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Emergency department management of acute agitation in the reproductive age female and pregnancy
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作者 Ariella Gartenberg Kayla Levine Alexander Petrie 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2024年第2期83-90,共8页
BACKGROUND:Agitation is a common presentation within emergent departments(EDs).Agitation during pregnancy should be treated as an obstetric emergency,as the distress may jeopardize both the patient and fetus.The safet... BACKGROUND:Agitation is a common presentation within emergent departments(EDs).Agitation during pregnancy should be treated as an obstetric emergency,as the distress may jeopardize both the patient and fetus.The safety of psychotropic medications in the reproductive age female has not been well established.This review aimed to explore a summary of general agitation recommendations with an emphasis on ED management of agitation during pregnancy.METHODS:A literature review was conducted to explore the pathophysiology of acute agitation and devise a preferred treatment plan for ED management of acute agitation in the reproductive age or pregnant female.RESULTS:While nonpharmacological management is preferred,ED visits for agitation often require medical management.Medication should be selected based on the etiology of agitation and the clinical setting to avoid major adverse effects.Adverse effects are common in pregnant females.For mild to moderate agitation in pregnancy,diphenhydramine is an effective sedating agent with minimal adverse effects.In moderate to severe agitation,high-potency typical psychotropics are preferred due to their neutral effects on hemodynamics.Haloperidol has become the most frequently utilized psychotropic for agitation during pregnancy.Second generation psychotropics are often utilized as second-line therapy,including risperidone.Benzodiazepines and ketamine have demonstrated adverse fetal outcomes.CONCLUSION:While randomized control studies cannot be ethically conducted on pregnant patients requiring sedation,animal models and epidemiologic studies have demonstrated the effects of psychotropic medication exposure in utero.As the fetal risk associated with multiple doses of psychotropic medications remains unknown,weighing the risks and benefits of each agent,while utilizing the lowest effective dose remains critical in the treatment of acute agitation within the EDs. 展开更多
关键词 agitATION PREGNANCY HALOPERIDOL KETAMINE BENZODIAZEPINES
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Influencing factors and risk prediction model for emergence agitation after general anesthesia for primary liver cancer
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作者 Shu-Shu Song Li Lin +1 位作者 Li Li Xiao-Dong Han 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第7期2194-2201,共8页
BACKGROUND General anesthesia is commonly used in the surgical management of gastrointestinal tumors;however,it can lead to emergence agitation(EA).EA is a common complication associated with general anesthesia,often ... BACKGROUND General anesthesia is commonly used in the surgical management of gastrointestinal tumors;however,it can lead to emergence agitation(EA).EA is a common complication associated with general anesthesia,often characterized by behaviors,such as crying,struggling,and involuntary limb movements in patients.If treatment is delayed,there is a risk of incision cracking and bleeding,which can significantly affect surgical outcomes.Therefore,having a proper understanding of the factors influencing the occurrence of EA and implementing early preventive measures may reduce the incidence of agitation during the recovery phase from general anesthesia,which is beneficial for improving patient prognosis.AIM To analyze influencing factors and develop a risk prediction model for EA occurrence following general anesthesia for primary