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Stochastic Differential Equation-Based Dynamic Imperfect Maintenance Strategy for Wind Turbine Systems
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作者 Hongsheng Su Zhensheng Teng Zihan Zhou 《Energy Engineering》 2026年第2期229-258,共30页
Addressing the limitations of inadequate stochastic disturbance characterization during wind turbine degradation processes that result in constrained modeling accuracy,replacement-based maintenance practices that devi... Addressing the limitations of inadequate stochastic disturbance characterization during wind turbine degradation processes that result in constrained modeling accuracy,replacement-based maintenance practices that deviate from actual operational conditions,and static maintenance strategies that fail to adapt to accelerated deterioration trends leading to suboptimal remaining useful life utilization,this study proposes a Time-Based Incomplete Maintenance(TBIM)strategy incorporating reliability constraints through stochastic differential equations(SDE).By quantifying stochastic interference via Brownian motion terms and characterizing nonlinear degradation features through state influence rate functions,a high-precision SDE degradation model is constructed,achieving 16%residual reduction compared to conventional ordinary differential equation(ODE)methods.The introduction of age reduction factors and failure rate growth factors establishes an incomplete maintenance mechanism that transcends traditional“as-good-as-new”assumptions,with the TBIM model demonstrating an additional 8.5%residual reduction relative to baseline SDE approaches.A dynamic maintenance interval optimization model driven by dual parameters—preventive maintenance threshold R_(p) and replacement threshold R_(r)—is designed to achieve synergistic optimization of equipment reliability and maintenance economics.Experimental validation demonstrates that the optimized TBIM extends equipment lifespan by 4.4%and reducesmaintenance costs by 4.16%at R_(p)=0.80,while achieving 17.2%lifespan enhancement and 14.6%cost reduction at R_(p)=0.90.This methodology provides a solution for wind turbine preventive maintenance that integrates condition sensitivity with strategic foresight. 展开更多
关键词 Stochastic differential equations(SDE) imperfect maintenance condition-based maintenance(CBM) time-based maintenance(TBM) reliability constraint wind turbine
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Predictive Maintenance Strategy for Photovoltaic Power Systems: Collaborative Optimization of Transformer-Based Lifetime Prediction and Opposition-Based Learning HHO Algorithm
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作者 Wei Chen Yang Wu +2 位作者 Tingting Pei Jie Lin Guojing Yuan 《Energy Engineering》 2026年第2期487-506,共20页
In view of the insufficient utilization of condition-monitoring information and the improper scheduling often observed in conventional maintenance strategies for photovoltaic(PV)modules,this study proposes a predictiv... In view of the insufficient utilization of condition-monitoring information and the improper scheduling often observed in conventional maintenance strategies for photovoltaic(PV)modules,this study proposes a predictive maintenance(PdM)strategy based on Remaining Useful Life(RUL)estimation.First,a RUL prediction model is established using the Transformer architecture,which enables the effective processing of sequential degradation data.By employing the historical degradation data of PV modules,the proposed model provides accurate forecasts of the remaining useful life,thereby supplying essential inputs for maintenance decision-making.Subsequently,the RUL information obtained from the prediction process is integrated into the optimization of maintenance policies.An opposition-based learning Harris Hawks Optimization(OHHO)algorithm is introduced to jointly optimize two critical parameters:the maintenance threshold L,which specifies the degradation level at which maintenance should be performed,and the recovery factor r,which reflects the extent to which the system performance is restored after maintenance.The objective of this joint optimization is to minimize the overall operation and maintenance cost while maintaining system availability.Finally,simulation experiments are conducted to evaluate the performance of the proposed PdM strategy.The results indicate that,compared with conventional corrective maintenance(CM)and periodic maintenance(PM)strategies,the RUL-driven PdM approach achieves a reduction in the average cost rate by approximately 20.7%and 17.9%,respectively,thereby demonstrating its potential effectiveness for practical PV maintenance applications. 展开更多
关键词 State information remaining useful life Transformer model Harris Hawks optimization maintenance
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An Integrated Approach to Condition-Based Maintenance Decision-Making of Planetary Gearboxes: Combining Temporal Convolutional Network Auto Encoders with Wiener Process
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作者 Bo Zhu Enzhi Dong +3 位作者 Zhonghua Cheng Xianbiao Zhan Kexin Jiang Rongcai Wang 《Computers, Materials & Continua》 2026年第1期661-686,共26页
