Background Disturbed circadian rhythm is a potential cause of delirium and is linked to disorganisation of the circadian rhythmicity. Dynamic light （DL） could reset the circadian rhythm by activation of the suprachi...Background Disturbed circadian rhythm is a potential cause of delirium and is linked to disorganisation of the circadian rhythmicity. Dynamic light （DL） could reset the circadian rhythm by activation of the suprachiasmatic nucleus to prevent delirium. Evidence regarding the effects of light therapy is predominantly focused on psychiatric disorders and circadian rhythm sleep disorders. In this study, we investi- gated the effect of DL on the total hospital length of stay （LOS） and occurrence of delirium in patients admitted to the Coronary Care Unit （CCU）. Methods This was a retrospective cohort study. Patients older than 18 years, who were hospitalized longer than 12 h at the CCU and had a total hospital LOS for at least 24 h, were included. Patients were assigned to a room with DL （n = 369） or regular lighting condi- tions （n = 379）. DL was administered at the CCU by two ceiling-mounted light panels delivering light with a colour temperature between 2700 and 6500 degrees Kelvin. Reported outcome data were： total hospital LOS, delirium incidence, consultation of a geriatrician and the amount of prescripted antipsychotics. Results Between May 2015 and May 2016, data from 748 patients were collected. Baseline charac- teristics, including risk factors provoking delirium, were equal in both groups. Median total hospital LOS in the DL group was 100.5 （70.8-186.0） and 101.0 （73.0-176.4） h in the control group （P = 0.935）. The incidence of delirium in the DL and control group was 5.4% （20/369） and 5.0% （19/379）, respectively （P = 0.802）. No significant differences between the DL and control group were observed in secon- dary endpoints. Subgroup analysis based on age and CCU LOS also showed no differences. Conclusion Our study suggests exposure to DL as an early single approach does not result in a reduction of total hospital LOS or reduced incidence of delirium. When delirium was diagnosed, it was associated with poor hospital outcome.展开更多
The possible collapse of different circumstances is derived with the help of the limit analysis theory.Analytical equations related to collapsing mechanisms in deep tunnel with smooth three-centered arc cross sections...The possible collapse of different circumstances is derived with the help of the limit analysis theory.Analytical equations related to collapsing mechanisms in deep tunnel with smooth three-centered arc cross sections are derived on the basis of Hoek-Brown failure criterion and upper bound limit analysis.The pore water pressure is considered in the analysis,as a work rate of external force.Numerical results about the shape of detaching curve and the weight of collapsing block per unit length corresponding to different parameters are obtained with the help of mathematical software.The shapes of collapsing block are drawn with respected to different parameters.Furthermore,the effects of different parameters on the shape of detaching curve and the weight of the collapsing block are discussed.展开更多
As it is evident from the practice of construction and maintenance of thin retaining walls, the degree of developing of frictional forces in interlock connections of steel sheet U-shape piles essentially influences th...As it is evident from the practice of construction and maintenance of thin retaining walls, the degree of developing of frictional forces in interlock connections of steel sheet U-shape piles essentially influences the realization of the values of geometric characteristics of the piles cross-section （the moment of inertia and the section modulus） reduced to the length unit of the construction. The article offers new and simple solutions for realization and economically effective technological approaches to provide joint work of the sheet piles being considered, which improve the adequacy of design and reliability of maintenance of thin retaining walls.展开更多
The 1989 and following years were the periods in which many important economic and political tumovers took place in the world. That was the time when Berlin Wall fell down with scattering the Eastern block and many po...The 1989 and following years were the periods in which many important economic and political tumovers took place in the world. That was the time when Berlin Wall fell down with scattering the Eastern block and many politically independent states came into being, at the same time, ongoing about 70 years socialist system also started to change into liberal system. The constituted 27 states in 1991 were tended to liberal economic system instead of socialist economy, and these states were called as transition economies. In this study, the relationship between indebtedness and growth rate of transition countries were analyzed by panel autoregressive distributed lag model （ARDL）. Before panel ARDL application, stationary properties of the variables have been checked with first and second generation unit root test. For the second generation unit root tests, CADF tests have been used. Also cross section dependency has been examined by LM tests.展开更多
Based on the VHF lightning locating system,a three-dimensional-space cell-gridded approach is used to extract the lighting channel and calculate the length of the channel.Through clustering of the located radiation so...Based on the VHF lightning locating system,a three-dimensional-space cell-gridded approach is used to extract the lighting channel and calculate the length of the channel.Through clustering of the located radiation sources and then extracting the lightning channel,it can accurately obtain the length of the channel.To validate the feasibility of the approach,a simulation experiment is designed,and it shows the length error is no more than 10%.The relationship between the NO production of per unit arc length and atmospheric pressure obtained in laboratory is applied to the NOX production of per unit flash length at different altitudes in this paper.The channel length and the NOX production of 11 negative cloud-to-ground flashes and 59 intracloud flashes in an isolated thunderstorm in the northeastern Qinghai-Tibet Plateau are calculated.The results show that the average channel lengths of per cloud-to-ground and intracloud flash are 28.9 and 22.3 km respectively;the average NOX productions of per cloud-to-ground and intracloud flash are 1.89×1025 and 0.42×1025 molecules,respectively.展开更多
