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C Di Biasi M Accorinti G Trasimeni P Pivetti Pezzi A Melone G Gualdi 《Canadian Metallurgical Quarterly》1997,93(4):348-351
OBJECTIVE: To evaluate the relationships between patient and physician pretreatment expectations of pain relief and subsequent pain relief reported by chronic pain patients immediately after treatment. DESIGN: Prospective study of consecutive patients undergoing a procedure in a pain clinic for treatment of chronic pain. Patients rated their current pain level and their expectation of pain relief immediately prior to undergoing a procedure (e.g., intravenous drug infusion, nerve block) for the treatment of chronic pain. Simultaneously and independently, the treating physician completed a similar questionnaire. At completion of the procedure, patients rated their current pain level and degree of pain relief. SETTING: University of Washington Multidisciplinary Pain Center procedure suite. PATIENTS: Forty-six consecutive chronic pain patients. INTERVENTION: Intravenous drug infusions and nerve blocks. OUTCOME MEASURES: Current pain and pain relief ratings. RESULTS: Patients' pain relief expectation ratings were not correlated significantly with their postprocedure pain relief ratings or pre-post procedure changes in pain ratings. However, a statistically significant correlation was found between physician expectations of pain relief and patient pain relief ratings and patient pre-post procedure changes in pain. CONCLUSIONS: The results of this study suggest that physicians are better predictors than are patients of patients responses to these procedures and/or that physicians may somehow subtly communicate their expectations to patients during the procedure, and these expectations then influence patient response. Patient pretreatment expectations may not always play a significant role in nonspecific treatment effects. 相似文献
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先说明市内接入网的单位用户和住家用户两大类使用通信和电视、交互型和分配型业务的要求不相同,相应地对光纤传输的应用须作不同的考虑,文中认为;光纤从市内交换局直连办公大楼是合乎现实需要的,而对于居民住家,宜选用光纤连至路边或光纤与同轴结合和适当利用无源光网络等方案,俟将来时机成熟才实行光纤连至每一家,文末有概括总结,说明接入网不同于长途网,接入网的光纤系统可以使用常规单模光纤,工作于波长1.3μm,而光放大器和波分多路系统不是普遍需要,但光电子集成在光端机中是必要的。 相似文献
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F Pigozzi N Santori V Di Salvo A Parisi L Di-Luigi 《Canadian Metallurgical Quarterly》1997,20(6):505-509
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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McKinley P.K. Xu H. Esfahanian A.-H. Ni L.M. 《Parallel and Distributed Systems, IEEE Transactions on》1994,5(12):1252-1265
Multicast communication, in which the same message is delivered from a source node to an arbitrary number of destination nodes, is being increasingly demanded in parallel computing. System supported multicast services can potentially offer improved performance, increased functionality, and simplified programming, and may in turn be used to support various higher-level operations for data movement and global process control. This paper presents efficient algorithms to implement multicast communication in wormhole-routed direct networks, in the absence of hardware multicast support, by exploiting the properties of the switching technology. Minimum-time multicast algorithms are presented for n-dimensional meshes and hypercubes that use deterministic, dimension-ordered routing of unicast messages. Both algorithms can deliver a multicast message to m-1 destinations in [log 2 m] message passing steps, while avoiding contention among the constituent unicast messages. Performance results of implementations on a 64-node nCUBE-2 hypercube and a 168-node Symult 2010 2-D mesh are given 相似文献
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The dual-phase-lagging heat conduction equation is shown to be of one unique solution for a finite region of dimension n (n?2) under Dirichlet, Neumann or Robin boundary conditions. The solution is also found to be stable with respect to initial conditions. The work is of fundamental importance in applying the dual-phase-lagging model for the microscale heat conduction of high-rate heat flux. 相似文献
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南化大化肥硝铵库工程 ,于 2 0 0 0年 2月 15日开工 ,2 0 0 0年 10月 10日竣工 ,混凝土杯形基础 ,主体结构为单层、单跨、装配式的排架结构 ,30m预应力折线形屋架 ,大型屋面板 ,氯化聚乙烯防水卷材 ,建筑面积为 162 0m2 。氯化聚乙烯防水卷材是防水新型材料 ,由于防水性能好 ,施工方便 ,近几年得到了广泛的应用 ,在实际操作中往往由于施工人员对操作规程不甚了解 ,或虽有所了解 ,但没有认真对待 ,造成这样那样的质量问题 ,硝铵库作为一个储物库房 ,对防渗漏的要求高 ,那么施工中怎样避免出现渗漏现象 ,确保工程质量呢 ?1 做好施工准备检… 相似文献