With the increasing complexity of industrial automation,planetary gearboxes play a vital role in largescale equipment transmission systems,directly impacting operational efficiency and safety.Traditional maintenance s... With the increasing complexity of industrial automation,planetary gearboxes play a vital role in largescale equipment transmission systems,directly impacting operational efficiency and safety.Traditional maintenance strategies often struggle to accurately predict the degradation process of equipment,leading to excessive maintenance costs or potential failure risks.However,existing prediction methods based on statistical models are difficult to adapt to nonlinear degradation processes.To address these challenges,this study proposes a novel condition-based maintenance framework for planetary gearboxes.A comprehensive full-lifecycle degradation experiment was conducted to collect raw vibration signals,which were then processed using a temporal convolutional network autoencoder with multi-scale perception capability to extract deep temporal degradation features,enabling the collaborative extraction of longperiod meshing frequencies and short-term impact features from the vibration signals.Kernel principal component analysis was employed to fuse and normalize these features,enhancing the characterization of degradation progression.A nonlinear Wiener process was used to model the degradation trajectory,with a threshold decay function introduced to dynamically adjust maintenance strategies,and model parameters optimized through maximum likelihood estimation.Meanwhile,the maintenance strategy was optimized to minimize costs per unit time,determining the optimal maintenance timing and preventive maintenance threshold.The comprehensive indicator of degradation trends extracted by this method reaches 0.756,which is 41.2%higher than that of traditional time-domain features;the dynamic threshold strategy reduces the maintenance cost per unit time to 55.56,which is 8.9%better than that of the static threshold optimization.Experimental results demonstrate significant reductions in maintenance costs while enhancing system reliability and safety.This study realizes the organic integration of deep learning and reliability theory in the maintenance of planetary gearboxes,provides an interpretable solution for the predictive maintenance of complex mechanical systems,and promotes the development of condition-based maintenance strategies for planetary gearboxes. 展开更多
关键词 Temporal convolutional network autoencoder full lifecycle degradation experiment nonlinear Wiener process condition-based maintenance decision-making fault monitoring
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An IoT-Based Predictive Maintenance Framework Using a Hybrid Deep Learning Model for Smart Industrial Systems
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作者 Atheer Aleran Hanan Almukhalfi +3 位作者 Ayman Noor Reyadh Alluhaibi Abdulrahman Hafez Talal H.Noor 《Computers, Materials & Continua》 2026年第3期2163-2183,共21页
Modern industrial environments require uninterrupted machinery operation to maintain productivity standards while ensuring safety and minimizing costs.Conventional maintenance methods,such as reactive maintenance(i.e.... Modern industrial environments require uninterrupted machinery operation to maintain productivity standards while ensuring safety and minimizing costs.Conventional maintenance methods,such as reactive maintenance(i.e.,run to failure)or time-based preventive maintenance(i.e.,scheduled servicing),prove ineffective for complex systems with many Internet of Things(IoT)devices and sensors because they fall short in detecting faults at early stages when it is most crucial.This paper presents a predictive maintenance framework based on a hybrid deep learning model that integrates the capabilities of Long Short-Term Memory(LSTM)Networks and Convolutional Neural Networks(CNNs).The framework integrates spatial feature extraction and temporal sequence modeling to accurately classify the health state of industrial equipment into three categories,including Normal,Require Maintenance,and Failed.The framework uses a modular pipeline that includes IoT-enabled data collection along with secure transmission methods to manage cloud storage and provide real-time fault classification.The FD004 subset of the NASA C-MAPSS dataset,containing multivariate sensor readings from aircraft engines,serves as the training and evaluation data for the model.Experimental results show that the LSTM-CNN model outperforms baseline models such as LSTM-SVM and LSTM-RNN,achieving an overall average accuracy of 86.66%,precision of 86.00%,recall of 86.33%,and F1-score of 86.33%.Contrary to the previous LSTM-CNN-based predictive maintenance models that either provide a binary classification or rely on synthetically balanced data,our paper provides a three-class maintenance state(i.e.,Normal,Require Maintenance,and Failed)along with threshold-based labeling that retains the true nature of the degradation.In addition,our work also provides an IoT-to-cloud-based modular architecture for deployment.It offers Computerized Maintenance Management System(CMMS)integration,making our proposed solution not only technically sound but also practical and innovative.The solution achieves real-world industrial deployment readiness through its reliable performance alongside its scalable system design. 展开更多
关键词 Predictive maintenance Internet of Things(IoT) smart industrial systems LSTM-CNN hybrid model deep learning remaining useful life(RUL) industrial fault diagnosis
