Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs ...Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs Institute (JBI) evidence-based health care model, the best evidence of airway management in adult critically ill patients was obtained and applied to the clinic. Results: The total implementation rate of airway management measures in adult critically ill patients increased from 23.62% before the implementation of quality control circle to 88.82%, and the pulmonary infection rate in critically ill patients decreased from 42.31% to 21.74%, with statistical significance between the two groups (P 0.05). Conclusion: Evidence-based quality control circle activities can standardize the practice standards of airway management in critically ill patients, reduce the occurrence of patients’ airway related complications, and improve clinical outcomes.展开更多
By means of programs GTMPAC based- on generalized triangle method,analysis and synthesis of mechanism design in accordance with absolutely graphicalmethod( absolutely germetrical method) are developed.In this paper,we...By means of programs GTMPAC based- on generalized triangle method,analysis and synthesis of mechanism design in accordance with absolutely graphicalmethod( absolutely germetrical method) are developed.In this paper,we make aspecial study about centering- point curve and circling- point curve and couplercurves based on Ball’s points.展开更多
The basic principle of equal base circle bevel gear (EBCBG) is illustrated simply Thetooth surface equation of EBCBG manufactured by end milling cutter with involute profile is de-rived. The tooth form error is analy...The basic principle of equal base circle bevel gear (EBCBG) is illustrated simply Thetooth surface equation of EBCBG manufactured by end milling cutter with involute profile is de-rived. The tooth form error is analyzed on the basis of spherical involute展开更多
Cylindrical cam with oscillating follower is widely applicable and used in many mechanical devices and machines. However, a common error exists in the methods of designing planar profile for oscillating follower cylin...Cylindrical cam with oscillating follower is widely applicable and used in many mechanical devices and machines. However, a common error exists in the methods of designing planar profile for oscillating follower cylinder cam. In this study, we propose a new hypothesis to solve this design problem with the inclusion of deviation angle. On the basis of this new concept, equations for planar profile expansion and methods of calculating pressure angle are deduced by applying 3D expansion formula of the follower＇s motion orbit. When the pressure angle is less than allowable value, the minimum base radius can be determined by using MATLAB software. Accordingly, the planar profile of oscillating follower cylinder cam is generated by CAD software. This new method is practical and can be easily adopted for the design of oscillating follower cylindrical cam with desirable accuracy. We applied the method in the design of cylindrical cam for paper feeding mechanism used in high-speed printers. We calculated the planar profile and used it to direct the NC machine for the manufacture of the groove of cylindrical cam. The improved cylindrical cam met all of the requirements of speed and accuracy demanded by high-speed printers. Therefore, our new method has been validated by practical application.展开更多
文摘Objective: To explore the effect of evidence-based quality control circle (QCC) in improving the implementation rate of airway management measures in adult critically ill patients. Methods: Based on the Joanna Briggs Institute (JBI) evidence-based health care model, the best evidence of airway management in adult critically ill patients was obtained and applied to the clinic. Results: The total implementation rate of airway management measures in adult critically ill patients increased from 23.62% before the implementation of quality control circle to 88.82%, and the pulmonary infection rate in critically ill patients decreased from 42.31% to 21.74%, with statistical significance between the two groups (P 0.05). Conclusion: Evidence-based quality control circle activities can standardize the practice standards of airway management in critically ill patients, reduce the occurrence of patients’ airway related complications, and improve clinical outcomes.
文摘By means of programs GTMPAC based- on generalized triangle method,analysis and synthesis of mechanism design in accordance with absolutely graphicalmethod( absolutely germetrical method) are developed.In this paper,we make aspecial study about centering- point curve and circling- point curve and couplercurves based on Ball’s points.
文摘The basic principle of equal base circle bevel gear (EBCBG) is illustrated simply Thetooth surface equation of EBCBG manufactured by end milling cutter with involute profile is de-rived. The tooth form error is analyzed on the basis of spherical involute
基金supported by National Natural Science Foundation of China (Grant No. 50575205)National Hi-tech Research and Development Program of China (863 Program, Grant No. 2006AA04Z233)+1 种基金Zhejiang Provincial Natural Science Foundation of China (Grant No. Y104243)Ningbo Municipal Natural Science Foundation of China (Grant No. 2008A610038, Grant No. 200703B1003018)
文摘Cylindrical cam with oscillating follower is widely applicable and used in many mechanical devices and machines. However, a common error exists in the methods of designing planar profile for oscillating follower cylinder cam. In this study, we propose a new hypothesis to solve this design problem with the inclusion of deviation angle. On the basis of this new concept, equations for planar profile expansion and methods of calculating pressure angle are deduced by applying 3D expansion formula of the follower＇s motion orbit. When the pressure angle is less than allowable value, the minimum base radius can be determined by using MATLAB software. Accordingly, the planar profile of oscillating follower cylinder cam is generated by CAD software. This new method is practical and can be easily adopted for the design of oscillating follower cylindrical cam with desirable accuracy. We applied the method in the design of cylindrical cam for paper feeding mechanism used in high-speed printers. We calculated the planar profile and used it to direct the NC machine for the manufacture of the groove of cylindrical cam. The improved cylindrical cam met all of the requirements of speed and accuracy demanded by high-speed printers. Therefore, our new method has been validated by practical application.
