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31.
OBJECTIVE: To identify characteristics associated with provision of bystander CPR in witnessed out-of-hospital cardiac arrest cases. METHODS: An observational, prospective, cohort study was performed using cardiac arrest cases as identified by emergency medical services (EMS) agencies in Oakland County. MI, from July 1, 1989, to December 31, 1993. All patients who sustained a witnessed arrest prior to arrival of EMS personnel were reviewed. RESULTS: Of the 927 patients meeting entry criteria, the 229 patients receiving bystander CPR were younger: 60.9 +/- 14.7 vs 67.9 +/- 14.7 years (p < 0.01). Most (76.6%) cardiac arrests occurred in the home. In a multivariate logistic model, only the location of arrest outside the home was a significant predictor of receiving bystander CPR [odds ratio (OR) 3.8; 99% CI 2.5, 5.9]. Arrests outside the home were associated with significantly improved outcome, with 18.2% of out-of-home and 8.2% of in-home victims discharged from the hospital alive (OR 2.5; 99% CI 1.4, 4.4). CONCLUSION: Patients who have had witnessed cardiac arrests outside the home are nearly 4 times more likely to receive bystander CPR, and are twice as likely to survive. This observation emphasizes the need for CPR training of family members in the authors' locale. This phenomenon may also represent a significant confounder in studies of out-of-hospital cardiac arrest and resuscitation.  相似文献   
32.
Various growth factors and basement membrane proteins have been implicated in the pathobiology of astrocytomas. The goal of this study was to determine the relative contribution of these two factors in modulating the phenotype of U-373 MG glioblastoma cells as determined by the expression of the intermediate filament proteins glial fibrillary acidic protein, vimentin, and nestin. For these determinations, cells plated in serum-free medium were treated either with growth factors binding to tyrosine kinase receptors including transforming growth factor-alpha, epidermal growth factor, platelet-derived growth factor-AA, basic fibroblast growth factor, and insulin-like growth factor-1 or with basement membrane proteins including collagen IV, laminin, and fibronectin. The changes in the expression levels of intermediate filament proteins in response to these treatments were analyzed by quantitation of immunoblots. The results demonstrate that collagen IV and growth factors binding to tyrosine kinase receptors decrease the glial fibrillary acidic protein content of U-373 MG cells. Growth factors binding to tyrosine kinase receptors also decrease the vimentin content of these cells but do not affect their nestin content. On the other hand, basement membrane proteins decrease the nestin content of U-373 MG cells but do not affect their vimentin content. The significance of these results with respect to the role played by different factors in modulating the phenotype of neoplastic astrocytes during tumor progression is discussed.  相似文献   
33.
Lei Xu  Papia Sultana  Xuhong Zhou 《Thin》2009,47(6-7):807-815
Presented in this paper is a study involving finite element analysis to investigate the flexural strength of built-up box sections which have been extensively used in residential and commercial construction in North America. In the North American Specification for the Design of Cold-Formed Steel Structural Members [CSA, North American specification for the design of cold-formed steel structural members, S136, Canadian Standard Association, 2002], there is no guideline or design equation to calculate the flexural strength of this type of section. Both the Lightweight Steel Framing Design Manual [CSA, Supplement 2004 to the North American specification for the design of cold-formed steel structural members, S136, Canadian Standard Association, 2004] and Cold-Formed Steel Framing Design Guide [AISI, Cold-formed steel framing design guide", American Iron and Steel Institute, 1st ed., 2002, 2nd ed., 2007] have recommended that the flexural strength and moment of inertia of the built-up sections to be taken as the sum of the two components based on deflection compatibility of the components. However, this design approximation has yet to be justified by experimental or numerical study especially for the cases of eccentric and concentric loading. In this study, the proposed finite element model of the built-up box sections was validated with the experimental tests carried out by Beshara and Lawson [Beshara B, Lawson TJ. Built-up girder screw connection variation flexural tests, Internal Report, Dietrich Design Group, 2002]. The flexural strengths obtained from the finite element analysis were then compared with the nominal strength evaluated based on the current design method in order to assess its suitability. Parametric studies were carried out for more than 30 specimens to identify factors affecting the flexural strength of cold-formed steel built-up box sections. A recommendation is made for current design practice of evaluating the flexural strength of the box section when subjected to eccentric loading.  相似文献   
34.
The selective catalytic reduction of NOx with NH3 in the presence of decane over Cu/ZSM-5 catalysts prepared from H+ and Na+ZSM-5 precursors were investigated. Cu/NaZSM-5 catalyst showed significantly higher NOx conversion compared to Cu/HZSM-5. However, the presence of decane decreased the activity of both the catalysts, due to coke formation. Cu/HZSM-5 catalyst showed a larger decline in NOx conversion with time on stream compared to Cu/NaZSM-5. The higher activity of Cu/NaZSM-5 is attributed, to the promoting effect of Na+ cations in the formation of active Cu+ and nitrite and nitrate intermediates species and retardation of coke formation.  相似文献   
35.
