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NiTi-SMA绞线自复位黏滞阻尼器力学性能研究
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作者 连鸣 张舒洋 +1 位作者 周玉浩 王颜凯 《地震工程与工程振动》 北大核心 2026年第2期154-167,共14页
本文旨在解决传统黏滞阻尼器(viscous damper,VD)缺乏自复位能力的问题,提出一种由NiTi形状记忆合金(shape memory alloy,SMA)绞线控制的自复位系统与传统高阻尼黏滞阻尼器并联组成的新型自复位黏滞阻尼器(shape memory alloy-self-cent... 本文旨在解决传统黏滞阻尼器(viscous damper,VD)缺乏自复位能力的问题,提出一种由NiTi形状记忆合金(shape memory alloy,SMA)绞线控制的自复位系统与传统高阻尼黏滞阻尼器并联组成的新型自复位黏滞阻尼器(shape memory alloy-self-centering viscous damper,SMA-SVD)。首先通过试验探究循环次数、应变幅值和加载速率对7×19构型SMA绞线力学性能的影响,获取其恢复力特性;基于该特性提出SMA-SVD的基本构造并阐述工作原理,进一步对其力学性能展开参数分析。结果表明,7×19构型SMA绞线具备稳定的耗能能力与自复位性能,且对加载速率响应良好;相较于传统VD,SMA-SVD初始刚度更大,自复位能力显著,在低周循环荷载下呈现旗帜形滞回特性,承载力稳定,卸载后基本恢复初始位置。综合分析结果,建议SMA-SVD中SMA绞线弹性恢复力与VD黏滞阻尼力比值的取值范围为1.18~1.43,以平衡耗能与自复位能力。研究成果对开发兼具耗能与自复位功能的阻尼装置具有一定的参考价值。 展开更多
关键词 黏滞阻尼器 形状记忆合金绞线 自复位 试验研究 数值模拟
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Comparative study between novel self cross-linking and conventional fluorinated acrylic latex 被引量:1
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作者 Li Jun Chen 《Chinese Chemical Letters》 SCIE CAS CSCD 2011年第10期1249-1252,共4页
Novel self cross-linking fluorinated acrylic latex(SCLFAL) has been successfully prepared via starved seeded semi-batch emulsion polymerization.The resultant SCLFAL is characterized by Fourier transform infrared(F... Novel self cross-linking fluorinated acrylic latex(SCLFAL) has been successfully prepared via starved seeded semi-batch emulsion polymerization.The resultant SCLFAL is characterized by Fourier transform infrared(FTIR) spectrometry.Contact angle (CA) and glass transition temperature(T_g) of the film are investigated.Results show that CA and T_g of the film can be improved when the moderate amount of HPMA is introduced into the mixed monomers. 展开更多
关键词 self cross-linking fluorinated acrylic latex PREPARATION Comparative study
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Hand self-Shiatsu for sleep problems in p ersons with chronic pain: a pilot study 被引量:9
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作者 Cary A.Brown Geoff Bostick +1 位作者 Leisa Bellmore Dilesha Kumanayaka 《Journal of Integrative Medicine》 SCIE CAS CSCD 2014年第2期94-101,共8页
OBJECTIVE: Difficulty falling asleep (sleep latency) and staying asleep (sleep maintenance) are common problems for persons living with pain. Research demonstrates that sleep problems are, in turn, related to exa... OBJECTIVE: Difficulty falling asleep (sleep latency) and staying asleep (sleep maintenance) are common problems for persons living with pain. Research demonstrates that sleep problems are, in turn, related to exacerbation of chronic pain. There is a growing body of evidence for a range of pragmatic, non-pharmacological sleep interventions that can potentially be incorporated into pain management programs. This study looks at the outcome of teaching patients with musculoskeletal pain standardized pre-bedtime hand self-Shiatsu (HSS) to reduce sleep latency. METHODS: A case series design, with participants acting as their own controls, was selected to facilitate hypothesis generation for this novel, under-researched intervention. Sleep efficiency, latency and maintenance, sleep beliefs, pain intensity and basic participant demographics were collected at baseline with actigraphy and standardized self-report questionnaires. After one week of baseline data collection, the HSS intervention was taught to participants. Follow-up data were collected at 2 and 8 weeks post-intervention. RESULTS: Data collected at baseline and the two follow-up periods revealed no apparent changes in the objective actigraphy data. However a trend toward