liver cancer.METHODS Retrospective analysis of clinical data from 200 patients who underwent hepatoma resection under general anesthesia at Wenzhou Central Hospital(January 2020 to December 2023)was conducted.Post-surgery,the Richmond Agitation-Sedation Scale was used to evaluate EA presence,noting EA incidence after general anesthesia.Patients were categorized by EA presence postoperatively,and the influencing factors were analyzed using logistic regression.A nomogram-based risk prediction model was constructed and evaluated for differentiation and fit using receiver operating characteristics and calibration curves.RESULTS EA occurred in 51(25.5%)patients.Multivariate analysis identified advanced age,American Society of Anesthesiologists(ASA)grade Ⅲ,indwelling catheter use,and postoperative pain as risk factors for EA(P<0.05).Conversely,postoperative analgesia was a protective factor against EA(P<0.05).The area under the curve of the nomogram was 0.972[95%confidence interval(CI):0.947-0.997]for the training set and 0.979(95%CI:0.951-1.000)for the test set.Hosmer-Lemeshow test showed a good fit(χ^(2)=5.483,P=0.705),and calibration curves showed agreement between predicted and actual EA incidence.CONCLUSION Age,ASA grade,catheter use,postoperative pain,and analgesia significantly influence EA occurrence.A nomogram constructed using these factors demonstrates strong predictive accuracy. 展开更多
关键词 Primary hepatocellular carcinoma resection General anesthesia Emergence agitation Risk factors FORECAST NOMOGRAPH
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Comparison of Propofol and Fentanyl for Preventing Emergence Agitation Following Sevoflurane Anesthesia in Pediatric Patients: A Single-Center Study in Bangladesh
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作者 Md. Saiful Islam Khan Md. Abir Tazim Chowdhury +8 位作者 Farzana Fardousi Munama Magdum Md. Ahaduzzaman Taneem Mohammad Shamima Akter Suriya Akter Md. Saiful Islam Azad Md. Mozaffer Hossain M. Abdur Rahman 《Pharmacology & Pharmacy》 2024年第6期223-235,共13页
Background: Emergence agitation (EA) is a common phenomenon observed in pediatric patients following general anesthesia. This study aimed to assess the efficacy of propofol and fentanyl in preventing EA and to compare... Background: Emergence agitation (EA) is a common phenomenon observed in pediatric patients following general anesthesia. This study aimed to assess the efficacy of propofol and fentanyl in preventing EA and to compare their associated complications or side effects. Methods: This prospective randomized observational comparative study was conducted at Dhaka Medical College Hospital from July 2013 to June 2014. The study aimed to evaluate the effects of propofol and fentanyl on EA in children aged 18 to 72 months undergoing circumcision, herniotomy, and polypectomy operations. Ninety children were included in the study, with 45 in each group. Patients with psychological or neurological disorders were excluded. Various parameters including age, sex, weight, American Society of Anesthesiologists (ASA) class, duration of anesthesia, Saturation of Peripheral Oxygen (SPO2), heart rate (HR), respiratory rate (RR), Pediatric Anesthesia Emergence Delirium (PAED) score, duration of post-anesthesia care unit (PACU) stay, incidence of laryngospasm, nausea, vomiting, and rescue drug requirement were compared between the two groups. Results: Age, sex, weight, ASA class, and duration of anesthesia were comparable between the two groups. Perioperative SpO2 and HR were similar in both groups. However, the PAED score was significantly higher in the fentanyl group during all follow-ups except at 30 minutes postoperatively. The mean duration of PACU stay was significantly longer in the fentanyl group. Although the incidence of laryngospasm was higher in the fentanyl group, it was not statistically significant. Conversely, nausea or vomiting was significantly higher in the fentanyl group. The requirement for rescue drugs was significantly higher in the fentanyl group compared to the propofol group. Conclusion: Both propofol and fentanyl were effective in preventing emergence agitation in pediatric patients undergoing various surgical procedures under sevoflurane anesthesia. However, propofol demonstrated a better safety profile with fewer incidences of nausea, vomiting, and rescue drug requirements compared to fentanyl. 展开更多
