Current Care Guidelines for Cardiopulmonary Resuscitation : Implementation, skills and attitudes

Background: The national resuscitation guidelines were published in Finland in 2002 and are based on international guidelines published in 2000. The main goal of the national guidelines, available on the Internet free of charge, is early defibrillation by nurses in an institutional setting. Aim: To study possible changes in cardiopulmonary resuscitation (CPR) practices, especially concerning early defibrillation, nurses and students attitudes of guideline implementation and nurses and students ability to implement the guideline recommendations in clinical practices after publication of the Current Care (CC) guidelines for CPR 2002. Material and methods: CPR practices in Finnish health centres; especially concerning rapid defibrillation programmes, as well as the implementation of CC guidelines for CPR was studied in a mail survey to chief physicians of every health centre in Finland (Study I). The CPR skills using an automated external defibrillator (AED) were compared in a study including Objective stuctured clinical examination (OSCE) of resuscitation skills of nurses and nursing students in Finnish and Swedish hospital and institution (Studies II, III). Attitudes towards CPR-D and CPR guidelines among medical and nursing students and secondary hospital nurses were studied in surveys (Studies IV, V). The nurses receiving different CPR training were compared in a randomized trial including OSCE of CPR skills of nurses in Finnish Hospital (Study VI). Results: Two years after the publication, 40.7% of Finnish health centres used national resuscitation guidelines. The proportion of health centres having at least one AED (66%) and principle of nurse-performed defibrillation without the presence of a physician (42%) had increased. The CPR-D training was estimated to be insufficient regarding basic life support and advanced life support in the majority of health centres (Study I). CPR-D skills of nurses and nursing students in two specific Swedish and Finnish hospitals and institutions (Study II and III) were generally inadequate. The nurses performed better than the students and the Swedish nurses surpassed the Finnish ones. Geriatric nurses receiving traditional CPR-D training performed better than those receiving an Internet-based course but both groups failed to defibrillate within 60 s. Thus, the performance was not satisfactory even two weeks after traditional training (Study VI). Unlike the medical students, the nursing students did not feel competent to perform procedures recommended in the cardiopulmonary resuscitation guidelines including the defibrillation. However, the majority of nursing students felt confident about their ability to perform basic life support. The perceived ability to defibrillate correlated significantly with a positive attitude towards nurse-performed defibrillation and negatively with fear of damaging the patient s heart by defibrillation (Study IV). After the educational intervention, the nurses found their level of CPR-D capability more sufficient than before and felt more confident about their ability to perform defibrillation themselves. A negative attitude toward defibrillation correlated with perceived negative organisational attitudes toward cardiopulmonary resuscitation guidelines. After CPR-D education in the hospital, the majority (64%) of nurses hesitated to perform defibrillation because of anxiety and 27 % hesitated because of fear of injuring the patient. Also a negative personal attitude towards guidelines increased markedly after education (Study V). Conclusions: Although a significant change had occurred in resuscitation practices in primary health care after publication of national cardiopulmonary resuscitation guidelines the participants CPR-D skills were not adequate according to the CPR guidelines. The current way of teaching is unlikely to result in participants being able to perform adequate and rapid CPR-D. More information and more frequent training are needed to diminish anxiety concerning defibrillation. Negative beliefs and attitudes toward defibrillation affect the nursing students and nurses attitudes toward cardiopulmonary resuscitation guidelines. CPR-D education increased the participants self-confidence concerning CPR-D skills but it did not reduce their anxiety. AEDs have replaced the manual defibrillators in most institutions, but in spite of the modern devices the anxiety still exists. Basic education does not provide nursing students with adequate CPR-D skills. Thus, frequent training in the workplace has vital importance. This multi-professional program supported by the administration might provide better CPR-D skills. Distance learning alone cannot substitute for traditional small-group learning, tutored hands-on training is needed to learn practical CPR-D skills. Standardized testing would probably help controlling the quality of learning. Training of group-working skills might improve CPR performance.

A New Pathway for the Degradation of a Sesquiterpene Alcohol, Nerolidol by Alcaligenes eutrophus

An oxidative pathway hitherto unknown for tile degradation of a sesquiterpene alcohol, nerolidol (I) by Alcaligenes eutrophus is presented. Fermentation of nerolidol (I) by this organism in a mineral salts medium resulted in the formation of geranylacetone (II) and an optically active alcohol (S)-(+)-geranylacetol (III), as major metabolites. Nerolidol (I) induced cells readily transformed 1,2-epoxynerolidol (IV) and 1,2-dihydroxynerolidol (V) into geranylacetone (II). These cells also exhibited their ability to carry out stereospecific reduction of II into (S)-(+)-geranylacetol (III). Oxygen uptake studies clearly indicated that nerolidol induced cells oxidized compounds II, III, IV, V and ethyleneglycol. Based on these observations a new oxidative pathway for the degradation of I is suggested which envisages the epoxidation of the terminal double bond, opening of the epoxide and cleavage between C-2 and C-3 in a manner similar to the periodate oxidation of diol.

