Background: So far, there have been no measurements confirmed useful in diagnosing acute mountain sickness(AMS). The aim of this study was to determine the role of heart rate(HR) difference(ΔHR) and oxygen saturation...Background: So far, there have been no measurements confirmed useful in diagnosing acute mountain sickness(AMS). The aim of this study was to determine the role of heart rate(HR) difference(ΔHR) and oxygen saturation(Sa O2) as objective risk factors in aiding the diagnosis of AMS.Methods: A total of 1,019 participants were assigned to either the acute exposure group(AEG): from 500 m to 3,700 m by flight within 2.5 hours(n=752); or the pre-acclimatization group(PAG): ascended to 4,400 m from 3,650 m within three hours by car after adapting 33 days at 3,650m(n=267). The questionnaires or measurements of resting Sa O2 and HR were completed between 18 and 24 hours before departure and after arrival.Results: Incidence of AMS was 61.3%(461) in AEG, with 46.1%(347) mild cases and 15.2%(114) severe cases. In PAG, the incidence was 38.9%(104), with 30.7%(82) mild cases and 8.2%(22) severe cases. The AMS subjects showed a significant increase in HR and a decrease in Sa O2 levels compared with the non-AMS subjects in both groups. ΔHR and post-exposure Sa O2 were significantly correlated with the Lake Louise Score(LLS) in both groups. Stepwise logistic regression analysis revealed the ΔHR >25 and Sa O2 <88% in AEG as well as ΔHR >15 and Sa O2 <86% in PAG to be independent risk factors of AMS. Combining these two measurements could specifically indicate participants with AMS, which showed a positive predictive value of 89% and specificity of 97% in AEG as well as 85% and 98% in PAG.Conclusion:ΔHR or Sa O2, as objective measurements, correlate with AMS. Combination of these two measurements may be useful as an additional specific and objective factor to further confirm the diagnosis of AMS.展开更多
The extraction of uranyl nitrate by novel extractants of N,N-dimethyl-N',N'-dioctylsuccinylamide(DMDOSA)and N,N-dimethyl-N',N'-didecylsuccinylamide(DMDDSA) from aqueous nitric/nitrate solutions was inv...The extraction of uranyl nitrate by novel extractants of N,N-dimethyl-N',N'-dioctylsuccinylamide(DMDOSA)and N,N-dimethyl-N',N'-didecylsuccinylamide(DMDDSA) from aqueous nitric/nitrate solutions was investigated.It was found both the concentration of HNO_3 and extractants had an effect on the U(Ⅵ) extraction distribution.The extraction mechanism was established,and stoichiometry of the main extracted species was confirmed to be UO_2(NO_3)_2·2DMDOSA and UO_2(NO_3)_2·2DMDDSA,respectively.Both of the extraction reactions are exothermic.FTIR spectral study of the U(Ⅵ) extracted species was also made.展开更多
基金funded by grants from the Special Health Research Project,the Ministry of Health of China (01002012)
文摘Background: So far, there have been no measurements confirmed useful in diagnosing acute mountain sickness(AMS). The aim of this study was to determine the role of heart rate(HR) difference(ΔHR) and oxygen saturation(Sa O2) as objective risk factors in aiding the diagnosis of AMS.Methods: A total of 1,019 participants were assigned to either the acute exposure group(AEG): from 500 m to 3,700 m by flight within 2.5 hours(n=752); or the pre-acclimatization group(PAG): ascended to 4,400 m from 3,650 m within three hours by car after adapting 33 days at 3,650m(n=267). The questionnaires or measurements of resting Sa O2 and HR were completed between 18 and 24 hours before departure and after arrival.Results: Incidence of AMS was 61.3%(461) in AEG, with 46.1%(347) mild cases and 15.2%(114) severe cases. In PAG, the incidence was 38.9%(104), with 30.7%(82) mild cases and 8.2%(22) severe cases. The AMS subjects showed a significant increase in HR and a decrease in Sa O2 levels compared with the non-AMS subjects in both groups. ΔHR and post-exposure Sa O2 were significantly correlated with the Lake Louise Score(LLS) in both groups. Stepwise logistic regression analysis revealed the ΔHR >25 and Sa O2 <88% in AEG as well as ΔHR >15 and Sa O2 <86% in PAG to be independent risk factors of AMS. Combining these two measurements could specifically indicate participants with AMS, which showed a positive predictive value of 89% and specificity of 97% in AEG as well as 85% and 98% in PAG.Conclusion:ΔHR or Sa O2, as objective measurements, correlate with AMS. Combination of these two measurements may be useful as an additional specific and objective factor to further confirm the diagnosis of AMS.
基金supported by the National Natural Science Foundation of China(Nos.21077044 and 21171069)
文摘The extraction of uranyl nitrate by novel extractants of N,N-dimethyl-N',N'-dioctylsuccinylamide(DMDOSA)and N,N-dimethyl-N',N'-didecylsuccinylamide(DMDDSA) from aqueous nitric/nitrate solutions was investigated.It was found both the concentration of HNO_3 and extractants had an effect on the U(Ⅵ) extraction distribution.The extraction mechanism was established,and stoichiometry of the main extracted species was confirmed to be UO_2(NO_3)_2·2DMDOSA and UO_2(NO_3)_2·2DMDDSA,respectively.Both of the extraction reactions are exothermic.FTIR spectral study of the U(Ⅵ) extracted species was also made.
