To realize the goal of harvesting energy from pavement vibration on a large scale, a new type of piezoelectric harvesting units as the energy transducer has been proposed. The piezoelectric harvesting units are paved ...To realize the goal of harvesting energy from pavement vibration on a large scale, a new type of piezoelectric harvesting units as the energy transducer has been proposed. The piezoelectric harvesting units are paved 40 mm below the asphalt, which is the same as thickness of the top layer of typical asphalt pavement in China. The spacing distance is 2200 mm, which is the same as the one between two tires of a normal vehicle. A mathematical model of the unit is deduced on Meda empirical formula and Hamilton principle and piezoelectric equations. Effects of the external vehicle load on its harvesting energy properties and pavement deformation and stress are analyzed with the finite element method. The results show that the excited voltage is linearly variation with contact pressure while the harvested electrical energy exponential varies with contact pressure. The more the contact pressure is, the larger the harvested electrical energy and the deformation and stress are. The harvested electrical energy also increases with the load frequency. At least 100 mJ of electrical energy can be collected with the proposed piezoelectric harvesting unit. It shows that the technology application of the piezoelectric harvesting energy from pavement is promising.展开更多
BACKGROUND： Acute stroke unit （stroke care unit） is developing in some domestic large-sized hospitals, but most stroke patients need stroke rehabilitation unit therapy, so setting stroke rehabilitation unit in medi...BACKGROUND： Acute stroke unit （stroke care unit） is developing in some domestic large-sized hospitals, but most stroke patients need stroke rehabilitation unit therapy, so setting stroke rehabilitation unit in medium-sized comprehensive community hospital （secondary hospital）, where medical facility is relatively insufficient, is a new pathway to satisfy stroke patients. OBJECTIVE： To observe the comprehensive effect of developing stroke rehabilitation unit based on the facility of secondary hospital and its feasibility. DESIGN： Non-randomized concurrent controlled observation SETTING： Department of Neurology, Beijing Longfu Hospital PARTICIPANTS： Totally 264 stroke reconvalescents who suffered stroke for 7 days and received treatment in the Department of Neurology, Beijing Longfu Hospital during June 2003 to June 2005 were involved in the study. All the involved patients were confirmed by CT or MRI. The patients were scored by using Modified Edinbergh-Scandinavia stroke scale （SSS） 〉 16 points. Written informed consents were obtained from all the patients. The patients were assigned into 2 groups according to the willing of patients and their relatives： （1）treatment group, in which, there were 134 patients, 76 males and 58 females, aged 43 to 74 years; cerebral infarction was found in 116 cases and cerebral hemorrhage in 18 cases;（2） control group, in which, there were 130 patients, 66 males and 64 females, aged 45 to 77 years, cerebral infarction was found in 115 cases and cerebral hemorrhage in 15 cases. There were significant differences in baseline data of the patients between two groups. METHODS： A same basic treatment was conducted in the patients of the two groups. （1） Patients in the treatment group admitted to stroke rehabilitation unit and received comprehensive rehabilitation treatment. The rehabilitation flow-sheet： randomization-letting the patients of treatment group go into the unit-making comprehensive assessment in the initial stage-making therapy plan-talking with patients and their other family members-general rehabilitation-making metaphase assessment-adjusting therapy plan-making final assessment-letting the patients discharge and doing follow-up visits. （2） The patients in the control group admitted to common wards, and they were encouraged to do activities by themselves in the early stage, but did not receive rehabilitation training under the instructions from professional physicians. MAIN OUTCOME MEASURES： The following assessments were conducted on admission and 7 and 28 days after admission： （1） Severity of stroke and motor function： scored as 0 to 45 points by SSS, the higher points, the severer damage. （2）Activities of daily living： Evaluated by Barthel index, 110 points in total, 110 points meant normal, 0 point meant extremely poor. （3）Mental status： evaluated by Hopkin＇s symptom scale with a 5-point scoring. The symptom was scored with low to high points. （4）Cognitive function： Quantification measurement was conducted with LOTCA method. The higher points, the better therapeutic effects. RESULTS： （1） Three