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排序方式: 共有10000条查询结果,搜索用时 49 毫秒
91.
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93.
Charuhas V. Thakar Orfeas Liangos JeanPierre Yared David A. Nelson Srinivas Hariachar Emil P. Paganini 《Hemodialysis international. International Symposium on Home Hemodialysis》2003,7(2):143-147
Background: Acute renal failure (ARF) after cardiac surgery is associated with significant morbidity and mortality, irrespective of the need for dialysis. Previous studies have attempted to identify predictors of ARF and develop risk stratification algorithms. This study aims to validate the algorithm in an independent cohort of patients that includes a significant proportion of female and black patients and compares two different definitions of renal outcome.
Methods: A large single center cardiac surgery database was examined (n, 24,660; 1993–2000) which included 29.9% females and 3.7% black patients. Post‐operative ARF was defined as: a) ARF requiring dialysis, b) > 50% reduction in creatinine clearance relative to baseline or requiring dialysis. Clinical variables related to baseline renal function and cardiovascular disease were used in recursive partitioning analysis for both outcome definitions. Chi‐square goodness of fit analysis was performed to validate the algorithm.
Results: The frequency of post‐operative ARF requiring dialysis ranged between 0.5 and 15.5% based on the risk categories with the area under the receiver operating characteristic (ROC) curve of 0.78. Using the more inclusive definition of ARF, the frequency was significantly higher ranging from 2.6 to 25%(P < 0.001) with an area under ROC curve of 0.65.
Conclusions: The renal risk stratification algorithm is valid in predicting post‐operative ARF in an independent cohort of patients, well represented by differences in gender and race. Since the need for dialysis remains subjective, a more objective and inclusive definition of ARF may help in identifying a larger number of patients 'at‐risk'. 相似文献
Methods: A large single center cardiac surgery database was examined (n, 24,660; 1993–2000) which included 29.9% females and 3.7% black patients. Post‐operative ARF was defined as: a) ARF requiring dialysis, b) > 50% reduction in creatinine clearance relative to baseline or requiring dialysis. Clinical variables related to baseline renal function and cardiovascular disease were used in recursive partitioning analysis for both outcome definitions. Chi‐square goodness of fit analysis was performed to validate the algorithm.
Results: The frequency of post‐operative ARF requiring dialysis ranged between 0.5 and 15.5% based on the risk categories with the area under the receiver operating characteristic (ROC) curve of 0.78. Using the more inclusive definition of ARF, the frequency was significantly higher ranging from 2.6 to 25%(P < 0.001) with an area under ROC curve of 0.65.
Conclusions: The renal risk stratification algorithm is valid in predicting post‐operative ARF in an independent cohort of patients, well represented by differences in gender and race. Since the need for dialysis remains subjective, a more objective and inclusive definition of ARF may help in identifying a larger number of patients 'at‐risk'. 相似文献
94.
95.
Sangkwon Jeong 《低温学》2004,44(4):241-248
This paper describes transient numerical modeling for thermal characteristic of vapor-cooled current leads under pulse operation. The transient thermal analysis considers the temperature difference between a helium gas flow and a copper lead with temperature dependent properties of helium gas, copper and stainless steel. The numerical analysis was validated by an experiment with commercially available 100 A vapor-cooled current leads. A proper overloading factor calculation and the effect of intermediate cooling are presented for the current leads under pulse operation, which can significantly reduce heat input to a cryostat. 相似文献
96.
97.
Y. MURAKAMI K. TAKAHASHI R. KUSUMOTO 《Fatigue & Fracture of Engineering Materials & Structures》2003,26(6):523-531
ABSTRACT The fatigue crack growth behaviour of 0.47% carbon steel was studied under mode II and III loadings. Mode II fatigue crack growth tests were carried out using specially designed double cantilever (DC) type specimens in order to measure the mode II threshold stress intensity factor range, ΔKIIth. The relationship ΔKIIth > ΔKIth caused crack branching from mode II to I after a crack reached the mode II threshold. Torsion fatigue tests on circumferentially cracked specimens were carried out to study the mechanisms of both mode III crack growth and of the formation of the factory‐roof crack surface morphology. A change in microstructure occurred at a crack tip during crack growth in both mode II and mode III shear cracks. It is presumed that the crack growth mechanisms in mode II and in mode III are essentially the same. Detailed fractographic investigation showed that factory‐roofs were formed by crack branching into mode I. Crack branching started from small semi‐elliptical cracks nucleated by shear at the tip of the original circumferential crack. 相似文献
98.
L. T. MO M. HUURMAN S. P. WU A. A. A. MOLENAAR 《Fatigue & Fracture of Engineering Materials & Structures》2007,30(9):823-831
Tensile fatigue behaviours of bitumen–stone adhesion were investigated using a dynamic mechanics analyser under stress‐controlled mode at two temperatures of 5 and 25°C and various controlled‐stress levels. Failure characteristics including interfacial failure and cohesive failure were examined using image analysis of fracture surfaces. Finite‐element analysis on stress distributions was conducted under different temperatures, film thickness and interfacial bonding conditions. A Coulomb–Mohr like criterion in combination with shear and normal stresses is proposed to deal with the extreme thin adhesive layer, which can be further simplified into an adhesive zone without significant loss of accuracy for stress analysis. 相似文献
99.
Prevention and Mitigation Strategies to Address Recent Brittle Fractures in Steel Bridges 总被引:1,自引:0,他引:1
Robert J. Connor Eric J. Kaufmann John W. Fisher William J. Wright 《Canadian Metallurgical Quarterly》2007,12(2):164-173
Brittle fracture results in unplanned loss of service, very costly repairs, concern regarding the future safety of the structure, and potential loss of life. These types of failures are most critical when there is no evidence of fatigue cracking leading up to the fracture and the fracture origin is concealed from view. Hence, the failure occurs without warning and the details are, essentially, noninspectable. In these cases, it appears desirable to take a proactive approach and introduce preventative retrofits to reduce the potential for future crack development. These efforts will help ensure that the likelihood of unexpected fractures is minimized. This paper examines the behavior of two bridge structures in which brittle fractures have developed in recent times, discusses the causes of the failures, and offers suggested design strategies for prevention and retrofit mitigation techniques. In situations where considerable uncertainty exists in the prediction of accumulated damage or in the ability to reliably inspect critical details, preemptive retrofit strategies appear to be highly desirable. 相似文献
100.
一种基于PWM的半桥型开关电源 总被引:1,自引:0,他引:1
郭炯杰 《沙洲职业工学院学报》2003,6(2):16-18
主要介绍了由SG3525组成的半桥型开关稳压电路的结构和工作原理,阐述了PWN集成电路SG3525的特性和主要功能。实践表明:该系统工作稳定,运行效果良好。 相似文献