Optimal drug therapy for patients with acute myocardial infarction (AMI) is well described in the medical literature. However, data on the actual pharmacologic management of patients surviving AMI at academic hospitals is unavailable. The purpose of this study was to document treatment profiles in 500 patients surviving AMI at 12 academic hospitals in the United States. These profiles were compared with established guidelines and were evaluated for trends. Overall, thrombolytics (streptokinase > or = tissue-type plasminogen activator) were administered in 29% of the patients, with a greater proportion of patients receiving beta-blockers than calcium channel antagonists in the initial 72 hours (61% vs 40%; p < 0.005) and at discharge (51% vs 35%; p < 0.005). Further, women were less likely than men to receive thrombolytic therapy (odds ratio [OR] = 0.61; confidence interval [CI], 0.54 to 0.69) or beta-blocker therapy within the first 72 hours (OR = 0.61; CI, 0.55 to 0.67) or at hospital discharge (OR = 0.53; CI, 0.48 to 0.58). Overall, improvements could still be made in the number of patients who receive thrombolytic and acute and chronic beta-blocker therapies after AMI, particularly in women. Changes in treatment profiles may be a reflection of the publication of large clinical trials. 相似文献
The effects of estrogen-induced hyperlipidemia on plasma lipid peroxidation, fatty acid composition and osmotic fragility
of erythrocytes in chickens were studied. Young male chickens implanted with estrogen for three wk developed a marked hyperlipidemia.
Plasma levels of triglyceride, cholesterol and phospholipid were elevated 68-, four- and 24-fold, respectively, over controls.
There was also a two-fold increase in plasma lipid peroxidation measured by the thiobarbituric acid test. Vitamin E supplement
(1,000 IU/kg diet) reduced the plasma lipid peroxidation to the control level, but had no effect on the plasma lipid content.
Estrogen-induced hyperlipidemia resulted in changes in the fatty acid composition of membrane lipids of erythrocytes. The
major changes were an increase in oleic acid from 10.0% to 14.2% and a decrease in linoleic acid from 31.3% to 26.0%. The
erytrocytes with an altered membrane fatty acid composition were found to have an increased osmotic fragility. It was apparent
that there was a direct correlation between the oleic acid content and the osmotic fragility of erythrocytes. 相似文献
Zirconia-rich subsolidus phase relationships in the ZrO2–Sc2O3 and ZrO2–In2O3 systems were investigated. Phase inconsistencies in the ZrO2–Sc2O3 system resulted from a diffusionless cubic-to-tetragonal ( t' ) phase transformation not being recognized in the past. Through three different measuring techniques, along with microstructural observations, the solubility limits of the tetragonal and cubic phases were determined. 相似文献
A mathematical model for the pyrolysis reaction of polystyrene (PS) in a semi-batch reactor has been presented. The thermal
degradation of PS was flexibly modeled by a combination of random and specific chain-end scissions. Numerical simulation was
used to investigate the effect of operating conditions on the PS products spectrum, the results of which were validated by
the experimental data. It was found that as the reaction temperature increased (decreased), the monomer fraction in the products
became lower (higher) while the trimer higher (lower). No significant variation in the product composition was, however, observed
while constant temperature was maintained. These results indicate the reaction temperature is an effective manipulated variable
for the control of products composition of PS pyrolysis. The calculation of the optimum temperature trajectories through the
optimization study can thus be of interest for achieving productivity enhancement in plastics pyrolysis processes.
