AIM:To evaluate the safety and effectiveness of intravenous ketamine-midazolam sedation during pediatric endoscopy in the Arab world.METHODS:A retrospective cohort study of all pediatric endoscopic procedures performe...AIM:To evaluate the safety and effectiveness of intravenous ketamine-midazolam sedation during pediatric endoscopy in the Arab world.METHODS:A retrospective cohort study of all pediatric endoscopic procedures performed between 2002-2008 at the shared endoscopy suite of King Abdullah University Hospital,Jordan University of Science & Technology,Jordan was conducted.All children were > 1 year old and weighed > 10 kg with American Society of Anesthesiologists class 1 or 2.Analysis was performed in terms of sedation-related complications(desaturation,respiratory distress,apnea,bradycar-dia,cardiac arrest,emergence reactions),adequacy of sedation,need for sedation reversal,or failure to complete the procedure.RESULTS:A total of 301 patients(including 160 males) with a mean age of 9.26 years(range,1-18 years) were included.All were premedicated with atropine;and 79.4%(239/301) had effective and uneventful sedation.And 248(82.4%) of the 301 patients received a mean dose of 0.16 mg/kg(range,0.07-0.39) midazolam and 1.06 mg/kg(range,0.31-2.67) ketamine,respectively within the recommended dosage guidelines.Recommended maximum midazolam dose was exceeded in 17.6% patients [34 female(F):19 male(M),P = 0.003] and ketamine in 2.7%(3 M:5 F).Maximum midazolam dose was more likely to be exceeded than ketamine(P < 0.001).Desaturation occurred in 37(12.3%) patients,and was reversible by supplemental oxygen in all except 4 who continue to have desaturation despite supplemental oxygen.Four(1.3%) patients had respiratory distress and 6(2%) were difficult to sedate and required a 3rd sedative;12(4%) required reversal and 7(2.3%) failed to complete the procedure.None developed apnea,bradycardia,arrest,or emergence reactions.CONCLUSION:Ketamine-midazolam sedation appears safe and effective for diagnostic pediatric gastrointestinal endoscopy in the Arab world for children aged > 1 year and weighing > 10 kg without co-morbidities.展开更多
Phosphorous slag (PHS), ground granulated blast-furnace slag (GGBS) and fly ash (FA) were used as replacements of Portland cement to modify the microstruc^xe of recycled aggregate concrete (RAC). A new manufac...Phosphorous slag (PHS), ground granulated blast-furnace slag (GGBS) and fly ash (FA) were used as replacements of Portland cement to modify the microstruc^xe of recycled aggregate concrete (RAC). A new manufacturing method named "W3T4" was proposed to improve the performances of interracial transition zone (ITZ) between recycled aggregate and mortar. The mechanical properties and the durability of RAC were tested, which show that this new manufacturing method improves the properties of RAC, and the GGBS with finest size makes a great contribution to the performance of RAC due to its better filling effect and much earlier pozzolanic reaction. Combined with GGBS, the effects of PHS on the retardation of setting time can be alleviated and the synergistic effect helps to make a more compact RAC. For the RAC with 25% of the recycled aggregate (RA) replacement and 10% PHS + 10% GGBS additives, the compressive strength increases by 25.4%, but the permeability decreases by 64.3% with respect to the reference concrete made with nature aggregates. The micro-mechanisms of these improvements were investigated by the scanning electron microscope (SEM). The SEM images show that the new manufacturing method, adding superfine pozzolanic powders and super-plasticizer benefits, makes a much denser ITZ in RAC.展开更多
Percutaneous endoscopic gastrostomy (PEG) is a proven feeding tube,just as the nasogastric tube is proven to be able to deliver enteral nutrition.For long-term use,both patient and caregiver want neither.What is desir...Percutaneous endoscopic gastrostomy (PEG) is a proven feeding tube,just as the nasogastric tube is proven to be able to deliver enteral nutrition.For long-term use,both patient and caregiver want neither.What is desired is the LOOPPEG? 3G tube,more secure than the PEG,and less risky to change than the nasogastric tube.Future clinical research should focus on this high-comfort low-risk tube.展开更多
The influence of a novel three-step aging on strength, stress corrosion cracking(SCC) and microstructure of AA7085 was investigated by tensile testing and slow strain rate testing combined with transmission electron m...The influence of a novel three-step aging on strength, stress corrosion cracking(SCC) and microstructure of AA7085 was investigated by tensile testing and slow strain rate testing combined with transmission electron microscopy(TEM). The results indicate that with the increase of second-step aging time of two-step aging, the mechanical properties increase first and then decrease, while the SCC resistance increases. Compared with two-step aging, three-step aging treatment improves SCC resistance and the strength increases by about 5%. The effects of novel three-step aging on strength and SCC resistance are explained by the role of matrix precipitates and grain boundary precipitates, respectively.展开更多
