医用纺织品应用概述

1　前言自有历史记载以来就有用纺织品作人体可移植品的记录。在古埃及就已经知道亚麻线可用于外科手术的缝合来封闭病人的伤口。在最近的60年内由于纤维纺纱技术的进步 ,有了合成聚合物 ,纺织物用于人体的各种用途聚增。这只是仿生学革命的一部分 ,新的生物材料和生态纺织品被生产并用于修补和替代有疾病的、受伤的组织和器官。2　定义英国利物浦大学教授Ｄ .Ｆ .Ｗｉｌｌｉａｍｓ提出了“生物材料”这一新概念。最近纺织结构产品用作人体移植品的用途越来越多。生物纺织物的定义如下 :由纺织纤维组成的结构设计用于特殊的生态环境 (例如外…     

On minimum-fuel control of affine nonlinear systems

The minimum-fuel control problem is investigated for a class of multiinput affine nonlinear systems whose associated Lie algebra is nilpotent. After preliminary notions and definitions are presented, emphasis is on the solution to the optimal control problem of the Lie algebra generated by certain system vector fields is nilpotent. Consequences of the maximum principle are deduced for such systems     

The hypersonic environment: Required operating conditions and design challenges

Hypersonic flight powered by airbreathing engines offers the potential for faster response time at long ranges, and reduced cost for access-to-space. In the present paper the operating environment of typical hypersonic vehicles are discussed, including results for the radiation equilibrium wall temperature of external vehicle surfaces and the flow properties through three sample engines spanning the range of hydrocarbon-fueled Mach 4-8 flight and hydrogen-fueled flight at speeds up to Mach 17. Flow conditions at several locations through the sample engines were calculated to provide indications of the required operating flow environment. Additional system consideration such a seals, joints, vehicle integration and in-service engineering are addressed.     

Reliability evaluation of class-E and class-a power amplifiers with nanoscaled CMOS technology

Circuit reliability of class-E and class-A power amplifiers is investigated based on a newly developed degradation subcircuit model. Measured degradation characteristics on the fabricated circuits agree well with the simulation predictions. Using this model, we have found that the class-E amplifier degrades faster than a class-A amplifier, due to a much higher stress level during switching. With a drastic decrease of PAE, a shorter lifetime is expected for a class-E amplifier.     

The relationship between bioelectrical impedance phase angle and subjective global assessment in advanced colorectal cancer

Background  

Bioelectrical Impedance (BIA) derived phase angle is increasingly being used as an objective indicator of nutritional status in advanced cancer. Subjective Global Assessment (SGA) is a subjective method of nutritional status. The objective of this study was to investigate the association between BIA derived phase angle and SGA in advanced colorectal cancer.     

Tri-Gate Bulk MOSFET Design for CMOS Scaling to the End of the Roadmap

A tri-gate bulk MOSFET design utilizing a low-aspect-ratio channel is proposed to provide an evolutionary pathway for CMOS scaling to the end of the roadmap. 3-D device simulations indicate that this design offers the advantages of a multi-gate FET (reduced variability in performance and improved scalability) together with the advantages of a conventional planar MOSFET (low substrate cost and capability for dynamic threshold-voltage control).     

Widespread microsatellite instability in sebaceous tumours of patients with the Muir-Torre syndrome

OBJECTIVE: Thoracic injury remains a major source of morbidity and mortality in urban trauma centers. With the advent and increasing expertise in video assisted thoracic surgery, this modality has become an attractive alternative in the management of patients with thoracic injury. This report will review our experience with video assisted thoracic surgery at a level I trauma center and attempt to further delineate the indications for and timing of thoracoscopy in thoracic trauma. METHODS: We identified 16 patients who had undergone video assisted thoracic surgery following chest trauma between July 1991 and June 1994. There were 15 penetrating and one blunt trauma. All 16 patients were initially treated with tube thoracostomy. From 0-20 days post-injury, video assisted thoracic surgery was attempted with either diagnostic or therapeutic intentions. RESULTS: Twelve of the 16 patients (75%) had successful thoracoscopy. Three patients had diaphragmatic injury excluded and nine patients had successful evacuation of clotted hemothoraces. Evacuation of clotted hemothorax up to 7 days post-injury was safe and easily accomplished. Four patients (25%) had unsuccessful thoracoscopy and were converted to standard thoracotomy; failure was attributed to either suboptimal single lung ventilation or severe pleural inflammatory reaction. The only death in the entire group occurred 10 days after a thoracotomy for retained hemothorax. The median post-operative hospital stay following successful video assisted thoracic surgery was 3.5 days. CONCLUSIONS: Video assisted thoracic surgery can be utilized as an effective and safe method for the initial diagnostic evaluation and surgical management of stable patients with penetrating thoracic trauma.     

Tips and tricks: the hard way--ABCs of quadriplegia care

The following are things I have learned, routines my nurses have brought to me, or that we have developed together during 11-years existence with amyotropic lateral sclerosis (ALS) eight of which have been burdened by ALS induced quadriplegia and ventilator dependence. Items are listed, not in order of importance, which may vary from individual to individual, but alphabetically. Some are unique. Some commonplace. All are useful and many are of surprising value. Deviations from common understanding or practice are marked with an asterisk, and practices that can afford significant economies are double asterisked. This is written in an attempt to share with others in the profession lessons I have learned from personal experience--the hard way.