The 3d34p, 3d35p and 3d24s4p odd configurations of the V II spectrum have been reanalysed and three 3d24s4p triplets are assigned higher energies than previously proposed. We have determined the fine structure paramet...The 3d34p, 3d35p and 3d24s4p odd configurations of the V II spectrum have been reanalysed and three 3d24s4p triplets are assigned higher energies than previously proposed. We have determined the fine structure parameters, the largest and next largest eigenvector percentages of levels, their calculated Landé gJ-factors and predicted positions for missing experimental levels up to 100,000 cm-1 for the 3d24s4p configuration. Furthermore for the first time a hyperfine structure (HFS) parametric treatment, involving levels of these two configurations has been carried out. The deduced single-electron HFS parameter values are successfully checked with those obtained by means of ab initio calculations.展开更多
Using a linked-parameter technique of level-fitting calculations in a multi configuration basis, a parametric analysis of fine structure (fs) for even-parity levels of V II, involving six configurations, has been perf...Using a linked-parameter technique of level-fitting calculations in a multi configuration basis, a parametric analysis of fine structure (fs) for even-parity levels of V II, involving six configurations, has been performed. This led us to exchange the assignments of two triplets, 3d3(2F)4s c 3F and 3d4 d 3F, reported in earlier analyses as being located at 30,300 cm-1 and 30,600 cm-1, respectively. This is confirmed by experimental hyperfine structure (hfs) A constants, used as fingerprints. Moreover, the current singlet 3d24s2 1D2 position is likely too high. The fs parameters, magnetic Landé g-factors, and the percentage of leading eigenvectors of levels are calculated. We present also predicted singlet, triplet and quintet positions for missing experimental levels up to 100,000 cm-1. The single-electron hfs parameters are determined in their entirety for 51V II for the model space (3d + 4s)4 with good accuracy. For the model space (3d + 4s)4 of 51V II the single-electron hfs parameters are computed;furthermore, our achieved theoretical evaluations of the single-electron hfs parameters, thanks to the use of ab initio calculations, reinforce the validity of these hfs parameter values, deduced from experimental data.展开更多
<strong>Background:</strong> Since bleedings in surgery are infrequent and inexperienced, we always try to proceed with surgery assuming a crisis situation, adhere to routine procedures and its standardiza...<strong>Background:</strong> Since bleedings in surgery are infrequent and inexperienced, we always try to proceed with surgery assuming a crisis situation, adhere to routine procedures and its standardization. We focus on the bleeding accidents and reveal how to implement a resilient healthcare theory. By clarifying the Safety-I and Safety-II, we developed a system to support surgical safety based on the surgeon’s individual, team, and organization. <strong>Material and Methods:</strong> We searched 25 cases of bleeding incidents in thoracic surgery, which were obtained from the database of the Project to Collect Medical Near-Miss/Adverse Event Information of the Japan Council of Quality Health Care in April 2018. Retrospectively, we analyzed 13 hemorrhage cases in our department between July 2002 and March 2020. We studied their surgical factors such as procedures, sites and causes of bleeding, response, treatment, and outcomes. <strong>Results:</strong> The causes of bleeding included damage of the adhesion detachment, insertions of automatic sutures and forceps, detachment of ultrasonic scalpel, vascular taping, removal of resected lung, lymph node dissection, exfoliation of the infiltrated adventitia of vessels, pull-out of vessel, gauze attachment with staple cut-line of vessel, thoracoscopic collision, infectious vascular rupture, detachment of vascular ligature, and suction tube hit. We summarized the variation in the usual controllable and unexpected uncontrollable bleeding and learned how to respond and treat them. We built up the balanced combination of Safety-I and Safety-II in the daily routine work in normal surgery, the patient’s individual factors, the massive bleeding, and its life-threatening crisis. <strong>Conclusions:</strong> We can learn how to prevent and respond to bleeding accidents by developing a system to support surgical safety (Safety-I and Safety-II). We can flexibly respond to unexpected bleeding disturbances under constraints by adjusting the surgeon’s individuals, team, and organization.展开更多