Synthesis of Novel Oxide Pyrochlores, A2BB?O7 (A = La, Nd; BB? = Pb, Sn, Bi), by Alkali Melt Route

Oxide pyrochlores of the formula A2BB? O7 (A = La, Nd; BB? = Pb, Sn, Bi) have been synthesized by a low-temperature ambient-pressure route employing KOH melts. All the compositions, including La2Bi2O7 and its strontium-substituted derivatives, La2-xSrxBi2O7-?, are deeply colored insulators, confirming that a metallic ground state is not achieved for Pb(IV) and Bi(IV/V) oxides with the pyrochlore structure.

Liquid-Liquid Interphase (Biphasic) as the Reaction Medium in the Assembly of a Hierarchy of Structures of 4,4 `-Azodibenzoic Acid with Zinc and Cadmium

The compounds Zn(C12H8N2)](2)C12N2H8(COO)(2)](2)center dot(C6H12O)center dot(H2O), I, Zn(C12H8N2)]C12N2H8(COO)(2)], II, Cd(C12H8N2)(H2O)]C12N2H8(COO)(2)]center dot(H2O), III, Zn(C10N2H8)]C12N2H8(COO)(2)]center dot 0.5(C10N2H8), IV, Cd(C12N2H8(COO)(2)center dot H2O], V, and Zn-3(mu(2)-O)(mu(3)-O)(3)]C12N2H8(COO)(2)], VI, have been synthesized by using a biphasic approach (I, III, V, VI) or regular hydrothermal method (II, IV). The compounds exhibit one (I and II), two (In), and three dimensionally (IV, V, VI) extended structures. The flexible azodibenzoate ligand gives rise to a 3-fold interpenetration (IV) when the synthesis was carried out using normal hydrothermal methods. The biphasic approach forms structures without any interpenetrations, especially in the three-dimensional structures of V and VI. Formation of Cd2O2 dimers in V and extended M-O(H)-M two-dimensional layers in VI suggests the subtle structural control achieved by the biphasic method. Transformation studies indicate that it is possible to transform I to II. Lewis acid catalytic studies have been performed to evaluate the role of the coordination environment in such reactions. All the compounds have been characterized by a variety of techniques that includes powder X-ray diffraction, infrared, thermogravitric analysis, UV-vis, photoluminescence studies.

Fundamentos de economía agraria

Este texto representa un esfuerzo por tratar de simplificar la asignatura de economía agraria. Desde luego que este material representa un primer nivel para estudiantes de la carrera de Economía Agraria y carreras afines. Para las carreras técnicas relacionadas con el sector agropecuario como Ingeniería Agrónoma, Forestal y otras, este material se considera suficiente. La lógica del material es ubicar al proceso productivo con sus principales factores, analizando la fase del proceso productivo propiamente dicho y la fase post-productiva. En la fase productiva se analizan los factores productivos: tierra, capital, ecursos laborales e intensificación de la producción como un proceso complejo y multifactorial. La fase post-productiva es una introducción al análisis de factores más complejos, como la administración de la oferta-demanda y la planificación como un proceso clave para el desarrollo de las unidades productivas y por ende del sector agropecuario. Siguiendo la secuencia anterior, el texto se ha divido en once capítulos: El Capítulo I "Evolución de pensamiento económico", pretende ubicar al lector en una dimensión de que los fenómenos económicos y sus particularidades han venido evolucionando en el tiempo, pero en los países pobres y subdesarrollados implementamos y adoptamos concepciones obsoletas y equivocadas. El Capítulo II "La economia agraria como ciencia", explica diferentes conceptos, objeto y métodos de la economía agrícola como ciencia y algunas particularidades de la economía agropecuaria como sector. El Capítulo III "Desarrollo económico-social y Sistema de la agricultura nicaragüense", brinda un panorama general del sector agrope- cuario del país. Los capítulos IV, V, VI,Vll Y VIII analizan las condiciones naturales (localización) tierra, capital recursos laborales e intensificación de la producción como factores de producción y sus respectivos indicadores que caracterizan el nivel de uso y racionalidad de los mismos. Los capítulos IX. X y XI analizan factores más complejos, como costo, comercialización y planificación, los cuales requieren de un alto nivel de conocimiento de los productores y especialistas para darle un manejo racional. En conclusión este texto pretende inducir al lector a que la esencia del concepto ECONOMLA. es la permanente búsqueda de reservas productivas. Si los productores y especialistas agropecuarios hiciéramos el análisis de la estructura de los recursos productivos, lo cuales un análisis elemental, nos brindaría importante información para buscar alternativas de racionalidad sin necesidad de recurrir a análisis más complejos, lo cual sería una segunda parte de este trabajo. Consideramos que este texto será una importante herramienta no sólo para los estudiantes de Ingeniería y Economía agrarias, sino también para todos aquellos profesionales que se encuentran vinvulados de una forma u otra con las actividades agrosocio-económicas en nuestro país.

