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Dynamic Stability and Fuzzy Reliability Analysis of Toppling Perilous Rock Under Seismic Excitation 被引量:1
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作者 Linfeng Wang Jixu Zhang +2 位作者 Wanchun Xia Xiaoming Huang Guojin Tan 《Journal of Earth Science》 SCIE CAS CSCD 2024年第1期248-262,共15页
To predict the occurrence of the collapse disaster in toppling perilous rock under the action of bidirectional earthquakes,the dynamic stability and fuzzy reliability calculation method of toppling perilous rock under... To predict the occurrence of the collapse disaster in toppling perilous rock under the action of bidirectional earthquakes,the dynamic stability and fuzzy reliability calculation method of toppling perilous rock under the action of bidirectional earthquakes is proposed.First,the mass viscoelasticity model is used to simulate two main control surfaces of toppling perilous rock,the seismic dynamic response model and motion equation of toppling perilous rock are established based on the D'Alembert principle,and the Newmark-β method is used to solve the dynamic motion equation.Then,the instability event of toppling perilous rock is considered a fuzzy event,the membership function expression of the stability coefficient of toppling perilous rock is determined based on the fuzzy failure criterion,the calculation equations of the toppling perilous rock dynamic stability coefficient and fuzzy reliability are established,and the fuzzy reliability evaluation method based on the probability distribution of reliability is proposed.Finally,the influence of different superposition modes of seismic excitation on the fuzzy reliability of toppling perilous rock is analyzed.The calculation results of toppling perilous rock in the engineering case show that the fuzzy reliability calculated after considering the fuzzy failure criterion is reduced by 10.73% to 25.66% compared with the classical reliability.Considering the bidirectional seismic excitation,the fuzzy reliability of toppling perilous rock is reduced by 5.46% to 14.89%.Compared with using the acceleration peak time encounter mode to superpose the seismic excitation,the fuzzy reliability of toppling perilous rock is reduced by 3.4% when the maximum action effect time encounter mode is adopted. 展开更多
关键词 toppling perilous rock bidirectional earthquake fuzzy failure criterion dynamic stability fuzzy reliability Newmark-βmethod probability distribution function
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DAMAGE MODEL OF CONTROL FISSURE IN PERILOUS ROCK 被引量:7
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作者 陈洪凯 唐红梅 叶四桥 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2006年第7期967-974,共8页
Hitherto, perilous rock is the weakest topic in disasters studies. Specially, damage of control fissure under loads is one key technique in study of develop mechanism of perilous rock. Damage division of end area of c... Hitherto, perilous rock is the weakest topic in disasters studies. Specially, damage of control fissure under loads is one key technique in study of develop mechanism of perilous rock. Damage division of end area of control fissure was defined by authors, then calculation methods of timed-Poisson's ratio and timed-Young's modulus were established in damage mechanics theory. Further, the authors set up damage constitutive equation of control fissure, which founds important basis to numerical simulation for control fissure to develop. 展开更多
