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11.
Dialysis dose and malnutrition have a great impact on the clinical out come of chronic hemodialysis patients. The interrelationships between them, however, remain undefined. Thus, we performed a study to determine the effects of increasing the dialysis dose on serum albumin concentrations and mortality in hemodialysis patients. We examined urea kinetic modeling, biochemical nutritional indices, comorbid conditions, patient survival time, and annual mortality rate. Dialysis dose, measured by Kt/V, significantly increased from 1.3 +/- 0.3 in 1987 to 1.5 +/- 0.4 in 1990 and to 1.7 +/- 0.4 in 1993. Serum albumin level also increased from 3.8 +/- 0.4 g/dL in 1987 to 4.0 +/- 0.4 in 1990 and to 1.7 +/- 0.4 in 1993. In 1993, 76% of patients had Kt/V > or = 1.50 compared with 45% in 1990 and 28% in 1987, whereas 82% of patients had a serum albumin level > or 4.0 g/dL in 1993 compared with 58% in 1990 and 29% in 1987. Protein catabolic rate and hematocrit also increased from 1987 to 1993, but not serum cholesterol or triglyceride. The annual mortality rate declined from 16.1% in 1987 to 13.2% in 1990 and to 8.0% in 1993. The decrease in mortality appeared to be unrelated to differences in patient selection or comorbid conditions. Serum albumin levels, hematocrit, Kt/V, and protein catabolic rate were significantly related to patient survival after age, sex, and diabetic status had been adjusted. Furthermore, there was a positive correlation between Kt/Vs and serum albumin concentration (r = 0.216, P < 0.001). Thus it appears that increasing the dose of dialysis improves serum albumin levels and perhaps survival rate in hemodialysis patients as well. 相似文献
12.
K Okawa T Aoki K Sano S Harihara A Kitano T Kuroki 《Canadian Metallurgical Quarterly》1998,93(12):2405-2410
OBJECTIVE: We examined the clinical characteristics of ulcerative colitis patients who demonstrated endoscopically discontinuous lesions at the mouth of the appendix. METHODS: Of patients with initial or recurrent active ulcerative colitis who underwent total colonoscopy during the past 3 yr at Osaka City General Hospital, we selected those who had skip lesions in the mouth of the appendix before treatment, and examined their gender, age, disease type, sites of lesions, inflammatory reaction, severity of disease, effects of treatment, and posttreatment course. RESULTS: Discontinuous lesions at the mouth of the appendix were found in 10 patients, who had the following common clinical features: the major lesion was usually present in the lower part of the large bowel including the rectum, many of the patients had suffered an initial attack only, all patients had mild disease, and many of the patients responded quite satisfactorily to treatment with salicylazosulfapyridine. CONCLUSION: Numerous patients with ulcerative colitis with discontinuous lesions at the mouth of the appendix were observed and their clinical characteristics were examined. Determination of the clinical significance of skip lesions in the appendix will contribute to elucidation of the pathogenesis of ulcerative colitis. 相似文献
13.
Copper phthalocyanine as corrosion inhibitor for ASTM A606-4 steel in 16% hydrochloric acid 总被引:2,自引:0,他引:2
A study based on the corrosion inhibition properties of copper phthalocyanine is described. Coverage degrees of copper phthalocyanine (Cu-phcy) on ASTM-A606-4 steel, obtained by weight loss measurements, were fitted to Langmuir, Frumkin, Temkin and Flory–Huggins adsorption isotherms. A better fit to the Langmuir isotherm was obtained. The polarization curves showed that polarization of both the anodic and cathodic reactions were verified for concentrations higher than 10–4 M, indicating a mixed type action. Only the anodic reactions were polarized for lower concentrations. At high frequencies the Nyquist diagrams showed one capacitive loop attributable to double layer charging and a small one at intermediary frequencies attributable to the faradaic process of hydrogen evolution. The formation of an adsorbed film was characterized by increasing charge transfer resistance values in the low frequency range for increasing inhibitor concentrations. According to the techniques used in this study, copper phthalocyanines showed a high corrosion inhibiting efficiency for all concentrations. 相似文献
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15.