cases dropped out and one died in the treatment group, 11 cases dropped out and 4 died in the control group. （2）The neurologic impairment points on 7 and 28 days after therapy in the treatment group were lower than those in the control group separately [7 days：（9.73±6.43） points vs. （12.63± 7.87） points, t =2.28, P〈 0.05;28 days：（7.88±4.81） points vs. （9.84±7.03）points, t =2.04, P〈 0.05]. Barthel index on 7 and 28 days after therapy in the treatment group were higher than those in the control group separately [7 days：（54.28±8.38） points vs. （39.76±7.31） points, t =2.206, P 〈 0.05; 28 days： （89.72±7.94） points vs. （67.34±8.63） points, t =2.812, P 〈 0.01]. （4） Patients were allocated into different age groups based on age and evaluated with LOTCA. Results showed that there were no significant differences among different age groups （P 〉 0.05）. （5） Totally 160 patients in the two groups accomplished the Hopkin＇s test, among them, 94 （58.7%） had different mental disorders; Among the patients with mental disorder, depression, obsessive-compulsive and anxiety were found mostly, being 53.8%, 52.5% and 46.2%, respectively. CONCLUSION： （1） Developing stroke rehabilitation unit therapy in the secondary hospital can obviously improve the motor function and activities of daily living of stroke reconvalescents. （2） More than half of the stroke reconvalescents accompany the symptoms of depression, obsessive-compulsive, anxiety and other mental disorders. （3） The cognitive function of stroke reconvalescents is not related to age.展开更多
A new metal-organic framework (MOF),{[Zn_7 (BPS)_4 (OH)_6 (H_2O)_2]·5 H_2O]_n}(1), (H_2 BPS=4,4′-bibenzoic acid-2,2′-sulfone), based on a wavy and infinite chain-shaped secondary building units, has been synthe...A new metal-organic framework (MOF),{[Zn_7 (BPS)_4 (OH)_6 (H_2O)_2]·5 H_2O]_n}(1), (H_2 BPS=4,4′-bibenzoic acid-2,2′-sulfone), based on a wavy and infinite chain-shaped secondary building units, has been synthesized under solvothermal conditions and characterized by single crystal X-ray diffraction and further confirmed by PXRD, TGA and IR spectrum. The solid-state emission spectra reveal that compound 1 presents strong luminescence emission bands at room temperature. The fluorescent properties of compound 1 in diverse organic solvents indicated that 1 has palpable luminescent sense effects for DMF and DMAC.展开更多
The United States （U.S.） is facing a national opioid epidemic, and medical systems are in need of non- pharmacologic strategies that can be employed to decrease the public＇s opioid dependence. Acupuncture has emerg...The United States （U.S.） is facing a national opioid epidemic, and medical systems are in need of non- pharmacologic strategies that can be employed to decrease the public＇s opioid dependence. Acupuncture has emerged as a powerful, evidence-based, safe, cost-effective, and available treatment modality suitable to meeting this need. Acupuncture has been shown to be effective for the management of numerous types of pain conditions, and mechanisms of action for acupuncture have been described and are understandable from biomedical, physiologic perspectives. Further, acupuncture＇s cost-effectiveness can dramatically decrease health care expenditures, both from the standpoint of treating acute pain and through avoiding addiction to opioids that requires costly care, destroys quality of life, and can lead to fatal overdose. Numerous federal regulatory agencies have advised or mandated that healthcare systems and providers offer non-pharmacologic treatment options for pain. Acupuncture stands out as the most evidence-based, immediately available choice to fulfil these calls. Acupuncture can safely, easily, and cost-effectively be incorporated into hospital settings as diverse as the emergency department, labor and delivery suites, andneonatal intensive care units to treat a variety of commonly seen pain conditions. Acupuncture is already being successfully and meaningfully utilized by the Veterans Administration and various branches of the U.S. Military, in some studies demonstrably decreasing the volume of opioids prescribed when included in care.展开更多
