Does mixed venous desaturation during a bed bath indicate cardiopulmonary decompensation in postoperative cardiac patients?]

The bed bath procedure consists of cleansing patients' body, passive position change, changing gown and making a bed. During the procedure, mixed venous desaturation was observed consistently in postoperative cardiac patients. We investigated the cause of the phenomenon in 22 patients undergoing cardiac surgery in their first postoperative day. The patients were breathing oxygen-enriched air via a Venturi mask. Cardiac index (CI), transluminal SvO2, arterial blood gas, Hb, DO2, VO2, FIO2, A-aDO2 and Qp/Qs were measured before and during the bed bath, while the patients were in the supine and left lateral position, respectively. Mean 8.5 +/- 1.5 minutes were required to complete the bed bath. During the bed bath, SvO2 decreased from 71 +/- 7% to 59 +/- 9% (P < 0.001), and returned to the baseline 6.5 +/- 7.4 minutes after the completion of the bed bath. VO2 increased markedly from 128 +/- 27 to 194 +/- 47 ml.min-1.m-2 (P < 0.001), while DO2 increased slightly from 480 +/- 91 to 513 +/- 110 ml.min-1.m-2 (P < 0.05). Among the determinants of DO2, CI increased slightly from 3.3 +/- 0.6 to 3.6 +/- 0.8 l.min-1.m-2, Hb remained unchanged and SaO2 decreased from 98.5 +/- 0.8 to 98.0 +/- 1.1%. FIO2 also decreased, while A-aDO2 and Qp/Qs remained unchanged. There was a negative correlation between VO2 change and SvO2 change, but no correlation between DO2 change and SvO2 change. There was a positive correlation between SaO2 change and SvO2 change, as well as between FIO2 change and SaO2 change. Therefore, the major cause of mixed venous desaturation was not the decreased DO2 or cardiopulmonary decompensation but the increased VO2 due to increased activity of the skeletal muscles. However, the decrease in SaO2 due to markedly increased O2 demand and the limited increase in CI might partially contribute to the marked decline in SvO2 through the limited increase in DO2.     

Electrical resistivity and Seebeck coefficient of La1−x M x MnO3 (M = Ca,Sr) single crystals

The temperature dependence of the electrical resistivity and Seebeck coefficient was measured on single crystals of La_1–x Ca _x MnO₃(0 <x 0.3) and La_1–x Sr _x MnO 3 (0 <x 0.4) grown by the arc-image floating zone method. The electrical conduction for La_1–x crystals withx 0.2 was of the activation type aboveT _c and of the degenerate type belowT _c, while that for the crystal withx = 0.1 was of the activation type over the whole measured temperature range between –170 and 400°C. The conduction behaviour of La_{1– x} Sr _x MnO₃ was essentially the same as that of La_1–x Ca _x MnO₃ except that the conduction of the crystals withx = 0.3 and 0.4 was of the degenerate type aboveT _c. A distinct difference in Seebeck data was observed between the calcium and the strontium compounds.     

Preparation of spherical fine ZnO particles by the spray pyrolysis method using ultrasonic atomization techniques

An ultrasonic atomizer was used in the spray pyrolysis method to prepare fine, spherical and uniform ZnO particles. Almost spherical particles were obtained successfully which had a mean particle size of 0.15 m and had a very narrow particle size distribution. By using alcohol as the solvent, it was found that the particles do not have hollow shell layers which could usually be observed in the spray pyrolysis process by using water as the solvent. The morphology of the ZnO particles was strongly affected by the concentration of the starting solution.     

Formation of monodispersed Ta2O5 powders

The Ta₂O₅ powders synthesized by the hydrolysis of tantalum pentaethoxide, Ta(OC₂H₅)₅ in alcoholic solution were monodispersed fine oxide particles, which were a uniform, spherical shape, non-agglomerate, and had a narrow size distribution. They grew to 1.2m after ageing for 1 h after hydrolysis. Powder X-ray diffraction and differential thermal analysisthermogravimetric analysis showed the particles were amorphous and hydrated. These particles lost the water at 290° C and gave well-crystalline Ta₂O at 740° C. Throughout these thermal processes, the particle morphology was kept almost the same.     

Activities of FexO in CaO + CaF2 + SiO2 + FexO quaternary slags by disposable electrochemical oxygen probes

The activities of Fe_xO in CaO + CaF₂ + SiO₂ + Fe_xO quaternary slags were measured by means of solid-oxide galvanic cell. The Fe_xO activities in the slags are influenced by CaF₂ as well as SiO₂. At constant Fe_xO mole fractions, e.g., , at low SiO₂ mole fractions i.e., , the substitution of CaF₂ for CaO has an effect of raising the Fe_xO activity. At higher SiO₂ mole fractions, e.g., , however, such an effect becomes insignificant.     

