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基于Unity3D的游梁式抽油机数字孪生系统设计及其运动性能分析
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作者 孙文 陶键 陶伟莉 《机电工程技术》 2026年第5期7-12,共6页
随着油田开发技术需求的不断提高,智能抽油机井系统的发展日益受到重视,数字孪生技术是实现抽油机井系统智能化监测与管理的有效解决方案。基于Unity3D引擎与数字孪生五维模型,搭建实验室游梁式抽油机数字孪生原型系统。首先通过Solid⁃W... 随着油田开发技术需求的不断提高,智能抽油机井系统的发展日益受到重视,数字孪生技术是实现抽油机井系统智能化监测与管理的有效解决方案。基于Unity3D引擎与数字孪生五维模型,搭建实验室游梁式抽油机数字孪生原型系统。首先通过Solid⁃Works逆向建模、3DsMAX模型渲染并导入Unity3D系统进行集成,从而搭建虚拟平台;同时利用数据采集卡与传感器实时采集位移、倾角等运动学参数,最后经多次滤波操作后验证了其与仿真数据的一致性。结果表明:抽油机数字孪生原型系统基本实现了抽油机实体三维可视化、运动状态监测和数据解析及可视化等系统功能;且在数据滤波降噪后,能够使虚拟模型和物理实体的悬点位移、速度等运动数据误差均显著减小,位移数据误差为3.09%,速度参数的最大误差为4.24%,加速度参数的最大误差为7.43%,验证了数字孪生在石油装备监控中的可行性。 展开更多
关键词 数字孪生 unitY3D 抽油机 运动分析 数据处理
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Uniform regularity for the Navier-Stokes-Fourier system in T^(n)
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作者 FAN Ji-shan ZHOU Yong 《Applied Mathematics(A Journal of Chinese Universities)》 2025年第2期501-508,共8页
In this paper,we prove the uniform regularity estimates for the Navier-Stokes-Fourier system in T^(n).
关键词 Navier-Stokes-Fourier regularity smooth solutions
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REGULARITY OF (0,1,…,r-2,r)INTERPOLATION ON THE UNIT CIRCLE
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作者 Xie Siqing (Wuhan Inst.of Math.Sic.,Academia Sinica,China) 《Analysis in Theory and Applications》 1996年第3期52-58,共7页
The object of this paper is to show regularity of(0,1,...,r-2,r) interpolation on the set obtained by projecting vertically the zeros of (1-x2)pn(x)(λ≥1/2)onto the unit circle,where Pn(x)stands for the nth ultrasphe... The object of this paper is to show regularity of(0,1,...,r-2,r) interpolation on the set obtained by projecting vertically the zeros of (1-x2)pn(x)(λ≥1/2)onto the unit circle,where Pn(x)stands for the nth ultraspherical polynomial. 展开更多
关键词 MATH regularity OF r-2 r)INTERPOLATION ON THE unit CIRCLE ZN
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Regularity criteria of weak solutions to the 3D axisymmetric Navier-Stokes equations
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作者 ZHAO Ji-hong 《Applied Mathematics(A Journal of Chinese Universities)》 2025年第4期773-784,共12页
We investigate a sufficient condition,in terms of the azimuthal componentω^(θ)ofω=curl u in cylindrical coordinates,for the regularity of axisymmetric weak solutions to the 3D incompressible Navier-Stokes equations... We investigate a sufficient condition,in terms of the azimuthal componentω^(θ)ofω=curl u in cylindrical coordinates,for the regularity of axisymmetric weak solutions to the 3D incompressible Navier-Stokes equations.More precisely,we prove that if■,then the weak solution u is actually a regular solution.Similar regularity criterion still holds in the homogeneous Triebel-Lizorkin spaces. 展开更多
关键词 Navier-Stokes equations axisymmetric weak solutions regularity criteria Besov spaces
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Distribution,types,metallogenic regularity and exploration potential analysis of zirconium deposit in China
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作者 Qiong-wen Liang Yong-shen Li +8 位作者 Ying-cai Sun De-gao Zhai Hai-rui Sun Shi-xu Zhou Bang-lu Zhang Xin Lü Jin-chi Xu Xue-feng Li Yi-lun Du 《China Geology》 2025年第2期408-430,共23页
Zirconium,prized for its exceptional corrosion resistance,high melting point,and unique nuclear properties,plays a critical role in multiple industrial sectors globally.Zirconium deposits are categorized into endogene... Zirconium,prized for its exceptional corrosion resistance,high melting point,and unique nuclear properties,plays a critical role in multiple industrial sectors globally.Zirconium deposits are categorized into endogenetic and exogenetic types in China.Endogenetic deposits-including alkaline rock-,alkaline granite-,and pegmatite-type mineralizations-predominantly occur along the Tarim Craton’s northern margin,the North China Craton,the southern Greater Khingan metallogenic belt,and the Yangtze Craton’s western margin.Exogenetic deposits,comprising clastic sedimentary,weathering crust,and fragmentation types,are concentrated in South China’s coastal zones.Endogenetic mineralization formed during Permian-Cretaceous magmatic-hydrothermal events linked to evolved alkaline granitic systems,while exogenetic deposits developed in Quaternary periods through weathering of zirconium-rich protoliths.However,economic extraction of endogenetic deposits remains constrained by rare earth element(REE)associations and radioactive complexities.Currently,China’s most economically significant reserves derive from clastic sedimentary systems,particularly coastal placer deposits.This study systematically synthesizes the spatial distribution and metallogenic mechanisms of Chinese zirconium deposits,offering strategic insights for resource exploration and sustainable utilization. 展开更多
