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1.
Amongst the elements which contributed to the success of the early lung transplants at the beginning of the 1980's we feel that the careful selection of candidates probably played a predominant role. If some of the selection criteria initially described remain somewhat intangible, others have either been eased or have been invalidated. The experience acquired over the last 15 years has enabled to precise the optimal moment to include patients on the waiting list and to refine the choice for the type of surgical procedure according to the underlying disease. This article aims to review the different selection criteria for candidates for transplantation and stresses those which have recently undergone change.  相似文献   
2.
In-service fracture of helicopter windshields was studied. Simulated catastrophic fracture tests were conducted by firing alumina and steel spheres onto stationary tempered and as-received glass panels. The results were studied by Hertzian analysis and modified Auerbach's relations. Thermally tempered glass shows much higher impact resistance than that estimated from superposition of residual stresses. Subcritical impact sites exhibit slow crack growth in tempered plates, eventually leading to fracture of the entire plate.  相似文献   
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为保证轴类零件的加工精度,通常需要在加工过程中对其直径、偏心、圆度等进行实时自动测量,本文提出了一种角度空间谐波分析法,通过圆周方向大于8点的测量,可计算出直径、偏心、圆度等多个参数,计算精度高。  相似文献   
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Mathematical models are helpful in the understanding of diseases through the use of dynamical indicators. A previous study has shown that brain activity can be characterized by a decrease of dynamical complexity in depressive subjects. The present paper confirms and extends these conclusions through the use of recent methodological advances: first episode and recurrent patients strongly differ in their dynamical response to therapeutic interventions. These results emphasize the need for clinical follow-ups to avoid recurrence and the necessity of specific therapeutic intervention in the case of recurrent patients.  相似文献   
7.
The surgical management of intractable epistaxis by external carotid artery ligation may become complicated if there is a high bifurcation of the common carotid artery. Occlusion of the bleeding vessels by catheter embolization is described in a patient in whom exploration of the neck had failed to locate the external carotid artery.  相似文献   
8.
The thermal and hydraulic performance of a modified two-stage evaporative cooler is evaluated. Variables considered are the mode of operation, packing thickness, mass flow rate of the water flowing to the precooler, and the mass flux of water flowing over the packing media. The effectiveness of the system increased with the increase of the mass flow rate of water flowing to the precooler, decreasing the mass flux of water flowing to the packing, and with the increase of the packing thickness. The effectiveness of the system with structured packing was higher than that with sheathy leaf base or natural fiber packing.The air-side pressure drop per unit length in the direction of air flow was nearly constant when the structured packing was used. For the sheathy leaf and natural fiber packings, the air pressure drop increased at a uniform rate as the mass flux of water flowing over the packing increased. The air pressure drop was lowest for the setup with the structured packing.  相似文献   
9.
Azithromycin was given as a single oral dose (20 mg/kg of body weight) to 12 volunteers in a crossover study with roxithromycin (8 to 12 mg/kg) and clarithromycin (8 to 12 mg/kg). Flow cytometry was used to study the phagocytic functions and the release of reactive oxygen products following phagocytosis by neutrophil granulocytes prior to administration of the three drugs, 16 h after azithromycin administration, and 3 h after clarithromycin and roxithromycin administration. Phagocytic capacity was assessed by measuring the uptake of fluorescein isothiocyanate-labeled bacteria. Reactive oxygen generation after phagocytosis of unlabeled bacteria was estimated by the amount of dihydrorhodamine 123 converted to rhodamine 123 intracellularly. Azithromycin resulted in decreased capacities of the cells to phagocytize Escherichia coli (median [range], 62% [27 to 91%] of the control values; P < 0.01) and generate reactive oxygen products (75% [34 to 26%] of the control values; P < 0.01). Clarithromycin resulted in reduced phagocytosis (82% [75 to 98%] of control values; P < 0.01) but did not alter reactive oxygen production (84% [63 to 113%] of the control values; P > 0.05). Roxithromycin treatment did not affect granulocyte phagocytosis (92% [62 to 118%] of the control values; P > 0.05) or reactive oxygen production (94% [66 to 128%] of the control value; P > 0.05). No relation between intra- and/or extracellular concentrations of azithromycin and/or roxithromycin and the polymorphonuclear phagocyte function and/or reactive oxygen production existed (P > 0.05 for all comparisons). These results demonstrate that the accumulation of macrolides in neutrophils can suppress the response of phagocytic cells to bacterial pathogens after a therapeutic dose.  相似文献   
10.
Eleven patients suffering from chronic disabling tinnitus underwent an FDG-PET study (positron emission tomography with [18F]deoxyglucose). Nine tinnitus patients revealed a significantly increased metabolic activity in the left, 1 in the right primary auditory cortex (PAC, Brodmann area 41). These results were statistically significant when compared to 14 healthy control individuals without tinnitus. A negative result was obtained from a chronic tinnitus patient but who had no subjective complaints during the period of PET investigation. One patient was first investigated during a disabling tinnitus period, later during a period with tinnitus relief and again when suffering from severe tinnitus. The metabolic activity of his left PAC was in good accordance with the subjective degree of tinnitus complaints present during each PET investigation. Although for the first time these results give objective evidence of tinnitus sensation and localization, they are difficult to interpret because of the limited research data available that combine functional brain imaging and acoustic stimuli.  相似文献   
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