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Making Predictive Maintenance a Reality
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作者 Subash Senthil Mohanvel 《Intelligent Control and Automation》 2025年第1期1-18,共18页
While Artificial Intelligence (AI) is leading the way in terms of hardware advancements, such as GPUs, memory, and processing power, real-time applications are still catching up. It is inevitable that when one aspect ... While Artificial Intelligence (AI) is leading the way in terms of hardware advancements, such as GPUs, memory, and processing power, real-time applications are still catching up. It is inevitable that when one aspect leads and other trails behind, they coexist in life, as is often the case. The trailing aspect cannot remain far behind because, without application and use, there would be a dead end. Everything, whether an object, software, or tool, must have a practical use for humans. Without this, it will become obsolete. We can see this in many instances, such as blockchain technology, which is superior yet faces challenges in practical implementation, leading to a decline in adoption. This publication aims to bridge the gap between AI advancements and maintenance, specifically focusing on making predictive maintenance a practical application. There are multiple building blocks that make predictive maintenance a practical application. Each block performs a function leading to an output. This output forms an input to the receiving block. There are also foundational parts for all these building blocks to perform a function. Eventually, once the building blocks are connected, they form a loop and start to lead the path to predictive maintenance. Predictive maintenance is indeed practically achievable, but one must comprehend all the building blocks necessary for its implementation. Although detailed explanations will be provided in the upcoming sections, it is important to understand that simply purchasing software and plugging it in might be a far-fetched approach. 展开更多
关键词 PREDICTIVE Predictive maintenance How to Achieve Predictive maintenance
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Impact of Safety-Maintenance Practices on the Overall Performance of an Industry
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作者 Kwame Dubik Cletus Akasika +2 位作者 Nicholas Naawie Francis Dery Francis Azum Abunkudugu 《World Journal of Engineering and Technology》 2024年第3期759-774,共16页
The study aims to evaluate how safety-maintenance practices affect the mechanical engineering industry’s overall performance in Ghana. The study used a descriptive survey design technique to ascertain the type of mai... The study aims to evaluate how safety-maintenance practices affect the mechanical engineering industry’s overall performance in Ghana. The study used a descriptive survey design technique to ascertain the type of maintenance engineering that was practiced in Ghanaian mechanical engineering workshops at the time of the study. In the mechanical engineering workshops, respondents provided both qualitative and quantitative data using a variety of data collecting instruments, with the quantitative approach being more common. The study employed Kumasi, Tamale, and Accra’s mechanical engineering workshops as a case study. The number of mechanical engineering workshop enterprises that made up the sample size for the questionnaire administration was sixty (60), chosen at random from the AGI membership registry. Primary data was gathered using interview guides and questionnaires. To analyse the data, descriptive statistics were employed. According to the study’s findings, mechanical engineering companies combined different maintenance techniques in order to best fit their organisational culture and equipment. Preventive shut-down, with a mean score of 4.78 and RII = 0.98, placing first (1st) in the Likert rating order, is the most frequently used maintenance system by respondents. The maintenance procedures employed by mechanical engineering organisations were influenced not only by their equipment and organisational culture but also by other factors such as cost, personnel expertise and external partnerships. 展开更多
关键词 Safety-maintenance Practices Mechanical Engineering Industry Ghana maintenance Engineering Organizational Culture Equipment maintenance Preventive maintenance maintenance Strategies
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A review of intelligent technologies for underground construction and infrastructure maintenance 被引量:2
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作者 Weiqiang Xie Wenzhao Meng Wei Wu 《Intelligent Geoengineering》 2025年第1期22-34,共13页
