An advanced ceramic cutting tool material Al2O3/TiC/TiN （LTN） is developed by incorporation and dispersion of micro-scale TiC particle and nano-scale TiN particle in alumina matrix. With the optimal dispersing and f...An advanced ceramic cutting tool material Al2O3/TiC/TiN （LTN） is developed by incorporation and dispersion of micro-scale TiC particle and nano-scale TiN particle in alumina matrix. With the optimal dispersing and fabricating technology, this multi-scale and multi-phase nanocomposite ceramic tool material can get both higher flexural strength and fracture toughness than that of A1203/TiC （LZ） ceramic tool material without nano-scale TiN particle, especially the fracture toughness can reach to 7.8 MPa . m^0.5. The nano-scale TiN can lead to the grain fining effect and promote the sintering process to get a higher density. The coexisting transgranular and intergranular fracture mode induced by micro-scale TiC and nano-scale TiN, and the homogeneous and densified microstructure can result in a remarkable strengthening and toughening effect. The cutting performance and wear mechanisms of the advanced multi-scale and multi-phase nanocomposite ceramic cutting tool are researched.展开更多
BACKGROUND Pressure ulcer(PU)are prevalent among critically ill trauma patients,posing substantial risks.Bundled care strategies and silver nanoparticle dressings offer potential solutions,yet their combined effective...BACKGROUND Pressure ulcer(PU)are prevalent among critically ill trauma patients,posing substantial risks.Bundled care strategies and silver nanoparticle dressings offer potential solutions,yet their combined effectiveness and impact on patient satisfaction remain insufficiently investigated.AIM To assess the impact of bundled care along with silver nanoparticle dressing on PUs management and family satisfaction in critically ill trauma patients.METHODS A total of 98 critically ill trauma patients with PUs in intensive care unit(ICU)were included in this study.Patients were randomly assigned to either the control group(conventional care with silver nanoparticle dressing,n=49)or the intervention group(bundled care with silver nanoparticle dressing,n=49).The PU Scale for Healing(PUSH)tool was used to monitor changes in status of pressure injuries over time.Assessments were conducted at various time points:Baseline(day 0)and subsequent assessments on day 3,day 6,day 9,and day 12.Family satisfaction was assessed using the Family Satisfaction ICU 24 ques-tionnaire.RESULTS No significant differences in baseline characteristics were observed between the two groups.In the intervention group,there were significant reductions in total PUSH scores over the assessment period.Specifically,surface area,exudate,and tissue type parameters all showed significant improvements compared to the control group.Family satisfaction with care and decision-making was notably higher in the intervention group.Overall family satisfaction was significantly better in the intervention group.CONCLUSION Bundled care in combination with silver nanoparticle dressings effectively alleviated PUs and enhances family satisfaction in critically ill trauma patients.This approach holds promise for improving PUs management in the ICU,benefiting both patients and their families.展开更多
基金Selected from Proceedings of the 7th International Conference on Frontiers of DesignManufacturing(ICFDM'2006)This project is supported by National Natural Science Foundation of China(No.50275086)the University of New South Wales Visiting Professorship Scheme,Australia.
文摘An advanced ceramic cutting tool material Al2O3/TiC/TiN （LTN） is developed by incorporation and dispersion of micro-scale TiC particle and nano-scale TiN particle in alumina matrix. With the optimal dispersing and fabricating technology, this multi-scale and multi-phase nanocomposite ceramic tool material can get both higher flexural strength and fracture toughness than that of A1203/TiC （LZ） ceramic tool material without nano-scale TiN particle, especially the fracture toughness can reach to 7.8 MPa . m^0.5. The nano-scale TiN can lead to the grain fining effect and promote the sintering process to get a higher density. The coexisting transgranular and intergranular fracture mode induced by micro-scale TiC and nano-scale TiN, and the homogeneous and densified microstructure can result in a remarkable strengthening and toughening effect. The cutting performance and wear mechanisms of the advanced multi-scale and multi-phase nanocomposite ceramic cutting tool are researched.
文摘BACKGROUND Pressure ulcer(PU)are prevalent among critically ill trauma patients,posing substantial risks.Bundled care strategies and silver nanoparticle dressings offer potential solutions,yet their combined effectiveness and impact on patient satisfaction remain insufficiently investigated.AIM To assess the impact of bundled care along with silver nanoparticle dressing on PUs management and family satisfaction in critically ill trauma patients.METHODS A total of 98 critically ill trauma patients with PUs in intensive care unit(ICU)were included in this study.Patients were randomly assigned to either the control group(conventional care with silver nanoparticle dressing,n=49)or the intervention group(bundled care with silver nanoparticle dressing,n=49).The PU Scale for Healing(PUSH)tool was used to monitor changes in status of pressure injuries over time.Assessments were conducted at various time points:Baseline(day 0)and subsequent assessments on day 3,day 6,day 9,and day 12.Family satisfaction was assessed using the Family Satisfaction ICU 24 ques-tionnaire.RESULTS No significant differences in baseline characteristics were observed between the two groups.In the intervention group,there were significant reductions in total PUSH scores over the assessment period.Specifically,surface area,exudate,and tissue type parameters all showed significant improvements compared to the control group.Family satisfaction with care and decision-making was notably higher in the intervention group.Overall family satisfaction was significantly better in the intervention group.CONCLUSION Bundled care in combination with silver nanoparticle dressings effectively alleviated PUs and enhances family satisfaction in critically ill trauma patients.This approach holds promise for improving PUs management in the ICU,benefiting both patients and their families.
