The girder end restraint devices such as bearings and dampers on long span suspension bridge will deteriorate over time.However,it is difficult to achieve the quantitative assessment of the performance of the restrain...The girder end restraint devices such as bearings and dampers on long span suspension bridge will deteriorate over time.However,it is difficult to achieve the quantitative assessment of the performance of the restraint device through existing detection methods in actual inspections,making it difficult to obtain the impact of changes in the performance of the restraint device on the bridge structure.In this paper,a random vehicle load model is firstly established based on the WIM data of Jiangyin Bridge,and the displacement of girder end under the actual traffic flow is simulated by using finite element dynamic time history analysis.On this basis,according to the performance test data of the bearings and dampers,the performance degradation laws of the above two restraint devices are summarized,and the performance degradation process of the two restraint devices and the effects of different restraint parameters on the bridge structure are simulated.The results show that the performance degradation of the damper will significantly reduce the damping force at low speed,resulting in a significant increase in the cumulative displacement of the girder end;in the presence of longitudinal dampers,the increase in the friction coefficient caused by the deterioration of the bearing sliding plate has little effect on the cumulative displacement,but excessive wear of the bearing sliding plate adversely affects the structural dynamic performance.展开更多
Physical restraint is one of the most controversial methods in managing aggressive behaviors and maintaining patients' safety. This manuscript purposed to convince stockholders and policymakers of the negative imp...Physical restraint is one of the most controversial methods in managing aggressive behaviors and maintaining patients' safety. This manuscript purposed to convince stockholders and policymakers of the negative impact of physical restraint on patients' psychological and physical health. The current authors review the ethical and legal underpinnings of the opponents' and proponents' views. On one hand, there is a clear violation of the main principles of the code of ethics. Autonomy and justice;as the patients are tied against their will and without obtaining their consent, non-maleficent;as physical restraints are reported in many cases of physical and psychological traumas, thus many agencies prohibited the use of physical restraints as a safety method to be replaced with other deescalating techniques. On the other hand, physical restraints are a precious method in controlling aggressive behaviors and maintaining patients' safety, which is the selective beneficence in providing patient care. Also, most of the same agencies who prohibited the use of restraints, agreed the use of physical restraint as the last resor t.Summary statement What is already known about this topic?· Currently, physical restraint is used as the first accessible method to manage patients' behaviors, without considering the negative aura that surrounds the way of treatment. The usage of physical restraint has gone beyond the purpose of maintaining patient safety and managing aggressive behaviors to be a punishment method.· The Ethical and Legal context of using physical restraints is still vague and needs more clarification.What does this paper add?· This manuscript illustrates the Ethical and Legal points of view of the opponents and proponents of using physical restraints.· The current manuscript clearly justifies the authors' point of view to oppose physical restraints usage and how physical restraints violate the core principles of the code of ethics. In addition, it illustrates the legal agencies that suppor t/oppose the usage of physical restraint and the rationale beyond that position.· This manuscript provides alternatives to manage patients' aggressive behaviors and other ways to protect patients' safety as well as patient's dignity and code of ethics.The implications of this paper This argumentative essay provides an accessible, relevant exploration of public health policy, and its impact on nursing practice, mental health services, and patient health. Moreover, it provides a forum for mental health services to evaluate the current implications of physical restraints. The manuscript creates a paradigm for future studies and projects on physical restraints usage.展开更多
