心源性猝死一级预防植入心律转复除颤器前非持续室性心动过速与植入后恰当治疗的关系

目的探讨植入型心律转复除颤器(implantable cardioverter defibrillator,ICD)用于心源性猝死一级预防时,植入前发生非持续性室性心动过速(non-sustained ventricular tachycardia,NSVT)与植入后ICD恰当治疗的关系。方法本研究为单中心回顾性队列研究,连续纳入2006年1月至2017年12月在北京协和医院住院植入ICD用于一级预防的心脏病患者,患者在住院期间ICD植入前均完善Holter检查。根据Holter检查是否出现NSVT,将患者分为NSVT组及无NSVT组。门诊或电话随访至2018年8月,随访事件包括全因死亡、植入后ICD放电治疗及抗心动过速起搏(antitachycardia pacing,ATP)治疗情况。结果纳入60例符合入选和排除标准的患者,随访时间37 (14～61)个月,KaplanMeier生存曲线及Log-Rank检验提示,NSVT组与无NSVT组相比,全因死亡率无统计学差异(P=0. 108),NSVT组恰当治疗的风险高于无NSVT组(P=0. 033),NSVT和左心室射血分数与ICD恰当治疗独立相关(NSVT:HR=5. 099,95%CI:1. 399～18. 588,P=0. 014;左心室射血分数:HR=1. 077,95%CI:1. 013～1. 145,P=0. 018)。结论 ICD一级预防患者植入前出现NSVT提示接受ICD恰当治疗的风险增加。     

Analysis of supersaturation and nucleation in a moving solution droplet with flowing supercritical carbon dioxide

A supercritical antisolvent (SAS) process is employed for production of solid nanoparticles from atomized droplets of dilute solution in a flowing supercritical carbon dioxide (SC CO₂) stream by attaining extremely high, very rapid, and uniform supersaturation. This is facilitated by a two‐way mass transfer of CO₂ and solvent, to and from the droplet respectively, rendering rapid reduction in equilibrium solubility of the solid solute in the ternary solution. The present work analyses the degree of supersaturation and nucleation kinetics in a single droplet of cholesterol solution in acetone during its flight in a flowing SC CO₂ stream. Both temperature and composition are assumed to be uniform within the droplet, and their variations with time are calculated by balancing the heat and mass transfer fluxes to and from the droplet. The equilibrium solubility of cholesterol with CO₂ dissolution has been predicted as being directly proportional to the Partial Molar Volume Fraction (PMVF) of acetone in the binary (CO₂–acetone) system. The degree of supersaturation has been simulated up to the time required to attain almost zero cholesterol solubility in the droplet for evaluating the rate of nucleation and the size of the stable critical nuclei formed. The effects of process parameters have been analysed in the pressure range of 7.1–35.0 MPa, temperature range of 313–333 K, SC CO₂ flow rate of 0.1136–1.136 mol s^?1, the ratio of the volumetric flow rates of CO₂‐to‐solution in the range of 100–1000, and the initial mole fraction of cholesterol in acetone solution in the range of 0.0025–0.010. The results confirm an extremely high and rapid increase in degree of supersaturation, very high nucleation rates and stable critical nucleus diameter of the order of a nanometre. Copyright © 2005 Society of Chemical Industry     

Preparation and properties of silicone‐containing poly(methyl methacrylate) gels

Poly(methyl methacrylate) (PMMA) gels with varying amounts of silicone and solvent and constant amounts of crosslinker were prepared by solution free radical crosslinking copolymerization of methyl methacrylate (MMA), ethylene glycol dimethacrylate (EGDM), tetraethoxysilane (TEOS) and vinyltriethoxysilane (VTES) comonomer systems. They were then studied in benzene at a total monomer concentration of 3.5 mol L^?1 and 70 °C. The conversion of monomer, volume swelling ratio, weight fraction and gel point were measured as a function of the reaction time, silicone concentration and benzene content up to the onset of macrogelation. Structural characteristics of the gels were examined by using equilibrium swelling in benzene, gel fraction and Fourier‐transform infrared (FTIR) analysis. The morphology of the copolymers was also investigated by SEM. Based on the obtained results, it was concluded that the FTIR data did not have the capacity to show the presence of the VTES or TEOS moiety in these kinds of copolymers. On the other hand, the variation of weight fraction of gel, W_g, and its equilibrium volume swelling ratio in benzene, q_v, exhibited the same behaviour as that of MMA/EGDM copolymers. Also, the dilution of the monomer mixture resulted in an increase in the gel point and swelling degree and a decrease in the percent of conversion and gel fraction. Finally, TEOS is not an ideal silicone compound for reaction in the MMA/EGDM copolymerization system, whereas VTES is a suitable silicone comonomer for this system and it has been proved useful. Copyright © 2005 Society of Chemical Industry     

Magnetic properties of high-temperature superconductors: Analysis within the framework of the impurity mechanism

The impurity mechanism proposed earlier is used to interpret the magnetic properties of hightemperature superconductors. The appearance of superconductive granules and the existence of weak bonds in grains of ceramics and in single crystals is explained. The irreversibility line is obtained and its new interpretation as the line of thresholds of appearance of infinite nonsuperconductive cluster is given. The relaxation time of the magnetic susceptibility in alternating magnetic fields is calculated. The decrease of the Meissner fraction with increase in magnetic field and decrease in doping, and other magnetic properties are explained.     

