Unexplained physical symptoms: outcome, utilization of medical care and associated factors

BACKGROUND: Measurement of intracardiac hemodynamic parameters has been limited to brief periods in the acute care setting. We developed and evaluated an implantable hemodynamic monitor that is capable of measuring chronic right ventricular oxygen saturation and pulmonary artery pressure. METHODS AND RESULTS: The device consists of an electronic controller placed subcutaneously and two transvenous leads placed in the right ventricle (reflectance oximeter) and pulmonary artery (variable capacitance pressure sensor). Implantation was performed in 10 patients with severe left ventricular dysfunction. Average implant pulmonary artery pressures were systolic, 52 +/- 16 mm Hg; diastolic, 29 +/- 11 mm Hg; and mean, 40 +/- 12 mm Hg. The mean right ventricular oxygen saturation at implant was 51%. Provocative maneuvers, including postural changes, sublingual nitroglycerin, and bicycle exercise, demonstrated expected changes in measured oxygen saturation and pulmonary artery pressures over time. At follow-up of 0.5 to 15.5 months, there were no significant differences between pulmonary artery pressures or oxygen saturation values transmitted from the device and simultaneous measurement with balloon flotation catheters. Four of the pulmonary artery leads dislodged and three demonstrated sensor drift, whereas two of the oxygen saturation sensors failed. Four patients died and four received transplants. Pathological study did not demonstrate injury to the right ventricular outflow tract or pulmonic valve. CONCLUSIONS: Chronic measurement of hemodynamic parameters in the outpatient setting with implantable sensor technology appears to be feasible. The devices are well tolerated without significant untoward effects, and the sensors generally function well over time, providing reliable information. Clinical usefulness remains to be established.     

R&D activities on wireless systems in China

Various wireless systems and the research preceding their practical use in China are described. The topics discussed include research establishments, research and development projects underway, challenges inherent to digital radio, and expansion opportunities afforded by satellite communications     

Internet网的服务方式与入网方式一览

目前，世界上最大的计算机网络Ｉｎｔｅｒｎｅｔ网，已成为通达１５０多个国家的国际互联网络。作为引导中国计算机用户进入Ｉｎｔｅｒｎｅｔ的中国公用计算机互联网ＣＨＩＮＡＮＥＴ也正迅速发展。本文就Ｉｎｔｅｒｎｅｔ网的服务方式和入网方式进行了综述。     

BEM 系列原油流动性改进剂的应用

对BEM系列原油流动性改进剂的基本原理以及在中洛、濮临、东临、东黄、鲁宁、魏荆等几条原油长输管道工业应用的现场测试情况进行了介绍。结果表明，BEM系列原油流动性改进剂在降低原油凝点和粘度方面性能良好，能满足管道安全，平稳运行的要求。     

具有细小组织的高强度和高延性钢管的开发

介绍了日本川崎制铁公司技术研究所开发出的电焊钢管采用热张力减径工艺的特性 ,及这种钢管的高强度、高延性等基本特性。用这种钢管制造的汽车零部件 ,经弯曲、冲击和疲劳特性等实验 ,证明具有良好的机械加工性能 ,是制造汽车用零部件的优良材料。     

国内外乙丙橡胶市场供需状况

介绍了国内外乙丙橡胶市场的供需状况，并对我国乙丙橡胶的产业发展提出了建议。     

我国未来移动通信研究开发展望

本文简述了国内移动通信的发展现状与趋势，重点论述了国际上有关Beyond 3G移动通信发展动向，提出了我国发展未来移动通信的基本技术需求，概述了我国有关Beyond 3G研究计划-FuTURE计划的安排与步骤。     

蓝疆号起重铺管船托管架拖挂结构的质量及进度控制

蓝疆号起重铺管船是一艘集起重、管道铺设于一身的多功能新型船舶,在铺管作业系统中,设有一连接船体与托管架的独立结构——拖挂结构。介绍这个由特厚高强钢板组焊而成的结构在制造过程和现场施工中的质量控制及进度控制,供从事工程管理人员参考。     

Development of an Enzymic Time Temperature Integrator for Sterilization Processes Based on Bacillus licheniformis α-amylase at Reduced Water Content

ABSTRACT: The thermal stability of Bacillus licheniformis α-amylase at low moisture content was studied, based on isothermal experiments performed in a temperature range 113 to 125 °C. The thermal inactivation was monitored by measuring the decrease in thermal denaturation enthalpy and/or the decrease in enzymic activity on pnitrophenyl-α-D-maltoheptaoside, or on starch as a substrate. Based on enthalpy readings, an enzymic system with a z-value of 10.4 °C was observed when using a relative humidity of 81% at 4 °C. A theoretical study showed that this system could be used as a Time Temperature Integrator (TTI) to monitor the safety of sterilization processes of numerous food products.