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1.
《Planning》2019,(5)
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。 相似文献
2.
郑文新 《水科学与工程技术》2007,(4):25-27
黑河水利枢纽右岸溢洪洞为缩短引渠左导墙的长度,减少施工开挖量,降低施工难度,减少工程投资,进行优化试验.通过对7种不同的方案对比分析,选择了合适的体型,满足了工程要求. 相似文献
3.
I. Sevostianov N. K. Sookay C. J. von Klemperer V. E. Verijenko 《Composite Structures》2003,62(3-4):417-421
Attempts to model the degradation of polymer composites have been restricted to modelling the effects of selected degradation mechanisms. No comprehensive model has yet been accepted to predict the effect of the natural environment on the strength of polymer composites. From a review of available literature, it appears that the matrix of a polymer composite is most affected by exposure to the natural environment. Further, the damage appears to progress from the surface into the interior of the laminate. An approach has been developed to determine the properties of the damaged layer and combine the properties of the damaged and undamaged layer to obtain bulk material properties of the laminate. 相似文献
4.
A new interaction integral formulation is developed for evaluating the elastic T-stress for mixed-mode crack problems with
arbitrarily oriented straight or curved cracks in orthotropic nonhomogeneous materials. The development includes both the
Lekhnitskii and Stroh formalisms. The former is physical and relatively simple, and the latter is mathematically elegant.
The gradation of orthotropic material properties is integrated into the element stiffness matrix using a “generalized isoparametric
formulation” and (special) graded elements. The specific types of material gradation considered include exponential and hyperbolic-tangent
functions, but micromechanics models can also be considered within the scope of the present formulation. This paper investigates
several fracture problems to validate the proposed method and also provides numerical solutions, which can be used as benchmark
results (e.g. investigation of fracture specimens). The accuracy of results is verified by comparison with analytical solutions. 相似文献
5.
The present research was focused on the development of a new glass to produce glass–alumina FGMs. The glass formulation, belonging to the CaO–ZrO2–SiO2 system, was doped with cobalt, by adding a small molar percentage (about 0.1 mol%) of CoO, in order to obtain a blue glass, which could be useful to appreciate the final compositional gradient. The glass was accurately characterized, evaluating its thermal behaviour, its mechanical properties, and its attitude to crystallize during a thermal treatment. Subsequently, the glass was used to produce glass–alumina FGMs via percolation and the so obtained specimens were analysed in order to evaluate the effect of the glass infiltration. The possible development of new crystal phases, in particular, was tested via micro X-ray diffraction and the elastic properties gradient associated with the compositional gradient was measured via depth-sensing Vickers microindentation. 相似文献
6.
介绍了在轧钢厂二车间开发顾客需要的Φ18、Φ20、Φ22的热轧左旋螺纹钢。在原有Φ18、Φ20、Φ22热轧圆钢的工艺基础之上做工艺设计,经实际生产轧制,其产品质量完全符合顾客要求。 相似文献
7.
Carels Robert A.; Cacciapaglia Holly; Pérez-Benítez Carlos I.; Douglass Olivia; Christie Samantha; O'Brien William H. 《Canadian Metallurgical Quarterly》2003,71(4):753
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) 相似文献
8.
Heterogeneous object modeling: A review 总被引:2,自引:0,他引:2
X.Y. Kou 《Computer aided design》2007,39(4):284-301
A review on the recent development in heterogeneous object modeling is provided in this paper. General problems and prevalent solutions to the modeling of heterogeneous objects are investigated. Vigorous heterogeneous object representations are roughly classified into three major categories: evaluated models, unevaluated models and composite models. We reveal their similarities and study their strengths and weaknesses in terms of the representational capacities, intuitiveness, exactness, compactness, efficiency and other criteria. Different design paradigms are briefly reviewed to provide an overview of the state-of-the-art in heterogeneous object design. Finally, open problems and possible future directions are discussed. 相似文献
9.
The employment of the Zn(Se,Te) pseudo-graded contacting scheme to p-type ZnSe-based alloys contributes directly to the recent
demonstration of room temperature continuous-wave operation of II– VI green-blue laser diodes. Contact ohmicity is maintained
down to cryogenic temperatures which enabled the investigation of electrical transport properties associated with the p-type
nitrogen-doped ZnSe, Zn(S,Se), and (Zn,Mg)(S,Se). The observation of both persistent photoconductivity and a metastable population
of holes which are in thermodynamic equilibrium with hydrogenic acceptors having reduced activation energy suggests the presence
of a DX-like behavior for holes in p-type (Zn,Mg)(S,Se). 相似文献
10.
针对主动推送模式下的情报需求预测问题,提出了基于案例推理的解决方案。设计了进行情报需求预测案例分析的工作流程,建立了案例属性描述模型;应用最近邻法进行案例的相似度评价,并通过信息增益的计算确定每个属性的权值,获得相似案例(集);提出了方案调整和推理策略。 相似文献