Absence of Leave and Job Morality in the ICU

Leave of absence is important in maintaining a good status of human resource quality. Allowing the employees temporarily free from the routine assignments can vitalize the workers- morality and productivity. This is particularly critical to secure a satisfactory service quality for healthcare professionals of which were typically featured with labor intensive and complicated works to perform. As one of the veteran hospitals that were found and operated by the Veteran Department of Taiwan, the nursing staff of the case hospital was squeezed to an extreme minimum level under the pressure of a tight budgeting. Leave of absence on schedule became extremely difficult, especially for the intensive care units (ICU), in which required close monitoring over the cared patients, and that had more easily driven the ICU nurses nervous. Even worse, the deferred leaves were more than 10 days at any time in the ICU because of a fluctuating occupancy. As a result, these had brought a bad setback to this particular nursing team, and consequently defeated the job performance and service quality. To solve this problem and accordingly to strengthen their morality, a project team was organized across different departments specific for this. Sufficient information regarding jobs and positions requirements, labor resources, and actual working hours in detail were collected and analyzed in the team meetings. Several alternatives were finalized. These included job rotating, job combination, leave on impromptu and cross-departmental redeployment. Consequently, the deferred leave days sharply reduced 70% to a level of 3 or less days. This improvement had not only provided good shelter for the ICU nurses that improved their job performance and patient safety but also encouraged the nurses active participating of a project and learned the skills of solving problems with colleagues.

Significance of Splitting Method in Non-linear Grid system for the Solution of Navier-Stokes Equation

Solution to unsteady Navier-Stokes equation by Splitting method in physical orthogonal algebraic curvilinear coordinate system, also termed 'Non-linear grid system' is presented. The linear terms in Navier-Stokes equation are solved by Crank- Nicholson method while the non-linear term is solved by the second order Adams-Bashforth method. This work is meant to bring together the advantage of Splitting method as pressure-velocity solver of higher efficiency with the advantage of consuming Non-linear grid system which produce more accurate results in relatively equal number of grid points as compared to Cartesian grid. The validation of Splitting method as a solution of Navier-Stokes equation in Nonlinear grid system is done by comparison with the benchmark results for lid driven cavity flow by Ghia and some case studies including Backward Facing Step Flow Problem.

Serum Nitric Oxide and Sialic Acid: Possible Biochemical Markers for Progression of Diabetic Nephropathy

This study was designed to investigate the role of serum nitric oxide and sialic acid in the development of diabetic nephropathy as disease marker. Total 210 diabetic patients (age and sex matched) were selected followed by informed consent and divided into four groups (70 each) as I: control; II: diabetic; III: diabetic hypertensive; IV: diabetic nephropathy. The blood samples of all subjects were collected and analyzed for serum nitric oxide, sialic acid, fasting blood glucose, serum urea, creatinine, HbA1c and GFR. The BMI, systolic and diastolic blood pressures, blood glucose, HbA1c and serum sialic acid levels were high (p

Experimental Study of the Pressure Drop after Fractal-Shaped Orifices in a Turbulent Flow Pipe

The fractal-shaped orifices are assumed to have a significant effect on the pressure drop downstream pipe flow due to their edge self-similarity shape which enhances the mixing properties. Here, we investigate the pressure drop after these fractals using a digital micro-manometer at different stations downstream a turbulent flow pipe then a direct comparison has been made with the pressure drop measured from regular orifices with the same flow area. Our results showed that the fractal-shaped orifices have a significant effect on the pressure drop downstream the flow. Also the pressure drop measured across the fractal-shaped orifices is noticed to be lower that that from ordinary orifices of the same flow areas. This result could be important in designing piping systems from point of view of losses consideration with the same flow control area. This is promising to use the fractal-shaped orifices as flowmeters as they can sense the pressure drop across them accurately with minimum losses than the regular ones.