Effect of Silicon Dioxide on the Thermal Diffusivity of Aluminum Nitride Ceramics

The thermal diffusivity of AlN ceramics was significantly decreased by the addition of SiO₂. The AlN ceramics with 4 wt% SiO₂ could not be densified by pressureless sintering in the temperature range 1400° to 1800°C. The thermal diffusivity of these samples was very low because of their porous structure. The AlN ceramics containing 2, 4, and 8 wt% SiO₂ were densified by hot-pressing and also had low thermal diffusivity. In these samples, the grains of the 27R polytype that resulted from the reaction between AlN and SiO₂ were dispersed, obstructing the conduction of heat. The relation between the amount of 27R polytype and the thermal diffusivity of the AlN ceramics was determined.     

Slit flow of molten polyethylene filled with plastic flakes

The processability of polyethylene in sheet-extrusion or calendering may be improved by the addition of plastic flakes. The effects of plastic flake parameters and flow conditions on the viscosity and the die swell of the suspension were determined, and the structure in flow (morphology or dispersion state) and applications were discussed. Flakes of biaxially oriented polystyrene, high-impact polystyrene, polypropylene, polyamide or polypropylene spheres were dry-blended with polyethylene. The viscosity was determined by means of a slit or a capillary rheometer. The quenched extrudate was annealed and its die swell was measured. Flakes of biaxially oriented polystyrene shrunk into rod-like form during heating, but other plastics retained the flake-form. The relative viscosity and the swell ratio of the suspensions depended on the type of plastic and operating conditions. The rheological behavior of suspensions qualitatively suggested that polypropylene flakes deformed or crowded (including stacking), polyamide flakes deformed slightly, and polystyrene flakes were difficult to buckle, but crowded slightly. The thickness of extrudates can be controlled easily by flake addition due to decreased die swell, while the output would be reduced to some extent.     

Diffusion process of amino acids in polymer supports for solid‐phase peptide synthesis as studied by pulsed‐field‐gradient spin‐echo proton nuclear magnetic resonance

The diffusion coefficient (D) values of tert‐butyloxycarbonyl‐glycine, tert‐butyloxycarbonyl‐L ‐tryptophan, tert‐butyloxycarbonyl‐L ‐phenylalanine (Boc‐Phe), and 9‐fluorenylmethoxycarbonyl‐L ‐phenylalanine in Merrifield polystyrene (MPS) gels, poly(ethylene glycol)‐grafted polystyrene (PEG–PS) gels, and crosslinked ethoxylate acrylate (CLEAR) gels, as used in solid‐phase peptide synthesis, were determined by the pulsed‐field‐gradient spin‐echo ¹H‐NMR method. From these experimental results, it was found that the amino acids in MPS gels, PEG–PS gels, and CLEAR gels with N,N‐dimethylformamide‐d₇ (DMF‐d₇) as a solvent had multidiffusion components within a measurement timescale of 10 ms. The D value of Boc‐Phe in polystyrene gels (1% divinylbenzene crosslinked) with tetrahydrofuran‐d₈ was much larger than that in the same gels with DMF‐d₇. Furthermore, the required time in which an amino acid transferred from a reactive site to a reactive site was estimated, within which the solvents and amino acids in the polymer supports diffused in the swollen beads.© 2003 Wiley Periodicals, Inc. J Appl Polym Sci 89: 413–421, 2003     

Fibrous support for immobilization of enzymes

A poly(vinyl alcohol) (PVA) fiber support incorporating various aminoacetal functional groups has been developed for immobilizing enzymes. The aminated PVA fiber seems to adsorb enzymes with electrostatic force of attraction; thus the immobilization procedure is simple. By the use of this fiber having immobilized enzymes, the reaction between enzymes and substrates is nearly independent of the size of subtstrates. This newly developed type of fiber, which is formed by a mass superfine fibers (SFF), each measuring 1 μm or less in diameter, permits much more increased surface area than the conventional enzyme immobilization supports. Our studies of the properties of the fiber for immobilization of enzymes show the following results: (1) SFF has a greater ability for the immobilization of invertase than ordinary fibers; (2) dimethyl-aminated SFF has the best performance for the immobilization of invertase. From these results, it is concluded that the dimethyl-aminated SFF is an excellent support for the immobilization of invertase.