关键词 perilous rock control fissure damage area damage model APPLICATION
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Method to calculate fatigue fracture life of control fissure in perilous rock 被引量:5
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作者 陈洪凯 唐红梅 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 2007年第5期643-649,共7页
Rupture and safety of perilous rock are dominated by control fissure behind perilous rock block. Based on model-Ⅰ and model-Ⅱ stress strength factors of control fissure under acting of weight of perilous rock, water... Rupture and safety of perilous rock are dominated by control fissure behind perilous rock block. Based on model-Ⅰ and model-Ⅱ stress strength factors of control fissure under acting of weight of perilous rock, water pressure in control fissure and earth- quake forces, method to calculate critical linking length of control fissure is established. Take water pressure in control fissure as a variable periodic load, and abide by P-M criterion, when control fissure is filled with water, establish the method to calculate fatigue fracture life of control fissure in critical status by contributing value of stress strength factor stemming from water pressure of control fissure in Paris's fatigue equation. Further, parameters (C and m) of sandstone with quartz and feldspar in the area of the Three Gorges Reservoir of China are obtained by fatigue fracture testing. 展开更多
关键词 perilous rock control fissure fatigue fracture LIFE
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Synthesis of the Prospective Anticancer Molecule Perillic Acid from Orange Essential Oil by the Yeast <i>Yarrowia lipolytica</i> 被引量:1
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作者 Marcelo R. R. Tappin Felipe M. Knopp +5 位作者 Igor C. Cardoso Roberta T. Santos Bruna S. Drummond Antonio C. Siani Elba P. S. Bon Maria Antonieta Ferrara 《Green and Sustainable Chemistry》 2017年第2期172-184,共13页
The bioconversion of the hydrophobic and volatile limonene to perillic acid, a potential anticancer agent, by the yeast Yarrowia lipolytica was studied in two steps. Firstly, experimental design was used for process o... The bioconversion of the hydrophobic and volatile limonene to perillic acid, a potential anticancer agent, by the yeast Yarrowia lipolytica was studied in two steps. Firstly, experimental design was used for process optimization using high-purity limonene as substrate and secondly orange essential oil containing 89.1% limonene was used as substrate under the previously optimized conditions. Limonene concentration and pH were identified by fractional factorial design as significant factors and were optimized by central composite design. Under optimized process conditions (0.16% (v/v) limonene;pH 6.9), the 24 h biotransformation process resulted in the accumulation of 0.368 g·L-1 of perillic acid corresponding to a molar yield of 23.1%. A subsequent substrate addition under the same reaction conditions doubled perillic acid concentration to 0.793 g·L-1 and a molar yield of 24.2%. The use of orange essential oil under the optimized reaction conditions increased both perillic acid accumulation and yield to 0.872 g·L-1 and 29.7%, respectively. The robustness of Y. lipolytica allowed the efficient biotransformation of a crude by-product of the citrus industry into a valuable fine chemical. 展开更多
