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1.
OBJECTIVES: To define the relationship between inflammatory cytokines, hormonal mediators, alteration of energy substrate and hypermetabolism during the early phase after surgical trauma. DESIGN: A prospective case-control study of 13 patients underwent elective surgery for carcinoma between November 1993 and January 1995. MATERIALS AND METHODS: They received parenteral supply of adequate glucose and amino acids through central venous catheter after surgery equally. Inflammatory cytokines such as TNF- alpha, IL-1 and IL-6, stress hormones such as norepinephrine, glucagon and insulin, and fuel utilization and hypermetabolism variables such as resting energy expenditure (REE), CRP, free fatty acid, respiratory quotient, the calculated rates of glucose and fat oxidation using indirect calorimetry were measured serially (the day before operation, the end of surgery, and postoperative day (POD) 1, 2 and 5). MEASUREMENTS AND MAIN RESULTS: TNF- alpha and IL-1 were not detected during the study period. Initial elevation and steady decline of IL-6 concentrations were seen after surgical injury, and this response related significantly to post-operative norepinephrine and glucagon levels throughout the study period, and to insulin levels only at the end of surgery. %REE (REE/BEEHB; basal energy expenditure according to the Harris-Benedict equation) on POD 2 and 5, and all CRP levels after surgery were significantly related to IL-6 levels more than hormone levels. Fuel utilization variables on POD 2 were related to both IL-6 and hormone levels. CONCLUSIONS: Initial elevation of IL-6 concentration might induce stress hormones such as norepinephrine and glucagon, but not insulin after surgical trauma. Moreover not only hormonal mediators but also cytokine such as IL-6 are responsible for the development of the stress response of the alteration of energy substrate and hypermetabolism.  相似文献   
2.
The causes of lightning outage are subdivided into direct lightning strokes and induced lightning strokes, which are identified by the characteristics of the lightning overvoltage. In the past, lightning protection devices were directed mainly toward the latter, and attention has been focused on the installation of lightning protection devices, ground wires, and reinforcement of insulators. However, lightning outages continue to occur. Thus it is extremely important to clarify the fault characteristics of lightning surges and to study the effectiveness of various lightning protection devices by considering both direct lightning stroke and induced lightning stroke in order to prevent lightning outage in the future. In this research, the electromagnetic transients program (EMTP) has been applied to the direct lightning stroke, and the induced lightning outage analysis program for multiple conductor systems has been applied to the induced lightning stroke to study the effectiveness of lightning protection devices provided by combination of various lightning protection devices. The most effective lightning protection schemes are analyzed and evaluated based on verification tests on the full scale models as well as economic considerations.  相似文献   
3.
This paper describes an automated design technique to reduce power by making use of two supply voltages. The technique consists of structure synthesis, placement, and routing. The structure synthesizer clusters the gates off the critical paths so as to supply the reduced voltage to save power. The placement and routing tool assigns either the reduced voltage or the unreduced one to each row so as to minimize the area overhead. The reduced supply, voltage is also exploited in a clock tree to reduce power. Combining these techniques together, we applied it to a media processor chip. The combined technique reduced the power by 47% in random-logic modules and by 73% in the clock tree, while keeping the performance  相似文献   
4.
Growth of ultrathin (<100 Å) oxynitride on strained-Si using microwave N2O and NH3 plasma is reported. X-ray photoelectron spectroscopy (XPS) results indicate a nitrogen-rich layer at the strained-Si/SiO2 interface. The electrical properties of oxynitrides have been characterized using a metal-insulator-semiconductor (MIS) structure. A moderately low value of insulator charge density (6.1×1010 cm-2) has been obtained for NH3 plasma treated N2O oxide sample. Nitrided oxide shows a larger breakdown voltage and an improved charge trapping properties under Fowler-Nordheim (F-N) constant current stress  相似文献   
5.
