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101.
Treatment of an acetaminophen overdose with N-acetyl cysteine usually is based on the position of the 4-h acetaminophen (APAP) level on the Rumack-Matthew nomogram; however, there is disagreement on the level at which clinically relevant hepatotoxicity occurs. A retrospective review of all acute adult formulation APAP exposures reported to our poison center between 1986 and 1993 was performed and cases corresponding to the "possible risk or toxicity" range on the nomogram were identified. Our current poison center protocol for APAP poisoning does not recommend treatment with N-acetylcysteine (NAC) in low-risk patients if the 4-h serum APAP level or the extrapolated equivalent falls within the possible toxicity range on the nomogram. Seventeen cases met the inclusion criteria for the study and received no NAC; six additional patients met inclusion criteria but received one or two doses of NAC before therapy was discontinued. No patients in either group demonstrated clinical evidence of hepatotoxicity. This pilot study suggests that patients with no risk factors and APAP levels in the "possible risk" range may not require NAC therapy.  相似文献   
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Land use and land cover (LULC) maps from remote sensing are vital for monitoring, understanding and predicting the effects of complex human-nature interactions that span local, regional and global scales. We present a method to map annual LULC at a regional spatial scale with source data and processing techniques that permit scaling to broader spatial and temporal scales, while maintaining a consistent classification scheme and accuracy. Using the Dry Chaco ecoregion in Argentina, Bolivia and Paraguay as a test site, we derived a suite of predictor variables from 2001 to 2007 from the MODIS 250 m vegetation index product (MOD13Q1). These variables included: annual statistics of red, near infrared, and enhanced vegetation index (EVI), phenological metrics derived from EVI time series data, and slope and elevation. For reference data, we visually interpreted percent cover of eight classes at locations with high-resolution QuickBird imagery in Google Earth. An adjustable majority cover threshold was used to assign samples to a dominant class. When compared to field data, we found this imagery to have georeferencing error < 5% the length of a MODIS pixel, while most class interpretation error was related to confusion between agriculture and herbaceous vegetation. We used the Random Forests classifier to identify the best sets of predictor variables and percent cover thresholds for discriminating our LULC classes. The best variable set included all predictor variables and a cover threshold of 80%. This optimal Random Forests was used to map LULC for each year between 2001 and 2007, followed by a per-pixel, 3-year temporal filter to remove disallowed LULC transitions. Our sequence of maps had an overall accuracy of 79.3%, producer accuracy from 51.4% (plantation) to 95.8% (woody vegetation), and user accuracy from 58.9% (herbaceous vegetation) to 100.0% (water). We attributed map class confusion to limited spectral information, sub-pixel spectral mixing, georeferencing error and human error in interpreting reference samples. We used our maps to assess woody vegetation change in the Dry Chaco from 2002 to 2006, which was characterized by rapid deforestation related to soybean and planted pasture expansion. This method can be easily applied to other regions or continents to produce spatially and temporally consistent information on annual LULC.  相似文献   
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Computer systems that can successfully masquerade as humans for long periods of time are likely in the foreseeable future. IT professionals will be central to the design, development, and deployment of those machines. Setting aside scientific and entertainment applications, is it a good idea to have machines that masquerade as humans? Some writers interested in computer ethics think not.  相似文献   
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This paper documents the development of an underwater robot system enabled with several mapping and localization techniques applied to a particular archaeological expedition. The goal of the expedition was to explore and map ancient cisterns located on the islands of Malta and Gozo. The cisterns of interest acted as water storage systems for fortresses, private homes, and churches. Such cisterns often consisted of several connected chambers, still containing water. A sonar‐equipped remotely operated vehicle (ROV) was deployed into these cisterns to obtain both video footage and sonar range measurements. Six different mapping and localization techniques were employed, including (1) sonar image mosaics using stationary sonar scans, (2) sonar image mosaics using stationary sonar scans with Smart Tether position data, (3) simultaneous localization and mapping (SLAM) while the vehicle was in motion, (4) SLAM using stationary sonar scans, (5) localization using previously created maps, and (6) SLAM while the vehicle was in motion with Smart Tether position data. Top‐down‐view maps of 22 different cisterns were successfully constructed. It is estimated that the cisterns were built as far back as 300 B.C., and few records of their size, shape, and connectivity existed before the expedition. © 2010 Wiley Periodicals, Inc.  相似文献   
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一、行业趋势与要求 零件测量检验仍然是质量保证过程中的一个重要要素.在过去几年中,与测量相关的技术在硬件和软件上都发生了很大变化,测量探头与扫描装置采集数据的速度快了很多.但是如果遇到几何图形复杂的零件,要想在单一装置上实现高效测量,则需要多轴探测路径编程.  相似文献   
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Model-Driven Architecture (MDA) brings benefits to software development, among them the potential for connecting software models with the business domain. This paper focuses on the upstream or Computation-Independent Model (CIM) phase of MDA. Our contention is that, whilst there are many models and notations available within the CIM phase, those that are currently popular and supported by the Object Management Group (OMG) may not be the most useful notations for business analysts nor sufficient to fully support software requirements and specification. Therefore, with specific emphasis on the value of the Business Process Modelling Notation (BPMN) for business analysts, this paper provides an example of a typical CIM approach before describing an approach that incorporates specific requirements techniques. A framework extension to MDA is then introduced, which embeds requirements and specification within the CIM, thus further enhancing the utility of MDA by providing a more complete method for business analysis.  相似文献   
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