Two Phase Frictional Pressure Drop of Carbon Dioxide in Horizontal Micro Tubes

Two-phase frictional pressure drop data were obtained for condensation of carbon dioxide in single horizontal micro tube of inner diameter ranged from 0.6 mm up to 1.6 mm over mass flow rates from 2.5*10-5 to 17*10-5 kg/s and vapor qualities from 0.0 to 1.0. The inlet condensing pressure is changed from 33.5 to 45 bars. The saturation temperature ranged from -1.5 oC up to 10 oC. These data have then been compared against three (two-phase) frictional pressure drop prediction methods. The first method is by Muller-Steinhagen and Heck (Muller-Steinhagen H, Heck K. A simple friction pressure drop correlation for two-phase flow in pipes. Chem. Eng. Process 1986;20:297–308) and that by Gronnerud R. Investigation of liquid hold-up, flow-resistance and heat transfer in circulation type evaporators, part IV: two-phase flow resistance in boiling refrigerants, Annexe 1972. Then the method used by FriedelL. Improved friction pressures drop in horizontal and vertical two-phase pipe flow. European Two-Phase Flow Group Meeting, Paper E2; 1979 June, Ispra, Italy. The methods are used by M.B Ould Didi et al (2001) “Prediction of two-phase pressure gradients of refrigerant in horizontal tubes". Int.J.of Refrigeration 25(2002) 935- 947. The best available method for annular flow was that of Muller- Steinhagen and Heck. It was observed that the peak in the two-phase frictional pressure gradient is at high vapor qualities.

A Study on the Performance Characteristics of Variable Valve for Reverse Continuous Damper

Nowadays, a passenger car suspension must has high performance criteria with light weight, low cost, and low energy consumption. Pilot controlled proportional valve is designed and analyzed to get small pressure change rate after blow-off, and to get a fast response of the damper, a reverse damping mechanism is adapted. The reverse continuous variable damper is designed as a HS-SH damper which offers good body control with reduced transferred input force from the tire, compared with any other type of suspension system. The damper structure is designed, so that rebound and compression damping forces can be tuned independently, of which the variable valve is placed externally. The rate of pressure change with respect to the flow rate after blow-off becomes smooth when the fixed orifice size increases, which means that the blow-off slope is controllable using the fixed orifice size. Damping forces are measured with the change of the solenoid current at the different piston velocities to confirm the maximum hysteresis of 20 N, linearity, and variance of damping force. The damping force variance is wide and continuous, and is controlled by the spool opening, of which scheme is usually adapted in proportional valves. The reverse continuous variable damper developed in this study is expected to be utilized in the semi-active suspension systems in passenger cars after its performance and simplicity of the design is confirmed through a real car test.

Pressure Swing Adsorption with Cassava Adsorbent for Dehydration of Ethanol Vapor

Ethanol has become more attractive in fuel industry either as fuel itself or an additive that helps enhancing the octane number and combustibility of gasoline. This research studied a pressure swing adsorption using cassava-based adsorbent prepared from mixture of cassava starch and cassava pulp for dehydration of ethanol vapor. The apparatus used in the experiments consisted of double adsorption columns, an evaporator, and a vacuum pump. The feed solution contained 90-92 %wt of ethanol. Three process variables: adsorption temperatures (110, 120 and 130°C), adsorption pressures (1 and 2 bar gauge) and feed vapor flow rate (25, 50 and 75 % valve opening of the evaporator) were investigated. According to the experimental results, the optimal operating condition for this system was found to be at 2 bar gauge for adsorption pressure, 120°C for adsorption temperature and 25% valve opening of the evaporator. Production of 1.48 grams of ethanol with concentration higher than 99.5 wt% per gram of adsorbent was obtained. PSA with cassavabased adsorbent reported in this study could be an alternative method for production of nearly anhydrous ethanol. Dehydration of ethanol vapor achieved in this study is due to an interaction between free hydroxyl group on the glucose units of the starch and the water molecules.

Immobilized Liquid Membrane for Propylene- Propane Separation

Separation of propylene-propane mixture using immobilized liquid membrane was investigated. The effect of transmembrane pressure and carrier concentration on membrane separation performance was studied. It was observed that for 30:70 (vol. %) propylene-propane mixture, at pressure of 120kPa and carrier concentration of 20wt. %, a separation factor of 474 was obtained.

On Some Signs of a Recurrent Climate Scenario Advent

Since atmosphere pressure field is an actual envoy of climatic signal the atmospheric Highs and Lows should be attributed to the key active focal points within the ocean-atmosphere interplay system. Here we were set a task to determine how the dynamics of those centres of action relates to the climate change both on regional and global scales. For this target the near-surface temperature and atmospheric pressure differences between the Icelandic Low and the Azores High were considered. The secular term of phase states of the system under consideration was found divided into three nonintersecting subsets. Each of that was put in consequence with one of three climatic scenarios related to the periods of 1905-1935 (relatively warm phase), 1940-1970 (cold phase) and 1980-2000 (warm phase).

