Effect of race on outcome after kidney and kidney-pancreas transplantation in type 1 diabetic patients

OBJECTIVE: The racial impact on graft outcome is not well defined in diabetic recipients. The purpose of this study is to analyze our experience with kidney-alone (A) and kidney-pancreas (KP) transplantation in type 1 diabetic recipients and evaluate the impact of racial disparity on outcome. RESEARCH DESIGN AND METHODS: The records of 217 kidney transplants (118 KA, 99 KP) performed on type 1 diabetic patients between 1985 and 1995 at the Medical University of South Carolina and the University of Texas Medical Branch were reviewed. RESULTS: A total of 53 (31%) white patients and 15 (33%) black patients experienced at least one episode of biopsy-proven acute rejection of the renal graft (NS). Patient survival at 1, 2, and 5 years was similar in white (92, 87, 69%) and black (91, 91, 69%) patients (NS). Kidney graft survival at 1, 2, and 5 years in the KA group was 72, 62, and 42% in blacks, compared with 79, 76, and 53% in whites (NS). Kidney graft survival at 1, 2, and 5 years in the KP group was 92, 92, and 74% in blacks, compared with 83, 77, and 58% in whites (NS). Pancreas graft survival at 1, 2, and 5 years was 81, 81, and 81% in blacks, compared with 81, 75, and 62% in whites (NS). Cox regression analysis revealed that donor age > or = 40 years increased the risk of renal graft failure 6.2-fold (P = 0.0001), whereas the addition of a pancreas transplant to a kidney and a living-related transplant decreased the risk of failure of the kidney graft 0.2 (P = 0.005) and 0.1 times (P = 0.005). CONCLUSIONS: Our results suggest that when compared with whites, there may be a trend toward an improved kidney and pancreas graft outcome in blacks undergoing KP transplants. These findings suggest that diabetes may override the risk factors that account for the pronounced disparity in outcome observed between nondiabetic white and black recipients.     

往复式压缩机管道的防振设计

分析了往复式压缩机管道产生振动的原因及影响因素,提出解决管道振动的方法及对策。     

基于神经PID网络的串级调节系统研究

本文提出了一种神经PID网络控制器，并利用它构成串级调节系统。在给出网络结构和计算公式的基础上，进行了计算机仿真。仿真结果表明，神经PID网络控制器构成的串级调节系统具有良好的动态和静态性能及很强的抗扰能力。     

非串行生产线的建模,分析及设计

本文利用等效工作站理论和工件流平衡原理，推导出非串行离散事件生产线可以等价于串联系统，并归结为装配和拆卸两条定理，解决了系统的建模、分析与设计问题。     

Nutrient removal performance of an anaerobic–anoxic–aerobic process as a function of influent C/P ratio

The laboratory scale anaerobic–anoxic–aerobic (A²O) process fed with synthetic brewage wastewater was designed to investigate the effects of changing feed C/P ratio on the performance of biological nutrient removal (BNR) processes. In the experiment, the influent chemical oxygen demand (COD) concentration was kept at approximately 300 mg L^?1 while the total phosphorus concentration was varied to obtain the desired C/P ratio. Results showed that when the C/P ratio was lower than 32, phosphorus removal efficiency increased as C/P ratio increased linearly, while when the C/P ratio was higher than 32, the P removal efficiency was maintained at 90–98%, and effluent P concentration was lower than 0.5 mg L^?1. However, regardless of the C/P ratio, excellent COD removal (90% or higher) and good total nitrogen removal (75–84%) were maintained throughout the experiments. It was also found that very good linear correlation was obtained between COD uptake per unit P released in the anaerobic zone and C/P ratio. In addition, the P content in the wasted activated sludge increased with the decrease in the C/P ratio. Based on the results, it was recommended that the wastewater C/P ratio and its effects be incorporated into BNR design and operational procedures, appropriate C/P ratios were used to achieve the effluent treatment goals. Copyright © 2005 Society of Chemical Industry     

安全:爆破工程永恒的主题——2001年重大拆除爆破工程回顾

通过对2001年我国重大拆除爆破工程的回顾,认为在提高大面积毫秒非电起爆网络可靠性,控制爆破震动、扬尘、噪声等环境影响,与机械清理配合,实现快速施工等方面取得了进展与突破;对几起爆破安全事故进行了初步分析.为保证拆除爆破工程安全,在加强理论研究、开展技术创新、建立科学有序的管理制度等方面提出了建议意见.     

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。     

对绿色技术内涵与类别的再思考

在分析不同国际组织、机构对环境友好技术概念的不同界定方法及其特点的基础上,以系统性、层次性和可操作性为原则,以环境亲和程度为标准,从基础绿色技术、创新绿色技术和生态绿色技术三个层次对绿色技术的涵义和类别进行了界定。     

浅谈火灾调查的边缘化趋势

从火灾调查实际工作状态出发,提出火灾调查存在地位边缘化的趋势,并在分析边缘化趋势原因的基础上提出了相应的对策,供火灾调查同仁探讨。