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51.
BG Hattler C Madia C Johnson JM Armitage RL Hardesty RL Kormos SM Pham DN Payne BP Griffith 《Canadian Metallurgical Quarterly》1994,58(5):1348-1352
In an era of progressive cost containment and public scrutiny, the wisdom of aggressive surgical therapy for high-risk candidates has been questioned. At our center in the previous 24 months, 728 patients with coronary artery disease were entered into The Society of Thoracic Surgeons national database, and the hospital outcomes plus length of stay were analyzed. Patients were separated according to the predicted mortality based on the groupings in The Society of Thoracic Surgeons database: 0 to 5% (453 patients); 5% to 10% (126 patients); 10% to 20% (96 patients); 20% to 30% (17 patients); and 30% and greater (36 patients). There was a close correlation with the predicted rates of mortality. Importantly, the preoperative risk stratification demonstrated a strong correlation with the significant morbidity and excessive length of stay in the highest-risk groups (predicted risk of 20% to > or = 30%). The incidences of the most common complications in the group with the highest predicted risk (> or = 30%) were 28%, renal failure; 33%, ventilator dependence; and 17%, cardiac arrest. In addition, at short-term follow-up (6 to 8 months), a 24.3% mortality was identified in patients with a predicted mortality that exceeded 20%. These data quantify the risks and morbidities associated with the care of seriously ill patients with coronary artery disease and demonstrate the need for professional and public discussions focusing on the association of a high preoperative risk status and the consumption of resources. 相似文献
52.
KK Khurana MG Kivelson DJ Stevenson G Schubert CT Russell RJ Walker C Polanskey 《Canadian Metallurgical Quarterly》1998,395(6704):777-780
The Galileo spacecraft has been orbiting Jupiter since 7 December 1995, and encounters one of the four galilean satellites-Io, Europa, Ganymede and Callisto-on each orbit. Initial results from the spacecraft's magnetometer have indicated that neither Europa nor Callisto have an appreciable internal magnetic field, in contrast to Ganymede and possibly Io. Here we report perturbations of the external magnetic fields (associated with Jupiter's inner magnetosphere) in the vicinity of both Europa and Callisto. We interpret these perturbations as arising from induced magnetic fields, generated by the moons in response to the periodically varying plasma environment. Electromagnetic induction requires eddy currents to flow within the moons, and our calculations show that the most probable explanation is that there are layers of significant electrical conductivity just beneath the surfaces of both moons. We argue that these conducting layers may best be explained by the presence of salty liquid-water oceans, for which there is already indirect geological evidence in the case of Europa. 相似文献
53.
54.
Teachers are frequently cited as experiencing a high rate of vocal dysfunction (1-7). Despite considerable research in the area of voice problems in teachers, the prevalence of voice disorders in this group is unknown. This study investigated the prevalence of self-reported voice problems in teachers using a mail survey of a simple random sample of 1168 state school teachers (preschool-Grade 12) in South Australia. As part of the survey, teachers were asked to report voice problems for the day of the survey, during the current teaching year, and during their careers. The response rate was 75%, with 16% of teachers reporting voice problems on the day of the survey, 20% reporting problems during the current teaching year, and 19% reporting problems at some time during their career. Females were twice as likely as males to report voice problems. These findings clearly indicate a need for further investigation of the causes of vocal dysfunction in teachers and for the development of educational programs aimed at preventing voice problems in this group of professional voice users. 相似文献
55.
Analyzed the film Three Approaches to Psychotherapy (E. L. Shostrom, 1966), which depicts C. Rogers (client-centered therapy), A. Ellis (rational-emotive therapy), and F. S. Perls (Gestalt therapy) interviewing the same client, Gloria. Verbal exchanges between participants were analyzed, using T. S. Essig and R. L. Russell's (1988) categories for analyzing psychological relations between subjects and events in discourse. Predictable patterns in how therapists of different theoretical orientations represent subjectivity in discourse can be screened with these categories. Classification categories are appended. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
56.
Valerie Shute Seyedahmad Rahimi Ginny Smith Fengfeng Ke Russell Almond Chih-Pu Dai Renata Kuba Zhichun Liu Xiaotong Yang Chen Sun 《Journal of Computer Assisted Learning》2021,37(1):127-141
In this study, we investigated the validity of a stealth assessment of physics understanding in an educational game, as well as the effectiveness of different game-level delivery methods and various in-game supports on learning. Using a game called Physics Playground, we randomly assigned 263 ninth- to eleventh-grade students into four groups: adaptive, linear, free choice and no-treatment control. Each condition had access to the same in-game learning supports during gameplay. Results showed that: (a) the stealth assessment estimates of physics understanding were valid—significantly correlating with the external physics test scores; (b) there was no significant effect of game-level delivery method on students' learning; and (c) physics animations were the most effective (among eight supports tested) in predicting both learning outcome and in-game performance (e.g. number of game levels solved). We included student enjoyment, gender and ethnicity in our analyses as moderators to further investigate the research questions. 相似文献
57.