关键词 Emergence agitation (EA) General Anesthesia PROPOFOL FENTANYL Pediatric Patients Pediatric Anesthesia Emergence Delirium (PAED) Score BANGLADESH
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Correlation between pre-anesthesia anxiety and emergence agitation in non-small cell lung cancer surgery patients
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作者 Fen Yan Li-Hua Yuan +1 位作者 Xiao He Kai-Feng Yu 《World Journal of Psychiatry》 SCIE 2024年第6期930-937,共8页
BACKGROUND Preoperative anxiety is a common emotional problem during the perioperative period and may adversely affect postoperative recovery.Emergence agitation(EA)is a common complication of general anesthesia that ... BACKGROUND Preoperative anxiety is a common emotional problem during the perioperative period and may adversely affect postoperative recovery.Emergence agitation(EA)is a common complication of general anesthesia that may increase patient discomfort and hospital stay and may be associated with the development of postoperative complications.Pre-anesthetic anxiety may be associated with the development of EA,but studies in this area are lacking.AIM To determine the relationship between pre-anesthetic anxiety and EA after radical surgery in patients with non-small cell lung cancer(NSCLC).METHODS Eighty patients with NSCLC undergoing surgical treatment between June 2020 and June 2023 were conveniently sampled.We used the Hospital Anxiety and Depression Scale’s(HADS)anxiety subscale(HADS-A)to determine patients’anxiety at four time points(T1-T4):Patients’preoperative visit,waiting period in the surgical waiting room,after entering the operating room,and before anesthesia induction,respectively.The Riker Sedation-Agitation Scale(RSAS)examined EA after surgery.Scatter plots of HADS-A and RSAS scores assessed the correlation between patients’pre-anesthesia anxiety status and EA.We performed a partial correlation analysis of HADS-A scores with RSAS scores.RESULTS NSCLC patients’HADS-A scores gradually increased at the four time points:7.33±2.03 at T1,7.99±2.22 at T2,8.05±2.81 at T3,and 8.36±4.17 at T4.The patients’postoperative RSAS score was 4.49±1.18,and 27 patients scored≥5,indicating that 33.75%patients had EA.HADS-A scores at T3 and T4 were significantly higher in patients with EA(9.67±3.02 vs 7.23±2.31,12.56±4.10 vs 6.23±2.05,P<0.001).Scatter plots showed the highest correlation between HADS-A and RSAS scores at T3 and T4.Partial correlation analysis showed a strong positive correlation between HADS-A and RSAS scores at T3 and T4(r=0.296,0.314,P<0.01).CONCLUSION Agitation during anesthesia recovery in patients undergoing radical resection for NSCLC correlated with anxiety at the time of entering the operating room and before anesthesia induction. 展开更多
关键词 Non-small cell lung cancer Operative treatment Anesthesiology department Pre-anesthetic anxiety Emergence agitation Correlation study
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Simulation of drop breakage in liquid–liquid system by coupling of CFD and PBM: Comparison of breakage kernels and effects of agitator configurations 被引量:2
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作者 Rui Xie Jun Li +2 位作者 Yang Jin Da Zou Ming Chen 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2019年第5期1001-1014,共14页
