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Development of a prediction model for enteral feeding intolerance in intensive care unit patients:A prospective cohort study 被引量:26
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作者 Xue-Mei Lu Deng-Shuai Jia +3 位作者 Rui Wang Qing Yang Shan-Shan Jin Lan Chen 《World Journal of Gastrointestinal Surgery》 SCIE 2022年第12期1363-1374,共12页
BACKGROUND Enteral nutrition(EN)is essential for critically ill patients.However,some patients will have enteral feeding intolerance(EFI)in the process of EN.AIM To develop a clinical prediction model to predict the r... BACKGROUND Enteral nutrition(EN)is essential for critically ill patients.However,some patients will have enteral feeding intolerance(EFI)in the process of EN.AIM To develop a clinical prediction model to predict the risk of EFI in patients receiving EN in the intensive care unit.METHODS A prospective cohort study was performed.The enrolled patients’basic information,medical status,nutritional support,and gastrointestinal(GI)symptoms were recorded.The baseline data and influencing factors were compared.Logistic regression analysis was used to establish the model,and the bootstrap resampling method was used to conduct internal validation.RESULTS The sample cohort included 203 patients,and 37.93%of the patients were diagnosed with EFI.After the final regression analysis,age,GI disease,early feeding,mechanical ventilation before EN started,and abnormal serum sodium were identified.In the internal validation,500 bootstrap resample samples were performed,and the area under the curve was 0.70(95%CI:0.63-0.77).CONCLUSION This clinical prediction model can be applied to predict the risk of EFI. 展开更多
关键词 Enteral feeding intolerance Critical care medicine Clinical prediction model Nutrition assessment Nutritional support Critical care nursing
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Model study of log feeding technology at the dam of Ertan Hydropower Station in China
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作者 黄新 张大中 +1 位作者 唐桂兰 杨明明 《Journal of Forestry Research》 SCIE CAS CSCD 1999年第1期64-67,共4页
The log float technology from timber depot at the reservoir to log feeding rolls was studied by model tests. The model test was taken with the rule of gravitation similitude and ratio of 1∶10. Main parameters, like t... The log float technology from timber depot at the reservoir to log feeding rolls was studied by model tests. The model test was taken with the rule of gravitation similitude and ratio of 1∶10. Main parameters, like the amount of tug boats, hydro-accelerators and the structure of feeding rolls, were determined. The more suitable float process is put forward and the reliable basis for the design is supplied. 展开更多
关键词 model test LOGS feeding technology Tug boat
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Wavelet Neural Network Based on NARMA-L2 Model for Prediction of Thermal Characteristics in a Feed System 被引量:9
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作者 JIN Chao WU Bo HU Youmin 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2011年第1期33-41,共9页
Research of thermal characteristics has been a key issue in the development of high-speed feed system. Most of the work carried out thus far is based on the principle of directly mapping the thermal error against the ... Research of thermal characteristics has been a key issue in the development of high-speed feed system. Most of the work carried out thus far is based on the principle of directly mapping the thermal error against the temperature of critical machine elements irrespective of the operating conditions. But recent researches show that different sets of operating parameters generated significantly different error values even though the temperature of the machine elements generated was similar. As such, it is important to develop a generic thermal error model which is capable of evaluating the positioning error induced by different operating parameters. This paper ultimately aims at the development of a comprehensive prediction model that can predict the thermal characteristics under different operating conditions (feeding speed, load and preload