What is sustainability? Does it only concern the environment or even socio-economic policies? It is only a question of ethics or a redefinition of industrial policy oriented towards the use of renewable energy, it can...What is sustainability? Does it only concern the environment or even socio-economic policies? It is only a question of ethics or a redefinition of industrial policy oriented towards the use of renewable energy, it can bring benefits both atmospheric and social employment. The need for the development of renewable sources can be in tune with the correct management of the territory in consideration of the fact that these sources involve the widespread implementation of small and medium-sized plants. A model of economic development based on renewable sources should respect the peculiarities and characteristics of the territories involved. It should also think of the territory as a “value” to be strengthened and used in a sustainable and integrated way and no longer as a passive platform on which to install plants. Solar thermal and photovoltaic, biomass, geothermal, hydrological, wind power are some of the sources the various countries must constantly invest. This publication is based on these concepts starting from an analysis of the employment data of the OECD “Organisation for Economic Co-operation and Development countries”, comparing them successively with the results of renewable energy productivity. The analysis was performed by analyzing a sample of 22 countries over a period of 20 years, after which the regression curve for the variables with the OLS method was created. This econometric method has allowed us to analyze the impact that renewable technologies have on the parameters of social welfare and in particular on unemployment.展开更多
A new approach in combination of the effective medium theory with the equivalent unit in numerical simulation was developed to study the effective thermal conductivity of porous ceramics. The finite element method was...A new approach in combination of the effective medium theory with the equivalent unit in numerical simulation was developed to study the effective thermal conductivity of porous ceramics. The finite element method was used to simulate the heat transfer process which enables to acquire accurate results through highly complicated modeling and intensive computation. An alternative approach to mesh the material into small cells was also presented. The effective medium theory accounts for the effective thermal conductivity of cells while the equivalent unit is subsequently applied in numerical simulation to analyze the effective thermal conductivity of the porous ceramics. A new expression for the effective thermal conductivity, allowing for some structure factors such as volume fraction of pores and thermal conductivity, was put forward, and the results of its application was proved to be close to those of the mathematical simulation.展开更多
The anti-overturning ability and structure safety of jack-up unit in in-place condition are often affected by environment loads, especially wind load. According to the MODU rule, the projected area method is used for ...The anti-overturning ability and structure safety of jack-up unit in in-place condition are often affected by environment loads, especially wind load. According to the MODU rule, the projected area method is used for calculating the wind load. However, the calculated results are conservative and not good for structure optimization design. In this paper, a 400 ft jack-up is studied as an example. Based on the wind tunnel test and numerical simulation method, some key points of wind load calculation, such as shielding effect, lift effect and shape coefficient of component, are discussed. The study shows that the points mentioned above, which are ignored in the MODU rule calculation, result in the conservative result.展开更多
This paper explores urban temperature in Hong Kong using long-term time series. In particular, the characterization of the urban temperature trend was investigated using the seasonal unit root analysis of monthly mean...This paper explores urban temperature in Hong Kong using long-term time series. In particular, the characterization of the urban temperature trend was investigated using the seasonal unit root analysis of monthly mean air temperature data over the period January 1970 to December 2013. The seasonal unit root test makes it possible to determine the stochastic trend of monthly temperatures using an autoregressive model. The test results showed that mean air temperature has increased by 0.169~ C （10 yr） - 1 over the past four decades. The model of monthly temperature obtained from the seasonal unit root analysis was able to explain 95.9% of the variance in the measured monthly data -- much higher than the variance explained by the ordinary least-squares model using annual mean air temperature data and other studies alike. The model accurately predicted monthly mean air temperatures between January 2014 and December 2015 with a root-mean-square percentage error of 4.2%. The correlation between the predicted and the measured monthly mean air temperatures was 0.989. By analyzing the monthly air temperatures recorded at an urban site and a rural site, it was found that the urban heat island effect led to the urban site being on average 0.865~C warmer than the rural site over the past two decades. Besides, the results of correlation analysis showed that the increase in annual mean air temperature was significantly associated with the increase in population, gross domestic product, urban land use, and energy use, with the R2 values ranging from 0.37 to 0.43.展开更多
