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Thrombolytic therapy for unstable angina has not gained acceptance as a primary treatment for unstable angina (UA) despite the evidence showing a reduction in mortality when these agents are given for myocardial infarction. The purpose of this review is to examine the clinical value of thrombolytic therapy for UA. The multiple lines of evidence supporting intracoronary thrombus formation as a key mechanism in the pathogenesis of UA are reviewed. Studies examining the effect of thrombolytic therapy on angiographic endpoints have shown little effect on the extent of luminal narrowing, but do reveal a decrease in angiographically detected thrombus. Twelve randomized, controlled trials of thrombolytic agents in 611 UA patients with predefined clinical endpoints have been published. These trials varied widely in design and adjunctive therapy both in treated and control grops. Review of these trials show a tendency to fewer clinical events such as death, infarction, and need for revascularization in treated patients, with a corresponding increase in bleeding complications. Clinical efficacy of thrombolytic therapy cannot be excluded by the available data, perhaps in part because of insufficient numbers of patients treated. Determination of the net clinical value of thrombolytic therapy must await larger and more definitive trials. 相似文献
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Infection of KB cells at 39.5 degrees C with H5ts147, a temperature-sensitive (ts) mutant of type 5 adenovirus, resulted in the cytoplasmic accumulation of hexon antigen; all other virion proteins measured, however, were normally transported into the nucleus. Immunofluorescence techniques were used to study the intracellular location of viral proteins. Genetic studies revealed that H5ts147 was the single member of a nonoverlapping complementation group and occupied a unique locus on the adenovirus genetic map, distinct from mutants that failed to produce immunologically reactive hexons at 39.5 degrees C ("hexon-minus" mutants). Sedimentation studies of extracts of H5ts147-infected cells cultured and labeled at 39.5 degrees C revealed the production of 12S hexon capsomers (the native, trimeric structures), which were immunoprecipitable to the same extent as hexons synthesized in wild type (WT)-infected cells. In contrast, only 3.4S polypeptide chains were found in extracts of cells infected with the class of mutants unable to produce immunologically reactive hexon protein at 39.5 degrees C. Hexons synthesized in H5ts147-infected cells at 39.5 degrees C were capable of being assembled into virions, to the same extent as hexons synthesized in WT-infected cells, when the temperature was shifted down to the permissive temperature, 32 degrees C. Infectious virus production was initiated within 2 to 6 h after shift-down to 32 degrees C; de novo protein synthesis was required to allow this increase in viral titer. If ts147-infected cells were shifted up to 39.5 degrees C late in the viral multiplication cycle, viral production was arrested within 1 to 2 h. The kinetics of shutoff was similar to that of a WT-infected culture treated with cycloheximide at the time of shift-up. The P-VI nonvirion polypeptide, the precursor to virion protein VI, was unstable at 39.5 degrees C, whereas the hexon polypeptide was not degraded during the chase. It appears that there is a structural requirement for the transport of hexons into the nucleus more stringent than the acquisition of immunological reactivity and folding into the 12S form. 相似文献
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Time synchronization is mandatory for applications and services in wireless sensor networks which demand common notion of time. If synchronization to stable time sources such as Coordinated Universal Time (UTC) is required, employing the method of flooding in order to provide time synchronization becomes crucial. In flooding based time synchronization protocols, current time information of a reference node is periodically flooded into the network. Sensor nodes collect the time information of the reference node and perform least-squares regression in order to estimate the reference time. However, least-squares regression exhibits a poor performance since sensor nodes far away from the reference node collect the time information with large deviations. Due to this fact, the slopes of their least-squares line exhibit large errors and instabilities. As a consequence, the reference time estimates of these nodes also exhibit large errors.This paper proposes a new slope estimation strategy for linear regression to be used by flooding based time synchronization protocols. The proposed method, namely Pairwise Slope With Minimum Variance (PSMV), calculates the slope of the estimated regression line by considering the pairwise slope between the earliest and the most recently collected data points. The PSMV slope is less affected by the large errors on the received data, i.e. it is more stable, and it is more computationally efficient when compared to the slope of the least-squares line. We incorporated PSMV into two flooding based time synchronization protocols, namely Flooding Time Synchronization Protocol (FTSP) and PulseSync. Experimental results collected from a testbed setup including 20 sensor nodes show that PSMV strategy improves the performance of FTSP by a factor of 4 and preserves the performance of PulseSync in terms of synchronization error with 40% less CPU overhead for linear regression. Our simulations show that these results also hold for networks with larger diameters and densities. 相似文献
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琼东南盆地是南海北部大陆架新生代北东向伸展盆地,面积约3.4×104km2,最大沉积厚度12000m。盆内存在8个凹陷,依据凹陷的烃源层发育特征、埋藏史、生烃史、生烃强度及资源量综合分析,发现崖南、松南、宝岛、乐东和陵水凹陷均存在高温高压、烃源岩热演化程度高、生气强度大且资源量丰富,因此评价为富气凹陷;油气主要生成于下第三系,8个凹陷中以宝岛,松南凹陷成熟面积最大,两凹陷资源量约占下第三系气资源量的一半以上;松东凹陷因其热演化程度适中,油资源量占较大比例,该凹陷油、气均具有勘探潜力,而崖北及松西凹陷生烃潜力较差。为此,围绕上述富气(烃)凹陷评价并综合天然气的成藏条件,初步筛选琼西基底披覆背斜带、松涛凸起及北东倾没端圈闭带、2号断裂下降盘圈闭带是最具天然气勘探潜力区带,而松东凹陷北坡圈闭带则为油气并举的勘探有利区带。 相似文献