A clinical study on respiratory management using a respirator with nasal intubation in patients undergoing surgery for esophageal cancer

We analyzed a postoperative respiratory management using a respirator with nasal intubation in 55 patients who underwent subtotal esophagectomy through thoracic and abdominal approach between April 1984 and December 1989. In 21 cases (38%) the period using a respirator was within 3 days, in 24 cases (44%) during 4-7 days, and in 10 cases (18%) over 8 days. Postoperative pulmonary complications occurred in 20 cases (36%); pneumonia in 7 cases (13%), lung edema in 12 cases (22%), atelectasis in one case (2%). Two patient died after surgery, one from acute myocardial infarction, another from multiple organ failure after anastomotic leakage. The period using a respirator was positively correlated with the operative blood loss, transfusion and post-operative infusion, postoperative pulmonary complications positively correlated with the operative time, the anesthetic time, operative blood loss, transfusion and postoperative infusion as well as with preoperative complications and renal dysfunction too. In 120 cases before 1984, postoperative pneumonia occurred in 42 cases (36) and 19 cases (16%) of them died. These results suggest that our respiratory management using a respirator is effective in perioperative period of esophageal cancer.     

An electrochemical study on reactions of quinones in methanol on an illuminated rutile catalyst

The photocatalytic reactions of quinones dissolved in methanol were investigated on an illuminated n-type semiconducting rutile catalyst by employing electrochemical measurements based on the local cell process. The overall reaction determined by the chemical analysis was

where R denotes a substituent. The higher reaction rate was obtained for the system of quinone with a more noble redox potential. It was found that quinones were reduced by electrons in the conduction band of rutile and that methanol was oxidized through the “current doubling” process.     

Smoothing Measured Displacements and Computing Strains Utilising Finite Element Method

Abstract: A method for smoothing measured displacements and computing strains utilising finite element and least‐squares methods is proposed. Nodal displacement values of a finite element model are determined by fitting the interpolation functions of elements to measured displacement values using the method of least‐squares. The displacements in the region where the measurement values are not obtained or unreliable are determined by solving finite element equations. Then, strains are obtained using a displacement‐strain relationship. The validity is demonstrated by applying the proposed method to the displacement distributions of a plate with a hole obtained using finite element method and those around a crack tip obtained using digital image correlation. Results show that the displacements and the strains can be determined accurately by the proposed method. Furthermore, the strains near free boundaries and strain concentration region can be computed. As strains can be evaluated easily and accurately, the proposed method can be used as one of the data processing methods for optical methods.