Scientific and technological advancements are rapidly transforming underground engineering,shifting from labor-intensive,time-consuming methods to automated,real-time systems.This timely and comprehensive review cover... Scientific and technological advancements are rapidly transforming underground engineering,shifting from labor-intensive,time-consuming methods to automated,real-time systems.This timely and comprehensive review covers in-situ testing,intelligent monitoring,and geophysical testing methods,highlighting fundamental principles,testing apparatuses,data processing techniques,and engineering applications.The state-of-the-art summary emphasizes not only cutting-edge innovations for complex and harsh environments but also the transformative role of artificial intelligence and machine learning in data interpretations.The integration of big data and advanced algorithms is particularly impactful,enabling the identification,prediction,and mitigation of potential risks in underground projects.Key aspects of the discussion include detection capabilities,method integration,and data convergence of intelligent technologies to drive enhanced safety,operational efficiency,and predictive reliability.The review also examines future trends in intelligent technologies,emphasizing unified platforms that combine multiple methods,real-time data,and predictive analytics.These advancements are shaping the evolution of underground construction and maintenance,aiming for risk-free,high-efficiency underground engineering. 展开更多
关键词 Underground construction Infrastructure maintenance In-situ testing Intelligent monitoring Geophysical investigation
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Correlation between anxiety, depression, self-perceived burden, and psychological resilience in patients with chronic renal failure on maintenance hemodialysis 被引量:1
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作者 Yin-Yin Ye Liang-Fei Tao +3 位作者 Yan-Lang Yang Yu-Wei Wang Xiao-Ming Yang Hai-Hong Xu 《World Journal of Psychiatry》 2025年第7期103-110,共8页
BACKGROUND Research examining the relationships among anxiety,depression,self-perceived burden(SPB),and psychological resilience(PR),along with the determinants of PR,in patients with chronic renal failure(CRF)receivi... BACKGROUND Research examining the relationships among anxiety,depression,self-perceived burden(SPB),and psychological resilience(PR),along with the determinants of PR,in patients with chronic renal failure(CRF)receiving maintenance hemodia-lysis(MHD)is limited.AIM To investigate the correlation between anxiety,depression,SPB,and PR in pati-ents with CRF on MHD.METHODS This study included 225 patients with CRF on MHD who were admitted between June 2021 and June 2024.The anxiety level was evaluated using the Self-Rating Anxiety Scale(SAS);the depression status was assessed using the Self-Rating Depression Scale(SDS);the SPB was measured using the SPB Scale(SPBS);and the PR was determined using the Connor–Davidson Resilience Scale(CD-RISC).The correlations among the SAS,SDS,SPB,and CD-RISC were analyzed using Pearson’s correlation coefficients.Univariate and multivariate analyses were performed to identify the factors that influence the PR of patients with CRF on MHD.RESULTS The SAS,SDS,SPB,and CD-RISC scores of the 225 patients were 45.25±15.36,54.81±14.68,32.31±11.52,and 66.48±9.18,respectively.Significant negative correlations were observed between SAS,SDS,SPB,and CD-RISC.Furthermore,longer dialysis vintage(P=0.015),the absence of religious beliefs(P=0.020),lower monthly income(P=0.008),higher SAS score(P=0.013),and higher SDS score(P=0.006)were all independent factors that adversely affected the PR of patients with CRF on MHD.CONCLUSION Patients with CRF on MHD present with varying degrees of anxiety,depression,and SPB,all of which exhibit a significant negative correlation with their PR.Moreover,longer dialysis vintage,the absence of religious beliefs,lower monthly income,higher SAS score,and higher SDS score were factors that negatively affected the PR of patients with CRF on MHD. 展开更多
关键词 Chronic renal failure maintenance hemodialysis ANXIETY DEPRESSION Self-perceived burden Psychological resilience
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Development of Aircraft Maintenance Glossaries in Higher Education:Exploring Methodological Paths to Corpus-Driven Analysis of Key Keywords
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作者 Malila PRADO Daniela TERENZI Diego BRITO 《中国科技术语》 2025年第1期83-93,共11页
This paper presents a project aimed at developing a trilingual visual dictionary for aircraft maintenance professionals and students.The project addresses the growing demand for accurate communication and technical te... This paper presents a project aimed at developing a trilingual visual dictionary for aircraft maintenance professionals and students.The project addresses the growing demand for accurate communication and technical terminology in the aviation industry,particularly in Brazil and China.The study employs a corpus-driven approach,analyzing a large corpus of aircraft maintenance manuals to extract key technical terms and their collocates.Using specialized subcorpora and a comparative analysis,this paper demonstrates challenges and solutions into the identification of high-frequency keywords and explores their contextual use in aviation documentation,emphasizing the need for clear and accurate technical communication.By incorporating these findings into a trilingual visual dictionary,the project aims to enhance the understanding and usage of aviation terminology. 展开更多
关键词 aircraft maintenance CORPUS keyword extraction
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AVAILABILITY SIMULATION OF MULTI-COMPONENT SYSTEM BASED ON OPPORTUNISTIC MAINTENANCE POLICY 被引量:5
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作者 蔡景 左洪福 吕德峰 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI 2009年第3期219-223,共5页