关键词 YARROWIA lipolytica Bioconversion perillic ACID LIMONENE ORANGE Essential Oil
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Determination of Perillic Acid in Bioconversion Supernatants by Gas Chromatography
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作者 Eliane G. Carvalho Antonio C. Siani +4 位作者 Igor C. Cardoso Virginia Garcia Correia Maria A. Ferrara Elba P. S. Bon Marcelo R. Romero Tappin 《American Journal of Analytical Chemistry》 2017年第10期636-644,共9页
Perillic acid can be obtained from microbial oxidation of the exocyclic methyl group of limonene. Due to the pharmacological potential of such a metabolite, the biotransformation processes leading to its synthesis hav... Perillic acid can be obtained from microbial oxidation of the exocyclic methyl group of limonene. Due to the pharmacological potential of such a metabolite, the biotransformation processes leading to its synthesis have been approached in recent studies. A robust analytical method is needed to assess the performance of such studies. An analytical method was developed and validated to determine perillic acid in the supernatants of a yeast-induced bioconversion of limonene, involving gas chromatography (GC) and an acid-induced precipitation during the sample preparation. GC analysis was performed using a column with polyethylene glycol as stationary phase (HP-Innowax) which resulted in higher loads and better peak shape. The sample preparation involved the supernatant initial filtration and precipitation with 0.6 M HCl followed by centrifugation and dissolution in ethyl acetate. GC analysis conditions were oven from 50°C to 250°C at 20°C·min-1, and then held 5 min (total runtime 15 min). Injector was set at 280°C, and detector at 300°C. Helium was the carrier gas at 1 ml·min-1. Injections of 1.0 μl were at the split ratio 25:1. The method was validated: Linearity with R2 of 0.9992, Accuracy of 98.3% in the range 190 - 950 μg·ml-1;Limit of detection of 10.4 μg·ml-1;Repeatability of 2.1% RSD. Thus, a complete methodology to determine perillic acid in a bioconversion supernatant was developed and validated. This overall approach may be useful for bioconversions of monoterpenes by other microorganisms that metabolize limonene. 展开更多
关键词 LIMONENE perillic ACID SAMPLE Preparation GAS CHROMATOGRAPHY
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Study on Sinking-Sliding Failure Mechanism of Perilous Rock at Wangxia in Three Gorges of the Yangtze River, China
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作者 Hong-Kai Chen Sheng-Juan Wang 《Journal of Geoscience and Environment Protection》 2017年第2期30-43,共14页
The giant perilous rock at Wangxia (named Wangxia perilous rock) is representative in Three Gorges of the Yangtze River, China, has threatened badly the navigation of the Yangtze River channel for a long period. The g... The giant perilous rock at Wangxia (named Wangxia perilous rock) is representative in Three Gorges of the Yangtze River, China, has threatened badly the navigation of the Yangtze River channel for a long period. The giant perilous rock is composed of siliceous limestone and argillaceous limestone, and includes two elements marking by W1 and W2, respectively. The W1 is an isolated pillar while the W2 is in clintheriform. The linking segment of dominant fissure in the W2 