Effects of early-postmortem glycolytic rate on beef tenderness 总被引:1,自引:0,他引:1
Electrical stimulation (ES) was applied at 500 V to one side from each of 60 beef carcasses at 30 to 40 min postmortem. Wide ranges of early-postmortem glycolytic and cooling rates were produced in the musculature by use of three different forms of ES (in addition to non-ES treatment of the contralateral sides) and application of chilling routines of four different degrees of severity. Panel and Warner-Bratzler shear evaluations of loin steaks from all 120 sides showed that tenderness was highest when glycolysis had proceeded at an intermediate rate (corresponding to the attainment of a 3-h pH of about 6·1) and was appreciably lower on both sides of this mid-value. The toughening effect of rapid glycolysis (relative to that of a moderately increased glycolytic rate) persisted through 14 days of aging at 2°C.
These observations appear to be incompatible with the view that lysosomal enzymes contribute significantly to ES-induced tenderization. They also indicate that the effect of ES on tenderness is highly dependent on the subsequent cooling rate, very slow chilling sometimes accelerating the already high rate of pH fall to such an extent that the tissue is significantly toughened. Finally, they suggest that the goal of maximizing the early-postmortem rate of pH decline in bovine muscle is misguided and, if attained, will cause sub-optimal tenderness. 相似文献
58.
Journal of Computational Electronics - Here we consider an informationally complete Wigner function approach to look at multiple atoms (qubits) coupled to a field mode. We consider the... 相似文献
59.
John J. Guardiola Josiah E. Hardesty Juliane I. Beier Russell A. Prough Craig J. McClain Matthew C. Cave 《International journal of molecular sciences》2021,22(10)
Background: High-level occupational vinyl chloride (VC) exposures have been associated with hepatic hemangiosarcoma, which typically develops following a long latency period. Although VC is genotoxic, a more comprehensive mode of action has not been determined and diagnostic biomarkers have not been established. The purpose of this study is to address these knowledge gaps through plasma metabolomics. Methods: Plasma samples from polyvinyl chloride polymerization workers who developed hemangiosarcoma (cases, n = 15) and VC exposure-matched controls (n = 17) underwent metabolomic analysis. Random forest and bioinformatic analyses were performed. Results: Cases and controls had similar demographics and routine liver biochemistries. Mass spectroscopy identified 606 known metabolites. Random forest analysis had an 82% predictive accuracy for group classification. 60 metabolites were significantly increased and 44 were decreased vs. controls. Taurocholate, bradykinin and fibrin degradation product 2 were up-regulated by greater than 80-fold. The naturally occurring anti-angiogenic phenol, 4-hydroxybenzyl alcohol, was down-regulated 5-fold. Top affected ontologies involved: (i) metabolism of bile acids, taurine, cholesterol, fatty acids and amino acids; (ii) inflammation and oxidative stress; and (iii) nicotinic cholinergic signaling. Conclusions: The plasma metabolome was differentially regulated in polyvinyl chloride workers who developed hepatic hemangiosarcoma. Ontologies potentially involved in hemangiosarcoma pathogenesis and candidate biomarkers were identified. 相似文献
60.
Novel imide-aryl ether benzoxazole copolymers were prepared and their morphology and mechanical properties investigated. A key feature of these copolymers is the incorporation of a benzoxazole moiety by the use of 2,2′-bis[4-(3-aminophenoxy)phenyl]-6,6′-bibenzoxazole or 2,2′-bis[4-(4-aminophenoxy)-phenyl]-6,6′-bibenzoxazole as co-diamines in polyimide syntheses. The preparation of these diamines involved the nucleophilic aromatic substitution of 2,2′-bis(4-fluorophenyl)-6,6′-bibenzoxazole with either 3- or 4-aminophenol in the presence of K2CO3. The diamines were co-reacted with various compositions of pyromellitic dianhydride (PMDA) and 4,4′-oxydianiline (ODA) to synthesize the desired poly(amic acids). Films were cast and cured (350°C) to effect the imide formation, affording films with elongations between 40 and 110% and moduli in the 2000–2750 MPa range. The copolymers exhibited good dimensional (Tg in excess of 300°C) and thermal stability. Wide-angle X-ray diffraction measurements on the copolymers showed that the ordered morphology characteristic of PMDA/ODA polyimide was retained. Improvements in the auto-adhesion were observed, particularly in those copolymers which displayed a Tg. 相似文献