Objective: To find out whether 14 16 year old reading and writing impaired pu pils have atypical EEG activation patterns during reading. Methods: EEG correlat ion indices (EEGCIs), based on the waveform characteristic...Objective: To find out whether 14 16 year old reading and writing impaired pu pils have atypical EEG activation patterns during reading. Methods: EEG correlat ion indices (EEGCIs), based on the waveform characteristics of twoEEG signals, w ere used as measurers of slow joint activation of cortical regions during readin g in pupils with reading and writing impairment. Results: Reading was associated with high EEGCIs within the right hemisphere in reading and writing impaired pu pils. The finding is analogous to the results of an earlier study [Byring, Elec t roencephalogr. Clin. Neurophysiol. 63 (1986) 1] in boys with spelling disabilit i es. The activation in the right hemisphere might represent a compensation for a left hemisphere dysfunction in pupils with reading and writing impairment during reading, as suggested by a number of functional neuroimaging studies. T his interpretation was corroborated by high EEGCIs especially in those impaired pupils who had a good occupational outcome. Conclusions: EEGCIs during reading a re high within the right hemisphere in pupils with reading and writing impairmen t. Significance: High EEGCIs within the right hemisphere during reading might be considered neurophysiological markers for reading and writing impairment.展开更多
目的:总结一例64岁II型糖尿病合并血栓性血小板减少性紫癜患者在院治疗调控血糖期间针对在血浆置换治疗过程中出现感染、内分泌代谢紊乱、出血、气体交换障碍等主要护理问题的护理要点,以期为相似案例提供借鉴。方法:就患者治疗全周期...目的:总结一例64岁II型糖尿病合并血栓性血小板减少性紫癜患者在院治疗调控血糖期间针对在血浆置换治疗过程中出现感染、内分泌代谢紊乱、出血、气体交换障碍等主要护理问题的护理要点,以期为相似案例提供借鉴。方法:就患者治疗全周期进行管理,以抢救生命、治疗疾病为重点,期间以控制管理基础疾病为基础,包括预防感染、血糖管理、症状护理、血浆置换护理、管道管理、心理护理等方面。结果:连续治疗10 d后患者生命体征暂时能够平稳,病情得到控制。结论:对患者生命治疗周期进行整体管控护理,针对基础慢性疾病合并疑难急症进行科学合理地护理,能迅速保障患者生命安全、提升治疗效率。Objective: To summarize the key points of nursing for a 64-year-old patient with type II diabetes mellitus complicated with thrombotic thrombocytopenic purpura during inpatient treatment for major nursing problems such as infection, endocrine and metabolic disorders, bleeding and gas exchange disorders during plasma exchange treatment, in order to provide reference for similar cases. Methods: The whole cycle of treatment was managed, focusing on life-saving and disease treatment, and the control and management of underlying diseases were the basis, including infection prevention, blood glucose management, symptom nursing, plasmapheresis nursing, pipeline management, and psychological nursing. Results: After 10 days of continuous treatment, the patient’s vital signs were temporarily stable and the condition was controlled. Conclusion: The overall control and nursing of the patient’s life cycle and the scientific and reasonable nursing for the underlying chronic diseases combined with intractable and urgent diseases can quickly ensure the life safety of patients and improve the treatment efficiency.展开更多
文摘The 3d34p, 3d35p and 3d24s4p odd configurations of the V II spectrum have been reanalysed and three 3d24s4p triplets are assigned higher energies than previously proposed. We have determined the fine structure parameters, the largest and next largest eigenvector percentages of levels, their calculated Landé gJ-factors and predicted positions for missing experimental levels up to 100,000 cm-1 for the 3d24s4p configuration. Furthermore for the first time a hyperfine structure (HFS) parametric treatment, involving levels of these two configurations has been carried out. The deduced single-electron HFS parameter values are successfully checked with those obtained by means of ab initio calculations.
文摘Using a linked-parameter technique of level-fitting calculations in a multi configuration basis, a parametric analysis of fine structure (fs) for even-parity levels of V II, involving six configurations, has been performed. This led us to exchange the assignments of two triplets, 3d3(2F)4s c 3F and 3d4 d 3F, reported in earlier analyses as being located at 30,300 cm-1 and 30,600 cm-1, respectively. This is confirmed by experimental hyperfine structure (hfs) A constants, used as fingerprints. Moreover, the current singlet 3d24s2 1D2 position is likely too high. The fs parameters, magnetic Landé g-factors, and the percentage of leading eigenvectors of levels are calculated. We present also predicted singlet, triplet and quintet positions for missing experimental levels up to 100,000 cm-1. The single-electron hfs parameters are determined in their entirety for 51V II for the model space (3d + 4s)4 with good accuracy. For the model space (3d + 4s)4 of 51V II the single-electron hfs parameters are computed;furthermore, our achieved theoretical evaluations of the single-electron hfs parameters, thanks to the use of ab initio calculations, reinforce the validity of these hfs parameter values, deduced from experimental data.
