No description available.

No description available.

Uncontrolled oxygen is often administered to breathless patients regardless of whether hypoxaemia is present. In acute exacerbations of Chronic Obstructive Pulmonary Disease (AECOPD) this may result in carbon dioxide (CO2) retention and worsening respiratory failure in some patients. In AECOPD the main mechanism is the release of hypoxic pulmonary vasoconstriction and an increase in the physiological dead space to tidal volume ratio (VD/VT). Acute asthma and pneumonia have features in common with AECOPD, namely significant ventilation – perfusion mismatch; and there is the potential for CO2 retention to occur if uncontrolled high concentration oxygen is given. There have been no randomised controlled trials of oxygen therapy in pneumonia and only one in asthma. The potential mechanisms of any change in arterial CO2 that may occur with oxygen therapy in respiratory disorders other than COPD remain uncertain. This thesis presents work from three clinical studies. In two randomised controlled trials, high concentration oxygen was compared to titrated oxygen therapy in patients with either acute severe asthma and suspected community acquired pneumonia. Oxygen was administered for one hour in conjunction with standard medical treatment. Transcutaneous CO2 (PtCO2) was continuously monitored and the number of patients with pre-specified increases in PtCO2 were calculated. The proportion of patients with a rise in PtCO2 4 mmHg was significantly higher in the high concentration oxygen groups of both studies. In the pneumonia study 36/72 (50.0%) vs 11/75 (14.7%) met this endpoint, with a relative risk of 3.4 (95% CI 1.9 to 6.2; P <0.001), and in the asthma study 22/50 (44%) vs 10/53 (18.9%) met this endpoint, with a relative risk of 2.3 (95% CI 1.2 to 4.3; P=0.009). Similarly, a rise in PtCO2 8 mmHg was more common with high concentration oxygen. In the pneumonia study 11/72 (15.3%) vs 2/75 (2.7%) of patients met this endpoint, with a relative risk of 5.7 (95% CI 1.3 to 25.0; P=0.007), and 10/50 (20%) vs 3/53 (5.7%) of asthma patients met this endpoint, with a relative risk of 3.6 (95% CI 1.1 to 12.3; P=0.03). A third study measured the physiological response to 20 minutes of 100% oxygen in chronic severe asthma, with comparison to a group of negative controls (normal subjects) and positive controls (COPD patients). There was a significant rise in PtCO2 of similar magnitude in the asthma and COPD groups compared with the normal controls. The mechanism of the PtCO2 rise was similar in asthma and COPD, with an increase in VD/VT but no change in minute ventilation. These studies demonstrate than uncontrolled high concentration oxygen has the potential to cause CO2 retention in respiratory diseases other than COPD, and that in asthma the mechanism of hypercapnia is similar to that in AECOPD. In acute asthma and community-acquired pneumonia oxygen should be administered only to those patients with evidence of arterial hypoxaemia in a dose that relieves hypoxaemia without causing hyperoxia, thereby achieving the benefits of oxygen therapy while reducing the potential for harm.

During, the Churchill Coalition, 1940-45, there developed within tile Government a coherent thesis that the Soviet Union would follow a post-war policy of cooperation with Britain. Soviet foreign policy-makers were perceived to have till-cc options; isolation, enmity or collaboration. Three central perceptions produced tile theory that cooperation was the likely choice. The first that developed, from 1940, was the view that Soviet aims were limited, largely defensive, and not likely to impinge upon areas of vital British interest. Far from desiring to propagwie world revolLitioii, Stalin simply wanted protection, particularly against a resurgent Germany, to continue the internal development of industrialization and state socialism interrupted by the war. After Barbarossa, the immense task of Soviet reconstruction became a second factor. Even if the USSR attempted to do this without foreign help, its rulers would seek tile cheapest possible foreign policy to enable them to coriccritratc on it: collective security in cooperation with Britain and possibly the USA. Third, Stalin was now secii iis it wise, realist statesman who had become persuaded of the wisdom of a cooperation policy will, the West. Linked with these assumptions were conclusions drawn from observations of changes in the USSR in the war, especially the revivill of nationalism, and from observation of the sensitivity of Soviet leaders. Debate on these percept ions and tile policy that should follow chiefly took place within the 1,0 departments, between thern and their ambassadors in Moscow and other places, with the military, and intermittently in Cabinet. Ilowevcr, while a policy combining "firmness" and "frankness" was preferred by most, considerations of Soviet sensitivity meant it wits never I'Llily implemented. Thus in February 1945, there was a rough consensus that [lie Soviets would try cooperation, but there was uncertainty as to the optimum British policy to maximise the chances of securing it.

No description available.

No description available.

No description available.

This study investigates the efficiency of a calcia stabilised zirconia (CaSZ) solid electrolyte as an oxygen ion conductor. The study also examines the behaviour of the oxygen species conducted by the solid electrolyte compared to species provided in the gas phase for partial oxidation of hydrocarbons. In this work, an electrochemical cell of the form Air, AgHCaSZ//Ag, Carrier gas was used to investigate the electrochemical efficiency and stability of the solid electrolyte CaSZ conducting of oxygen ions under atmospheric pressure conditions at 500 degrees C by applying a range of electrical potentials from I to 16 volts across the electrochemical cell. Due to the applied potential oxygen anions are transferred across the solid electrolyte from the cathode side of the cell to the anode side. It was found that the employed electrolyte is approximately a 100% purely ionic conductor of oxygen ions in the range of electrical voltage applied from I to 10 volts. Above that range the cell started to degrade and loose its ionic efficiency. It was possible to generate gas mixtures containing trace quantities of oxygen. The viscosity of these gas mixtures as a function of oxygen concentration was determined using an established flow perturbation technique (Flux Response Technology). Partial oxidation of propene was used to investigate the difference between the oxygen species produced electrochemically via electrical potential application across the electrochemical cell Air, AgHCaSZ//Ag, Propene, Ar and oxygen provided in the gaseous state co-fed with propene over silver electrode under atmospheric pressure and 450 degrees C and 500 degrees C. It was found that the method of electrochemical provision of oxygen caused the silver catalyst to be more selective to 1,5-hexadeine, whereas the gaseous oxygen provision produced acrolein as the major product. Carbon dioxide formation was not affected by the method of oxygen provision. The Ag electrode was compared to an Au-rich Ag alloy electrode for propene partial oxidation using electrochemical provision. It was found that 1,5-hexadiene was the major product over both electrodes, but the Au-rich alloy was more selective for acrolein than the Ag electrode. This might be due to the gold serving as a separator between Ag particles which hinder the back-spill over of oxygen and allow desorption of molecular oxygen in the gas phase, which then re-adsorb molecularly on silver sites producing acrolein. The effect of the sequence of the method of oxygen provision on the partial oxidation of propene was tested using the electrochemical cell Y-BiMoHAg//CaSZ//Ag at 450 degrees C and atmospheric pressure. A sharp decrease in acrolein selectivity was found when oxygen was provided in the gas phase after treatment with electrochemical oxygen, while no significant effect was noticed when the electrochemical oxygen was used after treatment with gaseous oxygen. This large decrease in acrolein selectivity might be attributed to the severe reduction of the catalyst, which is probably caused by high electrical potential application. A temperature increase from 450 to 500 degrees C seemed to suppress the formation of acrolein for both methods of oxygen provision and enhance the 1,5-hexadiene formation.

No description available.

Typescript (photocopy) / xiv, 296 leaves, [3] leaves of plates : ill. ; 30 cm. / Title page, contents and abstract only. The complete thesis in print form is available from the University Library. / Thesis (Ph.D.)--University of Adelaide, Dept. of Physics, 1980