A novel high magnification zoom laser beam expander is proposed originally. The zoom part and fixed part of the beam expander both adopt spherical lens and the compensation part comprising a spherical surface and an a...A novel high magnification zoom laser beam expander is proposed originally. The zoom part and fixed part of the beam expander both adopt spherical lens and the compensation part comprising a spherical surface and an aspherical surface. The structure parameters were given by using geometry optics.The zoom characteristic and image quality were also analyzed.The results show that the magnification of the beam expander can be adjusted continuously from 3 to 20. Compared with other congener spherical zoom system,the beam expander has the advantages of high magnification,compact structure,high beam quality and high transmission efficiency.The novel expander can be used in many fields effectively.展开更多
Aiming for the coordinated motion and cooperative control of multi-agents in a non-rectangular bounded space, a velocity consensus algorithm for the agents with double- integrator dynamics is presented. The traditiona...Aiming for the coordinated motion and cooperative control of multi-agents in a non-rectangular bounded space, a velocity consensus algorithm for the agents with double- integrator dynamics is presented. The traditional consensus algorithm for bounded space is only applicable to rectangular bouncing boundaries, not suitable for non-rectangular space. In order to extend the previous consensus algorithm to the non- rectangular space, the concept of mirrored velocity is introduced, which can convert the discontinuous real velocity to continuous mirrored velocity, and expand a bounded space into an infinite space. Using the consensus algorithm, it is found that the mirrored velocities of multi-agents asymptotically converge to the same values. Because each mirrored velocity points to a unique velocity in real space, it can be concluded that the real velocities of multi-agents also asymptotically converge. Finally, the effectiveness of the proposed consensus algorithm is examined by theoretical proof and numerical simulations. Moreover, an experiment is performed with the algorithm in a real multi-robot system successfully.展开更多
Nanoindentation tests were conducted to investigate the near-surface mechanical properties of the individual components(fiber and matrix) for three-dimensional reinforced carbon/carbon composites(3D C/C).Optical micro...Nanoindentation tests were conducted to investigate the near-surface mechanical properties of the individual components(fiber and matrix) for three-dimensional reinforced carbon/carbon composites(3D C/C).Optical microscope and polarizing light microscope were used to characterize the microstructure of 3D C/C.The microscopy results show that large number of pores and cracks exist at both bundle/matrix interface and pitch carbon matrix.These defects have important effect on the mechanical behavior of 3D C/C.The in situ properties for components of 3D C/C were acquired by nanoindentation technique.Relative to the matrix sample,the fiber samples have more larger values for modulus,stiffness and hardness.However,there is no significant difference of modulus and stiffness among fiber samples with different directions.展开更多
6061Al matrix composites reinforced by ZnO-coated Al18B4O33 whiskers were fabricated by a semi-solid mechanical stirring technique.The effects of ZnO coating on interfacial reaction between whiskers and matrix and the...6061Al matrix composites reinforced by ZnO-coated Al18B4O33 whiskers were fabricated by a semi-solid mechanical stirring technique.The effects of ZnO coating on interfacial reaction between whiskers and matrix and the tensile properties of the composites were investigated.Tensile tests on composites were performed at room temperature,and microstructures were observed by scanning electron microscopy(SEM).The results show that the surface treatment of whiskers could reduce interfacial reaction effectively,improve the wettability between whiskers and matrix and enhance the tensile properties of the composites obviously.In addition,semi-solid stirring parameters were also under preliminary study.The stirring parameters were determined by the distribution of whiskers in the composites.The composites with homogeneously distributed whiskers were fabricated by semi-solid stirring at 610 ℃ for 30 min.展开更多