This work focuses on drop breakage for liquid-liquid system with an adoption of numerical simulation by using computational fluid dynamics and population balance model (PBM) coupled with two-fluid model (TFM). Two dif... This work focuses on drop breakage for liquid-liquid system with an adoption of numerical simulation by using computational fluid dynamics and population balance model (PBM) coupled with two-fluid model (TFM). Two different breakage kernels based on identical breakage mechanism but different descriptions of breaking time are take n into account in this work. Eight cases corresp on ding to distinct configurations of agitator are carried out to validate numerical predictions, namely agitators with different porosity and hole diameters, respectively implemented in Cases 1 to 5 and Cases 6 to 8. The results are compared with experimental data for testing the applicability of both kernels. Simulations are implemented, in this work, with an approach of class method for the solution of population balance model by the special-purpose computational fluid dynamics solver Fluent 16.1 based on finite volume method, and the grids used for meshing the solution domain are accomplished in a commercial software Gambit 2.4.6. The effects of configurations of agitator corresponding to different parameters mentioned above on final Sauter mean diameter are equally concentrated in this work. Analysis of both kernels and comparisons with experimental results reveal that, the second kernel has more decent agreement with experiments, and the results of investigations on effects of agitator configurations show that the in fluences of these parameters on Sauter mean diameter are marginal, but appropriate porosity and hole diameter are actually able to decrease Sauter mean diameter. These outcomes allow us to draw general conclusions and help investigate performances of liquid-liquid system. 展开更多
关键词 Stirred vessel LIQUID-LIQUID system Computational fluid dynamics Population balance model BREAKAGE kernel agitator configuration
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Effect of Agitator’s Types on the Hydrodynamic Flow in an Agitated Tank 被引量:4
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作者 Mohammed Foukrach Mohamed Bouzit +1 位作者 Houari Ameur Youcef Kamla 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2020年第2期122-139,共18页
The aim of this paper is to study the effect of agitator’s types on the turbulent flows in stirred tanks without and with baffles.The hydrodynamics behavior induced by four different agitator’s types:a Rushton turbi... The aim of this paper is to study the effect of agitator’s types on the turbulent flows in stirred tanks without and with baffles.The hydrodynamics behavior induced by four different agitator’s types:a Rushton turbine(RT),a circular blade turbine(CBT),a diverging triangular blade turbine(DTBT)and converging triangular blade turbine(CTBT)are numerically predicted by solving the Navier-Stokes equations and RNGκ–εturbulent model.The simulations are carried out using the Multi Reference Frame(MRF)approach.The numerical results showed good agreement with experiment.We find that the agitator CTBT gives an important profit on the power consumption per report/ratio the others and DTBT give a good reduction of the vortex size of the impeller angles. 展开更多
关键词 MIXING Baffled tanks agitators Reynolds number Turbulent flow
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Variation law of gas holdup in an autoclave during the pressure leaching process by using a mixed-flow agitator 被引量:1
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作者 Lei Tian Yan Liu +2 位作者 Jun-jie Tang Guo-zhi Lü Ting-an Zhang 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2017年第8期876-883,共8页