Objective:To analyze the clinical application and effects of the body restraint reduction program for severe neurological patients.Methods:A total of 206 patients admitted to the neurology department of the hospital f...Objective:To analyze the clinical application and effects of the body restraint reduction program for severe neurological patients.Methods:A total of 206 patients admitted to the neurology department of the hospital from January 2022 to May 2025 were selected as the research subjects.Among them,102 patients from January 2022 to May 2025 were assigned to the observation group,and 104 patients during the same period served as the control group.In practice,the control group received conventional body restraint,while the observation group adopted the reduction program.The incidence of unplanned extubation and restraint-related complications were compared between the two groups.Results:The body restraint rate and complication rate in the observation group were significantly lower(P<0.05).After nurse training,their knowledge mastery and operational ability were significantly higher than before training(P<0.01).Conclusion:The body restraint reduction program for severe neurological patients can effectively reduce the restraint rate and complication incidence,while helping improve nurses’restraint management capabilities,serving as an effective means to enhance overall nursing quality.展开更多
This study aimed to evaluate the antidepressant effects of the combined administration of total saikosaponins(SSA)and volatile oil of Cyperi Rhizoma(VO)using a mouse depression model induced by chronic restraint plus ...This study aimed to evaluate the antidepressant effects of the combined administration of total saikosaponins(SSA)and volatile oil of Cyperi Rhizoma(VO)using a mouse depression model induced by chronic restraint plus mild stress(CRMS),and to compare the effects with the traditional antidepressant fluoxetine.Male Kunming mice were subjected to 14-day CRMS modeling and then randomly divided into four groups:the combined treatment group(intraperitoneal injection of SSA 3.5 mg·kg^(-1)+VO 35 mg·kg^(-1)),the fluoxetine treatment group(20 mg·kg^(-1)),the normal saline treatment group,and the non-model group.Drugs were administered continuously for 14 days.Depressive-like behaviors were assessed using the Forced Swimming Test(FST),Tail Suspension Test(TST),and Open-Field Test(OFT).The results showed that the absolute immobility time of mice in the CRMS model group was significantly prolonged in FST and TST.Combined administration of SSA and VO significantly improved depressive-like behaviors,restoring the absolute immobility time in FST and TST to levels close to the control group,with efficacy comparable to fluoxetine.This study confirms that the combination of SSA and VO exhibits antidepressant effects equivalent to fluoxetine in the CRMS model,providing experimental evidence for the further clinical development of this traditional Chinese medicine(TCM)compatibility.展开更多
新型电力系统下,大量新能源电源及电力电子设备接入交流电网。发生母线区内故障时,受控制策略影响,故障电流幅值受控,角度受控,谐波含量高,母线比率差动保护的动作性能下降,因此文中提出一种适用于新型电力系统的母线比率差动保护改进...新型电力系统下,大量新能源电源及电力电子设备接入交流电网。发生母线区内故障时,受控制策略影响,故障电流幅值受控,角度受控,谐波含量高,母线比率差动保护的动作性能下降,因此文中提出一种适用于新型电力系统的母线比率差动保护改进算法。首先,介绍传统比率差动算法的基本原理,并分析新型电力系统下该算法存在的问题;然后,提出不受故障电流角差及谐波影响的母线比率差动保护改进算法,将相位存在差异的各支路电流相量映射到同一坐标系下,并进行差流和制动电流计算,分析母线比率差动保护改进算法在母线区内外故障及区外故障电流互感器(current transformer,CT)饱和时的动作性能,提出母线比率差动保护改进逻辑;最后,基于实时数字仿真(real time digital simulation,RTDS),对比传统比率差动保护和改进比率差动保护的动作性能,证明改进比率差动保护能够在不降低保护动作可靠性的前提下提高动作灵敏性。展开更多
Objective To search novel genes or pathways involved in the recovery process after restraint stress in rats. Methods We compared the hypothalamus transcriptional profiles of two different recovery patterns （fast reco...Objective To search novel genes or pathways involved in the recovery process after restraint stress in rats. Methods We compared the hypothalamus transcriptional profiles of two different recovery patterns （fast recovery vs slow recovery） from restraint stress in rats using oligonucleotide microarray, the recovery pattern was determined by the decrement of plasma adrenocorticotropic-hormone （ACTH） and corticosterone levels during one hour recovery period after stress. A real-time quantitative RT-PCR was applied to validate the differential expressed genes. Results Analysis of the microarray data showed that most of genes were not differentially expressed between fast recovery group and slow recovery group. Among the differentially expressed genes we found that talin, together with serine/threonine protein phosphatase PPl-beta catalytic subunit （PP-1B） and integrin α-6 precursor （VLA-6） genes, were at least 1.5 fold upregulated in the fast recovery group, while junctional adhesion molecule 1 （F11r） was 1.5 fold down-regulated in the fast recovery group. Conclusion The results implied that integrin signaling pathway may be involved in the recovery from restraint stress in rats. The present study provided a global overview of hypothalamus transcriptional profiles during the process of recovery from the restraint stress in rats. The integrin signaling pathway seems to be involved in the recovery process, which deserves further study to clarify the integrin-mediated recovery mechanism after restraint stress.展开更多
基金supported by the National Key Research and Development Program of China(No.2022YFB3706704)the Academician Special Science Research Project of CCCC(No.YSZX-03-2022-01-B).