Acoustic and Flow Field Analysis of a Perforated Muffler Design

New regulations and standards for noise emission increasingly compel the automotive firms to make some improvements about decreasing the engine noise. Nowadays, the perforated reactive mufflers which have an effective damping capability are specifically used for this purpose. New designs should be analyzed with respect to both acoustics and back pressure. In this study, a reactive perforated muffler is investigated numerically and experimentally. For an acoustical analysis, the transmission loss which is independent of sound source of the present cross flow, the perforated muffler was analyzed by COMSOL. To be able to validate the numerical results, transmission loss was measured experimentally. Back pressure was obtained based on the flow field analysis and was also compared with experimental results. Numerical results have an approximate error of 20% compared to experimental results.

A Statistical Approach for Predicting and Optimizing Depth of Cut in AWJ Machining for 6063-T6 Al Alloy

In this paper, a set of experimental data has been used to assess the influence of abrasive water jet (AWJ) process parameters in cutting 6063-T6 aluminum alloy. The process variables considered here include nozzle diameter, jet traverse rate, jet pressure and abrasive flow rate. The effects of these input parameters are studied on depth of cut (h); one of most important characteristics of AWJ. The Taguchi method and regression modeling are used in order to establish the relationships between input and output parameters. The adequacy of the model is evaluated using analysis of variance (ANOVA) technique. In the next stage, the proposed model is embedded into a Simulated Annealing (SA) algorithm to optimize the AWJ process parameters. The objective is to determine a suitable set of process parameters that can produce a desired depth of cut, considering the ranges of the process parameters. Computational results prove the effectiveness of the proposed model and optimization procedure.

Applying Similarity Theory and Hilbert Huang Transform for Estimating the Differences of Pig-s Blood Pressure Signals between Situations of Intestinal Artery Blocking and Unblocking

A mammal-s body can be seen as a blood vessel with complex tunnels. When heart pumps blood periodically, blood runs through blood vessels and rebounds from walls of blood vessels. Blood pressure signals can be measured with complex but periodic patterns. When an artery is clamped during a surgical operation, the spectrum of blood pressure signals will be different from that of normal situation. In this investigation, intestinal artery clamping operations were conducted to a pig for simulating the situation of intestinal blocking during a surgical operation. Similarity theory is a convenient and easy tool to prove that patterns of blood pressure signals of intestinal artery blocking and unblocking are surely different. And, the algorithm of Hilbert Huang Transform can be applied to extract the character parameters of blood pressure pattern. In conclusion, the patterns of blood pressure signals of two different situations, intestinal artery blocking and unblocking, can be distinguished by these character parameters defined in this paper.

Passive Flow Control in Twin Air-Intakes

Aircraft propulsion systems often use Y-shaped subsonic diffusing ducts as twin air-intakes to supply the ambient air into the engine compressor for thrust generation. Due to space constraint, the diffusers need to be curved, which causes severe flow non-uniformity at the engine face. The present study attempt to control flow in a mild-curved Y-duct diffuser using trapezoidalshaped vortex generators (VG) attached on either both the sidewalls or top and bottom walls of the diffuser at the inflexion plane. A commercial computational fluid dynamics (CFD) code is modified and is used to simulate the effects of SVG in flow of a Y-duct diffuser. A few experiments are conducted for CFD code validation, while the rest are done computationally. The best combination of Yduct diffuser is found with VG-2 arranged in co-rotating sequence and attached to both the sidewalls, which ensures highest static pressure recovery, lowest total pressure loss, minimum flow distortion and less flow separation in Y-duct diffuser. The decrease in VG height while attached to top and bottom walls further improves axial flow uniformity at the diffuser outlet by a great margin as compared to the bare duct.

Corporate Social Responsibility in China Apparel Industry

China apparel industry, which is deeply embedded in the global production network (GPN), faces the dual pressures of social upgrading and economic upgrading. Based on the survey in Ningbo apparel cluster, the paper shows the state of corporate social responsibility (CSR) in China apparel industry is better than before. And the investigation indicates that the firms who practice CSR actively perform better both socially and economically than those who inactively. The research demonstrates that CSR can be an initial capital rather than cost, and “doing well by doing good" is also existed in labor intensive industry.

