不固定的

METHODS: These patela were fixed and tested in the measure rack using electrometric technique under 50, 100, 150, 200, 250, and 300 N load. The anterior patella stress without fixation, and following stainless steel wire fixation or Ni-Ti Alloy wire fixation was measured.

股四头肌拉力以50，100，150，200，250，300 N加载和卸载两种方式作用于受试髌骨，应用电测法测量不完全横形髌骨骨折未经金属丝固定、钢丝环形加"8"字内固定及镍钛合金丝环形加"8"字内固定后的髌骨前面应力。

Results Of the 5 cases of internal fixation failure,2 were caused by operative mistakes, 1 by wrong selection of internal fixators, 1 by too early weight-bearing,and 2 by postoperative infection;of the 11 cases of nonunion or delayed union, 5were caused by severe primary injury, and 4 by unsuccessful reduction.1 cases of pain were caused by evection of proximal LISS plate,and 1 postoperative infection due to improper emplacement of the plate during the operation resulted in long exposure of plate end.

结果：5例内固定物失效的病例中，2例由于手术操作失误，1例由于内固定物选择失误，1例由于术后负重过早，1例由于术后感染导致内固定物失效；11例骨折不愈合或延迟愈合的患者中，5例由于原始损伤严重，4例由于术中复位不佳引起不愈合或延迟愈合；1例LISS钢板近端突起于皮下引起疼痛，术后伤口感染，1例钢板近端长期外露，是由于术中钢板的放置位置不良；膝外翻畸形1例。

Sims and Saleh performed pin site care daily beginning 48 hours after the operation. In their study, they applied Orthox monolateral xators (Orthox Srl, Bussolengo–Verona, Italy)(58.4%), circular xators (19.7%), and the Shefeld Hybrid System (21.9%). Massage was used to release skin adhered to the pin. A cotton swab with normal saline or cooled boiled water was used to clean the pin site. Another cotton swab was then used to dry the pin site. Dressings were only applied if there was any exudate. Bathing with the leg submerged in water was discouraged. They found that 29% of the xators had noinfection (grade 0) according to the grading system of Saleh and Scott (Table 5). The remaining 71% of xators had an infection of one or more different grades. There were no grade 6 infections. They concluded that xators located on the femurhad the highest infection rate and that incidence of infection was 2.5 times greater for femoral xators in which corrections were performed (62.3%) than in those without corrections (24.5%). These observations, however, were based on half-pin care. We did not use half-pins or Schanz screws in any of our treatment groups.

Sims and Saleh在手术后48小时开始进行没人针孔护理，在他们的研究中，他们应用Orthox单臂外固定架(Orthox Srl， Bussolengo–Verona， Italy)（58.4%），环形外固定架（19.7%），Shefeld组合式外固定架（21.9%），按摩放松附着于钢针上的皮肤，蘸有生理盐水或凉开水的棉拭子用于清理针孔，另外一个棉拭子用于蘸干针孔，只有局部出现渗出是才应用敷料，阻止患者进行将带有外固定架的肢体浸入水中的洗浴方式，他们按照Saleh and Scott的标准发现29%的外固定架没有感染（0级），剩余71%外固定架有1个或者多个级别的感染，他们没有6级感染，他们得出结论：位于股骨的外固定架有最高的感染几率，而且实施矫形患者的感染发生率（62.3%）是不进行矫形患者感染发生率（24.5%）的2.5倍，但是，这些观察是基于半钉护理，在我们的任何一个治疗组中都没有应用半钉和Schanz螺钉。

Take DMSO swollen treatment and DEA-SO2-DMSO decrystallization treatment for example, the X-ray diffraction and the Tobolsky's intermittent stress relaxation of treated woods were determined during soaking in water, analyzed the effects of water on crystal degree and inter-cohesion of treated woods. According to these continuous relaxation curves measured in water with different temperatures, various thermodynamic quantities were obtained by using Eyring absolute rate theory, and reviewed the chemical reactions in wood which occur in different relaxation process. For the first time quantify these crosslinkings formed in the process of tensional relaxation by using the SMCIR intermittent stress relaxation way, and defined the cross-linking reaction types. In order to find out the contribute of drying to the fixation of deformation of chemically treated wood, stress relaxation of oven-dry untreated and treated wood was measured during the process of temperature elevation and descend, then analyzed the effect of temperature change on relaxation mechanism of treated oven-dry wood. According to continuous relaxation curves of oven-dry treated wood under various constant temperature, calculated the thermodynamics of relaxation process and discussed the mechanism of molecule change in wood, at the same time, also quantified these cross-linkings produced in wood by intermittent method and on the basis of which the model of molecular change during relaxation process of chemically treated was constructed.