The extended Aharonov-Bohm period test, recently proposed by the present authors, is used to study the electron pairing transition in the t-J ladders. The critical point is detected as a gap opening in the extended spectral flow. The result suggests a pairing prior to the onset of a phase separation, which is consistent with a recent Tomonaga-Luttinger analysis. 相似文献
16.
FH Gage 《Canadian Metallurgical Quarterly》1993,361(6411):405-406
17.
A practical high-latchup-immunity design methodology is proposed for high-density internal circuits in standard cell-based CMOS/BiCMOS LSIs. Both locally injected trigger current and uniformly generated trigger current were measured using a new test structure. Focusing on the difference in the well shunt resistance between local and uniform trigger currents, a practical latchup-free guideline based on an analytical model for uniformly generated trigger current in the well is presented for the periodic placement of well contacts dependent on parasitic device parameters, on generated trigger current level, and a layout pattern size 相似文献
18.
Y. Ohshima H.S. Ahn M. Aoki S. Awa M. Fukushima H. Hayashii X.Q. Hu T.W. Hur S. Igarashi H. Ikeda H.C. Jeong K. Kaneyuki D.Y. Kim S.K. Kim A. Kuzmin M.H. Lee S. Noguchi A. Ochi H. Sagawa N. Sato N. Sugiyama K. Tamai T. Tanimori N. Toomi T.J. Wang K. Watanabe Y. Watanabe X.C. Zhong Y.C. Zhu 《Nuclear instruments & methods in physics research. Section A, Accelerators, spectrometers, detectors and associated equipment》1996,380(3):517-523
We studied the performance of a prototype electromagnetic calorimeter for the BELLE detector at the KEK proton synchrotron for an energy range of 0.25–3.5 GeV. The prototype consisted of an array of 6 × 5 CsI(Tl) crystals with 30 cm length (16.2 radiation lengths) and about 6 cm × 6 cm cross section. The scintillation light of each CsI(Tl) crystal was read out by two large-area PIN photodiodes and charge-sensitive preamplifiers attached at the rear face of the crystal. We measured the energy and position resolution for electrons and the e/π separation for two sets of matrix configurations: one corresponded to the center and the other to the edge of the barrel calorimeter. The overall performance measured by the test proves that the prototype calorimeter is satisfactory for the use in the BELLE detector. 相似文献
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20.
EM de Kleijn WJ Oyen RA Claessens FH Corstens JW van der Meer 《Canadian Metallurgical Quarterly》1995,155(18):1989-1994
BACKGROUND: We assessed the utility of scintigraphy with indium 111-labeled polyclonal human IgG scintigraphy in patients with fever of unknown origin that fulfilled the criteria of temperature of 38.3 degrees C or more for at least 3 weeks and no diagnosis during 1 week of hospital admission. We compared the utility of this technique with results of scintigraphic techniques reported in the literature. METHODS: Data for all patients seen at our university hospital in whom 111In-IgG scanning was performed were analyzed and checked for the criteria for fever of unknown origin. The literature on the utility of scintigraphic techniques in patients with fever of unknown origin was reviewed. RESULTS: We studied 24 patients with fever of unknown origin. In 13 patients, focal 111In-IgG accumulation was observed. In nine (38%) of those, the positive 111In-IgG scintigram led to the final diagnosis; in the other four patients (17%), the scintigraphic findings were not helpful. In the 11 patients with negative 111In-IgG scans, extensive diagnostic workup produced no infection as the final diagnosis in nine patients (38%), one had an abscess in a renal cyst that was detected several months later, and in the other the cause of fever was an infected intravenous line. The overall sensitivity and specificity of 111In-IgG scintigraphy were 81% and 69%, respectively. The positive predictive value was 69% and the negative predictive value was 82%. CONCLUSIONS: Our results show that 111In-IgG scintigraphy significantly contributed to the diagnostic process in patients with fever of unknown origin. A positive scan increased the likelihood of finding the cause of the fever, and a negative scan ruled out an inflammatory component with a high degree of certainty. These data compare favorably with data in the literature concerning other radiopharmaceuticals; a larger prospective evaluation of this technique is indicated. 相似文献