The specialty of cardiovascular surgical nursing has advanced patient care significantly both before and after surgery, and it is now a well-established field. The primary goal of cardiovascular surgical nursing is to...The specialty of cardiovascular surgical nursing has advanced patient care significantly both before and after surgery, and it is now a well-established field. The primary goal of cardiovascular surgical nursing is to optimize the patient's recovery and prevent complications. Immediate nursing care for post-operative cardiac patients in a state of controlled shock due to fluid shift and varying vascular tone. Aim of the Study: Assessment of nurse’s knowledge and performance after the training program of nursing care immediately after a patient arrives from cardiac surgery. Methods: This pre and post-intervention study was conducted at cardiac centers in Sudan Alshaab and Ahmed Gasim Cardiac Center. The aim of the study was to evaluate the impact on nurses’ performance after training program post open-heart surgery. In the initial phase of the study, all 98 nurses working in the intensive care units at Alshaab and Ahmed Gasim cardiac centers were designated as the study group and evaluated before the intervention. Subsequently, the same group was reassessed after the intervention (phase 2), allowing for a comparison of the pre- and post-intervention results. The assessment involved the use of a specifically designed questionnaire and an observation checklist developed in accordance with the standards recommended by the American Nurses Association (phase 3). Result: Descriptive analysis was performed using the Chi-square test, the difference in the performance between the study group before intervention and after the intervention was assessed by the mean of chi-square significantly was taken as p < 0.05.展开更多
Effective Medical Creation (EMC) is a kind of campaign to implement a team healthcare that can provide the most efficient and effective intensive care units (ICUs) by improving hospital room environment for not only p...Effective Medical Creation (EMC) is a kind of campaign to implement a team healthcare that can provide the most efficient and effective intensive care units (ICUs) by improving hospital room environment for not only patients and their family but also healthcare providers. This campaign was based on the concept of the “Art of Medicine”, which provides everyone a comfortable ICU environment of meditation and feeling with the five senses of sight, hearing, touch, smell, and taste. EMC can provide a healthcare environment that is not restricted by existing and traditional verse rules or style and aims to always provide better healthcare by working on the five senses. Provision of facilities for aromatherapy massage at an ornamental hospital room and landscape through a false window has been the ongoing activity of the EMC at Nara Medical University. These seemed effective in reducing a patient’s stress response in the ICU. However, the effect of EMC on the outcomes of critical<span style="font-family:Verdana;">ly</span><span style="font-family:Verdana;"> ill patients has not been determined. EMC might be one of the promising measures to create environments that positively affect both patients and healthcare providers. In this review article, the concept of EMC and practice of EMC at Nara Medical University Hospital are presented.</span>展开更多
Background: In Greece, the provision of mental health services is limited to people residing in rural and remote areas. The operation of Mobile Mental Health Units (MMHUs) has been introduced in the Cyclades islands. ...Background: In Greece, the provision of mental health services is limited to people residing in rural and remote areas. The operation of Mobile Mental Health Units (MMHUs) has been introduced in the Cyclades islands. It is an innovative policy intervention that has been shown to be effective and efficient internationally. Objective: The aim was to evaluate the operation of MMHUs in the Cyclades islands based on real-world evidence (RWE), from a societal perspective. Methods: A cost-effectiveness analysis was performed where outcomes and costs were elaborated and classified based on two comparators, 1) with MMHUs’ operation and 2) without MMHUs’ operation. Clinical primary outcomes were based on RWE data and were elaborated for the Disability-Adjusted Life Years (DALYs) values calculation, for a 12 months’ time horizon. Data