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Characteristics and outcomes of trauma patients with unplanned intensive care unit admissions:Bounce backs and upgrades comparison 被引量:1
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作者 Alexander A Fokin Joanna Wycech Knight +4 位作者 Phoebe K Gallagher Justin Fengyuan Xie Kyler C Brinton Madison E Tharp Ivan Puente 《World Journal of Critical Care Medicine》 2025年第2期105-120,共16页
BACKGROUND The need for an emergency upgrade of a hospitalized trauma patient from the floor to the trauma intensive care unit(ICU)is an unanticipated event with possible life-threatening consequences.Unplanned ICU ad... BACKGROUND The need for an emergency upgrade of a hospitalized trauma patient from the floor to the trauma intensive care unit(ICU)is an unanticipated event with possible life-threatening consequences.Unplanned ICU admissions are associated with increased morbidity and mortality and are an indicator of trauma service quality.Two different types of unplanned ICU admissions include upgrades(patients admitted to the floor then moved to the ICU)and bounce backs(patients admitted to the ICU,discharged to the floor,and then readmitted to the ICU).Previous studies have shown that geriatric trauma patients are at higher risk for unfavorable outcomes.AIM To analyze the characteristics,management and outcomes of trauma patients who had an unplanned ICU admission during their hospitalization.METHODS This institutional review board approved,retrospective cohort study examined 203 adult trauma patients with unplanned ICU admission at an urban level 1 trauma center over a six-year period(2017-2023).This included 134 upgrades and 69 bounce backs.Analyzed variables included:(1)Age;(2)Sex;(3)Comorbidities;(4)Mechanism of injury(MOI);(5)Injury severity score(ISS);(6)Glasgow Coma Scale(GCS);(7)Type of injury;(8)Transfusions;(9)Consultations;(10)Timing and reason for unplanned admission;(11)Intubations;(12)Surgical interventions;(13)ICU and hospital lengths of stay;and(14)Mortality.RESULTS Unplanned ICU admissions comprised 4.2%of total ICU admissions.Main MOI was falls.Mean age was 70.7 years,ISS was 12.8 and GCS was 13.9.Main injuries were traumatic brain injury(37.4%)and thoracic injury(21.7%),and main reason for unplanned ICU admission was respiratory complication(39.4%).The 47.3%underwent a surgical procedure and 46.8%were intubated.Average timing for unplanned ICU admission was 2.9 days.Bounce backs occurred half as often as upgrades,however had higher rates of transfusions(63.8%vs 40.3%,P=0.002),consultations(4.8 vs 3.0,P<0.001),intubations(63.8%vs 38.1%%,P=0.001),longer ICU lengths of stay(13.2 days vs 6.4 days,P<0.001)and hospital lengths of stay(26.7 days vs 13.0 days,P<0.001).Mortality was 25.6%among unplanned ICU admissions,31.9%among geriatric unplanned ICU admissions and 11.9%among all trauma ICU patients.CONCLUSION Unplanned ICU admissions constituted 4.2%of total ICU admissions.Respiratory complications were the main cause of unplanned ICU admissions.Bounce backs occurred half as often as upgrades,but were associated with worse outcomes. 展开更多
关键词 Unplanned intensive care unit admissions Trauma intensive care unit Bounce backs upgrades Level 1 trauma center Geriatric trauma patients Quality of care indicator
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2025 Gaoyang Textile&Apparel Event:Boosting supply chain&industry upgrade in Beijing–Tianjin–Hebei region
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作者 Qiu Shuchen 《China Textile》 2025年第3期32-33,共2页
On May 21st,the launch ceremony of the 2025 Textile and Clothing"Optimization of Supply and Upgrade"event was held in Gaoyang,Hebei Province.The theme of the event is to promote the coordinated development a... On May 21st,the launch ceremony of the 2025 Textile and Clothing"Optimization of Supply and Upgrade"event was held in Gaoyang,Hebei Province.The theme of the event is to promote the coordinated development and supply-demand docking of the textile and clothing industry in the Beijing–Tianjin–Hebei Region.Representatives from the textile and clothing industries gathered in Gaoyang to discuss the coordinated development of regional industries.The Ministry of Industry and Information Technology,Industry Associations,and leaders of the three local governments jointly announced the official launch of the national industrial upgrading action. 展开更多
关键词 beijing tianjin hebei region industrial upgrading action industry upgrade supply chain TEXTILE coordinated development clothing supply demand docking
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Future Ultrafast Charging Stations for Electric Vehicles in China:Charging Patterns,Grid Impacts and Solutions,and Upgrade Costs
