application of cogeneration systems based gas turbine for heat and power production is increasing. because of finite natural energy resources and increasing energy demand the cost effective design of energy systems is essential. cgam problem as a cogeneration system is considered here for analyzing. two new approaches are considered, first in thermodynamic model of gas turbine and cogeneration ...

We determined the effect of varying ventilator tidal volume (VT) and inspiratory flow (V) on the inspiratory muscle work (WI) during assist-mode mechanical ventilation (AMV) in four healthy subjects. In another four subjects, under constant chemoreceptor input, we determined the responses of neuromuscular output as assessed by the mouth occlusion pressure (P0.1) to alteration in WI. During AMV,...

background: oral care plays an inevitable role in health and well-being of patients in intensive care units (icus). poor oral care causes colonization of respiratory pathogens and secondary respiratory infections. ventilator-associated pneumonia occurs in patients on mechanical ventilation for more than 48 hours. it results in prolonged duration of mechanical ventilation, mortality and health e...

toll like receptors (tlrs) recognize pathogens and generate an immediate defense response by inducing the production of pro-inflammatory cytokines, which rapidly destroy or limit the pathogens. in their bridging role, tlr downstream signals link innate and adaptive immunity, particularly by mediating dc maturation and activation of pathogen specific t lymphocytes. these pathways lead to the act...

introduction:ventilator- associated pneumonia(vap),as defined by the centers for disease control and prevention (cdc),is a pneumonia that occurs in a patient receiving mechanical ventilation that develops 48 hours or more after initiation of ventilation.re-intubation which occur within 72 hours of planned extubation may effect vap incidence.the aim of this study was to determine vap incidence i...

STUDY OBJECTIVES To determine whether an educational initiative could decrease rates of ventilator-associated pneumonia in a regional health-care system. SETTING Two teaching hospitals (one adult, one pediatric) and two community hospitals in an integrated health system. DESIGN Preintervention and postintervention observational study. PATIENTS Patients admitted to the four participating h...

Patient-ventilator synchrony is a complex issue affected by ventilator performance, patient characteristics, and the patient-ventilator interface. The history of patient-ventilator interaction includes avoidance of pharmacalogic paralysis, the development of spontaneous breathing systems, microprocessor technology to maximize interaction, and closed-loop control. While most clinicians agree tha...

Some large wind turbines use a low speed synchronous generator, directly-coupled to the turbine, and a fully rated converter to transform power from the turbine to mains electricity. This paper considers the condition monitoring and diagnosis of mechanical and electrical faults in such a variable speed machine. The application of wavelet transforms is investigated because of the disadvantages o...

Many challenges exist for the operation of wind turbines in an efficient manner that is reliable and avoids component fatigue and failure. Turbines operate in highly turbulent environments resulting in aerodynamic loads that can easily excite turbine structural modes, possibly causing component fatigue and failure. Wind turbine manufacturers are highly motivated to reduce component fatigue and ...

Community-based wind energy projects, with their small-scale, yet sizeable presence, provide a valuable opportunity to understand how individuals make sense of changes to their communities and to the surrounding landscape. Here, we examine the results of a 2013 mail survey of individuals residing in the vicinity of a 2 MW wind turbine that is located on the edge of the historic coastal town of ...