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Despite the availability of clinical guidelines for the timing of dialysis initiation in both the United States and Canada, patients continue to start dialysis at very low levels of predicted glomerular filtration rate (GFR). A cross-sectional study was performed to determine the demographic and clinical characteristics of patients who started hemodialysis, their level of GFR, and mortality at 1 and 2 years following the initiation of dialysis. Retrospective data were collected on all eligible patients who commenced chronic hemodialysis in 1 tertiary care center in Canada from March 2001 to February 2005. Only those patients who had been followed by a nephrologist in the chronic kidney disease clinic before dialysis initiation were included (n=271). Seventeen percent of patients started hemodialysis late (GFR<5 mL/min/1.73 m(2)). Compared with the group of patients who started dialysis earlier, the late start group were significantly younger (p=0.008), had more females (p=0.013), more employed (p=0.051), less cardiac (p<0.001), and peripheral vascular disease (p=0.031), and were taking medication for hypertension (p=0.041). Serum albumin was lower in the late start group (p=0.023). At year 1, there was no difference in mortality rate while at year 2, the earlier the dialysis, the greater the mortality rate (p=0.022). After adjustment for demographic variables and comorbidities, only antihypertensive use had an independent but weak association with the 2 year mortality. Adjustment for all these variables eliminated the significant association noted for the 2 year mortality in the early versus late dialysis start. The survival benefit for late versus early dialysis start appears to be multifactorial and relates to a preponderance of clinical and demographic factors favoring a lengthened survival occurring in the late dialysis group. Our survival benefit findings suggest the premorbid health condition is a more important determinant of 2 year survival than the timing of dialysis initiation.  相似文献   

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Careful investigation of the angular dependence of resistivity ??(??) (?? is the angle between the magnetic field and the ab-planes) as a function of the temperature within the superconducting transition in an applied magnetic field B up to 1 T for a series of YBa2Cu3O7??? (YBCO) thin films revealed a large variation in the shape and width of the minimum displayed in the vicinity of ??=0??, from a flat to a very sharp behavior. The series of films studied included both optimally doped and underdoped samples of different T c , critical current density?J c , film thickness, and preparation techniques. ??(??) measured for B close to ??=0?? (B parallel to ab-planes) for both B??J and B??J (J is the applied current density) showed two classes of samples; class of samples where ??(??) is independent of the direction of B relative to J and the other class where ??(??) depends on the orientation B relative to?J. This unusual unique behavior motivated us to investigate its origin by looking at the scaling of ??(??) as a function of the reduced field. Scaling of ??(??)) with the reduced field B(?? ?2cos?2 ??+sin?2)1/2 allowed a quantitative determination of the value of ?? (intrinsic anisotropy) which varies between 7 and 400, and is independent of film thickness and J c . Analysis of the microstructure though XRD of the films studied showed that the anisotropy is related to microstrain of the films.  相似文献   

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In order to investigate the influence of Au doping and diffusion-annealing temperature on the mechanical and superconducting properties of Bi-2223, Bi1.8Pb0.35Sr1.9Ca2.1Cu3O y superconductors were prepared by standard solid-state reaction methods. Doping of Bi-2223 was carried out by means of gold diffusion during sintering from an evaporated gold film on pellets. The investigation consisted of scanning electron microscopy, dc resistivity and hardness measurements. Electrical-resistivity measurements indicated that the room-temperature resistivity value decreased with decreasing diffusion-annealing temperature from 830 to 500?°C and these samples (G830, G800, G750, G700, G600 and G500) show the resistive behavior above the onset critical transition temperature with the zero-resistivity transition temperatures of 104 K, 80 K, 98 K, 95 K, 102 K and 103 K, respectively. To investigate mechanical properties of the samples, we have measured the diagonal length as a function of test load in the range of 0.245?C2.940 N. Mechanical properties (microhardness, Young??s modulus, yield strength and fracture toughness) of the samples are found to be load and diffusion-annealing temperature dependent. In addition, we have calculated the load independent hardness, Young??s modulus, yield strength, and fracture toughness of the samples. The possible reasons for the observed changes in superconducting and mechanical properties due to Au diffusion and diffusion-annealing temperature were discussed.  相似文献   

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How do the risks and benefits of nanotechnology, as viewed by the public, compare with those associated with other technologies such as genetically modified organisms, stem cells, biotechnology and nuclear power? And when deciding to use a specific nanotechnology product, will consumers consider the risks, the benefits, or both? We report the first large-scale empirical analyses of these questions.  相似文献   

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This study uses continuously logged driving data from 166 private cars to derive the level of jerks caused by the drivers during everyday driving. The number of critical jerks found in the data is analysed and compared with the self-reported accident involvement of the drivers. The results show that the expected number of accidents for a driver increases with the number of critical jerks caused by the driver. Jerk analyses make it possible to identify safety critical driving behaviour or “accident prone” drivers. They also facilitate the development of safety measures such as active safety systems or advanced driver assistance systems, ADAS, which could be adapted for specific groups of drivers or specific risky driving behaviour.  相似文献   