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作者 Yang Zhao Xinyu Chen +2 位作者 Peng Liu Chris P.Nielsen Michael B.McElroy 《Engineering》 2025年第5期309-322,共14页
In China,electric vehicle(EV)fast-charging power has quadrupled in the past five years,progressing toward 10-minute ultrafast charging.This rapid increase raises concerns about the impact on the power grid including i... In China,electric vehicle(EV)fast-charging power has quadrupled in the past five years,progressing toward 10-minute ultrafast charging.This rapid increase raises concerns about the impact on the power grid including increased peak power demand and the need for substantial upgrades to power infrastruc-ture.Here,we introduce an integrated model to assess fast and ultrafast charging impacts for represen-tative charging stations in China,combining real-world charging patterns and detailed station optimization models.We find that larger stations with 12 or more chargers experience modest peak power increases of less than 30%when fast-charging power is doubled,primarily because shorter charg-ing sessions are less likely to overlap.For more typical stations(e.g.,8-9 chargers and 120 kW·charger^(−1)),upgrading chargers to 350-550 kW while allowing managed dynamic waiting strategies(of∼1 minute)can reduce overall charging times to∼9 minutes.At stations,deploying battery storage and/or expanding transformers can help manage future increases in station loads,yet the primary device cost of the former is∼4 times higher than that of the latter.Our results offer insights for charging infrastructure planning,EV-grid interactions,and associated policymaking. 展开更多
关键词 Electric vehicle Ultrafast charging Grid impact Charging infrastructure upgrade cost
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Effect of thermal annealing on defects of upgraded metallurgical grade silicon 被引量:3
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作者 吴洪军 马文会 +4 位作者 陈秀华 蒋咏 梅向阳 张聪 吴兴惠 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2011年第6期1340-1347,共8页
Effect of thermal annealing on the upgraded metallurgical grade(UMG)-Si was investigated under different conditions.The dislocation,grain boundaries and preferred growth orientation of Si ingot were characterized by... Effect of thermal annealing on the upgraded metallurgical grade(UMG)-Si was investigated under different conditions.The dislocation,grain boundaries and preferred growth orientation of Si ingot were characterized by optical microscopy,electron back scattering diffraction(EBSD) and X-ray diffractometry(XRD),respectively.The arrange order of dislocation density of Si ingot is from the lowest in the middle to the lower in the bottom and low in the top before and after annealing.And it decreases gradually with increase of the annealing temperature.The number of small angle grain boundaries declines gradually until disappears whereas the proportion of coincidence site lattice(CSL) grain boundaries increases firstly and then decreases.The twin boundary Σ3 reaches the highest proportion of 28% after annealing at 1 200 ℃ for 3 h.Furthermore,the crystal grains in different positions gain the best preferred growth orientation,which can promote the following machining of Si ingot and the conversion efficiency of solar cells. 展开更多
关键词 upgraded metallurgical grade(UMG-Si) ANNEALING dislocation density grain boundaries
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The Problems and Upgrade Strategies for City Symbolic Image of Yibin in Sichuan Province 被引量:1
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作者 孟宝 周陶 《Journal of Landscape Research》 2010年第11期95-99,共5页
The connotation of city symbolic image was redefined in this study.Based on this,the main shortages of Yibin City symbolic image were listed and analyzed with an emphasis.And then the specific strategies to improve in... The connotation of city symbolic image was redefined in this study.Based on this,the main shortages of Yibin City symbolic image were listed and analyzed with an emphasis.And then the specific strategies to improve intrinsic image and symbolic image of the city were proposed with a pertinence,so as to provide reference for establishment of Yibin City symbolic image and development of export-oriented economy. 展开更多
关键词 GEOGRAPHICAL IMAGE CITY SYMBOLIC IMAGE upgrade Yibin CITY
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China's Industrial Upgrade and Human Capital Improvement 被引量:1
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作者 张车伟 高文书 《China Economist》 2016年第4期22-45,共24页