The multiphase reaction process of pressure leaching is mainly carried out in the liquid phase. Therefore, gas holdup is essential for the gas–liquid–solid phase reaction and the extraction rate of valuable metals. ... The multiphase reaction process of pressure leaching is mainly carried out in the liquid phase. Therefore, gas holdup is essential for the gas–liquid–solid phase reaction and the extraction rate of valuable metals. In this paper, a transparent quartz autoclave, a six blades disc turbine-type agitator, and a high-speed camera were used to investigate the gas holdup of the pressure leaching process. Furthermore, experiments determining the effects of agitation rate, temperature, and oxygen partial pressure on gas holdup were carried out. The results showed that when the agitation rate increased from 350 to 600 r/min, the gas holdup increased from 0.10% to 0.64%. When the temperature increased from 363 to 423 K, the gas holdup increased from 0.14% to 0.20%. When the oxygen partial pressure increased from 0.1 to 0.8 MPa, the gas holdup increased from 0.13% to 0.19%. A similar criteria relationship was established by Homogeneous Principle and Buckingham's theorem. Comprehensively, empirical equation of gas holdup was deduced on the basis of experimental data and the similarity theory, where the criterion equation was determined as ε=4.54×10^(-11)n^(3.65)T^(2.08)P_g^(0.18). It can be seen from the formula that agitation rate made the most important impact on gas holdup in the pressure leaching process using the mixed-flow agitator. 展开更多
关键词 VARIATION LAW AUTOCLAVE pressure leaching gas HOLDUP mixed-flow agitator empirical equation
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Agitator tank device and drag reduction agent evaluation
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作者 张帆 肖博元 +1 位作者 汤养浩 罗旗荣 《Journal of Central South University》 SCIE EI CAS 2008年第S1期329-332,共4页
The device that consists of tank and disk agitator for evaluation drag reduction agents(DRA) was established.The effect of DRA was defined by testing the changes of agitator torque that drives the disk rotation.The HG... The device that consists of tank and disk agitator for evaluation drag reduction agents(DRA) was established.The effect of DRA was defined by testing the changes of agitator torque that drives the disk rotation.The HG-DRA for oil pipeline from Linyi to Puyang was studied by agitator tank device.The relationships between the drag reduction rate and Reynolds number,concentration,balance time were studied.The best concentration and the highest Renords number for the best drag reduction rate were confirmed.The results show that the drag reduction rate tested in agitator tank is close to that in pipeline.The maximum error of drag reduction rate between pipeline and agitator tank is 18.3%,which indicates that the agitator tank device is available to evaluate the effect of DRA for pipeline and it also has the advantages of simple,easy to be operated and using small volume of oil.Those are very helpful for operaters to know the properties of DRA and operate pipeline well. 展开更多
关键词 drag reduction agitATION REYNOLDS NUMBER EVALUATION method
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AN INNOVATED REACTOR WITH VARYING DIAMETER AGITATOR AND ITS APPLICATIONS
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作者 叶岁生 穆淑华 王曙中 《Journal of China Textile University(English Edition)》 EI CAS 1994年第2期73-78,共6页
The reactor is equipped with two different types of agitators: the diameter-variable agitator and the two-pitched-paddle agitator. The diameter of the former can be varied according to the requirement of the chemical ... The reactor is equipped with two different types of agitators: the diameter-variable agitator and the two-pitched-paddle agitator. The diameter of the former can be varied according to the requirement of the chemical reactions, thus making the concentration and temperature of the whole reaction system uniform throughout the reactor without any stagnant zone. It is shown that the apparatus has the preponderance over conventional agitator, especially when extremely rapid reactions are accompanied by large amount of reaction heat and when the viscosity of the reaction system varies in a wide range. The reactor is very effective when applied to the polycondensation reaction between paraphenylene diamine (PPDA) and terephthyl chloride (TPC). The inherent viscosity (η<sub>inh</sub>) of the polymer comes up to more than 5. This innovative agitator has the advantage of simplicity in structure and flexibility in operation, etc. 展开更多