is composed by moniliform solution funnels at its back, and the locked segment of the dominant fissure at the base of the W2 is composed by two parts. For the locked part of the dominant fissure of the W2, the upper segment shows the same lithology with the perilous rock and it can be simplified as an elastic medium, for the lower segment composed by argillaceous shale and mudstone can be simplified as a strain-softening medium. Introducing the water-softened function, the constitutive curves with two kinds of medium materials for the locked segment in the dominant fissure of the W2 have been proposed. Based on energy principle, the cusp catastrophe model for perilous rock rupture is built and formulas for the transient elastic and impulsive acceleration and the elastic-impulsive velocity of perilous rock catastrophe rupture have been established. By the calculation, the elastic-impulsive acceleration for the catastrophe rupture of the W2 is 531.4 m/s2, while the average elastic-impulsive velocity is 2.608 m/s. Further, it is deduced that the elastic-impulsive velocity at the base of the W2 is about 5.2 m/s. For the transient ruture of the W2, there is a greater speed difference between the top and the base of the W2, which impels the giant perilous rock to be retroverted sliding rupture, coinciding with the fact. Undoubtedly, studies in this paper must play an important role to analyze the catastrophe rupture mechanism of giant perilous rocks at both banks in Three Gorges of the Yangtze River, China. 展开更多
关键词 Sinking-Sliding Failure MECHANISM Water-Softened Function CATASTROPHE Theory Energy Principle Giant perilous Rock Three Gorges of the YANGTZE River China
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The Haunting“Yellow Peril”
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《Contemporary International Relations》 1997年第7期9-11,共3页
In modern times,whenever China, the giant that had been abused and humil-iated by the West for more than a century, awoke and barely started to stand up,the clamor of the“Yellow Peril”rose in the West. Invariably su... In modern times,whenever China, the giant that had been abused and humil-iated by the West for more than a century, awoke and barely started to stand up,the clamor of the“Yellow Peril”rose in the West. Invariably such nonsense wastime and again refuted by the righteous voice. 展开更多
关键词 THAN Yellow peril The Haunting WEST
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“YELLOW PERIL”—A HOAX THEN AND NOW
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作者 Jin Dexiang 《Contemporary International Relations》 1997年第7期1-1,共1页
Frenzied cries of“China threat”have once again cropped up in the West,withsome people in the US media shouting the loudest at a time when we are on thedawn of a new century.These gentlemen fly in the face of histori... Frenzied cries of“China threat”have once again cropped up in the West,withsome people in the US media shouting the loudest at a time when we are on thedawn of a new century.These gentlemen fly in the face of historical truth and al-lege that a resurgent China is posing a threat to its Asian neighbors and US. 展开更多
关键词 US A HOAX THEN AND NOW YELLOW peril
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Between Promise and Peril--Building guardrails for AI's role in academic publishing
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作者 Kang Caiqi 《Beijing Review》 2025年第42期42-43,共2页