descriptive statistics were performed with SPSS Statistics 22.0. Direct medical, non-medical and indirect costs were incorporated. Unit costs and monetary values were extracted from published data. Sensitivity analysis was undertaken to test the robustness of the results. Results: The operation of MMHUs in the Cyclades islands led to an incremental cost of €12,250.78 per DALY averted. A substantial higher increase is observed in the direct non-medical costs of the non-MMHUs’ operation where patients had to pay approximately €2,602 per capita annually for their transportation and accommodation due to hospitalization and outpatient care. Informal care expenses are 3 fold increasing in the non-MMHUs’ operation arm. Both direct non-medical and informal care costs correspond to high out of pocket payments totally covered by the patients. The sensitivity analyses demonstrated that the decision does not change when we varied the unit costs by ±10%. Conclusions: The operation of MMHUs appears to be a cost-effective option for treating patients with mental disorders in remote areas and islands in Greece. MMHUs appear to overcome the existing NHS structural inefficiencies by minimizing public expenditures and patients’ income losses by preventing and improving their mental health status.展开更多
文摘To realize the goal of harvesting energy from pavement vibration on a large scale, a new type of piezoelectric harvesting units as the energy transducer has been proposed. The piezoelectric harvesting units are paved 40 mm below the asphalt, which is the same as thickness of the top layer of typical asphalt pavement in China. The spacing distance is 2200 mm, which is the same as the one between two tires of a normal vehicle. A mathematical model of the unit is deduced on Meda empirical formula and Hamilton principle and piezoelectric equations. Effects of the external vehicle load on its harvesting energy properties and pavement deformation and stress are analyzed with the finite element method. The results show that the excited voltage is linearly variation with contact pressure while the harvested electrical energy exponential varies with contact pressure. The more the contact pressure is, the larger the harvested electrical energy and the deformation and stress are. The harvested electrical energy also increases with the load frequency. At least 100 mJ of electrical energy can be collected with the proposed piezoelectric harvesting unit. It shows that the technology application of the piezoelectric harvesting energy from pavement is promising.
文摘BACKGROUND： Acute stroke unit （stroke care unit） is developing in some domestic large-sized hospitals, but most stroke patients need stroke rehabilitation unit therapy, so setting stroke rehabilitation unit in medium-sized comprehensive community hospital （secondary hospital）, where medical facility is relatively insufficient, is a new pathway to satisfy stroke patients. OBJECTIVE： To observe the comprehensive effect of developing stroke rehabilitation unit based on the facility of secondary hospital and its feasibility. DESIGN： Non-randomized concurrent controlled observation SETTING： Department of Neurology, Beijing Longfu Hospital PARTICIPANTS： Totally 264 stroke reconvalescents who suffered stroke for 7 days and received treatment in the Department of Neurology, Beijing Longfu Hospital during June 2003 to June 2005 were involved in the study. All the involved patients were confirmed by CT or MRI. The patients were scored by using Modified Edinbergh-Scandinavia stroke scale （SSS） 〉 16 points. Written informed consents were obtained from all the patients. The patients were assigned into 2 groups according to the willing of patients and their relatives： （1）treatment group, in which, there were 134 patients, 76 males and 58 females, aged 43 to 74 years; cerebral infarction was found in 116 cases and cerebral hemorrhage in 18 cases;（2） control group, in which, there were 130 patients, 66 males and 64 females, aged 45 to 77 years, cerebral infarction was found in 115 cases and cerebral hemorrhage in 15 cases. There were significant differences in baseline data of the patients between two groups. METHODS： A same basic treatment was conducted in the patients of the two groups. （1） Patients in the treatment group admitted to stroke rehabilitation unit and received comprehensive rehabilitation treatment. The rehabilitation flow-sheet： randomization-letting the patients of treatment group go into the unit-making comprehensive assessment in the initial stage-making therapy plan-talking with patients and their other family members-general rehabilitation-making metaphase assessment-adjusting therapy plan-making final assessment-letting the patients discharge and doing follow-up