Aim: The purpose of this case study was to examine the sleep quality of patients receiving noninvasive positive pressure ventilation (NPPV) or nasal high-flow oxygen therapy (NHF) in an intensive care unit and to inve...Aim: The purpose of this case study was to examine the sleep quality of patients receiving noninvasive positive pressure ventilation (NPPV) or nasal high-flow oxygen therapy (NHF) in an intensive care unit and to investigate what types of nursing support are offered to such patients. Methods: We examined one patient each for NPPV and NHF. Polysomnography (PSG), review of the patient charts, and semi-structured interviews were used to collect the data for analysis. Results: Patients treated with NPPV or NHF demonstrated a noticeable reduction in deep sleep, with most of their sleep being shallow. Their sleep patterns varied greatly from those of healthy individuals. These results suggest that, in addition to experiencing extremely fragmented sleep, sleep in these patients was more likely to be interrupted by nursing interventions, such as during auscultation of breath sounds. Furthermore, it was revealed that “anxiety or discomfort that accompanies the mask or air pressure” in patients treated with NPPV and “discomfort that accompanies the nasal cannula or NHF circuit” in patients treated with NHF may be primary causes of disrupted sleep. Our results suggest a need for nursing care aimed at improving sleep quality in patients treated with NPPV or NHF.展开更多
Based on incompressible viscous fluid Navier-stokes equation and k-ε 2-equations turbulent model, an investigation on 3D turbulent flow field around four kinds of train models has been made by finite element method. ...Based on incompressible viscous fluid Navier-stokes equation and k-ε 2-equations turbulent model, an investigation on 3D turbulent flow field around four kinds of train models has been made by finite element method. From the calculation, the pressure distribution characters of now field around high-speed trains have been obtained. It is significant for strength design of the high-speed train body, for resisting wind design of the facilities beside the high-speed railways and for determining the aerodynamic force of induced air to the human body near the railways.展开更多
特高压(ultra high voltage,UHV)换流站阀厅的金属屋面系统在风荷载作用下易发生屋面表层风揭事故。为深入探讨该类建筑屋面的风压极值特性,基于风洞试验分别探讨了大气边界层(atmospheric-boundary-layer,ABL)风、壁面射流、均匀湍流...特高压(ultra high voltage,UHV)换流站阀厅的金属屋面系统在风荷载作用下易发生屋面表层风揭事故。为深入探讨该类建筑屋面的风压极值特性,基于风洞试验分别探讨了大气边界层(atmospheric-boundary-layer,ABL)风、壁面射流、均匀湍流三种风场作用下的屋面风压特性,比较了平均风剖面、风速、风向、湍流强度等因素对屋面风压的影响。结果表明:阀厅屋盖迎风前缘负风压最大,且控制风向角在45°左右;壁面射流风场下平均风压系数与脉动风压系数均超过大气边界层风场的结果;风速对阀厅屋盖的负风压系数均值和极值影响较小,而湍流度对风压系数的极值影响较大;大气边界风场时,JGJ/T 481—2019《屋盖结构风荷载标准》的最不利风压系数建议值偏于安全;而在壁面射流风场下,阀厅屋盖全风向最不利风压系数在所有区域都大于JGJ/T 481—2019的建议值,设计中应加以重视。展开更多
文摘Aim: The purpose of this case study was to examine the sleep quality of patients receiving noninvasive positive pressure ventilation (NPPV) or nasal high-flow oxygen therapy (NHF) in an intensive care unit and to investigate what types of nursing support are offered to such patients. Methods: We examined one patient each for NPPV and NHF. Polysomnography (PSG), review of the patient charts, and semi-structured interviews were used to collect the data for analysis. Results: Patients treated with NPPV or NHF demonstrated a noticeable reduction in deep sleep, with most of their sleep being shallow. Their sleep patterns varied greatly from those of healthy individuals. These results suggest that, in addition to experiencing extremely fragmented sleep, sleep in these patients was more likely to be interrupted by nursing interventions, such as during auscultation of breath sounds. Furthermore, it was revealed that “anxiety or discomfort that accompanies the mask or air pressure” in patients treated with NPPV and “discomfort that accompanies the nasal cannula or NHF circuit” in patients treated with NHF may be primary causes of disrupted sleep. Our results suggest a need for nursing care aimed at improving sleep quality in patients treated with NPPV or NHF.
文摘Based on incompressible viscous fluid Navier-stokes equation and k-ε 2-equations turbulent model, an investigation on 3D turbulent flow field around four kinds of train models has been made by finite element method. From the calculation, the pressure distribution characters of now field around high-speed trains have been obtained. It is significant for strength design of the high-speed train body, for resisting wind design of the facilities beside the high-speed railways and for determining the aerodynamic force of induced air to the human body near the railways.
文摘特高压(ultra high voltage,UHV)换流站阀厅的金属屋面系统在风荷载作用下易发生屋面表层风揭事故。为深入探讨该类建筑屋面的风压极值特性,基于风洞试验分别探讨了大气边界层(atmospheric-boundary-layer,ABL)风、壁面射流、均匀湍流三种风场作用下的屋面风压特性,比较了平均风剖面、风速、风向、湍流强度等因素对屋面风压的影响。结果表明:阀厅屋盖迎风前缘负风压最大,且控制风向角在45°左右;壁面射流风场下平均风压系数与脉动风压系数均超过大气边界层风场的结果;风速对阀厅屋盖的负风压系数均值和极值影响较小,而湍流度对风压系数的极值影响较大;大气边界风场时,JGJ/T 481—2019《屋盖结构风荷载标准》的最不利风压系数建议值偏于安全;而在壁面射流风场下,阀厅屋盖全风向最不利风压系数在所有区域都大于JGJ/T 481—2019的建议值,设计中应加以重视。