Endothelin-1 (ET-1) is a cardiovascular peptide that binds to two distinct receptors, ET(A) and ET(B), resulting in systemic and regional vasoconstriction, alteration in sodium excretion, mitogenesis, and release of other vasoactive peptides such as atrial natriuretic peptide (ANP). A role for ET-1 has been proposed in congestive heart failure (CHF) based on the increase in circulating ET-1 in this cardiovascular disease state. The present study determined the cardiorenal and endocrine responses to chronic selective oral ETA antagonism in experimental CHF. Two groups of conscious dogs underwent 21 days of pacing-induced CHF. These groups included a control untreated group (n = 6) and a group that received an orally active ET(A) receptor antagonist (A-127722, Abbott Pharmaceuticals, 5 mg/kg PO bid, n = 6). Each group was studied at baseline before the onset of CHF and after 14 and 21 days of CHF. Compared with the CHF control group, the ET(A) receptor antagonism group at 14 days of CHF showed lower mean arterial pressure and systemic vascular resistance. Similarly, ET(A) receptor antagonism markedly attenuated the increase in circulating ANP despite similar atrial pressures. At 21 days of CHF, ET(A) receptor antagonism lowered pulmonary artery pressure, pulmonary vascular resistance, and systemic vascular resistance in association with a higher cardiac output. Plasma ANP remained suppressed. Despite the lower mean arterial pressure and circulating ANP in the ET(A) receptor antagonist group, the absolute decrease in sodium excretion from baseline was less compared with the untreated CHF control group. The present investigation supports the conclusion that endogenous ET-1 participates in the systemic and pulmonary vasoconstriction, the elevation of ANP, and the sodium retention that characterize this model of experimental CHF, suggesting a potential therapeutic role for ET(A) receptor antagonism in CHF.  相似文献   
6.
The changes in the anode and cathode potentials in the horizontal plane of a phosphoric acid fuel cell (PAFC), under various conditions of reactant gas pressure and its utilization, were studied using a single cell with twelve reference electrodes located around the cathode. Pressure-utilization (P-U) potential maps were obtained from the data at various reactant gas partial pressures (PO2, PH2) and their utilization (UO2, UH2). These maps show the corrosion conditions clearly. A PO2-UO2 potential map of maximum cathode potential showed that the cathode is corroded at high oxygen partial pressures and at low oxygen utilization. Cathode corrosion can occur over the entire cell surface. A PH2-UH2 potential map of maximum cathode potential showed that the cathode is corroded at high hydrogen utilization and at any hydrogen partial pressure. However, in this case, cathode materials corrodes at the fuel outlet; the potential does not climb to high values at the fuel inlet area. Fuel gas flowing in series resulted in a lower possibility for corrosion than parallel gas flow.  相似文献   
7.
The prediction of minimum fluidization velocity for vibrated fluidized bed was performed. The Geldart group A and C particles were used as the fluidizing particles. The method based on Ergun equation was used to predict the minimum fluidization velocity. The calculated results were compared with the experimental data.The calculated results of minimum fluidization velocity are in good agreement with experimental data for Geldart group A particles. For group C particles, the difference between the calculated results and experimental data is large because of the formation of agglomerates. In this case, the determination of agglomerate diameter is considered to be necessary to predict the minimum fluidization velocity.  相似文献   
8.
Abstract. This paper deals with the third-order asymptotic theory for Gaussian autoregressive moving-average (ARMA) processes with unknown mean μ. We are interested in the estimation of ρ = ( α1…, αp, β1…, βq ), where α 1…, αρ and β 1…, βq are the coefficients of the autoregressive part and the moving-average part, respectively. First, we investigate the third-order asymptotic optimality of the bias adjusted maximum likelihood estimator (MLE) of ρ in the presence of the nuisance parameters μ and 2 (innovation variance). Next, for a Gaussian AR(1μ μ, 2), we propose a mean corrected estimator αc1c2 of the autoregressive coefficient. We make a comparison between the bias adjusted estimator αc1c2* and the bias adjusted MLE, in terms of their probabilities of concentration around the true value, or equivalently, in terms of their mean squared errors. Finally some numerical studies are provided in order to verify the third-order asymptotic theory.  相似文献   
9.
We developed flexible displays using back‐channel‐etched In–Sn–Zn–O (ITZO) thin‐film transistors (TFTs) and air‐stable inverted organic light‐emitting diodes (iOLEDs). The TFTs fabricated on a polyimide film exhibited high mobility (32.9 cm2/Vs) and stability by utilization of a solution‐processed organic passivation layer. ITZO was also used as an electron injection layer (EIL) in the iOLEDs instead of conventional air‐sensitive materials. The iOLED with ITZO as an EIL exhibited higher efficiency and a lower driving voltage than that of conventional iOLEDs. Our approach of the simultaneous formation of ITZO film as both of a channel layer in TFTs and of an EIL in iOLEDs offers simple fabrication process.  相似文献   
10.
在全球的CDMA运营商中,日本KDDI是非常突出的一家。KDDI于2002年4月推出了自己的3G业务,采用的是cdma20001x技术。与NTTDoCoMo的3G业务一开始缓慢发展相比,KDDI虽晚半年推出3G业务,但其3G业务一起步就进入了快速发展阶段,业务开展才84天,用户数就突破百万大关。到2004年10月,用户数突破1600万的KDDI。那么,到底是什么使KDDI后来居上的呢?本文试图从分析KDDI的业务人手,破解KDDI的成功密码.  相似文献   
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