关键词 polycondensation reactors POLYPARAPHENYLENE terephalamide diameter-variable agitator.
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A numerical study of mixing intensification for highly viscous fluids in multistage rotor-stator mixers
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作者 Liying Chen Junheng Guo +3 位作者 Wenpeng Li Shuchun Zhao Wei Li Jinli Zhang 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2022年第7期218-230,共13页
How to achieve uniform mixing of highly viscous fluids with low energy consumption is a major industry demand and one of the hot spots of mixing research.A typical multistage rotor-stator mixer(MRSM)equipped with a di... How to achieve uniform mixing of highly viscous fluids with low energy consumption is a major industry demand and one of the hot spots of mixing research.A typical multistage rotor-stator mixer(MRSM)equipped with a distributor was investigated to disclose the effects on the mixing performance and power consumption for highly viscous fluids via numerical simulation,considering the influence factors associated with different geometric parameters of both MRSM and the distributor.The mixing index and power consumption are used to evaluate the performance of the mixers.The dimensionless correlations for the mixing index and the power consumption are established considering the factors including the flow rate,rotor speed,the number of mixing units.Adopting the optimized mixer with the distributor(X1-T1),the mixing index increases to 0.85(obviously higher than 0.46 for the mixer T1 without a distributor),meanwhile the corresponding power consumption is about 1/5 of that of T1 achieving the same mixing effect.It illustrates that the distributor can significantly improve the mixing of highly viscous fluids in the MRSM without the cost of large power consumption.These results would provide a guidance on the design and optimization of multistage rotor-stator mixers in industrial applications. 展开更多
关键词 Multistage rotor-stator mixer Computational fluid dynamics Mixing index Power consumption DISTRIBUTOR
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CFD Numerical Simulation of Hydrodynamics in a Rotor-Stator Reactor for Biodiesel Synthesis
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作者 Zhuqing Wen Jerzy Petera 《Journal of Applied Mathematics and Physics》 2015年第8期997-1002,共6页
In this paper a rotor-stator spinning disk reactor for intensified biodiesel synthesis is described and numerically simulated. The reactor consists of two flat disks, located coaxially and parallel to each other with ... In this paper a rotor-stator spinning disk reactor for intensified biodiesel synthesis is described and numerically simulated. The reactor consists of two flat disks, located coaxially and parallel to each other with a gap ranging from 0.1 mm to 0.2 mm between the disks. The upper disk is located on a rotating shaft while the lower disk is stationary. The feed liquids, triglycerides (TG) and methanol are introduced coaxially along the center line of rotating disk and stationary disk, respectively. Fluid hydrodynamics in the reactor for synthesis of biodiesel from TG and methanol in the presence of a sodium hydroxide catalyst are simulated, using convection-diffusion-reaction species transport model by the CFD software ANSYS? Fluent v. 13.0. The effects of upper disk’s spinning speed and gap size are evaluated. 展开更多
关键词 rotor-stator Reactor Biodiesel Synthesis ANSYS■ Fluent HYDRODYNAMICS Numerical Simulation
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双螺带式搅拌器的搅拌特性及关键结构参数研究 被引量:1
