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1

[Enzymatic pancreatogenic omental bursitis].  

Science.gov (United States)

The most common causes of omental sac collections (OSC) are necrotic pancreatitis (90%) and pancreatic trauma (10%). Acute OSC is a form of local peritonitis in acute pancreatitis, subacute OSC are caused by internal pancreatic fistulas. The clinical and radiological signs, enzymatic activity of the exudate, morphological features of peritonitis were investigated. Treatment of acute OSC included conservative measures, of subacute OSC-surgical procedures. PMID:9163152

1996-01-01

2

Design and performance of radioisotope space power systems based on OSC multitube AMTEC converter designs  

Energy Technology Data Exchange (ETDEWEB)

This paper extends the analytical procedure described in another paper in these proceedings to analyze a variety of compact and light-weight OSC-designed radioisotope-heated generators. Those generators employed General Purpose Heat Source (GPHS) modules and a converter containing sixteen AMTEC cells of OSC`s revised five-tube design with enhanced cell wall reflectivity described in a companion paper in these proceedings. OSC found that the performance of the generator is primarily a function of the thermal insulation between the outside of the generator`s 16 cells and the inside of its wall. After examining a variety of insulation options, it was found that the generator`s performance is optimized by employing a hybrid insulation system, in which the space between the cells is filled with fibrous Min-K insulation, and the generator walls are lined with tapered (i.e., graded-length) multifoil insulation. The ...

1997-12-31

3

Diminished osmotic fragility of human erythrocytes following the membrane insertion of oxygenated sterol compounds  

Energy Technology Data Exchange (ETDEWEB)

Oxygenated sterol compounds (OSC), when incubated for 1 hr with human erythrocytes in lipoprotein-depleted medium at concentrations of 0.625-5 x 10/sup -5/M, are inserted into the cell membrane and remain there despite subsequent washing of the cells. The insertion results in expansion of the surface area of the red cell ghost membrane, an increase in critical hemolytic volume, and as a consequence, in dimished osmotic fragility of the erythrocytes. This effect is seen with echinocyte-forming as well as with non-echinocyte-forming OSC. Erythrocytes treated with OSC do not differ from control cells with respect to their mean cell volume (MCV) in isotonic solution, water content, ion fluxes, and filterability through polycarbonate filters. The shift of the osmotic fragility curve toward lower NaCl concentrations is proportional to the amount of OSC inserted into the red cell membrane. ...

1981-08-01

4

Enhanced oxygen storage capacity of cerium oxides in CeO sub 2 /La sub 2 O sub 3 /Al sub 2 O sub 3 containing precious metals  

Energy Technology Data Exchange (ETDEWEB)

Effects of the addition of precious metals (PM; Pt, Rh) on CeO{sub 2}/Al{sub 2}O{sub 3} and CeO{sub 2}/La{sub 2}O{sub 3}/Al{sub 2}O{sub 3} were confirmed to enhance the oxygen storage capacities (OSC). Increments in the OSC of the added CeO{sub 2}/La{sub 2}O{sub 3}/Al{sub 2}O{sub 3} catalysts were much greater than those in the OSC of the PM added CeO{sub 2}/Al{sub 2}O{sub 3}. The enhanced OSC is ascribed to the interaction between PM and a CeO{sub 2}-La{sub 2}O{sub 3} solid solution formed during the catalyst preparation. No enhancements in the OSC were observed on physical mixing of CeO{sub 2}/La{sub 2}O{sub 3}/Al{sub 2}O{sub 3} and Pt-Rh/Al{sub 2}O{sub 3}, although the composition ratio of PM:CeO{sub 2}:La{sub 2}O{sub 3} is the same as that in the PM added CeO{sub 2}/La{sub 2}O{sub 3}/Al{sub 2}O{sub 3}. This indicates that the intimate contacts between the precious metals and ...