This paper presents the design and implementation of the embedded microcontrollers within a telescope control system. The design objectives of the overall system are to automatically find light emitting objects at nig...This paper presents the design and implementation of the embedded microcontrollers within a telescope control system. The design objectives of the overall system are to automatically find light emitting objects at night within a user specified area, to track a light emitting object for a user specified time given the initial position of the object, and to allow the user access to these functions through a graphical user interface. The embedded system is used to provide a communication link between the graphical user interface and system hardware, to provide angle data processing for a dual axis accelerometer, to provide data processing for an electronic compass, and to provide pulse outputs for the step and direction inputs of three stepper motor drives. This paper will describe the design, implementation, and results of each of these objectives.展开更多
Equilibrium sorption amount, desorption diffusion coefficients and sorption diffusion coefficients of CO2 in poly(l-lactic acid) (PLLA) films at elevated pressures were determined by the gravimetric method, in whi...Equilibrium sorption amount, desorption diffusion coefficients and sorption diffusion coefficients of CO2 in poly(l-lactic acid) (PLLA) films at elevated pressures were determined by the gravimetric method, in which the Fick's diffusion model was applied to analyze both the desorption and sorption processes. The equilibrium sorption amount of CO2 in PLLA increased with lowering temperature and elevating pressure at the temperature range from 40 to 60 ℃ and pressure from 10^4 to 2x10^4 kPa. Desorption diffusion coefficients were greatly influenced by the equilibrium sorption amount, and they were in the same order of magnitude as the sorption diffusion coefficients. The scan electron microscope (SEM) photos demonstrated that there was no foaming phenomenon of the PLLA film during desorption and sorption processes. The XRD spectra implied that the crystalline degree of PLLA film decreased after CO2 processing. It was concluded that PLLA polymer could be well swollen and plasticized by supercritical CO2.展开更多
We report the epitaxial growth of YBCO (YBa2Cu3O7) films on YSZ (Yttria-stabilized Zirconia) (100) substrates by chemical solution deposition. The precursor solution was prepared by dissolving stoichiometric amo...We report the epitaxial growth of YBCO (YBa2Cu3O7) films on YSZ (Yttria-stabilized Zirconia) (100) substrates by chemical solution deposition. The precursor solution was prepared by dissolving stoichiometric amounts of acetates of Y(OOCCH3)3·4H2O, Ba(OOCCH3)2 and Cu(OOCCH3)·2H2O in an aqueous solution of oxalic acid (H2C2O4) and following the sol-gel route. This solution was directly dripped onto YSZ (100) substrates with the help of a Fisher pipette. To form the YBCO film, the sample was crystallized by annealing at 860 ℃ for 12 h in an oxidizing atmosphere. The characterization was performed by XRD (X-ray diffraction) analysis which revealed high intensity (001) reflections and denoted that most of the grains were c-axis oriented. Randomly oriented grains and other phases such as Y2BaCuO5 and CuO were also detected. The superconducting YBCO phase is demonstrated from the susceptibility versus temperature measurements which indicate a superconducting critical temperature ≈ 90 K. In addition, a surface morphology analysis was performed by optical microscopy and atomic force microscopy which revealed an average roughness of 0.2197 μm.展开更多
文摘AIM:To evaluate the safety and effectiveness of intravenous ketamine-midazolam sedation during pediatric endoscopy in the Arab world.METHODS:A retrospective cohort study of all pediatric endoscopic procedures performed between 2002-2008 at the shared endoscopy suite of King Abdullah University Hospital,Jordan University of Science & Technology,Jordan was conducted.All children were > 1 year old and weighed > 10 kg with American Society of Anesthesiologists class 1 or 2.Analysis was performed in terms of sedation-related complications(desaturation,respiratory distress,apnea,bradycar-dia,cardiac arrest,emergence reactions),adequacy of sedation,need for sedation reversal,or failure to complete the procedure.RESULTS:A total of 301 patients(including 160 males) with a mean age of 9.26 years(range,1-18 years) were included.All were premedicated with atropine;and 79.4%(239/301) had effective and uneventful sedation.And 248(82.4%) of the 301 patients received a mean dose of 0.16 mg/kg(range,0.07-0.39) midazolam and 1.06 mg/kg(range,0.31-2.67) ketamine,respectively within the recommended dosage guidelines.Recommended maximum midazolam dose was exceeded in 17.6% patients [34 female(F):19 male(M),P = 0.003] and ketamine in 2.7%(3 M:5 F).Maximum midazolam dose was more likely to be exceeded than ketamine(P < 0.001).Desaturation occurred in 37(12.3%) patients,and was reversible by supplemental oxygen in all except 4 who continue to have desaturation despite supplemental oxygen.Four(1.3%) patients had respiratory distress and 6(2%) were difficult to sedate and required a 3rd sedative;12(4%) required reversal and 7(2.3%) failed to complete the procedure.None developed apnea,bradycardia,arrest,or emergence reactions.CONCLUSION:Ketamine-midazolam sedation appears safe and effective for diagnostic pediatric gastrointestinal endoscopy in the Arab world for children aged > 1 year and weighing > 10 kg without co-morbidities.
