Once operating trains are disabled on the railway lines,an efficient manner is to utilize the train for train rescue.Owning to the different train and coupler types,it is difficult to formulate uniform regulations for...Once operating trains are disabled on the railway lines,an efficient manner is to utilize the train for train rescue.Owning to the different train and coupler types,it is difficult to formulate uniform regulations for train to train rescue.In this paper,the longitudinal train dynamics of electric multiple units under rescue were analyzed by field and laboratory tests.The angling behavior of the brakinginduced coupler under compressed in-train forces was analyzed.A dynamic model for the train and draft gear system was developed considering accurate boundary limitations and braking characteristics.The safety indices and their limits for the coupled rescue train were defined.Thedynamic evaluations of different train to train rescue scenarios were analyzed.It is indicated that the coupler vertical rotation occurs during the emergency braking applied by the assisting train.The vertical force components of intrain forces lead to the carbody pitch behavior and even cause local destructions to the coupler system.The carbody pitch motion can arise the inference of in-train devices.Based on the safety evaluation of train and coupler system,the regulations for typical train to train rescue scenarios were formulated.展开更多
目的探讨急诊重症监护室(emergency intensive care unit,EICU)血流感染患者临床结局的风险因子,为临床决策提供依据。方法回顾性收集2019年1月至2023年4月我院就诊的141例EICU血流感染患者的病历资料及血培养记录,采用Logistic回归分...目的探讨急诊重症监护室(emergency intensive care unit,EICU)血流感染患者临床结局的风险因子,为临床决策提供依据。方法回顾性收集2019年1月至2023年4月我院就诊的141例EICU血流感染患者的病历资料及血培养记录,采用Logistic回归分析患者死亡的危险因素,运用Cox回归分析上述因素与患者生存时间和临床结局的关系。结果在141例EICU血流感染患者中,两种及以上细菌混合血流感染[比值比(OR)=5.68,95%置信区间(CI):1.20~26.98,P<0.05]及多重耐药菌血流感染(OR=6.39,95%CI:2.78~14.67,P<0.01)与患者死亡具有显著相关性;是否根据药敏结果及时调整用药[风险比(HR)=0.47,95%CI:0.30~0.74]和多重耐药菌血流感染(HR=2.02,95%CI:1.28~3.20)是EICU血流感染患者死亡的风险因子(P<0.01)。结论尽早采集血培养,明确感染病原菌,精准用药控制感染,可以有效降低患者的死亡率。展开更多
基金supported by the National Natural Science Foundation of China [No.U1334206]the National Key R&D Program of China [No.2016YFB1200500]
文摘Once operating trains are disabled on the railway lines,an efficient manner is to utilize the train for train rescue.Owning to the different train and coupler types,it is difficult to formulate uniform regulations for train to train rescue.In this paper,the longitudinal train dynamics of electric multiple units under rescue were analyzed by field and laboratory tests.The angling behavior of the brakinginduced coupler under compressed in-train forces was analyzed.A dynamic model for the train and draft gear system was developed considering accurate boundary limitations and braking characteristics.The safety indices and their limits for the coupled rescue train were defined.Thedynamic evaluations of different train to train rescue scenarios were analyzed.It is indicated that the coupler vertical rotation occurs during the emergency braking applied by the assisting train.The vertical force components of intrain forces lead to the carbody pitch behavior and even cause local destructions to the coupler system.The carbody pitch motion can arise the inference of in-train devices.Based on the safety evaluation of train and coupler system,the regulations for typical train to train rescue scenarios were formulated.
文摘目的探讨急诊重症监护室(emergency intensive care unit,EICU)血流感染患者临床结局的风险因子,为临床决策提供依据。方法回顾性收集2019年1月至2023年4月我院就诊的141例EICU血流感染患者的病历资料及血培养记录,采用Logistic回归分析患者死亡的危险因素,运用Cox回归分析上述因素与患者生存时间和临床结局的关系。结果在141例EICU血流感染患者中,两种及以上细菌混合血流感染[比值比(OR)=5.68,95%置信区间(CI):1.20~26.98,P<0.05]及多重耐药菌血流感染(OR=6.39,95%CI:2.78~14.67,P<0.01)与患者死亡具有显著相关性;是否根据药敏结果及时调整用药[风险比(HR)=0.47,95%CI:0.30~0.74]和多重耐药菌血流感染(HR=2.02,95%CI:1.28~3.20)是EICU血流感染患者死亡的风险因子(P<0.01)。结论尽早采集血培养,明确感染病原菌,精准用药控制感染,可以有效降低患者的死亡率。
