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The transition from the systemic inflammatory response syndrome to seere sepsis and septic shock inoles a myriad of pathogenic changes, including circulatory abnormalities that result in global tissue hypoxia.1,2 These pathogenic changes hae been the therapeutic target of preious outcome studies.12 Although this transition occurs oer time, both out of the hospital and in the hospital, in outcome studies interentions hae usually been initiated after admission to the intensie care unit.12 In studies of goal-directed hemodynamic optimization, in particular, there was no benefit in terms of outcome with respect to normal and supranormal hemodynamic end points, as well as those guided by mixed enous oxygen saturation.9,13 In contrast, een though we enrolled patients with lower central enous oxygen saturation and lower central enous pressure than those studied by Gattinoni et al.9 and with a higher lactate concentration than those studied by Hayes et al.,13 we found significant benefits with respect to outcome when goal-directed therapy was applied at an earlier stage of disease.

从全身炎症反应综合征转为严重脓毒症和脓毒性休克牵涉大量发病的变化,包括导致全身性缺氧的循环紊乱。这些发病的变化成为先前结果研究的治疗学目标。尽管这些转变随着时间的流失而逐渐出现,既可以在院外,也可在院内,在结果研究中,干预措施往往在进入ICU之后才启动。特别的,在那些目标导向血流动力学最优化研究中,依照结果,那些以正常或超正常血流动力学为终点的措施未能显示出益处,以混合静脉血氧饱和度为导向的研究同样如此。

Results Followed-up for 25~37 months (average 27.5 months), the fisrt signs of reinnerveation of suprascapular nerve appeared at 5~12 months,average 9.94±3.26 months,that of axillary nerve appeared at 9~15months, average12.60±3.08 months;The results in patients with suprascapular nerve as recipient(upper partial 57.08±21.16°, total 40.71±14.27°) were significantly better than that in patients with axillary nerve as recipient(upper partial 31.25±20.97°, total 18.75±7.50°). And the muscular function in upper, middle and lower portions of trapezius are affected due to nerve transfer.

结果 随访25~37个月(平均27.5个月),来院随访18例;副神经移位修复肩胛上神经术后功能恢复征象最早出现在5~12个月,平均9.94±3.26个月,修复腋神经最早出现在9~15个月,平均12.60±3.08个月;修复肩胛上神经肩外展恢复结果(上臂丛神经损伤57.08±21.16°,全臂丛损伤40.71±14.27°)优于修复腋神经的恢复结果(上臂丛神经损伤31.25±20.97°,全臂丛损伤18.75±7.50°),P.05;副神经移位后斜方肌各部功能丧失明显。

The hydrophobic monomers such as glycidyl octyl dimethylammonium chloride, glycidyl dodecyl dimethylammonium chloride, glycidyl tetradecyl dimethylammonium chloride was applied to the hydrophobic modification of two kinds of sodium cellulose sulfate in isopropyl alcohol under 65℃.The success of synthesis of a kind of novel amphoteric surfactant by FT-IR and NMR. 3. By the measuring surface tension of all kinds of amphoteric polymeric surfactants based on cellulose, the critic micelle concentration was obtained such as 0.4wt%、0.3wt%、0.25wt% and corresponding surface tension was about 30mN/m

通过动态接触角测量仪确定了各种纤维素表面活性剂的表面张力和临界胶束浓度,结果表明该类表面活性剂可与小分子表面活性剂的降低表面张力的能力相媲美,最低可达28.41 mN/m,随着疏水基中碳链的增长,降低表面张力的能力下降,而临界胶束浓度从0.4wt%相应降低0.25wt%;应用环境扫描电镜确定其不同浓度胶束形态,结果表明在较低浓度下形成棒状单分子胶束,随着浓度的升高,单分子胶束逐渐聚集成树枝状胶束,进一步提高浓度,则聚集成网状结构;此外,采用了高级流变仪对其溶液的流变性质进行了研究,结果表明其溶液属于剪切变稀流体,是高分子溶液特有的性质。

One, the means that the content of mathematical courses study with the different and traditional pattern that content of study of new old course presents presents is to give out result → explains result → applies a result (use theorematic, formulary, law to calculate and prove).

