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Hemodialysis catheter (HDC) dysfunction due to thrombosis is common, and dysfunction incidence can reach up to 50% within 1 year of use. Although administration of intraluminal alteplase (tissue plasminogen activator [tPA]) is the standard of practice to pharmacologically restore HDC function, there are no evidence‐based guidelines concerning the optimal tPA dose. The purpose of this study was to compare the efficacy of 1.0‐mg vs. 2.0‐mg tPA dwell protocols in restoring the HDC function in thrombotic dysfunctional catheters. A retrospective, single‐center study was conducted on two independent cohorts of patients; the first (n = 129) received 2.0 mg tPA/catheter lumen, while the second (n = 108) received 1.0 mg tPA/catheter lumen. Kaplan–Meier and Cox regression analyses were performed to compare the catheter survival time between patients who received 1.0 mg tPA and those who received 2.0 mg tPA. Catheter removal occurred in 25 (19.4%) of those catheters treated with 1.0 mg tPA compared with 11 (10.2%) of catheters treated with 2.0 mg tPA (P = 0.05). The hazard ratio (HR) for catheter removal was 2.75 (95% confidence interval [95%CI] = 1.25–6.04) for the 1.0‐mg tPA cohort compared with the 2.0‐mg tPA cohort. Correction added on 3 December 2012, after first online publication: The tPA cohort values were changed. Female gender (HR = 2.51; 95%CI = 1.20–5.27) and age (HR = 0.96; 95%CI = 0.94–0.98) were also associated with catheter survival. Our findings suggest that treatment of dysfunctional HDC with 2.0‐mg tPA dwells is superior to 1.0‐mg tPA dwells.  相似文献   
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A key issue in crisis communication is the way people process crisis‐relevant information to minimize danger. This paper discusses the impact of previously experienced crises on the public's interpretation of warning messages. People may not have direct experience of a crisis, but they still have acquired mediated experiences of a variety of crises. The present study introduces the term cultural experience of crisis to label the synthesis of mediated crisis experiences, media and fictional narratives, collective memories of societal disasters, conversations, and immediate crisis experiences of witnesses and victims. The proposed model of cultural experience of crisis is elaborated on the basis of a qualitative text analysis derived from four qualitative interviews 16 focus groups interviews carried out in Estonia from 2008 to 2009.  相似文献   
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Metals and Materials International - In the present work, Ni32-x-Ti-Ta18+x (x?=?0, 2, 3, 4, 5, 6, 7, 8) shape memory alloys, produced by arc-melting method. Then, differential scanning...  相似文献   
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The influence of drying methods on the aroma active volatiles of sun-dried tarhana (SDT) and vacuum-dried tarhana (VDT) were compared using headspace SPME, GC-O and GC-MS. Although vacuum drying reduced the total amount of volatiles as compared to SDT (total FID peak area), more aroma active material was retained with VDT (total olfactory peak area). Vacuum drying retained a greater number of aroma active components (41) whereas the sun-dried method retained only 23. Aldehydes were the largest single class of aroma compounds in both types of tarhana: 17 in VDT and 10 in SDT. Other differentiating aroma compounds include alcohols, terpenes, and phenols such as geraniol, terpinolene, and 4-vinylguaiacol among others. A total of 22 aroma active components were present in greater amounts in the VDT versus only four aroma compounds present in greater amounts in the SDT.  相似文献   
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Journal of Materials Science - In this study coatings of kaolin and talc particles were successfully applied on the surface of polyamide 12 powder intended for laser sintering (LS). Microscopic...  相似文献   
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A fluorescence monitoring device was constructed to measure in real time the residence time distribution (RTD) function in screw extruders. Its centerpiece was an optical fiber probe capable of transmitting optical excitation energy to the processed flow stream and detecting the subsequent fluorescence emission. The source of fluorescence emission was an anthracene-bearing substance that was injected to the flow stream as a pulse (tracer) in very small amounts. This device was validated against an off-line ultraviolet spectrophotometer and self-checked as well. In addition to its great sensitivity to fluorescence emission and ease of implementation on an extrusion line, this device could be used to monitor in real time subtle variations of an extrusion operation. The influence of the nature of anthracene-bearing compounds on the measured distribution and the effects of processing parameters on the RTD function were also investigated.  相似文献   
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When dealing with optimal control problems to maximize the selectivity of reactions for fine chemical synthesis, representative kinetic and thermodynamic models should be available. While literature appears to be very extensive on theoretical approaches to solve the problem, examples presenting complete models of chemical transformations are scarce. This paper presents the identification of consecutive reactions carried out in a batch reactor. Material and energy balances, satisfying dynamical state evolutions in the temperature range 20-60°C are deduced, for concentrations of acrylonitrile ranging up to 1.6 kmol·m?3. The stoichiometric network is simplified into two reactions, one reversible and one irreversible. Reaction enthalpies are measured from isothermal runs conducted in the RC1 heat-flow calorimeter from Mettler Toledo.  相似文献   
10.
Based on an experimental programme, including autogenous shrinkage tests on concrete, ultrasonic monitoring of fresh concrete, and mercury intrusion porosimetry, the influence of the filler type on the autogenous shrinkage of self-compacting concrete has been investigated. The onset of percolating structure formation (time zero) is influenced by the filler type due to a possible accelerating effect of the filler on the cement hydration. Limestone filler accelerates the hydration process, and reduces time zero, while this is not the case when using quartzite filler. Using fly ash, showing only a slight acceleration, a slight reduction of time zero is obtained. A very significant swelling peak is noticed during the first day. This swelling peak is not a measuring artefact, but is caused mainly by water absorption on the filler surface and resulting disjoining pressure. Some part of the swelling peak might also be caused by Ca(OH)2 crystallisation. The fineness of the filler is an important factor for this swelling behaviour, although also the nature of the filler seems to have an influence. The superplasticiser also interacts with the fillers, influencing the swelling behaviour. The different filler types used in this study did not lead to significant differences in critical pore diameter of the microstructure. This might explain why no significant differences have been found in final autogenous shrinkage values using the different filler types.  相似文献   
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