A multi-component system has the long fixed maintenance time, so the opportunistic maintenance policy is adopted to put preventive replacement and corrective replacement together, so that the long fixed maintenance ti... A multi-component system has the long fixed maintenance time, so the opportunistic maintenance policy is adopted to put preventive replacement and corrective replacement together, so that the long fixed maintenance time can be shared by more than one component, and the system availability can be improved. Then, the generation characteristics of the random failure time are researched based on the replacement maintenance and the minima[ maintenance. Furthermore, by choosing the opportunistic replacement ages of each component as opti- mized variables, a simulation algorithm based on an opportunistic maintenance policy is designed to maximize the total availability. Finally, the simulation result shows the validity of the algorithm by an example. 展开更多
关键词 AVAILABILITY multi-component system ALGORITHMS opportunistic maintenance minimal maintenance
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Reliability-Centered Maintenance-Based Maintenance Decision in New Nuclear Power Plants
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作者 黄立军 陈宇 +1 位作者 马沂荩 吴进 《Journal of Donghua University(English Edition)》 EI CAS 2016年第2期248-251,共4页
Taking the project of introducing reliability-centered maintenance( RCM) into maintenance decision in an AP1000 nuclear power plant( NPP) under construction as the research object,an improved RCM methodology was propo... Taking the project of introducing reliability-centered maintenance( RCM) into maintenance decision in an AP1000 nuclear power plant( NPP) under construction as the research object,an improved RCM methodology was proposed, and the application software and an RCM-based maintenance strategies management system were designed. In the pilot project,the RCMbased maintenance decision methodology had been applied to determining the maintenance strategies for two systems. Both the decision process and the results were described in this paper. The achievements of this project promoted the introduction and routinization of an advanced and effective maintenance decision mode in nuclear power field,which could provide valuable reference for new NPPs in China. 展开更多
关键词 reliability-centered maintenance(RCM) maintenance strategy maintenance decision maintenance program nuclear power plant(NPP)
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CONDITION-BASED MAINTENANCE DECISION MAKING METHODS FOR CIVIL AEROENGINE 被引量:6
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作者 戎翔 左洪福 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI 2008年第3期201-207,共7页
To provide some feasible condition-based maintenance (CBM) decision making methods for civil aeroengine, firstly, the theory of aeroengine CBM decision making is described. The proportional intensity(PI) model is ... To provide some feasible condition-based maintenance (CBM) decision making methods for civil aeroengine, firstly, the theory of aeroengine CBM decision making is described. The proportional intensity(PI) model is established based on the reliability and condition monitoring data. According to the model, the decision making methods are proposed for the optimal preventive maintenance(PM) interval and removal. Then, the time on wing (TOW) is predicted by collecting actual data based on the engine age and operating conditions. Finally, an example of a fleet for CF6-80C2 engines is illustrated. It shows that sufficient engine operation data are the key of accurate decision making. Results indicate that the CBM decision making methods are helpful for engineers in airlines to control engine maintenance actions and TOW, thus decreasing risks and maintenance costs. 展开更多
关键词 civil aviation aircraft engines maintenance condition-based maintenance proportional intensity model
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Swallowed topical steroid maintenance therapy for eosinophilic esophagitis:A systematic review and meta-analysis
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作者 Yi-Zhong Wu Megan Kudlak +6 位作者 Manuel Garza Alexander Grieme Kyle S Liu James J Kwon Eric R Smith Erica Yatsynovich Bryce Bushe 《World Journal of Meta-Analysis》 2025年第2期90-97,共8页
BACKGROUND Eosinophilic esophagitis(EoE)is a chronic inflammatory disorder presenting as symptoms of dysphagia,esophageal food impaction,chest pain,and heartburn.After an initial trial of proton pump inhibitor(PPI)the... BACKGROUND Eosinophilic esophagitis(EoE)is a chronic inflammatory disorder presenting as symptoms of dysphagia,esophageal food impaction,chest pain,and heartburn.After an initial trial of proton pump inhibitor(PPI)therapy,swallowed topical corticosteroids(STC)are effective as induction therapy for EoE.However,out-come data for STC as a maintenance strategy is limited.RESULTS Three randomized control trials and one observational study were included,involving 303 patients(189 in the STC group,114 in the placebo-controlled group).Analysis showed that histologic recurrence was significantly lower with STC(OR:0.04,95%CI:0.01-0.28,P<0.00001,I^(2)=78%).Overall symptom recurrence was similar between groups(OR:0.23,95%CI:0.02-3.54,P=0.29,I^(2)=92%).On sensitivity analysis,symptom recurrence was significantly lower in the STC group(OR:0.05,95%CI:0.02-0.17,P=0.00001,I^(2)=39%).Odds of repeat dilation were significantly lower in the STC group(OR:0.14,95%CI:0.02-0.91,P=0.04,I^(2)=0%).Candida infection rates were similar between groups(OR:6.13,95%CI:0.85-44.26,P=0.07,I^(2)=24%).Proportion of concomitant PPI use was similar between groups(OR:1.64,95%CI:0.83-3.21,P=0.15,I^(2)=0%).CONCLUSION For patients who successfully achieved remission of EoE with STC induction therapy,maintaining treatment is effective in sustaining histologic remission,while newer regimens may be effective in preventing symptom recurrence compared to placebo.We found no significant difference for oropharyngeal/esophageal candidiasis with STC maintenance therapy.Future studies with longer follow-up periods are needed. 展开更多
