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Coal based power makes up about almost 41 % with the world's electricity generation. Coal fired power plants operate on the modified Rankine thermodynamic cycle.The efficiency is dictated by the parameters with this thermodynamic cycle. The overall coal plant efficiency ranges from 32 % to 42 %. This is mainly dictated through the Superheat and Reheat steam temperatures and Superheat pressures. Most in the large power plants operate at steam pressures of 170 bar and 570 ??C Superheat, and 570 ?? C reheat temperatures. The efficiencies of such plants range between 35 % to 38 %. Super critical power plants operating at 220 bar and 600/600 ??C is capable of efficiencies of 42 %. Ultra super critical pressure power plants at 300 bar and 600/600 ??C is capable of doing efficiencies inside the selection of 45% to 48 % efficiency. The nurses are few, the patient is many, is I from July 1984 to attend nursing work till now, has not solved the difficult problem. This is not something that a nurse can solve, but a nurse who needs to be put to the attention of the government. "The nurse management approach" and "the regulations on the nurse, expressly provides for hospital beds and the proportion of nurses is 1-0. 4, but carry out to every department of the hospital, is short of this standard. When I was working in a beachhead hospital, 10 nurses were responsible for more than 100 inpatients, except for outpatient patients. In longhui county hospital of traditional Chinese medicine, the conditions are better, and now there are 14 nurses who are responsible for the treatment of 50 or 60 hospitalized patients (there are only 52 beds in the ward, but often extra beds). When no one can replace or help we nurse care of the patient, we are going to the hospital leadership many times is useless, because the increase of the nursing staff is always can't keep up with the increase of number of patients, because when recruiting nurses, may not have enough nurses to apply for, as well as the nurse outflow phenomenon. Can't change the reality, can only change myself, nurse only work hard, to explain to patients' families more, guide them how to observe his condition, make the patient's life care, psychological care, medication nursing, functional exercise, etc., the patient very family cooperation can be achieved, to reach the expected effect of treatment and care, to avoid mistake on accident. Sometimes, nurses have to ask the doctor to help us to work together, even if they watch a office or (later only a nurse to work the night shift, nurses to ward rounds, or treatment and care, no one in the office, someone to come to the office to find doctors and nurses to do, or how someone stole drug treatment), or even please guard escort situation as well. "Aunt, please help me to look after, I go to the ward to give a patient infusion, the catheter, have a bed to call me." }

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