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
The problems like cracking of the girder in the mid-span and the ever-increasing vertical deflection appear during the long term usage of the long-span continuous rigid-flame bridge. Post-tension tendon with re- serve...The problems like cracking of the girder in the mid-span and the ever-increasing vertical deflection appear during the long term usage of the long-span continuous rigid-flame bridge. Post-tension tendon with re- served duct can increase the pre-stress of the main beam effectively, and decrease the long term span deflection in order to improve the performance of the girder. At the same time, the proper tension position is very crucial to optimise the stress distribution of the bridge and control the deflection increase. Combining with practical en- gineering, the authors analyze the influence of different positions of post-tension tendon （ including top-, web- and bottom plate tendons） on the stress and deflection of the main beam, and find out the optimal position of post tendon.展开更多
The travel time data collection method is used to assist the congestion management. The use of traditional sensors (e.g. inductive loops, AVI sensors) or more recent Bluetooth sensors installed on major roads for coll...The travel time data collection method is used to assist the congestion management. The use of traditional sensors (e.g. inductive loops, AVI sensors) or more recent Bluetooth sensors installed on major roads for collecting data is not sufficient because of their limited coverage and expensive costs for installation and maintenance. Application of the Global Positioning Systems (GPS) in travel time and delay data collections is proven to be efficient in terms of accuracy, level of details for the data and required data collection of man-power. While data collection automation is improved by the GPS technique, human errors can easily find their way through the post-processing phase, and therefore data post-processing remains a challenge especially in case of big projects with high amount of data. This paper introduces a stand-alone post-processing tool called GPS Calculator, which provides an easy-to-use environment to carry out data post-processing. This is a Visual Basic application that processes the data files obtained in the field and integrates them into Geographic Information Systems (GIS) for analysis and representation. The results show that this tool obtains similar results to the currently used data post-processing method, reduces the post-processing effort, and also eliminates the need for the second person during the data collection.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The problems like cracking of the girder in the mid-span and the ever-increasing vertical deflection appear during the long term usage of the long-span continuous rigid-flame bridge. Post-tension tendon with re- served duct can increase the pre-stress of the main beam effectively, and decrease the long term span deflection in order to improve the performance of the girder. At the same time, the proper tension position is very crucial to optimise the stress distribution of the bridge and control the deflection increase. Combining with practical en- gineering, the authors analyze the influence of different positions of post-tension tendon （ including top-, web- and bottom plate tendons） on the stress and deflection of the main beam, and find out the optimal position of post tendon.
文摘The travel time data collection method is used to assist the congestion management. The use of traditional sensors (e.g. inductive loops, AVI sensors) or more recent Bluetooth sensors installed on major roads for collecting data is not sufficient because of their limited coverage and expensive costs for installation and maintenance. Application of the Global Positioning Systems (GPS) in travel time and delay data collections is proven to be efficient in terms of accuracy, level of details for the data and required data collection of man-power. While data collection automation is improved by the GPS technique, human errors can easily find their way through the post-processing phase, and therefore data post-processing remains a challenge especially in case of big projects with high amount of data. This paper introduces a stand-alone post-processing tool called GPS Calculator, which provides an easy-to-use environment to carry out data post-processing. This is a Visual Basic application that processes the data files obtained in the field and integrates them into Geographic Information Systems (GIS) for analysis and representation. The results show that this tool obtains similar results to the currently used data post-processing method, reduces the post-processing effort, and also eliminates the need for the second person during the data collection.