关键词 Eosinophilic esophagitis maintenance Therapy Swallowed topical corticosteroids HISTOLOGIC RECURRENCE SYMPTOMS
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Hierarchical framework for predictive maintenance of coking risk in fluid catalytic cracking units:A data and knowledge-driven method
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作者 Nan Liu Chunmeng Zhu +3 位作者 Zeng Li Yunpeng Zhao Xiaogang Shi Xingying Lan 《Chinese Journal of Chemical Engineering》 2025年第8期35-46,共12页
The fractionating tower bottom in fluid catalytic cracking Unit (FCCU) is highly susceptible to coking due to the interplay of complex external operating conditions and internal physical properties. Consequently, quan... The fractionating tower bottom in fluid catalytic cracking Unit (FCCU) is highly susceptible to coking due to the interplay of complex external operating conditions and internal physical properties. Consequently, quantitative risk assessment (QRA) and predictive maintenance (PdM) are essential to effectively manage coking risks influenced by multiple factors. However, the inherent uncertainties of the coking process, combined with the mixed-frequency nature of distributed control systems (DCS) and laboratory information management systems (LIMS) data, present significant challenges for the application of data-driven methods and their practical implementation in industrial environments. This study proposes a hierarchical framework that integrates deep learning and fuzzy logic inference, leveraging data and domain knowledge to monitor the coking condition and inform prescriptive maintenance planning. The framework proposes the multi-layer fuzzy inference system to construct the coking risk index, utilizes multi-label methods to select the optimal feature dataset across the reactor-regenerator and fractionation system using coking risk factors as label space, and designs the parallel encoder-integrated decoder architecture to address mixed-frequency data disparities and enhance adaptation capabilities through extracting the operation state and physical properties information. Additionally, triple attention mechanisms, whether in parallel or temporal modules, adaptively aggregate input information and enhance intrinsic interpretability to support the disposal decision-making. Applied in the 2.8 million tons FCCU under long-period complex operating conditions, enabling precise coking risk management at the fractionating tower bottom. 展开更多
关键词 PETROLEUM Mixed-frequency data COKING Risk index Neural networks Predictive maintenance
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Radiofrequency ablation with or without capecitabine maintenance therapy for lung oligometastases from colorectal cancer
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作者 Ke-Ning Li Lei-Lei Ying +11 位作者 Nan Du Ying Wang Hao-Zhe Huang Yao-Hui Wang Li-Chao Xu Qing Zhao Ge Song Yu-Bin Hu Wen-Tao Li Yan Yan Chao Chen Xin-Hong He 《World Journal of Gastroenterology》 2025年第35期174-187,共14页
BACKGROUND No clear guidelines for long-term postoperative maintenance therapy have been established for patients with lung oligometastases from colorectal cancer(CRC)who achieve radiological no evidence of disease af... BACKGROUND No clear guidelines for long-term postoperative maintenance therapy have been established for patients with lung oligometastases from colorectal cancer(CRC)who achieve radiological no evidence of disease after radiofrequency ablation(RFA)treatment.We compared the outcomes of patients with lung oligometa-stases from CRC after RFA plus maintenance capecitabine with RFA alone.AIM To determine whether adding capecitabine to RFA improves prognosis compared with RFA alone.METHODS This multicenter retrospective study included consecutive patients from two tertiary cancer centers treated for pulmonary oligometastases from CRC between 2016 and 2023.Subjects were assigned to RFA plus capecitabine(combined)or RFA alone(only RFA)groups.Primary outcomes included overall survival(OS)and progression-free survival(PFS)survival and the secondary outcome was local tumor progression(LTP).The OS,PFS,and LTP rates were compared between the two groups.In addition,prognostic factors were identified using univariate and multivariate analyses.RESULTS Combination therapy(RFA+capecitabine,n=148)and RFA monotherapy(n=99)were compared in patients with CRC and lung metastases.The median OS was 37.8 months(22.4,50.3),the PFS was 18.7 months(13.0,36.5),and the LTP was 31.5 months(20.0,52.4)in the Only RFA group.The OS increased significantly(P=0.011)and the LTP decreased at all time points(P<0.001)in the combined group.The multivariate cox analysis revealed that combined chemotherapy significantly improved OS,with hazard ratios ranging from 0.29 to 0.35(all P<0.015)after adjusting for demographic,tumor,and treatment-related factors.The risk of death was consistently lower in the combination therapy group compared to RFA monotherapy.CONCLUSION RFA prolongs survival and local control in patients with CRC pulmonary oligometastases.Adjuvant capecitabine increases OS and reduces LTP compared to RFA alone,but PFS did not significantly change. 展开更多