一、新旧课程学习内容呈现的方式不同传统的数学课程学习内容呈现的方式是给出结果→解释结果→运用结果(利用定理、公式、法则去计算和证实)。

EDS and Surface-profile results indicate that the stoichiometries of all the samples approach 2:3 and the thicknesses are over 500nm. XRD results indicate that the major diffraction peaks of the film match those of Bi2Te3.The film growth exhibits preferred orientation at (015) phase and many Bi, impurity peaks are observed. Hall and Seebeck coefficient measurement reveals that all the samples are n-type with the carrier density of 10^23cm^-3 and conductivity of 10^-5Sm^-1 which confirm the samples have nice thermoelectrically properties.

能谱分析和台阶仪测量结果显示本文所制备的薄膜Bi:Te原子比接近2:3,厚度都大于500nm;XRD测量结果显示薄膜的主要衍射峰与Bi2Te3标准衍射峰相同,在(015)晶面上择优选向明显,有少量的Bi、杂质峰存在;霍尔系数测试及Seebeck系数测量结果显示,薄膜都为n型半导体薄膜,载流子浓度量级为10^23cm^-3,电导率量级10^-5Sm^-1,具有良好的电学性能。

A series PCR amplification for differential control strains and DNA samples diluted gradient (1:10) have been used to evaluate the specificity and sensitivity of PCR assay established.Results 1. Detection of GAS by PCR assay: The 345bp specific fragment of speB gene were amplified in all the tested GAS strains including three strains of scarlet fever, whereas it was detected in none of the differential control strains. The lowest limit of detection was 6.5pg genome DNA of GAS strain. 2. Detection of corynebacterium diphtheria by PCR assay: The318bp specific fragment of toxB gene were amplified in all the tested toxigenic corynebacterium diphtheria strains, whereas it was detected in none of the differential control strains. The lowest limit of detection is 850fg/μl genome DNA of corynebacterium diphtheria strain. 3. Detection of Lp by PCR assay: The 340bp specific fragments of mip gene were amplified in all the tested Lp strains, whereas it was detected in none of the differential control strains including three strains of non-pneumophila.

结果:1、用PCR方法检测A组链球菌:以A组链球菌致热性外毒素基因speB为靶序列,设计的扩增引物对全部对照菌株的扩增结果为阴性,而全部A组链球菌参考株均能扩增出特异的345bp片段,其中包括三株猩红热链球菌,检测敏感性为6.5pg/μl DNA.2、用PCR方法检测白喉杆菌:以白喉外毒素基因toxB为靶序列,设计的扩增引物对全部白喉杆菌参考株均能扩增出特异的318bp片段,而全部对照株的扩增结果为阴性,检测敏感性为850fg/μl DNA.3、用PCR方法检测嗜肺军团菌:以嗜肺军团菌巨噬细胞感染增强子基因mip为靶基因,设计的引物对嗜肺军团菌14个血清型参考株均扩增出特异的340bp片段,而鉴别对照株包括三株非嗜肺军团菌均未扩增出任何片段。

MCA can be insonated through optical window. PI measured by transoptical and transtemporal investigation is consistent. However, flow velocity is slower in transoptical than in transtemporal, so the flow velocity of MCA in transoptical test needs to be cautious in clinic application.

眶窗检测MCA方法可行、检出率高,PI结果与颞窗检测一致,因此,颞窗缺如患者可经眶窗检测大脑中动脉血流速度,但要注意两窗所测血流速度的结果有差别,故临床宜慎用经眶窗测定的MCA血流速度结果

Results The results showed that more accurate uniaxial modulus can be extracted using 4 parameters inhomogeneous triphasic model, and the predicted results appeared to match the experimental strain data better than other models.

结果 运用非匀质4参数三相模型可以提取更精确的软骨轴向模量,与其它模型相比,该模型对软骨膨胀的预测结果更接近实验结果

Results obtained for several turbomachine cascades demonstrate both fast convergence speed and good coincidence agreement of calcu...

对一些叶栅计算的结果表明:本方法收敛迅速、稳定,计算结果与实验结果基本一致。

Results obtained for several turbomachine cascades demonstrate both fast convergence speed and good coincidence agreement of calculated result with the experimental value or available analytic solution.

对一些叶栅计算的结果表明:本方法收敛迅速、稳定,计算结果与实验结果基本一致。

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