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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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Facing Setbacks with a Smile
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作者 陆文凯 《中学生英语》 2024年第26期6-6,共1页
I love singing very much and I entered a singing competition last year.Every person around me says,"You are quite a talent.You will sure① become a great singer when you grow up."Therefore,I had confident② ... I love singing very much and I entered a singing competition last year.Every person around me says,"You are quite a talent.You will sure① become a great singer when you grow up."Therefore,I had confident② in myself.I thought I would at least enter the finals.However,there were too many competitors who sang much better than me.I was knocked out in the first round.I couldn't help 3 cry③sadly. 展开更多
关键词 COMPETITION SMILE backs
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A Feasible Experimental Method to Measure the Adhesive Strength of Brittle Adherends
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作者 Qiuhong Liu Shuo Sun +4 位作者 Xiang Wu Zhiqiang Chen Hongjie Guo Chen Duan Zhengjin Wang 《Acta Mechanica Solida Sinica》 2025年第4期598-611,共14页
Brittle materials,such as silicon,glass,and ceramics,are widely used in engineering via adhesive bonding.The assessment of adhesive strength of brittle materials to other adherends is essential for their applications.... Brittle materials,such as silicon,glass,and ceramics,are widely used in engineering via adhesive bonding.The assessment of adhesive strength of brittle materials to other adherends is essential for their applications.Compared with metals and composites,for which standard testing methods have been established,the experimental method for brittle adherends has been much less explored.During the adhesive strength test,the brittleness of these materials makes them prone to failure,rather than the interface.It remains a challenge to measure the adhesive strength of brittle adherends.Here we develop an experimental method to address this issue by using a strap joint specimen with a backing layer.We use a single crystal silicon wafer and two PCB(printed circuit board)strips as adherends to make a strap joint specimen.A steel backing layer is glued to the silicon wafer to prevent the failure of silicon.This method enables the measurement of adhesive strength up to 35 MPa.In contrast,that without backing layer can only measure the adhesive strength below 10 MPa.It is found that the backing layer can reduce the stress in the silicon remarkably,while it has much less effect on the stress in the adhesive layer.We confirm that the backing layer has a negligible effect on the measured adhesive strength but expands the working space greatly.Combining finite element analysis and experiments,we establish the phase diagram for the failure modes.This work provides guidance for the measurement of adhesive strength of brittle materials. 展开更多
关键词 Adhesive strength Brittle adherend Failure modes Backing layer
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To the Elderly: Keep Your Backs Warm in Winter
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作者 BAO LAN ZHU HONG 《Women of China》 1999年第11期47-47,共1页
It Is very important for the aged to keep their backs warm in order topass a safe and comfortable winter Chinese traditional medicine believes that the back is the center of Yangenergy, it is the circulation center of... It Is very important for the aged to keep their backs warm in order topass a safe and comfortable winter Chinese traditional medicine believes that the back is the center of Yangenergy, it is the circulation center of the Governing Vessel and the 展开更多
关键词 Keep Your backs Warm in Winter To the Elderly
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蜚声大洋两岸的美国大诗人——菲利普·拉金
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作者 丁祖馨 《语言教育》 1993年第8期12-15,共4页
That Whitsun, I was late getting away:Not till aboutOne-twenty on the sunlit SaturdayDid my three-quarter-empty train out,All windows down, all cushions hot, all senseOf being in a hurry gone. We ranBehind the backs o... That Whitsun, I was late getting away:Not till aboutOne-twenty on the sunlit SaturdayDid my three-quarter-empty train out,All windows down, all cushions hot, all senseOf being in a hurry gone. We ranBehind the backs of houses, crossed a streetOf blinding windsoreens, smelt the fish-dock; thenceThe river’s level drifting breadth began,Where sky and lincolnshire and water meet. 展开更多
关键词 backs 利普 拉金 CROSSED quarter getting houses river EMPTY NYLON
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Buying books in London
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作者 周礼芹 《语言教育》 1990年第5期30-31,共2页
Londoners are great readers. They buy vast numbers of newspapers and magazines and even of books--especially paper-backs, whick are still comparatively cheap in spite of ever-increasing rises in the costs of printing.... Londoners are great readers. They buy vast numbers of newspapers and magazines and even of books--especially paper-backs, whick are still comparatively cheap in spite of ever-increasing rises in the costs of printing. They still continue to buy’proper’books, too. printed on good paper and bound between hardcovers. There are many streets in London containing shops which 展开更多
关键词 SPITE PRINTING CONTINUE backs cheap LONDON printed solely SPENDING COSTS
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美国抵押贷款证券化市场结构及对我国的启示
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作者 胡岩 《市场周刊》 2003年第7期80-81,共2页
美国是世界上最早开展住房抵押贷款证券化的国家。完善的监管体系和发达的债券市场为其住房抵押贷款证券化市场的发展提供了良好的基础。通过对美国住房抵押贷款证券化的市场主体分析,以期对我国住房抵押贷款证券化的组建及房地产业的... 美国是世界上最早开展住房抵押贷款证券化的国家。完善的监管体系和发达的债券市场为其住房抵押贷款证券化市场的发展提供了良好的基础。通过对美国住房抵押贷款证券化的市场主体分析,以期对我国住房抵押贷款证券化的组建及房地产业的有序发展提供一些有益的启示。 展开更多
关键词 住房抵押贷款 证券化 住房抵押贷款支撑证券(Mortgage Backed Security--MBS)
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How to Lift a Heavy Object?