关键词 Colorectal cancer Lung oligometastases Radiofrequency ablation CAPECITABINE maintenance therapy
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Evaluation of Rivaroxaban at Different Doses on Symptoms,Blood Indicators,and Safety in Patients with Pulmonary Embolism during the Maintenance Phase
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作者 Xing Cheng 《Science International Innovative Medicine》 2025年第3期5-11,共7页
Objective:To investigate the differential effects of different rivaroxaban dosing regimens on symptom relief,fluctuations in laboratory parameters,and medication safety in patients with stable pulmonary embolism(PE).M... Objective:To investigate the differential effects of different rivaroxaban dosing regimens on symptom relief,fluctuations in laboratory parameters,and medication safety in patients with stable pulmonary embolism(PE).Methods:This study enrolled 100 patients in the maintenance phase of PE who were treated at our hospital between January 2022 and December 2023.They were randomly divided into a control group and an observation group using a random number table,with 50 subjects in each group.The treatment period was uniformly set at 6 months.The control group received oral rivaroxaban 10 mg once daily,while the observation group received oral rivaroxaban 5 mg once daily.The study focused on comparing the two groups regarding the degree of clinical symptom relief,coagulation function parameters(including D-dimer levels,PT,and APTT),cardiac function markers(NT-proBNP),and drug-related adverse events.All data were processed using SPSS 26.0 statistical software.Measurement data are presented as mean±standard deviation,intergroup differences were verified by t-test,categorical variables were analyzed by chi-square test,and the statistical significance level was set at P<0.05.Results:After six months of treatment intervention,there was no significant difference in the overall relief of core clinical symptoms such as dyspnea and chest pain between the two groups.Regarding laboratory indicators,post-treatment D-dimer levels,prothrombin time,activated partial thromboplastin time,and NT-proBNP values were significantly optimized compared to baseline in both groups(P<0.05),but intergroup comparisons did not reach statistical significance.Notably,the overall incidence of bleeding events in the observation group was significantly lower than that in the control group(P<0.05),while there were no significant differences in the incidence rates of other adverse events between the two groups.Conclusion:In the maintenance phase treatment of pulmonary embolism,rivaroxaban 5 mg and 10 mg doses are equivalent in efficacy regarding improvement of clinical symptoms and blood indicators.However,the 5 mg dose significantly reduces the risk of bleeding,offers better safety,and is more suitable for long-term anticoagulation management in some high-risk populations. 展开更多
关键词 RIVAROXABAN Different Doses Pulmonary Embolism maintenance Phase Treatment Clinical Symptoms Blood Indicators SAFETY Anticoagulation Therapy
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Capecitabine maintenance after radiofrequency ablation:A preventive strategy for lung oligometastases from colorectal cancer
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作者 Francesco Giangregorio 《World Journal of Gastroenterology》 2025年第48期188-193,共6页
Preventing the recurrence of lung oligometastases after local therapy in patients with colorectal cancer is an area requiring investigation.A recent article demonstrated that adding capecitabine maintenance therapy af... Preventing the recurrence of lung oligometastases after local therapy in patients with colorectal cancer is an area requiring investigation.A recent article demonstrated that adding capecitabine maintenance therapy after radiofrequency ablation improved the 5-year overall survival(88.7%vs 69.1%)and reduced local tumor progression(22.7%vs 49.0%)compared with radiofrequency ablation alone.Although progression-free survival did not differ significantly between the two treatments,multivariate analysis confirmed a robust survival benefit.These findings support the use of systemic maintenance to eradicate micrometastases after locoregional control and warrant validation in prospective randomized trials. 展开更多
关键词 Colorectal cancer Lung oligometastases Radiofrequency ablation CAPECITABINE maintenance therapy Recurrence prevention
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Study on the Impact of Network Information Management on the Compliance of Maintenance Hemodialysis Patients
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作者 Chunyan Liu Xuebao Liu 《Journal of Clinical and Nursing Research》 2025年第9期137-143,共7页
