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BACKGROUND: Measurement of intracardiac hemodynamic parameters has been limited to brief periods in the acute care setting. We developed and evaluated an implantable hemodynamic monitor that is capable of measuring chronic right ventricular oxygen saturation and pulmonary artery pressure. METHODS AND RESULTS: The device consists of an electronic controller placed subcutaneously and two transvenous leads placed in the right ventricle (reflectance oximeter) and pulmonary artery (variable capacitance pressure sensor). Implantation was performed in 10 patients with severe left ventricular dysfunction. Average implant pulmonary artery pressures were systolic, 52 +/- 16 mm Hg; diastolic, 29 +/- 11 mm Hg; and mean, 40 +/- 12 mm Hg. The mean right ventricular oxygen saturation at implant was 51%. Provocative maneuvers, including postural changes, sublingual nitroglycerin, and bicycle exercise, demonstrated expected changes in measured oxygen saturation and pulmonary artery pressures over time. At follow-up of 0.5 to 15.5 months, there were no significant differences between pulmonary artery pressures or oxygen saturation values transmitted from the device and simultaneous measurement with balloon flotation catheters. Four of the pulmonary artery leads dislodged and three demonstrated sensor drift, whereas two of the oxygen saturation sensors failed. Four patients died and four received transplants. Pathological study did not demonstrate injury to the right ventricular outflow tract or pulmonic valve. CONCLUSIONS: Chronic measurement of hemodynamic parameters in the outpatient setting with implantable sensor technology appears to be feasible. The devices are well tolerated without significant untoward effects, and the sensors generally function well over time, providing reliable information. Clinical usefulness remains to be established.  相似文献   
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X-ray diffraction analysis shows that the transformation during heat treatment from amorphous to crystalline phases of bismuth-borate glass samples takes place in sequences. After a short heat treatment, 5 min at 550 °C, a layered structure with a preferred orientation of crystallites on the surface is observed. After a long heat treatment, 8 h at the same temperature, normal polycrystalline bulk samples are obtained.  相似文献   
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Rainwater can collect in a lens-shaped region within the rock of a tropical island, and may be separated from the underlying salt water by a sharp interface. This paper presents a nonlinear theory for determining the shape of this interface. The island is assumed to be saturated with rain, and provision is made for the outflow of rain-water through the sides of the island. The effect of a bore well on the shape of the interface is investigated, and the problem is solved using a spectral method. An integral-equation method is also presented for the case when the island has infinite width.  相似文献   
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The authors report 3 experiments in which participants were invited to judge the probability of statements of the form if p then q given frequency information about the cases pq, p?q, ?pq, and ?p?q (where ? = not). Three hypotheses were compared: (a) that people equate the probability with that of the material conditional, 1 - P(p?q); (b) that people assign the conditional probability, P(q/p); and (c) that people assign the conjunctive probability P(pq). The experimental evidence allowed rejection of the 1st hypothesis but provided some support for the 2nd and 3rd hypotheses. Individual difference analyses showed that half of the participants used conditional probability and that most of the remaining participants used conjunctive probability as the basis of their judgments. (PsycINFO Database Record (c) 2010 APA, all rights reserved)  相似文献   
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This paper presents results of a research project, in which a process-dependent real-time control (RTC) strategy for a sequencing batch reactor plant was realised in full-scale. The cycle controller is based on NH4 analysers, NO3 probes, TSS probes and sludge level probes. With this new RTC strategy it was possible to increase the treatment capacity by 50%. By implementation of the new controller the TN, TP and NH4-N treatment efficiency could be improved significantly, too. The treatment efficiency concerning COD is comparable.  相似文献   
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Shooter localization in urban terrain   总被引:2,自引:0,他引:2  
Detecting and accurately locating snipers has been an elusive goal of the armed forces and law enforcement agencies for a long time. Most successful sniper-detecting systems are based on acoustic measurements. We develop an acoustic system that works well even in complex urban environments. Funded through the Network Embedded Systems Technology program of the US Defense Advanced Research Projects Agency's Information Exploitation Office, the PinPtr system uses a wireless network of many low-cost sensors to determine both a shooter's location and the bullet's trajectory by measuring both the muzzle blast and the shock wave. The PinPtr sensor-fusion algorithm, which runs on a base station, performs a search on a hyper-surface defined by a consistency function. This function provides the number of sensor measurements that are consistent with hypothetical shooter positions and shot times. The algorithm automatically classifies measurements and eliminates those that result from multipath effects or are otherwise erroneous. A fast search algorithm finds the global maximum of the surface, which corresponds to the shooter position.  相似文献   
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This case study covers what is believed to be the world’s largest dry-running, non-contacting gas seal, manufactured by John Crane. Recently returned for routine maintenance, it has reached its five-year anniversary while remaining in excellent condition.  相似文献   
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