基金Project(51178417)supported by the National Natural Science Foundation of ChinaProject(2012R10025)supported by the Qianjiang Talent Plan of Zhejiang Province,China+2 种基金Project(2012HY006B)supported by the Marine Cross-Guide Research Funds of Zhejiang University,ChinaProject(2013FZA4015)supported by the Fundamental Research Funds for the Central Universities,ChinaProject supported by the Department of Construction of Zhejiang Province,China
文摘Phosphorous slag (PHS), ground granulated blast-furnace slag (GGBS) and fly ash (FA) were used as replacements of Portland cement to modify the microstruc^xe of recycled aggregate concrete (RAC). A new manufacturing method named "W3T4" was proposed to improve the performances of interracial transition zone (ITZ) between recycled aggregate and mortar. The mechanical properties and the durability of RAC were tested, which show that this new manufacturing method improves the properties of RAC, and the GGBS with finest size makes a great contribution to the performance of RAC due to its better filling effect and much earlier pozzolanic reaction. Combined with GGBS, the effects of PHS on the retardation of setting time can be alleviated and the synergistic effect helps to make a more compact RAC. For the RAC with 25% of the recycled aggregate (RA) replacement and 10% PHS + 10% GGBS additives, the compressive strength increases by 25.4%, but the permeability decreases by 64.3% with respect to the reference concrete made with nature aggregates. The micro-mechanisms of these improvements were investigated by the scanning electron microscope (SEM). The SEM images show that the new manufacturing method, adding superfine pozzolanic powders and super-plasticizer benefits, makes a much denser ITZ in RAC.
文摘Percutaneous endoscopic gastrostomy (PEG) is a proven feeding tube,just as the nasogastric tube is proven to be able to deliver enteral nutrition.For long-term use,both patient and caregiver want neither.What is desired is the LOOPPEG? 3G tube,more secure than the PEG,and less risky to change than the nasogastric tube.Future clinical research should focus on this high-comfort low-risk tube.
基金Project(2012CB619502)supported by the National Basic Research Program of ChinaProject(2016YFB0300800)supported by the National Key Research and Development Program of China+1 种基金Project(CALT201507)supported by the CALT Research Innovation Partnership Fund,ChinaProject(HPCM-201403)supported by the State Key Laboratory of High Performance Complex Manufacturing,China
文摘The influence of a novel three-step aging on strength, stress corrosion cracking(SCC) and microstructure of AA7085 was investigated by tensile testing and slow strain rate testing combined with transmission electron microscopy(TEM). The results indicate that with the increase of second-step aging time of two-step aging, the mechanical properties increase first and then decrease, while the SCC resistance increases. Compared with two-step aging, three-step aging treatment improves SCC resistance and the strength increases by about 5%. The effects of novel three-step aging on strength and SCC resistance are explained by the role of matrix precipitates and grain boundary precipitates, respectively.
文摘A novel high magnification zoom laser beam expander is proposed originally. The zoom part and fixed part of the beam expander both adopt spherical lens and the compensation part comprising a spherical surface and an aspherical surface. The structure parameters were given by using geometry optics.The zoom characteristic and image quality were also analyzed.The results show that the magnification of the beam expander can be adjusted continuously from 3 to 20. Compared with other congener spherical zoom system,the beam expander has the advantages of high magnification,compact structure,high beam quality and high transmission efficiency.The novel expander can be used in many fields effectively.
基金The National Natural Science Foundation of China(No.61273110)the Specialized Fund for the Doctoral Program of Higher Education(No.20130092130002)
文摘Aiming for the coordinated motion and cooperative control of multi-agents in a non-rectangular bounded space, a velocity consensus algorithm for the agents with double- integrator dynamics is presented. The traditional consensus algorithm for bounded space is only applicable to rectangular bouncing boundaries, not suitable for non-rectangular space. In order to extend the previous consensus algorithm to the non- rectangular space, the concept of mirrored velocity is introduced, which can convert the discontinuous real velocity to continuous mirrored velocity, and expand a bounded space into an infinite space. Using the consensus algorithm, it is found that the mirrored velocities of multi-agents asymptotically converge to the same values. Because each mirrored velocity points to a unique velocity in real space, it can be concluded that the real velocities of multi-agents also asymptotically converge. Finally, the effectiveness of the proposed consensus algorithm is examined by theoretical proof and numerical simulations. Moreover, an experiment is performed with the algorithm in a real multi-robot system successfully.