关键词 Zirconium deposit Metallogenic regularity Critical mineral resources Prospecting potential Geological survey engineering
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C^(1,1) REGULARITY FOR SOLUTIONS TO THE DEGENERATE DUAL ORLICZ-MINKOWSKI PROBLEM
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作者 Di WU 《Acta Mathematica Scientia》 2025年第2期327-337,共11页
In this paper,C1,1 regularity for solutions to the degenerate dual Orlicz-Minkowski problem is considered.The dual Orlicz-Minkowski problem is a generalization of the Lp dual Minkowski problem in convex geometry.The p... In this paper,C1,1 regularity for solutions to the degenerate dual Orlicz-Minkowski problem is considered.The dual Orlicz-Minkowski problem is a generalization of the Lp dual Minkowski problem in convex geometry.The proof is adapted from Guan-Li[17]and Chen-Tu-Wu-Xiang[11]. 展开更多
关键词 C^(1 1)regularity Monge-Ampere type equation dual Orlicz-Minkowski problem
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The Organic Unity of Purposiveness and Regularity:Dialectical Thinking on President Xi Jinping’s Economic Work
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作者 ZHANG Liang 《河海大学学报(哲学社会科学版)》 CSSCI 2016年第1期89-92,共4页
President Xi Jinping has constantly taken theeconomic development as the central work from theperspective of historical materialism and dialecticalmaterialism.He corresponds to the law of economicdevelopment,and accur... President Xi Jinping has constantly taken theeconomic development as the central work from theperspective of historical materialism and dialecticalmaterialism.He corresponds to the law of economicdevelopment,and accurately masters the important logicrelations between economy and politics,government andmarket.Meanwhile,he proposes that China should useoverall planning to deal with the difficulty of urban-ruralintegration so as to thoroughly solve the three agriculture-related issues.Then,it is possible to achieve the organicunity of purposiveness and regularity. 展开更多
关键词 XI Jinping ECONOMIC work purposiveness regularity urban?rural integration
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Offline Generalized Actor-Critic With Distance Regularization
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作者 Huanting Feng Yuhu Cheng Xuesong Wang 《IEEE/CAA Journal of Automatica Sinica》 2026年第1期57-71,共15页
In order to address the issue of overly conservative offline reinforcement learning(RL) methods that limit the generalization of policy in the out-of-distribution(OOD) region,this article designs a surrogate target fo... In order to address the issue of overly conservative offline reinforcement learning(RL) methods that limit the generalization of policy in the out-of-distribution(OOD) region,this article designs a surrogate target for OOD value function based on dataset distance and proposes a novel generalized Q-learning mechanism with distance regularization(GQDR).In theory,we not only prove the convergence of GQDR,but also ensure that the difference between the Q-value learned by GQDR and its true value is bounded.Furthermore,an offline generalized actor-critic method with distance regularization(OGACDR) is proposed by combining GQDR with actor-critic learning framework.Two implementations of OGACDR,OGACDR-EXP and OGACDRSQR,are introduced according to exponential(EXP) and opensquare(SQR) distance weight functions,and it has been theoretically proved that OGACDR provides a safe policy improvement.Experimental results on Gym-MuJoCo continuous control tasks show that OGACDR can not only alleviate the overestimation and overconservatism of Q-value function,but also outperform conservative offline RL baselines. 展开更多
关键词 Actor-critic distance regularization generalized Qlearning offline reinforcement learning out-of-distribution(OOD)