以DMSO膨胀处理及DEA- SO2-DMSO非晶化塑化处理为例，测定了两种处理木材在水浸渍过程中的X射线衍射及Tobolsky间歇应力松弛，分析了水对处理木材结晶度及内部凝聚力的影响；通过未处理和两种处理木材在不同温度水中的连续应力松弛测定，应用Eyring的绝对速度反应理论计算并获得了松弛过程中的各热力学量，分析了在水中松弛过程中不同阶段木材内部发生的化学反应；并首次采用SMCIR连续·不连续双曲线应力松弛法定量了轴向拉伸应力松弛过程中木材内部产生的架桥量，明确了交联反应的类型；为了了解干燥对处理木材塑性变形固定的影响，测定了未处理和两种处理绝干木材在温度下降过程和上升过程中的应力松弛，分析了温度变化对处理绝干木材应力松弛的影响；根据多个温度水平下的连续应力松弛测定曲线，计算松弛过程的热力学量，考察了绝干木材在松弛过程中内部发生的分子变化机理，同时也用间歇法定量了木材内部新形成的架桥量，并在此基础上构筑处理木材在松弛过程中内部分子构造的变化模型。

The result of immobilization showed that hydrophile membranes were more advantageous than hydrophobe ones to act as immobilization carrier. Crosslinking organophosphorus hydrolase by glutaraldehyde on polyethersulfone membrane is a simple and practical immobilization method. An appropriate amount of bovine serum albumin and crosslinker is necessary to get a good result of immobilization. In the biodegradation of methyl-parathion through enzyme membrane reactor, the effect of immobilized enzyme amount, flow rate of peristaltic pump, pH of the feed, and the methyl-parathion concentration on biodegradation rate was studied. It was shown that the biodegradation rate increased with immobilized enzyme amount and substrate concentration. Biodegradation rate didn't increase when the folw rate of the peristaltic pump was larger than 7 ml/min.

然后，研究固定化酶降解甲基对硫磷，从不同材料的膜载体固定有机磷水解酶的比较中，发现亲水膜比疏水膜适合作固定化酶载体；在此基础上，将有机磷水解酶固定在聚醚砜微滤膜上，并制成酶膜生物反应器，用于降解甲基对硫磷；戊二醛化学交联法固定时，酶液与10%牛血清白蛋白溶液的比例在3：1~2：1，与交联剂的比例在7：2~7：4范围内，固定化效果较好，并发现牛血清白蛋白和膜载体有降低酶活损失的作用；将固定化的酶膜装于酶膜反应器降解甲基对硫磷，实验结果表明：反应器的降解速率与固定化酶量呈正比，也随底物浓度的增加而加快，当流速低时，降解速率随流速增大而加快，到7ml/min以上时，降解速率不随流速脑黾佣洌到獾淖畹团ǘ任？

Needle taking place is commonly used the rescue that changes cure and danger to weigh a patient at patient of children, tumour, in infusion, because secure not firm outside can bringing about syringe needle slippery haemorrhage to be in charge of, cause local strut, aching, serious person can send infiltration of the certain pharmaceuticals that change cure to cause subcutaneous tissue hypodermically necrotic or the liquid cannot be defeated in time note and illness of incur loss through delay, new puncture increases the patient's anguish not only, also increased economic burden to also can be affected at the same time to the patient nurse working quality, the course relapses clinical experiment, my division adopts vein to accept the annular and fixed method of buy needle, obtained better result, introduce as follows now. 1 method is taken fixed stick (needle taking place is deployed) together, the disinfection that wide 10cm controls wraps cloth, two paragraphs of end are seamed on after sticking glue to buckle vein to leave buy needle puncture to succeed, convention is secured with adhesive plaster, next the ground degree of tightness will take stalk of handle of buy pinhead, needle, needle to be in firmly aptly fixed and fixed stick , next annular in blood-vessel twine stick on stick buckle. 2 experience apply this method to secure vein to left buy needle method to reduce the patient's anguish, reduced cost, provided mobile space for the patient, also avoid heparin cap prolapse, still facilitate observation puncture is nodded, do not affect hematic use, gauze pad can alleviate heparin cap is oppressive and unwell, reduce infusion pollution.