of ballscrew) in a feed system. A novel wavelet neural network based on feedback linearization autoregressive moving averaging (NARMA-L2) model is introduced to predict the temperature rise of sensitive points and thermal positioning errors considering the different operating conditions as the model inputs. Particle swarm optimization(PSO) algorithm is brought in as the training method. According to ISO230-2 Positioning Accuracy Measurement and ISO230-3 Thermal Effect Evaluation standards, experiments under different operating conditions were carried out on a self-made quasi high-speed feed system experimental bench HUST-FS-001 by using Pt100 as temperature sensor, and the positioning errors were measured by Heidenhain linear grating scale. The experiment results show that the recommended method can be used to predict temperature rise of sensitive points and thermal positioning errors with good accuracy. The work described in this paper lays a solid foundation of thermal error prediction and compensation in a feed system based on varying operating conditions and machine tool characteristics. 展开更多
关键词 wavelet neural network NARMA-L2 model particle swarm optimization thermal positioning error feed system
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The effect of enzymes on release of trace elements in feedstuffs based on in vitro digestion model for monogastric livestock 被引量:2
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作者 Xiaonan Yu Jianan Han +2 位作者 Haiyun Li Yiwei Zhang Jie Feng 《Journal of Animal Science and Biotechnology》 SCIE CAS CSCD 2019年第1期231-238,共8页
Background: This experiment was conducted to study the effect of different feed enzymes(phytase,xylanase,β-glucanase) on release rate of trace elements(Fe,Cu,Mn and Zn) in 6 commonly used feedstuffs(corn,wheat,barley... Background: This experiment was conducted to study the effect of different feed enzymes(phytase,xylanase,β-glucanase) on release rate of trace elements(Fe,Cu,Mn and Zn) in 6 commonly used feedstuffs(corn,wheat,barley,soybean meal,wheat bran,wheat middlings) by using an in vitro model,simulating the digestive processes in stomach for 2 h and then in small intestine for 6 h at 39 °C.Results: Phytase raised(P < 0.05) the release rate of Cu and Zn in corn,Cu,Zn and Mn in wheat,Cu in barley,Cu,Zn and Mn in soybean meal,Zn,Fe in wheat bran and Zn,Fe,Mn in wheat middlings.The release rate of various trace elements in feedstuffs was increased after xylanase addition.Compared with the control group,the release rate of soluble Cu in corn,wheat,barley and soybean meal,soluble Zn in corn,wheat and wheat middlings and soluble of Mn in corn,wheat,barley and wheat bran increased(P < 0.05) after xylanase treatment.After the treatment of β-glucanase,the release rate of soluble Cu in corn,wheat and wheat bran,soluble Fe in barley,soybean meal and wheat bran and soluble Mn in corn and wheat bran all increased(P < 0.05) compared with the control group.In each feedstuff,after corresponding enzyme treatment,the contents of phytic acid,xylan and β-glucan were significantly lower than those of the control group(P < 0.05).Conclusions: Results showed that bound trace elements in feedstuffs can be released by feed enzymes.It may be necessary to take the trace elements in feedstuffs into account in the actual feed preparation including feed enzymes. 展开更多
关键词 feedSTUFFS feed ENZYMES In VITRO model RELEASE rate Trace elements
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Mechanism of burst feeding in ZL205A casting under mechanical vibration and low pressure 被引量:8
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作者 Ru-jia WANG Shi-ping WU Wei CHEN 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2018年第8期1514-1520,共7页
