Correlation of cerebral blood flow with outcome in head injured patients

In order to determine the relationship of cerebral blood flow (CBF) to the clinical outcome of head injury, serial determinations of CBF were performed by the intravenous Xenon technique in 24 patients. The patients were of mixed injury severity and were classified into four groups depending on the neurological exam at the time of each CBF study. All eight patients who were lethargic on admission demonstrated increases in their minimally depressed CBF as they improved to normal status. Eleven patients in deep stupor or coma ultimately recovered. Ten of these patients initially had moderate to profound decreases in CBF which improved as recovery occurred. The single exception was an adolescent whose initial CBF was high but became normal at recovery. Five comatose patients died. In four of these, already depressed CBF fell even lower, while one adolescent with initially increased CBF developed very low CBF preterminally. The data presented in this report demonstrated a good correlation between CBF and clinical outcome. In every one of the adult survivors, depressed CBF increased as the patient recovered to normal status. All adults who died showed a deterioration of CBF as the neurological status worsened. The only exceptions were two adolescents who initially showed high CBF values. In the adolescent who died, CBF dropped to low levels while in the survivor a normal CBF was achieved. Thus in adults a traumatic brain injury was associated with depressed CBF which increased with recovery or decreased further with deterioration while the reaction to injury was quite different in the younger brain.     

Morphogenesis of atypical myocardial infarct

Morphology of atypical myocardial infarctions and their morphogenesis were studied in 120 cases. The importance of atherosclerosis as the background process, the secondary development of coronary thrombosis and the leading role of metabolic factors (hypoxy, acidosis, etc) in the origin of atypical myocardial infarctions were established.     

Histamine H1- and H2-receptor vasodilation of canine intestinal circulation

Studies were conducted in anesthetized dogs to determine whether the mesenteric vasodilator response to histamine is mediated by H1 receptors alone or whether H2 receptors are also involved in the response. Evidence favoring a role for both receptors included: 1) the vasodilator response to histamine was inhibited by either the H1-receptor antagonist, tripelennamine, or the H2-receptor antagonist, metiamide; 2) both the H1 agonist, 2-methylhistamine, and the H2 agonist, 4-methylhistamine, induced dilator responses in the mesenteric circulation; and 3) two temporal patterns of vasodilation could be distinguished, namely a transient spike and subsequent fade of blood flow (seen with either the H1 agonist or with histamine after H2-receptor blockade) and a sustained and stable increase in flow (seen with either the H2 agonist or with histamine after H1 blockade). Metiamide appeared to be a potent inhibitor of the mesenteric vasodilator response to histamine at least equal to tripelennamine.     

Study of the sensitivity of Anopheles to insecticides in northeastern Afghanistan

Two unusual anaerobic vibrio-like organisms were recovered from blood cultures of two patients. One isolate was identified as Desulfovibrio desulfuricans. It appeared to be the cause of a 24-h episode of fever, chills, and profuse perspiration. This is apparently the first documented report of human infection due to this organism. The second isolate was a Succinivibrio species. It has rarely been described as a cause of bacteremia. The clinical significance of the organism remains unclear.     

Concurrent mapping of brain sites for sensitivity to the direct application of morphine and focal electrical stimulation in the production of antinociception in the rat

The effect of morphine microinjection (5 microgram/0.5 microliter) and focal electrical stimulation on the animal's response to radiant heat and noxious pinch was studied concurrently at 117 brain loci extending from the medial thalamus caudally to the periaqueductal gray area (PAG). Three populations of brain sites were discernible based on their responsiveness to focal electrical stimulation and morphine microinjection in the production of antinociception: (a) sites which support stimulation-produced analgesia (SPA, n = 24), (b) sites which were sensitive to the direct application of morphine (n = 8), (c) sites responsive to both manipulations (n = 8). With a few exceptions, all morphine sensitive sites were located within the anatomical boundaries of the PAG while sites supporting SPA were located not only within the PAG but also in the brain regions peripheral to this structure. Sites responsive to both manipulations were generally distributed throughout thf lateral aspect of the posteroventral PAG. Stimulation strength-effect curves for sites subserving SPA were also obtained. No differences were discovered between curves obtained from morphine-sensitive and -insensitive brain loci.     

Social and medical rehabilitation of patients subjected to surgery on account of aneurysms of the anterior connecting artery

The report contains data concerning occupational and social rehabilitation of 46 patients operated on for aneurysma of the anterior communicative artery. It was established that the occupational prognosis depends upon the severity of the hemmorhage, character of surgical operation. Of significance are the conditions of work, time after the surgical operation. The authors mark that in 2/3 of the operated on patients the working capacity is being restored. A spontaneous restoration of diaturbed functions is slow and is not always sufficient. With this purpose it is expedient to repeat courses of a general tonic and special rehabilitative therapy. A favourable factor in the readaptation of patients is their early engagement in working activities. The authors give their recommendations for medical labour expert testimony for this category of patients.     

黄河内蒙古段干流沉积物中砷含量及形态研究

为探明黄河内蒙古段沉积物中砷含量及形态分布特征,采集黄河内蒙古段干流柱状沉积物,采用HNO4-H2SO4-HCl O4法消解沉积物样品,提取沉积物中吸附型砷(A-As)、铝型砷(Al-As)、铁型砷(Fe-As)、钙型砷(CaAs)、包蔽型砷(O-As)5种形态砷,并采用氢化物发生原子荧光分光光度法测定砷含量。结果表明:黄河内蒙古段干流柱状沉积物中砷含量为7.123~16.661 mg/kg,平均为9.292 mg/kg;从整体上看,左岸沉积物砷含量高于右岸,随深度增加砷含量呈下降趋势,从上游至下游砷含量在黑柳子段出现高值;黄河内蒙古段沉积物中砷以Ca-As为主,O-As次之;随着深度的增加,总体上,Ca-As含量略有升高,A-As和O-As含量有所下降,Al-As和Fe-As含量基本不变。     

积石峡水电站溢洪道堰闸段工程中锚索测力计的应用

文章简述了积石峡水电站溢洪道堰闸段锚索测力计的设计布置、率定检验、安装方法及张拉过程中对测力计的观测等方面,以加强锚索测力计在锚索张拉施工过程中的质量控制。     

基于正交设计的黄池沟退水道弯道体型优化的数值模拟分析

为探求黄池沟退水道弯道的合理体型,采用正交设计与数值模拟相结合的方法研究了体型参数对弯道水流的影响。选取弯道宽度、弯道曲率半径、纵向坡度3个主要影响参数按正交试验设计,确定了9组正交试验方案,利用经水工模型试验结果验证的数学模型对正交试验方案进行模拟,分析了体型参数对弯道及下游陡坡段横向水位差的影响。结果表明,3个体型参数影响作用由大到小依次为纵向坡度、弯道宽度和弯道曲率半径;坡度为显著影响因素,且平坡最佳,弯道曲率半径和弯道宽度影响不显著,据此推荐合理体型参数为坡度取0,弯道宽度和弯道曲率半径采用原设计值。