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End Organ Recovery and Survival with the QuadroxD Oxygenator in Adults on Extracorporeal Membran Oxygenation

World Journal of Cardiovascular Surgery 2012年第4期2卷 73-80页

作者： Joshua K. Wong Vei Shaun Siow Hitoshi Hirose Pawel Karbowski Joseph Miessau Michael Baram matthew decaro Harrison T. Pitcher Nicholas C. Cavarocchi Division of Cardiology Department of Medicine Thomas Jefferson University Philadelphia USA Division of Cardiothoracic Surgery Department of Surgery Thomas Jefferson University Philadelphia USA Division of Pulmonary Medicine and Critical Care Department of Medicine Thomas Jefferson University Philadelphia USA

Introduction: Extracorporeal Membrane Oxygenation (ECMO) is used in selected patient with cardiogenic and/or re- spiratory shock. We report our experience with standardized management protocols and the application of the Qua- droxD oxygenator with a centrifugal pump to maximize end-organ recovery and improve survival. Methods: This is an Internal Review Board (IRB) approved, single institution retrospective study of end-organ recovery and survival in pa- tients who required ECMO for cardiogenic and/or respiratory shock between July 2010 and June 2011. Results: Sixteen patients (median age: 46 years) were initiated on either Veno-Arterial (VA) or Veno-Venous (VV) ECMO. Cardiogenic shock, acute respiratory distress syndrome (ARDS) and a combined respiratory and cardiogenic compromise were the primary indications for ECMO in 8 (50%), 5 (31%) and 3 (19%) patients respectively. The median time on ECMO was 8 days (range: 4 - 26 days). Twelve patients (75%) were successfully weaned off ECMO, of which four (25%) were bridged to a ventricular assist device (VAD) and eight (50%) were weaned to recovery. All eight patients (100%) that were weaned to recovery and two patients (50%) that were bridged to a VAD were successfully discharged from the hospital, resulting in a discharge rate of 63%. There was an improvement in pre- vs. post-ECMO AST (449 IU/L vs. 63 IU/L, p Conclusion: ECMO using the QuadroxD oxygenator and a centrifugal pump, coupled with standardized management protocols is beneficial in carefully selected patients. Improvement or main- tenance of end-organ function is associated with successful bridge to device therapy and/or increased survival.

关键词： Extracorporeal Membrane Oxygenation Adults End-Organ Recovery Mechanical Circulatory Support

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中国聋人高等教育：现状、需求和建议

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中国特殊教育 2007年第8期 12-17页

作者： Patricia A. Mudgett- decaro James J. decaro 刘玉芳高等聋教育国际网

本研究通过对聋人和从事及关注聋人高等教育人士的调查采访，分析和揭示了中国聋人高等教育成就、需求和挑战，为改进中国聋人教育提出了建议。调查显示，中国聋人高中教育忽视基础知识的学习，应试现象比较严重；聋人大学专业的设立十... 详细信息

本研究通过对聋人和从事及关注聋人高等教育人士的调查采访，分析和揭示了中国聋人高等教育成就、需求和挑战，为改进中国聋人教育提出了建议。调查显示，中国聋人高中教育忽视基础知识的学习，应试现象比较严重；聋人大学专业的设立十分有限；聋人大学教育设置形式单一，为在普通大学就读的个别聋人提供相应的帮助有限。重视提高聋人教育质量，增加专业使其多样化，创造让聋生随班就读的课程或专业的条件，改善聋生大学入学前的教育现状和改变社会对聋人的看法等是目前中国政府极需重视的方面。

关键词：聋人高等教育

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How Much Do Adjuvant and Nozzles Models Reduce the Spraying Drift? Drift in Agricultural Spraying

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American Journal of Plant Sciences 2017年第11期8卷 2785-2794页

作者： Fabiano Griesang Ricardo Augusto decaro Cícero Antonio Mariano dos Santos Eduardo Souza Santos Nelson Henrique de Lima Roque Marcelo da Costa Ferreira Nucleus of Study and Development at Technology of Application—NEDTA Sao Paulo State University(Unesp)School of Agricultural and Veterinarian SciencesJaboticabal CityBrazil

The spraying of herbicides in crops has become the main form of weed control. Although it means unexpected effects on non-target plants resulted by spraying drift. Thus, improvements in application techniques, as the best selection of spray nozzles and adjuvant, are essential to avoid environmental contamination and economic losses. On this work, we evaluate how much adjuvant associated with nozzles can reduce the spray drift. The nozzles used at experiment were air induction flat tip, hollow cone and twinjet and the spray liquids, which were composed of herbicide glyphosate and phosphatidylcholine + propionic acid adjuvant. Measurements were made at wind tunnel and droplet sizer, at laser diffraction method. The models of nozzles influence in droplet size characteristics and in occurrence of spray drift. The use of adjuvants reduces the spray drift only combined with the twinjet nozzle, while for the other models the adjuvant did not reduce the global spray drift at significant levels. The adjuvant reduced the spray drift until 39%, while the nozzles model reduced until 74%. Both techniques when combined were able to reduce until 80%. The model of nozzle has the biggest result on drift mitigation and the use of adjuvants can increase the drift mitigation specially with nozzles that produces smallest droplets.

关键词： Droplet Size Uniformity of Droplets Span Volumetric Median Diameter Safe Application

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世界各地聋人高等教育专业和主要机构

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现代特殊教育 2004年第6期 37-39页

作者：贾欣岚张健青鲍国东 decaro James 贾欣岚天津理工学院 300070 美国罗杰斯特理工学院国家聋人工学院

聋人的高等教育是一个国家高等教育发展的重要组成部分.高等教育可以使聋人像正常人那样掌握社会生存和就业所必备的知识和技能.世界各国和地区越来越重视聋人的高等教育,许多国家设立聋人大学或适合聋人学习的专业,授予合格的毕业生大... 详细信息

聋人的高等教育是一个国家高等教育发展的重要组成部分.高等教育可以使聋人像正常人那样掌握社会生存和就业所必备的知识和技能.世界各国和地区越来越重视聋人的高等教育,许多国家设立聋人大学或适合聋人学习的专业,授予合格的毕业生大专证书和学士、硕士甚至博士学位.

关键词：聋人高等教育专业设置教学机构手语

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