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Iron oxide nanoparticles were synthesized by co-precipitation in air atmosphere at different temperatures and their structural and magnetic properties were investigated. The mean particle sizes of iron oxide nanoparticles were calculated from the X-ray diffraction (XRD) patterns using the Scherrer equation. Fourier transform infrared spectroscopy analysis exhibited the vibration bands at 563 cm?1 and 620 cm?1 confirming the formation of Fe3O4 and ??-Fe2O3, respectively. Morphological observation was made by a transmission electron microscope and the particle size of iron oxide nanoparticles was found to be around 9 nm which is consistent with the particle size calculated according to the XRD patterns. It was observed that the intensity of the peaks in the patterns and crystallinity increased as the temperature increased. Magnetization curves showed zero coercivities indicating that the samples are superparamagnetic.  相似文献   

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We present a novel approach to the analysis of the normal state in-plane $\sigma _{ab} $ and out-of-plane σc conductivities of anisotropic layered crystals such as oxygen deficient YBa 2 Cu 3 O x . It can be shown that the resistive anisotropy is determined by the ratio of the phase coherence lengths in the respective directions; i.e., $\sigma _{ab} /\sigma _c = \ell _{ab}^2 /\ell _c^2 $ . From the idea that at all doping levels and temperatures T the out-of-plane transport in these crystals is incoherent, follows that $\ell _c $ is T-independent, equal to the spacing $\ell _0 $ between the neighboring bilayers. Thus, the T-dependence of $\ell _{ab} $ is given by the measured anisotropy, and $\sigma _{ab} (\ell _{ab} )$ dependence is obtained by plotting $\sigma _{ab} {\text{ }}vs{\text{ }}\ell = {\text{ (}}\sigma _{ab} /\sigma _c )^{1/2} \ell _0 $ .The analysis of several single crystals of YBa 2 Cu 3 O x (6.35 < x < 6.93) shows that for all of them $\sigma _{ab} (\ell ) $ is described by a universal dependence $\sigma _{ab} /\overline \sigma = f(\ell /\overline \ell ) $ with doping dependent parameters $\overline \sigma {\text{ }}and{\text{ }}\overline \ell $ .  相似文献   

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Scientific references in patent documents can be used as indicators signaling science-technology interactions. Whether they reflect a direct ‘knowledge flow’ from science to technology is subject of debate. Based on 33 interviews with inventors at Belgian firms and knowledge-generating institutes active in nanotechnology, biotechnology and life sciences, we analyze the extent to which scientific references in patents reflect sources of inspiration. Our results indicate that scientific knowledge acts as a source of inspiration for about 50 % of the inventions. At the same time, the scientific references cited in patent documents and available in patent databases do not provide an accurate picture in this respect: 30 % of patents that were inspired by scientific knowledge do not contain any scientific references. Moreover, if scientific references are present, half of them are evaluated as unimportant or background information by the inventor. Overall, these observations provide evidence that scientific references in patent documents signal relatedness with the implied inventions without necessarily implying a direct, inspirational, knowledge flow between both activity realms.  相似文献   

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The combination of two methods: Ag substrate decoration and introduction of BZO nano-inclusions has been used in a pulsed laser deposition (PLD) method to increase the critical density (J c ) of YBCO films. The films were deposited on single crystal SrTiO3 (STO) substrates decorated with various architecture of Ag nano-dots. We have studied the diameter and density of Ag nano-dots and their influence on J c of BZO-added YBCO films. We found that 15 laser pulses on the Ag target gives an optimum result in increasing J c in comparison with BZO-doped YBCO films of the same thickness in self-field and low applied magnetic fields. A higher number of laser pulses on the Ag target led to increasing critical current density in high applied magnetic fields only (above 2 T). We have studied films of the thickness from 0.4 ??m to 3.8 ??m and found that the highest J c at all applied fields investigated is achieved for a 1.2 ??m thick film. The transmission electron microscopy clearly shows BZO nano-rods that provide strong c-axis pinning centres in the films.  相似文献   

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In depositing thin PbTeGa films onto Si and SiO2/Si substrates by the hot-wall method, Pb1 – x Ga x melts were used as Ga vapor sources in combination with separate Pb and Te vapor sources. The vaporization of Pb1 – x Ga x (0.15 x 0.95) melts was studied between 1000 and 1300 K in the reaction chamber of the deposition unit. Using electron probe x-ray microanalysis, all the deposited films were shown to contain Ga. Pb1 – x Ga x melts were also used as separate Pb and Ga vapor sources.  相似文献   

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Motivated by a recent experiment on the superfluid 3He confined in a thin slab, we discuss the Majorana edge modes under the experimental situation. We solve the quasi-classical Eilenberger equation, which is quantitatively reliable, to evaluate several observables, such as local density of states, mass current for the A-phase, and spin current for the B-phase. On the basis of the quantitative calculation, we propose several experiments to check the existence of the Majorana modes.  相似文献   

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