Search results for: Jakob Renko
4 Preventive Interventions for Central Venous Catheter Infections in Intensive Care Units: A Systematic Literature Review
Authors: Jakob Renko, Deja Praprotnik, Kristina Martinovič, Igor Karnjuš
Abstract:
Catheter-related bloodstream infections are a major burden for healthcare and patients. Although infections of this type cannot be completely avoided, they can be reduced by taking preventive measures. The aim of this study is to review and analyze the existing literature on preventive interventions to prevent central venous catheters (CVC) infections. A systematic literature review was carried out. The international databases CINAHL, Medline, PubMed, and Web of Science were searched using the search strategy: "catheter-related infections" AND "intensive care units" AND "prevention" AND "central venous catheter." Articles that met the inclusion and exclusion criteria were included in the study. The literature search flow is illustrated by the PRISMA diagram. The descriptive research method was used to analyze the data. Out of 554 search results, 22 surveys were included in the final analysis. We identified seven relevant preventive measures to prevent CVC infections: washing the whole body with chlorhexidine gluconate (CHG) solution, disinfecting the CVC entry site with CHG solution, use of CHG or silver dressings, alcohol protective caps, CVC care education, selecting appropriate catheter and multicomponent care bundles. Both single interventions and multicomponent care bundles have been shown to be currently effective measures to prevent CVC infections in adult patients in the ICU. None of the measures identified stood out in terms of their effectiveness. Prevention work to reduce CVC infections in the ICU is a complex process that requires the simultaneous consideration of several factors.
Keywords: Central venous access, critically ill patients, hospital-acquired complications, prevention.
Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 2603 Tablet Computer as a User Interface: Intelligent Solutions for Multifunctional Hardcopy Devices
Authors: Jaakko Parviainen, Keijo Haataja, Antti Väänänen, Pekka Toivanen
Abstract:
Tablet computers and Multifunctional Hardcopy Devices (MHDs) are common devices in daily life. Though, many scientific studies have not been published. The tablet computers are straightforward to use whereas the MHDs are comparatively difficult to use. Thus, to assist different levels of users, we propose combining these two devices to achieve straightforward intelligent user interface (UI) and versatile What You See Is What You Get (WYSIWYG) document management and production. Our approach to this issue is to design an intelligent user dependent UI for a MHD applying a tablet computer. Furthermore, we propose hardware interconnection and versatile intelligent software between these two devices. In this study, we first provide a state-of-the-art survey on MHDs and tablet computers, and their interconnections. Secondly we provide a comparative UI survey on two state-of-the-art MHDs with a proposal of a novel UI for the MHDs using Jakob Nielsen-s Ten Usability Heuristics Evaluation.
Keywords: Computational intelligence, hardcopy device, tablet computer, user interface.
Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 25212 Dynamic Reroute Modeling for Emergency Evacuation: Case Study of Brunswick City, Germany
Authors: Yun-Pang Flötteröd, Jakob Erdmann
Abstract:
The human behaviors during evacuations are quite complex. One of the critical behaviors which affect the efficiency of evacuation is route choice. Therefore, the respective simulation modeling work needs to function properly. In this paper, Simulation of Urban Mobility’s (SUMO) current dynamic route modeling during evacuation, i.e. the rerouting functions, is examined with a real case study. The result consistency of the simulation and the reality is checked as well. Four influence factors (1) time to get information, (2) probability to cancel a trip, (3) probability to use navigation equipment, and (4) rerouting and information updating period are considered to analyze possible traffic impacts during the evacuation and to examine the rerouting functions in SUMO. Furthermore, some behavioral characters of the case study are analyzed with use of the corresponding detector data and applied in the simulation. The experiment results show that the dynamic route modeling in SUMO can deal with the proposed scenarios properly. Some issues and function needs related to route choice are discussed and further improvements are suggested.
Keywords: Evacuation, microscopic traffic simulation, rerouting, SUMO.
Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 11811 Production of Energetic Nanomaterials by Spray Flash Evaporation
Authors: Martin Klaumünzer, Jakob Hübner, Denis Spitzer
Abstract:
Within this paper, latest results on processing of energetic nanomaterials by means of the Spray Flash Evaporation technique are presented. This technology constitutes a highly effective and continuous way to prepare fascinating materials on the nano- and micro-scale. Within the process, a solution is set under high pressure and sprayed into an evacuated atomization chamber. Subsequent ultrafast evaporation of the solvent leads to an aerosol stream, which is separated by cyclones or filters. No drying gas is required, so the present technique should not be confused with spray dying. Resulting nanothermites, insensitive explosives or propellants and compositions are foreseen to replace toxic (according to REACH) and very sensitive matter in military and civil applications. Diverse examples are given in detail: nano-RDX (n-Cyclotrimethylentrinitramin) and nano-aluminum based systems, mixtures (n-RDX/n-TNT - trinitrotoluene) or even cocrystalline matter like n-CL-20/HMX (Hexanitrohexaazaisowurtzitane/ Cyclotetra-methylentetranitramin). These nanomaterials show reduced sensitivity by trend without losing effectiveness and performance. An analytical study for material characterization was performed by using Atomic Force Microscopy, X-Ray Diffraction, and combined techniques as well as spectroscopic methods. As a matter of course, sensitivity tests regarding electrostatic discharge, impact, and friction are provided.
Keywords: Continuous synthesis, energetic material, nanoscale, nanothermite, nanoexplosive.
Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 1435