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1.
目的:探索炎性疾病患者的乳酸林格氏液(Ringer's lactate,RL)液体动力学特征以及炎性生物标记物是否可以作为协变量影响RL分布和排泄。方法:本研究为前瞻性队列研究。选择40例美国麻醉医师分级(ASA)I-II级,腹腔镜下择期胆囊切除术(胆囊炎组,n=20)或者腹腔镜下急诊阑尾切除术(阑尾炎组,n=20)。所有患者麻醉诱导前开始输注RL,按15 mL/kg,35 min内输毕。采用酶联免疫(enzyme-linked immunosorbent assay,ELISA)方法测定血浆炎症(TNF-α,IL-10和CRP)或者内皮损伤生物标记物(syndecan-1,SDC-1);利用血红蛋白(Hb)稀释-时间曲线和尿量,使用Phoenix软件,采用非线性混合效应模型分析计算RL液体动力学参数和协变量的影响。结果:与胆囊炎组相比,阑尾炎组RL从组织间隙到血浆的转运速率常数(k21)显著降低(14×10-3min-1 versus 35×10-3min-1;P=0.012)。阑尾炎组C反应蛋白(CRP)升高[中位数38.1(1.8-143.6) μg/mL versus 1.3(0.1-159.0) μg/mL;P<0.001];与清醒状态相比,麻醉期间(输液开始后30~45 min),液体从中央室中到外周室的转运速率常数(k12)显著增加(57×10-3min-1 versus 32×10-3min-1;P<0.01)。清除速率常数(k10)降低90%(0.6×10-3min-1 versus 5.3×10-3min-1;P<0.001)。无论在清醒状态还是麻醉状态下低血压均能降低液体清除;炎症或者内膜损伤的生物标记物不能作为显著影响RL液体动力学参数的协变量。结论:阑尾炎或者胆囊炎患者术前输入液体后“炎症反应的生物标记物”不是RL的液体动力学的协变量,但是两组患者中,全身麻醉期间输入液体的清除率下降。 相似文献
2.
《低温学》2015
The development of a high cooling power and high efficiency 4.2 K two stage G-M cryocooler is critically important given its broad applications in low temperature superconductors, MRI, infrared detector and cryogenic electronics. A high efficiency 1.5 W/4.2 K pneumatic-drive G-M cryocooler has recently been designed and developed by ARS. The effect of expansion volume rate and operation conditions on the cooling performance has been experimentally investigated. A typical cooling performance of 1.5 W/4.2 K has been achieved, and the minimum temperature of the second stage is 2.46 K. The steady input power of the compressor at 60 Hz is 6.8 kW, while the operation speed of the rotary valve is 30 rpm. A maximum cooling power of 1.75 W/4.2 K has been obtained in test runs. 相似文献
3.
This paper is prepared in honour of Professor E.T. Brown for his outstanding contributions to rock mechanics and geotechnical engineering and also for his personal influence on the first author's research career in geomechanics and geotechnical engineering. As a result, we have picked a topic that reflects two key research areas in which Professor E.T. Brown has made seminal contributions over a long and distinguished career. These two areas are concerned with the application of the critical state concept to modelling geomaterials and the analysis of underground excavation or tunnelling in geomaterials.Partially due to Professor Brown's influence, the first author has also been conducting research in these two areas over many years. In particular, this paper aims to describe briefly the development of a unified critical state model for geomaterials together with an application to cavity contraction problems and tunnelling in soils. 相似文献
4.
ABSTRACTThis paper proposes the multiple-hypotheses image segmentation and feed-forward neural network classifier for food recognition to improve the performance. Initially, the food or meal image is given as input. Then, the segmentation is applied to identify the regions, where a particular food item is located using salient region detection, multi-scale segmentation, and fast rejection. Then, the features of every food item are extracted by the global feature and local feature extraction. After the features are obtained, the classification is performed for each segmented region using a feed-forward neural network model. Finally, the calorie value is computed with the aid of (i) food volume and (ii) calorie and nutrition measure based on mass value. The experimental results and performance evaluation are validated. The outcome of the proposed method attains 0.947 for Macro Average Accuracy (MAA) and 0.959 for Standard Accuracy (SA), which provides better classification performance. 相似文献
5.