1990-08-09

5

Prevalence and Predisposing Factors for Bundle Branch Block in Patients Starting Dialysis  

British Library Electronic Table of Contents (United Kingdom)

Introduccion y objetivos Aunque los bloqueos de rama (BR) se consideran hallazgos frecuentes, la informacion sobre su prevalencia real en la poblacion general es escasa, y es inexistente en los pacientes en dialisis. El objetivo es establecer la prevalencia del BR completo en la poblacion que inicia dialisis y los factores relacionados con su aparicion. Como analisis adicional, se explora su asociacion con la mortalidad y con la aparicion de un evento cardiovascular. Metodos Se incluyo a los pacientes que iniciaron dialisis en nuestro centro entre el 1 de noviembre de 2003 y el 31 de diciembre de 2006. Todos fueron sometidos a valoracion cardiologica al inicio de dialisis. Determinamos el BR y su relacion con factores clinicos y parametros ecocardiograficos y bioquimicos. Los pacientes fue...

2008-01-01

6

Importance of Recognizing Occult Renal Disease in Hypertensive Patients  

British Library Electronic Table of Contents (United Kingdom)

Introduccion y objetivos La enfermedad renal oculta (ERO) es una entidad que define los estadios mas iniciales de insuficiencia renal y no se detecta con los metodos usados habitualmente. El objetivo es determinar la prevalencia de ERO en los pacientes hipertensos en consultas de cardiologia y su relacion con los distintos factores de riesgo y tratamientos cardiovasculares. Metodos. Estudio observacional, transversal, retrospectivo y multicentrico que se llevo a cabo en 1.214 hipertensos de consultas de cardiologia. Resultados . Se analizo a 1.190 pacientes (98%). El filtrado glomerular (FG) fue calculado (MDRD) por el cardiologo responsable en el 11% de los pacientes. Tras su determinacion a posteriori, el 9,5% presentaba ERO, mas probablemente mujeres, con mas edad, mas antecedents de di...

2009-01-01

7

Treatment and Course of Community-Acquired Pneumonia Caused by Atypical Pathogens  

British Library Electronic Table of Contents (United Kingdom)

Objetivo Estudiar la evolucion de un grupo de neumonias extrahospitalarias causadas por germenes atipicos (Mycoplasma pneumoniae, Legionella spp., Coxiella burnetii y Chlamydophila pneumoniae) en funcion del tratamiento empirico recibido. Pacientes y metodos Entre enero de 1996 y febrero de 2001 ingresaron en nuestra unidad 390 casos de neumonia, de los que 89 estaban causados por germenes atipicos. Los pacientes se dividieron retrospectivamente en 2 grupos segun el tratamiento empirico pautado: grupo A, al que se habia proporcionado cobertura frente a germenes atipicos (quinolonas o macrolidos), y grupo B, al que no se habia proporcionado dicha cobertura. Se estudio la evolucion segun las diferencias entre ambos grupos en la estancia hospitalaria, la resolucion radiologica, el reingreso e...

2006-01-01

8

Interleukin-8 Expression in Lung Tissue During Ischemia-Reperfusion  

British Library Electronic Table of Contents (United Kingdom)

Objetivo La generacion local de citocinas es un factor patogenico en el dano por isquemia-reperfusion en la disfuncion precoz del injerto. Este estudio analiza la expresion en tejido pulmonar de ARN mensajero de interleucina-8 (ARNm de IL-8) y su relacion con los cambios intersticiales pulmonares en un modelo experimental de isquemia-reperfusion pulmonar normotermica. MATERIAL Y METODOS Se estudiaron 16 conejos de la raza Nueva Zelanda en 3 grupos de estudio: a) basal; b) isquemia (lobulo inferior derecho tras isquemia de 1, 2 o 3 h), y c) reperfusion (lobulos superior y medio derechos tras 1 h de isquemia y 1, 2 o 3 h de reperfusion). Se deter- mino la expresion del ARNm de IL-8 mediante transcripcion inversa y reaccion en cadena de la polimerasa y estudio la infiltracion intersticial por...

2007-01-01

9

[The nurturing and development of nurse practitioners].  

Science.gov (United States)

The role of nurse practitioner has been established because of a shortage of doctors. In May 2007, the first cohort of 582 nurse practitioners were licensed in Taiwan. The post of nurse practitioner in Taiwan is formally moving towards systematization and the most urgent matters in that regard are the sorting out of contentious issues and the establishment of clear job descriptions. Competence in critical thinking and problem-based learning is important and has to be improved with practice. The application of teaching assessment tools such as direct observation procedural skills (DOPS), objective structured clinical examination (OSCE), miniclinical evaluation exercises (Mini-CEX), and 360 degree assessments may contribute to the improvement of nurse practitioners' skills in conducting research, appraising evidence-based nursing literature, and developing teaching strategies and advanced systems by making policy clear, evaluating, auditing and monitoring the ...

