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1.
We have examined acetaminophen (paracetamol) dosing for outpatient management of posttonsillectomy pain in children. Forty children, 5-15 years of age, undergoing tonsillectomy and their parents were randomly assigned to use a scheduled administration of acetaminophen in weight appropriate doses, 60 mg.kg-1.24h-1 orally, 90 mg.kg-1.24h-1 rectally, or to use acetaminophen 'as needed' according to present standards (control group). Postoperative pain was assessed by the child using the poker chip tool for the first three days after discharge. The prevalence of pain amongst all the children was high. The second day after discharge 22%-64% of the children in the study group and 36%-73% of the children in the control group rated severe pain. Recommended dose ranges of acetaminophen do not provide sufficient pain relief in children following tonsillectomy. Further studies are required to determine, whether higher doses of acetaminophen or analgesics with different analgesic properties will lead to improved analgesia in children following tonsillectomy.  相似文献   
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A model of induced lactation was modified to examine the effects of bovine prolactin (bPRL) and bovine placental lactogen (bPL) on mammary growth and differentiation. Thirty-two peripubertal, non-pregnant Holstein heifers were given daily s.c. injections of oestradiol (0.05 mg/kg) and progesterone (0.25 mg/kg) for 7 days to initiate mammary growth. Treatment with bromocriptine (40 mg/3 days) reduced serum PRL concentrations to approximately 25% of pretreatment levels, for the duration of the study. On the day following the last steroid injection, groups of eight heifers were given twice daily s.c. injections of either saline (negative control), recombinant bPRL (rbPRL; 80 mg/day) or recombinant bPL (rbPL; 80 and 160 mg/day) for 7 days. At the end of this period (day 15), growth and differentiation of the mammary glands were assessed. Treatment with rbPL increased total mammary DNA above control value by 50 and 60% for the 80 and 160 mg/day doses respectively. However, total DNA was not different for the control and rbPRL-treated groups. The blood serum concentration of alpha-lactalbumin was measured daily throughout the study and used as an index of mammary differentiation. Both rbPRL and rbPL stimulated mammary differentiation (i.e. induction of milk synthesis), although rbPRL appeared to be more potent than rbPL. These results indicate that rbPL is lactogenic in vivo and strongly suggest that bPL is a mammary mitogen.  相似文献   
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Over a period of 4.5 years, 14 patients with frontoethmoidal meningoencephaloceles were treated. Most patients came from Northern Namibia. Precise delineation of all cranial abnormalities was obtained by modern imaging techniques, and specific patterns of cerebral abnormality were found. The malformation was corrected in a single stage, and significant modifications have been developed to render the procedure simpler and safer. Information from our series favors delayed neural tube closure as the primary pathogenesis of the defect and suggests a common teratogen as the most probable etiological agent. Our experience leads us to advocate early correction of even small defects.  相似文献   
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Metal bonded grinding tools offer a remarkable potential for micro grinding because of their favorable wear behavior. However, metal bonded grinding tools, especially dicing blades, are hard to dress by conventional dressing methods. Electro contact discharge dressing, which is presented in this paper, is a numerically controlled dressing process offering the possibility to create the geometry and topography of the grinding wheel simultaneously at negligible dressing forces. The power of an electric circuit thermally removes the metal bond of the grinding wheel during the dressing process. The quality of the created profiles and the influence of the dressing parameters on the specific material removal rate of the grinding tool as well as the wear of the electrode are investigated at fine-grained grinding wheels.  相似文献   
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We prove that the function of normalization in base , which maps any -representation of a real number onto its -development, obtained by a greedy algorithm, is a function computable by a finite automaton over any alphabet if and only if is a Pisot number.Christiane Frougny was supported in part by the PRC Mathématiques et Informatique of the Ministère de la Recherche et de l'Espace.  相似文献   
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Recent developments in the exfoliation, dispersion, and processing of pristine graphene (i.e., non‐oxidized graphene) are described. General metrics are outlined that can be used to assess the quality and processability of various “graphene” products, as well as metrics that determine the potential for industrial scale‐up. The pristine graphene production process is categorized from a chemical engineering point of view with three key steps: i) pretreatment, ii) exfoliation, and iii) separation. How pristine graphene colloidal stability is distinct from the exfoliation step and is dependent upon graphene interactions with solvents and dispersants are extensively reviewed. Finally, the challenges and opportunities of using pristine graphene as nanofillers in polymer composites, as well as as building blocks for macrostructure assemblies are summarized in the context of large‐scale production.  相似文献   
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Finite element analysis is nowadays widely used for product testing. At various moments during the design phase, aspects of the physical behaviour of the product are simulated by performing an analysis of the model. For each analysis, a mesh needs to be created that represents the geometry of the model at that point. In particular during the later stages of the development cycle, often only minor modifications are made to a model between design iterations. In that case it can be beneficial to reuse part of the previous mesh, especially if it was costly to construct. A new method is presented that efficiently constructs a tetrahedral mesh based on a tetrahedral mesh of a feature model at an earlier point of the design cycle. This is done by analysing the difference of the two feature models from the point of view of the individual features. By this means we can find a natural correspondence between the geometries of the feature models, and relate this to the mesh of the earlier model. We discuss the algorithm, gained improvements, quality of the results, and conditions for this method to be effective.  相似文献   
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