The Comparative Analysis of Two Typical Fluidic Thrust Vectoring Exhaust Nozzles on Aerodynamic Characteristics

The comparisons of two typical fluidic thrust vectoring exhaust nozzles including two-dimensional(2-D) nozzle and axisymmetric nozzle on aerodynamic characteristics was presented by numerical simulation. The results show: the thrust vector angles increased with the increasing secondary flow but decreased with the nozzle pressure ratio (NPR) increasing. With the same secondary flow and NPR, the thrust vector angles of 2-D nozzle were higher than the axisymmetric nozzle-s. So with the lower NPR and more secondary weight flow, the much higher thrust vector angle was caused by 2-D fluidic nozzle. And with the higher NPR and less secondary weight flow, there was not much difference in angular dimension between two nozzles.

Modeling of Bio Scaffolds: Structural and Fluid Transport Characterization

Scaffolds play a key role in tissue engineering and can be produced in many different ways depending on the applications and the materials used. Most researchers used an experimental trialand- error approach into new biomaterials but computer simulation applied to tissue engineering can offer a more exhaustive approach to test and screen out biomaterials. This paper develops the model of scaffolds and Computational Fluid Dynamics that show the value of computer simulations in determining the influence of the geometrical scaffold parameter porosity, pore size and shape on the permeability of scaffolds, magnitude of velocity, drop pressure, shear stress distribution and level and the proper design of the geometry of the scaffold. This creates a need for more advanced studies that include aspects of dynamic conditions of a micro fluid passing through the scaffold were characterized for tissue engineering applications and differentiation of tissues within scaffolds.

Investigation of Tearing in Hydroforming Process with Analytical Equations and Finite Element Method

Today, Hydroforming technology provides an attractive alternative to conventional matched die forming, especially for cost-sensitive, lower volume production, and for parts with irregular contours. In this study the critical fluid pressures which lead to rupture in the workpiece has been investigated by theoretical and finite element methods. The axisymmetric analysis was developed to investigate the tearing phenomenon in cylindrical Hydroforming Deep Drawing (HDD). By use of obtained equations the effect of anisotropy, drawing ratio, sheet thickness and strain hardening exponent on tearing diagram were investigated.

Estimation of Systolic and Diastolic Pressure using the Pulse Transit Time

In this paper, algorithm estimating the blood pressure was proposed using the pulse transit time (PTT) as a more convenient method of measuring the blood pressure. After measuring ECG and pressure pulse, and photoplethysmography, the PTT was calculated from the acquired signals. Thereafter, the system to indirectly measure the systolic pressure and the diastolic pressure was composed using the statistic method. In comparison between the blood pressure indirectly measured by proposed algorithm estimating the blood pressure and real blood pressure measured by conventional sphygmomanometer, the systolic pressure indicates the mean error of ±3.24mmHg and the standard deviation of 2.53mmHg, while the diastolic pressure indicates the satisfactory result, that is, the mean error of ±1.80mmHg and the standard deviation of 1.39mmHg. These results are satisfied with the regulation of ANSI/AAMI for certification of sphygmomanometer that real measurement error value should be within the mean error of ±5mmHg and the standard deviation of 8mmHg. These results are suggest the possibility of applying to portable and long time blood pressure monitoring system hereafter.

A Self-Consistent Scheme for Elastic-Plastic Asperity Contact

In this paper, a generalized self-consistent scheme, or “three phase model", is used to set up a micro-mechanics model for rough surface contact with randomly distributed asperities. The dimensionless average real pressure p is obtained as function of the ratio of the real contact area to the apparent contact area, 0 A / A r . Both elastic and plastic materials are considered, and the influence of the plasticity of material on p is discussed. Both two-dimensional and three-dimensional rough surface contact problems are considered.

A Strategy Based View of Supply Chain Competitiveness

In this era of competitiveness, there is a growing need for supply chains also to become competitive enough to handle pressures like varying customer’s expectations, low cost high quality products to be delivered at the minimum time and the most important is throat cutting competition at world wide scale. In the recent years, supply chain competitiveness has been, therefore, accepted as one of the most important philosophies in the supply chain literature. Various researchers and practitioners have tried to identify and implement strategies in supply chains which can bring competitiveness in the supply chains i.e. supply chain competitiveness. The purpose of this paper is to suggest select strategies for supply chain competitiveness in the Indian manufacturing sector using an integrated approach of literature review and exploratory interviews with eminent professionals from the supply chain area in various industries, academia and research. The aim of the paper is to highlight the important area of competitiveness in the supply chain and to suggest recommendations to the industry and managers of manufacturing sector.