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作者 曾真 李振南 +2 位作者 唐涛 宋春晗 郑小涛 《饲料工业》 CAS 北大核心 2024年第12期38-44,共7页
运用Fluent软件对双螺带搅拌器的混合过程进行模拟,利用多功能搅拌实验平台进行功耗测试,验证仿真模型的合理性。结合实例,分析了边界间隙、螺带直径以及螺距对搅拌特性的影响。针对混合效果和效率(经济功耗)的定量评价难点,提出用功耗... 运用Fluent软件对双螺带搅拌器的混合过程进行模拟,利用多功能搅拌实验平台进行功耗测试,验证仿真模型的合理性。结合实例,分析了边界间隙、螺带直径以及螺距对搅拌特性的影响。针对混合效果和效率(经济功耗)的定量评价难点,提出用功耗因子与轴向功耗因子的数值,表征高黏度流体混合时的能量利用效果与整体混合效果,并以此为依据对螺带式搅拌器关键几何参数进行优化。实例的模拟结果表明:当螺带直径为1 200 mm时,即螺带直径达到罐体直径0.8倍时,轴向功耗因子最大为0.232 6 s,表明轴向流体宏观混合效果最好;螺距为1 350 mm时,即螺距与螺带直径之比为1(螺旋升角为45°)时,轴向功耗因子达到最大为0.180 6 s,表明轴向流体宏观混合效果最好;随着边界间隙的减小,罐壁总速度峰值增大,表明防附着效果增强,罐壁内侧的热边界层减薄。 展开更多
关键词 螺带式搅拌器 搅拌特性 模拟 结构优化 能量分配
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小儿纤维支气管镜术后躁动风险及预测模型建立
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作者 刘国栋 张艳静 +2 位作者 肖奕雯 武建 张奕文 《新疆医科大学学报》 CAS 2024年第8期1135-1139,1145,共6页
目的探讨小儿纤维支气管镜术后躁动风险,并建立预测模型。方法选取2023年9月至2024年2月在本院行纤维支气管镜术的患儿112例为研究对象,统计术后躁动发生情况。根据患儿是否发生术后躁动进行分组,其中发生术后躁动的归入观察组,未发生... 目的探讨小儿纤维支气管镜术后躁动风险,并建立预测模型。方法选取2023年9月至2024年2月在本院行纤维支气管镜术的患儿112例为研究对象,统计术后躁动发生情况。根据患儿是否发生术后躁动进行分组,其中发生术后躁动的归入观察组,未发生术后躁动的归入对照组。分析小儿纤维支气管镜术后躁动影响因素,采用R3.5.1软件建立列线图预测模型并进行验证。结果112例患儿中34例(30.36%)发生术后躁动,归入观察组,其余78例归入对照组。34例患儿术后多发生1次(41.18%)或2次(47.06%)躁动,小儿麻醉苏醒期躁动量化评分表(PAED)评分多为16~18分,其中17分最多(35.29%)。观察组静脉麻醉+吸入麻醉、术后疼痛比例、麻醉时间大于对照组,年龄、脑电双频指数50~59比例小于对照组(P<0.05)。年龄、脑电双频指数为50~59是小儿纤维支气管镜术后躁动独立保护因素,麻醉方式为静脉麻醉+吸入麻醉、麻醉时间、术后疼痛是其独立危险因素(P<0.05)。建立Logistic回归方程:logit(P)=-4.861-1.163×年龄+1.522×麻醉方式+0.132×麻醉时间+1.703×术后疼痛-1.779×脑电双频指数。列线图模型的C-index为0.881,预测小儿纤维支气管镜术后躁动的ROC曲线下面积为0.881(95%CI:0.806~0.935),敏感度为85.29%,特异性为78.21%,约登指数为0.635。校准曲线斜率结果显示Brier得分为0.086,校准斜率为0.894。结论小儿纤维支气管镜术后躁动发生风险较高,其影响因素包括年龄、麻醉方式、麻醉时间、术后疼痛、脑电双频指数,据此构建的预测模型具有较高的预测效能。 展开更多
关键词 纤维支气管镜 术后躁动 预测模型
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射流与搅拌协同式浮选机气体引射规律探究
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作者 周伟 王涛 +3 位作者 王淑杰 汪玲玲 李亮 王辉 《有色金属(选矿部分)》 CAS 2024年第8期122-130,共9页
为了探究射流与搅拌协同式浮选装置在射流与搅拌协同作用下的气体引射规律,建立了射流与搅拌耦合区域模型,分别模拟了射流速度变化、搅拌速度变化、射流速度与搅拌速度同时变化对装置吸气能力的影响,搭建了射流与搅拌协同式浮选装置并... 为了探究射流与搅拌协同式浮选装置在射流与搅拌协同作用下的气体引射规律,建立了射流与搅拌耦合区域模型,分别模拟了射流速度变化、搅拌速度变化、射流速度与搅拌速度同时变化对装置吸气能力的影响,搭建了射流与搅拌协同式浮选装置并对其进行试验。结果表明,射流速度是影响装置吸气能力的主要影响因素,搅拌速度对装置吸气能力产生一定的影响;射流与搅拌协同作用下浮选装置的吸气能力取决于射流速度与搅拌速度的相对贡献;射流速度与搅拌速度的增大对喷嘴的吸气能力分别产生促进与抑制的效果;当射流速度带来的增益效果大于搅拌速度带来的抑制效果时,提高装置吸气量的同时也促进了物料的混合,反之则降低装置的吸气量;随着搅拌速度的不断增加,叶轮剪切射流束的剪切力与剪切面积逐渐减小,射流束不再冲击叶轮,此时装置的吸气能力取决于射流速度大小。射流与搅拌协同式浮选装置在流量8.2m^(3)/h以上工作时,搅拌速度对喷嘴吸气能力影响较小;当在流量8.4m^(3)/h、转速7.5m/s的条件下工作时,此时喷嘴的吸气能力得到质的提高并且物料混合效果较好,浮选装置具有较好的工作能力;当搅拌速度达到8.75r/s以上时,射流束逐渐发生轨迹偏移,装置吸气能力取决于射流速度且射流束不再冲击驱动叶轮。 展开更多
关键词 气体引射规律 射流与搅拌协同作用 浮选装置
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床旁超声联合镇静躁动评分对ICU机械通气患者撤机的指导作用
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作者 曾金华 刘志伟 +3 位作者 刘琳 马渤键 李映笑 高坤华 《中外医学研究》 2024年第9期111-114,共4页
目的:分析床旁超声联合镇静躁动评分对ICU机械通气患者撤机的指导作用。方法:选取2022年4月—2023年3月东莞市黄江医院收治的52例ICU机械通气患者。随机将其分为对照组和观察组,各26例。对照组根据常规方式进行撤机,观察组根据床旁超声... 目的:分析床旁超声联合镇静躁动评分对ICU机械通气患者撤机的指导作用。方法:选取2022年4月—2023年3月东莞市黄江医院收治的52例ICU机械通气患者。随机将其分为对照组和观察组,各26例。对照组根据常规方式进行撤机,观察组根据床旁超声联合镇静躁动评分进行撤机。比较两组撤机成功率,临床指标,不良事件。结果:观察组撤机成功率高于对照组,差异有统计学意义(P<0.05)。观察组机械通气时间、ICU住院时间均短于对照组,死亡率低于对照组,差异有统计学意义(P<0.05)。观察组不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论:床旁超声联合镇静躁动评分在ICU机械通气患者撤机中的指导作用突出,能够保证撤机成功率,降低死亡率,缩短机械通气时间和ICU住院时间,降低不良事件发生率。 展开更多
关键词 床旁超声 镇静躁动评分 机械通气 撤机
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药用辅料硅酸镁铝(IB型)黏度测定方法探讨
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作者 李樾 黄婷 +1 位作者 杨锐 杨会英 《中国药品标准》 CAS 2024年第4期409-415,共7页
目的:确定硅酸镁铝(IB型)登记备案标准中黏度测定方法是否可行。方法:采用棒状高速搅拌器及旋转黏度计考察硅酸镁铝(IB型)黏度,采用破壁机及旋转黏度计考察硅酸镁铝(IB型)黏度。结果:采用棒状高速搅拌器及旋转黏度计考察硅酸镁铝(IB型)... 目的:确定硅酸镁铝(IB型)登记备案标准中黏度测定方法是否可行。方法:采用棒状高速搅拌器及旋转黏度计考察硅酸镁铝(IB型)黏度,采用破壁机及旋转黏度计考察硅酸镁铝(IB型)黏度。结果:采用棒状高速搅拌器及旋转黏度计考察硅酸镁铝(IB型)黏度时,样品均不符合规定,采用破壁机及旋转黏度计考察硅酸镁铝(IB型)黏度时,样品均符合规定。结论:硅酸镁铝(IB型)为触变性非牛顿流体,其黏度测定结果受高速搅拌器类型影响较大,建议药用辅料登记备案标准中明确使用的高速搅拌器类型,细化前处理方法。 展开更多
关键词 硅酸镁铝 药用辅料 黏度 高速搅拌器 前处理方法
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纳布啡对行切痂植皮术烧伤患者氧化应激及全麻苏醒期躁动的影响