In recent years,the rapid advancement of AI has led to its widespread integration into academic research.The technology is transforming traditional methodologies and optimizing key processes--from data analysis and li... In recent years,the rapid advancement of AI has led to its widespread integration into academic research.The technology is transforming traditional methodologies and optimizing key processes--from data analysis and literature reviews to the generation of research hypotheses. 展开更多
关键词 optimizing key processes data analysis literature reviews peril transforming traditional methodologies AI PROMISE generation research hypotheses
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宜昌至郑万高铁联络线施工阶段隧道进出口落石风险再评估 被引量:1
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作者 杨强国 罗刚 +1 位作者 吴茂林 张倩 《中国地质灾害与防治学报》 2025年第4期60-72,共13页
新建宜昌至郑万高铁联络线穿越秦岭造山带大巴山弧形构造带东缘,新构造运动强烈,地层岩性纷杂,地形起伏大,隧道洞口边仰坡发育大量危岩体,对联络线施工和运营安全构成严重威胁。在勘察阶段初步评价的基础上,文章以35个初步评估筛选出的... 新建宜昌至郑万高铁联络线穿越秦岭造山带大巴山弧形构造带东缘,新构造运动强烈,地层岩性纷杂,地形起伏大,隧道洞口边仰坡发育大量危岩体,对联络线施工和运营安全构成严重威胁。在勘察阶段初步评价的基础上,文章以35个初步评估筛选出的风险边坡为研究对象开展再评估。考虑施工临时防护措施的有效性,通过赤平投影分析和模糊数学层次分析法,筛选出2个高风险隧道。之后,利用基于GIS模型和概率模型的RocPro3D模拟软件对落石动力学特征开展了预测分析。结果表明:(1)魏家山隧道出口受落石冲击概率较低,老林岗隧道出口受落石冲击概率极高;(2)老林岗隧道危岩体直接冲击隧道洞口的概率为24.73%,最大冲击能量为5649 kJ,最大速度为21.82 m/s,冲击点集中在隧道洞口右侧;(3)根据冲击概率、冲击能量、冲击速度、树林和地形等因素,亟须对危岩3区进行工程治理。研究成果可为郑万高铁联络线隧道危岩的有效防治提供参考。 展开更多
关键词 危岩 失稳模式 RocPro3D模拟 动力学特征 郑万高铁联络线
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改良式剖宫产术对胎盘植入性疾病妊娠结局的应用效果
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作者 魏志霞 冯莉 杨海澜 《实用医学杂志》 北大核心 2025年第22期3467-3473,共7页
目的探析改良式剖宫产术对胎盘植入性疾病(PAS)妊娠结局的应用效果。方法采用回顾性研究设计,选取于2016年1月至2025年1月间在山西医科大学第一医院行剖宫产手术的176例PAS孕妇作为研究对象,2021年1月17日前接受传统剖宫产手术的患者为... 目的探析改良式剖宫产术对胎盘植入性疾病(PAS)妊娠结局的应用效果。方法采用回顾性研究设计,选取于2016年1月至2025年1月间在山西医科大学第一医院行剖宫产手术的176例PAS孕妇作为研究对象,2021年1月17日前接受传统剖宫产手术的患者为对照组(n=115),2021年1月17日后接受改良剖宫产手术的患者为改良组(n=61)。收集并比较两组患者孕周、年龄、孕次、术中出血量等临床资料;后使用随机森林算法构建PAS不良妊娠结局的风险预测模型。结果改良组中仅1例患者需要进行子宫切除(1.64%),显著低于对照组的19例(16.52%)。此外,改良组患者术中诊断胎盘植入率高于对照组,改良组患者失血性休克、弥散性血管内凝血、新生儿窒息的发生率低于对照组,而发生子宫捆绑和子宫动脉结扎术的比例高于对照组,差异有统计学意义(P<0.05)。将患者按照出血量分为低出血量和高出血量两个亚组进行后续分析,结果显示,两组患者孕次比较,差异有统计学意义(P<0.05);而两组中进行改良术式的患者比例差异无统计学意义(P>0.05)。构建模型预测难治性产后出血(AUC=0.938,95%CI:0.917~0.958),采用Gini系数进行模型特征分析,孕次、流产次数及超声诊断胎盘植入等自变量在预测难治性产后出血方面发挥着关键作用(P<0.05)。结论改良剖宫产术式在处理PAS时,能够有效减少术中及术后的出血量,显著降低子宫切除的风险,从而改善妊娠结局。 展开更多
关键词 凶险性前置胎盘 难治性产后出血 改良式剖宫产术 子宫切除 妊娠结局
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密花香薷挥发性成分对SMMC-7721细胞的抑制效应及机制研究
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作者 陈海裕 李玖一 +4 位作者 徐华英 聂锦涛 王倩 马宁 王亚男 《广西师范大学学报(自然科学版)》 北大核心 2025年第6期174-187,共14页
基于网络药理学、分子对接与体外实验研究相结合策略,探究密花香薷挥发油(essential oils of Elsholtzia densa Benth.,EOE)及其核心活性成分对肝细胞癌(HCC)细胞系SMMC-7721细胞的抑制作用及潜在机制。GC-MS鉴定出EOE含有22种成分,其... 基于网络药理学、分子对接与体外实验研究相结合策略,探究密花香薷挥发油(essential oils of Elsholtzia densa Benth.,EOE)及其核心活性成分对肝细胞癌(HCC)细胞系SMMC-7721细胞的抑制作用及潜在机制。GC-MS鉴定出EOE含有22种成分,其中玫瑰呋喃环氧化物(33.99%)、D-柠檬烯(D-LIM,32.20%)和紫苏醛(PAH,14.52%)为主要成分。网络药理学筛选出14种活性成分,共涉及123个HCC靶点,核心活性成分包括PAH、D-LIM和芳樟醇(LNL),通过靶向TNF、IL1B、ESR1和MAPK3等核心蛋白来调控癌症通路、PI3K-Akt信号传导及细胞凋亡进程。体外实验证实,EOE及其核心活性成分PAH、D-LIM和LNL均能浓度依赖性地抑制SMMC-7721细胞的增殖,处理24 h后的IC 50分别为87.4、89.7、121.9和418.7μg/mL,且EOE、PAH和D-LIM能够上调Bax和Caspase3/9表达,下调Bcl-2、MMP9和CD44蛋白表达,从而促进细胞凋亡并抑制迁移。结果表明,EOE及其核心活性成分PAH和D-LIM可通过诱导凋亡、抑制增殖和迁移对SMMC-7721细胞发挥抑制作用。 展开更多
关键词 密花香薷 挥发油 紫苏醛 网络药理学 分子对接
