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Luigi M Castello Sophie Negro Francesca Santi Isabella Zanotti Matteo Vidali Marco Bagnati Giorgio Bellomo Gian Carlo Avanzi 《Biochemia medica : ?asopis Hrvatskoga dru?tva medicinskih biokemi?ara / HDMB》2012,22(3):380-384
Introduction:
Two Italian adults arrived at the Emergency Department referring diarrhea, nausea and vomiting for 4 days; weakness, fatigue and visual hallucinations were also complained of. Patients reported the ingestion of some leaves of a plant, which they supposed to be “donkey ears”, a week before. Physical examination showed hypotension and bradycardia and ECG examination disclosed sinus rhythm and repolarization abnormalities (scooping of the ST-T complex) in both patients and a 2:1 AV block in the man.Materials and methods:
Digoxin concentration was evaluated twice for each patient (at the admission and after 4 hours) by the automated immunoassay system ADVIA Centaur®. Digitoxin concentration was evaluated by liquid chromatography-mass spectrometry (LC-MS/MS).Results:
Despite clinical picture was suggestive of digitalis intoxication, digoxin levels were undetectable. Due to the more severe clinical picture, the male patient was treated with anti-digoxin antibodies (Digifab®) achieving a good clinical improvement and remission of the AV block within two hours. Initial diagnosis was confirmed by LC-MS/MS showing high digitoxin concentrations, but digoxin was undetectable. Patients remained stable and 48 hours later were discharged from the hospital.Conclusion:
Whereas digoxin determination frequently relies on monoclonal antibodies which do not cross-react to digitoxin, polyclonal antibodies constituting Digifab® recognize a large spectrum of cardiac glycosides, including digitoxin. This report emphasizes the primary role of the clinical approach to patients in the emergency setting and how an active communication and a continuous sharing of professional experiences between Laboratory and Clinicians ensure an early and correct diagnosis. 相似文献2.
根据我院多个专业对遥测遥控原理／技术课程的教学需要,以典型的PCM／FM遥测系统为背景,在LabWindows／CVI平台上开发了具有虚拟仪器特点的模拟训练软件,重点介绍系统的功能、结构和实现方法。 相似文献
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DIS实验系统在教学中能够形象展示物理量的变化过程,利于理解物理概念、分析物理过程,能够节省更多的时间让学生用于质疑和自主研究,同时也激发学生产生新的发明创造的灵感。 相似文献
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周玲玲 《湖南科技学院学报》2008,29(4):99-100
语音室是外语教学的基础设施,是学生学习语言的理想环境.豪也 F-15A 型语言学习系统是基于以太网扩充技术开发,为专业听、说、读、写开发的新型语言学习系统.如何对其进行科学的管理与维护,使其充分发挥其功效是实验管理的重要环节.本文将从管理与维护中出现的问题进行探讨,并提出有效的解决对策. 相似文献
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高校实验室档案规范化管理探讨 总被引：1，自引：0，他引：1
高校实验室档案管理是实验管理中不可缺少的一部分,直接反映高校的教学质量、科研及管理水平。建立和完善高校实验室档案,将其纳入高校管理的基础性、日常性工作,进行科学化、规范化管理,是提升高等学校办学水平和质量的必要前提。本文就高校实验室档案管理的范畴、高校实验室档案规范化管理的重要性及具体措施进行了探讨。 相似文献
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计算机公用机房负荷大、使用时间长、安装软件多,维护工作量大。主要从计算机机房维护管理工作来谈怎样做好实验室的维护,希望能对从事同样工作的人有所帮助。 相似文献
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Improving K-12 pedagogy via a Cloud designed for education 总被引：1，自引：0，他引：1
Sarah Stein Jennifer Ware Johanne Laboy Henry E. Schaffer 《International Journal of Information Management》2013
Cloud computing offers an opportunity to improve K-12 pedagogy with services tailored to teachers’ needs in individual classrooms. The Cloud can deliver services such as remote access to learning tools in a cost effective manner to school systems struggling with reductions in local and state funding. This article explores the distinct ways that a Cloud designed specifically for education can be applied to K-12 education's academic mission. It uses observations from a case study in North Carolina rural high schools using an educational Cloud called the Virtual Computing Lab to access dynamic geometry and algebra software. 相似文献
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长期以来．实践教学的重要地位没有得到真正体现。实践带教学，技能带教学，才能突出高职教育的特色。 相似文献
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通过虚拟温度补偿仪的实现,阐述了运用常用的BP神经网络技术与虚拟仪器技术相结合创建虚拟压力传感器温度补偿仪的设计原理与方法．在实验室采用信号发生器模拟外部现场信号对所设计的测试系统进行测试,证明该系统能够得到预期的效果,人机界面友好． 相似文献