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作者 丁凤丽 《中学英语园地(高二版)》 2007年第3期25-26,共2页
Many people hurt their backs when they try to lift heavy things from the floor. It is easy to hurt your back muscles when you pick up a heavy object. However, there is a correct way to lift things from the floor. If y... Many people hurt their backs when they try to lift heavy things from the floor. It is easy to hurt your back muscles when you pick up a heavy object. However, there is a correct way to lift things from the floor. If you pick up big or heavy objects correctly, you probably will not hurt your back. 展开更多
关键词 backs correctly THINGS FLOOR probably muscles stra
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似是而非辨颜色
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作者 许灵珺 《中学英语园地(高三版)》 2007年第Z2期79-82,共4页
英语中表示颜色的单词为大家所耳熟能详、如数家珍。但是它们在具体的语言环境中所表达的确切含义却不容易把握。
关键词 中学英语园地 COFFEE backs 中所 handed SHEEP TALKING BENSON
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Effect of backing films on the transdermal delivery of cyclobenzaprine patch 被引量:2
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作者 Siji Lv Peng Quan +1 位作者 Xiaochang Liu Liang Fang 《Asian Journal of Pharmaceutical Sciences》 SCIE CAS 2016年第6期780-783,共4页
The aim of this study was to investigate the effect of backing films on transdermal delivery of cyclobenzaprine patch. Different backing films were chosen to prepare the cyclobenzaprine transdermal patch. The cumulati... The aim of this study was to investigate the effect of backing films on transdermal delivery of cyclobenzaprine patch. Different backing films were chosen to prepare the cyclobenzaprine transdermal patch. The cumulative amount of cyclobenzaprine released from different patches was evaluated in vitro. To investigate the interaction between cyclobenzaprine and backing films, the partitioning experiments and attenuated total reflectance Fourier transform infrared(ATR-FTIR) spectroscopy were performed. The cumulative amount of cyclobenzaprine released from the patch with Cotran? 9700 as backing film was less than that of other patches with different backing films. Furthermore, the cumulative amount of cyclobenzaprine released from the patch with Cotran? 9700 as backing film decreased significantly after 7 d storage at room condition. The partitioning experiments indicated a strong adsorption of cyclobenzaprine onto the Cotran? 9700, which could explain the decrease of cumulative amount of cyclobenzaprine released from the patch with Cotran? 9700 as backing film. According to the ATR-FTIR results, there was no interaction between Cotran? 9700 and cyclobenzaprine. The effect of backing films on the release behavior of cyclobenzaprine transdermal patch was attributed to the adsorption of cyclobenzaprine onto the Cotran? 9700. 展开更多
关键词 TRANSDERMAL PATCH BACKING FILM RELEASE Cyclobenzaprine Partitioning experiment
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Numerical simulation of dynamic thermal process during doublesided asymmetrical TIG backing welding of large thick plates 被引量:2
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作者 刘殿宝 赵慧慧 +2 位作者 李福泉 张广军 吴林 《China Welding》 EI CAS 2011年第1期44-48,共5页
The dynamic thermal process during double-sided asymmetrical TIG backing welding of large thick plates ( 1 000 mm×700 mm×50 mm) is numerically simulated using MSC. MARC. The effect of arc distance on the t... The dynamic thermal process during double-sided asymmetrical TIG backing welding of large thick plates ( 1 000 mm×700 mm×50 mm) is numerically simulated using MSC. MARC. The effect of arc distance on the thermal cycle in weld zone during double-sided asymmetrical T1G backing welding is investigated. The results show that the workpiece experiences double-peak thermal cycle in double-sided asymmetrical TIG backing welding. On the one hand, the fore arc has the pre- heating effect on the rear pass, and the pre-heating temperature depends on the distance between the double arcs, the heat input of fore arc, and the initial temperature of workpiece. On the other hand, the rear arc has the post-heating effect on the fore pass. The mutual effects of two heat sources decrease with the increase of arc distance. 展开更多
关键词 numerical simulation double-sided asymmetrical TIG backing welding thermal process double heat sources on double sides
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Geological, Soil and Sediment Studies in Chelsaton Sedimentary Basin, Kabul, Afghanistan 被引量:3
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作者 Hafizullah Rasouli Abdul Ghias Safi 《International Journal of Geosciences》 2021年第2期170-193,共24页
