腹腔手术后重症患者心肌损伤的危险因素

目的探讨腹腔手术后重症患者心肌损伤的发生情况及可能的危险因素。方法回顾性分析北京大学人民医院2017年1月至2019年1月腹腔手术后重症患者的一般临床资料及心肌损伤情况,收集并观察基础病史、术中(手术时间、是否急诊手术、术中出血>800 ml和术中低血压等)及术后指标(改良氧合指数、血乳酸、急性肾损伤和术后24 h内使用升压药情况等)。根据术后是否发生心肌损伤,将患者分为心肌损伤组和非心肌损伤组,采用Logistic回归分析腹腔手术后重症患者心肌损伤的危险因素。结果在纳入的803例腹腔手术后重症患者中,心肌损伤发生率为17. 2%(138/803),而急性心肌梗死发生率仅为0. 9%(7/803)。单因素分析显示,慢性肾功能不全病史、手术时间、急诊手术、术中低血压、术后24 h内使用升压药、高APACHEⅡ评分及术后即刻急性肾损伤与术后重症患者心肌损伤相关(P<0. 05)。多因素回归分析显示,急诊手术(OR=3. 14,95%CI:1. 76～5. 60,P<0. 001)、术后24 h内使用升压药(OR=2. 26,95%CI:1. 23～4. 15,P=0. 008)、APACHEⅡ评分(OR=1. 05,95%CI:1. 01～1. 09,P=0. 008)和术后急性肾损伤(OR=3. 18,95%CI:1. 78～5. 69,P <0. 001)与腹腔手术后重症患者发生心肌损伤独立相关。结论重症患者腹腔手术后心肌损伤发生率高,急诊手术、术后24 h内使用升压药、高APACHEⅡ评分和术后急性肾损伤是导致腹腔手术后重症患者发生心肌损伤的独立危险因素。     

我国上市公司股票评级研究——财务结构模型分析法在股票市场中的应用

目前,我国股票市场上的股票评级尚处于探索阶段,评级时多采用专家法或历史法,而对于影响股票评级的各因素的确定以及因素间的相互作用缺乏定量分析。研究将结构模型应用到我国股票市场的股票评级中,建立关于我国股票评级的财务结构模型;分析各个因素对股票评级的影响;建立股票评级经验模式值。     

储层应力敏感性影响因素研究

全面分析储层应力敏感性产生的机理认为，外部因素的改变会引起储层产生应力敏感性．而储层岩石物性等内部因素对应力敏感性的强弱起决定性作用。室内岩心应力敏感性评价时．仪器与设备的精度、加载与卸载方式、实验用流体类型以及各种人为因素等都会对评价结果产生影响，其中岩心密封套在高压、高温条件下的密闭性会对实验结果产生较大影响。所以储层应力敏感性不应该从孔隙度和渗透率的高低进行简单评价，中、高渗储层和低渗储层在生产过程也都可能表现出较强的应力敏感性现象。     

一种高精度的非平稳随机信号实时建模算法研究

针对传统的非平稳随机信号时变参数筹分模型算法的不足,论文把非平稳随机信号时变参数差分模型与一种带自适应遗忘因子的RLS算法结合起来,形成一种有效的非平稳随机信号实时建模算法,仿真分析表明该算法不仅能获得快的收敛速度而且能获得高的建模精度。     

泌阳凹陷复杂断块群油气分布控制因素

泌阳凹陷北部斜坡复杂断块群油田以断鼻、断块及断层+岩性油气藏为主,垂向含油层系多,平面上叠合连片,油气主要富集在鼻状构造主体部位的断鼻断块内。通过对研究区油气控制因素的分析,指出继承性的鼻状构造控制了油气聚集方向和富集程度,油气藏含油范围和油气藏高度则主要受断层封闭性和封闭程度的控制,油气分布规律受伸展构造所伴生的各种断块群构造型式的控制。     

加强电站无功管理

加强电站无功管理，不但能改善供电质量，满足电网的要求，提高单位的经济效益，而且使设备的安全运行得到了保障。     

Scale Up from Small Oven-Drying Tests of Mineral Concentrate to Pilot-Scale Drying with a Heated Pad

While Fickian diffusion models are commonly used in other applications, there are few reports of them being applied to the batch drying of a mineral concentrate. Diffusion coefficients estimated from small-scale oven-drying tests were used to predict the drying behavior of a concentrate sample 1 m × 1 m in area and 50 cm deep, with a heated bottom pad. These pilot-scale tests included both daily turning of the sample and turning every three days. The excellent quantitative agreement between the predicted and observed pilot-scale behavior gives a high level of confidence in the model predictions and suggests that a Fickian diffusion model is adequate to predict the behavior of mineral concentrates at the low moisture contents used here.     

Implicit Leadership Theories in Applied Settings: Factor Structure, Generalizability, and Stability Over Time.

The present empirical investigation had a 3-fold purpose: (a) to cross-validate L. R. Offermann, J. K. Kennedy, and P. W. Wirtz's (1994) scale of Implicit Leadership Theories (ILTs) in several organizational settings and to further provide a shorter scale of ILTs in organizations; (b) to assess the generalizability of ILTs across different employee groups, and (c) to evaluate ILTs' change over time. Two independent samples were used for the scale validation (N1 = 500 and N2 = 439). A 6-factor structure (Sensitivity, Intelligence, Dedication, Dynamism, Tyranny, and Masculinity) was found to most accurately represent ELTs in organizational settings. Regarding the generalizability of ILTs, although the 6-factor structure was consistent across different employee groups, there was only partial support for total factorial invariance. Finally, evaluation of gamma, beta, and alpha change provided support for ILTs' stability over time. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

STRESS INTENSITY FACTORS AND WEIGHT FUNCTIONS FOR SEMI-ELLIPTICAL SURFACE CRACKS IN FINITE-THICKNESS PLATES UNDER TWO-DIMENSIONAL STRESS DISTRIBUTION

Abstract— A Fourier series approach is proposed to calculate stress intensity factors using weight functions for semi-elliptical surface cracks in flat plates subjected to two-dimensional stress distributions. The weight functions were derived from reference stress intensity factors obtained by three-dimensional finite element analyses. The close form weight functions derived are suitable for the calculation of stress intensity factors for semi-elliptical surface cracks in flat plates under two-dimensional stress distributions with the crack aspect ratio in the range of 0.1 ≤ a/c ≤ 1 and relative depth in the range of 0 ≤ a/t ≤ 0.8. Solutions were verified using several two-dimensional non-linear stress distributions; the maximum difference being 6%.     

环境影响及计算机设备可靠性

和所有设备一样，计算机设备也是在一定环境中工作的，各种环境因素无时不对设备产生影响。要使计算机设备在各种环境中保持良好的性能，必须了解各种环境对计算机设备影响的机理和过程，分析在环境因素中那些因素是影响计算机设备的主要因素及其力度、频率、周期等，以便采取措施保护计算机设备正常工作。简要介绍除温度外，各种环境因素对计算机设备的影响。