed to extend the knowledge of mechanical properties of sandwich structures used for marine applications focusing on the possibility to increase the performances of such structures by adding a bonder at the skin/core interface. Therefore, three sandwich structures that are utilised in different structural components of a yacht were realised by manual lay-up. The mechanical characterisation was performed by flatwise compressive, edgewise compressive and three point flexural tests. The tests execution has allowed both to determine the mechanical performances and to understand the fracture mechanisms that take place when the bonder is added in the stacking sequence of the samples.  相似文献   
49.
固定化微生物脱除工业酸性废气中H_2S的研究   总被引:5,自引:0,他引:5  
以H 2软性填料作为氧化亚铁硫杆菌的固定化载体 ,构成了固定床生物反应器。在一定操作条件下 ,考察了固定床生物反应器对Fe2 +的氧化速率 ,最大可达 7.6 7g/ (L·h)。并对固定床生物反应器运行中在载体表面形成的络合物进行了研究 ,X射线衍射证明此络合物为黄钾铁矾 [KFe3(SO4 ) 2 (OH) 6]。  相似文献   
50.
主要研究了Cr对低碳Si-Mn系TRIP钢组织与力学性能的影响。首先利用Formastor-F型膨胀仪测定了含Cr和不含Cr两种低碳钢的连续冷却转变(CCT)曲线,分析指出了Cr对连续退火工艺的潜在影响;然后采用Gleeble-3800热/力模拟试验机对两种钢的薄板试样进行了连续退火模拟实验,并通过拉伸试验测定了力学性能;最后采用金相、扫描电镜、X-射线衍射分析等技术考察分析了两种钢的显微组织。结果表明:含Cr的TRIP钢的组织比较细小,铁素体晶粒近似等轴分布;两种TRIP钢的残余奥氏体含量相近,但含Cr钢的残余奥氏体中的含碳量较高。分析认为这是由于含Cr钢在热轧阶段较易生成细小的组织,而在热处理阶段则抑制贝氏体的生成,最终获得稳定的残余奥氏体。  相似文献   
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