This study focuses on the management of maintenance hemodialysis(MHD)patients,with a specific emphasis on the practical application effect of the network information management model including its impact on patients’... This study focuses on the management of maintenance hemodialysis(MHD)patients,with a specific emphasis on the practical application effect of the network information management model including its impact on patients’compliance.A network information management model for MHD patients was constructed around three management schemes:“software reminders+follow-up guidance”,“dietary records+self-management reminders”,and“dialysis plan+precise weight management”.These schemes were respectively used to optimize anemia management,control the risk of hyperphosphatemia,and improve toxin clearance efficiency.A controlled experiment was conducted,with an experimental group and a control group set up for comparative practice.The results showed that the network information management model can effectively improve patients’anemia,help alleviate mineral metabolism disorders and the accumulation of small-molecule toxins,and exert a positive impact on patients’treatment compliance. 展开更多
关键词 Network information management maintenance hemodialysis PATIENTS COMPLIANCE IMPACT
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Empowering Underground Utility Tunnel Operation and Maintenance with Data Intelligence:Risk Factors,Prospects,and Challenges
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作者 Jie Zou Ping Wu +2 位作者 Jianwei Chen Weijie Fan Yidong Xu 《Structural Durability & Health Monitoring》 2025年第3期441-471,共31页
As an essential part of the urban infrastructure,underground utility tunnels have a long service life,complex structural performance evolution and dynamic changes both inside and outside the tunnel.These combined fact... As an essential part of the urban infrastructure,underground utility tunnels have a long service life,complex structural performance evolution and dynamic changes both inside and outside the tunnel.These combined factors result in a wide variety of disaster risks during the operation and maintenance phase,which make risk management and control particularly challenging.This work first reviews three common representative disaster factors during the operation and maintenance period:settlement,earthquakes,and explosions.It summarizes the causes of disasters,key technologies,and research methods.Then,it delves into the research on the intelligent operation and maintenance architecture for utility tunnels.Additionally,it explores the data challenges,monitoring technologies,and management platform architectures faced during the operation and maintenance process.This work provides new research perspectives for the long-term,healthy,and sustainable development of utility tunnels,which serve as the underground arteries of cities. 展开更多
关键词 Integrated utility tunnels operational hazards critical technologies intelligent maintenance smart platforms
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An Explainable Autoencoder-Based Feature Extraction Combined with CNN-LSTM-PSO Model for Improved Predictive Maintenance
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作者 Ishaani Priyadarshini 《Computers, Materials & Continua》 2025年第4期635-659,共25页
Predictive maintenance plays a crucial role in preventing equipment failures and minimizing operational downtime in modern industries.However,traditional predictive maintenance methods often face challenges in adaptin... Predictive maintenance plays a crucial role in preventing equipment failures and minimizing operational downtime in modern industries.However,traditional predictive maintenance methods often face challenges in adapting to diverse industrial environments and ensuring the transparency and fairness of their predictions.This paper presents a novel predictive maintenance framework that integrates deep learning and optimization techniques while addressing key ethical considerations,such as transparency,fairness,and explainability,in artificial intelligence driven decision-making.The framework employs an Autoencoder for feature reduction,a Convolutional Neural Network for pattern recognition,and a Long Short-Term Memory network for temporal analysis.To enhance transparency,the decision-making process of the framework is made interpretable,allowing stakeholders to understand and trust the model’s predictions.Additionally,Particle Swarm Optimization is used to refine hyperparameters for optimal performance and mitigate potential biases in the model.Experiments are conducted on multiple datasets from different industrial scenarios,with performance validated using accuracy,precision,recall,F1-score,and training time metrics.The results demonstrate an impressive accuracy of up to 99.92%and 99.45%across different datasets,highlighting the framework’s effectiveness in enhancing predictive maintenance strategies.Furthermore,the model’s explainability ensures that the decisions can be audited for fairness and accountability,aligning with ethical standards for critical systems.By addressing transparency and reducing potential biases,this framework contributes to the responsible and trustworthy deployment of artificial intelligence in industrial environments,particularly in safety-critical applications.The results underscore its potential for wide application across various industrial contexts,enhancing both performance and ethical decision-making. 展开更多
关键词 Explainability feature reduction predictive maintenance OPTIMIZATION
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