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81.
The incidence of stress fractures is increasing among competitive and recreational athletes as well as among children and the elderly. By understanding the continuum of bone's response to stress and maintaining an appropriate index of suspicion, the health care provider can diagnose these injuries appropriately. An accurate history and examination is essential and will differentiate stress fractures from other stress reactions. The more common stress fractures are discussed.  相似文献   
82.
PURPOSE: Normal retina is firmly attached to the retinal pigment epithelium, but the force of this adhesion drops precipitously within the first 2-3 min after enucleation. The purpose was to study metabolic factors that might be relevant to this postmortem failure of adhesion. METHODS: Dutch rabbit retina was manually peeled from the retinal pigment epithelium on strips of enucleated eyecup within a 37 degrees C bath. Retinal adhesiveness was measured by observing the amount of retinal pigment epithelium that remained adherent to the retina. RESULTS: Autologous whole blood in place of salt solution retarded the decrease in adhesiveness. A solution of hemoglobin alone was similarly effective, whereas methemoglobin solution failed to help the persistence of retinal adhesion. Bubbling oxygen into the salt solution and circulating it to avoid oxygen depletion at the tissue boundary also proved effective at sustaining retinal adhesiveness. Eyes made ischemic in vivo for 5 min or longer, by elevating intraocular pressure, showed virtually no retinal adhesion when enucleated immediately thereafter. However, eyes made ischemic for 10 min, but allowed to regain circulation for 5 min before enucleation, showed a return of retinal adhesiveness to 80% of normal. CONCLUSIONS: Oxidative metabolism is critical to the maintenance of retinal adhesiveness, and the effects of oxygen deprivation on adhesion are reversible within a certain time period.  相似文献   
83.
84.
Cerebral malaria     
There is no established protocol for selection among the different retentive material-attachment combinations for clasps other than tradition or laboratory preference. Various wrought-wire, cast-metal, and thermoplastic materials were subjected to several fabrication procedures and tested in a custom-designed force displacement apparatus. The wrought wires included ADA Spec. No. 7 type I and type II alloys and other precious and nonprecious alloys. A graphic means was devised to allow the rational selection of wrought-wire clasp-arm combinations for placing clasps on canine and premolar teeth. Guidelines for using straight wire data for curved wire applications are indicated.  相似文献   
85.
A questionnaire survey was carried out to examine the attitudes and practices of Australian and New Zealand intensivists with regard to brain death and organ donation. A return rate of 82.5% was achieved. Fifty-eight per cent had written evidence of their own wishes to donate organs and 94% would agree to donation from a dependent. At least one intensivist is involved in certifying brain death on 95% of occasions. Intensivists are involved in the request for organ donation over 90% of the time although one-third do not believe that it is their role to request organ donation. Although two-thirds believe that the family should always be approached for organ donation, another 52 out of 254 indicated that it was their (the intensivist's) role to decide if families should be asked for organ donation. Possible reasons for not requesting are language or other communication problems, perceptions of cultural differences and degrees of family distress. Twenty per cent of respondents do not provide haemodynamic support before brain death confirmation. Australian and New Zealand intensivists overwhelmingly support the concept of brain death, current methods of confirmation of brain death, organ donation and transplantation. Possible reasons behind loss of potential donors include decisions not to resuscitate both before and after brain death is confirmed. Perceptions of family grief and cultural differences clearly inhibit requests for organ donation. A very few units have an effective policy on approaching families about organ donation. Intensivists have almost exclusive control over requests for organ donation and thus bear a full professional responsibility for this element of hospital practice.  相似文献   
86.
87.
A novel reaction scheme for transforming certain metal sulfides to the corresponding oxides has been developed. In this process, steam oxidizes the sulfide into the oxide, and the hydrogen sulfide produced reacts with lime to form calcium sulfide and regenerate steam. There is no net consumption or generation of gaseous species. Thus, the overall reaction can be carried out in a closed system as far as the gas phase is concerned. This eliminates the possibility of emitting hydrogen sulfide out of the reactor. Only certain metal sulfides are thermodynamically amenable to this treatment. In this paper, the reaction of ZnS to ZnO by this scheme is described, together with a detailed formulation of the rate equation for the overall reaction based on the kinetics of the component gas-solid reactions. Although the present work was done with CaO, other suitable oxides may be used in its place. A further potential application of this process is to the selective oxidation of certain sulfide(s) from complex sulfide ores as a treatment prior to the separation of minerals.  相似文献   
88.
A 4-MB L2 data cache was implemented for a 64-bit 1.6-GHz SPARC(r) RISC microprocessor. Static sense amplifiers were used in the SRAM arrays and for global data repeaters, resulting in robust and flexible timing operation. Elimination of the global clock grid over the SRAM array saves power, enabled by combining the clock information with array select signals. Redundancy was implemented flexibly, with shift circuits outside the main data array for area efficiency. The chip integrates 315 million transistors and uses an 8-metal-layer 90-nm CMOS process.  相似文献   
89.
The single fundamental mode output power of photonic crystal vertical cavity lasers is improved by varying sizes of oxide apertures and defect lasing apertures. A maximum output power of 3.1 mW in the fundamental mode has been achieved with a new fabrication process that involves only focused ion beam etching to create holes in selectively oxidised VCSELs.  相似文献   
90.
In this paper, we consider the following problem in the wireless ad hoc network: Given a set of paths between source and destination, how to divide the data flow among the paths and how to control the transmission rates, times, and powers of the individual links in order to maximize the operation time of the worst network node. If all nodes are of equal importance, the operation time of the worst node is also the lifetime of the network. By solving the problem, our aim is to investigate how the network lifetime is affected by link conditions such as the maximum transmission power of a node and the peak data rate of a link. For the purpose, we start from a system model that incorporates the carrier to interference ratio (CIR) into a variable data rate of a link. With this, we can develop an iterative algorithm for the lifetime maximization, which resembles to the distributed power control in cellular systems. Numerical examples on the iterative algorithm are included to illustrate the network lifetime as a function of the maximum transmission power and the peak data rate.  相似文献   
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