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61.
Forty-one patients for whose direct care at least one machine was used and 33 registered nurses from the same five non-critical care units as the patients and from one related unit, participated in a semistructured tape-recorded interview to identify the core categories of the human-machine interface in clinical nursing practice and the relationships between them. Constant comparative analysis was used to organize and process the data. Patients perceived the machines as neutral because of their view of health care and because nurses were the interface between them and the machines. Nurses perceived the machines as either positive or negative, depending on their effect on the nurses' professional competence and the extent to which they worked directly with them.  相似文献   
62.
63.
The photorefractive effect of excimer lasers is based on an interaction between the 193-nm ultraviolet-C laser beam and the stromal chromophore molecules. Recently, in some patients an increase of subepithelial haze and a regression of refractive effect has been observed following suntanning (UV-B exposure). The aim of the study was to find out the possible endothelial damage caused by photoablation with increasing depth and the effect of subsequent UV-B exposure on previously photokeratactomized eyes. Altogether 12 chinchilla rabbits were treated. Four animals received a -5.0 D PRK; four animals a -15.0 D PRK and four animals a -30.0 D PRK treatment. The endothelial average number, size and variation were determined two weeks post-PRK. Three weeks following PRK, a half of the animals received a 1 J/cm2 ultraviolet-B radiation in a constant dermatological UV-chamber. The endothelial morphology was measured the same way with automated specular microscopy two weeks after UV-B irradiation. After PRK treatment there was no statistically demonstrable change in endothelial morphology. On the other hand, after UV-B radiation all eyes showed a decrease in endothelial number and an increase in size and variation. The ratio of hexagonality decreased, and endothelial rosette formation appeared. The early morphological changes resembled the physiological aging changes. Conditions (deep stromal photoablation, cumulative effect of suntanning or solarium treatments) may exaggerate the physiological aging processes leading to subsequent pleomorphism, polymegatism and cell loss. This may accelerate corneal dysfunction.  相似文献   
64.
This article collects the work performed by Isothermal Titration Calorimetry (ITC) in the study of the self-association of asphaltenes in toluene solutions. Calorimetric experiments show that asphaltenes start self-associating at very low concentrations and that the existence of a Critical Micellar Concentration is rather improbable. The influence of the water dissolved in the toluene has been studied but the difficulties in keeping the water concentration low hinder the discussion of the results. The calorimetry data have been treated with a simple dimer dissociation model and compared with the results of the titration of three model molecules: nonylphenol, which associates by means of hydrogen bond formation, and coronene and pyrene, which associates by stacking. The results obtained leave open the question about the model-stacking molecules, as it was not possible to elucidate whether they do not associate or the dilution effect does not break the aggregates. The fluorescence spectroscopy results support the results of calorimetry with respect to the self-association at low concentrations. ITC has been applied for the first time to the study of the interaction between asphaltenes and a model resin, namely nonylphenol.  相似文献   
65.
Growth factors produced by a variety of cells act as signalling peptides through specific cell surface receptor pathways. Functions such as cell proliferation, migration and differentiation have been assigned to each of them. Here, we report alterations of platelet-derived growth factor receptor alpha (PDGFR-alpha) and beta (PDGFR-beta) and vascular endothelial growth factor (VEGF) expression patterns in the progressive clinical stages of chronic venous insufficiency (CVI). A total of 30 punch biopsies were taken from patients with CVI, and VEGF and PDGFR were detected by indirect immunofluorescence and immunoperoxidase techniques. PDGFR-alpha and PDGFR-beta expression was strongly increased in endothelial cells of capillaries, pericapillary cells and connective tissue cells in the stroma of the skin of venous eczema and venous leg ulcer patients, and to a smaller extend in the dermis of those with lipodermatosclerosis. VEGF staining showed a similar expression pattern in the progressive CVI stages. However, staining of vessels in particular might simply reflect binding of VEGF, secreted by keratinocytes or fibroblasts, to its receptors. Growth factor and receptor expression in specimens from telangiectases and reticular veins, and from pigmented areas, resembled that of normal skin. We conclude that PDGFR-alpha, PDGFR-beta and VEGF play an important role in mediating inflammation and epithelial hyperproliferation in venous eczema, inducing connective tissue sclerosis in lipodermatosclerosis, and causing the reduced reepithelialization tendency in venous ulcers. We speculate that endothelial proliferation with chronic venous hypertension might be mediated by these growth factors.  相似文献   
66.
