Bridge distress caused by approach embankment settlement

Surtees Bridge, which carries the A66(T) over the River Tees near Thornaby-on-Tees in the UK, has been showing signs of distress that predate its opening in 1981. Subsequent investigations have shown that the bridge distress is related to unexpectedly large settlement of the eastern approach embankment. Recent ground investigations prompted by a proposed widening of the river crossing have produced many new data on the alluvial deposits underlying the site, and explain why embankment settlement was so much larger than originally anticipated. Comparison of the geotechnical parameters obtained from the original and more recent ground investigations suggests that the original investigation significantly underestimated the thickness of an alluvial clay layer underlying the site, and that its coefficient of consolidation was overestimated. Settlement analyses using geotechnical data from the original ground investigations predict moderate embankment settlements occurring principally during construction. Settlement analyses based on all the available data predict far larger embankment settlements occurring over extended time periods. The latter analyses predict an embankment settlement similar to that observed and of sufficient magnitude to cause the observed lateral displacement of the bridge due to lateral loading of its piled foundation

2005 American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Standards and Guidelines Survey

An online survey about the use and format of the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) Standards and Guidelines documents was conducted. The survey was sent to A.S.P.E.N. members, and an acceptable number of responses were received (470, or 9% of those surveyed). Most respondents indicated an overall satisfaction with the standards and guidelines and suggested format changes, many of which will be incorporated into future guidelines and standards. The results of this survey are presented here for general interest. Changes in the process with which A.S.P.E.N. produces standards and guidelines are discussed

Communication for Business (4th ed.)

\u27Business for Communication\u27 is a textbook providing comprehensive coverage of key communication principles and skills for business and professional students in Irelan

Stress and Mindfulness Meditation Strategies in Nursing Student Clinical Education and Future Clinical Practice

The purpose of the DNP project was to assist students to recognize, reduce, and manage their stress. The mindfulness meditation interventions are an effective strategy to manage and reduce stress. The project was set in a southeastern part of the United States at a community college that had an associate degree nursing program. At present, nursing education does not include stress and the management of stress in the curriculum. The project targeted associate degree nursing students to teach students how stress influences their lives and evidence-based strategies to alleviate their stress in clinical practice and in future practice through education and practice of mindfulness meditation interventions

RN-BSN Program: On-Demand, Online, Competency-Based Modules

A capstone submitted in partial fulfillment of the requirements for the degree of Doctor of Education in the College of Education at Morehead State University by Ladonna Michelle McClave on December 10, 2015

Reflecting on reflections to discover myself as a leader

The purpose of this presentation is to provide learners to view clinical reflection from a different perspective. This presentation will offer not only the view of the nursing student, but also the view of the nurse educator. Finally, the nurse educator will describe her own growth as a result of reflecting on clinical reflections

Hypertension and happiness across nations

In surveys of well-being, countries such as Denmark and the Netherlands emerge as particularly happy while nations like Germany and Italy report lower levels of happiness. But are these kinds of findings credible? This paper provides some evidence that the answer is yes. Using data on 16 countries, it shows that happier nations report systematically lower levels of hypertension. As well as potentially validating the differences in measured happiness across nations, this suggests that blood-pressure readings might be valuable as part of a national well-being index. A new ranking of European nations’ GHQ-N6 mental health scores is also given

Decreasing Distractions for Medication Safety: A Quality Improvement Project

Medication errors are the most common medical error that exists according to The Joint Commission (2023). Distractions during medication passes are one of the common ways that medication errors occur. From experience with a medication error on a telemetry unit, I sought to find ways to prevent these errors from occurring through the avoidance of distractions.https://scholarworks.moreheadstate.edu/celebration_posters_2024/1028/thumbnail.jp

A Brief Review of a Regional Healthcare Clinical Practice Protocol: The ABCDEF Bundle

A brief review of a clinical practice protocol was performed with two purposes: to critically evaluate a clinical protocol in use to determine if it supports scholarly practice, and to address opportunities for change in practice to meet current guidelines. The Society of Critical Care Medicine originated the intensive care unit (ICU) Liberation Bundle. The bundle was part of the Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption (PADIS) in Adult Patients in the ICU. Its purpose is to reduce the occurrence of delirium and weakness in adults during their stay and includes awakening and breathing trials for mechanically ventilated adult patients. This bundle was then adopted by a regional healthcare facility and rolled into their ABDCEF Bundle.https://scholarworks.moreheadstate.edu/celebration_posters_2024/1025/thumbnail.jp