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81.
Crystallization of 4He in aerogels of 90 and 96% porosities shows a dynamical phase transition at around 600 mK due to the competition between thermal fluctuation and disorder: crystals grow via creep at high temperatures and via avalanche at low temperatures. In a very high porosity 99.5% aerogel, however, the transition had not been observed in our previous publication (Nomura et al. in Phys. Rev. Lett. 101:175703, 2008). We improved the spatial resolution of the video image and found that the 99.5% aerogel did have the transition at around 200 mK, which is much lower than those of the lower porosities. The avalanche size is significantly smaller in the 99.5% aerogel. The reduction in the transition temperature and avalanche size may be the consequence of weaker disorder for the crystallization in the very high porosity aerogel.  相似文献   
82.
The present paper examines the accuracy of two models used to predict the capacity of single square plate anchors used in multi-anchor wall (MAW) systems constructed in Japan. Measured anchor plate capacities from full-scale in situ load tests reported in the literature are compared to predicted values using the analytical model recommended in Japan. A modified anchor capacity model is proposed that preserves the general form of the PWRC equation, but introduces correction factors to improve accuracy. The correction factors are empirically-based and are selected by back-fitting measured loads to achieve a resistance bias mean equal to one and a low coefficient of variation (COV) in bias values. The results of a large number of small-scale anchor capacity tests carried out in pullout boxes were used to guide the selection of back-fitted parameters. The correction factors account for the influence of the confining pressure (anchor depth), the plate size and the anchor rod length on the anchor plate capacity. New Nc and Nq factors are also presented as part of the new model. The bias statistics for the two models comprise an important contribution to future reliability-based calibrations of the ultimate anchor capacity limit state for MAW systems in Japan.  相似文献   
83.
beta-2-Microglobulin (beta-2m) is a major constituent of amyloid fibrils in patients with dialysis-related amyloidosis (DRA). Recently, we found that the pigmented and fluorescent adducts formed nonenzymatically between sugar and protein, known as advanced glycation end products (AGEs), were present in beta-2m-containing amyloid fibrils, suggesting the possible involvement of AGE-modified beta-2m in bone and joint destruction in DRA. As an extension of our search for the native structure of AGEs in beta-2m of patients with DRA, the present study focused on pentosidine, a fluorescent cross-linked glycoxidation product. Determination by both HPLC assay and competitive ELISA demonstrated a significant amount of pentosidine in amyloid-fibril beta-2m from long-term hemodialysis patients with DRA, and the acidic isoform of beta-2m in the serum and urine of hemodialysis patients. A further immunohistochemical study revealed the positive immunostaining for pentosidine and immunoreactive AGEs and beta-2m in macrophage-infiltrated amyloid deposits of long-term hemodialysis patients with DRA. These findings implicate a potential link of glycoxidation products in long-lived beta-2m-containing amyloid fibrils to the pathogenesis of DRA.  相似文献   
84.
The position and effective resistance of microstructural barriers and their relation to the fatigue strength of blunt-notched specimens are analysed and modelled for three low-carbon steel microstructures. A relationship for the notch size effect on the basis of the experimental evidence that the fatigue limit (both plain and notched) represents the threshold stress for the propagation of the nucleated microstructurally short cracks, was derived. The derived relationship characterizes the fatigue notch sensitivity by means of the parameter ktd defined as the stress concentration introduced by the notch at a distance d from the notch root surface equal to the distance between microstructural barriers, and was experimentally verified for two notch geometries in three microstructures: ferrite, ferrite–bainite and bainite–martensite.  相似文献   
85.
Three male patients, aged 43, 41 and 44 years, were referred to the cardiologist because of complaints of angina pectoris; one of them also had an aortic valve stenosis. Nine to 22 years before, they had received radiotherapy on the mediastinum because of Hodgkin's disease. Coronary angiography showed severe stenoses of the ostium of the right coronary artery or of the main left coronary artery, following which the patients were treated with coronary artery bypass surgery, aortic valve replacement and (or) drugs. These locations are very unusual in patients with angina who did not receive any radiation therapy, but they are seen frequently in patients who have received radiotherapy on the mediastinum. The pathogenesis of these lesions is not exactly known. The normal risk factors for atherosclerosis plus free oxygen radicals are probably involved. The free oxygen radicals, generated by radiation, locally activate coagulation via various hypothetical mechanisms. The damaging effect of radiotherapy could therefore be prevented by antioxidants. However, the therapeutic effect of radiation would most likely decrease as well. A more rational approach to prevent these vascular lesions would be to reduce the radiation load, to treat the risk factors for atherosclerosis and to give platelet aggregation inhibitors such as acetylsalicylic acid.  相似文献   
86.
