No abstract

Bamboo is a construction material that is renewable, environmentally friendly and widely available. It has long been used in various projects, ranging from temporary, easily assembled and rectilinear structures to complex freeform pavilions. Design with bamboo has never been easy to architects and engineers due to its irregular shape and round section. This prompts the need to develop a new design process that can accommodate those properties that hinder bamboo to be used by designers. In this article, we take a close look at freeform structure design and specifically demonstrate how systematically and algorithmically parametric modelling can be used to tackle bamboo material irregularities and bamboo jointing challenges. A two-stage optimization process is proposed to support a fabricable freeform structure design through encoding material properties and freeform shape optimization. The approach approximates the given freeform shape using a finite set of unique bamboo elements while maintaining the aesthetic design intention. By limiting the number of bamboo elements, it will provide insight to both designers and engineers on the efficiency and cost benefits of producing required structure elements for the final assembly.

The influence of peripheral muscle strength on prognosis after extubation and subsequent functional outcomes is not evident. The objectives of this study were to determine (1) whether peripheral muscle strength can be used as a predictor for patients’ prognoses after extubation, and (2) whether the peripheral muscle strength before extubation is correlated with patients’ subsequent ambulation ability and in-hospital mortality. This study was a prospective observational cohort study. A hand-held dynamometer was used for evaluated the muscle strength of the biceps and quadriceps right before extubation. Besides, after the patients had been transferred from the ICU to the general ward, a 2-minute walk test was performed. A total of 52 patients were enrolled in this study, and the rate of extubation failure was 15%. The muscle strength of the quadriceps was significantly correlated with the prognosis after extubation, 48% of the patients were able to ambulate after being transferred to the general ward. The overall mortality rate was 11%, and there was a significant correlation between the biceps muscle strength and in-hospital mortality. Peripheral muscle strength may serve as an important predictor of a patients’ prognoses after extubation. Poor peripheral muscle strength is indicative of not only a higher risk of re-intubation but also higher in-hospital mortality and poorer functional outcomes.Trial registration: ISRCTN16370134. Registered 30 May 2019, prospectively registered. https://www.isrctn.com/ISRCTN16370134.