AIM: To evaluate the efficacy of sequential blood purification therapy in the treatment of critical patients with hyperlipidemic severe acute pancreatitis.METHODS: Thirty-one intensive care unit(ICU) patients with hyp...AIM: To evaluate the efficacy of sequential blood purification therapy in the treatment of critical patients with hyperlipidemic severe acute pancreatitis.METHODS: Thirty-one intensive care unit(ICU) patients with hyperlipidemic severe acute pancreatitis treated at the Second Affiliated Hospital of Harbin Medical University were divided into either a study group(n = 15; July 1, 2012 to June 30, 2014) or a control group(n = 16; July 1, 2010 to June 30, 2012) based on the implementation of sequential blood purification therapy. The control group received continuous venous-venous hemofiltration(CVVH) on the basis of conventional treatments, and the therapeutic dose of CVVH was 30 m L/kg per hour. The study group received sequential plasma exchange and CVVH on the basis of conventional treatments. The anticoagulation regimen of CVVH is the regional citrate anticoagulation. Mortality rate on day 28, rates of systemic and local complications, duration of ICU, and time to target serum lipid level, as well as physiologic and laboratory indices were compared between the two groups.RESULTS: The mortality rate on day 28 was significantly lower in the study group than in the control group(13.33% vs 37.50%; P < 0.05). The duration of ICU stay was significantly shorter in the study group than in the control group(7.4 ± 1.35 d vs 9.19 ± 2.99 d, P < 0.05). The time to target serum lipid level was significantly shorter in the study group than in the control group(3.47 ± 0.52 d vs 7.90 ± 1.14 d, P < 0.01). There were no significant differences in the rates of systemic complications and local complications between the two groups(60% vs 50% and 80% vs 81%, respectively). In the comparisons of physiologic and laboratory indices, serum albumin and C-reactive protein were significantly better in the study group than in the control group after treatment(37.8 ± 4.6 g/L vs 38.9 ± 5.7 g/L, and 20.5 ± 6.4 mg/L vs 28.5 ± 7.1 mg/L, respectively, both P < 0.05). With the exception of plateletcrit, no other indices showed significant differences between the two groups.CONCLUSION: Sequential blood purification therapy is effective in the treatment of ICU patients with hyperlipidemic severe acute pancreatitis and can improve patient prognosis.展开更多
In urban waste (the first matter of compost), elements such as copper, nickel and lead may be found in metallic state (wire, pile, accumulator, etc.), which is considered as non-dependent state. The work undertaken at...In urban waste (the first matter of compost), elements such as copper, nickel and lead may be found in metallic state (wire, pile, accumulator, etc.), which is considered as non-dependent state. The work undertaken at the laboratory of composting of the INRST in Henchir Lihoudia (Tunis) showed that the produced compost does not contain any mobile metallic element and the portion related to organic fraction (bioavailable) is tiny in size. We supposed that many reactions involving decomposition and complexation from elements related to the matrix components occurred during composting. The existence and importance of this phenomenon can be evaluated by studying the evolution of metal contents in the different fractions extracted sequentially during composting process.展开更多
The rapid development of computational technology and the increasing energy demand have improved heat exchanger network(HEN)synthesis.The HEN synthesis involves several optimizations of matches,distributions of heat l...The rapid development of computational technology and the increasing energy demand have improved heat exchanger network(HEN)synthesis.The HEN synthesis involves several optimizations of matches,distributions of heat loads,and stream splitting of heat units.Thus,obtaining good results at high efficiency has been the main standard for evaluating the techniques in the research area of HEN synthesis.This paper first summarizes and analyzes the main contributions of the existing HEN synthesis techniques.To compare related data quantitively,information on ten typical cases is presented in this paper.Furthermore,recently improved solutions for commonly encountered existing literature cases demonstrate the evolution and competition trends in the field of HEN synthesis.The comparison data presented in this paper not only provide a useful reference for future research but also present the optimization directions.Based on the findings of this study,it is noted that there is still a large room for improvement,and current approaches are incapable of dealing with all HEN cases.Moreover,it is still difficult to escape a local optimum and overcome structural constraints when seeking the global optimum.As a follow-up to the current work,the parallel computing mode and adaptively coordinating the ratio of global and local searching abilities are major development trends for future investigation.展开更多
The development of science and technology has made it not only possible but very convenient for people living in different parts of the world to communicate with each other, thus bringing forth a new form of communica...The development of science and technology has made it not only possible but very convenient for people living in different parts of the world to communicate with each other, thus bringing forth a new form of communication: computer-mediated communication (CMC). Text-based CMC is one of the most popular forms of CMC in which people send instant messages to others in different settings. Since this mode of interaction combines features of both the written and spoken language (Greenfield & Subrahmanyam, 2003), it's of great interest whether it follows the same sequential rule as the telephone conversation. However, compared to telephone conversations, computer-mediated communication has received much less attention, let alone text-based CMC. The existing body of literature mostly focuses on content analysis and linguistic features but neglects the sequential organization of such interaction (Paolillo, 1999; Greenfield and Subrahmanyam, 2003; Herring, 1999). In light of this, this paper examines the opening moves of instant message exchanges among Chinese adults in an attempt to find out the unique features characterizing the way they open an online chat. The framework that was chosen for data analysis was the sequential model proposed by Schegloff for American telephone openings.展开更多