胜利油区化学驱油技术面临的矛盾及对策

在化学驱技术水平现状分析、化学驱资源评价和实施效果跟踪的基础上,深入分析了制约胜利油区化学驱发展的主要矛盾。在长期室内试验研究和矿场实践中总结出“P+N”聚合物驱加合增效理论,针对制约化学驱发展的主要矛盾,开展了耐温抗盐聚合物、有机复合交联体系、强化泡沫驱、二元驱等研究工作,为胜利油区化学驱油技术的发展提供了有力的技术支撑,拓宽了化学驱油技术的应用领域。

Decadas da Asia, que tratam dos mares, que descobriram, armadas, que desbaratarão, exercitos, que vencerão, e das acçoens heroicas, e façanhas bellicas, que obrarão os portuguezes nas conquistas do oriente : escritas por Diogo do Couto, cronista e guarda mor da Torre do Tombo do Estado da India

Diogo do Couto nasceu em Lisboa em 1542 e morreu em Goa em 1616. Historiador e guarda-mor do Tombo de Goa. Continuou por ordem de Filipe II as Décadas de João de Barros, escrevendo da quarta à décima segunda. Segundo Inocêncio, as ‘Décadas’ IV, V, Vl, VII e VIII foram todas reimpressas, saindo juntamente com a IX, ou o seu epilogo, que, pela primeira vez então se estampou com o titulo ‘Decadas da Asia, que tratam dos mares’. A edição de 1736 não contém os cinco livros da ‘Década XII’, apesar de já terem sido publicados naquela época

Catches of Humpback Whales, Megaptera novaeangliae, by the Soviet Union and Other Nations in the Southern Ocean, 1947–1973

From 1947 to 1973, the U.S.S.R. conducted a huge campaign of illegal whaling worldwide. We review Soviet catches of humpback whales, Megaptera novaeangliae, in the Southern Ocean during this period, with an emphasis on the International Whaling Commission’s Antarctic Management Areas IV, V, and VI (the principal regions of illegal Soviet whaling on this species, south of Australia and western Oceania). Where possible, we summarize legal and illegal Soviet catches by year, Management Area, and factory fleet, and also include information on takes by other nations. Soviet humpback catches between 1947 and 1973 totaled 48,702 and break down as follows: 649 (Area I), 1,412 (Area II), 921 (Area III), 8,779 (Area IV), 22,569 (Area V), and 7,195 (Area VI), with 7,177 catches not currently assignable to area. In all, at least 72,542 humpback whales were killed by all operations (Soviet plus other nations) after World War II in Areas IV (27,201), V (38,146), and VI (7,195). More than one-third of these (25,474 whales, of which 25,192 came from Areas V and VI) were taken in just two seasons, 1959–60 and 1960–61. The impact of these takes, and of those from Area IV in the late 1950’s, is evident in the sometimes dramatic declines in catches at shore stations in Australia, New Zealand, and at Norfolk Island. When compared to recent estimates of abundance and initial population size, the large removals from Areas IV and V indicate that the populations in these regions remain well below pre-exploitation levels despite reported strong growth rates off eastern and western Australia. Populations in many areas of Oceania continue to be small, indicating that the catches from Area VI and eastern Area V had long-term impacts on recovery.