This paper is dedicated to Professor Dong Sup Doh on the occasion of his retirement from Korea University. 相似文献
Three different grades of high-pressure low-density polyethylene resin were used to establish relationships between tubular film blowability and the molecular parameters, namely, the molecular weight distribution (MWD) and the degree of long-chain branching (LCB), and also between the processing conditions and the mechanical properties of the tubular blown films produced. For the study, both the shearing and elongational flow properties of the resins were determined. During the tubular film blowing experiment we measured the freeze-line position, the tubular bubble diameter, the takeup speed, the axial tension, the pressure inside the tubular bubble, and the mass flow rate of the resin. The thickness of the tubular blown films was measured from the samples collected. In order to determine the tubular film blowability, we measured the maximum takeup speed at which the tubular blown bubble broke, for various blowup ratios. The measurements described above permitted us to calculate the tensile stresses at the freeze line, in both the machine and transverse directions, and they were found to be correlatable to the processing conditions employed. It has been found that the tubular film blowability is increased as the resin's MWD becomes narrower and the degree of LCB is less. It has been found further that a resin having lower elongational viscosity tends to give a greater draw-down ratio, indicating a better tubular film blowability. Finally, the tensile properties of the tubular blown films were found correlatable to the processing variables, namely, blowup and takeup ratios. 相似文献
The gapwise density distributions of the injection molded specimens of two engineering thermoplastics, i.e., poly(phenylene ether) and poly(ether imide), were characterized employing the density gradient column technique. The samples were molded using a 40t Van Dorn injection molding machine. The effects of the thermal history on the density distribution of unconstrained quenched specimens were also investigated. In addition, various material properties, such as pressure-volume-temperature, isothermal contraction, and pressure induced densification behavior were characterized, for the two resins employed in this study. The moldings of the two resins exhibited different trends in their density distributions. These findings were explained in terms of the competing effects of cooling rate and the pressure history experienced by the engineering plastic resins during the molding cycle. The data collected were also used as input to mathematical modeling of density distributions in injection molded articles, which is reported in Part II of this article. 相似文献
Visual tracking is one of the most important problems considered in computer vision. To improve the performance of the visual tracking, a part-based approach will be a good solution. In this paper, a novel method of visual tracking algorithm named part-based mean-shift (PBMS) algorithm is presented. In the proposed PBMS, unlike the standard mean-shift (MS), the target object is divided into multiple parts and the target is tracked by tracking each individual part and combining the results. For the part-based visual tracking, the objective function in the MS is modified such that the target object is represented as a combination of the parts and iterative optimization solution is presented. Further, the proposed PBMS provides a systematic and analytic way to determine the scale of the bounding box for the target from the perspective of the objective function optimization. Simulation is conducted with several benchmark problems and the result shows that the proposed PBMS outperforms the standard MS.
In this paper, a sufficient linear matrix inequality (LMI) condition is presented for robust stability analysis of continuous-time linear time-invariant (LTI) systems in polytopic domains. The underlying idea behind the proposed approach is to introduce a family of complex functions which map the closed right-hand side of the complex plane into the inside of the closed unit circle centered at the origin. Then, the mapping properties are used to assure that all the eigenvalues of a system are located in the open left-hand side of the complex plane. Examples show the validity of the proposed condition. 相似文献
Color segmentation takes a great attention because color is an effective and robust visual cue for characterizing an object from the others. However, color segmentation suffers from color variations incurred by irregular illumination changes. We propose a reliable color modeling approach in hue–saturation–intensity (HSI) color space while considering intensity information by adopting the B-spline curve fitting to make a mathematical model for statistical characteristics of a color with respect to intensity. It is based on the fact that color distribution of a single-colored object is not invariant with respect to brightness variations even in the HS (hue–saturation) plane. The statistical characteristics contain the mean and standard deviation of hue and saturation with respect to intensity. They are mathematically expressed as four bar graphs. In order to fit the bar graphs to continuous curves, we use B-spline curve fitting procedure. From several experimental results, we verify that the proposed algorithm is successfully applied to color segmentation under various illumination conditions. 相似文献
Development of multifunctional electrocatalysts with high efficiency and stability is of great interest in recent energy conversion technologies. Herein, a novel heteroelectrocatalyst of molecular iron complex (FeMC)-carbide MXene (Mo2TiC2Tx) uniformly embedded in a 3D graphene-based hierarchical network (GrH) is rationally designed. The coexistence of FeMC and MXene with their unique interactions triggers optimum electronic properties, rich multiple active sites, and favorite free adsorption energy for excellent trifunctional catalytic activities. Meanwhile, the highly porous GrH effectively promotes a multichannel architecture for charge transfer and gas/ion diffusion to improve stability. Therefore, the FeMC–MXene/GrH results in superb performances towards oxygen reduction reaction (ORR), oxygen evolution reaction (OER), and hydrogen evolution reaction (HER) in alkaline medium. The practical tests indicate that Zn/Al–air batteries derived from FeMC–MXene/GrH cathodic electrodes produce high power densities of 165.6 and 172.7 mW cm−2, respectively. Impressively, the liquid-state Zn–air battery delivers excellent cycling stability of over 1100 h. In addition, the alkaline water electrolyzer induces a low cell voltage of 1.55 V at 10 mA cm−2 and 1.86 V at 0.4 A cm−2 in 30 wt.% KOH at 80 °C, surpassing recent reports. The achievements suggest an exciting multifunctional electrocatalyst for electrochemical energy applications. 相似文献