概要： 留置针常用于小儿、肿瘤患者化疗及危重患者的抢救，在输液中，由于固定不牢可导致针头滑出血管外，引起局部肿胀，疼痛，严重者可致某些化疗药物渗入皮下造成皮下组织坏死或液体不能及时输注而延误病情，重新穿刺不仅增加病人的痛苦，也给病人增加了经济负担同时也会影响护理工作质量，经过反复临床实验，我科采取静脉留置针的环形固定方法，取得了较好的效果，现介绍如下。1方法取固定贴一块，宽10cm左右的消毒包布，两段端缝上粘胶扣静脉留置针穿刺成功后，常规用胶布固定，然后将根据松紧适宜将留置针头、针柄、针梗处牢牢固定固定贴，然后在血管中环形缠绕粘上粘扣。2心得应用此方法固定静脉留置针方法减少了患者的痛苦，降低了费用，为患者提供了活动的空间，也避免肝素帽脱垂，还便于观察穿刺点，不影响血运，纱布衬垫可缓解肝素帽压迫不适，减少输液污染。

Innovation achievements of this dissertation are mainly in the content and the method, namely: presents the content of EAP thoroughly and systematically; reviews the cost, utility and empirical studies of EAP; investigates the cost and utility of EAP theoretically, conducts the typical survey of the EAP implementation of a domestic enterprise; establishes multivariate linear regression equation of EAP utility; sets up an allocation model of EAP cost through Analytic Hierarchy ProcessThis dissertation\'s conclusion is that EAP cost is related to the time and frequency of EAP used by employee under the fixed cost, the tendency of using EAP is related to demographic characteristics and other factors, the utility of EAP is related to the personal preference of using EAP at least, the utility of EAP is leastwise related to 7 factors, the relationship with the supervisor is the most important factor in the workplace, personal health is the largest part of EAP cost.

本文的创新成果主要是内容上的创新和方法上的创新：对EAP的内容进行了全面、系统的梳理；对EAP的成本、效用和实证研究进行了综述；对EAP的成本、效用进行了理论上的探讨；对国内企业实施EAP的情况进行了典型调查；建立了EAP效用的多元线性回归方程；用层次分析法建立了EAP的成本分摊模型。本文得出的结论是：在固定成本不变的情况下，EAP的成本与员工使用EAP的时间及次数有关系；EAP的使用倾向与人口统计学特征和其它因素有关；EAP的效用至少与个人对EAP的使用偏好有关；EAP的效用至少与7个因素相关；与上级的关系是工作场所中最重要的因素；个人的身体健康是EAP成本中花费最大的部分。

Methods:The wounds of 131 patients （164 limbs）were thoroughly debrided and closed as early as possible.After the debridement, 107 limbs were treated with external fixation , 34 limbs with unreamed interlocked tibial nails, 11 limbs with steel plates , and so on.

131例（164肢）患者入院创面反复冲洗清创，早期修复软组织为主，提供软组织修复的初期稳定，选择合适的固定方式，外支架固定107肢，不扩髓绞锁髓内钉固定34肢，钢板内固定11肢，石膏外固定7肢等。

Definition of package and packaging Regarding the definition of the term 'package', the components of a typical shipment for radioactive material could be basically classified as: radioactive material container body with lid and devices permanently fixed to it (e.g. trunnions, fixed inner structure to hold the content) inner equipment not permanently fixed to the container body (e.g. cans, inner containers) equipment outside the container body used during handling and transport but not permanently fixed to the container body (e.g. a transport frame) conveyance.

定义封装和包装关于这一术语的定义'包'，各组成部分的一个典型的货物的放射性物质可以基本上划分为：放射性物质集装箱的机构，盖子和设备永久固定给它（例如trunnions ，固定举行内部结构的内容）内的设备不会永久固定在集装箱机构设备以外的机构使用的集装箱装卸和运输过程，但不会永久固定在集装箱机构运输工具。

For supracondylar fracture of humerus with obvious displacement,it is easy to make reduction,but the fixation and the maintenance of reduction is not easy; manual reduction with plaster or splint immobilization,though as the first-chosen method,has such shortcomings as infirm or loosening fixation of plaster or splint which may cause injury to blood vessels or nerves; open reduction may lead to further trauma to soft tissues and tissue adhesion,and to joint stiffness; the closed reduction with cross Kirschners wires under C-arm X-ray can avoid the above mentioned shortcomings and it is easy in operation.

移位明显的肱骨髁上骨折，复位容易，但固定及维持复位困难，手法复位石膏或夹板外固定虽是首选治疗方法，但石膏或夹板固定不牢固，易出现松动甚至可造成血管及神经损伤，而切开复位更易进一步造成软组织创伤，组织粘连，最终导致关节僵直功能障碍。本组C臂下闭合复位交叉克氏针治疗移位明显的肱骨髁上骨折避免了上述缺点，而且方法简单。肱骨髁上骨折；经皮克氏针固定；儿童；闭合复位

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。