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11.
Dividing the delivery system of larger psychiatric hospitals into defined smaller catchment areas called sectors, implies a contribution to quality assurance. Continuous monitoring and evaluation of a period before and after this reorganisation, which took place in 1994 for the central region of Zürich (Psychiatric University Hospital), allows perception of expected and possible unexpected changes. All newly registered patients were recorded within a time span divided into five periods of six month five each, the last one covering the first six months after sectorisation. This design permits to answer the question as to how fast the intended changes after sectorisation occur, and also to control side effects. Results show that sectorisation resulted in a marked increase of registrations from the defined catchment area of each sector, and that the investigated institutions achieve attainment of the aim to effect a special selection of psychiatric patients characterised by considerable psycho-social deficits. The two sectors display differences in respect of socio-demographic characteristics of newly registered patients.  相似文献   
12.
Partial liquid ventilation using conventional ventilatory schemes improves lung function in animal models of respiratory failure. We examined the feasibility of high-frequency partial liquid ventilation in the preterm lamb with respiratory distress syndrome and evaluated its effect on pulmonary and systemic hemodynamics. Seventeen lambs were studied in three groups: high-frequency gas ventilation (Gas group), high-frequency partial liquid ventilation (Liquid group), and high-frequency partial liquid ventilation with hypoxia-hypercarbia (Liquid-Hypoxia group). High-frequency partial liquid ventilation increased oxygenation compared with high-frequency gas ventilation over 5 h (arterial oxygen tension 253 +/- 21.3 vs. 17 +/- 1.8 Torr; P < 0.001). Pulmonary vascular resistance decreased 78% (P < 0.001), pulmonary blood flow increased fivefold (P < 0.001), and aortic pressure was maintained (P < 0.01) in the Liquid group, in contrast to progressive hypoxemia, hypercarbia, and shock in the Gas group. Central venous pressure did not change. The Liquid-Hypoxia group was similar to the Gas group. We conclude that high-frequency partial liquid ventilation improves gas exchange and stabilizes pulmonary and systemic hemodynamics compared with high-frequency gas ventilation. The stabilization appears to be due in large part to improvement in gas exchange.  相似文献   
13.
This paper presents some modified topologies of the neutral-point-clamped converter. In all of them, the main change consists of adding a fourth leg, which is based on the flying-capacitor converter structure. The aim of this additional leg is to provide the converter with fault tolerance. Furthermore, during normal operation mode, this leg is able to provide a stiff neutral voltage. Consequently, the low-frequency voltage oscillations that appear at the neutral point of the standard three-level topology in some operating conditions no longer exist. As a result, the modulation strategy of the three main legs of the converter does not have to take care of voltage balance, and it can be designed to either achieve optimal output voltage spectra or improve the efficiency of the converter. Simulation and experimental results are presented to show the viability of this approach both under normal operation mode and in the event of faults.  相似文献   
14.
This paper focuses on the aggregation operations in the group decision‐making model based on the concept of majority opinion. The weighted‐selective aggregated majority‐OWA (WSAM‐OWA) operator is proposed as an extension of the SAM‐OWA operator, where the reliability of information sources is considered in the formulation. The WSAM‐OWA operator is generalized to the quantified WSAM‐OWA operator by including the concept of linguistic quantifier, mainly for the group fusion strategy. The QWSAM‐IOWA operator, with an ordering step, is introduced to the individual fusion strategy. The proposed aggregation operators are then implemented for the case of alternative scheme of heterogeneous group decision analysis. The heterogeneous group includes the consensus of experts with respect to each specific criterion. The exhaustive multicriteria group decision‐making model under the linguistic domain, which consists of two‐stage aggregation processes, is developed in order to fuse the experts’ judgments and to aggregate the criteria. The model provides greater flexibility when analyzing the decision alternatives with a tolerance that considers the majority of experts and the attitudinal character of experts. A selection of investment problem is given to demonstrate the applicability of the developed model.  相似文献   
15.
The antioxidative effect of boldine, an alkaloid extracted fromPeumus boldus Mol. (boldo), was assayed on the spontaneous and on the metal-induced oxidation of fish oil. The inhibitory effect of boldine was compared to those of dl-α tocopherol, the flavonoid quercetin and the synthetic antioxidants butylated hydroxytoluene and butylated hydroxyanisole. Boldine, in all assays, showed a good antioxidative effect, which was comparable to that of quercetin and even better than that of dl-α tocopherol and the synthetic antioxidants. Additive effects were observed when mixtures of boldine and quercetin or dl-α tocopherol were assayed. The present study supports the potential use of boldine as a novel natural antioxidant for fish oil.  相似文献   
16.