基金Project(61391) supported by the National Security Basic Research Program of ChinaProject (91016029) supported by the National Natural Science Foundation of China
文摘Nanoindentation tests were conducted to investigate the near-surface mechanical properties of the individual components(fiber and matrix) for three-dimensional reinforced carbon/carbon composites(3D C/C).Optical microscope and polarizing light microscope were used to characterize the microstructure of 3D C/C.The microscopy results show that large number of pores and cracks exist at both bundle/matrix interface and pitch carbon matrix.These defects have important effect on the mechanical behavior of 3D C/C.The in situ properties for components of 3D C/C were acquired by nanoindentation technique.Relative to the matrix sample,the fiber samples have more larger values for modulus,stiffness and hardness.However,there is no significant difference of modulus and stiffness among fiber samples with different directions.
基金Project(2006CB605203-3) supported by the National Basic Research Program of China
文摘6061Al matrix composites reinforced by ZnO-coated Al18B4O33 whiskers were fabricated by a semi-solid mechanical stirring technique.The effects of ZnO coating on interfacial reaction between whiskers and matrix and the tensile properties of the composites were investigated.Tensile tests on composites were performed at room temperature,and microstructures were observed by scanning electron microscopy(SEM).The results show that the surface treatment of whiskers could reduce interfacial reaction effectively,improve the wettability between whiskers and matrix and enhance the tensile properties of the composites obviously.In addition,semi-solid stirring parameters were also under preliminary study.The stirring parameters were determined by the distribution of whiskers in the composites.The composites with homogeneously distributed whiskers were fabricated by semi-solid stirring at 610 ℃ for 30 min.
文摘This paper presents the design and implementation of the embedded microcontrollers within a telescope control system. The design objectives of the overall system are to automatically find light emitting objects at night within a user specified area, to track a light emitting object for a user specified time given the initial position of the object, and to allow the user access to these functions through a graphical user interface. The embedded system is used to provide a communication link between the graphical user interface and system hardware, to provide angle data processing for a dual axis accelerometer, to provide data processing for an electronic compass, and to provide pulse outputs for the step and direction inputs of three stepper motor drives. This paper will describe the design, implementation, and results of each of these objectives.
基金Supported by the National Natura Science Foundation of China (21076185).
文摘Equilibrium sorption amount, desorption diffusion coefficients and sorption diffusion coefficients of CO2 in poly(l-lactic acid) (PLLA) films at elevated pressures were determined by the gravimetric method, in which the Fick's diffusion model was applied to analyze both the desorption and sorption processes. The equilibrium sorption amount of CO2 in PLLA increased with lowering temperature and elevating pressure at the temperature range from 40 to 60 ℃ and pressure from 10^4 to 2x10^4 kPa. Desorption diffusion coefficients were greatly influenced by the equilibrium sorption amount, and they were in the same order of magnitude as the sorption diffusion coefficients. The scan electron microscope (SEM) photos demonstrated that there was no foaming phenomenon of the PLLA film during desorption and sorption processes. The XRD spectra implied that the crystalline degree of PLLA film decreased after CO2 processing. It was concluded that PLLA polymer could be well swollen and plasticized by supercritical CO2.
文摘We report the epitaxial growth of YBCO (YBa2Cu3O7) films on YSZ (Yttria-stabilized Zirconia) (100) substrates by chemical solution deposition. The precursor solution was prepared by dissolving stoichiometric amounts of acetates of Y(OOCCH3)3·4H2O, Ba(OOCCH3)2 and Cu(OOCCH3)·2H2O in an aqueous solution of oxalic acid (H2C2O4) and following the sol-gel route. This solution was directly dripped onto YSZ (100) substrates with the help of a Fisher pipette. To form the YBCO film, the sample was crystallized by annealing at 860 ℃ for 12 h in an oxidizing atmosphere. The characterization was performed by XRD (X-ray diffraction) analysis which revealed high intensity (001) reflections and denoted that most of the grains were c-axis oriented. Randomly oriented grains and other phases such as Y2BaCuO5 and CuO were also detected. The superconducting YBCO phase is demonstrated from the susceptibility versus temperature measurements which indicate a superconducting critical temperature ≈ 90 K. In addition, a surface morphology analysis was performed by optical microscopy and atomic force microscopy which revealed an average roughness of 0.2197 μm.