文摘<strong>Background:</strong> Since bleedings in surgery are infrequent and inexperienced, we always try to proceed with surgery assuming a crisis situation, adhere to routine procedures and its standardization. We focus on the bleeding accidents and reveal how to implement a resilient healthcare theory. By clarifying the Safety-I and Safety-II, we developed a system to support surgical safety based on the surgeon’s individual, team, and organization. <strong>Material and Methods:</strong> We searched 25 cases of bleeding incidents in thoracic surgery, which were obtained from the database of the Project to Collect Medical Near-Miss/Adverse Event Information of the Japan Council of Quality Health Care in April 2018. Retrospectively, we analyzed 13 hemorrhage cases in our department between July 2002 and March 2020. We studied their surgical factors such as procedures, sites and causes of bleeding, response, treatment, and outcomes. <strong>Results:</strong> The causes of bleeding included damage of the adhesion detachment, insertions of automatic sutures and forceps, detachment of ultrasonic scalpel, vascular taping, removal of resected lung, lymph node dissection, exfoliation of the infiltrated adventitia of vessels, pull-out of vessel, gauze attachment with staple cut-line of vessel, thoracoscopic collision, infectious vascular rupture, detachment of vascular ligature, and suction tube hit. We summarized the variation in the usual controllable and unexpected uncontrollable bleeding and learned how to respond and treat them. We built up the balanced combination of Safety-I and Safety-II in the daily routine work in normal surgery, the patient’s individual factors, the massive bleeding, and its life-threatening crisis. <strong>Conclusions:</strong> We can learn how to prevent and respond to bleeding accidents by developing a system to support surgical safety (Safety-I and Safety-II). We can flexibly respond to unexpected bleeding disturbances under constraints by adjusting the surgeon’s individuals, team, and organization.
文摘Objective: To find out whether 14 16 year old reading and writing impaired pu pils have atypical EEG activation patterns during reading. Methods: EEG correlat ion indices (EEGCIs), based on the waveform characteristics of twoEEG signals, w ere used as measurers of slow joint activation of cortical regions during readin g in pupils with reading and writing impairment. Results: Reading was associated with high EEGCIs within the right hemisphere in reading and writing impaired pu pils. The finding is analogous to the results of an earlier study [Byring, Elec t roencephalogr. Clin. Neurophysiol. 63 (1986) 1] in boys with spelling disabilit i es. The activation in the right hemisphere might represent a compensation for a left hemisphere dysfunction in pupils with reading and writing impairment during reading, as suggested by a number of functional neuroimaging studies. T his interpretation was corroborated by high EEGCIs especially in those impaired pupils who had a good occupational outcome. Conclusions: EEGCIs during reading a re high within the right hemisphere in pupils with reading and writing impairmen t. Significance: High EEGCIs within the right hemisphere during reading might be considered neurophysiological markers for reading and writing impairment.
文摘目的:总结一例64岁II型糖尿病合并血栓性血小板减少性紫癜患者在院治疗调控血糖期间针对在血浆置换治疗过程中出现感染、内分泌代谢紊乱、出血、气体交换障碍等主要护理问题的护理要点,以期为相似案例提供借鉴。方法:就患者治疗全周期进行管理,以抢救生命、治疗疾病为重点,期间以控制管理基础疾病为基础,包括预防感染、血糖管理、症状护理、血浆置换护理、管道管理、心理护理等方面。结果:连续治疗10 d后患者生命体征暂时能够平稳,病情得到控制。结论:对患者生命治疗周期进行整体管控护理,针对基础慢性疾病合并疑难急症进行科学合理地护理,能迅速保障患者生命安全、提升治疗效率。Objective: To summarize the key points of nursing for a 64-year-old patient with type II diabetes mellitus complicated with thrombotic thrombocytopenic purpura during inpatient treatment for major nursing problems such as infection, endocrine and metabolic disorders, bleeding and gas exchange disorders during plasma exchange treatment, in order to provide reference for similar cases. Methods: The whole cycle of treatment was managed, focusing on life-saving and disease treatment, and the control and management of underlying diseases were the basis, including infection prevention, blood glucose management, symptom nursing, plasmapheresis nursing, pipeline management, and psychological nursing. Results: After 10 days of continuous treatment, the patient’s vital signs were temporarily stable and the condition was controlled. Conclusion: The overall control and nursing of the patient’s life cycle and the scientific and reasonable nursing for the underlying chronic diseases combined with intractable and urgent diseases can quickly ensure the life safety of patients and improve the treatment efficiency.
