Purpose: To investigate the efficacy of a soft bandage contact lens in the management of early bleb leak following trabeculectomy.Methods: Between October 2011 and April 2013, 11 patients with early bleb leak followin...Purpose: To investigate the efficacy of a soft bandage contact lens in the management of early bleb leak following trabeculectomy.Methods: Between October 2011 and April 2013, 11 patients with early bleb leak following fornix-based trabeculectomy were instructed to wear a soft bandage contact lens 14 mm in diameter continuously for 1-2 weeks. The daily visual acuity,intraocular pressure(IOP), anterior chamber situation, and healing condition were measured at 1, 3, and 7 d, after con tact lens removal,.and 3 months after trabeculectomy..The conditions of blebs,.sensation of wearing contact lens,.and adverse events were recorded.Results:.Bleb leaks were observed at 2-8 d after surgery,(4.09±1.10 d on average). The daily Log MAR visual acuity did not significantly differ before and after contact lens wear(P>0.05). The IOP was significantly raised after at 1, 3, and7 d after lens wear.(all P <0.05).The IOP at 3 months after lens wear did not significantly differ from that measured at lens removal(t=1.191, P=0.089). At 1 d after lens wear, 6cases had deeper anterior chambers..All patients presented with a significantly deepened anterior chamber at 3 d after lens wear,.and were restored to the preoperative conditions..The bleb leakage was successfully treated at 7 d after lens removal in 10 patients, while 1 patient had to wear the contact lens for another 7 d for full healing of the bleb leak. No ocular infection was noted throughout the management.Conclusion: A soft bandage contact lens of 14 mm diameter is a safe and efficacious therapy for an early bleb leak following fornix-based trabeculectomy.展开更多
As a part of their routine care, full term newborns face many painful procedures immediately after birth and during the first couple days of life. Skin-to-Skin Contact (SSC) has been recommended as a non-pharmacologic...As a part of their routine care, full term newborns face many painful procedures immediately after birth and during the first couple days of life. Skin-to-Skin Contact (SSC) has been recommended as a non-pharmacological pain management intervention in newborns. However, the use of SSC in labor and delivery rooms as well as in postnatal units and nurseries is limited due to the discomfort that the nurses and phlebotomists themselves experience during positioning the newborns and themselves to complete these routine procedures. The objective of this paper is to describe a step-by-step procedure that was developed and used in a randomized clinical trial to manage newborns pain during clustered pain procedures. The procedure worked well and no complaints of discomfort were reported by the nurses during the study.展开更多
特高压直流GIL运行可靠性取决于内绝缘设计的可靠性。此外,导电元件直流电流密度的取值、弹簧触头的定位设计、GIL各元件中的绝缘件与金具连接处的楔形气隙的处理以及母线中支撑件的结构设计细节,都会对产品运行可靠性产生重大影响,不...特高压直流GIL运行可靠性取决于内绝缘设计的可靠性。此外,导电元件直流电流密度的取值、弹簧触头的定位设计、GIL各元件中的绝缘件与金具连接处的楔形气隙的处理以及母线中支撑件的结构设计细节,都会对产品运行可靠性产生重大影响,不能忽视。对于运行环境十分严酷的UHV DC GIL为保证内绝缘工作可靠性和减少气体维护工作量,文中还提出了高气密性结构设计。为适应-50℃低温运行要求,产品选用了液化温度很低的N_(2)/SF_(6)混合气体,对两种气体的配比,压力特性和绝缘特性进行了讨论与计算。还有产品的局放、气体密度及微水含量的监视系统的可靠性设计,都会对产品运行可靠性产生直接影响。文中对上述问题的研究成果作了介绍,可供高压直流产品设计使用。对其中未解的新技术如基于冷镜露点测试原理、微机电技术制作的智能气体湿度和密度监测装置、高压直流复合绝缘套管伞面局放起始场强提出了研究方案。文中提出的诸多GIL运行可靠性设计要点,对于其他超/特高压直流气体绝缘电器可参考选用。展开更多
基金supported by Fund for Medical Sciences of Guangdong Province(Grant:B2012264)
文摘Purpose: To investigate the efficacy of a soft bandage contact lens in the management of early bleb leak following trabeculectomy.Methods: Between October 2011 and April 2013, 11 patients with early bleb leak following fornix-based trabeculectomy were instructed to wear a soft bandage contact lens 14 mm in diameter continuously for 1-2 weeks. The daily visual acuity,intraocular pressure(IOP), anterior chamber situation, and healing condition were measured at 1, 3, and 7 d, after con tact lens removal,.and 3 months after trabeculectomy..The conditions of blebs,.sensation of wearing contact lens,.and adverse events were recorded.Results:.Bleb leaks were observed at 2-8 d after surgery,(4.09±1.10 d on average). The daily Log MAR visual acuity did not significantly differ before and after contact lens wear(P>0.05). The IOP was significantly raised after at 1, 3, and7 d after lens wear.(all P <0.05).The IOP at 3 months after lens wear did not significantly differ from that measured at lens removal(t=1.191, P=0.089). At 1 d after lens wear, 6cases had deeper anterior chambers..All patients presented with a significantly deepened anterior chamber at 3 d after lens wear,.and were restored to the preoperative conditions..The bleb leakage was successfully treated at 7 d after lens removal in 10 patients, while 1 patient had to wear the contact lens for another 7 d for full healing of the bleb leak. No ocular infection was noted throughout the management.Conclusion: A soft bandage contact lens of 14 mm diameter is a safe and efficacious therapy for an early bleb leak following fornix-based trabeculectomy.
文摘As a part of their routine care, full term newborns face many painful procedures immediately after birth and during the first couple days of life. Skin-to-Skin Contact (SSC) has been recommended as a non-pharmacological pain management intervention in newborns. However, the use of SSC in labor and delivery rooms as well as in postnatal units and nurseries is limited due to the discomfort that the nurses and phlebotomists themselves experience during positioning the newborns and themselves to complete these routine procedures. The objective of this paper is to describe a step-by-step procedure that was developed and used in a randomized clinical trial to manage newborns pain during clustered pain procedures. The procedure worked well and no complaints of discomfort were reported by the nurses during the study.
文摘特高压直流GIL运行可靠性取决于内绝缘设计的可靠性。此外,导电元件直流电流密度的取值、弹簧触头的定位设计、GIL各元件中的绝缘件与金具连接处的楔形气隙的处理以及母线中支撑件的结构设计细节,都会对产品运行可靠性产生重大影响,不能忽视。对于运行环境十分严酷的UHV DC GIL为保证内绝缘工作可靠性和减少气体维护工作量,文中还提出了高气密性结构设计。为适应-50℃低温运行要求,产品选用了液化温度很低的N_(2)/SF_(6)混合气体,对两种气体的配比,压力特性和绝缘特性进行了讨论与计算。还有产品的局放、气体密度及微水含量的监视系统的可靠性设计,都会对产品运行可靠性产生直接影响。文中对上述问题的研究成果作了介绍,可供高压直流产品设计使用。对其中未解的新技术如基于冷镜露点测试原理、微机电技术制作的智能气体湿度和密度监测装置、高压直流复合绝缘套管伞面局放起始场强提出了研究方案。文中提出的诸多GIL运行可靠性设计要点,对于其他超/特高压直流气体绝缘电器可参考选用。