基金Supported by Natural Science Foundation of Heilongjiang Province,China
文摘AIM: To evaluate the efficacy of sequential blood purification therapy in the treatment of critical patients with hyperlipidemic severe acute pancreatitis.METHODS: Thirty-one intensive care unit(ICU) patients with hyperlipidemic severe acute pancreatitis treated at the Second Affiliated Hospital of Harbin Medical University were divided into either a study group(n = 15; July 1, 2012 to June 30, 2014) or a control group(n = 16; July 1, 2010 to June 30, 2012) based on the implementation of sequential blood purification therapy. The control group received continuous venous-venous hemofiltration(CVVH) on the basis of conventional treatments, and the therapeutic dose of CVVH was 30 m L/kg per hour. The study group received sequential plasma exchange and CVVH on the basis of conventional treatments. The anticoagulation regimen of CVVH is the regional citrate anticoagulation. Mortality rate on day 28, rates of systemic and local complications, duration of ICU, and time to target serum lipid level, as well as physiologic and laboratory indices were compared between the two groups.RESULTS: The mortality rate on day 28 was significantly lower in the study group than in the control group(13.33% vs 37.50%; P < 0.05). The duration of ICU stay was significantly shorter in the study group than in the control group(7.4 ± 1.35 d vs 9.19 ± 2.99 d, P < 0.05). The time to target serum lipid level was significantly shorter in the study group than in the control group(3.47 ± 0.52 d vs 7.90 ± 1.14 d, P < 0.01). There were no significant differences in the rates of systemic complications and local complications between the two groups(60% vs 50% and 80% vs 81%, respectively). In the comparisons of physiologic and laboratory indices, serum albumin and C-reactive protein were significantly better in the study group than in the control group after treatment(37.8 ± 4.6 g/L vs 38.9 ± 5.7 g/L, and 20.5 ± 6.4 mg/L vs 28.5 ± 7.1 mg/L, respectively, both P < 0.05). With the exception of plateletcrit, no other indices showed significant differences between the two groups.CONCLUSION: Sequential blood purification therapy is effective in the treatment of ICU patients with hyperlipidemic severe acute pancreatitis and can improve patient prognosis.
文摘In urban waste (the first matter of compost), elements such as copper, nickel and lead may be found in metallic state (wire, pile, accumulator, etc.), which is considered as non-dependent state. The work undertaken at the laboratory of composting of the INRST in Henchir Lihoudia (Tunis) showed that the produced compost does not contain any mobile metallic element and the portion related to organic fraction (bioavailable) is tiny in size. We supposed that many reactions involving decomposition and complexation from elements related to the matrix components occurred during composting. The existence and importance of this phenomenon can be evaluated by studying the evolution of metal contents in the different fractions extracted sequentially during composting process.
基金supported by the National Natural Science Foundation of China(Grant Nos.21978171 and 51976126)the Capacity Building Plan for some Non-military Universities and Colleges of Shanghai Scientific Committee(Grant Nos.16060502600 and 20060502000)。
文摘The rapid development of computational technology and the increasing energy demand have improved heat exchanger network(HEN)synthesis.The HEN synthesis involves several optimizations of matches,distributions of heat loads,and stream splitting of heat units.Thus,obtaining good results at high efficiency has been the main standard for evaluating the techniques in the research area of HEN synthesis.This paper first summarizes and analyzes the main contributions of the existing HEN synthesis techniques.To compare related data quantitively,information on ten typical cases is presented in this paper.Furthermore,recently improved solutions for commonly encountered existing literature cases demonstrate the evolution and competition trends in the field of HEN synthesis.The comparison data presented in this paper not only provide a useful reference for future research but also present the optimization directions.Based on the findings of this study,it is noted that there is still a large room for improvement,and current approaches are incapable of dealing with all HEN cases.Moreover,it is still difficult to escape a local optimum and overcome structural constraints when seeking the global optimum.As a follow-up to the current work,the parallel computing mode and adaptively coordinating the ratio of global and local searching abilities are major development trends for future investigation.
文摘The development of science and technology has made it not only possible but very convenient for people living in different parts of the world to communicate with each other, thus bringing forth a new form of communication: computer-mediated communication (CMC). Text-based CMC is one of the most popular forms of CMC in which people send instant messages to others in different settings. Since this mode of interaction combines features of both the written and spoken language (Greenfield & Subrahmanyam, 2003), it's of great interest whether it follows the same sequential rule as the telephone conversation. However, compared to telephone conversations, computer-mediated communication has received much less attention, let alone text-based CMC. The existing body of literature mostly focuses on content analysis and linguistic features but neglects the sequential organization of such interaction (Paolillo, 1999; Greenfield and Subrahmanyam, 2003; Herring, 1999). In light of this, this paper examines the opening moves of instant message exchanges among Chinese adults in an attempt to find out the unique features characterizing the way they open an online chat. The framework that was chosen for data analysis was the sequential model proposed by Schegloff for American telephone openings.