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Comparison of maximal strength,muscle morphology,and motor unit recruitment and firing rate patterns of the abductor digiti minimi in normal-fat and over-fat males
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作者 Lyric D.Richardson Alex A.Olmos +7 位作者 Allen L.Redinger Stephanie A.Sontag Sunggun Jeon Brenden L.Roth Emma G.High Breanne S.Baker Jerome Hauselle Michael A.Trevino 《Sports Medicine and Health Science》 2026年第2期163-171,共9页
Purpose:This study examined potential differences in strength,muscle morphology,and motor unit(MU)behavior of the abductor digiti minimi(ADM)between normal-fat(NF)and over-fat(OF)males.Methods:Dual-energy X-ray absorp... Purpose:This study examined potential differences in strength,muscle morphology,and motor unit(MU)behavior of the abductor digiti minimi(ADM)between normal-fat(NF)and over-fat(OF)males.Methods:Dual-energy X-ray absorptiometry assessed percent body fat(%BF).Ultrasonography determined muscle cross-sectional area(CSA),echo intensity(EI),and subcutaneous fat(s FAT).MU behavior was assessed during isometric muscle actions at 50%of maximal voluntary contraction(MVC)by analyzing the y-intercepts and slopes for the MU action potential amplitude(MUAPAMP)vs.recruitment threshold(RT)relationships,the A and B terms for the mean firing rate(MFR)vs.RT relationships,and normalized electromyographic amplitude(N-EMGRMS).MU firing times and waveforms were validated with reconstruct-and-test and spike trigger average procedures.Results:%BF was greater for OF(25.70%±5.40%)than NF(16.50%±2.20%;p<0.001).MVC was greater for NF(27.13±7.16)N than OF([19.89±4.96]N;p=0.014).CSA was greater for NF(2.48±0.39)cm^(2)than OF([1.95±0.47]cm^(2);p=0.011).The y-intercepts for the MUAPAMPvs.RT relationships were greater for NF(0.283±0.254)m V than OF([-0.221±0.659]m V;p=0.004).The B terms for the MFR vs.RT relationships were greater for NF(-0.024±0.003)pps/%MVC than OF([-0.031±0.009]pps/%MVC;p=0.038).N-EMGRMSwas similar between groups(p=0.463).Conclusion:Maximal strength,muscle size,and MU recruitment and firing rate patterns for a non-weight bearing muscle differed between normal-fat and over-fat males. 展开更多
关键词 Abductor digiti minimi Body fat ELECTROMYOGRAPHY Motor unit ULTRASONOGRAPHY
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The growth rate of textile and apparel trade in Europe and the United States has slowed
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作者 Qiu Shuchen 《China Textile》 2026年第1期36-37,共2页
Apparel exports China:The decline in exports widened from January to September(-2.4%,compared to-0.2%in January-June).Exports to the EU increased(+5.9%),though the growth rate moderated.Exports to the US saw a larger ... Apparel exports China:The decline in exports widened from January to September(-2.4%,compared to-0.2%in January-June).Exports to the EU increased(+5.9%),though the growth rate moderated.Exports to the US saw a larger contraction(January-June:-1.6%,January-September:-8.2%).While exports to ASEAN countries still fell by over 10%(-17.7%),shipments to the Philippines(+6.9%),Indonesia(+19.0%),and Cambodia(+64.9%)demonstrated stronger growth performance within the year.Regarding tariffs,on October 30,China and the US agreed to lower the rates on goods subject to additional duties(effectively reducing the average tariff rate on Chinese imports to the US from about 57%to approximately 47%,though this remains significantly higher than the 19.5%overall average rate applied to other countries). 展开更多
关键词 APPAREL growth rate EXPORTS TRADE textile TARIFFS China united States
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Integrating Literature Reading Into Unit Topic Teaching as a New Approach to Moral Education in College English
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作者 LI Ju-yuan LI Hong-yan 《Cultural and Religious Studies》 2026年第1期47-54,共8页