The burst feeding behavior of ZL205 A casting under mechanical vibration and low pressure was investigated by casting experiment and physical model. Experimental results indicated that the burst feeding appeared repea... The burst feeding behavior of ZL205 A casting under mechanical vibration and low pressure was investigated by casting experiment and physical model. Experimental results indicated that the burst feeding appeared repeatedly during solidification and left a shrinkage cavity with layered structure under mechanical vibration. The castings with less shrinkage and higher density could be achieved through the vibration. The calculation results of physical model showed that the burst feeding could perform spontaneously under vibration while difficultly without vibration in low-pressure die casting. The obstruction of a casting could be broken and the grains could be rearranged by the vibration. And the obstruction could be carried away due to the inner and outer pressure difference, causing a burst feeding. 展开更多
关键词 burst feeding ZL205A alloy mechanical vibration low pressure physical model
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Mathematical modeling and analytical solution for stretching force of automatic feed mechanism 被引量:1
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作者 魏志芳 陈国光 《Journal of Central South University》 SCIE EI CAS 2008年第S2期389-393,共5页
Load of an automatic feed mechanism is composed of the stretching force of feed belt at the entrance to lower flexible guidance and the friction force between feed belt and flexible guidance. A mathematical model for ... Load of an automatic feed mechanism is composed of the stretching force of feed belt at the entrance to lower flexible guidance and the friction force between feed belt and flexible guidance. A mathematical model for computing the load was presented. An optimization problem was formulated to determine the attitude of the flexible guidance based on the principle that the potential energy stored in the system was the minimum at the equilibrium. Then the friction force was obtained according to the attitude of guide leaves and the moving velocity of the feed belt and the friction factor. Consequently, the load of the automatic feed mechanism can be calculated. Finally, an example was given to compute the load when the horizontal and elevating firing angles of the automation were respectively 45° and 30°. The computing result can be a criterion to determine the designing parameters of automat. 展开更多
关键词 MATHEMATICAL model load automatic feed mechanism optimization problem potential energy hoist-feed system
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Feedback structure based entropy approach for multiple-model estimation 被引量:3
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作者 Shen-tu Han Xue Anke Guo Yunfei 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2013年第6期1506-1516,共11页
The variable-structure multiple-model(VSMM)approach,one of the multiple-model(MM)methods,is a popular and effective approach in handling problems with mode uncertainties.The model sequence set adaptation(MSA)is ... The variable-structure multiple-model(VSMM)approach,one of the multiple-model(MM)methods,is a popular and effective approach in handling problems with mode uncertainties.The model sequence set adaptation(MSA)is the key to design a better VSMM.However,MSA methods in the literature have big room to improve both theoretically and practically.To this end,we propose a feedback structure based entropy approach that could fnd the model sequence sets with the smallest size under certain conditions.The fltered data are fed back in real time and can be used by the minimum entropy(ME)based VSMM algorithms,i.e.,MEVSMM.Firstly,the full Markov chains are used to achieve optimal solutions.Secondly,the myopic method together with particle flter(PF)and the challenge match algorithm are also used to achieve sub-optimal solutions,a trade-off between practicability and optimality.The numerical results show that the proposed algorithm provides not only refned model sets but also a good robustness margin and very high accuracy. 展开更多
关键词 feed back Maneuvering tracking Minimum entropy model sequence set adaptation Multiple-model estimation
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Fault Tree Analysis of Feeding Control System for Computer Numerical Control Heavy-Duty Horizontal Lathes with Multiple Common Cause Failure Groups 被引量:2
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作者 米金华 李彦锋 +2 位作者 彭卫文 杨圆鉴 黄洪钟 《Journal of Shanghai Jiaotong university(Science)》 EI 2016年第4期504-508,共5页
