The 'WHO Analgesic Ladder' is a well validated approach for the selection of appropriate analgesic therapy for cancer pain as well as pain in AIDS. The mainstay of analgesic intervention for cancer and AIDS pain of moderate to severe intensity continues to be the appropriate use of opioid analgesics. There is, however, a growing appreciation for the role of adjuvant analgesics, such as antidepressants and other psychotropic medications, at each step of the WHO Analgesic Ladder, particularly in the treatment of neuropathic pain. Knowledge of the indications and usefulness of psychotropic analgesic drugs in cancer and AIDS pain populations will be most important to clinicians practicing in psycho-oncology/AIDS settings, particularly since these drugs are useful not only in the treatment of psychiatric complications of cancer and AIDS, but also as adjuvant analgesic agents in the management of pain. This paper reviews the literature on the use of antidepressants, psychostimulants, neuroleptics, anticonvulsants and other psychotropic analgesics in the management of cancer and AIDS pain. Mechanisms of analgesia, drug selection, and recommendations for clinical usage are discussed. The appropriate and timely use of psychotropic adjuvant analgesic drugs represents an opportunity for active psychiatric contribution to the multidisciplinary management of cancer and AIDS pain. 相似文献
A comprehensive optimization study on a simulated moving bed reactor (SMBR) system is reported in this article for the direct synthesis of methyl tertiary butyl ether (MTBE) from tertiary butyl alcohol (TBA) and methanol. The applicability of the Varicol process, which is based on non-synchronous shift of the inlet and outlet ports, is explored for the first time for a reactive system. Multi-objective (two and three objective functions) optimization has been performed for both existing as well as design stage for SMBR and Varicol systems and their efficiencies are compared. The optimization problem involves relatively large number of decision variables; both continuous variables, such as flow rates in various sections and length of the columns and discrete variables, such as number of columns and column configuration. Pareto optimal solutions are obtained. It is observed that a five-column Varicol performs better than an equivalent five-column SMBR and its performance is nearly equal to that of a six-column SMBR in terms of purity and yield of MTBE and minimal eluent consumption. This is an important inference as it enables the reduction of fixed and operating costs while at the same time helps to achieve high purity and yield of the desired product and conversion of the limiting reactant. A state-of-the-art optimization technique, viz., non-dominated sorting genetic algorithm (NSGA), which allows handling of these complex optimization problems, is employed for this study. This is the first time that, not only the separating potential of Varicol has been extended to reaction systems, but also was optimized for multiple objectives. 相似文献
A colloidal suspension of magnetic particles coated with double layer surfactant molecules was prepared, characterized and
used for separation of some chemicals. The aqueous magnetic fluid was prepared by chemical precipitation method and characterized
by total organic carbon analyzer (TOC), thermogravimetric analysis (TGA) and transmission electron microscopy (TEM). The TOC
and TGA measurements indicate that the prepared magnetic particles are coated with surfactant molecules in double layers.
The outer surfactant layer has free polar heads. TEM measurement results show that magnetic particles are nanosized. A mixture
of 2-hydroxyphenol (strong polar) and 2-nitrophenol (weak polar) was chosen as the target system. Results show that the magnetic
fluid can selectively adsorb 2-hydroxyphenol from the mixture, whereas the adsorption of 2-nitrophenol is insignificant. For
2-hydroxyphenol, the adsorption equilibrium can be described well by Langmuir isotherm, and the adsorption kinetic can be
fitted well by a linear driving force mass transfer model. 相似文献
In this paper activated seawater-neutralized red mud, herein referred to as activated Bauxsol (AB), is used as a novel adsorbent for removing inorganic arsenic (As) from water. The adsorption of As onto AB is studied as a function of contact time, particle size, pH, initial As concentration, AB dosage, and temperature. Kinetic data indicate that the process pseudoequilibrates in 3 and 6 h for As(V) (arsenate) and As(III) (arsenite), respectively, and follows a pseudo-first-order rate expression. Within the range tested, the optimal pH for As(V) adsorption is 4.5, and close to 100% removal can be achieved irrespective of the initial As(V) concentration. Desorption of As(V) is greatest at pH 11.6 where a maximum of 40% can be achieved. In contrast, the optimum pH for As(III) removal is 8.5, and the removal efficiency changes with the initial As(III) concentration. The adsorption data fit the Langmuir isotherm and its linearized form well, with thermodynamic data indicating the spontaneous and endothermic nature of the process. The FITEQL (V.4) and PHREEQC (V.2) computer programs are used to predict As(V) adsorption at various pH values (based on diffuse double layer models). The modeling results fit the experimental results very well and indicate that surface complexation modeling is useful in describing the complex AB surface during the adsorption process. This study shows that As(III) needs to be oxidized to As(V) for a favorable removal using AB and that AB can be a very efficient unconventional adsorbent for removing As(V) from water. 相似文献