Ligand binding to neurotransmitter and hormone receptors which couple to the Gq subclass of GTP-binding protein leads to the activation of phospholipase Cbeta (PLCbeta) which hydrolyses phosphatidyl-inositol 4,5-bisphosphate, yielding a pair of second messengers, diacylglycerol and inositol 1,4,5-trisphosphate (IP3). The expression of PLCbeta1-4 mRNAs was comparatively examined by in situ hybridization in the mouse brain. In adults, PLCbeta1 mRNA was expressed predominantly in the telencephalon, including the cerebral cortex, hippocampus, amygdala, lateral septum and olfactory bulb, with little expression in most thalamic nuclei. PLCbeta2 mRNA was distributed in the white matter, suggesting its expression in non-neuronal cells, most likely oligodendrocytes. PLCbeta3 mRNA was specifically expressed in cerebellar Purkinje cells. The highest levels of PLCbeta4 mRNA were detected in Purkinje cells. High levels of PLCbeta4 mRNA were also found in the thalamus and medial septum, whereas weak signals were detected in most telencephalic regions, thus showing an expression pattern almost reciprocal to that of PLCbeta1 mRNA. During development, such characteristic regional expression of PLCbeta1 and PLCbeta4 were observed starting in late foetal stages, while specific expression of PLCbeta2 and PLCbeta3 appeared in early postnatal stages. We conclude that despite the existence of four PLCbeta isoforms, only one or two of them is expressed in individual neurons and glial cells. The distinct expression of PLCbetas provides a molecular basis for analysing the nature of the specific signal transduction pathway leading to the production of diacylglycerol and IP3 in distinct cell types and in different regions of the brain.  相似文献   
67.
The cure of a liquid dicyanate ester monomer, which reacts to form a high-Tg (≈200°C) polycyanurate network, has been investigated using differential scanning calorimetry (DSC), Fourier transform infrared spectroscopy (FTIR), and a dynamic mechanical technique, torsional braid analysis (TBA). The monomer is cured with and without catalyst. The same one-to-one relationship between fractional conversion and the dimensionless glass transition temperature is found from DSC data for both the uncatalyzed and catalyzed systems, independent of cure temperature, signifying that the same polymeric structure is produced. Tg is the parameter used to monitor the curing reactions since it is uniquely related to conversion, is sensitive, is accurately determined, and is also directly related to the solidification process. The rate of uncatalyzed reaction is found to be much slower than that of the catalyzed reaction. The apparent overall activation energy for the uncatalyzed reaction is found to be greater than that of the catalyzed reaction (22 and 13 kcal/mol, respectively) from time–temperature superposition of experimental isothermal Tg vs. In time data to form kinetically-controlled master curves for the two systems. Although the time–temperature superposition analysis does not necessitate knowledge of the rate expression, it has limitations, because if the curing process consists of parallel reactions with different activation energies, as is considered to be the case from analysis of the FTIR data, there should not be a kinetically-controlled master curve. Consequently, a kinetic model, which can be satisfactorily extrapolated, is developed from FTIR isothermal cure studies of the uncatalyzed reaction. The FTIR data for the uncatalyzed system at high cure temperatures, where the material is in the liquid or rubbery states throughout cure, 190 to 220°C, are fitted by a model of two parallel reactions, which are second-order and second-order autocatalytic (with activation energies of 11 and 29 kcal/mol), respectively. Using the model parameters determined from the FTIR studies and the relationship between Tg and conversion from DSC studies, Tg, vs. time curves are calculated for the uncatalyzed system and found to agree with DSC experimental results for isothermal cure temperatures from 120 to 200°C to even beyond vitrification. The DSC data for the catalyzed system are also described by the same kinetic model after incorporating changes in the pre-exponential frequency factors (due to the higher concentration of catalyst) and after incorporating diffusion-control, which occurs prior to vitrification in the catalyzed system (but well after vitrification in the uncatalyzed system). Time–temperature-transformation (TTT) isothermal cure diagrams for both systems are calculated from the kinetic model and compared to experimental TBA data. Experimental gelation is found to occur at a conversion of approximately 64% in the catalyzed system by comparison of experimental macroscopic gelation at the various curing temperatures and iso-Tg (iso-conversion) curves calculated from the kinetic model. © 1993 John Wiley & Sons, Inc.  相似文献   
68.
In some multiple treatment arm clinical trials there is an order of preference for the treatments based on secondary considerations like toxicity or cost. In this paper, we consider the case where two or more treatments could have equal prior preference. This formulation includes the problem of comparing several equally preferred experimental treatments to one control, or the comparison of a combination with its components. Our decision procedures will guarantee a high selection probability for the correct treatment(s) when that selection is appropriate. We establish sample size requirements for our decision procedures which can be applied to clinical trials with normal, binomial, or right censored exponential endpoints.  相似文献   
69.
In a prospective open study we investigated Chlamydia pneumoniae infections in 36 consecutively admitted patients: 26 males, mean age 53.4 yr, range 36-70 yr, 10 females mean age 57.7 yr, range 47-70 yr, suffering myocardial infarction (24 acute, 2 previous) or angina pectoris (10). Antibody serum levels were measured by the immunefluorescent method and they were as follows: negative 5, low 12, medium/high 11, chronic infection 5, recent infection 3. The 3 cases considered as recent infections are described in detail.  相似文献   
70.
The β and γ decay of uranium atoms from xUO3(100 - x)[3B2O3 · MO] glass systems, where M=Sr or Pb and 0 ≤ × ≤ 20 mol%, is investigated. The γ decay data are very close to each other, for the same UO3 contents, in both the systems. The composition dependence of the β decay exhibits a lower slope in the lead borate matrix than in the strontium borate matrix. The ratio between the β activity of samples with the same uranium ion concentrations in the two investigated glass systems is a function of the x values. The results are correlated with the amount of radioactive nuclides and with the structural environments of the radionuclides. The leaching treatment in water at temperatures below 100°C evidenced no aqueous dissolution of glass samples.  相似文献   
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