Based on statistics, this paper reviews China's economic growth and industrial upgrade since the reform and opening up in 1978 and estimates the contribution of industrial restructuring to economic growth. With the y... Based on statistics, this paper reviews China's economic growth and industrial upgrade since the reform and opening up in 1978 and estimates the contribution of industrial restructuring to economic growth. With the years of schooling as the proxy variable of human capital, this paper describes changes in China's labor competence during the industrial restructuring process. Then, this paper estimates China's future human capital demand and shortage based on economic and demographic forecast. Lastly, this paper proposes recommendations for improving human capital in China with skills development and education. 展开更多
关键词 industrial structure industrial upgrade human capital labor competence China supply-side structural reforms
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A Study on English Majors' Abilities to Transmit Chinese Culture in English at Newly Upgraded Universities
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作者 韦合 《海外英语》 2010年第5X期264-265,共2页
The transmitting of Chinese culture in the intercultural communication is of great importance for English learners in China.English majors at newly upgraded universities are weak in their abilities to express Chinese ... The transmitting of Chinese culture in the intercultural communication is of great importance for English learners in China.English majors at newly upgraded universities are weak in their abilities to express Chinese culture in English and transmit Chinese culture.To find measures for the problems,some necessary changes in the syllabus,textbooks,testing and curriculum are suggested,compiling of a dictionary for the standard of Chinese culture items in English is discussed,and the roles of teachers,students and English Corner in the cultivation of the abilities of English majors' to express Chinese culture in English at newly upgraded universities are analyzed. 展开更多
关键词 ABILITIES to express Chinese culture in ENGLISH INTERCULTURAL communication NEWLY upgraded university ENGLISH major
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Research on the Impact of Chinese Digital Inclusive Finance on Industrial Structure Upgrade—Based on Spatial Dubin Model 被引量:8
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作者 Mingyang Liang 《Open Journal of Statistics》 2020年第5期863-871,共9页
Based on the panel data of 30 provinces, municipalities, and autonomous regions in China from 2011 to 2018, this paper uses the digital inclusive financial index and industrial structure upgrading coefficient of the I... Based on the panel data of 30 provinces, municipalities, and autonomous regions in China from 2011 to 2018, this paper uses the digital inclusive financial index and industrial structure upgrading coefficient of the Internet Research Center of Peking University as the core explanatory and explained variables to construct a spatial panel. Bin model performs </span><span style="font-family:Verdana;">regression</span><span style="font-family:Verdana;"> analysis on the effect of digital inclusive finance in the upgrading of industrial structure. The results prove that the development of digital inclusive finance in this province and city has significantly promoted the upgrading of the regional industrial structure, and it has a positive overall effect on the upgrading of industrial structure. 展开更多
关键词 Industrial Structure upgrade Chinese Digital Inclusive Finance Spatial Dubin Model
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One-step production of high-strength titanium alloy by sintering titanium hydride powder from upgraded titania slag 被引量:2
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作者 Zhao-wang DONG Yang XIA +4 位作者 Xue-yi GUO Qing-hua TIAN Han-ning LIU Pei-dong LIU Yu-bing CHEN 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2022年第11期3801-3809,共9页
A direct production method of high-strength titanium alloy from upgraded titania slag(UGS)was developed.First,UGS was reduced into alloy powder with 1.3 wt.%oxygen using magnesium powder.Subsequently,the alloy powder ... A direct production method of high-strength titanium alloy from upgraded titania slag(UGS)was developed.First,UGS was reduced into alloy powder with 1.3 wt.%oxygen using magnesium powder.Subsequently,the alloy powder was compacted at 600 MPa to produce a pellet.Lastly,the pellet was sintered to produce titanium alloy.The reduced powder was characterized,and the effect arising from the sintering temperature on the sintered density,compressive strength,microstructure,and hardness of the alloys was studied.The results showed that the density tended to increase with the temperature increasing from 900 to 1200℃,whereas the porosity decreased.A significant sintering densification was achieved at the temperature above 1100℃(98.65%at 1100℃ and 99.41%at 1200℃).At 1100℃,the hardness and compressive strength reached the maximal values of the alloy,HV 655.7 and 1563 MPa,respectively. 展开更多
