British Library Electronic Table of Contents (United Kingdom)

Une enfant drepanocytaire homozygote SS de 14 ans (sans deficit en G6PD), non transfusee anterieurement, a une cholecystectomie pour lithiase decouverte a un bilan systematique. L'intervention est encadree de 2 transfusions de concentres erythrocytaires (CGR) phenotypes ABO Rh Kell, compatibilises. Quinze jours apres, elle presente une hemolyse aigue associant fievre, ictere, insuffisance renale tubulaire, hemoglobinurie et anemie profonde (Hb 3,6 g/dL). Les RAI deviennent positives avec, entre autres, un auto anticorps anti D suspecte, le test de Coombs direct est positif de type mixte. L'enfant n'est pas retransfusee, mais recoit 1 mg/kg/j de corticoides IV pendant 10 jours. L'hemoglobine retrouve sa valeur de base (9 g/dL) apres 15 jours. Un antigene RH1(D) partiel de type DAR est ulter...

Energy Technology Data Exchange (ETDEWEB)

This study tried to reduce NO{sub x} and particulate emissions simultaneously in a high speed direct-injection diesel engine. Fuel-rich combustion was used to reduce NO{sub x} emission at initial combustion stage and high turbulence combustion was used to reduce particulate emission at diffusion combustion stage. Experiments were carried out to investigate the effects of high squish combustion chambers with small throat on combustion process and exhaust emissions. Results showed that in the high squish combustion chamber, both NO{sub x} and particulate emissions reduced with retarded injection timing. Endoscopic high speed photography was employed to analyze experimental results. In the original combustion chamber at the early combustion stage, the high luminosity flame tended to spread out of the cavity. Fuel-rich mixture burned slowly over the piston crown. In the high squish combustion chamber, flame rotated violently around the bowl. Fuel-rich mixture was kept beneath the squish ...