visits. （2） The patients in the control group admitted to common wards, and they were encouraged to do activities by themselves in the early stage, but did not receive rehabilitation training under the instructions from professional physicians. MAIN OUTCOME MEASURES： The following assessments were conducted on admission and 7 and 28 days after admission： （1） Severity of stroke and motor function： scored as 0 to 45 points by SSS, the higher points, the severer damage. （2）Activities of daily living： Evaluated by Barthel index, 110 points in total, 110 points meant normal, 0 point meant extremely poor. （3）Mental status： evaluated by Hopkin＇s symptom scale with a 5-point scoring. The symptom was scored with low to high points. （4）Cognitive function： Quantification measurement was conducted with LOTCA method. The higher points, the better therapeutic effects. RESULTS： （1） Three cases dropped out and one died in the treatment group, 11 cases dropped out and 4 died in the control group. （2）The neurologic impairment points on 7 and 28 days after therapy in the treatment group were lower than those in the control group separately [7 days：（9.73±6.43） points vs. （12.63± 7.87） points, t =2.28, P〈 0.05;28 days：（7.88±4.81） points vs. （9.84±7.03）points, t =2.04, P〈 0.05]. Barthel index on 7 and 28 days after therapy in the treatment group were higher than those in the control group separately [7 days：（54.28±8.38） points vs. （39.76±7.31） points, t =2.206, P 〈 0.05; 28 days： （89.72±7.94） points vs. （67.34±8.63） points, t =2.812, P 〈 0.01]. （4） Patients were allocated into different age groups based on age and evaluated with LOTCA. Results showed that there were no significant differences among different age groups （P 〉 0.05）. （5） Totally 160 patients in the two groups accomplished the Hopkin＇s test, among them, 94 （58.7%） had different mental disorders; Among the patients with mental disorder, depression, obsessive-compulsive and anxiety were found mostly, being 53.8%, 52.5% and 46.2%, respectively. CONCLUSION： （1） Developing stroke rehabilitation unit therapy in the secondary hospital can obviously improve the motor function and activities of daily living of stroke reconvalescents. （2） More than half of the stroke reconvalescents accompany the symptoms of depression, obsessive-compulsive, anxiety and other mental disorders. （3） The cognitive function of stroke reconvalescents is not related to age.
基金supported by the National Natural Science Foundation of China(Nos. 21771111, 21601092 and 21371104)the Tianjin Natural Science Foundation(Nos. 15JCZDJC38800 and 16JCZDJC36900)
文摘A new metal-organic framework (MOF),{[Zn_7 (BPS)_4 (OH)_6 (H_2O)_2]·5 H_2O]_n}(1), (H_2 BPS=4,4′-bibenzoic acid-2,2′-sulfone), based on a wavy and infinite chain-shaped secondary building units, has been synthesized under solvothermal conditions and characterized by single crystal X-ray diffraction and further confirmed by PXRD, TGA and IR spectrum. The solid-state emission spectra reveal that compound 1 presents strong luminescence emission bands at room temperature. The fluorescent properties of compound 1 in diverse organic solvents indicated that 1 has palpable luminescent sense effects for DMF and DMAC.
文摘The United States （U.S.） is facing a national opioid epidemic, and medical systems are in need of non- pharmacologic strategies that can be employed to decrease the public＇s opioid dependence. Acupuncture has emerged as a powerful, evidence-based, safe, cost-effective, and available treatment modality suitable to meeting this need. Acupuncture has been shown to be effective for the management of numerous types of pain conditions, and mechanisms of action for acupuncture have been described and are understandable from biomedical, physiologic perspectives. Further, acupuncture＇s cost-effectiveness can dramatically decrease health care expenditures, both from the standpoint of treating acute pain and through avoiding addiction to opioids that requires costly care, destroys quality of life, and can lead to fatal overdose. Numerous federal regulatory agencies have advised or mandated that healthcare systems and providers offer non-pharmacologic treatment options for pain. Acupuncture stands out as the most evidence-based, immediately available choice to fulfil these calls. Acupuncture can safely, easily, and cost-effectively be incorporated into hospital settings as diverse as the emergency department, labor and delivery suites, andneonatal intensive care units to treat a variety of commonly seen pain conditions. Acupuncture is already being successfully and meaningfully utilized by the Veterans Administration and various branches of the U.S. Military, in some studies demonstrably decreasing the volume of opioids prescribed when included in care.