狗脊(Woodwardia japonica(L. f.)Sm)化学成分研究

从狗脊(Woodwardia japonica (L. f.) Sm.)中分离得到六个化合物，经解析，分别鉴定为：山柰素-3-O-α-L-(4-O-乙酰基)鼠李糖基-7-O-α-L-鼠李糖甙(I)、山柰素-3-O-α-L-鼠李糖基-7-O-α-L-鼠李糖甙(II)、狗脊蕨酸 (III)、β-谷甾醇 (IV)、胡萝卜甙 (V)，β-谷甾醇-3-O-α-L-(6-O-正十六酰基)葡萄糖甙(VI)。MS-MS检测并鉴定化合物一个：β-谷甾醇-3-O-α-L-(6-O-正十五酰基)葡萄糖甙(VII)。以上化合物均系首次从该植物中获得，化合物VI、VII为新化合物。另有六个化合物，未能分离得到化合物单体，经解析，可以确定其中五个化合物的结构物，分别为：山柰素-7-O-α-L-鼠李糖甙(VIII-I)、山柰素-3-O-α-L-(3,4-O-2乙酰基)鼠李糖甙(VIII-II)、山柰素-3-O-α-L-鼠李糖甙(VIII-IV)、山柰素-3-O-α-L-(3-O-乙酰基)鼠李糖甙(VIII-V)、山柰素-3-O-α-L-(4-O-乙酰基)鼠李糖甙(VIII-VI)。

LLDPE接枝新型表面活性剂共聚物的制备及其结构、性能与应用的基础研究

合成三个系列的新型表面活性剂，制备了三个系列的聚乙烯接枝共聚物。第一系列的表面活性剂是将Tween8O、span80，聚氧乙烯肉桂醇醚，PEO（400），PEO（1000），PEO（2000）OCOC1’7H35和PEO（6000）-OCOC17H35引入双键而使其功能化，然后接枝到聚乙烯分子链上，表面活性剂的引入改变了聚乙烯的表面性能，使其亲水性增加。前三者为商品防雾滴剂，实验发现防雾滴剂的聚乙烯接枝共聚物膜的防雾滴性不如物理共混法制备的聚乙烯防雾滴膜的效果好。接枝聚乙烯共聚物LLDPE-g-PEO和LLDPE-g-PEO-sterate，由于结构差别，共聚物表面组成不同。前者随着支链长度的增加，支链柔性降低，共聚物表面氧的富集量趋于减少；而后者由于疏水基硬脂酸中碳链的存在，随着支链的增加，共聚物表面氧的富集量增加。LLDPE-g-PEO（400）和LLDPE-g-PEO（1000）的等温结晶速率都比空白聚乙烯的快。由于PEO与聚乙烯不相容，支链PEo在接枝共聚物中起异相成核剂的作用，使结晶速率加快。LLDPE-g-PEO（2000）-stearate的等温结晶速率与聚乙烯的接近，但比空白聚乙烯的略慢。这是由于支链末端硬脂酸碳链是柔性的疏水链，且与聚乙烯有较好的相容性，在本体聚乙烯非晶区中活动性较强，带动聚氧乙烯支链向相同的方向运动，使支链在聚乙烯中分散且伸展，对聚乙烯分子起惰性稀释剂的作用而导致结晶速率降低；但聚氧乙烯（2000）又具有结晶性，在本体聚乙烯中起异相成核剂的作用，使聚乙烯结晶速率加快，这两种作用消长的结果，使LLDPE-g-PEO（2000）-stearte接枝共聚物的结晶速率接近聚乙烯，但比聚乙烯的结晶速率略慢。LLDPE-g-PEO（6000）-stearate接枝共聚物的结晶速率比聚乙烯的快，这是由于聚氧乙烯（6000）的结晶性较强，活动性较强的硬脂酸基团很难使其伸展，其晶粒在本体聚乙烯中主要起异相成核剂的作用，导致其结晶速率比聚乙烯的快。为了弄清表面活性剂接枝到大分子链上的作用机理，特设计第二、第三系列的表面活性剂。第二系列的新型表面活性剂是I、II、III、IV和V，以及含有不饱和键的表面活性剂A-I、A-II和A-III。这些表面活性剂是以聚乙二醇、乙二醇、1，6-己二醇和1，10-癸二醇为主要的起始原料制得的。实验结果发现这些表面活性剂的表面张力随着疏水链长度的增加而增加。以A-I、A-II和A-II作为接枝单体，将其成功接枝到聚乙烯分子链上，从而改善了聚乙烯的表面性能。 由FTIR确定了其接枝率。由DSc对其等温结晶行为的研究发现：接枝链在本体聚合物中起异相成核剂的作用，加速了结晶过程，但没有改变聚乙烯晶格结构（WXA）。随着接枝链中的疏水链长度的增加，等温结晶速率加快。在低剪切速率时，空白聚乙烯具有牛顿流体的特性，而接枝聚乙烯表现出非牛顿流体行为。接枝聚合物在低剪切速率具有剪切变稠、高剪切速率时剪切变稀的现象。第三系列的新型表面活性剂是含氟和聚氧乙烯的特种表面活性剂：productIII（600-4600）。以FTIR和1HNMR表征其结构。以productIII（600-4600）为接枝单体，成功制得含氟接枝聚乙烯共聚物，亲水性表面活性剂的引入，同样改变了聚乙烯的表面性能。当PEO分子量较低时，含氟接枝聚乙烯共聚物的表面极性随着接枝链的分子量增加，极性增加，在ProductIII（1500）时，达到最大值，分子量继续增加，极性反而降低。这是由于支链结晶增加而影响分子链的迁移。含氟接枝聚乙烯共聚物的等温结晶速率比空白LLDPE的高，而且接枝共聚物的结晶速率随着支链分子量的增加而加快。这是由于含氟聚氧乙烯的接枝链在结晶体系中起成核剂的作用，使结晶过程加速。由于接枝率低，接枝链在接枝共聚物起异相成核剂的作用，虽然加速了结晶速率，但没有破坏聚乙烯晶格。