The lathes are basic machine tools for manufacturing cylindrical parts. In recent years, the DLseries computer numerical control(CNC) heavy-duty horizontal lathes(HDHLs) have been widely used in the transportation, en... The lathes are basic machine tools for manufacturing cylindrical parts. In recent years, the DLseries computer numerical control(CNC) heavy-duty horizontal lathes(HDHLs) have been widely used in the transportation, energy and aviation industries. High availability of the CNC heavy-duty lathes is demanded to guarantee the efficiency and benefit of these manufacturing industries. As one of the key subsystems of the HDHLs, the feeding control system is studied in this paper on reliability modeling and reliability analysis. The fault tree analysis(FTA) method is used for reliability modelling of the feeding control system. Considering the multiple common cause failure groups(CCFGs) existing in the system, a modified beta factor parametric model is introduced to model the common cause failure(CCF) in system. The reliability of feeding control system is then obtained and the effect of CCF on the reliability of the whole system is studied as well. 展开更多
关键词 fault tree analysis (FTA) feeding control system heavy-duty horizontal lathes (HDHLs) common cause failure groups (CCFGs) modified beta factor model
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OPTIMAL MODEL OF COMBINED PHASE CENTER FOR HORN FEEDS AND ITS COMPUTATIONAL METHOD
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作者 焦永昌 漆一宏 王五兔 《Journal of Electronics(China)》 1991年第3期231-238,共8页
A definition of combined phase center for horn feeds is given.Formulas of E-planeand H-plane combined phase center for conical horns and the corresponding Optimal model arepresented,and a fast optimization method for ... A definition of combined phase center for horn feeds is given.Formulas of E-planeand H-plane combined phase center for conical horns and the corresponding Optimal model arepresented,and a fast optimization method for solving this model is described.By using thismethod,the phase center of corrugated horn is discussed and calculated,and the variation of thephase center with distance and operating frequency is given. 展开更多
关键词 HORN feeds COMBINED PHASE CENTER OPTIMAL model Optimization method
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Simulation of Artificial Grain Feeding in Order to Reach Dynamical Bed Stabilisation Along the River Rhine
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作者 Thomas WENKA 《四川大学学报(工程科学版)》 EI CAS CSCD 北大核心 2005年第S1期57-63,共7页
The Wesel-Xanten stretch of the fiver Rhine between km-812.5 and km-821.5 is one of the reaches where strong erosion leads to high maintenance efforts conceming navigability.In order to improve the naviga- tion condit... The Wesel-Xanten stretch of the fiver Rhine between km-812.5 and km-821.5 is one of the reaches where strong erosion leads to high maintenance efforts conceming navigability.In order to improve the naviga- tion conditions without aggravating the flood protection,but also ensuring that the ecological system of the river is not damaged,investigations of the morphodynamical processes in connection with artificial grain feeding ac- tivities have to be carried out by Federal Waterways Engineering and Research... 展开更多
关键词 rhine river wesel-xanten artificial grain feeding sediment management graded sediment transport 2D depth-average numerical model
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Modeling a high output marine steam generator feedwater control system which uses parallel turbine-driven feed pumps
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作者 邱志强 邹海 孙建华 《Journal of Marine Science and Application》 2008年第3期212-217,共6页
