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1.
There are evidence indicating that endoscopic retrograde cholangiopancreatography with sphincterotomy (ERCP+S) reduces the rate of complications in patients with severe acute biliary pancreatitis (ABP). The aim of this study was to analyze our experience in the treatment of severe ABP with ERCP+S and compare the evolution of the patients treated early (3 days or less following admission) with those treated late (after the 3rd day). A retrospective review of the clinical histories of the 16 patients with severe ABP treated with ERCP+S over the last two years is presented, analyzing their clinical features on admission and evolution. Biliary stones or biliary sludge was observed in 11 cases (69%). Nine patients had undergone early, and 7 late, ERCP+S. The patients of the latter group presented a greater number of complications during evolution than the former group (43% vs 0%; p = 0.025). The mortality of the patients of the late ERCP+S was also greater although without statistical significance (28.6% vs 0%; p = 0.15). No complication secondary to ERCP+S was detected. These findings confirm the fact that ERCP+S performed early in severe ABP significantly reduces the number of complications and is associated with a lower mortality.  相似文献   
2.
The mechanical, morphological behavior and water absorption characteristics of polypropylene (PP) and silica, or PP and rice‐husk, composites have been studied. The silica used in this study as filler was a commercial type produced from soluble glass or rice husks. The compatibilizing effect of PP grafted with monomethyl itaconate (PP‐g‐MMI) and/or with vinyltriethoxysilane (PP‐g‐VTES) as polar monomers on the mechanical properties and water absorption was also investigated. In general, a high loading of the studied fillers in the polymer matrix increases the stiffness and the water absorption capacity. This effect is more noticeable in the tensile modulus of the PP/silica composite with PP‐g‐VTES as compatibilizer. However, the increase of the rice‐husk charge as a natural filler in the PP matrix decreases the stiffness, and in the presence of PP‐g‐MMI as compatibilizer in PP/rice‐husk, the tensile modulus and water absorption of the composite were improved. The better adhesion and phase continuity in the PP/silica and PP/rice‐husk composites with different compatibilizers was confirmed by the morphological study. Copyright © 2004 Society of Chemical Industry  相似文献   
3.
The application of frozen and radiation sterilized allogenic bone grafts for reconstructions in orthopaedic operations is described. Analysis of results of treatment of 1125 patients was performed. It was found that use of preserved bone allows to reduce the extend and duration of surgery. Nearly total substitution of grafts may be seen in 3 to 8 months after surgery.  相似文献   
4.
Many school systems, in both the developed and developing world, are implementing educational technology to assist in student learning. However, there is no clear consensus on how to evaluate these new technologies. This paper proposes a comprehensive methodology for estimating the value of a new educational technology in three steps: benefit analysis, through the administration of a well-designed experiment; cost analysis, which incorporates costs to weigh against the benefits; and feasibility analysis, which introduces real-world concerns that may affect the ability to actually implement the technology. To illustrate the methodology, a case study from Chile is used where portable educational video games were introduced into first and second grade classrooms with the aim of improving learning in mathematics and language. This paper demonstrates the importance of all three steps in the evaluation process and provides a framework for future analyses.  相似文献   
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Before describing the mainFet modelings today available, the main technological evolutions ofMesfet andTegfet are summarized. It is brought some information on the various physical effects that occur in the devices and that must be taken into account in the models. It is shown that the different kinds of modelings (Monte Carlo, two dimensional, one dimensional) constitute a continuous chain, where the different elements appear strictly complementary. Finally, the present situation concerning modeling ofMesfet andTegfet will be presented.  相似文献   
7.
The purpose of this work was to study how mineral fillers would behave in a polypropylene (PP) matrix when PP modified with maleic anhydride (MA) and/or itaconic acid (IA) was used as a coupling agent in the preparation of mineral‐filled PP composites. The composites were characterized with tensile mechanical measurements and morphological analysis. The optimum amount of the coupling agent to be used to obtain composites with improved mechanical properties was established. The results indicated that these coupling agents enhanced the tensile strength of the composites significantly, and the extent of the coupling effect depended on the nature of the interface that formed. The incorporation of coupling agents enhanced the resistance to deformation of the composite. The behavior of IA‐modified PP as a coupling agent was similar to that of a commercial MA‐modified PP for the filled PP composites. Evidence of improved interfacial bonding was revealed by scanning electron microscopy studies, which examined the surfaces of fractured tensile test specimens; their microstructures confirmed the mechanical results with respect to the observed homogeneous or optimized dispersion of the mineral‐filler phase in these composites. © 2006 Wiley Periodicals, Inc. J Appl Polym Sci 103: 2343–2350, 2007  相似文献   
8.
The main objective of this field study was to estimate the total plant uptake of soil mineral N in maize (Zea mays L.) and common bean (Phaseolus vulgaris L.) grown in crop rotations under different N content in Nicaragua. Secondary objectives were to estimate the fraction of the measured soil mineral N content taken up in this way, and to determine how the measured N in plant aboveground parts was related to the total mineral N uptake. A large variation in N content was obtained by using data from fertilisation experiments. Plant total N uptake was estimated as the residual N in a mass balance calculation of soil mineral N. Mineral N content in the top 0–0.3 m soil layer in the field cultivations and in tubes isolated from root uptake, and N content in aboveground plant parts were measured every 30 days. Estimated plant total uptake of soil mineral N varied considerably (2.5–14 g N m−2 30 day−1) over periods and N treatments. The range of variation was similar for maize and bean. The fraction of the soil mineral N that was taken up by the plant daily varied more in maize (about 0.03–0.12 day−1) than in bean (about 0.05–0.08 day−1). Our results suggest that monthly changes in N in aboveground plant parts were linearly related to plant total N uptake during the same period. Aboveground plant N constituted between about 55% and 80% of total uptake of soil mineral N in maize depending on period within season, whereas for bean it was more constant and smaller (about 40%).  相似文献   
9.
In this paper, we show that free algebras in the variety of residuated lattices and some of its subvarieties are directly indecomposable and show, as a consequence, the direct indecomposability of free algebras for some classes of their bounded implicative subreducts.  相似文献   
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