improved self-reported sleep latency (time to fall asleep) and sleep duration (time spent asleep) emerged. A number of participants reported they were more concerned with increasing their period of unbroken sleep as opposed to their total sleep time and it is possible that HSS may be useful to be applied during nighttime awakenings as well as before bed. None of the participants reported adverse effects of the intervention. CONCLUSION: These preliminary findings are promising and future studies exploring the mechanism of action and with stronger control of treatment fidelity are indicated. 展开更多
关键词 Shiatsu self-MANAGEMENT PAIN SLEEP INSOMNIA pilot study
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高龄不孕症患者体外受精-胚胎移植助孕期间自我管理真实体验的质性研究
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作者 宋欢欢 曹莹丽 +2 位作者 高文汇 张楠 李燕娟 《军事护理》 北大核心 2026年第1期95-98,共4页
目的深入了解高龄不孕患者体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)助孕期间自我管理的真实体验,为临床护理人员制订针对性的指导和干预策略提供参考依据。方法采用目的抽样法选取2024年7月至2025年12月于山... 目的深入了解高龄不孕患者体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)助孕期间自我管理的真实体验,为临床护理人员制订针对性的指导和干预策略提供参考依据。方法采用目的抽样法选取2024年7月至2025年12月于山西省某三级甲等医院行IVF-ET治疗的15例高龄不孕患者进行半结构式访谈,采用Colaizzi 7步分析法对访谈资料进行整理分析。结果提炼出4个主题10个亚主题:日常生活管理困境(饮食输入输出平衡障碍、运动效能低下、睡眠严重受阻);心理负担(不良心情及情绪、希望水平低下、疲劳感);生理体验(月经紊乱、并发症/不良反应应对能力不足);社会支持不足(科学的信息来源缺乏、伴侣共情水平低下)。结论高龄不孕症患者IVF-ET助孕期间自我管理体验复杂,护理人员应重视高龄不孕患者IVF-ET助孕期间的不良生理、心理体验,针对性地给予科学有效的指导与干预,以提高患者的院外自我管理能力,促进助孕成功。 展开更多
关键词 高龄不孕 体外受精-胚胎移植 自我管理 质性研究
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自我研究(S-STTEP)作为教师教育研究的突破口
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作者 吴雨桐 宋萑 《教师教育研究》 北大核心 2026年第1期85-91,共7页
教师教育研究长期面临主客体分离造成的研究者隐身与实践者失声的发展困境,近年来引入我国的新兴方法论自我研究(S-STTEP,全称“教学与教师教育实践自我研究”)为突破这一困境提供了有效路径。初步接触自我研究的学者面临工具主义陷阱,... 教师教育研究长期面临主客体分离造成的研究者隐身与实践者失声的发展困境,近年来引入我国的新兴方法论自我研究(S-STTEP,全称“教学与教师教育实践自我研究”)为突破这一困境提供了有效路径。初步接触自我研究的学者面临工具主义陷阱,对具体开展自我研究存在困惑。本文从本体论、价值论、方法论三个角度分别讨论“何为自我研究”“为何做自我研究”“如何做自我研究”三个问题,深入分析“自我”的内涵、“自我”与“实践”的关系,简述自我研究在局内人行动研究、叙事探究、自我反思等写作与研究方法上的突破性,并提供具体操作上的启发。基于上述讨论,本文提出以自我研究作为走出当前教师教育研究发展困境的突破口。 展开更多
关键词 自我研究 教师教育 研究方法 专业知识
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住院医师规范化培训Self-study模式的实践与探索 被引量:7
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作者 余情 郑玉英 +2 位作者 阎作勤 李妍莹 朱蓁蓁 《中国毕业后医学教育》 2017年第1期20-22,43,共4页
参考美国毕业后医学教育认证委员会(ACGME)住院医师6大核心能力和加拿大皇家内外科学院(The Royal College of Physicians and Surgeons of Canada)Can MEDS住院医师能力框架的住院医师规范化培训评价指标所设立的住院医师规范化培训Sel... 参考美国毕业后医学教育认证委员会(ACGME)住院医师6大核心能力和加拿大皇家内外科学院(The Royal College of Physicians and Surgeons of Canada)Can MEDS住院医师能力框架的住院医师规范化培训评价指标所设立的住院医师规范化培训Self-study方法,以各联盟医院的住院医师规范化培训管理机构及内科、外科、全科、麻醉科、医学影像科住院医师规范化培训专业基地为评估对象。评估内容:涉及管理机构标准及专业基地项目标准的各评估指标共计140项。对140个评估项目开展现况调研、缺陷查找、设定目标、持续改进的自我评估流程,旨在探讨Self-study模式在住院医师规范化培训中的实践与效果。评估结果显示:在140项评估指标中,完全达标的为132项,部分达标需要完善的有5项,未达标需要计划启动的有3项,总体达标率为94.3%。通过本次Self-study的自我评估发现:中国的住院医师规范化培训急需建立一整套既与国际接轨又符合我国国情的住院医师规范化培训质量控制与综合评估体系。 展开更多
关键词 住院医师规范化培训 self-study 持续改进 实践
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从“国家-民众”到“家庭-自我”:现代中国家庭民俗学之演进轨辙
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作者 赵李娜 《青海民族大学学报(社会科学版)》 2026年第1期123-132,共10页
21世纪以来,民俗学界开始探索家庭民俗学理论及民俗志写作。回溯学术史,中国现代民俗学开端已隐含“以家庭为方法”的取向,但在“国家-民众”宏大叙事下长期处于隐性状态。新时期以来随着社会转型加速,“家庭”在民俗学场域中的重要性... 21世纪以来,民俗学界开始探索家庭民俗学理论及民俗志写作。回溯学术史,中国现代民俗学开端已隐含“以家庭为方法”的取向,但在“国家-民众”宏大叙事下长期处于隐性状态。新时期以来随着社会转型加速,“家庭”在民俗学场域中的重要性日益凸显。在家乡民俗学、实践民俗学等理论滋养下,结合“日常”“个体”转向思潮,民俗志书写中“家庭”逐渐走向前台。近年来家庭民俗志实践推动着相关理论创新,反映了中国民俗学研究范式的拓展与深化。 展开更多
关键词 家庭 自我 家庭民俗学 家庭民俗志 民俗志写作
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Online Case Based Self-Study Modules as an Adjunct Learning Tool in Otorhinolaryngology: A Pilot Study