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作者 程南 郑卫国 沈迎雁 《中国中西医结合外科杂志》 CAS 2024年第1期81-85,共5页
目的:探究纳布啡对烧伤患者行切痂植皮术后全麻苏醒期躁动及氧化应激反应的影响。方法:选取2021年3月-2022年3月我院收治并行切痂植皮术的烧伤患者72例,采用随机数字法分为纳布啡组(n=36)和对照组(n=36)。纳布啡组患者在全身麻醉诱导前1... 目的:探究纳布啡对烧伤患者行切痂植皮术后全麻苏醒期躁动及氧化应激反应的影响。方法:选取2021年3月-2022年3月我院收治并行切痂植皮术的烧伤患者72例,采用随机数字法分为纳布啡组(n=36)和对照组(n=36)。纳布啡组患者在全身麻醉诱导前10 min静脉注射0.20 mg/kg纳布啡,对照组给予等量生理盐水,比较两组躁动发生率,拔管前(T1)、拔管即刻(T2)、拔管后10 min(T3)、拔管后30 min(T4)的Richmond躁动-镇静评分(RASS)、Ramsay镇静评分,以及术前术后的氧化应激反应和苏醒时间,比较两组恶心呕吐、呼吸抑制、嗜睡、眩晕等不良反应发生情况。结果:与对照组比较,纳布啡组躁动发生率更低,T3、T4时RASS评分均降低,T1、T4时Ramsay镇静评分升高(P <0.05);两组患者术前术后丙二醛(MDA)、脂质过氧化物(LPO)明显下降,超氧化物歧化酶(SOD)明显升高。术后苏醒期,纳布啡组SOD均高于对照组,MDA、LPO低于对照组(P <0.05);两组苏醒时间、恶心呕吐、呼吸抑制、嗜睡、眩晕的不良反应发生率,无统计学差异(P>0.05)。结论:采用纳布啡对行切痂植皮术的烧伤患者有较理想的镇静效果,降低患者全麻苏醒期的躁动,减轻氧化应激反应,且不影响麻醉苏醒时间及不良反应发生率。 展开更多
关键词 纳布啡 切痂植皮术 全身麻醉 苏醒期躁动 氧化应激反应
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中国左翼“红色鼓动剧”的戏剧表达与“大众化”实践
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作者 赵学勇 梁琚雯 《厦门大学学报(哲学社会科学版)》 北大核心 2024年第2期150-159,共10页
诞生于20世纪30年代的“红色鼓动剧”,是外来思潮与中国革命实际相结合的成果,并在中国的社会现实中曲折发展。“红色鼓动剧”综合运用了标语口号、演说、音乐、锣鼓等丰富的声音形式,在戏剧演出中营造了“台上台下相互呼应”的戏剧效果... 诞生于20世纪30年代的“红色鼓动剧”,是外来思潮与中国革命实际相结合的成果,并在中国的社会现实中曲折发展。“红色鼓动剧”综合运用了标语口号、演说、音乐、锣鼓等丰富的声音形式,在戏剧演出中营造了“台上台下相互呼应”的戏剧效果,从而起到了鼓动民族情绪、唤醒劳苦大众的作用,引导群众由发声走向行动。“红色鼓动剧”配合着抗日救亡热潮,表现了中国人民在帝国主义的压迫下奋起反抗的决心,“怒吼吧,中国!”作为民族觉醒的时代情绪表达,不仅包孕着知识分子的国族想象,也传递着广大民众空前的时代大音。它紧贴劳苦大众的现实生活,契合了民众高涨的时代抗争热情和社会心理,即使是大量急就章的戏剧演出,也能引起观众的强烈反响,从而发挥了戏剧的战斗性、鼓动性作用,扩大了左翼戏剧运动的影响。其在大众化实践中生成的群情激奋的时代精神、勇于搏战的革命传统,承载着一代人的民族信仰,在血与泪的洗礼中生成了壮阔的时代美学,积累了丰富的艺术经验。 展开更多
关键词 红色鼓动剧 戏剧表达 声音实践 文艺大众化
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瑞马唑仑用于重症监护病房俯卧位通气深镇静诱导的半数有效剂量
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作者 赵洁玉 郑祥德 +2 位作者 刘成 何江山 周文来 《中国急救医学》 CAS CSCD 2024年第2期122-127,共6页
目的测定瑞马唑仑用于重症监护病房(ICU)患者俯卧位通气深镇静诱导的半数有效剂量(ED50)。方法选择2022年11月至2023年7月达州市中心医院收入ICU的早期中、重度急性呼吸窘迫综合征(ARDS)行俯卧位通气深镇静患者45例,给药舒芬太尼0.4μg... 目的测定瑞马唑仑用于重症监护病房(ICU)患者俯卧位通气深镇静诱导的半数有效剂量(ED50)。方法选择2022年11月至2023年7月达州市中心医院收入ICU的早期中、重度急性呼吸窘迫综合征(ARDS)行俯卧位通气深镇静患者45例,给药舒芬太尼0.4μg/kg使重症监护疼痛观察工具(CPOT)评分达0~1分后,使用瑞马唑仑诱导镇静,镇静达标后开始俯卧位通气。瑞马唑仑诱导镇静的剂量由改良Dixon序贯试验法确定,根据预试验确定瑞马唑仑的起始剂量为0.2 mg/kg,剂量梯度为0.025 mg/kg。镇静达标定义为给药后3 min内Richmond躁动-镇静评分(RASS)≤-4分且光谱熵(SE)≤50。但如俯卧位通气3 min之内出现明显的体动、皱眉、流泪、呛咳和吞咽等反应且RASS>-4分或SE>50,仍表示镇静不理想。镇静达标且理想则下一例患者在上一例的给药剂量基础上降低一个梯度,若镇静未达标或不理想,下一例给药剂量升高一个梯度。连续出现10次交叉后终止研究。运用Probit回归分析法,计算出瑞马唑仑的ED50和95%有效剂量(ED95)。记录给药前后心率(HR)、呼吸频率(RR)、平均动脉压(MAP)、血氧饱和度(SpO_(2))及俯卧位通气中心动过缓和恶心呕吐等不良反应的发生情况。结果瑞马唑仑用于ICU患者俯卧位通气深镇静诱导的ED50为0.228 mg/kg(95%CI 0.208~0.248),ED95为0.365 mg/kg(95%CI 0.299-0.518)。与舒芬太尼镇痛达标后(T_(1))比较,瑞马唑仑诱导镇静后2 min(T_(2))和俯卧位通气后2 min(T_(3))各时间点的血氧饱和度(SpO_(2))差异无统计学意义(P>0.05);T_(3)时HR、MAP及RR较T_(1)和T_(2)时均有下降(P<0.05),但下降幅度在20%以内;T_(2)和T_(3)时镇静深度指标RASS及SE比T_(1)时显著下降(P<0.01)。诱导期间3例患者出现低血压,给予麻黄碱有效;2例患者出现心动过缓,给予阿托品有效,无其他不良反应。结论瑞马唑仑用于ICU患者俯卧位通气深镇静诱导的ED50为0.228 mg/kg,ED95为0.365 mg/kg,镇静效果确切,呼吸循环影响较小,不良反应少。 展开更多
关键词 俯卧位通气 瑞马唑仑 半数有效剂量(ED50) 95%有效剂量(ED95) 深镇静 Richmond躁动-镇静评分 光谱熵
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经食管超声心动图、右心声学造影对卵圆孔未闭患者封堵术后左心房功能的评估
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作者 卫颖 侯红亮 +1 位作者 卢晓春 韩巧 《中国医学计算机成像杂志》 CSCD 北大核心 2024年第2期238-242,共5页
目的:分析经食管超声心动图(TEE)、右心声学造影(ASCE)对卵圆孔未闭(PFO)患者封堵术后左心房功能的评估价值。方法:选取本院68例行PFO介入封堵术治疗的患者,均于手术前后接受TEE与ASCE检查,评估右向左分流(RLS)情况,按术后3个月有无RLS... 目的:分析经食管超声心动图(TEE)、右心声学造影(ASCE)对卵圆孔未闭(PFO)患者封堵术后左心房功能的评估价值。方法:选取本院68例行PFO介入封堵术治疗的患者,均于手术前后接受TEE与ASCE检查,评估右向左分流(RLS)情况,按术后3个月有无RLS分为术后RLS组与术后无RLS组,记录TEE相关参数[左房整体纵向应变、左心耳最小容积(LAA-Vmin)与最大容积(LAA-Vmax)、左心耳射血分数(LAA-EF)、左心耳血流最大排空流速(LAA-PEV)]。结果:ASCE与TEE检查显示,术后3个月RLS检出率明显低于术前(P<0.05);术后3 d,左房储器期、管道期以及泵期整体纵向应变较术前明显降低(P<0.05),但上述指标在术后3个月与术前比较无显著差异(P>0.05);术后3个月,LAA-Vmin、LAA-Vmax、LAA-PEV、LAA-EF与术前比较无显著差异(P>0.05);术后RLS组与无RLS组间LAA-EF、LAA-Vmin、LAA-Vmax、LAA-PEV、左房整体纵向应变比较无显著差异(P>0.05)。结论:ASCE可准确评估PFO患者封堵术后RLS情况,结合TEE,可发现封堵术不会对患者左心房功能造成较大影响。 展开更多
关键词 卵圆孔未闭 封堵术 经食管超声心动图 右心声学造影 左心房功能
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