文摘What is sustainability? Does it only concern the environment or even socio-economic policies? It is only a question of ethics or a redefinition of industrial policy oriented towards the use of renewable energy, it can bring benefits both atmospheric and social employment. The need for the development of renewable sources can be in tune with the correct management of the territory in consideration of the fact that these sources involve the widespread implementation of small and medium-sized plants. A model of economic development based on renewable sources should respect the peculiarities and characteristics of the territories involved. It should also think of the territory as a “value” to be strengthened and used in a sustainable and integrated way and no longer as a passive platform on which to install plants. Solar thermal and photovoltaic, biomass, geothermal, hydrological, wind power are some of the sources the various countries must constantly invest. This publication is based on these concepts starting from an analysis of the employment data of the OECD “Organisation for Economic Co-operation and Development countries”, comparing them successively with the results of renewable energy productivity. The analysis was performed by analyzing a sample of 22 countries over a period of 20 years, after which the regression curve for the variables with the OLS method was created. This econometric method has allowed us to analyze the impact that renewable technologies have on the parameters of social welfare and in particular on unemployment.
文摘A new approach in combination of the effective medium theory with the equivalent unit in numerical simulation was developed to study the effective thermal conductivity of porous ceramics. The finite element method was used to simulate the heat transfer process which enables to acquire accurate results through highly complicated modeling and intensive computation. An alternative approach to mesh the material into small cells was also presented. The effective medium theory accounts for the effective thermal conductivity of cells while the equivalent unit is subsequently applied in numerical simulation to analyze the effective thermal conductivity of the porous ceramics. A new expression for the effective thermal conductivity, allowing for some structure factors such as volume fraction of pores and thermal conductivity, was put forward, and the results of its application was proved to be close to those of the mathematical simulation.
基金supported by the National Natural Science Foundation of China(Grant No.51079034)the Fundamental Research Funds for the Central Universities(Grant No.HEUCFR1003)
文摘The anti-overturning ability and structure safety of jack-up unit in in-place condition are often affected by environment loads, especially wind load. According to the MODU rule, the projected area method is used for calculating the wind load. However, the calculated results are conservative and not good for structure optimization design. In this paper, a 400 ft jack-up is studied as an example. Based on the wind tunnel test and numerical simulation method, some key points of wind load calculation, such as shielding effect, lift effect and shape coefficient of component, are discussed. The study shows that the points mentioned above, which are ignored in the MODU rule calculation, result in the conservative result.
文摘This paper explores urban temperature in Hong Kong using long-term time series. In particular, the characterization of the urban temperature trend was investigated using the seasonal unit root analysis of monthly mean air temperature data over the period January 1970 to December 2013. The seasonal unit root test makes it possible to determine the stochastic trend of monthly temperatures using an autoregressive model. The test results showed that mean air temperature has increased by 0.169~ C （10 yr） - 1 over the past four decades. The model of monthly temperature obtained from the seasonal unit root analysis was able to explain 95.9% of the variance in the measured monthly data -- much higher than the variance explained by the ordinary least-squares model using annual mean air temperature data and other studies alike. The model accurately predicted monthly mean air temperatures between January 2014 and December 2015 with a root-mean-square percentage error of 4.2%. The correlation between the predicted and the measured monthly mean air temperatures was 0.989. By analyzing the monthly air temperatures recorded at an urban site and a rural site, it was found that the urban heat island effect led to the urban site being on average 0.865~C warmer than the rural site over the past two decades. Besides, the results of correlation analysis showed that the increase in annual mean air temperature was significantly associated with the increase in population, gross domestic product, urban land use, and energy use, with the R2 values ranging from 0.37 to 0.43.
