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21.
OR Hung S Pytka I Morris M Murphy G Launcelott S Stevens W MacKay RD Stewart 《Canadian Metallurgical Quarterly》1995,83(3):509-514
BACKGROUND: Transillumination of the soft tissue of the neck using a lighted stylet (lightwand) is an effective and safe intubating technique. A newly designed lightwand (Trachlight) incorporates modifications to improve the brightness of the light source as well as flexibility. The goal of this study was to determine the effectiveness and safety of this device in intubating the trachea of elective surgical patients. METHODS: Healthy surgical patients were studied. Patients with known or potential problems with intubation were excluded. During general anesthesia, the tracheas were intubated randomly using either the Trachlight or the laryngoscope. Failure to intubate was defined as lack of successful intubation after three attempts. The duration of each attempt was recorded as the time from insertion of the device into the oropharynx to the time of its removal. The total time to intubation (TTI), an overall measure of the ease of intubation, was defined as the sum of the durations of all (as many as three) intubation attempts. Complications, such as mucosal bleeding, lacerations, dental injury, and sore throat, were recorded. RESULTS: Nine hundred fifty patients (479 in the Trachlight group and 471 in the laryngoscope group) were studied. There was a 1% failure rate with the Trachlight, and 92% of intubations were successful on the first attempt, compared with a 3% failure rate and an 89% success rate on the first attempt with the laryngoscope (P not significant). All failures were followed by successful intubation using the alternate device. The TTI was significantly less with the Trachlight compared with the laryngoscope (15.7 +/- 10.8 vs. 19.6 +/- 23.7 s). For laryngoscopic intubation, the TTI was longer for patients with limited mandibular protrusion and mentohyoid distance, with a larger circumference of the neck, and with a high classification according to Mallampatti et al. However, there was no relation between the TTI and any of the airway parameters for Trachlight. There were significantly fewer traumatic events in the Trachlight group than in the laryngoscope group (10 vs. 37). More patients complained of sore throat in the laryngoscope group than in the Trachlight group (25.3% vs. 17.1%). CONCLUSIONS: In contrast to laryngoscopy, the ease of intubation using the Trachlight does not appear to be influenced by anatomic variations of the upper airway. Intubation occasionally failed with the Trachlight but in all cases was resolved with direct laryngoscopy. The failures of direct laryngoscopy were resolved with Trachlight. Thus the combined technique was 100% successful in intubating the tracheas of all patients. 相似文献
22.
Ying‐Hung So 《Polymer International》2006,55(2):127-138
Poly(2,4‐dimethyl‐1,4‐phenylene oxide) (PPO), poly(benzo[1,2‐d:5,4‐d′]bisoxazole‐2,6‐diyl‐1,4‐phenylene) (PBO) and poly(benzo[1,2‐d:4,5‐d′]bisthiazole‐2,6‐diyl‐1,4‐phenylene) (PBZT), which are polymers with extended conjugated structures, undergo a self‐sensitized photo‐induced electron‐transfer reaction. A second component is not required. This article presents many similar observations on these polymers when they are exposed to light and evidence to support the proposed photo‐induced electron‐transfer mechanism. Methods to stabilize these polymers against photo‐oxidation are also described. Workers investigating other conjugated polymeric systems may find the experimental methods, observations and polymer stabilization approaches discussed in this review useful. Copyright © 2005 Society of Chemical Industry 相似文献
23.
Ching‐Nan Chuang Liang Chao Ying‐Jie Huang Tar‐Hwa Hsieh Hung‐Yi Chuang Shu‐Chi Lin Ko‐Shan Ho 《应用聚合物科学杂志》2008,107(6):3917-3924
The synthesis of a p‐toluidine/formaldehyde (PTF) resin was performed, and the effects of the molar ratio of the individual monomers and the polymerization conditions on the structure of the PTF resin were studied. Fourier transform infrared and 13C‐NMR spectra were used to characterize the PTF. Wide‐angle X‐ray diffraction patterns revealed the crystalline structures of various PTFs. Polarized optical microscopy revealed that the molar ratio of the monomers had a strong effect on the crystalline morphologies. A longer polymerization time turned out a polymer with a higher intrinsic viscosity and molecular weight, which led to differences in the proton conductivity. All of the PTFs showed a higher proton conductivity than a commercial Nafion membrane at 90–100°C and 0% relative humidity. The proton conductivity of the PTF series could be improved by sulfonation with sulfuric acid and could be maintained after blending with polyurethane. Pure methanol could be used as a fuel source because of the insolubility and nonwetting properties of PTF in methanol to increase the output current density for a PTF membrane electrode assembly. © 2007 Wiley Periodicals, Inc. J Appl Polym Sci 2008 相似文献
24.
Electron transfer by domain movement in cytochrome bc1 总被引:1,自引:0,他引:1
Z Zhang L Huang VM Shulmeister YI Chi KK Kim LW Hung AR Crofts EA Berry SH Kim 《Canadian Metallurgical Quarterly》1998,392(6677):677-684
The cytochrome bc1 is one of the three major respiratory enzyme complexes residing in the inner mitochondrial membrane. Cytochrome bc1 transfers electrons from ubiquinol to cytochrome c and uses the energy thus released to form an electrochemical gradient across the inner membrane. Our X-ray crystal structures of the complex from chicken, cow and rabbit in both the presence and absence of inhibitors of quinone oxidation, reveal two different locations for the extrinsic domain of one component of the enzyme, an iron-sulphur protein. One location is close enough to the supposed quinol oxidation site to allow reduction of the Fe-S protein by ubiquinol. The other site is close enough to cytochrome c1 to allow oxidation of the Fe-S protein by the cytochrome. As neither location will allow both reactions to proceed at a suitable rate, the reaction mechanism must involve movement of the extrinsic domain of the Fe-S component in order to shuttle electrons from ubiquinol to cytochrome c1. Such a mechanism has not previously been observed in redox protein complexes. 相似文献
25.