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Orientalism, "Yellow Peril," and the "New Yellow Journalism 被引量:1
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作者 Josef Gregory Mahoney 《Fudan Journal of the Humanities and Social Sciences》 2016年第1期123-146,共24页
In this essay, I take the recent publication of several texts examining the historical and contemporary phenomena of Sinophobia, Orientalism, and Sinologism as an opening for theorizing underlying and related issues i... In this essay, I take the recent publication of several texts examining the historical and contemporary phenomena of Sinophobia, Orientalism, and Sinologism as an opening for theorizing underlying and related issues including pervasive anti-China biases in Western journalism and China's position therein. In addition to illustrating how the concepts of Orientalism arise from Western historical and epistemological foundations, I theorize what I call a "new yellow journalism" that has grown in tandem with "China's rise" and the threat this indicates to many Western observers, and how this threat and others like it have been met in the age of "new imperialism." I compare this new phenomenon with its historical antecedents, "yellow journalism" and America's emergence as a imperialism power with the Spanish-American War (1898), and note several key insights offered by recent critical analyses of that period, which together suggest a confluence of different players, including policymakers, new media business models, and what I describe as a type of public "corporatism" in which citizens, particularly Americans, function effectively as shareholders in maintaining hegemonic if not imperialist power. 展开更多
关键词 China - Orientalism · Yellow peril - Yellow journalism - Sinophobia Sinologism · New imperialism · Anti-China biases
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并肆区域对尔朱氏集团兴起的作用新探
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作者 潘胜英 《商丘职业技术学院学报》 2025年第3期18-22,共5页
并肆区域优越的地理环境为尔朱氏集团的崛起奠定了重要基础。山川险固的地理特性构成尔朱氏政治核心区的外部屏障,保障集团免受周边势力吞噬,实现稳步崛起。同时,在生态环境恶化时期,并肆地理环境保障了尔朱氏集团农牧兼营的经济结构,... 并肆区域优越的地理环境为尔朱氏集团的崛起奠定了重要基础。山川险固的地理特性构成尔朱氏政治核心区的外部屏障,保障集团免受周边势力吞噬,实现稳步崛起。同时,在生态环境恶化时期,并肆地理环境保障了尔朱氏集团农牧兼营的经济结构,补偿了灾年物资缺乏弊端,保证了畜产经济持续增长。因此,自然地理环境的开发与利用是尔朱氏集团强势崛起的关键。 展开更多
关键词 尔朱氏 山川险固 气候环境
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从傅满洲到“中国威胁论”
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作者 何爱英 《西部学刊》 2025年第2期21-24,共4页
以好莱坞“经典”华人银幕形象——傅满洲为研究对象,分析认为,“黄祸论”是在种族主义、殖民主义和帝国主义的鼓吹之下逐渐发展成的一套“完备”的反华理论,其生成具有深刻的美国本土和国际环境因素。傅满洲的诞生是“黄祸论”泛滥的结... 以好莱坞“经典”华人银幕形象——傅满洲为研究对象,分析认为,“黄祸论”是在种族主义、殖民主义和帝国主义的鼓吹之下逐渐发展成的一套“完备”的反华理论,其生成具有深刻的美国本土和国际环境因素。傅满洲的诞生是“黄祸论”泛滥的结果,成为西方强加于中国文化这一异质文明的“他者”身份的形象化符号,并随着时代发展演绎为“红祸论”和“中国威胁论”。而贩卖“中国威胁论”的实质是美国转移国内矛盾,加强国家认同;实现孤立和遏制中国的险恶用心;对于异质文明的警惕和“儒家文明是西方文明的天敌”的执念。 展开更多
关键词 国际话语权 傅满洲 黄祸论 中国威胁论
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三峡库区临江高陡峡谷危岩勘查方法应用评价——以秭归县九畹溪口危岩为例
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作者 韩松 王云飞 袁乾博 《价值工程》 2025年第32期107-109,共3页
三峡库区临江高陡峡谷地质灾害频发,危岩体变形威胁沿岸36个乡镇及长江航运安全。该区地质灾害体类型多样,规模大小不一,具几何形态非线性等特点。为应对勘查困难及稳定性评价依据不足问题,本研究基于地质灾害防治工程勘查理论,结合实... 三峡库区临江高陡峡谷地质灾害频发,危岩体变形威胁沿岸36个乡镇及长江航运安全。该区地质灾害体类型多样,规模大小不一,具几何形态非线性等特点。为应对勘查困难及稳定性评价依据不足问题,本研究基于地质灾害防治工程勘查理论,结合实际案例,评价临江高陡峡谷危岩勘查方法与技术,为勘查方案设计提供思路,助力治理项目实施及研究。 展开更多
关键词 三峡库区 临江高陡 峡谷危岩 勘查方法
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Footpath Perils
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作者 GOU FU MAO 《Beijing Review》 2009年第15期48-48,共1页