Recent earthquakes have produced extensive damage in a large number of existing masonry buildings, demonstrating the need for retrofitting masonry structures. Externally bonded carbon fiber is a retrofitting technique that has been used to increase the strength of reinforced concrete elements. Sixteen full-scale shear dominant clay brick masonry walls, six with wire-steel shear reinforcement, were retrofitted with two configurations of externally bonded carbon fiber strips and subjected to shear loading. The results of the experimental program showed that the strength of the walls could be increased 13–84%, whereas, their displacement capacity increased 51–146%. This paper presents an analysis of the experimental results and simple equations to estimate the cracking load and the maximum shear strength of clay brick masonry walls, retrofitted with carbon fiber.  相似文献   
17.
Understanding and controlling the chemical reactivity of carbon nanotubes (CNTs) is a fundamental requisite to prepare novel nanoscopic structures with practical uses in materials applications. Here, we present a comprehensive microscopic and spectroscopic characterization of carbon nanotubes which have been chemically modified. Specifically, scanning tunneling microscopy (STM) investigations of short-oxidized single-walled carbon nanotubes (SWNTs) functionalized with aliphatic chains via amide reaction reveal the presence of bright lumps both on the sidewalls and at the tips. The functionalization pattern is consistent with the oxidation reaction which mainly occurs at the nanotube tips. Thermogravimetric analysis (TGA), steady-state electronic absorption (UV-vis-NIR), and Raman spectroscopic studies confirm the STM observations.  相似文献   
18.
The production of syngas from biogas (surrogate of CH4/CO2: 55/45 v/v) and polyethylene in a porous media combustion reactor is experimentally studied. The employed setup is novel and has not been studied before. A semi-continuous feed of solid fuel and a constant filtration velocity of the gaseous reactants of 17 cm/s were considered. Temperature, velocity of propagation, and composition of the syngas produced in the combustion waves were registered in a tubular reactor packed with a ceramic foam porous medium and two solid fuel inlets. In the first part of the study, a baseline determined by the filtration combustion of a biogas/air mixture through the ceramic foam at the equivalence ratio (?) range 0.7?1.6, having transient (upstream and downstream) and stationary combustion wave propagation regimes, is established. In the second part of this work, portions of the ceramic foam in two different separated zones are extracted, leaving space for the semi-continuous supply of polyethylene. In this second part the biogas-air combustion was performed only for ?=0.8 and ?=1.6. Although the combustion temperature decreased by the presence of polyethylene, it was found that the syngas (both H2 and CO) yield was larger than for the baseline. The highest degrees of conversion to hydrogen and carbon monoxide was reached under the presence of polyethylene, having 45% and 67% for ?=0.8, and 45% and 60% for ?=1.6, respectively. These results are very promising and they demonstrate the capabilities of the presented methodology and experimental setup, which should encourage future attempts of applications of the technology.  相似文献   
19.
We present a new approach for fabricating multilayer microfluidic devices in poly(methyl methacrylate). Paraffin wax was used as a phase-changing sacrificial layer to protect microstructures during solvent bonding. Microchannels in the top and bottom pieces were aligned with through-holes in the middle layer, resulting in microchannels that cross one another. No discernible delamination of the layers or leakage between channels was observed at pressures as high as 300 psi. The current versus voltage linearity in the crossover channel indicates that no Joule heating occurs at voltages of at least 2.0 kV. Moreover, a potential in the crossover channel did not affect the current in the separation channel. Rapid and efficient separation of fluorescently labeled amino acids was performed in these devices. Pressurized buffer flow or voltage applied in the crossover channel caused no leakage into or electrical interference with the separation channel. Our results demonstrate that sacrificial layers with solvent bonding can be implemented readily in the fabrication of robust and fluidically complex multilayer polymer microchips. These capabilities should facilitate the development of a new generation of sophisticated microfluidic systems.  相似文献   
20.
Surface-enhanced Raman scattering (SERS) vastly improves signal-to-noise ratios as compared to traditional Raman scattering, making sensitive assays based upon Raman scattering a reality. However, preparation of highly stable SERS-active gold substrates requires complicated and expensive methodologies and instrumentation. Here, a general and completely solution-phase, seed-based approach is introduced, which is capable of producing gold films for SERS applications on a variety of substrates, not requiring surface modification or functionalization. SERS enhancement factors of ≈10(7) were observed. Moreover, solution-phase gold film deposition on highly complex surfaces, such as protein-coated bioassays, is demonstrated for the first time. Protein bioassays coated with such SERS-active gold films are combined with bioconjugated single-walled carbon nanotube Raman labels, affording highly sensitive detection of the cancer biomarker, carcinoembryonic antigen in serum, with a limit of detection of ≈5 fM (1 pg mL(-1) ).  相似文献   
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