Parallel turbine-driven feedwater pumps are needed when ships travel at high speed. In order to study marine steam generator feedwater control systems which use parallel turbine-driven feed pumps, a mathematical model... Parallel turbine-driven feedwater pumps are needed when ships travel at high speed. In order to study marine steam generator feedwater control systems which use parallel turbine-driven feed pumps, a mathematical model of marine steam generator feedwater control system was developed which includes mathematical models of two steam generators and parallel turbine-driven feed pumps as well as mathematical models of feedwater pipes and feed regulating valves. The operating condition points of the parallel ttu-bine-driven feed pumps were calculated by the Chebyshev curve fit method. A water level controller for the steam generator and a rotary speed controller for the turbine-driven feed pumps were also included in the model. The accuracy of the mathematical models and their controllers was verified by comparing their results with those from a simulator. 展开更多
关键词 feedwater control steam generator modelING feed pump TURBINE
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Intraspecific temporal resource partitioning at white-tailed deer feeding sites
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作者 David B. STONE James A. MARTIN +3 位作者 Bradley S. COHEN Thomas J. PREBYL Charlie KILLMASTER Karl V. MILLER 《Current Zoology》 SCIE CAS CSCD 2019年第2期139-146,共8页
Individuals may reduce competition by temporally partitioning their use of a shared resource. Behavioral differences between sexes in ungulates may encourage segregation as individuals attempt to avoid antagonistic in... Individuals may reduce competition by temporally partitioning their use of a shared resource. Behavioral differences between sexes in ungulates may encourage segregation as individuals attempt to avoid antagonistic interactions. However, dominant sex and age groups may reduce subordinates' access to food resources, regardless of the subordinate's sex. We hypothesized that white-tailed deer Odocoileus Virginian us temporally segregated at supplemental feedi ng sites based on social rank (subordinate: yearling males and adult females;dominant: adult males) and that segregation was affected by phase of the breeding season and diel cycle. If deer temporally segregate according to social rank, we predicted that the resulting activity patterns would manifest in one social class being relatively more susceptible to hunter-induced mortality. We used a multistate modeling approach to quantify temporal segregation and calculated the probability that a feeding site was in a particular state during diurnal and nocturnal hours for each of the 3 phases of the breeding season. We determined that transition probabilities differed by season and diel cycle and dominant and subordinate social classes clearly avoided each other, with <1% co-occurrenee at feedi ng sites. During the pre-breedi ng seas on, the probability of a subordi nate being present during diurnal hours was 3.Ox more likely than a dominant being present, but did not differ during nocturnal hours. There was no difference for dominants and subordinates during diurnal or no cturnal hours during the breedi ng season .In the post-breedi ng season, subordi nates were 1.7x more likely to occur at the feeding site than a dominant during diurnal hours but they did not differ during nocturnal hours. Our results indicate that dominance status influences temporal segregation at feeding sites and is affected by the phase of the breeding season. Therefore, the resulti ng activity patterns may in crease subordi nates' risk to human predation during the prebreedi ng and post-breeding seasons. 展开更多
关键词 competition multistate modeling PREDATION risk supplemental feeding sites INTRASPECIFIC TEMPORAL resource partitioning white-tailed DEER
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The Control System Simulation of Variable-Speed Constant-Frequency Wind Turbine
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作者 窦金延 曹娜 《Journal of Measurement Science and Instrumentation》 CAS 2010年第S1期202-206,共5页
In general,Variable-Speed Constant Frequency (VSCF)Wind generation system is controlled by stator voltage orientation method which based on the mathematic model of VSCF Wind generation system and discussed the control... In general,Variable-Speed Constant Frequency (VSCF)Wind generation system is controlled by stator voltage orientation method which based on the mathematic model of VSCF Wind generation system and discussed the control strategy.Present the whole dynamic control model of variable-speed wind generator system in MATLAB/ Simulink,and the simulation results confirm the validity and effectiveness of the proposed control strategy. 展开更多