关键词 upgraded titania slag reduction titanium alloy SINTERING
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Intra-beam scattering and beam lifetime in a candidate lattice of the soft X-ray diffraction-limited storage ring for the upgraded SSRF 被引量:6
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作者 Xin-Zhong Liu Shun-Qiang Tian +2 位作者 Xu Wu Meng Wang Zhen-Tang Zhao 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2021年第8期57-66,共10页
New-generation synchrotron light sources are being designed and operated worldwide to provide brighter radiation by reducing the beam emittance to X-ray diffraction limits.Intra-beam scattering(IBS)and Touschek scatte... New-generation synchrotron light sources are being designed and operated worldwide to provide brighter radiation by reducing the beam emittance to X-ray diffraction limits.Intra-beam scattering(IBS)and Touschek scattering in such facilities are significant and require attention because of their ultra-low emittance.Therefore,cure strategies need to be carefully studied to obtain highquality photon beams.For the Shanghai Synchrotron Radiation Facility Upgrade(SSRF-U),a candidate lattice of the storage ring,reaching the soft X-ray diffraction limit,was designed and presented for the first time in this study.The emittance growth and beam lifetime in the SSRF-U storage ring were studied using particle simulations for a series of different machine configurations.The gains with RF frequencies of 100 MHz and 500 MHz were compared.Along with a better filling pattern,a more suitable RF frequency was adopted in the SSRF-U.The variations in the equilibrium beam emittance with beam coupling and bunch-lengthening were identified using simulations.Optimal beam coupling and required bunch-lengthening for the SSRF-U storage ring were thus determined.The fitness of the beam energy in the SSRF-U was subsequently assessed using the obtained parameters.Additionally,the Touschek scattering and beam lifetime were calculated,and an acceptable total beam lifetime was obtained. 展开更多
关键词 Diffraction-Limited Storage Ring(DLSR) Shanghai Synchrotron Radiation Facility upgrade(SSRFU) Intra-Beam Scattering(IBS) Touschek scattering Beam lifetime
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Cardiac resynchronization therapy improved the clinical outcomes in pacemaker patients upgraded to biventricular device 被引量:1
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作者 Han JIN Wei HUA +5 位作者 Li-Gang DING Jing WANG Hong-Xia NIU Min GU Cong XUE Shu ZHANG 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2017年第10期649-651,共3页
The right ventricular pacing (RVP) is the standard treat- ment for patients with severe bradyarrhythmias; however, it may cause and exacerbate heart failure symptoms in a long run under some circumstances.{1] In fac... The right ventricular pacing (RVP) is the standard treat- ment for patients with severe bradyarrhythmias; however, it may cause and exacerbate heart failure symptoms in a long run under some circumstances.{1] In fact, significant left ventricular (LV) systolic dysfimction and symptomatic heart failure (HF) is commonly found in patient population with pacemaker implantations. 展开更多
关键词 Cardiac resynchronization therapy Chronic right ventricular pacing Heart failure upgrade
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Discussion of the indexes of nonoutburst coal seam upgrade and its corresponding critical values 被引量:1
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作者 WEI Jian-ping LIU Yan-wei +1 位作者 LIU Ming-ju MENG Lei 《Journal of Coal Science & Engineering(China)》 2009年第4期382-388,共7页
In view of the measurement difficulties of indexes recommended by the 50Items Experience of Coal Mine Gas Prevention in the process of the nonoutburst coalseam upgrade, this paper took the No.8 coal seam of Huainan Mi... In view of the measurement difficulties of indexes recommended by the 50Items Experience of Coal Mine Gas Prevention in the process of the nonoutburst coalseam upgrade, this paper took the No.8 coal seam of Huainan Mining Group as research object. Discussed the suitability of indexes and corresponding critical values, putforward method in determining the indexes and its critical values by analysis and investigation of the gas geological condition and the-spot tracking near position where anoutburst occurred combined with laboratory experiment, and established the indexesand its critical values of nonoutburst coal seam upgrade in No.8 coal seam of HuainanMining Group. The results show that it is suitable to take gas content and tectonic softcoal thickness easily to gain in routine production as primary upgrade indexes that itscritical values are 7.5 m^3/t and 0.8 m, respectively. In addition, takefvalue and Ap valueas auxiliary indexes. 展开更多