As a public basic course and the core general course of undergraduate education,moral education(ME)in College English is imperative.It is necessary to design specific teaching programs flexibly and creatively on the b... As a public basic course and the core general course of undergraduate education,moral education(ME)in College English is imperative.It is necessary to design specific teaching programs flexibly and creatively on the basis of fully understanding the ideas,objectives and tasks,basic principles and implementation methods of ME.This paper tries integrating literature reading into unit topic teaching as a new approach to ME in College English.The specific pathways of integration include:expansion of literary reading content,diversified teaching of literary reading,diversified media of literary reading,and diversified assessment system of literary quality.The integration of literature reading and unit topic teaching is conducive to the realization of the teaching goal of cultivating students’language ability,humanistic quality,and correct values. 展开更多
关键词 College English literature reading unit topic teaching morality cultivation
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微课驱动小学生英语自主学习能力提升的探究——以Module 5 Unit 9 Where will you go?第一课时自主学习为例
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作者 张兴 《视周刊》 2026年第1期34-35,共2页
一、微课设计:从知识传递到认知建构的范式转变1.微课定义微课是一种以短小精悍的数字视频为主要载体,围绕某个知识点、教学环节或特定教学主题而设计的结构化、情境化教学资源。其时长通常在5-10分钟之间,内容高度聚焦,重点突出,针对性... 一、微课设计:从知识传递到认知建构的范式转变1.微课定义微课是一种以短小精悍的数字视频为主要载体,围绕某个知识点、教学环节或特定教学主题而设计的结构化、情境化教学资源。其时长通常在5-10分钟之间,内容高度聚焦,重点突出,针对性强,符合学生的认知负荷与注意力特点,旨在通过精炼的内容和生动的呈现方式,激发学生学习兴趣,支持个性化、碎片化学习,促进自主探究与合作交流,是现代教育信息化背景下一种重要的教学辅助手段与课程资源形态。 展开更多
关键词 英语 Module 5 unit 9 能力提升 自主学习 微课
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传统文化融入小学英语课程的实践研究——以PEP教材Unit1
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作者 王亚斐 《当代教育家(下半月)》 2026年第1期41-43,70,共4页
《义务教育英语课程标准(2022年版)》(以下简称“新课标”)指出,英语课程要培育学生文化意识,就要引导学生“了解不同国家的优秀文明成果,比较中外文化的异同,提高跨文化沟通与交流的能力,形成健康向上的审美情趣和正确的价值观;加深对... 《义务教育英语课程标准(2022年版)》(以下简称“新课标”)指出,英语课程要培育学生文化意识,就要引导学生“了解不同国家的优秀文明成果,比较中外文化的异同,提高跨文化沟通与交流的能力,形成健康向上的审美情趣和正确的价值观;加深对中华文化的理解和认同,树立国际视野,坚定文化自信”。中华优秀传统文化是中华民族的文化精髓与精神命脉,将其有机融入英语教学,不仅是提升学生跨文化沟通能力的有力举措,更是筑牢文化自信根基的必然要求。本文以PEP教材Unit 1 What's he like?教学为例,系统探索将中国传统文化融入小学英语阅读教学的实践策略。 展开更多
关键词 小学英语课程 unit1 PEP教材 文化意识
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An iterative regularized inversion method of fracture width and height using cross-well optical fiber strain
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作者 CHEN Ming WANG Ziang +2 位作者 GUO Tiankui LIU Yongzan CHEN Zuorong 《Petroleum Exploration and Development》 2026年第1期235-248,共14页
The forward model of optical fiber strain induced by fractures,together with the associated model resolution matrix,is used to demonstrate the interpretability of fracture parameters once the fracture intersects the f... The forward model of optical fiber strain induced by fractures,together with the associated model resolution matrix,is used to demonstrate the interpretability of fracture parameters once the fracture intersects the fiber.A regularized inversion framework for fracture parameters is established to evaluate the influence of measured data quality on the accuracy of iterative regularized inversion.An interpretation approach for both fracture width and height is proposed,and the synthetic forward data with measurement error and field examples are employed to validate the accuracy of the simultaneous inversion of fracture width and height.The results indicate that,after the fracture contacts the fiber,the strain response is strongly sensitive only to the fracture parameters at the intersection location,whereas the interpretability of parameters at other locations remains limited.The iterative regularized inversion method effectively suppresses the impact of measurement error and exhibits high computational efficiency,showing clear advantages for inversion applications.When incorporating the first-order regularization with a Neumann boundary constraint on the tip width,the inverted fracture-width distribution becomes highly sensitive to fracture height;thus,combined with a bisection strategy,simultaneous inversion of fracture width and height can be achieved.Examination using the model resolution matrix,noisy synthetic data,and field data confirms that the iterative regularized inversion model for fracture width and height provides high interpretive accuracy and can be applied to the calculation and analysis of fracture width,fracture height,net pressure and other parameters. 展开更多
关键词 optical fiber strain fracture diagnosis forward model model resolution iterative regularized inversion computational efficiency fracture parameter interpretation
