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51.
Empirical research pertaining to cardiopulmonary resuscitation (CPR), clinician behaviors related to do-not-resuscitate (DNR) orders and substituted judgment suggests potential contributions to medical ethics. Research quantifying the likelihood of surviving CPR points to the need for further philosophical analysis of the limitations of the patient autonomy in decision making, the nature and definition of medical futility, and the relationship between futility and professional standards. Research on DNR orders has identified barriers to the goal of patient involvement in these life and death discussions. The initial data on surrogate decision making also points to the need for a reexamination of the moral basis for substituted judgment, the moral authority of proxy decision making and the second-order status of the best interests standard. These examples of empirical research suggest that an interplay between empirical research, ethical analysis and policy development may represent a new form of interdisciplinary scholarship to improve clinical medicine.  相似文献   
52.
We show here for the first time that a stable parallel double helix with Hoogsteen pairing can exist independently of the triple helix of which it is a component part. The experiments employ DNA oligonucleotides with mixed sequences of normal bases. These duplexes are distinct from previously reported ribopolynucleotide helices containing bulky substituents which prevent Watson-Crick pairing as well as from parallel duplexes with Donohue, or reversed Watson-Crick, pairing. Stoichiometry is established by mixing curves and gel electrophoresis. Tm depends linearly upon pH, increasing with acidity because of the need to protonate N3 of C. The Tm of the 20-mer studied here is 52 degrees C at pH 5.2 and 0.1 M NaCl. At pH above 6, the molecule rearranges to form an antiparallel duplex with imperfect Watson-Crick pairing and loops, and the Tm is then independent of pH. The CD spectrum of the parallel duplex is very similar to that of the corresponding triple helix but quite different from that of the Watson-Crick helix. The infrared spectrum in the double bond region closely resembles that of the triple helix but, as with the CD, is quite different from that of the Watson-Crick duplex. The infrared spectra of the duplex and triple helix are also nearly identical in the region form 800 to 1000 cm-1, which is sensitive to backbone conformation. The only symmetry element present is a pseudorotational axis coincident with the helix axis of the parallel duplex as well as with the axis of the corresponding triple helix.(ABSTRACT TRUNCATED AT 250 WORDS)  相似文献   
53.
A new method for determining the single-sideband noise figure of a device from double-sideband measurements is proposed which eliminates the need for tunable filters and hence greatly reduces the complexity and cost of performing accurate noise figure measurements. This paper compares results obtained to those obtained using a traditional single-sideband measurement system with a tuneable filter and provides a full error analysis of the new technique. The method also offers considerable possibilities for future use at higher (microwave) frequencies where YIG filters and image reject mixers are not readily available  相似文献   
54.
Zusammenfassung Es wird ein allgemeines Widerstandsgesetz für Stufendiffusoren hergeleitet, bei dem die Widerstandszahl den Zusatzverlust gegenüber den Verlusten der bis zum Kontursprung reichenden fiktiven Kanal- bzw. Rohrstr?mungen in der Zu- und Abstr?mung beschreibt. Unter vereinfachenden Annahmen reduziert sich dieses Gesetz auf die bekannte Carnot-Formel. Insbesondere wird dabei der Anteil des Zusatzverlustes, der vom Unterdruck an der Stufe und von der Wandschubspannungs?nderung unmittelbar hinter der Stufe herrührt, vernachl?ssigt. Die Berücksichtigung dieses Anteils führt zu einem gegenüber der Carnot-Formel verbesserten Widerstandsgesetz. Herrn Prof. Dr.-Ing. Martin Fiebig zum 60. Geburtstag  相似文献   
55.
Micro‐porous syntactic foams were produced by means of integration of glass bubbles into aluminium and zinc matrices. Preforms of glass bubbles were pressure infiltrated with the alloys AlSi9Cu9 ans ZnAl4Cu using squeeze casting. The preforms were sintered thermically without the use of bonding agents. Using the combination of different sintering steps syntactic foams with locally different densities could be produced. The mechanical properties of the foams were tested indicating a high compression strength of the foams and a very good compression energy absorption. Furthermore, corrosion behaviour and behaviour at higher temperatures were investigated.  相似文献   
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Dr. H. Fischer 《Computing》1989,41(3):261-265
The paper deals with a special problem in Automatic Differentiation. Letf be a rational function ofn variables, let #(f) denote the number of operations to evaluatef(x), letg denote the gradient off. Many algorithms for minimizingf(x) require the scalar productg(u) tv. In the standard method for computingg(u) tv the amount of work grows withn·#(f). In this note a new method for computingg(u) tv is presented. The new method is considerably faster, its amount of work only grows with #(f).  相似文献   
59.
The development in recent years with increasing air pollution, increasing need of energy saving and last not least the growing number of damage in old structures leads to a raising demand to calculate the durability of structures, too. The paper has been prepared by request of the RILEM Technical Committee 45-LTO to show that, in principle, it is possible to evolve a theory for predicting the service life of r.c. structures and to sketch a way how that could be achieved. A lot of necessary basic data can be found scattered in the literature. To collect these data will be the first step to take.  相似文献   
60.
Datenschutzmanagement ist eine gesetzlich verankerte Aufgabe, muss sich aber unter Wirtschaftlichkeitsgesichtspunkten in der betrieblichen und zunehmend auch der behördlichen Praxis in andere, bereits etablierte Prozessmanagementstrukturen wie ITIL oder Informationssicherheits-management Systeme (ISMS) einordnen. In diesem Beitrag werden die Möglichkeiten untersucht, die IT-Grundschutz als ein zukünftiges, ISO 27001-kompatibles ISMS bietet. Unter dem Gesichtspunkt der Normierung scheint eine Aktualisierung des Bausteins 3.5 “Datenschutz” dringend.  相似文献   
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