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作者 Vijayalakshmi Subramaniam Rashmi Jain +1 位作者 Sivan Yegnanarayana Iyer Saraswathy Varun Mishra 《International Journal of Otolaryngology and Head & Neck Surgery》 2015年第5期344-349,共6页
Background/Need for innovation: Undergraduate students in Otolaryngology are on the lookout for easy modes of learning which can help them understand concepts better as well as score more in examinations. A need was h... Background/Need for innovation: Undergraduate students in Otolaryngology are on the lookout for easy modes of learning which can help them understand concepts better as well as score more in examinations. A need was hence felt to introduce a new learning resource to supplement traditional teaching-learning methods. Methods: Digital, case based self–study modules were prepared using all open source technology and validated by experts in the specialty. The modules were uploaded on a website specifically created for the purpose. They were pilot tested on twenty consenting third year undergraduate (MBBS) students using a crossover design. Post test comprising of multiple choice questions was administered to the students after a period of two weeks. Feedback was obtained from faculty and students. Results: Test scores were found to be significantly higher amongst students who used the learning modules as a supplement to regular bedside teaching (p < 0.001;Wilcoxon signed rank test). Majority of students agreed that the modules helped them gain confidence during internal assessment examinations and would help revision. Conclusions: Online, case based, self-study modules helped students to perform better when used as a supplement to traditional teaching methods. Students agreed that it enabled easy understanding of subject and helped them gain confidence. 展开更多
关键词 self-study MODULES Teaching-Learning Methods Web-Based Instruction ONLINE LEARNING
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Factors Affecting the English Self-study of Senior High Students
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作者 徐斌 《海外英语》 2015年第8期90-91,共2页
The new students'view appeals for learning alone,so the teachers should make study for students,which is the order of the new curriculum standards of the high school English.There are many strategies to improve th... The new students'view appeals for learning alone,so the teachers should make study for students,which is the order of the new curriculum standards of the high school English.There are many strategies to improve that,but the effect of self-study is not satisfactory.In order to make it come into effects,we should conclude the factors affecting the English self-study.Subjective and objective aspects will be concluded according to the literature review,investigation,self-experience and features of senior high English study. 展开更多
关键词 SENIOR HIGH STUDENTS ENGLISH self-study AFFECTING factors subject and object
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An Observational Study of the 30-50 Day Atmospheric Oscillations Part I: Structure and Propagation 被引量:20
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作者 李崇银 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 1990年第3期294-304,共11页
