Objective To investigate whether admission time was associated with the delay of reperfusion therapy and in-hospital death in patients with ST-elevation myocardial infarction （STEMI）. Methods All patients with STEMI...Objective To investigate whether admission time was associated with the delay of reperfusion therapy and in-hospital death in patients with ST-elevation myocardial infarction （STEMI）. Methods All patients with STEMI who were admitted to the emergency depart- ment and underwent primary percutaneous coronary intervention at Peking University People＇s Hospital between April 2012 and March 2015 were included. We examined differences in clinical characteristics, total ischemic time, and in-hospital death between patients admitted during off-hours and those admitted during regular hours. Multivariate logistic regression was used to estimate the relationship between off-hours admission and clinical outcome. Results The sample comprised 184 and 105 patients with STEMI admitted to hospital during off-hours and regular hours, respectively. Total ischemic and onset-to-door times were significantly shorter in patients admitted during off-hours than among those admitted during regular hours （all P 〈 0.05）. Door-to-balloon （DTB） time, the rate of DTB time 〈 90 min, and in-hospital death were comparable between groups. Multivariate logistic regression showed that age and creatinine level, but not off-hours admission, were associated independently with increased in-hospital death. Conclusions Off-hours admission did not result in delayed reperfusion therapy or increased in-hospital mortality in patients with STEMI. Further efforts should focus on identifying pivotal factors associated with the pre-hospital and in-hospital delay of reperfusion therapy, and implementing quality improvement initiatives for reperfusion programs.展开更多
A continuous online in situ attenuated total reflection Fourier-transform infrared(ATR-FTIR)spectroscopic technique was used to investigate the adsorption and desorption kinetics of heptyl xanthate(KHX)on the surface ...A continuous online in situ attenuated total reflection Fourier-transform infrared(ATR-FTIR)spectroscopic technique was used to investigate the adsorption and desorption kinetics of heptyl xanthate(KHX)on the surface of ZnO and Cu(Ⅱ)activated ZnO.The results showed that Cu(Ⅱ)facilitated the xanthate adsorption process on the surface,and led to the formation of cuprous xanthate(CuX),dixanthogen(X_(2))and xanthate aggregates.The adsorption of xanthate on the surface of ZnO and Cu(Ⅱ)activated ZnO was found to both follow the pseudo-first-order kinetic model.When the NaOH solution was used as a desorption agent,the adsorbed xanthate can largely be removed due to the competition between OH^(−)and HX−.However,for Cu(Ⅱ)activated ZnO,the peak intensities at 1197 and 1082 cm^(−1) had no obvious weakening,and the absorption intensities at 1261 and 1026 cm^(−1) increased in the first 5 min,indicating an ion-exchange reaction between OH^(−)and surface zinc bonded xanthate HX−and the reorganization of adsorbed xanthate.展开更多
A fully online MS program in mathematical science using hybrid synchronous instruction developed at the University of West Florida （UWF） has been successfully implemented since fall 2009. Distance students are taugh...A fully online MS program in mathematical science using hybrid synchronous instruction developed at the University of West Florida （UWF） has been successfully implemented since fall 2009. Distance students are taught simultaneously with on-campus students in the same classes. The assessment results show that the developed model is flexible, cost efficient and benefits both groups of students. It also showed that the distance students do as well as the face-to-face students when this model is used.展开更多
文摘Objective To investigate whether admission time was associated with the delay of reperfusion therapy and in-hospital death in patients with ST-elevation myocardial infarction （STEMI）. Methods All patients with STEMI who were admitted to the emergency depart- ment and underwent primary percutaneous coronary intervention at Peking University People＇s Hospital between April 2012 and March 2015 were included. We examined differences in clinical characteristics, total ischemic time, and in-hospital death between patients admitted during off-hours and those admitted during regular hours. Multivariate logistic regression was used to estimate the relationship between off-hours admission and clinical outcome. Results The sample comprised 184 and 105 patients with STEMI admitted to hospital during off-hours and regular hours, respectively. Total ischemic and onset-to-door times were significantly shorter in patients admitted during off-hours than among those admitted during regular hours （all P 〈 0.05）. Door-to-balloon （DTB） time, the rate of DTB time 〈 90 min, and in-hospital death were comparable between groups. Multivariate logistic regression showed that age and creatinine level, but not off-hours admission, were associated independently with increased in-hospital death. Conclusions Off-hours admission did not result in delayed reperfusion therapy or increased in-hospital mortality in patients with STEMI. Further efforts should focus on identifying pivotal factors associated with the pre-hospital and in-hospital delay of reperfusion therapy, and implementing quality improvement initiatives for reperfusion programs.
基金supported by the National Natural Science Foundation of China (Nos.51274104,50874052)the National Basic Research Program of China (No.2011CB933700)。
文摘A continuous online in situ attenuated total reflection Fourier-transform infrared(ATR-FTIR)spectroscopic technique was used to investigate the adsorption and desorption kinetics of heptyl xanthate(KHX)on the surface of ZnO and Cu(Ⅱ)activated ZnO.The results showed that Cu(Ⅱ)facilitated the xanthate adsorption process on the surface,and led to the formation of cuprous xanthate(CuX),dixanthogen(X_(2))and xanthate aggregates.The adsorption of xanthate on the surface of ZnO and Cu(Ⅱ)activated ZnO was found to both follow the pseudo-first-order kinetic model.When the NaOH solution was used as a desorption agent,the adsorbed xanthate can largely be removed due to the competition between OH^(−)and HX−.However,for Cu(Ⅱ)activated ZnO,the peak intensities at 1197 and 1082 cm^(−1) had no obvious weakening,and the absorption intensities at 1261 and 1026 cm^(−1) increased in the first 5 min,indicating an ion-exchange reaction between OH^(−)and surface zinc bonded xanthate HX−and the reorganization of adsorbed xanthate.
文摘A fully online MS program in mathematical science using hybrid synchronous instruction developed at the University of West Florida （UWF） has been successfully implemented since fall 2009. Distance students are taught simultaneously with on-campus students in the same classes. The assessment results show that the developed model is flexible, cost efficient and benefits both groups of students. It also showed that the distance students do as well as the face-to-face students when this model is used.