关键词 variable-speed constant-frequency model wind turbines control system vector control
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Modified coupled map car-following model and its delayed feedback control scheme 被引量:1
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作者 葛红霞 《Chinese Physics B》 SCIE EI CAS CSCD 2011年第9期69-76,共8页
A modified coupled map car-following model is proposed, in which two successive vehicle headways in front of the considering vehicle is incorporated into the optimal velocity function. The steady state under certain c... A modified coupled map car-following model is proposed, in which two successive vehicle headways in front of the considering vehicle is incorporated into the optimal velocity function. The steady state under certain conditions is obtained. An error system around the steady state is studied further. Moreover, the condition for the state having no traffic jam is derived. A new control scheme is presented to suppress the traffic jam in the modified coupled map car-following model under the open boundary. A control signal including the velocity differences between the following and the considering vehicles, and between the preceding and the considering vehicles is used. The condition under which the traffic jam can be well suppressed is analysed. The results are compared with that presented by t^onishi et al. (the KKH model). The simulation results show that the temporal behaviour obtained in our model is better than that in the KKH model. The simulation results are in good agreement with the theoretical analysis. 展开更多
关键词 traffic flow coupled map carwfollowing model optimal velocity function delayed feed-back control
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Application of Splitting (Cross Validation) Technique and Herzberg Equation in Feed Pellet Quality Prediction Models
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作者 Keysuke Muramatsu Alex Maiorka 《Journal of Agricultural Science and Technology(A)》 2024年第5期181-186,共6页
The present study had the objectives to apply the splitting technique in feed pellet quality prediction models and validate these models through Herzberg equation.The independent factors(input data)were the particle s... The present study had the objectives to apply the splitting technique in feed pellet quality prediction models and validate these models through Herzberg equation.The independent factors(input data)were the particle size(PS:coarse and medium),heat treatment(HT:expanded-pelleted and pelleted),fat addition levels(FA:15,25,35 and 45 g/kg of feed)and moisture addition levels(MA:0,7,14 and 21 g/kg of feed)which were combined in a full factorial design(2×2×4×4),resulting in 64 different treatments with eight replicates each.The intact pellets amount and pellet durability index(PDI)were considered as the model’s output data.In the splitting technique the whole data set,composed by 512 observations,were splitted in two data set:(1)model construction set(75%of the total data)and(2)model validation set(25%of the total data set,which were selected randomly from the original data set).Both equations,the one obtained by splitting method and the one obtained by whole data set,had good coefficient of determination and similar residues square means.It was concluded that splitting technique can be successfully applied to fit a prediction equation for feed pelleting process and that Herzberg equation consists in a useful tool to validate the coefficient of determination of those models. 展开更多
关键词 modelLING feed Splitting technique Herzberg equation PELLETS
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Design,Kinematic Modeling,and Validation of a Helical-Coiled Multi-Segment Flexible Continuum Robot
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作者 Kai Liu Zhidong Sun +2 位作者 Duanling Li Chunxu Song Guohua Gao 《Chinese Journal of Mechanical Engineering》 2025年第4期146-166,共21页