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Evaluation of the susceptibility to landslide geological disasters based on different slope units and an information content random forest model:a case study of the Longhua District,Shenzhen
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作者 XIONG Haoyu RAN Xiangjin XUE Linfu 《Global Geology》 2026年第1期86-100,共15页
Slope units are divided according to the real topography and have clear geological characteristics,making them ideal units for evaluating the susceptibility to geological disasters.Based on the results of automaticall... Slope units are divided according to the real topography and have clear geological characteristics,making them ideal units for evaluating the susceptibility to geological disasters.Based on the results of automatically and manually corrected hydrological slope unit division,the Longhua District,Shenzhen City,Guangdong Province,was selected as the study area.A total of 15 influencing factors,namely Fluctuation,slope,slope aspect,curvature,topographic witness index(TWI),stream power index(SPI),topographic roughness index(TRI),annual average rainfall,distance to water system,engineering rock group,distance to fault,land use,normalized difference vegetation index(NDVI),nighttime light,and distance to road,were selected as evaluation indicators.The information volume model(IV)and random points were used to select non-geological disaster units,and then the random forest model(RF)was used to evaluate the susceptibility to geological disasters.The automatic slope unit and the hydrological slope unit were compared and analyzed in the random forest and information volume random forest models.The results show that the area under the curve(AUC)values of the automatic slope unit evaluation results are 0.931 for the IV-RF model and 0.716 for the RF model,which are 0.6%(IV-RF model)and 1.9%(RF model)higher than those for the hydrological slope unit.Based on a comparison of the evaluation methods based on the two types of slope units,the hydrological slope unit evaluation method based on manual correction is highly subjective,is complicated to operate,and has a low evaluation accuracy,whereas the evaluation method based on automatic slope unit division is efficient and accurate,is suitable for large-scale efficient geological disaster evaluation,and can better deal with the problem of geological disaster susceptibility evaluation. 展开更多
关键词 geological hazards slope unit information content random forest model susceptibility assessment SHENZHEN
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Federated Multi-Label Feature Selection via Dual-Layer Hybrid Breeding Cooperative Particle Swarm Optimization with Manifold and Sparsity Regularization
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作者 Songsong Zhang Huazhong Jin +5 位作者 Zhiwei Ye Jia Yang Jixin Zhang Dongfang Wu Xiao Zheng Dingfeng Song 《Computers, Materials & Continua》 2026年第1期1141-1159,共19页
Multi-label feature selection(MFS)is a crucial dimensionality reduction technique aimed at identifying informative features associated with multiple labels.However,traditional centralized methods face significant chal... Multi-label feature selection(MFS)is a crucial dimensionality reduction technique aimed at identifying informative features associated with multiple labels.However,traditional centralized methods face significant challenges in privacy-sensitive and distributed settings,often neglecting label dependencies and suffering from low computational efficiency.To address these issues,we introduce a novel framework,Fed-MFSDHBCPSO—federated MFS via dual-layer hybrid breeding cooperative particle swarm optimization algorithm with manifold and sparsity regularization(DHBCPSO-MSR).Leveraging the federated learning paradigm,Fed-MFSDHBCPSO allows clients to perform local feature selection(FS)using DHBCPSO-MSR.Locally selected feature subsets are encrypted with differential privacy(DP)and transmitted to a central server,where they are securely aggregated and refined through secure multi-party computation(SMPC)until global convergence is achieved.Within each client,DHBCPSO-MSR employs a dual-layer FS strategy.The inner layer constructs sample and label similarity graphs,generates Laplacian matrices to capture the manifold structure between samples and labels,and applies L2,1-norm regularization to sparsify the feature subset,yielding an optimized feature weight matrix.The outer layer uses a hybrid breeding cooperative particle swarm optimization algorithm to further refine the feature weight matrix and identify the optimal feature subset.The updated weight matrix is then fed back to the inner layer for further optimization.Comprehensive experiments on multiple real-world multi-label datasets demonstrate that Fed-MFSDHBCPSO consistently outperforms both centralized and federated baseline methods across several key evaluation metrics. 展开更多