one of the things that drives me I nuts about China is parking on ’ footpaths. I nearly got knocked down recently on what will be my last visit to the historic old Maizidian Street. Here the local government
关键词 Footpath perils
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Perils of a Post-Olympic Slump
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《Beijing Review》 2008年第35期30-31,共2页
The seven-year run-up to the Olympics has seen China’s white-hot economy chug along with an annual growth rate of more than 10 percent. But the global economic race is more of a marathon than a sprint. Several former... The seven-year run-up to the Olympics has seen China’s white-hot economy chug along with an annual growth rate of more than 10 percent. But the global economic race is more of a marathon than a sprint. Several former Olympic host countries, including Japan and Australia, suffered economic slumps to varying degrees after the euphoria. Now eyes are turning to China to see if the Games will have a similar impact after they end. Will a post-Olympic slowdown play out here, or could it even prompt another economic take-off in the country? China Development Observation, a business monthly, interviewed Chen Jian, Executive Director of the Beijing Olympic Economy Research Association; Li Yining, a renowned economist; and Zhuang Jian, a senior economist at the Asian Development Bank China Resident Mission, for some answers. 展开更多
关键词 perils of a Post-Olympic Slump
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The Pleasures and Perils of Scientists in Industry
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作者 Paula Park 张红萍 《当代外语研究》 2004年第7期24-26,共3页
《科学家》杂志的一项统计表明,在公司里工作的科学家非常重视公司的正直、诚信以及工作氛围。然而,随着公司的发展,公司财政压力加大,公众期望值增高,科学家们也体会到诸多压力。另外,企业领导和科学家之间的关系紧张,科学家并不为公... 《科学家》杂志的一项统计表明,在公司里工作的科学家非常重视公司的正直、诚信以及工作氛围。然而,随着公司的发展,公司财政压力加大,公众期望值增高,科学家们也体会到诸多压力。另外,企业领导和科学家之间的关系紧张,科学家并不为公司所重视,他们对某些特殊试验的质疑和忠告也未能为公司领导所采纳和接受。 展开更多
关键词 The Pleasures and perils of Scientists in Industry
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腰硬联合麻醉下凶险性前置胎盘剖宫产术低血压发生的诱导因素及列线图预测模型的构建 被引量:2
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作者 刘伟武 曾伟兰 +4 位作者 徐秀英 周树强 梁妙 刘丽梅 陈恒 《实用临床医药杂志》 CAS 2024年第20期66-71,共6页
目的探讨腰硬联合麻醉(CSEA)下凶险性前置胎盘剖宫产术中低血压发生的诱导因素并构建列线图预测模型。方法选取玉林市妇幼保健院2020年1月—2023年12月收治的腰硬联合麻醉(CSEA)下凶险性前置胎盘剖宫产术产妇130例作为研究对象,采用自... 目的探讨腰硬联合麻醉(CSEA)下凶险性前置胎盘剖宫产术中低血压发生的诱导因素并构建列线图预测模型。方法选取玉林市妇幼保健院2020年1月—2023年12月收治的腰硬联合麻醉(CSEA)下凶险性前置胎盘剖宫产术产妇130例作为研究对象,采用自编的一般资料调查表对研究对象基本资料及低血压发生情况进行调查,并依据术中低血压发生情况将其分为低血压组47例和无低血压组83例。对2组一般资料进行单因素分析,采用多因素Logistic回归分析法探讨术中发生低血压的诱导因素。结果单因素分析显示,2组体质量指数、麻醉平面情况、是否为多胎妊娠、术前收缩压情况、手术时间、是否出现Bezold-Jarisch反射比较,差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,体质量指数≥24 kg/m^(2)、麻醉平面≥T8、多胎妊娠、术前收缩压<90 mmHg、手术时间>1.5 h、出现Bezold-Jarisch反射是CSEA下凶险性前置胎盘产妇剖宫产术中发生低血压的独立危险因素(P<0.05)。构建CSEA下凶险性前置胎盘剖宫产术中低血压发生的诱导因素回归方程:Logit(P)=-23.211+1.079×(体质量指数≥24 kg/m^(2))+1.101×麻醉平面(≥T8)+3.193×多胎妊娠+2.214×术前收缩压(<90 mmHg)+4.606×手术时间(>1.5 h)+2.011×出现Bezold-Jarisch反射。分析发现列线图对于存在术前收缩压<90 mmHg人群均有较高区分度及准确度;对列线图模型进行Bootstrap重复抽样1000次,获得校准曲线,计算得到的一致性指数为0.850,说明该列线图模型具备较好的校准度;绘制受试者工作特征(ROC)曲线,其曲线下面积为0.896,95%CI为0.802~0.956,提示预测效能较好。结论体质量指数≥24 kg/m^(2)、麻醉平面≥T8、多胎妊娠、术前收缩压<90 mmHg、手术时间>1.5 h、出现Bezold-Jarisch反射是CSEA下凶险性前置胎盘产妇剖宫产术中低血压发生的诱导因素。 展开更多
关键词 凶险性前置胎盘 剖宫产 腰硬联合麻醉 低血压 诱导因素 预测价值
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