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11.
OBJECTIVE: To estimate the frequency of perioperative morbidities in patients who underwent anesthesia and a surgical procedure with no preoperative laboratory testing. MATERIAL AND METHODS: We conducted an electronic database search of medical records of 56,119 patients who underwent surgical or diagnostic procedures and anesthesia at Mayo Clinic Rochester in 1994 and found 5,120 who had no laboratory tests done within 90 days before the procedure. From this group, we randomly selected 1,044 patients (87 from each month) to document the absence of preoperative tests, the presence of preexisting disease (by organ system), the type of anesthetic agent, and the outcomes and tests intraoperatively and postoperatively. RESULTS: The 1,044 patients ranged in age from 0 to 95 years (median age, 21). No deaths or major perioperative morbidities occurred (0.0%; exact 95% confidence interval, 0.00 to 0.35%). Although 10 patients underwent blood typing and screening for antibodies immediately preoperatively, no blood transfusions were necessary. Intraoperatively, 17 laboratory tests and 1 electrocardiogram were obtained, and 3 results were abnormal. Postoperatively, 42 blood tests and 2 electrocardiographic procedures were performed. Five of the 42 blood tests showed abnormal results (hemoglobin levels in 3, serum sodium in 1, and arterial blood gases in 1). One electrocardiogram showed normal findings, and the other revealed normal results except for premature ventricular contractions. No laboratory test done intraoperatively or postoperatively was found to change surgical or medical management substantially. One patient who had unanticipated blood loss during an outpatient procedure was admitted to the hospital for observation. CONCLUSION: All 1,044 patients, 97% of whom were relatively healthy, with no recent laboratory testing safely underwent anesthesia and an operation. We conclude that patients who have been assessed by history and physical examination and determined to have no preoperative indication for laboratory tests can safely undergo anesthesia and operation with tests obtained only as indicated intraoperatively and post-operatively. Current anesthetic and medical practices rapidly identify perioperative indications for laboratory evaluation as they arise.  相似文献   
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Area- and time-specific marginal capacity costs of electricity distribution   总被引:2,自引:0,他引:2  
Marginal costs of electricity vary by time and location. In the past, researchers attributed the variations to factors related to electricity generation and transmission. These authors, however, have not analyzed possible variations in marginal distribution capacity costs (MDCC). The objectives of this paper are:
1. (i) to show that large MDCC variations are due to the dispersion in distribution capital expenditures by time and space,
2. (ii) to propose a method for quantifying the area- and time-specific MDCC in the presence of lumpy investments, and
3. (iii) to compare our MDCC estimates to those commonly used in the electric utility industry.
Our proposed method and its results were adopted by the California Public Utilities Commission (CPUC) in 1992 for Pacific Gas and Electric Company (PG&E), the largest privately owned electric utility in the U.S.  相似文献   
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15.
Oxygen injection has been proposed and experimentally demonstrated as an effective control measure for limiting the rate of heat release and altering the rate of polymerization in emulsion processes. A detailed mathematical model has been previously developed to describe the system behavior with and without oxygen injection. A simple lab scale apparatus was constructed and run extensively. Only trace quantities of oxygen are needed to inhibit the reaction completely. The facile response makes this method attractive for fast temperature control. However, because of the rapid penetration of dissolved oxygen into the polymer particles, growing radical chains are terminated prematurely, lowering product molecular weights. To minimize this detrimental effect, pulsed oxygen control is used and extensive experimental work was performed to determine the effects of controller set points on molecular weight. Moderate oxygen flows and moderate set point temperatures are found to give the optimal response without significant lowering of the final molecular weight. Injected quantities agree well with the order-of-magnitude sparging calculations needed to completely stop initiation. However, complete agreement between model simulations and experimental results was not reached due to an unmeasured loss of monomer from the reactor. Chain transfer to monomer is found to be important in modeling the polymer molecular weight. It has, however, a negligible effect on the reaction rate.  相似文献   
16.
Nanostructured polymer blends prepared via anionic ring opening polymerizations of cyclic monomers in the presence of a pre-made polymer melt exhibit a number of special properties over traditional polymer blends and homopolymers. Here, we report on a simple and versatile method of in situ polymerization of macrocyclic carbonates in the presence of a maleic anhydride polypropylene (mPP) matrix and a surface-active compatibilizer (i.e. PC grafted onto a mPP backbone generated in situ) to yield a micro- and nanostructured polymer blends consisting of a polycarbonate (PC) minor phase, and a polypropylene (PP) major phase. By varying the processing conditions and concentration of the macrocyclic carbonate it was possible to reduce the size of the PC dispersions to an average minor diameter of 150 nm. NMR and TEM characterizations indicate that the PC dispersions do not influence crystal content in the PP phase. Overall, the results point to a simple strategy and versatile route to new polymeric materials with enhanced benefits.  相似文献   
17.
Examined whether location errors in tachistoscopic visual probe tasks reflect (1) uncertainty about the actual position of items, (2) inappropriate guesses, encouraged by a requirement to respond, or (3) confusion about the position being tested. 46 undergraduates completed probe tasks in which they provided confidence ratings on each trial and tasks that substituted a color cue for a visual pointer or used a double bar probe. Results suggest that location errors on visual probe tasks reflect confusion about the spatial position of target items. Findings are consistent with data questioning the concept of iconic memory and imply that the bar-probe task cannot be used to study precategorical visual memory. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
18.
对采用天然有机滤料和合成无机滤料的生物除臭滤池在加拿大多伦多市Ash-bridge’s Bay污水厂污泥处理站的干化和转运段的应用效果进行了分析。详细介绍了污泥脱水工艺、臭气的产生及其组分,进而对软木树皮滤料和矿物合成永久性滤料的除臭效果进行了比较。还讨论了一些具体的运行经验,并采用动态模型对不同条件下的运行数据进行了分析。  相似文献   
19.
Brian Dipert 《电子设计技术》2008,15(6):60-60,62,64,66
认为蜂窝系统是未来收看移动电视的唯一方法很可能是不对的。开路电视广播和卫星电视服务提供商也希望能在移动电视浪潮中成功获利。  相似文献   
20.
Digital monochromatic images are encoded using a novel minimum mean square error (MSE) linear predictive transform (LPT) coding formulation. The new formulation is appealing for two important reasons. First, it leads to simple coder implementation with a satisfactory signal-to-noise ratio (SNR). Second, it provides a general theoretical framework from which minimum MSE predictive coding and minimum MSE transform coding arise as special cases. Some specific results of this paper that illustrate the previous ideas are: a simple and generally suboptimum two-dimensional LPT coder operating at 2 bit pixer−1 has approximately one third the complexity of a 4 × 4 Hadamard coder while yielding a better SNR; an optimum 2D LPT coder operating at 2 bit pixer−1 has approximately one sixth the complexity of a 4 × 4 Karhunen-Loeve transform (KLT) coder while yielding a better SNR.  相似文献   
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