关键词 Multi-label feature selection federated learning manifold regularization sparse constraints hybrid breeding optimization algorithm particle swarm optimizatio algorithm privacy protection
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Health-related physical fitness in children and adolescents and the United Nations Sustainable Development Goals:Signals of convergence
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作者 Diego Augusto Santos Silva Mark S.Tremblay 《Journal of Sport and Health Science》 2026年第3期6-12,共7页
1.Background The United Nations(UN)2030 Agenda for Sustainable Development,adopted in 2015,established the Sustainable Development Goals(SDGs)as a comprehensive framework to address global challenges through interconn... 1.Background The United Nations(UN)2030 Agenda for Sustainable Development,adopted in 2015,established the Sustainable Development Goals(SDGs)as a comprehensive framework to address global challenges through interconnected social,economic,and environmental targets. 展开更多
关键词 sustainable development goals sdgs sustainable developmentadopted AGENDA children adolescents address global challenges united nations sustainable development goals
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Design and analysis of modular truss deployable antenna mechanism based on tetrahedral basic unit mechanism with dual height positioning nodes
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作者 Enbo LIU Yongsheng ZHAO +5 位作者 Tengfei CAO Shudan LI Bo CHEN Xinlu WEI Yundou XU Jiantao YAO 《Chinese Journal of Aeronautics》 2026年第2期593-608,共16页
Modular truss space deployable antennas are key for future large aperture,high precision antennas,already proven in various in-orbit applications globally.This paper introduces a design method for a tetrahedral basic ... Modular truss space deployable antennas are key for future large aperture,high precision antennas,already proven in various in-orbit applications globally.This paper introduces a design method for a tetrahedral basic unit mechanism with dual height positioning nodes.A parametric model is established,and its DOF are analyzed to confirm the mechanism's validity.The new tetrahedral basic unit mechanism constructed by this method is a single DOF mechanism and can locate different parabolic node heights.In order to further adapt to the parabolic and large aperture requirements of the deployable antenna of the truss,a combination unit and modular unit mechanism are developed based on this tetrahedral unit.The DOF and deployment characteristics of the modular unit mechanism are analyzed and validated through simulations.Various networking methods for the modular units are proposed,followed by a comprehensive performance comparison of different modular truss deployable antenna mechanisms.A prototype model of the modular unit mechanism is also developed,with deployment experiments demonstrating the mechanism's simplicity,low DOF,and large deployment ratio.The findings of this study provide a theoretical and technical basis for the future design and development of truss deployable antenna mechanisms. 展开更多
关键词 Degree of freedom(DOF) Deployable truss antenna Dual height node positioning Modularity Screw theory Tetrahedral unit
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Root cause analysis from the perspectives of patients in primary care units:cases study of typical adverse drug events
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作者 Ping Gong Xing-Yang Chen +1 位作者 Qin Long Ting-Ting Zhou 《Frontiers of Nursing》 2026年第1期61-68,共8页