文摘The girder end restraint devices such as bearings and dampers on long span suspension bridge will deteriorate over time.However,it is difficult to achieve the quantitative assessment of the performance of the restraint device through existing detection methods in actual inspections,making it difficult to obtain the impact of changes in the performance of the restraint device on the bridge structure.In this paper,a random vehicle load model is firstly established based on the WIM data of Jiangyin Bridge,and the displacement of girder end under the actual traffic flow is simulated by using finite element dynamic time history analysis.On this basis,according to the performance test data of the bearings and dampers,the performance degradation laws of the above two restraint devices are summarized,and the performance degradation process of the two restraint devices and the effects of different restraint parameters on the bridge structure are simulated.The results show that the performance degradation of the damper will significantly reduce the damping force at low speed,resulting in a significant increase in the cumulative displacement of the girder end;in the presence of longitudinal dampers,the increase in the friction coefficient caused by the deterioration of the bearing sliding plate has little effect on the cumulative displacement,but excessive wear of the bearing sliding plate adversely affects the structural dynamic performance.
文摘Physical restraint is one of the most controversial methods in managing aggressive behaviors and maintaining patients' safety. This manuscript purposed to convince stockholders and policymakers of the negative impact of physical restraint on patients' psychological and physical health. The current authors review the ethical and legal underpinnings of the opponents' and proponents' views. On one hand, there is a clear violation of the main principles of the code of ethics. Autonomy and justice;as the patients are tied against their will and without obtaining their consent, non-maleficent;as physical restraints are reported in many cases of physical and psychological traumas, thus many agencies prohibited the use of physical restraints as a safety method to be replaced with other deescalating techniques. On the other hand, physical restraints are a precious method in controlling aggressive behaviors and maintaining patients' safety, which is the selective beneficence in providing patient care. Also, most of the same agencies who prohibited the use of restraints, agreed the use of physical restraint as the last resor t.Summary statement What is already known about this topic?· Currently, physical restraint is used as the first accessible method to manage patients' behaviors, without considering the negative aura that surrounds the way of treatment. The usage of physical restraint has gone beyond the purpose of maintaining patient safety and managing aggressive behaviors to be a punishment method.· The Ethical and Legal context of using physical restraints is still vague and needs more clarification.What does this paper add?· This manuscript illustrates the Ethical and Legal points of view of the opponents and proponents of using physical restraints.· The current manuscript clearly justifies the authors' point of view to oppose physical restraints usage and how physical restraints violate the core principles of the code of ethics. In addition, it illustrates the legal agencies that suppor t/oppose the usage of physical restraint and the rationale beyond that position.· This manuscript provides alternatives to manage patients' aggressive behaviors and other ways to protect patients' safety as well as patient's dignity and code of ethics.The implications of this paper This argumentative essay provides an accessible, relevant exploration of public health policy, and its impact on nursing practice, mental health services, and patient health. Moreover, it provides a forum for mental health services to evaluate the current implications of physical restraints. The manuscript creates a paradigm for future studies and projects on physical restraints usage.
文摘Objective:To analyze the clinical application and effects of the body restraint reduction program for severe neurological patients.Methods:A total of 206 patients admitted to the neurology department of the hospital from January 2022 to May 2025 were selected as the research subjects.Among them,102 patients from January 2022 to May 2025 were assigned to the observation group,and 104 patients during the same period served as the control group.In practice,the control group received conventional body restraint,while the observation group adopted the reduction program.The incidence of unplanned extubation and restraint-related complications were compared between the two groups.Results:The body restraint rate and complication rate in the observation group were significantly lower(P<0.05).After nurse training,their knowledge mastery and operational ability were significantly higher than before training(P<0.01).Conclusion:The body restraint reduction program for severe neurological patients can effectively reduce the restraint rate and complication incidence,while helping improve nurses’restraint management capabilities,serving as an effective means to enhance overall nursing quality.
