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OBJECTIVE: Our purpose was to evaluate the feasibility of intrapartum fetal pulse oximetry, the distribution of fetal oxygen saturation values, and the relationship with the neonatal outcome in a population with an abnormal fetal heart rate. STUDY DESIGN: A prospective multicenter observational study was performed from June 1994 to November 1995. Fetal oxygen saturation was continuously recorded with use of a Nellcor N-400 fetal pulse oximeter in case of an abnormal fetal heart rate during labor. Simultaneous readings of fetal oxygen saturation and fetal blood analysis were obtained at inclusion and before birth. Feasibility, adverse effects, distribution of fetal oxygen saturation values, and relationship with neonatal outcome were assessed. RESULTS: One hundred seventy-four patients were included. From 172 attempted sensor placements, the procedure was impossible in three cases and fetal oxygen saturation values were obtained in 164 cases (95.3%). Physicians considered sensor placement an easier task than an attempt at fetal blood analysis (easy in 87.5% vs 78.9% for fetal blood analysis, p = 0.03). The mean reliable signal time (+/- SD) was 64.7% +/- 32% during the first stage. There were no serious adverse effects in the study population. The mean fetal oxygen saturation during the first stage of labor was 42.2% +/- 8.0% (10th to 90th percentile range 30% to 53%). Fetal oxygen saturation was significantly correlated with scalp pH (r = 0.29, p = 0.01) but not with neonatal umbilical artery pH or gas values. There was a significant association between low fetal oxygen saturation (< 30%) and poor neonatal condition. CONCLUSION: The feasibility of fetal pulse oximetry is satisfactory in clinical practice. It is easy to use and provides a fair rate of recorded values, even in a population with suspicion of fetal distress. A low fetal oxygen saturation is significantly associated with an abnormal neonatal outcome.  相似文献   
23.
江口水电站是芙蓉江干流开发中的骨干工程。为认真履行江口工程的设计合同,确保优质、高效地完成江口工程的各项设计工作,长江委设计院实行全面质量管理,建立了一套规范化的统计管理程序,制订详细的设计计划,落实江口工程项目各级责任人的质量责任制,采取特殊技术措施,对工程设计过程中的各项质量活动进行全过程的管理,使江口工程在满足质量标准、合同进度的情况下,工程投资最省。  相似文献   
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ZnS掺杂技术研究及应用现状   总被引:7,自引:0,他引:7  
对现阶段国内外在ZnS及ZnS基材料掺杂改性方面的研究成果作一概述性介绍,综述了纳米级ZnS发光材料掺杂改性的基本机理,主要的掺杂技术、方法,并对多种掺杂元素的效果进行了分析比较。  相似文献   
26.
大花水水电站引水隧洞由于前期开挖工期略有滞后,为加快施工进度,结合全圆断面的施工特点,大部分引水隧洞采用了全圆针梁穿行式钢模台车进行混凝土衬砌。通过各参建单位对针梁台车的运用和改进,有效地提高了引水隧洞混凝土的衬砌速度,并确保了工程质量。  相似文献   
27.
The Mn0.23Ga1.85S3 phase belongs to the solid solution ф0, stable at low temperature in the Ga2S3MnS system. It is hexagonal superstructure of the wurtzite, with the Ga2S3α′ type (a = 6.397 A?; c = 18.027 A?Z = 6; space groupe P61 or P65). Its crystal structure has been refined by the least squares method to a final R = 0.06 with 323 independant reflections. This structure is closely related to Ga2S3 α described by Hahn and Frank, and differs only by the partial occupation of the vacant metal site of Ga2S3 by Mn atoms in statistical disorder.  相似文献   
28.
Among the new semiconductor materials for telecom devices, the GaInNAs-GaAs structure presents interesting properties for low-cost applications, like high differential gain and high T/sub 0/. Another key aspect of the performance is the behavior of the GaInNAs-GaAs based lasers under high bit rate direct modulation. Here, we demonstrate the dynamic capabilities of GaInNAs-GaAs three-quantum-well ridge structure through 2.5-Gb/s directly modulated laser emission and transmission on standard fiber, in the temperature range 25/spl deg/C-85/spl deg/C. Besides transmission is demonstrated up to 10 Gb/s at 25/spl deg/C on the same fiber, without penalty and bit-error-rate floor.  相似文献   
29.
In this paper we consider two performance modelling techniques from the perspectives of model construction, generation of an underlying continuous time Markov process, and the potential for reduction in the Markov process. Such careful comparison of modelling techniques allows us to appreciate the strengths and weaknesses of different approaches, and facilitates cross-fertilization between them. In the present case we take a characteristic of one formalism, functional rates in Stochastic Automata Networks, and introduce it to the other formalism, Performance Evaluation Process Algebra. We investigate the benefits of this cross-fertilization, particularly from the perspectives of Markov process generation and reduction.  相似文献   
30.
In Part I of this paper, a theoretical basis is presented using a two-degrees-of-freedom model. In this second part of the study, the passive control and the two types of semiactive controls introduced in Part I are examined numerically for a taut cable experiencing wind-induced galloping motion. The passive and the semiactive control schemes for taut cables show a good similarity with the results obtained for the two-degrees-of-freedom model. The potential of using these control schemes in practical applications to flexible structures is demonstrated.  相似文献   
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