Performance of advanced resuscitation skills by pediatric housestaff

OBJECTIVE: To describe pediatric housestaff resuscitation experience and their ability to perform key resuscitation skills. DESIGN: Cohort study of 63 pediatric residents in a university-based training program. PARTICIPANTS AND METHODS: Investigators observed, scored, and timed resident performance on 4 key resuscitation skills. Cognitive ability was tested with 4 written scenarios. Housestaff provided self-reports of the number of months since their last American Heart Association Pediatric Advanced Life Support course, number of mock and actual codes attended, number of times skills were performed, and self-confidence with respect to resuscitation. RESULTS: A total of 45 pediatric residents (71%) participated. Median cognitive score was 5 (range, 1-5). Of all residents, 44 (97%) successfully bag mask-ventilated the mannequin; 24 (53%) and 36 (80%) used the correct bag and mask size, respectively. Thirty-nine residents (87%) placed a tube in the mannequin trachea, 12 (27%) checked that suction was working prior to intubation, and 30 (67%) chose the correct endotracheal tube size. Forty residents (89%) discharged the defibrillator, and 25 (56%) and 32 (71%) correctly chose asynchronous mode and infant paddles, respectively. Thirty-eight residents (84%) inserted an intraosseous line; 35 (78%) had correct placement. Median times for successful skill completion were 83 seconds for bag mask ventilation, 136 seconds for intubation, 149 seconds for defibrillation, and 68 seconds for intraosseous line placement. CONCLUSION: Pediatric housestaff previously trained in pediatric advanced life support were generally able to reach the end point of 4 key resuscitation skills but less frequently performed the specific subcomponents of each skill. This poor performance and the prolonged time to skill completion suggest the need for greater attention to detail during training.     

外压作用下套管抗挤强度研究

为提高套管挤毁压力的计算精度,应用统计方法对213根套管全尺寸挤毁试验数据进行了方差分析。结果表明,径厚比、屈服强度是套管抗挤强度的主要影响因素,不圆度、壁厚不均度、残余应力等因素对套管抗挤强度的影响呈随机性分布。利用有限元方法对外径不圆度、壁厚不均度和残余应力的不同组合进行模拟分析得出,数值相同的外径不圆度、壁厚不均度及平均残余应力组合不同时,套管的挤毁压力相差很大。提出了新的套管挤毁压力计算公式,计算表明精度可满足工程要求。     

粘土矿物对低渗透储层性质的影响——以鄂尔多斯盆地三叠系低渗透储层为例

粘土矿物是低渗砂岩储层的主要胶结物，对储层物性及开发过程中储层物性变化趋势有着重要的影响和控制作用。另外，粘土矿物也蕴含着大量沉积环境介质的物理化学信息，认识其自然规律，可以有效地指导预测有利储层，认识和改造油层。以鄂尔多斯盆地砂岩储层中的粘土矿物为研究对象，探讨分析粘土矿物对低渗储层性质的影响，该研究对含油气盆地低渗储层有效开发具有一定的参考价值。     

Microstructure and Mechanical Properties of Heat-treated GeSb_2Te_4 Thin Films

The effect of annealing on microstructure,adhesive and frictional properties of GeSb 2 Te 4 films were experimentally studied.The GeSb 2 Te 4 films were prepared by radio frequency(RF)magnetron sputtering,and annealed at 200℃and 340℃under vacuum circumstance,respectively.The adhesion and friction experiments were mainly conducted with a lateral force microscope(LFM)for the GeSb 2 Te 4 thin films before and after annealing.Their morphology and phase structure were analyzed by using atomic force microscopy(AFM)and X-ray Diffraction(XRD)techniques,and the nanoindention was employed to evaluate their hardness values.Moreover,an electric force microscope(EFM)was used to measure the surface potential. It is found that the deposited GeSb 2 Te 4 thin film undergoes an amorphous-to-fcc and fcc-to-hex structure transition;the adhesion has a weaker dependence on the surface roughness,but a certain correlation with the surface potential of GeSb 2 Te 4 thin films.And the friction behavior of GeSb 2 Te 4 thin films follows their adhesion behavior under a lower applied load.However,such a relation is replaced by the mechanical behavior when the load is relatively higher.Moreover,the GeSb 2 Te 4 thin film annealed at 340℃presents a lubricative property.     

真空技术在污水处理中的若干典型应用

介绍了真空技术在污水处理中的几种典型应用，真空结晶法在以分离污水中具有结晶性能的固体溶剂；真空过滤脱水用于初沉池和消化池污泥脱水，真空浮选法通过制造负压条件加速浮选过程；还有真空搅拌、真空脱气等等。这些足以说明真空技术在污水处理乃至环境保护中占有重要的一席之地。     

Thermal Expansion Behavior of La1—xSrxMn1—yCoyO3—δ Perovskites

The thermal expansion behavior of La1-xSrxMn1-yCoyO3-δ (x=0.2-0.4, y=0.1-0.3) perovskites in air has been investigated. The average linear thermal expansion coefficients increased with increasing Sr content up to 40 mole fraction or Co content up to 30 mole fraction. The expansion is generally attributed to an increase in the average cation radius as some of the cations in the perovskite are reduced in valence when oxygen ions are removed from the structure.     

信号时域积分性质的一个推广应用

对信号进行运算（卷积运算，傅氏变换，拉纸变换）时，应用时域积分性质，得出由函数导数的运算式求取原函数的相应运算结果的一般性计算公式，使时域积分性质的应用得到推广。     

多小波变换及其在信号滤波中的应用

多小波拥有对称性、正交性、有限支撑等这些信号处理中十分重要的特性,从而弥补了单小波的不足,具有更为广阔的应用前景.本文从滤波的角度,重点分析并设计了多小波预滤波与多小波分解系数处理方法.仿真表明多小波分析方法的优越性.     

北京市危旧房改造的多目标分解模式

由于政府、居民、开发商之间复杂的博弈,北京市1990年提出的综合性危改目标遇到了很大的挑战,为解决这一问题,本文提出危旧房改造的目标分解模式,即建立一个以危改区域或危改项目为导向的危改目标实现框架,将北京市危旧房改造的多重目标进行分解,然后制定相应的分目标政策,建立相应的分目标制度,采取相应的分目标措施,最终从总体上实现危旧房改造的目标,主导目标的确定应遵循四个基本原则,最后提出几个政策建议。     

附加励磁阻尼控制抑制多模态SSR的机理及其关键技术

一些新建的大型煤电基地由于采用较高固定串补度的厂对网远距离大容量输电模式，所引发的多模态次同步谐振（SSR）正成为威胁机组安全和电网稳定的现实难题。以上都电厂串补输电工程（二期）为例，阐述多模态SSR的发生机理，分析采用附加励磁阻尼控制（SEDC）抑制多模态SSR的基本原理及其相对于其他措施的特点和优势，并重点探讨SEDC研发中面临的关键技术问题及其解决思路，为中国自主研发和应用SEDC设备解决SSR问题奠定基础。