经食道心房调搏的放射性核素心血管造影

本文应用反符合电路剔除调搏脉冲干扰的方法,制成经食道心房调搏心电心音门电路触发装置,用于经食道心房调搏的核素心血管造影。参考Tzivoni标准,当逐级增加调搏心率至140次/min或亚极量心率后发现:冠心病人有调搏后EF降低;急性心肌梗塞病人EF减低更为明显,并呈室壁反向运动。因此,心房调搏核素心血管造影有助于冠心病,特别是心肌梗塞的诊断。     

Nitrogen fertilizer use in rainfed agriculture

Agronomic efficiency (AE) is defined as the increase in economic yield of a crop per unit fertilizer applied. Components of AE are physiological efficiency and apparent recovery fraction. The latter can be further separated into uptake efficiency and availability index. Ways to increase the nitrogen fertilizer use efficiency in rainfed agriculture through fertilizer management are discussed.     

Hydrodynamic characteristics of a FCC regenerator

The hydrodynamic and gas mixing characteristics have been determined in a FCC regenerator (0.48 m I.D.x3.4 m high) with FCC particles. Solids holdup in the dense bed decreases with increasing gas velocity, but it increases in the freeboard region. The bubble/void fraction increases with an increase along the bed height at a given gas velocity and increases with increasing gas velocity at a constant bed height. Backmixed tracer gas at the wall region is higher than that at the center region of the bed. The gas backmixing coefficient decreases with increasing gas velocity.     

The voidage function and effective drag force for fluidized beds

Here, an experimental investigation on the effective drag force in a conventional fluidized bed is presented. Two beds of different particle size distribution belonging to group B and group B/D powders were fluidized in air in a diameter column. The drag force on a particle has been calculated based on the measurement of particle velocity and concentration during pulse gas tests, using twin-plane electrical capacitance tomography. The validity of the voidage function “correction function”, (1−ε_s)ⁿ, for the reliable estimation of the effective drag force has been investigated. The parameter n shows substantial dependence on the relative particle Reynolds number , and the spatial variation of the effective static and hydrodynamic forces. It is also illustrated that, a simple correlation for the effective drag coefficient as function of the particle Reynolds number (Re_p), expressed implicitly in terms of the interstitial gas velocity, can serve in estimating the effective drag force in a real fluidization process. Analysis shows that, the calculated drag force is comparable to the particle weight, which enables a better understanding of the particle dynamics, and the degree of spatial segregation in a multi-sized particle bed mixture. The analogy presented in this paper could be extended to obtain a generalized correlation for the effective drag coefficient in a fluidized bed in terms of Re_p and the particle physical properties.     

Characterization of NOM and THM formation potential in eutrophic reservoir water

Resin adsorption technique with XAD-8 and XAD-4 was used to characterize the raw water from Erlong reservoir in Jilin province of China. The NOM chemical composition sequences of four organic fractions in the raw water,from high to low,are fulvic acid (FA) fraction,hydrophilic non-acid (HPINA) fraction,hydrophilic acid (HPIA) fraction,and humic acid (HA) fraction. Experimental results show that FA is the main precursor of THMFP among the four organic fractions. However,HA or hydrophobic acid exhibits the highest chlorination activity in forming THMs. It is also found that the value of FI/DOC or SUVA and the specific THMFP have better positive correlation. It is implied that certain source water has unique nature of NOM and DBPs.     

褐煤树脂醇类化学组成与分布特征

对云南潦浒及寻甸褐煤树脂中醇类化学成分进行了GC-MS研究，探索褐煤树脂醇类作为药用资源的可能性．实验结果表明，树脂醇由正构烷醇、正构酮(甲基酮)、甾醇类、五环三萜醇及五环三萜酮所组成．褐煤树脂醇中均存在24-甲基-5β(H)-胆甾烷-3β-醇(C28H50O，MW．402)，24-乙基胆甾-5，22-二烯-3β-醇(C29H48O，MW．412)，24-乙基-5α(H)-胆甾烷-3β-醇(C29H52O，MW．416)，23，24-二甲基胆甾-5-烯一3β-醇(C29H50O，MW．414)，C29-5β(H)，3β(OH)-甾醇(C29H52O，MW．416)，24-异丙基胆甾-5，24(28)E-二烯-3β-醇(C30H50O，MW．426)等甾类物质．化学组成表明褐煤树脂作为药用资源是可能的．