Features of structure and propagation of the 30 to SO day atmospheric oscillations are investigated using the ECMWF analysis of 1980-1983. Evidence is provided to confirm the characteristics of the oscillation in the ... Features of structure and propagation of the 30 to SO day atmospheric oscillations are investigated using the ECMWF analysis of 1980-1983. Evidence is provided to confirm the characteristics of the oscillation in the equatorial region. Those in the mid-high latitudes, however, are revealed to be very different from the tropics and pose a strong barotropic structure. Horizontal coherence shows teleconnection patterns which can be identified as EAP and PNA. The wind field of the specified time scale of the oscillation appears as long-lived vortices and vortex pairs. Mid-latitude perturbations propagate clearly westwards, especially during the winter season. In the high latitudes, they propagate westwards in the winter but eastwards in the summer. Meridional propagations are rather different from region to region. 展开更多
关键词 An Observational study of the 30-50 Day Atmospheric Oscillations Part I HIGH
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数字化转型背景下大学生双创D-DSO能力培养架构研究
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作者 万里 周峰 张晓琳 《江苏经贸职业技术学院学报》 2025年第3期34-38,共5页
针对数字化转型背景下大学生双创能力培养的不足,在自我效能理论指导下研究确定大学生需要具备的数字化双创能力(双创D-DSO能力),包括双创梦想能力、双创学习能力和双创应用能力三项逐次递进的能力。根据数字技术系统的原理,设计双创D-... 针对数字化转型背景下大学生双创能力培养的不足,在自我效能理论指导下研究确定大学生需要具备的数字化双创能力(双创D-DSO能力),包括双创梦想能力、双创学习能力和双创应用能力三项逐次递进的能力。根据数字技术系统的原理,设计双创D-DSO能力培养架构,包括逻辑架构、物理架构和运行架构三个模块,其中逻辑架构是对双创D-DSO能力培养架构的总体规划,物理架构是双创D-DSO能力培养实体的构成,运行架构是双创D-DSO能力培养的行为规划。双创D-DSO能力培养架构能为数字化转型背景下的高校双创人才培养提供依据。 展开更多
关键词 双创教育 数字化转型 梦想-学习-应用 自我效能
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Potential Toxicological and Cardiopulmonary Effects of PM2,5 Exposure and Related Mortality:Findings of Recent Studies Published during 2003-2013 被引量:17
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作者 Mohammed O.A.Mohammed SONG Wei Wei +7 位作者 MA Wan Li LI Wen Long LI Yi Fan Afed Ullah Khan Mohammed A.E.M.Ibrahim Osman Adam Maarouf Alshebli A Ahmed John J.Ambuchi 《Biomedical and Environmental Sciences》 SCIE CAS CSCD 2016年第1期66-79,共14页
Air pollution has environmental issue owing become a serious to its diverse harmful effects on the physical and biological environment. According to the Environmental Protection Agency (EPA) and the World Health Org... Air pollution has environmental issue owing become a serious to its diverse harmful effects on the physical and biological environment. According to the Environmental Protection Agency (EPA) and the World Health Organization (WHO), air pollution affects millions of people worldwide. Hundreds of thousands of deaths each year and a range of diseases, particularly among vulnerable groups (i.e., children, the elderly, and people with special medical conditions), are attributed to air pollution. These effects are not always caused by single pollutant in the air; rather, they are considered consequences of the multi-pollutants to which people are simultaneously exposed. 展开更多
关键词 Potential Toxicological and Cardiopulmonary Effects of PM lung Exposure and Related Mortality Findings of Recent Studies Published during 2003-2013 2003
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Numerical study on three-dimensional flow field of continuously rotating detonation in a toroidal chamber 被引量:4
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作者 Xu-Dong Zhang Bao-Chun Fan +2 位作者 Ming-Yue Gui Zhen-Hua Pan Gang Dong 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2012年第1期66-72,共7页
Gaseous detonation propagating in a toroidal chamber was numerically studied for hydrogen/oxygen/nitrogen mixtures. The numerical method used is based on the three-dimensional Euler equations with detailed finiterate ... Gaseous detonation propagating in a toroidal chamber was numerically studied for hydrogen/oxygen/nitrogen mixtures. The numerical method used is based on the three-dimensional Euler equations with detailed finiterate chemistry. The results show that the calculated streak picture is in qualitative agreement with the picture recorded by a