文摘The specialty of cardiovascular surgical nursing has advanced patient care significantly both before and after surgery, and it is now a well-established field. The primary goal of cardiovascular surgical nursing is to optimize the patient's recovery and prevent complications. Immediate nursing care for post-operative cardiac patients in a state of controlled shock due to fluid shift and varying vascular tone. Aim of the Study: Assessment of nurse’s knowledge and performance after the training program of nursing care immediately after a patient arrives from cardiac surgery. Methods: This pre and post-intervention study was conducted at cardiac centers in Sudan Alshaab and Ahmed Gasim Cardiac Center. The aim of the study was to evaluate the impact on nurses’ performance after training program post open-heart surgery. In the initial phase of the study, all 98 nurses working in the intensive care units at Alshaab and Ahmed Gasim cardiac centers were designated as the study group and evaluated before the intervention. Subsequently, the same group was reassessed after the intervention (phase 2), allowing for a comparison of the pre- and post-intervention results. The assessment involved the use of a specifically designed questionnaire and an observation checklist developed in accordance with the standards recommended by the American Nurses Association (phase 3). Result: Descriptive analysis was performed using the Chi-square test, the difference in the performance between the study group before intervention and after the intervention was assessed by the mean of chi-square significantly was taken as p < 0.05.
文摘Effective Medical Creation (EMC) is a kind of campaign to implement a team healthcare that can provide the most efficient and effective intensive care units (ICUs) by improving hospital room environment for not only patients and their family but also healthcare providers. This campaign was based on the concept of the “Art of Medicine”, which provides everyone a comfortable ICU environment of meditation and feeling with the five senses of sight, hearing, touch, smell, and taste. EMC can provide a healthcare environment that is not restricted by existing and traditional verse rules or style and aims to always provide better healthcare by working on the five senses. Provision of facilities for aromatherapy massage at an ornamental hospital room and landscape through a false window has been the ongoing activity of the EMC at Nara Medical University. These seemed effective in reducing a patient’s stress response in the ICU. However, the effect of EMC on the outcomes of critical<span style="font-family:Verdana;">ly</span><span style="font-family:Verdana;"> ill patients has not been determined. EMC might be one of the promising measures to create environments that positively affect both patients and healthcare providers. In this review article, the concept of EMC and practice of EMC at Nara Medical University Hospital are presented.</span>
文摘Background: In Greece, the provision of mental health services is limited to people residing in rural and remote areas. The operation of Mobile Mental Health Units (MMHUs) has been introduced in the Cyclades islands. It is an innovative policy intervention that has been shown to be effective and efficient internationally. Objective: The aim was to evaluate the operation of MMHUs in the Cyclades islands based on real-world evidence (RWE), from a societal perspective. Methods: A cost-effectiveness analysis was performed where outcomes and costs were elaborated and classified based on two comparators, 1) with MMHUs’ operation and 2) without MMHUs’ operation. Clinical primary outcomes were based on RWE data and were elaborated for the Disability-Adjusted Life Years (DALYs) values calculation, for a 12 months’ time horizon. Data descriptive statistics were performed with SPSS Statistics 22.0. Direct medical, non-medical and indirect costs were incorporated. Unit costs and monetary values were extracted from published data. Sensitivity analysis was undertaken to test the robustness of the results. Results: The operation of MMHUs in the Cyclades islands led to an incremental cost of €12,250.78 per DALY averted. A substantial higher increase is observed in the direct non-medical costs of the non-MMHUs’ operation where patients had to pay approximately €2,602 per capita annually for their transportation and accommodation due to hospitalization and outpatient care. Informal care expenses are 3 fold increasing in the non-MMHUs’ operation arm. Both direct non-medical and informal care costs correspond to high out of pocket payments totally covered by the patients. The sensitivity analyses demonstrated that the decision does not change when we varied the unit costs by ±10%. Conclusions: The operation of MMHUs appears to be a cost-effective option for treating patients with mental disorders in remote areas and islands in Greece. MMHUs appear to overcome the existing NHS structural inefficiencies by minimizing public expenditures and patients’ income losses by preventing and improving their mental health status.