分光光度法测定钛和钒的价态

本论文“分光光度法则测定钛和钒的价态”包括互相独立的两部分工作：一、关于钛，经比较选用2－噻吩甲酰三氟丙酮作为Ti(III)的显色剂。在含二氯化锡的盐酸介质中，形成具有M:R = 1:3的稳定络合物，在685和485nm处有两个吸收峰，摩尔吸光系数分别为1.10 * 10~3和1.79 * 10~3。在685nm处测定Ti(III)有很高的选择性，百倍量的Ti(IV)和除氧化剂外的毫克量的多数常见离子无影响。0－300微克Ti(III)/10毫升范围内遵守比尔定律。应用本法测定了三氯化钛氧化剂和异丙橡胶中的Ti(III)和Ti(IV)。另外建立了新的配制和保存Ti(III)标准溶液的方法。二、关于钒、用磷钼杂多酸－罗丹明B作试剂，在存在聚乙烯醇的情况下，水相分光光度测定了三、四、五价钒。V（▽）与试剂形成四元络合物R_4[Mo_(11)V(▽)PO_(40)], V(IV)无显色反应，V(III)还原磷钼杂多酸成磷钼等，再与罗凡明B形成三元络合物R_5[Mo_(10)(VI)Mo_2(▽)PO_(40)]，过剩磷钼杂多酸由加入柠檬酸掩蔽。当V(IV)与V(▽)共存时，将其氧化成V(▽)，测合量后减去V(▽)而得V(IV)含量；当V(IV)与V(III)共存时，将其还原成V(III)，测合量后减去V(III)而得V(IV)含量。试剂最大吸收峰在555nm，两种络合物最大吸收峰都在586nm处，络合物的摩尔吸光系数分别为2.80 * 10~5和2.16 * 10~5。0-3.0微克V(▽)和0-4.0微克V(III)/25毫升遵守比尔定律。仅钛、锆、铌和钽及氧化、还原剂有影响。一个体系能高灵敏的测定三、四、五价钒，本工作还是首次。

Modified polyoxometalates: Hydrothermal syntheses and crystal structures of three novel reduced and capped Keggin derivatives decorated by transition metal complexes

Three novel polyoxometalate derivatives decorated by transition metal complexes have been hydrothermally synthesized. Compound 1 consists of [(PMo6Mo2V8O44)-Mo-VI-V-V-O-IV{CO (2,2'-bipy)(2)(H2O)}(4)](3+) polyoxocations and [(PMo4Mo4V8O44)-Mo-IV-V-V-O-IV{Co(2,2'-bipy)(2)(H2O)}(2)](3-) polyoxoanions, which are both built on mixed-metal tetracapped [PMo8V8O44] subunits covalently bonded to four or two {Co(2,2'-bpy)(2)(H2O)}(2+), clusters via terminal oxo groups of the capping V atoms. Compound 2 is built on [(PMo8V6O42)-V-VI-O-IV{Cu-I(phen)}(2)](5-) clusters constructed from mixed-metal bicapped [(PMo8V6O42)-V-VI-O-IV](7-) subunits covalently bonded to two {Cu(phen)}(+) fragments in the similar way to 1. The structure of 3 is composed of [(PMo9Mo3O40)-Mo-VI-O-V](6-) units capped by two divalent Ni atoms via four bridging oxo groups.