Two-dimensional device simulation of submicrometer gate diamond p +-i-p+ transistors with a SiO2 gate insulator was investigated using the MEDICI device simulation program. A large modulation of the source-to-drain current was obtained in the accumulation mode. The computed diamond device characteristics were equivalent or better than the simulation results of 6H-SiC MESFET's. It was concluded that the problems in diamond MESFET associated with the deep acceptor levels due to boron doping can be overcome in the p+ -i-p+ diamond FET's because of the hole injection and the space charge limited current  相似文献   
87.
88.
The effect of preoperative oral fluid intake on the volume and pH of gastric fluid was examined in 45 elective surgical patients ranged in ages from 18 to 70 years. Two hours preoperatively they all received oral roxatidine 75 mg with 10 ml water, immediately followed by 150 ml oral water or 150 ml refreshing drink or no fluid as control. Just after the induction of anesthesia, a Salem-sump tube was put down to the stomach to collect gastric fluid in each patient. The volume and pH of gastric fluid taken were 10.9 +/- 7.9 ml, 16.3 +/- 2.3 in control group, 8.0 +/- 6.0 ml, 6.2 +/- 2.4 in the water group and 6.3 +/- 6.0 ml, 7.1 +/- 1.7 in the refreshing drink group. As there were no significant differences in gastric pH values in the three groups, the highest value was found in the refreshing drink group. No significant difference in VAS of hungry and thirsty feeling was found among the three groups. We conclude that preoperative oral water or refreshing drink with roxatidine 75 mg 2 hours before the start of anesthesia may not increase the risk of aspiration during the induction of anesthesia.  相似文献   
89.
PURPOSE: Though case management has been recommended to improve the outcomes of patients with costly or morbid conditions, it has seldom been studied in controlled trials. We performed a randomized, controlled clinical trial of an intensive, multidisciplinary case management program for patients with chronic renal insufficiency and followed patients for 5 years. PATIENTS AND METHODS: We enrolled 437 primary-care patients (73% of those eligible) with chronic renal insufficiency (estimated creatinine clearance consistently < 50 mL/min with the last serum creatinine level > 1.4 mg/dL) who were attending an urban academic general internal medicine practice. The intensive case management, administered during the first 2 years after enrollment, consisted of mandatory repeated consultations in a nephrology case management clinic staffed by two nephrologists, a renal nurse, a renal dietitian, and a social worker. Control patients received usual care. Primary outcome measurements included serum creatinine level, estimated creatinine clearance, health services use, and mortality in the 5 years after enrollment. Secondary measures included use of renal sparing and potentially nephrotoxic drugs. RESULTS: There were no differences in renal function, health services use, or mortality in the first, second, or third through fifth years after enrollment. There were significantly more outpatient visits among intervention patients, mainly because of the added visits to the nephrology case management clinic. There were also no significant differences in the use of renal sparing or selected potentially nephrotoxic drugs. The annual direct costs of the intervention were $89,355 ($484 per intervention patient). CONCLUSION: This intensive, multidisciplinary case-management intervention had no effect on the outcomes of care among primary-care patients with established chronic renal insufficiency. Such expensive and intrusive interventions, despite representing state-of-the-art care, should be tested prospectively before being widely introduced into practice.  相似文献   
90.
Aggregation of high affinity IgE Fc receptors (Fc epsilon RI) on RBL-2H3 cells results in tyrosine phosphorylation of 33-, 42-, 44-, 72-, 80-, 90-, 125-kDa proteins. The 42 and 44 kDa proteins were identified as mitogen-activated protein (MAP) kinases with immunoblotting of anti-MAP kinase antibody. The effects of an antiallergic drug, pemirolast potassium (TBX) on Ag-induced protein tyrosine phosphorylation and MAP kinase activation were investigated. When RBL-2H3 cells were stimulated with Ag in the presence of TBX, tyrosine phosphorylation of three proteins (33, 42 and 44 kDa) was inhibited concentration-dependently (0.1-10 micrograms/ml). Inhibition of Ag-induced tyrosine phosphorylation of 33 kDa protein, which could be a beta subunit of Fc epsilon RI, suggests that TBX may prevent the activation of Fc epsilon RI. TBX suppressed activation of MAP kinases (42 and 44 kDa) in response to Ag as well as phorbol myristate acetate (100 nM) or calcium ionophore A23187 (500 nM), implying that the drug acts on signal transduction component(s) between the second messengers and MAP kinases. However, TBX had no effects on protein tyrosine phosphorylation and MAP kinase activation in MC3T3-E1 osteoblastic cells. These results indicate that TBX may affect Fc epsilon RI and also may act as a step distal of Ca2+ mobilization and protein kinase C activation leading to MAP kinase activation in RBL-2H3 cells.  相似文献   
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