high speed streak camera from published literature. The three-dimensional flow field induced by a continuously rotating detonation was visualized and distinctive features of the rotating detonations were clearly depicted. Owing to the unconfined character of detonation wavelet, a deficit of detonation parameters was observed. Due to the effects of wall geometries, the strength of the outside detonation front is stronger than that of the inside portion. The detonation thus propagates with a constant circular velocity. Numerical simulation also shows three-dimensional rotating detonation structures, which display specific feature of the detonation- shock combined wave. Discrete burning gas pockets are formed due to instability of the discontinuity. It is believed that the present study could give an insight into the interest- ing properties of the continuously rotating detonation, and is thus beneficial to the design of continuous detonation propulsion systems. 展开更多
关键词 Continuously rotating detonation - Three- dimensional flow field structure - Numerical study Detonation parameters deficit ~ Effects of wall geometries
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An Observational Study of the 30-50 Day Atmospheric Oscillations Part II: Temporal Evolution and Hemispheric Interaction across the Equator 被引量:3
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作者 李崇银 周亚萍 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 1991年第4期399-406,共8页
In this part, the temporal evolution and interaction across the equator of 30-50 day oscillation in the atmosphere are investigated further. The annual variation of 30-50 day oscillation is quite obvious in the mid-hi... In this part, the temporal evolution and interaction across the equator of 30-50 day oscillation in the atmosphere are investigated further. The annual variation of 30-50 day oscillation is quite obvious in the mid-high latitudes. In the tropical atmosphere, the obvious interannual variation is an important property for temporal evolution of 30-50 day oscillation. The low-frequency wavetrain across the equator over the central Pacific and central Atlantic area, the movement of the long-lived low-frequency system across the equator and the meridional wind component across the equator will obviously show the interaction of 30-50 day oscillation in the atmosphere across the equator. 展开更多
关键词 EI over An Observational study of the 30-50 Day Atmospheric Oscillations Part II Temporal Evolution and Hemispheric Interaction across the Equator Nino
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Experimental Study on Momentum Transfer of Surface Texture in Taylor-Couette Flow 被引量:1
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作者 Yabo XUE Zhenqiang YAO De CHENG 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2017年第3期754-761,共8页
The behavior of Taylor-Couette (TC) flow has been extensively studied. However, no suitable torque prediction models exist for high-capacity fluid machinery. The Eckhardt-Grossmann-Lohse (EGL) theory, derived base... The behavior of Taylor-Couette (TC) flow has been extensively studied. However, no suitable torque prediction models exist for high-capacity fluid machinery. The Eckhardt-Grossmann-Lohse (EGL) theory, derived based on the Navier-Stokes equations, is proposed to model torque behavior. This are the significant energy theory suggests that surfaces transfer interfaces between cylinders and annular flow. This study mainly focuses on the effects of surface texture on momentum transfer behavior through global torque measurement. First, a power-law torque behavior model is built to reveal the relationship between dimensionless