To remedy the empirical pitfalls of current chinese specifications and MUTCD 2009 guidelines in determining the placement distance of freeway exit advance guide signs,the driving maneuver of exiting traffic is analyze...To remedy the empirical pitfalls of current chinese specifications and MUTCD 2009 guidelines in determining the placement distance of freeway exit advance guide signs,the driving maneuver of exiting traffic is analyzed and the factors influencing placement distance are explored.Variables including the number of lanes,lane width,lane-changing time,driver＇s visual characteristics,sign installation methods and operating speeds on both freeway mainlines and exit ramps are found significant in explaining exit safety.Three different installation methods,namely ground installation,overhead installation and median installation,are introduced and their applicable conditions are given.Models,with the same structure among the three installation methods,are developed to compute the placement distance under different roadway geometric and traffic conditions.Taking overhead installation as an example,simulation results in TSIS-CORSIM show that the proposed distance reduces the number of lane changes in the area from the ramp nose to 500 m upstream by 58.93% compared with current Chinese specifications and 27.35% compared with MUTCD 2009 guidelines.Thus,the distances recommended in this paper have a better safety performance.展开更多
指路标志对人们的出行有着非常良好的指引作用,良好的指路标志设计可提高驾驶人的通行效率。路网中节点处标志信息量的多少会影响驾驶员对标志信息的识读,进而影响到整个路网的通行效率。因此,通过引入节点的指路标志信息量作为惩罚系数...指路标志对人们的出行有着非常良好的指引作用,良好的指路标志设计可提高驾驶人的通行效率。路网中节点处标志信息量的多少会影响驾驶员对标志信息的识读,进而影响到整个路网的通行效率。因此,通过引入节点的指路标志信息量作为惩罚系数,计算得出路段成本,建立起讫点(origin to destination,OD)间指引路径规划模型,结合A算法,遍历整个路网,最后得出OD间的最优指引路径,通过在指引路径上增设指路信息,从而完善OD间指路标志信息的连贯性,更好地引导驾驶员做路径选择,降低路网中的交通压力。并选取甘肃省庆阳市的火车站(O点)到人民医院(D点)的区域进行实际应用与分析。展开更多
目的:探讨危机理论指导下的创伤急救护理对颅脑外伤患者急救时间、神经功能和生命体征的影响。方法:选择2020年9月—2023年9月在连云港市中医院接受颅脑外伤急救治疗的102例患者作为研究对象,根据随机数表法将患者分为对照组和观察组,...目的:探讨危机理论指导下的创伤急救护理对颅脑外伤患者急救时间、神经功能和生命体征的影响。方法:选择2020年9月—2023年9月在连云港市中医院接受颅脑外伤急救治疗的102例患者作为研究对象,根据随机数表法将患者分为对照组和观察组,各51例。对照组接受常规急救护理,观察组在对照组基础上接受危机理论指导下的创伤急救护理。比较两组急救时间(有效抢救时间、确诊时间和急诊至手术时间)、神经功能[美国国立卫生研究院脑卒中量表(National Institutes of Health stroke scale,NIHSS)评分和格拉斯哥昏迷指数(Glasgow coma scale,GCS)]、生命体征(呼吸频率、心率、收缩压和舒张压)及并发症(缺血性痉挛、电解质紊乱和肢体功能障碍)发生情况。结果:观察组有效抢救时间、确诊时间、急诊至手术时间短于对照组,差异有统计学意义(P<0.05);观察组护理后NIHSS评分低于对照组,GCS评分高于对照组,差异有统计学意义(P<0.05);观察组护理后呼吸频率、心率、收缩压、舒张压低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:危机理论指导下的创伤急救护理可有效缩短颅脑外伤患者急救时间,改善神经功能和生命体征,降低并发症发生率。展开更多
基金Project of Florida Department of Transportation(No.BD54438)the National Key Technology R&D Program of China during the 11th Five-Year Plan Period(No.2006BAJ18B03)
文摘To remedy the empirical pitfalls of current chinese specifications and MUTCD 2009 guidelines in determining the placement distance of freeway exit advance guide signs,the driving maneuver of exiting traffic is analyzed and the factors influencing placement distance are explored.Variables including the number of lanes,lane width,lane-changing time,driver＇s visual characteristics,sign installation methods and operating speeds on both freeway mainlines and exit ramps are found significant in explaining exit safety.Three different installation methods,namely ground installation,overhead installation and median installation,are introduced and their applicable conditions are given.Models,with the same structure among the three installation methods,are developed to compute the placement distance under different roadway geometric and traffic conditions.Taking overhead installation as an example,simulation results in TSIS-CORSIM show that the proposed distance reduces the number of lane changes in the area from the ramp nose to 500 m upstream by 58.93% compared with current Chinese specifications and 27.35% compared with MUTCD 2009 guidelines.Thus,the distances recommended in this paper have a better safety performance.
文摘指路标志对人们的出行有着非常良好的指引作用,良好的指路标志设计可提高驾驶人的通行效率。路网中节点处标志信息量的多少会影响驾驶员对标志信息的识读,进而影响到整个路网的通行效率。因此,通过引入节点的指路标志信息量作为惩罚系数,计算得出路段成本,建立起讫点(origin to destination,OD)间指引路径规划模型,结合A算法,遍历整个路网,最后得出OD间的最优指引路径,通过在指引路径上增设指路信息,从而完善OD间指路标志信息的连贯性,更好地引导驾驶员做路径选择,降低路网中的交通压力。并选取甘肃省庆阳市的火车站(O点)到人民医院(D点)的区域进行实际应用与分析。
文摘目的:探讨危机理论指导下的创伤急救护理对颅脑外伤患者急救时间、神经功能和生命体征的影响。方法:选择2020年9月—2023年9月在连云港市中医院接受颅脑外伤急救治疗的102例患者作为研究对象,根据随机数表法将患者分为对照组和观察组,各51例。对照组接受常规急救护理,观察组在对照组基础上接受危机理论指导下的创伤急救护理。比较两组急救时间(有效抢救时间、确诊时间和急诊至手术时间)、神经功能[美国国立卫生研究院脑卒中量表(National Institutes of Health stroke scale,NIHSS)评分和格拉斯哥昏迷指数(Glasgow coma scale,GCS)]、生命体征(呼吸频率、心率、收缩压和舒张压)及并发症(缺血性痉挛、电解质紊乱和肢体功能障碍)发生情况。结果:观察组有效抢救时间、确诊时间、急诊至手术时间短于对照组,差异有统计学意义(P<0.05);观察组护理后NIHSS评分低于对照组,GCS评分高于对照组,差异有统计学意义(P<0.05);观察组护理后呼吸频率、心率、收缩压、舒张压低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:危机理论指导下的创伤急救护理可有效缩短颅脑外伤患者急救时间,改善神经功能和生命体征,降低并发症发生率。