Biodiesel utilization has been rapidly growing worldwide as the prime alternative to petrodiesel due to a global rise in diesel fuel demand along with hazardous emissions during its thermochemical conversion. Although, several debatable issues including feedstock availability and price, fuel and food competition, changes in land use and greenhouse gas emission have been raised by using edible as well as inedible feedstocks for the production of biodiesel. However, non-crop feedstocks could be a promising alternative. In this article, waste cooking oils have been recommended as a suitable option for biodiesel production bearing in mind the current national situation. The important factors such as the quantity of waste cooking oil produced, crude oil and vegetable oil import expenses, high-speed diesel imports, waste management issues and environmental hazards are considered. Moreover, process simulation and operating cost evaluation of an acid catalyzed biodiesel production unit are also conducted. The simulation results show that the production cost of waste cooking oil-based biodiesel is about 0.66USD·L-1. We believe that the present overview would open new pathways and ideas for the development of biofuels from waste to energy approach in Pakistan.  相似文献   
36.
In present study, the schizocarp morphology of 14 species belonging to Apiaceae family has been investigated. Light microscopy (LM) and scanning electron microscopy (SEM) have been utilized to highlight qualitative and quantitative features of studied species. Variations have been observed in macro‐ and micro‐morphological features such as color, shape, symmetry, length, width, apex, epicuticular projections, surface patterns, anticlinal, and periclinal wall patterns. Schizocarp shapes observed were oval, round, triangular, linear, elliptic, and globose. Fruit was either homomorphic or heteromorphic. Crystalloids, stellate hair, multicellular spines, and platelets were mostly observed epicuticular projections. Surface patterns on the fruit surface were striate, rugulate‐striate, reticulate, and striato‐knotted. Both macro‐ and micro‐morphological characters can serve as an important tool in classifying Apiaceae family at various taxonomic ranks. Substantial variations observed can assist as useful constraints at various taxonomic levels as they provide reliable and constant details. Disparities observed in schizocarp features can pave a path for Apiaceae family classification based on phylogenetic and molecular studies.  相似文献   
37.
The present study is insight into pollen morphology for characterizing species and their utility in the taxonomic separation of certain taxa of subfamily Nepetoideae (Lamiaceae) from Pakistan. The pollen micromorphology of 11 species of the Nepetoideae was analyzed and documented using light microscopy and scanning electron microscopy (SEM) for both qualitative and quantitative characteristics. Most species have hexazonocolpate pollen grains but trizonocolpate and tetrazonocolpate pollen with circular and oval amb were also rarely observed in Mentha spicata. The basic pollen shape in most of the studied species was subspheroidal but prolate grains were also observed in M. spicata, S. coccinea, and S. plebeia. The exine sculpturing of Nepetoideae pollen was taxonomically very informative particularly at subfamily level. Observations of exine sculpturing with SEM revealed various types of pollen grains: reticulate, bireticulate, microreticulate, perforate, aerolate, and gammate. The bireticulate type further subdivided into three subtypes based on the number of secondary lumina in each primary lumen and is characterized by varying characteristics of the secondary reticulum and primary muri. A significant variation was observed in colpus surface ornamentation. The maximum polar diameter was found in O. americanum (58 ± 5.8 μm) and the maximum equatorial diameter observed in O. basilicum (50.25 ± 1.37 μm). Pollen features of the studied species were discussed and compared based on the current taxonomical concepts. The results showed that pollen traits of the subfamily Nepetoideae was found significant to classify the taxa. Furthermore, pollen features provide additional evidence to distinguish macromorphologically similar taxa from each other.  相似文献   
38.
Seed micromorphological and macromorphological characteristics of 12 taxa of Caesalpiniaceae from Pakistan have been studied, using light and scanning electron microscopy, to investigate the importance of seed coat features as a taxonomic tool. Great variations have been observed in color, shape, dimension, and seed surface pattern among the different genera of the family. A taxonomic key was prepared for the studied taxa. Six types of seed shapes were observed; circular, elliptical, irregular, oblong, oval, and ovoid. All examined seeds were hard except fragile seeds of Haematoxylom campechianum. Eight types of surface ornamentation have been noticed that include levigate, lugose, papillate, reticulate, reticulate irregular, reticulate regular, rhombus, and rogues. Majority of the taxa has been observed with thick ornamentation wall but thin ornamentation wall has also been recorded in few species. Fracture line of the various patterns was present in all taxa except genus Bauhinia. Three types of texture crudeness; coarse, medium, and fine have been recorded. Both micromorphological and macromorphological characters of seed are very fruitful in identification and classification of Caesalpiniaceae.  相似文献   
39.
40.
Telomere length (TL) influences the development of lifestyle-related diseases, and neonatal TL may influence their prevalence. Various factors have been reported to affect neonatal TL. Although the fetus is exposed to multiple conditions in utero, the main factors affecting the shortening of neonatal TL are still not known. In this study, we sought to identify factors that influence fetal TL. A total of 578 mother-newborn pairs were included for TL analysis. TL was measured in genomic DNA extracted from cord blood samples using quantitative PCR. The clinical factors examined at enrollment included the following intrauterine environmental factors: maternal age, assisted reproductive technology (ART) used, body mass index (BMI), gestational diabetes mellitus (GDM), maternal stress, smoking, alcohol consumption, preterm delivery, small-for-gestational-age, neonatal sex, and placental weight. Univariate and multivariate regression analyses were used to verify the relationship between neonatal TL and these clinical factors. The median neonatal TL to single-copy gene ratio was 1.0. Pregnancy with ART was among the 11 factors associated with shorter neonatal TL. From multiple regression analysis, we determined that neonatal TL was significantly shorter for pregnancies in the ART group than in the other groups. We conclude that pregnancy with ART is associated with shorter neonatal TL.  相似文献   
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