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  • 75.30.Gw  (1)
  • Key words Adult respiratory distress syndrome  (1)
  • Springer  (2)
  • The American Association of Immunologists (AAI)
  • 1
    ISSN: 1432-1238
    Keywords: Key words Adult respiratory distress syndrome ; Outcome ; Computed tomography ; Lung morphology ; Lung mechanics ; Lung volumes
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Objectives: (a) To assess whether differences in lung morphology observed in patients with adult respiratory distress syndrome (ARDS) are associated with differences in cardiorespiratory parameters, lung mechanics, and outcome. (b) To propose a new ARDS Severity Score to identify patients with a high mortality risk. Design: Prospective study over a 53-month period. Setting: Fourteen-bed surgical intensive care unit of a university hospital. Patients and participants: Seventy-one consecutive patients with early ARDS. Measurements and results: Cardiorespiratory parameters were measured using a Swan-Ganz catheter, the pressure-volume (PV) curve was measured using the gross syringe method, and fast spiral computed tomography (CT) was performed. Patients with diffuse attenuations (n = 16) differed from patients with lobar attenuations (n = 26) regarding: (a) mortality rate (75 % vs. 42 %, p = 0.05), (b) incidence of primary ARDS (82 % vs. 50 %, p = 0.03), (c) respiratory compliance (47 ± 12 vs. 64 ± 16 ml per cmH2O–1 p = 0.04), and (d) lower inflexion point (8.4 ± 2.0 vs. 4.6 ± 2.0 cmH2O, p = 0.001). A third group of patients with patchy attenuations (n = 29) had a mortality rate of 41 %, a respiratory compliance of 56 ± 18 ml per cmH2O–1 and a lower inflexion point of 6.3 ± 2.7 cmH2O. The bedside chest radiograph accurately assessed lung morphology in only 42 % of the patients. In contrast to the scores based on the bedside chest radiograph, a new ARDS Severity Score based on CT lung morphology and cardiorespiratory parameters identified a subgroup of patients with a high mortality rate (≥ 60 %). Conclusions: In patients with ARDS, differences in lung morphology are associated with differences in outcome and lung mechanics. A new ARDS Severity Score based on CT lung morphology and cardiorespiratory parameters accurately identified patients with the most severe forms of ARDS and a mortality rate above 60 %.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-0630
    Keywords: 75.60.Jp ; 75.30.Gw
    Source: Springer Online Journal Archives 1860-2000
    Topics: Mechanical Engineering, Materials Science, Production Engineering, Mining and Metallurgy, Traffic Engineering, Precision Mechanics , Physics
    Notes: Abstract The iron granular solid, in which ultrafine iron particles are dispersed, has been prepared with both SiO2 and Cu matrices using the sol-gel method. The structure and morphology of these granular solid samples are investigated by X-Ray Diffraction (XRD) and Transmission Electron Microscopy (TEM). The magnetic properties are measured using a vibrating sample magnetometer with 20 kOe maximum applied field. It is found that the coereivity decreases very slightly with temperature from 80 to 300 K for these Fe−SiO2 and Fe−Cu granular solid samples with different average size of iron particles from 50 to 300 Å. The magnetic anisotropy has been obtained from the measured magnetization curves for these granular solid samples using the law of approach to saturation, and the obtained values of the effective magnetic anisotropy are all more than 106 erg/cm3, which are larger than the value of the magnetocrystalline anisotropy for bulk iron. The coercivity vs temperature for these granular solid samples has been calculated using the Kneller and Luborsky theory, in which the magnetic anisotropy values obtained from the law of approach to saturation are used. The trends of the calculated coercivity as a function of temperature are in reasonable agreement with the observations.
    Type of Medium: Electronic Resource
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