Kow Ming Chang Yuan Hung Chung Gin Ming Lin 《Electron Device Letters, IEEE》2002,23(5):255-257
Studies the anomalous variations of the OFF-state leakage current (IOFF) in n-channel poly-Si thin-film transistors (TFTs) under static stress. The dominant mechanisms for the anomalous IOFF can be attributed to (1) IOFF increases due to channel hot electrons trapping at the gate oxide/channel interface and silicon grain boundaries and (2) IOFF decreases due to hot holes accumulated/trapped near the channel/bottom oxide interface near the source region. Under the stress of high drain bias, serious impact ionization effect will occur to generate hot electrons and hot holes near the drain region. Some of holes will be injected into the gate oxide due to the vertical field (~(V_Gstress V_Dstress)/T OX) near the drain and the others will be migrated from drain to source along the channel due to lateral electric field (~V_Dstress/LCH) 相似文献
26.
Sensitivity analysis of relative accommodation and vergence 总被引:1,自引:0,他引:1
A sensitivity analysis was performed to determine the variation in response to changes in parameter values of a previously developed nonlinear static model of accommodation and vergence. To determine normal behavior, model simulation responses were computed using previously obtained parameter values in 4 subjects under 2 conditions. In the first, relative accommodation was evaluated by maintaining the vergence stimulus constant at 2.5 meter angles (MA) and varying the accommodative stimulus from -2.5 to 2.5 diopters (D) in 0.25-D steps. In the second, relative vergence was evaluated by maintaining the accommodative stimulus constant at 2.5 D and varying the vergence stimulus from 25 prism diopters (PD) base-in to 25 PD base-out in 5-PD steps. Sensitivity of the model parameters, consisting of controller gains for accommodation (ACG) and vergence (VCG), crosslink gains for accommodation-to-vergence (AC) and vergence-to-accommodation (CA), deadspace operators for accommodation (AE±AD) and vergence (VE±VD), and the tonic levels for accommodation (ABIAS) and vergence (VBIAS) were assessed by varying them at 50% and 150% of their normal values. It was found that the accommodation and vergence systems mere most sensitive to variation in crosslink gain, moderately sensitive to variation in controller gain and tonic level, and least sensitive to variation in size of the deadspace. These results may provide a quantitative basis for the occurrence of ocular dysfunctions associated with abnormal crosslink gains, such as strabismus, in clinical patients 相似文献
27.
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29.
N-acetyltransferase (NAT) activity was determined by incubation of purified Enterobacter aerogenes enzyme with 2-aminofluorene (2-AF) as the substrate, followed by high pressure liquid chromatography assays. The NAT activity from E. aerogenes was 0.58 +/- 0.08 nmol/min/mg protein for 2-AF. The values of apparent K(m) and Vmax were 0.72 +/- 0.14 mM and 2.45 +/- 0.29 nmol/min/mg protein, respectively, for 2-AF. The optimal pH value for the enzyme activity was 7.5 for the 2-AF tested. The optimal temperature for enzyme activity was 37 degrees C for the 2-AF substrate. The molecular weight of NAT from E. aerogenes was 44.9 kD. Among a series of divalent cations and salts, Zn2+, Ca2+, and Fe2+ were demonstrated to be the most potent protease inhibitors, and only ethylenediaminetetraacetic acid significantly protected the NAT. Iodoacetamide, in contrast to other agents, markedly inhibited NAT. 相似文献
30.
Hung C. Ling 《Journal of Materials Science》1990,25(7):3297-3308
The solid-state reaction method to form the superconducting oxide YBa2Cu3O
x
was studied. It was found that the starting cupric and yttrium components accelerated the decomposition of the BaCO3 component. At a constant heating rate of 10 ° Cmin–1 in thermogravimetric analysis, the temperature of complete decomposition,T
f, was lowered from greater than 1000 ° C in pure BaCO3 to between 915 and 985 ° C. The effectiveness in decreasingT
f can be ranked in the order of oxalate, carbonate and oxide. The highest sintered density achieved in this study was 6.03 g cm–3 (/th = 95%) at 990 ° C and 5.85 g cm–3 (/th = 92%) at 960 ° C. The source of cupric ion had the largest effect on densification. The use of cupric carbonate resulted in a consistently high Archimedes density of about 6.00gcm–3 and large dimensional shrinkage of about 20% at 990 ° C for 12h. In contrast, the use of cupric oxide gave the lowest density and smallest shrinkage. Within the same powder lot, higher sintered density and smaller dimensional shrinkage were observed in samples with higher initial green density and compaction pressure. However, the data suggested that the enhanced densification and higher density achieved by the use of cupric carbonate and oxalate cannot be accounted for by the different physical characteristics of the powders and the mechanics of powder compaction, measured collectively by the green density. 相似文献