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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Pure and applied geophysics 157 (2000), S. 435-448 
    ISSN: 1420-9136
    Keywords: Key Words: Attenuation, surface contamination, partially saturated cracks, dime-shaped.
    Source: Springer Online Journal Archives 1860-2000
    Topics: Geosciences , Physics
    Notes: Abstract —We have examined the effect of surface contamination on the attenuation and stiffness of compressional seismic waves in artificial cylindrical glass cracks that are partially saturated with water. The compression of the gap perpendicularly to its plane reduces the gap volume and forces the water to redistribute within the gap (conservation of volume of an incompressible liquid). On clean surfaces, the water can flow without significant resistance across the glass. This leads to a very low and almost constant attenuation over a wide frequency range (approx. 3 mHz to 10 Hz), while the sample stiffness is constant. In the case of propanol contaminated surfaces, both the attenuation and the stiffness are considerably higher than in the clean case, and display a considerable frequency dependence. Both effects can be explained with the Restricted Meniscus Motion Model. In this model, the redistribution of the liquid in the gap first leads to a change (increase) of the contact angle. The change of the meniscus curvature results in an increase of the pressure in the liquid and thus to a stiffening of the sample. When the resistive force, that prevents the contact line from sliding along the surface, is finally overcome, the contact line starts moving across the contaminated surface. The motion against the resistive force dissipates energy and increases the attenuation. The calculated data are in good agreement for both the clean and the contaminated case; the model parameters fall in the range that was established by independent experiments (e.g. ).
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1238
    Keywords: Key words Cardiac output ; Complications ; Cost ; Dopexamine ; High risk patients ; Intensive care ; Morbidity ; Mortality ; Oxygen delivery ; Resource use ; Surgery
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objective: To investigate the cost implications of a treatment policy of a deliberate perioperative increase of oxygen delivery in high risk surgical patients. Design: A cost-effectiveness analysis comparing ‘protocol’ high risk surgical patients in whom oxygen delivery was specifically targeted towards 600 ml/min/m2 with ‘control’ patients. Interventions: In a randomised, controlled clinical trial we previously demonstrated a significant reduction in mortality (5.7% vs 22.2%, p=0.015) and morbidity (0.68±0.16 complications vs 1.35±0.20, p=0.008) in ‘protocol’ high risk surgical patients in whom oxygen delivery was specifically targeted towards 600 ml/min per m2 compared with ‘control’ patients. This current study retrospectively analysed the medical care and National Health Service resource use of each patient in the trial. Departmental purchasing records and business managers were consulted to identify M28.9nthe unit cost of these resources, and thereby the cost of treating each patient was calculated. Results: The median cost of treating a protocol patient was lower than for a control patient (£6,525 vs £7,784) and this reduction was due mainly to a decrease in the cost of treating postoperative complications (median £213 vs £668). The cost of obtaining a survivor was 31% lower in the protocol group. Conclusion: Perioperative increase of oxygen delivery in high risk surgical patients not only improves survival, but also provides an actual and relative cost saving. This may have important implications for the management of these patients and the funding of intensive care.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1365-2044
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Intravenous oxygenation (IVOX) is a new technique for augmentation of gas exchange in patients who require near maximal conventional ventilatory support. Patients who require IVOX are, by definition, critically ill with a high expected mortality. At present, these high risk patients must be transferred to the operating theatre for the IVOX device to be inserted. This report describes the anaesthetic problems associated with nine patients in whom an IVOX device was inserted and removed in our institution. The mortality was six out of nine patients; all deaths occurred with the IVOX device in situ. Three patients died within 6 h of insertion. Four patients were female. The patients' ages ranged from 14 to 76 years. There were few immediate ventilation changes in the first 4 h after IVOX insertion. Inspired oxygenation concentration was reduced in only one patient. Positive end-expiratory pressure was not reduced. Peak inspiratory pressure decreased in four patients. Arterial oxygen tension increased in four patients (range 0.1–2.5 kPa) and decreased in five (range 0.1–3.4 kPa). Arterial carbon dioxide tension increased in one patient (0.3 kPa) and decreased in eight (range 0.1–2.7 kPa). Inotropic support with adrenaline, dobutamine and nor adrenaline needed to be initiated or increased in eight patients. Eight patients required 2–4 units of blood to be transfused during IVOX insertion or in the following 2 h. One patient suffered an asystolic cardiac arrest during the operation, but was resuscitated successfully. Three patients survived to have the IVOX removed. There were no cardiorespiratory problems associated with its removal and although all three required a vein patch to repair the venotomy site, no patient required blood transfusion. We conclude that IVOX insertion (including transfer to and from the operating theatre) represents a significant cardiorespiratory insult to these critically ill patients. Anaesthetic staff need to be aware of the potential problems to enable them to minimise the risk of serious complications during the insertion of this novel device.
    Type of Medium: Electronic Resource
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  • 4
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    Provincetown, Mass., etc. : Periodicals Archive Online (PAO)
    Journal of Psychology. 86:1 (1974:Jan.) 57 
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  • 5
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    Menasha, Wis. : Periodicals Archive Online (PAO)
    The Accounting Review. 1:3 (1926:Sept.) 64 
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