维普中文期刊产品整合服务
3篇 您的检索式:作者名="Mark Colwell"
    题名 作者 年代 出处 被引量
1全髋关节置换术后血栓预防 使用便携式加压器或低分子量肝素的前瞻性随机对照研究显示文摘背景:血栓栓塞性疾病是全髋关节置换术后常见的并发症。本研究的目的在于比较新型便携式加压器与低分子量肝素在静脉血栓预防中的安全性和有效性。方法:全髋置换患者随机接受为期10d便携式加压器或者低分子量肝素预防治疗。术中开始使用加压器,并且这组患者在术后日服81mg的阿司匹林。使用肝素者,术后12-24h开始注射低分子量肝素。在10-12d后,所有患者行多普勒超声筛查双下肢小腿、大腿部深静脉血栓;有肺栓塞临床症状的患者均接受肺部螺旋CT扫描评价。记录两组出血和于预性治疗情况(即:依从性)。术后12周进行深静脉血栓和肺栓塞证据的临床评估。结果:410例患者(414髋)进行随机化分组;392例患者(395髋)进行手术安全性评估,386例(389髋)治疗结果有效。两组间的一般临床情况无差异。加压组严重出血发生率O%,低分子量肝素组6%。加压组远端和近端深静脉血栓发生率分别为3%、2%,肝素组3%、1%。肺栓塞发生率加压组1%,肝素组1%,无致命性肺栓塞。随访12周,1例加压组患者出现两项事件(深静脉血栓和肺栓塞),该患者术后第12天多普勒超声检查阴性。在静脉血栓栓塞预防上两组比较无明显差异。结论:全髋置换术后静脉血栓栓塞预防,便携式加压器与低分子量肝素比较,可明显减少严重出血。CliffordW. Colwell Jr. Mark I. Froimson Michael A.Mont Merrill A. Ritter Robert T. Trousdale Knute C. Buehler Andrew Spitzer Thomas K. Donaldson Douglas E. Padgett 勘武生(译) 2010中华骨科杂志2010,30,6:24
2Protein 3D structure computed from evolutionary sequence variation显示文摘Marks D S Colwell L J Sheridan R 2011PloS one2011,6,28:1
3Utilising the scientific method to demonstrate that slender beam/column behaviour is the dominant behavioural mechanism leading to roof/rib failure显示文摘As per most other earth science engineering problems,the underground coal geotechnical environment and the way in which roof and rib support interacts with the rock mass are complex issues.It is therefore generally recognised that without prudent simplification,the complexity of the problem will overwhelm all current geotechnical methods of modelling,not least for the reason that a rock mass can never be characterised to a level that allows a'non-simplified'analysis.The fact that numerical models,which are commonly purported to be a'simulation'tool and the so-called epitome of advanced geotechnical engineering,always need to be'calibrated'to a known reality is taken to be conclusive proof of this statement.While the problem should not be oversimplified(i.e.the dominant failure mechanisms or critical data input parameters should not be ignored),without question judicious simplification is at the heart of all engineering design,to the point that it has a well-established name–'reductionism'.The hypothesis addressed in this paper,is that horizontal and vertical stress-driven slender beam and column behaviour(which includes unstable Euler Buckling)are respectively the dominant(but not only)roadway roof and ribline behavioural mechanism that(if not controlled)can lead to excessive deformation,failure and eventual collapse.As a part of the Scientific Method,a hypothesis can only be tested via real-world observations,measurements and analyses in establishing it is a credible Theory.Utilising the Scientific Method,this paper demonstrates that slender beam/column behaviour is the dominant instability mechanism within a coal mine roof/rib subject to elevated horizontal/vertical stress conditions and therefore,must be representatively accounted for in any credible empirical,analytical,or numerical approach to coal mine roof/rib stability assessment and associated ground support design.Mark Colwell Russell Frith 2021International Journal of Mining Science and Technology2021,31,5:1
返回顶部 每页显示:
共1页 首页 上一页 第1页 下一页 末页 /1 跳转

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1 渝公网安备 50019002500403号 违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费