文摘Background Disturbed circadian rhythm is a potential cause of delirium and is linked to disorganisation of the circadian rhythmicity. Dynamic light （DL） could reset the circadian rhythm by activation of the suprachiasmatic nucleus to prevent delirium. Evidence regarding the effects of light therapy is predominantly focused on psychiatric disorders and circadian rhythm sleep disorders. In this study, we investi- gated the effect of DL on the total hospital length of stay （LOS） and occurrence of delirium in patients admitted to the Coronary Care Unit （CCU）. Methods This was a retrospective cohort study. Patients older than 18 years, who were hospitalized longer than 12 h at the CCU and had a total hospital LOS for at least 24 h, were included. Patients were assigned to a room with DL （n = 369） or regular lighting condi- tions （n = 379）. DL was administered at the CCU by two ceiling-mounted light panels delivering light with a colour temperature between 2700 and 6500 degrees Kelvin. Reported outcome data were： total hospital LOS, delirium incidence, consultation of a geriatrician and the amount of prescripted antipsychotics. Results Between May 2015 and May 2016, data from 748 patients were collected. Baseline charac- teristics, including risk factors provoking delirium, were equal in both groups. Median total hospital LOS in the DL group was 100.5 （70.8-186.0） and 101.0 （73.0-176.4） h in the control group （P = 0.935）. The incidence of delirium in the DL and control group was 5.4% （20/369） and 5.0% （19/379）, respectively （P = 0.802）. No significant differences between the DL and control group were observed in secon- dary endpoints. Subgroup analysis based on age and CCU LOS also showed no differences. Conclusion Our study suggests exposure to DL as an early single approach does not result in a reduction of total hospital LOS or reduced incidence of delirium. When delirium was diagnosed, it was associated with poor hospital outcome.
基金Project(2013CB036004)supported by Basic Research Program of ChinaProjects(51378510,41302226)supported by National Natural Science Foundation of ChinaProject(2016zzts062)supported by Doctorial Innovation Foundation of Central South University,China
文摘The possible collapse of different circumstances is derived with the help of the limit analysis theory.Analytical equations related to collapsing mechanisms in deep tunnel with smooth three-centered arc cross sections are derived on the basis of Hoek-Brown failure criterion and upper bound limit analysis.The pore water pressure is considered in the analysis,as a work rate of external force.Numerical results about the shape of detaching curve and the weight of collapsing block per unit length corresponding to different parameters are obtained with the help of mathematical software.The shapes of collapsing block are drawn with respected to different parameters.Furthermore,the effects of different parameters on the shape of detaching curve and the weight of the collapsing block are discussed.
文摘As it is evident from the practice of construction and maintenance of thin retaining walls, the degree of developing of frictional forces in interlock connections of steel sheet U-shape piles essentially influences the realization of the values of geometric characteristics of the piles cross-section （the moment of inertia and the section modulus） reduced to the length unit of the construction. The article offers new and simple solutions for realization and economically effective technological approaches to provide joint work of the sheet piles being considered, which improve the adequacy of design and reliability of maintenance of thin retaining walls.
文摘The 1989 and following years were the periods in which many important economic and political tumovers took place in the world. That was the time when Berlin Wall fell down with scattering the Eastern block and many politically independent states came into being, at the same time, ongoing about 70 years socialist system also started to change into liberal system. The constituted 27 states in 1991 were tended to liberal economic system instead of socialist economy, and these states were called as transition economies. In this study, the relationship between indebtedness and growth rate of transition countries were analyzed by panel autoregressive distributed lag model （ARDL）. Before panel ARDL application, stationary properties of the variables have been checked with first and second generation unit root test. For the second generation unit root tests, CADF tests have been used. Also cross section dependency has been examined by LM tests.
基金supported by the National Natural Science Foundation of Chi-na(Grant Nos.41075002,40775004,41030960)R&D Special Fund for Public Welfare Industry(Meteorology)(Grant No.GYHY201006005-03)
文摘Based on the VHF lightning locating system,a three-dimensional-space cell-gridded approach is used to extract the lighting channel and calculate the length of the channel.Through clustering of the located radiation sources and then extracting the lightning channel,it can accurately obtain the length of the channel.To validate the feasibility of the approach,a simulation experiment is designed,and it shows the length error is no more than 10%.The relationship between the NO production of per unit arc length and atmospheric pressure obtained in laboratory is applied to the NOX production of per unit flash length at different altitudes in this paper.The channel length and the NOX production of 11 negative cloud-to-ground flashes and 59 intracloud flashes in an isolated thunderstorm in the northeastern Qinghai-Tibet Plateau are calculated.The results show that the average channel lengths of per cloud-to-ground and intracloud flash are 28.9 and 22.3 km respectively;the average NOX productions of per cloud-to-ground and intracloud flash are 1.89×1025 and 0.42×1025 molecules,respectively.