A cell vertex finite volume method for the solution of steady compressible turbulent flow problems on unstructured hybrid
meshes of tetrahedra, prisms, pyramids and hexahedra is described. These hybrid meshes are constructed by firstly discretising
the computational domain using tetrahedral elements and then by merging certain tetrahedra. A one equation turbulence model
is employed and the solution of the steady flow equations is obtained by explicit relaxation. The solution process is accelerated
by the addition of a multigrid method, in which the coarse meshes are generated by agglomeration, and by parallelisation.
The approach is shown to be effective for the simulation of a number of 3D flows of current practical interest.
Sponsored by The Research Council of Norway, project number 125676/410
Dedicated to the memory of Prof. Mike Crisfield, a respected colleague 相似文献
6.
基于体全息技术的WDM器件 总被引:2,自引:0,他引:2
利用体全息技术制作波分复用器件是一种新方法。本文介绍了此种方法的基本原理和器件的基本性能,并报道了国外对该项技术的研究进展。 相似文献
7.
一级开发大柳树高坝原始库容比二级开发小观音高坝多 4 0亿m3 ,库容大带来的好处体现在 5~ 7月可多向下游增供水量 ,缓解下游河道断流 ;延长泄放清水时间 ;增加发电效益 ;满足宁蒙河段防凌要求 ;增加汛期集中泄水 ,减缓下游河道淤积萎缩 ;满足南水北调西线工程水量调节要求等。为了更好优化配置黄河水资源 ,从全局和长远利益考虑 ,应采用一级开发方案 ,修建大柳树高坝大库 相似文献
8.
研究结果表明 :水胶比、胶凝材料用量、钢纤维掺量、矿渣代水泥量对钢纤维砼强度影响显著。当矿渣取代水泥 10 %时 ,钢纤维砼强度最高。经试验选择出一个具有良好和易性和较高强度 (118MPa)的钢纤维砼配合比 ,为掺磨细矿渣的中含量超短异形钢纤维砼的设计和施工提供了试验依据 相似文献
9.
冶金石灰是石灰石经过工业煅烧的产品。其二氧化碳含量低,且经过高温煅烧后基本不含有机物。无需按照《石灰石、白云石化学分析国家标准中二氧化碳的化学分析方法》中用酸进行试样分解,只需在1200℃高温中灼烧,使石灰中残留的或煅烧后吸收空气中二氧化碳而形成的碳酸盐分解,象通常测定含碳耐火材料中二氧化碳那样,采用气体容量法进行测定。 相似文献
10.
A novel series of temperature‐sensitive poly[(N‐isopropylacrylamide)‐co‐(ethyl methacrylate)] (p(NIPAM‐co‐EMA)) microgels was prepared by the surfactant‐free radical polymerization of N‐isopropylacrylamide (NIPAM) with ethyl methacrylate (EMA). The shape, size dispersity and volume‐phase transition behavior of the microgels were investigated by transmission electron microscopy (TEM), ultraviolet–visible (UV–Vis) spectroscopy, dynamic light scattering (DLS) and differential scanning calorimetry (DSC). The transmission electron micrographs and DLS results showed that microgels with narrow distributions were prepared. It was shown from UV–Vis, DLS and DSC measurements that the volume‐phase transition temperature (VPTT) of the p(NIPAM‐co‐EMA) microgels decreased with increasing incorporation of EMA, but the temperature‐sensitivity was impaired when more EMA was incorporated, causing the volume‐phase transition of the microgels to become more continuous. It is noteworthy that incorporation of moderate amounts of EMA could not only lower the VPTT but also enhance the temperature‐sensitivity of the microgels. The reason for this phenomenon could be attributed to changes in the complicated interactions between the various molecules. Copyright © 2004 Society of Chemical Industry 相似文献