关键词 nonoutburst coal seam upgrade methods and indexes system gas geology tectonic soft coal thickness gas content
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Research on the Impact of Industrial Agglomeration and Structural Upgrade on County Economic Growth under the New Normal Condition-Based on the Empirical Study of 101 County Counties in Jiangsu and Zhejiang Provinces 被引量:1
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作者 Junwei Xing 《International Journal of Technology Management》 2016年第12期7-10,共4页
In this paper, the method of generalized moments of data and systems for 101 counties in Jiangsu and Zhejiang Provinces is used to analyze the impact of industrial agglomeration and industrial structure upgrading on c... In this paper, the method of generalized moments of data and systems for 101 counties in Jiangsu and Zhejiang Provinces is used to analyze the impact of industrial agglomeration and industrial structure upgrading on county economic growth. The real diagnosis result indicated that, the industry gathers with the industrial structure promotes has the forward function to the county territory economic growth rate, in the sample time that had not discovered the industry gathers to the economical growth existence non-linearity in? uence. On the other hand, the industrial structure promotes to the county territory economy long-term growth power is stronger, later period should break through the present stage in the manufacturing industry mature county territory through the industrial structure promotion strategy the industry to glide down. 展开更多
关键词 Industrial agglomeration upgrading of industrial structure The county economy growth Panel data model
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Efficiency Upgrade in PWRs
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作者 Morteza Gharib Abdolazim Yaghooti Majid Oloomi Buygi 《Energy and Power Engineering》 2011年第4期533-536,共4页
Most of the light water reactor power plants now operating or under construction use pressurized-water reactor (PWR). They are suffering of relatively low thermal efficiency which is around 33%. This would not only ha... Most of the light water reactor power plants now operating or under construction use pressurized-water reactor (PWR). They are suffering of relatively low thermal efficiency which is around 33%. This would not only have a negative impact economically but also incurs environmental burden in terms of thermal pollution. In this paper, nuclear steam supply system of a typical PWR has been taken into consideration using 1000 MWe Bushehr nuclear power plant (BNPP) data. It is shown thermal efficiency could conceivably be increased by superheating live steam with natural gas up to around 40%, competing with similar fossil-fueled power plants. It is further shown that fuel cost (natural gas) as low as 0.12 Cent/MWe, extra power generated is feasible. 展开更多
关键词 upgrade EFFICIENCY NUCLEAR POWER PLANT PWR
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Upgrade and separation of Co from solution with low-grade Co
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作者 ZHONG Shi an,ZHOU Chun shan,OU Yang xi,CHENG Ben cheng(College of Chemistry and Chemical Engineering, Central South University, Changsha 410083, China) 《Journal of Central South University of Technology》 2001年第4期249-251,共3页
Upgrade and separation of Co from solution with low grade Co were studied. In the solution, the content of Co is about 1 g·L -1 , while that of Ni, Zn, Mn, Mg, Si and Ca is 0.145, 1.108, 0.119, 6.672, 0.026 and 0... Upgrade and separation of Co from solution with low grade Co were studied. In the solution, the content of Co is about 1 g·L -1 , while that of Ni, Zn, Mn, Mg, Si and Ca is 0.145, 1.108, 0.119, 6.672, 0.026 and 0.200 g·L -1 , respectively. After absorbed with absorbent G-1, the content of Co in the solution is less than 1 mg·L -1 , the average loss rate of Co is 0.07%, while the average loss rate of Mg is 67.92%. It is demonstrated that the absorbent has selectivity to absorb Co. After the absorbent was eluted with HCl at room temperature, the solution with higher content of Co was obtained. Through being evaporated and concentrated, the contant of Co in the solution can be upgraded to 26.6 g·L -1 . At the same time, most of Si, Mg is removed, the total recovery of Co can reach as high as 98.7%. The content of Pb, Ni, Cu, Zn, Mn in the discharge solution is 1.00, 0.26, 0.21, 0.09, 0.15 mg·L -1 , respectively, and the discharge solution can reach the national discharge standard. CoCl 2 solid can be obtained and can reach chemical purity. 展开更多
关键词 CO upgrade SEPARATION
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How Can China Achieve Industrial Upgrade?
