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。     

Design for comfort and social interaction in future vehicles: A study on the leg space between facing-seats configuration

With the advent of future vehicles, passengers expect to travel in comfort, and the free leg space between facing-seats could be an issue due to the unsuitability for all people, according to their anthropometric variability. A previous investigation survey showed the need to increase the leg-space between facing seats and, if installed, to improve the surface of the table placed in between. So, four different distances between seat-pans front edges of facing seats have been set-up and tested (44 cm, 51 cm, 58 cm, 65 cm) with a table in between. 13 couples of participants with different heights took part to experiments. The aim was to investigate the relationship between facing-seat distances and passenger wellbeing in terms of postural comfort and social interaction. Postural comfort has been analysed through optical tracking (for postural angles overtime) and questionnaires (perceived comfort). Social interaction feelings have been investigated with questionnaires. Experiment results showed the suitable distance could be 51 cm keeping the same table surface; otherwise, the 65 cm one could be ideal changing the table surface.Relevance to industryWith the advent of autonomous driving, vehicle manufacturers and designers are working hard to define new paradigms of public transportation in terms of seat layout, passenger wellbeing and interiors’ design. This paper contributes to increasing the general knowledge on the effects of distance between facing seats on postural comfort and social interaction.     

27keV Ar~+斜入射时的Cu-Au合金溅射实验角分布

用27keV Ar~+分别在垂直和倾斜入射情况下,轰击了Cu-Au(30wt％)合金样品,测量了Cu和Au原子的溅射角分布。角分布是用卢瑟福背散射(RBS)技术分析Al捕获膜上的Cu-Au沉积成分而定量得到的。结果表明:(1)在Ar~+倾斜(θ=40°)入射时,Cu原子择优发射,且程度比垂直入射(θ_r=O°)时增强:(2)倾斜入射时,Cu原子的角分布显示出在接近于样品表面法线方向的发射角范围内(θ<45°),发射机率比垂直入射时减小。     

机械锁定式地层测试技术研究与应用

机械锁定式测试技术操作简单，测试一次成功率高，资料录取准确全面，且测试结束后可直接进行封堵作业；解封时，机械锁紧产生一个向上的震击力，有利于解封，没有换位机构的测试阀在关井期间使管柱处于自由拉伸状态，有利于保护油管。在N阀上部管柱中加1-2根伸缩接头，便可用于海洋井测试。     

"The association between emotional upset and cardiac arrhythmia during daily life": Correction to Carels et al. (2003).

Reports an error in the original article by R. A. Carels et al (Journal of Consulting & Clinical Psychology, 2003[Jun], Vol 71[3], 613-618). On page 615, Lines 18, 20, 22, of Table 1, the data in the rows that read "Tachycardia in min per hr," "Repetitive PVCs per hr," and "PVCs per hr" are incorrectly reported in the n and % columns. They should have been reported in the M and SD columns. The corrected table is provided. (The following abstract of this article originally appeared in record 2003-00756-023.) Ventricular arrhythmia exhibits considerable within-subject variability that cannot be attributed to clinical status alone. This investigation examined the extent to which cardiac arrhythmia was associated with psychological and physical factors assessed during the hour preceding arrhythmic or nonarrhythmic activity. Approximately twice hourly, 46 patients randomly completed a diary assessing mood and physical symptoms during 24-hr electrocardiographic monitoring. Greater negative emotion was associated with increased arrhythmia. Additionally, greater negative emotion was significantly associated with increased arrhythmia among participants in a low left ventricular ejection fraction group (LVEF). However, this relationship between negative emotion and arrhythmia was not... (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

如何提高干式喷射彩色混凝土的观感质量

从彩色混凝土喷射施工的特点出发，结合工程实例，分析了影响喷射彩色混凝土观感质量的原因和解决方法。指出彩色混凝土喷射工艺可以有效地解决大面积混凝土边坡与周围环境的协调性问题。     

国外柴油机用粉末冶金气门阀座概述

概述了国外粉末冶金气门阀座的制造工艺特点,简要介绍了国外柴油机用粉末冶金气门阀座材料的性能水平。     

TZY1型机车驾驶座椅的研制

从机车驾驶座椅设计的人机工程学原则出发,对TZY1型驾驶座椅的主要技术参数选择进行了详细的论述,同时还对TZY1型驾驶座椅关键部件的结构设计进行了分析。     

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。     

冷热饮水机分流阀注射模设计

根据分流阀的结构特点,介绍了分流阀注射模的主要结构,该结构解决了外螺纹侧向抽芯与塑件上小孔的4个方向抽芯问题,并就模具浇注系统的偏心问题的解决方法进行了说明