A fixed-bed reactor was utilized to investigate the activities of six metal catalysts (1% Pt, 1% Pd, 1% Ru, 5% Co, 5% Mo and 5% W on γ-Al2O3 support) in decomposing naphthalene, based on the production of carbon dioxide and the disappearance of naphthalene. The Pt and Pd catalysts were found to exhibit higher naphthalene oxidizing activity than other catalysts tested. The Co catalysts, whose activity is similar to that of the Ru catalysts, are promising for naphthalene oxidation. The kinetic results of naphthalene oxidation over 1% Pt/γ-Al2O3 catalysts are reported for the first time. A first-order reaction with respect to Pnaphthalene was found, while the reaction order with respect to PO2 decreased with increasing reaction temperatures. A Langmuir–Hinshelwood model was used to describe the observed kinetic behavior. Oxygen adsorption dominates at higher reaction temperatures (>140 °C), and consequently the oxidation of naphthalene over the Pt catalysts appeared to be insensitive to PO2. 相似文献
A comprehensive optimization study on a Simulated Moving Bed Reactor (SMBR) system is reported in this article for the direct synthesis of Methyl Tertiary Butyl Ether (MTBE). In addition, the SMB technology, which is based on synchronous switching of ports, was modified to a new more flexible Varicol process based on non‐synchronous switching. Multi‐objective optimization has been performed for both SMBR and Varicol and their efficiencies were compared. A state‐of‐the‐art optimization technique, viz., Non‐dominated Sorting Genetic Algorithm (NSGA) that allows handling of these complex optimization problems is employed in this study. 相似文献
This study examined the psychological effects of an economic crisis based on Conservation of Resources (COR) stress theory. It investigated how the loss of economic resources had a psychological influence on well-being and identified which of 3 variables (the loss of economic resources, demographic characteristics, or coping strategies) had the greatest psychological influence. Psychological well-being was assessed via levels of anxiety and anger. The study provided clear support for COR theory. The loss of economic resources had a strong and mostly positive relationship to anxiety and anger. The coping strategies were the most important of several predictors. Similar studies were proposed to increase confidence in generalizing to other populations and to identify the causal links between loss of economic resources, coping, and psychological well-being. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
In the process of service life prediction or estimation of building and construction components and materials, data of the prevailing exposure environment, (the conditions at and around a building or construction) is required. However, most environmental data is measured by and available from meteorological and air quality research communities. This data is collected at macro and meso levels, some distance from the object studied, and raises the need to transform data in order to describe the specific, local conditions adjacent to that object. To estimate levels of degradation agents in the exposure environment, especially those close to the building or construction at local and micro levels have to be considered. This paper will show and discuss useful environmental data sources, and how to transform such data by means of available distribution models. Lorsqu'il s'agit de faire des prévisions ou des estimations de durée de vie de bâtiments ainsi que de composants et matériaux de construction, il faut disposer des données sur les conditions prévalantes d'exposition et d'environnement (conditions qui règnent dans un bâtiment ou à proximité). Or, la plupart des données environnementales sont mesurées et fournies par des instituts de recherche en météorologie et qualité de l'air. Ces données sont collectées à grande et à moyenne échelle, à une certaine distance de l'objet étudié, et elles doivent donc être transformées si l'on veut décrire les conditions spécifiques locales à proximité dudit objet. Pour estimer le niveau de dégradation dans l'environnement d'exposition, notamment à proximité des bâtiments ou constructions, il faut considérer les agents au micro-niveau et au niveau local. Cet article présente et examine des sources de données environnementales utiles et montre comment transformer ces données en utilisant les modèles de distribution existants. 相似文献
In this study, Ta2O5, TiN, and TiO2 are coated with magnetron sputtering method as monolayer and bilayer on Ti6Al4V alloy used in biomedical applications. The deposited coatings are characterized, and their mechanical properties are determined by nanoindentation tests. As a result of the pin-on disc wear test performed in dry environment and room temperature, in vitro corrosion test was applied to the samples with high wear resistance, and the information about the tribological properties was obtained. Experimental results show that the existence of the intermediate layer has also significant effect on the corrosion resistance of the coatings. The biocompatibility of the Ta2O5/TiO2 coating was examined by keeping it in simulated body fluid (SBF) due to its noticeable wear and corrosion resistance properties, the growth of apatite, which is described as an indicator of biocompatibility, occurred on the sample surface after 7 day.