torque and the Taylor number based on the EGL theory. Second, TC flow appa- ratus is designed and built based on the CNC machine tool to verify the torque behavior model. Third, four surface texture films are tested to check the effects of surface texture on momentum transfer. A stereo microscope and three-dimensional topography instrument are employed to analyze surface morphology. Global torque behavior is measured by rotating a multi component dynamometer, and the effects of surface texture on the annular flow behavior are observed via images obtained using a high-speed camera. Finally, torque behaviors under four differentsurface conditions are fitted and compared. The experi- mental results indicate that surface textures have a remarkable influence on torque behavior, and that the peak roughness of surface texture enhances the momentum transfer by strengthening the fluctuation in the TC flow. 展开更多
关键词 Torque behavior - Momentum transferbehavior Surface texture Experimental study TaylorCouette flow (TC flow)
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A Numerical Study on Ship Self propulsion Factor
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作者 Qiuxin Gao(China Ship Scientific Research Center, Wuxi 214082,P.R.China) 《武汉理工大学学报(交通科学与工程版)》 1999年第S1期39-42,共4页
The scale effect on self propulsion factor is studied numerically in this paper.Model scale and full scale ship computation are conducted as test case.The flow field around ship hull is simulated by solving 3 D RANS e... The scale effect on self propulsion factor is studied numerically in this paper.Model scale and full scale ship computation are conducted as test case.The flow field around ship hull is simulated by solving 3 D RANS equation and two equation turbulence model.The propeller is modeled by force disc and its loading coefficient is investigated by lifting surface method.The comparison between model test and prediction is made. 展开更多
关键词 self PROPULSION FACTOR scale effect NUMERICAL study
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基于Kano-QFD的高校图书馆智能自习桌设计研究 被引量:1
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作者 张慧 耿铭伟 +1 位作者 王宜军 王志强 《包装工程》 北大核心 2025年第12期460-470,共11页
目的解决高校图书馆自习桌在满足自主学习需求方面的不足。面对考研、考公等引起的大学生长期自习需求增多等问题,设计一款智能、自适应且符合用户需求的图书馆自习桌,提升学生学习体验和舒适度。方法首先,通过用户旅程观察与随机访谈... 目的解决高校图书馆自习桌在满足自主学习需求方面的不足。面对考研、考公等引起的大学生长期自习需求增多等问题,设计一款智能、自适应且符合用户需求的图书馆自习桌,提升学生学习体验和舒适度。方法首先,通过用户旅程观察与随机访谈收集初始功能需求,通过综合文本分析梳理其他需求,汇总确定参与评价的22项初步需求。其次,面向在校大学生随机发放207份Kano问卷,对回收问卷根据需求类型进行属性分析,权重赋值。之后,使用QFD模型将需求与设计特性关联,构建质量功能配置屋,量化不同设计特性的重要性,形成高校图书馆自习桌设计指导依据。结果智能控制、储物单元、围合隔断、状态显示和电动升降等均为高校图书馆自习桌优先考虑的设计特性。设计实践中通过用户测试和专家评审验证了方案的可行性,最终提出了适配高校图书馆自习需求的设计方案。结论研究表明,基于Kano-QFD结合的设计方法能够有效获取量化的用户需求,并将需求与具体产品特性进行映射,准确高效地指导设计实践,为自习桌椅类的产品设计提供了新的思路和参考。 展开更多
关键词 高校图书馆 智能自习桌设计 Kano QFD 用户需求 创新设计
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基于O-RADS MRI的培训应用于改善附件肿块诊断的可行性研究 被引量:1
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作者 朱华东 崔磊 +7 位作者 吴亚丽 蔡胜男 印洪刚 缪丹丹 徐晓霏 林培培 黄小妹 马熙 《放射学实践》 北大核心 2025年第2期229-237,共9页
目的:探讨基于卵巢-附件影像报告和数据系统(O-RADS)MRI对附件肿块的诊断效能,分析培训对O-RADS MRI诊断效能的影响。方法:回顾性分析2015年1月到2022年6月南通市妇幼保健院经病理证实的426例附件肿块患者的MRI图像资料,将426例病例分... 目的:探讨基于卵巢-附件影像报告和数据系统(O-RADS)MRI对附件肿块的诊断效能,分析培训对O-RADS MRI诊断效能的影响。方法:回顾性分析2015年1月到2022年6月南通市妇幼保健院经病理证实的426例附件肿块患者的MRI图像资料,将426例病例分为教育组60例和测试组366例。6位医师随机分为自学组和培训组,对测试组进行两轮分析,时间间隔为2个月;第一轮所有医师根据自身经验分析肿块良恶性;第二轮采用O-RADS MRI进行评分,自学组自学,培训组接受培训;教育组用于第二轮培训组的培训。以O-RADS≥4分为恶性肿块截断值,计算评分的灵敏度(Sens)、特异度(Spec)、阳性预测值(PPV)、阴性预测值(NPV)、准确率(Acc)。采用组内相关系数(ICC)评价各医生两轮阅片评分结果的一致性。结果:6位医师的Sens为83.3%~95.5%,Spec为91.0%~94.7%,PPV为68.6%~79.7%,NPV为96.2%~99.0%,Acc为90.7%~94.8%。6位医师的ICC值为0.863(95%CI:0843~0.882),一致性较高。第二轮自学组与培训组的平均灵敏度分别为84.3%、91.4%,平均特异度分别为92.3%、93.4%,平均准确率分别为90.9%、93.1%;培训后低年资医师的Sens及PPV分别提升21.2%、22.7%。结论:O-RADS MRI对附件肿块的良恶性评估具有较高的诊断效能及一致性,培训后低年资影像医师的诊断效能改善最为明显。 展开更多