基金Guangdong Provincial Natural Science Foundation General Project[2214050002848]Jiaying University College Students’Innovation Projects(S202410582051,S202310582053,202310582018)。
文摘This study aimed to evaluate the antidepressant effects of the combined administration of total saikosaponins(SSA)and volatile oil of Cyperi Rhizoma(VO)using a mouse depression model induced by chronic restraint plus mild stress(CRMS),and to compare the effects with the traditional antidepressant fluoxetine.Male Kunming mice were subjected to 14-day CRMS modeling and then randomly divided into four groups:the combined treatment group(intraperitoneal injection of SSA 3.5 mg·kg^(-1)+VO 35 mg·kg^(-1)),the fluoxetine treatment group(20 mg·kg^(-1)),the normal saline treatment group,and the non-model group.Drugs were administered continuously for 14 days.Depressive-like behaviors were assessed using the Forced Swimming Test(FST),Tail Suspension Test(TST),and Open-Field Test(OFT).The results showed that the absolute immobility time of mice in the CRMS model group was significantly prolonged in FST and TST.Combined administration of SSA and VO significantly improved depressive-like behaviors,restoring the absolute immobility time in FST and TST to levels close to the control group,with efficacy comparable to fluoxetine.This study confirms that the combination of SSA and VO exhibits antidepressant effects equivalent to fluoxetine in the CRMS model,providing experimental evidence for the further clinical development of this traditional Chinese medicine(TCM)compatibility.
文摘新型电力系统下,大量新能源电源及电力电子设备接入交流电网。发生母线区内故障时,受控制策略影响,故障电流幅值受控,角度受控,谐波含量高,母线比率差动保护的动作性能下降,因此文中提出一种适用于新型电力系统的母线比率差动保护改进算法。首先,介绍传统比率差动算法的基本原理,并分析新型电力系统下该算法存在的问题;然后,提出不受故障电流角差及谐波影响的母线比率差动保护改进算法,将相位存在差异的各支路电流相量映射到同一坐标系下,并进行差流和制动电流计算,分析母线比率差动保护改进算法在母线区内外故障及区外故障电流互感器(current transformer,CT)饱和时的动作性能,提出母线比率差动保护改进逻辑;最后,基于实时数字仿真(real time digital simulation,RTDS),对比传统比率差动保护和改进比率差动保护的动作性能,证明改进比率差动保护能够在不降低保护动作可靠性的前提下提高动作灵敏性。
文摘Objective To search novel genes or pathways involved in the recovery process after restraint stress in rats. Methods We compared the hypothalamus transcriptional profiles of two different recovery patterns （fast recovery vs slow recovery） from restraint stress in rats using oligonucleotide microarray, the recovery pattern was determined by the decrement of plasma adrenocorticotropic-hormone （ACTH） and corticosterone levels during one hour recovery period after stress. A real-time quantitative RT-PCR was applied to validate the differential expressed genes. Results Analysis of the microarray data showed that most of genes were not differentially expressed between fast recovery group and slow recovery group. Among the differentially expressed genes we found that talin, together with serine/threonine protein phosphatase PPl-beta catalytic subunit （PP-1B） and integrin α-6 precursor （VLA-6） genes, were at least 1.5 fold upregulated in the fast recovery group, while junctional adhesion molecule 1 （F11r） was 1.5 fold down-regulated in the fast recovery group. Conclusion The results implied that integrin signaling pathway may be involved in the recovery from restraint stress in rats. The present study provided a global overview of hypothalamus transcriptional profiles during the process of recovery from the restraint stress in rats. The integrin signaling pathway seems to be involved in the recovery process, which deserves further study to clarify the integrin-mediated recovery mechanism after restraint stress.