The design and analysis of continuum robots have consistently been a prominent research focus in the field of mechanics.However,portable continuum robots with minimal spatial occupancy,which have great potential for a... The design and analysis of continuum robots have consistently been a prominent research focus in the field of mechanics.However,portable continuum robots with minimal spatial occupancy,which have great potential for applications such as search and rescue,are scarcely available.This paper presents a novel helical-coiled multi-segment flexible continuum robot featuring helical deployment and compact design,with an integrated framework for structural design,kinematic modeling,and experimental validation.The design of the helical-coiled multi-segment flexible continuum robot for unstructured environment detection,including a flexible body,an actuation module,a feed module,and a sensing module,is presented systematically.Kinematic models of both single-and multisegment continuum robots were established based on the constant curvature model to analyze the parameter mapping relationship from the end-effector position and orientation to the driving inputs.Furthermore,the feedforward motion of the robot was examined,and an uncoiling strategy based on S-curve compensation was employed to complete the kinematic analysis.Finally,the accuracy of the kinematic model considering the active uncoiling feed motion was validated through experimental analysis,demonstrating the motion characteristics of the continuum robot.Altogether,this study provides a framework for the design and analysis of helical-coiled continuum robots. 展开更多
关键词 DESIGN Flexible mechanism Continuum robot Kinematic model feed motion strategy
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新质生产力培育对饲料企业投资决策的影响
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作者 刘奎汝 《中国饲料》 北大核心 2026年第2期105-108,共4页
文章立足饲料行业全产业链特性,运用产业经济理论与面板数据模型,剖析新质生产力培育对饲料企业投资决策的作用路径与影响效应。选取2020—2024年中国30家重点饲料企业数据,从投资方向、规模、风险构建3个维度分析框架。结果显示,新质... 文章立足饲料行业全产业链特性,运用产业经济理论与面板数据模型,剖析新质生产力培育对饲料企业投资决策的作用路径与影响效应。选取2020—2024年中国30家重点饲料企业数据,从投资方向、规模、风险构建3个维度分析框架。结果显示,新质生产力培育显著推动饲料企业向生物饲料研发、智能化生产、绿色供应链领域倾斜投资;针对新质生产力培育对饲料企业投资决策产生的核心影响,政策环保要求与养殖端需求变化具有正向调节作用。研究结果为饲料企业优化投资结构、农业领域新质生产力落地提供理论支撑与行业参考。 展开更多
关键词 新质生产力 饲料企业 投资决策 面板数据模型 绿色转型
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基于栖息地模型的西北太平洋柔鱼索饵洄游路径推测及其与厄尔尼诺-南方涛动的关系
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作者 韩冠荣 陈新军 +1 位作者 柳彬 解明阳 《水产学报》 北大核心 2026年第1期94-105,共12页
【目的】为了探明西北太平洋柔鱼索饵洄游的一般路径。【方法】采用海表温度(SST)、海表高度(SSH)和光合有效辐射(PAR)等环境数据和生产统计数据建立栖息地适宜性模型(HSI),分析1998—2020年7—11月索饵期间柔鱼洄游分布及其与尼尔尼诺... 【目的】为了探明西北太平洋柔鱼索饵洄游的一般路径。【方法】采用海表温度(SST)、海表高度(SSH)和光合有效辐射(PAR)等环境数据和生产统计数据建立栖息地适宜性模型(HSI),分析1998—2020年7—11月索饵期间柔鱼洄游分布及其与尼尔尼诺-南方涛动(ENSO)的关系。【结果】7月上旬柔鱼广泛分布于152~165°E,38~42°N海域,在索饵洄游的第一阶段,柔鱼快速朝着西北方向聚集并于8月上旬行至155.48°E,41.75°N;第二阶段,沿着亚北极峰转向北偏东方向缓慢移动,9月下旬到达洄游最北端(156.56°E,43.46°N);第三阶段,开始逐步朝西南方向径直返回,11月下旬抵达151.52°E,41.26°N。过去的23年里,柔鱼洄游路径年际差异显著,经度偏移值约为1.7°,纬度偏移值约为0.5°。研究发现,ENSO事件会影响柔鱼幼体的时空分布,致使北上索饵过程更偏向东;与正常年份相比,拉尼娜发生时,柔鱼因适宜生境扩大而快速生长,向北迁徙速度更快,最北端纬度更高(43.76°N);而厄尔尼诺年则相反,洄游将滞留在43°N以南,南北迁徙相对缓慢,且受区域环境约束,在8月中旬至10月上旬趋于聚集,有利于商业捕捞。【结论】西北太平洋柔鱼索饵洄游存在既定的路线,能对ENSO事件产生独特的响应。本研究为西北太平洋柔鱼资源的科学认知提供了支撑。 展开更多
关键词 柔鱼 索饵洄游 栖息地模型 厄尔尼诺-南方涛动 西北太平洋
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早产儿呼吸窘迫综合征喂养困难的危险因素及预测模型构建
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作者 刘姣 郑姣姣 +2 位作者 李丰霞 李书芳 张艳 《中国计划生育学杂志》 2026年第2期430-435,共6页
目的:探讨呼吸窘迫综合征(RDS)早产儿喂养困难状况,分析其危险因素并构建预测模型。方法:采用回顾性研究方法,收集2022年3月—2025年3月本院诊治的RDS早产儿(分娩孕周32~36周)172例临床资料,患儿均在接受微创肺表面活性物质给药(LISA)... 目的:探讨呼吸窘迫综合征(RDS)早产儿喂养困难状况,分析其危险因素并构建预测模型。方法:采用回顾性研究方法,收集2022年3月—2025年3月本院诊治的RDS早产儿(分娩孕周32~36周)172例临床资料,患儿均在接受微创肺表面活性物质给药(LISA)技术治疗后开启喂养,根据喂养困难发生情况分为喂养困难组和非喂养困难组。收集比较两组患儿基线资料,采用多因素logistic回归模型分析RDS早产儿喂养困难影响因素,构建预测早产儿RDS喂养困难的列线图模型,绘制受试者操作特征(ROC)曲线、校准曲线分析模型区分度及校准度。结果:172例RDS早产儿喂养困难发生率为74.4%。多因素logistic回归分析显示,产前使用激素(OR=0.391)是RDS早产儿发生喂养困难的保护因素,无创通气时间长(OR=1.783)、RDS分级高(OR=2.748)、产后焦虑(OR=3.093)、开奶时间晚(OR=2.802)是危险因素(均P<0.05);ROC曲线显示,列线图模型预测RDS早产儿发生喂养困难的曲线下面积为0.984,预测敏感度96.9%、特异度93.2%;绘制校准曲线显示,模型的平均绝对误差为0.017,预测值与实际值较为接近,H-L检验示,χ^(2)=6.365,P=0.606。结论:RDS早产儿喂养困难发生与多种因素有关,据此构建的列线图模型预测性能良好,临床可应用此工具早期识别高危患儿,并采取针对性防范管理措施,以改善不良喂养结局。 展开更多
关键词 早产儿 呼吸窘迫综合征 喂养困难 影响因素 预测模型
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