关键词 磁共振成像 卵巢-附件影像报告和数据系统 附件肿块 诊断效能 一致性 自学 培训
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36-Month Follow-Up Study of Post-Intervention Chronic Heart Failure Patients 被引量:2
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作者 Haruka Otsu Michiko Moriyama 《Health》 2014年第7期559-575,共17页
Aim: Although numerous studies of disease management and case management of chronic heart failure (CHF) have been carried out, length of effectiveness after program commencement has not been examined, so we examined a... Aim: Although numerous studies of disease management and case management of chronic heart failure (CHF) have been carried out, length of effectiveness after program commencement has not been examined, so we examined a follow-up study at 36 months after program commencement. Methods: Participants went for follow-up visits to one Japanese clinic which specializes in internal cardiovascular medicine and they were given diagnoses of CHF. 104 outpatients participated in this study and randomized control trial was implemented. An educational program was implemented for 6 months. The data were collected at baseline, 3, 6, 9, 12 months from both intervention and control groups and at 24 and 36 months from the intervention group. Results: There was significant improvement in New York Heart Association (NYHA) in the intervention group between baseline and 36 months. Improvement in weight monitoring and activities or exercise in the intervention group continued up to 36 months. Meanwhile, sodium restricted diets and quitting smoking and/or drinking depended on individual preference and it was difficult to make improvements in these areas. Conclusions: The educational program showed promise in preventing CHF outpatients from deteriorating significantly on a long-term basis as self-monitoring of activity and weight continued significantly and there were no participants with CHF who deteriorated in the intervention group at 36 months after program commencement, although the program aimed only to provide illness and self-management knowledge. On the other hand, future work will need to compare participants in this program to a control group over an extended period of time with consideration for relieving the burden of the control group. 展开更多
关键词 Chronic HEART Failure Disease Management EDUCATIONAL Program FOLLOW-UP study self-MANAGEMENT
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Parameter Self - Learning of Generalized Predictive Control Using BP Neural Network
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作者 陈增强 袁著祉 王群仙 《Journal of China Textile University(English Edition)》 EI CAS 2000年第3期54-56,共3页
This paper describes the self—adjustment of some tuning-knobs of the generalized predictive controller(GPC).A three feedforward neural network was utilized to on line learn two key tuning-knobs of GPC,and BP algorith... This paper describes the self—adjustment of some tuning-knobs of the generalized predictive controller(GPC).A three feedforward neural network was utilized to on line learn two key tuning-knobs of GPC,and BP algorithm was used for the training of the linking-weights of the neural network.Hence it gets rid of the difficulty of choosing these tuning-knobs manually and provides easier condition for the wide applications of GPC on industrial plants.Simulation results illustrated the effectiveness of the method. 展开更多
关键词 generalized PREDICTIVE CONTROL self - tuning CONTROL self - LEARNING CONTROL NEURAL networks BP algorithm .
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