2007-12-01

10

Pulsatile viscous flow in a curved pipe: Effects of pulsation on the development of secondary flow  

International Nuclear Information System (INIS)

This work presents an experimental and numerical study of pulsated Dean flow, three-dimensional pulsatile flow in a curved pipe. The numerical study is performed by CFD code (Fluent 6) in which a pulsated velocity field is imposed as an inlet condition. The experimental setup involves principally a 'Scotch-yoke' pulsatile generator and a 90o bend. Laser Doppler Velocimetry (LDV) measurements have shown that the Scotch-yoke generator produces pure sinusoidal instantaneous mean velocities with a mean deviation of 3%. Visualizations by laser-induced fluorescence (LIF) and velocity measurements, coupled with the numerical results, have permitted analysis of the evolution of the swirling secondary flow structures that develop along the bend during the pulsation phase. These measurements were made for a range of stationary Reynolds number (300?Rest?1200), frequency parameter (1??=r0(?/?)1/2max,osc/Ust). We observe satisfactory agreement between the numerical and ...

2010-10-01

11

Effective didactic skills training for teachers in continuing medical education  

International Nuclear Information System (INIS)

Purpose: To develop, test, evaluate and implement effective state-of-the-art teacher training in didactic skills and methods. The training concept should be designed and beneficial for medical teachers' postgraduate medical education (CME). Materials and methods: A 5-day workshop with 12 theoretical and 9 'hands-on' modules was designed and stepwise improved, according to the trainees' feedback. All trainees were trained in small groups (6 to 10 participants per workshop). The workshops consisted of mini-lectures, repeated micro teaching exercises and video-supported feedback concerning the following key-competencies: Communication of goals; methods to trigger interactivity; design of slides in power point presentations; effective feedback-techniques; and use of media, time-management, skills teaching, assessment methods (e.g. OSCE and others), evaluation and general presentation skills. The evaluation was based on two components: (A) trainees' scores in two ...

2005-09-01

12

Design of advanced automotive exhaust catalysts  

Energy Technology Data Exchange (ETDEWEB)

Rhodium (Rh) is a critical component of current automotive three-way catalysts (TWCs), particularly with regard to NO{sub x} and CO conversion at rich and stoichiometric air-fuel ratios (A/F). Rh supported on CeO{sub 2} was active for NO{sub x} and CO conversions but could be deactivated easily by high temperature aging. The cause of the deactivation is ascribed to the sintering of CeO{sub 2}. ZrO{sub 2} incorporation into CeO{sub 2} is reported to have high thermal durability in terms of oxygen storage capacity (OSC). There has been no report showing direct experimental evidence that Rh-loaded on CeO{sub 2}-ZrO{sub 2} mixed oxides induced effects on TWC performance improvement in the actual automotive exhaust. In the present paper, the Rh-CeO{sub 2} interaction contributing to NO{sub x} reduction and the catalytic behavior of Rh-loaded CeO{sub 2}-ZrO{sub 2} mixed oxide is addressed. Incorporating CeO{sub 2}-ZrO{sub 2} into a catalyst offered significant ...

2000-12-25

13

Heat transfer equipment performance diagnosis of auxiliary systems in electric power stations; Diagnostico de comportamiento de equipo de transferencia de calor de sistemas auxiliares de centrales termoelectricas  

Energy Technology Data Exchange (ETDEWEB)

In this article the methodology followed to diagnose the performance of the equipment where heat is transferred from the feed water, condensate and circulation water systems in fossil power plants (FPP). The data collection is made with the unit in normal operation, using local instrumentation without taking the equipment out of service for its installation. The equipment diagnosis is made through the analysis of the collected data in actual operation and the design data; for this purpose a thermal balance of the interested systems is performed to obtain all the conditions an operation data. Later on the performance indicative parameters (PIP) of actual operation and design are calculated and compared one against the other. Such a comparison reveals the performance deterioration and the possible equipment faults. The data obtained and the supplementary information are stored in a data base whose objective is that Comision Federal de Electricidad has on hand a prompt access to them in ...

1990-12-31