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作者 汪建成 毛蕴诗 《China Economist》 2008年第4期115-126,共12页
Traditional OEM enterprises are facing increasing upgrading pressure due to tighten export environment. This paper carries out a comparative case study on two bathroom hardware manufacturers,by analyzing enterprises u... Traditional OEM enterprises are facing increasing upgrading pressure due to tighten export environment. This paper carries out a comparative case study on two bathroom hardware manufacturers,by analyzing enterprises upgrading process from OEM to ODM and OBM,this article will be a good reference for other Chinese OEM manufacturers who pursue an independent road of innovation. 展开更多
关键词 OEM ODM OBM upgradING of ENTERPRISE
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Efficient solutions for hot-rolling mill modernizations and upgrades
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作者 Stephan KRMER Stefan BERGER 《Baosteel Technical Research》 CAS 2010年第S1期110-,共1页
The recent steel boom was characterized by a steep increase in world wide hot-rolling capacity.Still new hot-rolling mills are scheduled to start production during the coming years.Existing plants,which may be in oper... The recent steel boom was characterized by a steep increase in world wide hot-rolling capacity.Still new hot-rolling mills are scheduled to start production during the coming years.Existing plants,which may be in operation since decades,have to compete with brand-new equipment and technology in terms of product quality and production efficiency.SMS Siemag have developed and successfully applied overall modernization concepts for hot-rolling mills as well as well-defined upgrade packages dedicated particularly to the improvement of product quality and the enlargement of product range.This paper describes the general methods of how SMS Siemag approaches hot-rolling mill modernization projects for maximum customer benefit and describes examples for overall modernization concepts as well as for powerful upgrade packages which have been put into operation during the recent years. 展开更多
关键词 hot strip mill modernization concepts powerful upgrade packages
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Industrial Upgrade,Vocational Ability and Migrant Worker Education and Training
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作者 Xianghong JU 《Asian Agricultural Research》 2016年第8期35-37,40,共4页
Economic structure adjustment,industrial upgrade,and demands of migrant workers for vocational ability are direct driving factors for migrant workers participating in education and training.Personal quality of migrant... Economic structure adjustment,industrial upgrade,and demands of migrant workers for vocational ability are direct driving factors for migrant workers participating in education and training.Personal quality of migrant workers not only concerns their survival and development,but also concerns upgrade of modern industrial structure.From the perspective of industrial upgrade,vocational ability and mechanism of migrant worker education and training,this paper analyzes difficulties in migrant worker education and training.On the basis of the difficulties,it come up with some strategies and recommendations. 展开更多
关键词 Migrant workers Education and training Industrial upgrade Vocational ability
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Sino-African Cooperation Is Being Upgraded
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作者 Erica Song 《China's Foreign Trade》 2017年第6期32-33,共2页
At present, the breadth, depth and activeness of Sino-African cooperation comes to a level ,which has never been seen before. Africa not only provides space for the extension of the Belt and Road Initiative,
关键词 Sino-African Cooperation Being upgraded
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“Upgraded” China-ASEAN Expo to Hold Exhibition Tour in ASEAN Countries
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作者 Liu Xinwei 《China's Foreign Trade》 2015年第3期48-49,共2页
During April 2-4,Chinar ASEAN Expo held an exposition in of Bangkok of Thailand,which was the first time for China-ASEAN Expo to hold expositions abroad ever since the beginning of China-ASEAN Expo was held 11 years a... During April 2-4,Chinar ASEAN Expo held an exposition in of Bangkok of Thailand,which was the first time for China-ASEAN Expo to hold expositions abroad ever since the beginning of China-ASEAN Expo was held 11 years ago.Since the year of 2004,China- 展开更多
关键词 ASEAN upgraded EXHIBITION Thailand EXHIBITION cooperation BEGINNING ORGANIZER upgrading DEPUTY
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