Objective:To identify the root causes of typical adverse drug events through the lens of patient experiences proposing novel strategies to mitigate preventable harm.Methods:A qualitative case study leveraging in-depth... Objective:To identify the root causes of typical adverse drug events through the lens of patient experiences proposing novel strategies to mitigate preventable harm.Methods:A qualitative case study leveraging in-depth interviews with patients and families,anchored by Interactive Patient Par ticipation Theory,to analyze 4 high-severity adverse drug events(ADE)cases.Cases were purposively sampled from 8 communities in China's National Adverse Event Monitor Center(2018-2023).Semi-structured interviews explored patient perspectives,with data analyzed via thematic coding and triangulation against clinical records.Results:Five interconnected themes emerged:(1)erosion of trust,(2)communication breakdowns,(3)information asymmetry,(4)environmental inadequacies,and(5)technological alienation.Notably,75% of participants had≤high school education,and 50% used≥7 medications daily,compounding ADE risks.Conclusions:We considered elements mentioned by theory,exploring trust,communication,information,and suppor t as the root causes.In addition,we added“adaptability to new technology”as an impor tant and necessary component.It is impor tant and necessary to analyze typical adverse drug events from the perspectives of patients. 展开更多
关键词 adverse drug events case study medication safety patients safety primary care units root cause analysis qualitative study THEORY
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Robot-assisted vs hand-assisted laparoscopic donor nephrectomy in the United Kingdom:Equivalent outcomes in the first national series
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作者 Chrysanthos D Christou Savvas Antoniadis +10 位作者 Avishek Majumder Rhana Zakri Jonathon Olsburgh Chris Callaghan Georgios Papadakis Kiran Sran Martin Drage Karel Decaestecker Ben Challacombe Nicos Kessaris Ioannis Loukopoulos 《World Journal of Transplantation》 2026年第1期193-202,共10页
BACKGROUND Living donor kidney transplantation is the optimal method of long-term renal replacement therapy.Minimally invasive donor nephrectomy techniques,such as robot-assisted(RALDN)and hand-assisted(HALDN)laparosc... BACKGROUND Living donor kidney transplantation is the optimal method of long-term renal replacement therapy.Minimally invasive donor nephrectomy techniques,such as robot-assisted(RALDN)and hand-assisted(HALDN)laparoscopic procedures,are well-established in high-income countries and are being increasingly adopted worldwide.Nevertheless,no studies have reported surgical outcomes of RALDN donor nephrectomy from a United Kingdom center to date.AIM To compare surgical outcomes between RALDN and HALDN laparoscopic donor nephrectomy in a United Kingdom high-volume living kidney donor transplant program.METHODS A case-control matching analysis was performed based on the following parameters:Sex,age,body mass index,procedure laterality,number of renal arteries,and previous abdominal surgeries.Key surgical outcomes,including primary warm ischemia time,operative duration,and post-operative recovery,were evaluated.RESULTS In this cohort of 140 living donors(70 RALDN vs 70 HALDN),donor and recipient outcomes were equivalent across key metrics:Pain scores,overall complication rates,readmissions,reoperations,and creatinine levels at 30 days and 1 year.Recipient long-term renal function did not differ between groups.Operative time for RALDN decreased significantly over the study period,indicating progressive improvement along the learning curve.Although RALDN was associated with a modestly longer mean warm ischaemia time(3.53 minutes vs 2.76 minutes,P<0.001)and extended hospital stay(4.21 days vs 3.17 days,P<0.001),these did not translate into any disadvantage in clinical outcomes.CONCLUSION In this first United Kingdom comparative cohort,RALDN demonstrated excellent safety and efficacy,even in the early phase of our programme,matching the outcomes of the well-established,gold-standard HALDN approach.Moreover,the pronounced learning-curve trajectory suggests considerable potential for further improvements in robotic surgical outcomes as the programme matures. 展开更多
关键词 Robot-assisted donor nephrectomy Hand-assisted donor nephrectomy Living kidney donation Surgical outcomes Learning curve Minimally invasive surgery united Kingdom experience
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