不确定度评定方法在汽车事故再现中的应用

介绍了不确定度理论及其评定方法，结合车辆碰撞事故的具体特点，给出了基于能量守恒的车速计算表达式．通过选择适当的输入参数作为不确定因子，分别计算各分量等效速度标准不确定度．考虑不确定度累积和传播，得到车速输出结果的合成标准不确定度和展伸不确定度，以此检验事故再现结果的准确程度．通过具体事故案例的分析计算和计算机检验，验证该方法的适用性．     

Quantification of reservoir bags as airway pressure-limiting devices in a nonrebreathing system

ObjectiveTo evaluate the influence of reservoir bag types, volumes and previous use on the peak pressures (Pmax) and the times to develop 30 cmH₂O pressure (P30) within a nonrebreathing system with a closed adjustable pressure-limiting (APL) valve.Study designIn vitro study using three-way factorial design with repeated measure on one factor.SubjectsA total of 75 new anesthesia reservoir bags (five types, three volumes, five bags from each type × volume). The bag types were reusable latex (RL), disposable latex (DL) and three disposable neoprene (DN-1, DN-2 and DN-3).MethodsEach bag was tested three times (treatments): new, after prestretching and 1 week later. The bags were attached to a Bain system and anesthesia machine with closed APL valve and patient port with O₂ flow 2 L minute^–1 until Pmax was reached. The Pmax and time to reach P30 values were determined from recorded pressure traces. General linear mixed model analysis was used to examine the effects of bag type, volume and treatment. One-sided 95% upper prediction limits of Pmax were calculated to test the null hypothesis that predicted Pmax of new bags would be ≥ 50 cmH₂O for each factor combination.ResultsRL bags were the least and DN-3 bags were the most compliant. Prestretching increased compliance in all bag types. Smaller bags of RL, DL and DN-1 were less compliant than larger ones. The predicted Pmax values were < 50 cmH₂O only for DN-3 bags after prestretching. The time to reach P30 was critically low when using 0.5 L bags (median 17 seconds).Conclusions and clinical relevanceTo minimize the risk of barotrauma, highly compliant reservoir bags (e.g. DN-3) are recommended and reusable bags should be avoided. Bags should be prestretched before first use, 0.5 L bags should be avoided and fresh gas flow minimized.     

外包钢加固法的安全性防范措施研究

采用外包角钢加固的钢筋混凝土柱,其加固效果和安全性与诸多因素,如加固设计、加固施工工艺、加固端锚固构造、加固角钢的增钢率与增箍率、原柱所处的应力状态、使用过程中的维护管理等有关。对外包钢加固钢筋混凝土柱过程中影响其加固效果和安全性的诸多因素的安全性防范措施进行了初步的分析研究和探讨。     

加强农用运输车管理 做好交通事故预防

近年来因农用运输车所造成的交通事故不断发生,且逐年呈现上升势头,本文从驾驶员的因素、车辆自身因素以及驾驶环境条件、职能部门的监管等方面对农用运输车交通事故的原因作了分析,提出了一些预防事故发生的措施。     

水牛脾切除术的研究

近3年来成功地作了20例水牛的脾切除术,没有1例因手术而招致死亡。成功地探索出适合于水牛脾切除术的麻醉方法、切口部位和大小、手术操作方法。     

Activation of repair pathways after neuronal DNA damage induced by bupivacaine

AIM To investigate the activation of related repair pathways after bupivacaine-induced neuronal DNA damage by cDNA gene screening. METHODS The bupivacaine-induced SH-SY5Y neuronal damage and DNA damage model was established. The technique of cDNA microplate array was used to screen the 21 important regulatory factors in the DNA damage repair pathway. Post-analysis of these differentially expressed repair genes for the repair pathway enrichment and distribution was performed. The data were analyzed by GraphPad Prism 6 statistical software to compare differences between groups. RESULTS The viability of SH-SY5Y cells treated with bupivacaine at different concentrations （detected by CCK-8 assay） showed that the IC₅₀ value of bupivacaine was 1.5 mmol/L. The comet assay related index （the comet tail） was increased （P<0.05）, the phosphorylation level of γH2AX protein was increased （P<0.05）, indicating that DNA damage in the SH-SY5Y cells was significantly aggravated after bupivacaine treatment. The results of cDNA microplate assay showed that compared withcontrol group, the differentially expressed genes after bupivacaine treatment were DNA-PKcs, PTEN, NTH1, RAD9, CSB, GADD45, XPD, XPC-HR23B and P53. The analysis showed that these repair genes were mainly concentrated in the following 3 repair mechanisms： base excision repair, nucleotide excision repair, and non-homologous reconstitution. CONCLUSION The repair genes differentially expressed after neuronal DNA damage caused by local anesthetics are mainly concentrated in the pathways of non-homologous end-joining, base excision repair and nucleotide excision repair.     

麻醉剂MS-222对金鱼体内AKP、CAT和ACP活性的影响

在实验室条件下,采用4个浓度0mg/L、30mg/L、60mg/L和90mg/L,分析了麻醉剂MS-222对金鱼鳃、肝脏和肌肉组织中碱性磷酸酶(AKP)、酸性磷酸酶(ACP)和过氧化氢酶(CAT)活性的影响。试验结果表明:ACP明显出现一个先增后降的趋势,呈抛物线状;在低浓度(≤60mg/L)下,酶活性在各组织中呈现一定的稳定状态,而当麻醉剂浓度升高和麻醉时间增长,酶活性逐渐下降。AKP在低浓度麻醉剂溶液中,酶活性有明显的增加,随着浓度的升高(≥60mg/L)和时间的增长,酶活性呈抑制状态。而在肌肉中这种情况并不明显。CAT在一定阶段(30mg/L～60mg/L)呈现稳定的状态、而后抑制逐渐明显,当麻醉剂MS-222浓度达到一定量(≥60mg/L)以后,对鱼体的刺激就不再增加了,酶活性也相对处于较稳定的状态;当麻醉剂随着时间的增长和浓度的增大时,在鱼体内富集的麻醉剂破坏鱼体内的过氧化氢酶的分子构象,使酶体失去活性。     

小型猪乳化异氟醚全身麻醉效果监测

为探讨乳化异氟醚进行小型猪全身麻醉麻醉效果,选取14头巴马猪以2.80 mL· kg-1·h-1进行静脉麻醉,在麻醉过程中对生理反射、镇痛、镇静、肌松,呼吸和循环系统进行监测.结果表明,乳化异氟醚可以使小型猪维持良好外科麻醉状态,麻醉过程中小型猪一般生理指标、循环系统指标未发生显著变化(P＞0.05),呼吸系统指标与正常比较有显著性改变(P＜0.05或P＜0.01),但均在安全范围内,小型猪麻醉过程无异常表现.乳化异氟醚能满足临床手术麻醉需要,可以作为小型猪全身麻醉药物推广应用.