The geology, sediment and soil studies are important due to its significant impacts on agriculture, mining, constructions materials, industries, environment, ground water percolation, air pollution, surface and ground... The geology, sediment and soil studies are important due to its significant impacts on agriculture, mining, constructions materials, industries, environment, ground water percolation, air pollution, surface and ground water pollutions, earthquakes and geo-hazards in Afghanistan. In this research, we studied petrography, Sediment, tectonic structures, soil fraction selection by using hydrometer, sieving analysis, and geological mapping. Results show different kinds of metamorphic rocks of low grade and medium grade metamorphisms, Garnete mica Schist, Garnete Schist, Quarsite, different types of minerals among rocks. Further, type of sediment consisting residual angular (Autochthonous) and rounded (Allochthonous) transported by water, among sediments consisting Garnete, Gneiss, Schist, Quarsite, Biotite and consisting different type of sizes boulders, Cobble, Granule, Sand, Silt. Hydrometer analysis shows different types of soil clayey loam, sandy loam, silty loam. Moreover, Geological mapping shows complex tectonic structures like joints, cracks, faults, folds, anticline and syncline. The obtained<i> </i><span style="font-family:Verdana;">results suggest that the petrography, sediments and soil researches can be used efficiently for catchments of the Kabul Basin and other basins in Afghanistan.</span> 展开更多
关键词 Rock Types Geological Mapping Pedogenic Horizons Sediments Tectonic Faults FOLDS Fracture Joints Minerals Sieving Analyses HYDROMETER Inter Mountains Backing Basins
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Path of the Information Asymmetry of Asset Backed Securitization—Information Game Analysis of Embedded Block Chain Technology 被引量:2
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作者 Xiaoxiao Zhang Wen Shi 《International Journal of Communications, Network and System Sciences》 2018年第6期133-146,共14页
In recent years, the rapid innovation and development of financial industry has made financial enterprises have a lot of information. However, the large amount of information is tampered with and fragmented, which can... In recent years, the rapid innovation and development of financial industry has made financial enterprises have a lot of information. However, the large amount of information is tampered with and fragmented, which cannot be shared. With the constant innovation of science and technology, it is the most effective way to solve the information lag and asymmetry of financial products. This article aims to start from the problem of asymmetric information of financial products, the analysis of the emerging block chain technology applied in the financial sector, and with the development of asset securitization information known as the typical scenario for the first time, a concrete analysis information game process, and discuss about the application of chain blocks in securitization feasibility. 展开更多
关键词 BLOCK CHAIN INFORMATION Asymmetry INFORMATION Game ASSET Backed SECURITIZATION
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Study on the all position automatic pipeline backing weld machine 被引量:1
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作者 Tang Deyu Feng Biao Li Chunrun Niu Huli Zhang Yongsheng Zhang Jianhu 《Engineering Sciences》 EI 2008年第2期55-60,共6页
As a result of the lower backing weld efficiency, the applying of automatic welding is seriously limited. So a kind of special automatic welder is designed and manufactured for backing weld. This paper introduces the ... As a result of the lower backing weld efficiency, the applying of automatic welding is seriously limited. So a kind of special automatic welder is designed and manufactured for backing weld. This paper introduces the character of the assembled pulse CO2 arc welding machine which has strong penetrability. It specifies the technology of controlling the parameters of all position automatic welding by computer and multi-axis controller. Moreover typical welding procedure parameters are provided. It is proved by examination that the economical and practical equipment and technology are suitable for the long-distance transmission pipeline, and it has a good foreground of spreading and applying. 展开更多
关键词 PIPELINE all position backing weld metal transfer SENSOR
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现金为王——美国银行破产浪潮借鉴与思考
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作者 陈斯佳 《中国经贸》 2009年第16期127-127,共1页
银行是国民经济的命脉,资金是企业生存发展的血液。在一定意义上说,保银行就是保经济健康发展,银行出了问题,受害不仅是银行,而是关系到国家利益、人民利益。2008年,随着越来越多的美国银行破产倒闭,国际银行业在次贷危机的冲击... 银行是国民经济的命脉,资金是企业生存发展的血液。在一定意义上说,保银行就是保经济健康发展,银行出了问题,受害不仅是银行,而是关系到国家利益、人民利益。2008年,随着越来越多的美国银行破产倒闭,国际银行业在次贷危机的冲击下,无疑正面临着动荡的困境。本文以雷曼兄弟投资银行为例,分析了此次危机下美国银行破产的动因及其原理。反思美国的金融危机,得出对于高速发展中的中国金融业来说,只有保持市场稳定才是最理想的选择。 展开更多
关键词 次贷危机 雷曼兄弟 MBS(Mortage—Backed Security) ODO(Collateralized DEBT Obligation)
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Comments on "Equivalent Currents on an Anisotropic Material Backed by a Metal Surface and Their Relation 被引量:1
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《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2001年第3期97-97,共1页
关键词 Equivalent Currents on an Anisotropic Material Backed by a Metal Surface and Their Relation
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Improvement of machining accuracy in EDCM by enhanced electrochemical reaming based on a non-metallic backing layer
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作者 Chen WANG Yan ZHANG +2 位作者 Lei JI Wentao YANG Jingjing WANG 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2021年第12期251-264,共14页
Electrochemical Discharge Machining(ECDM)is potentially applicable for the fabrication of film-cooling holes.However,It is extremely difficult for the holes to achieve higher precision and machining quality owing to t... Electrochemical Discharge Machining(ECDM)is potentially applicable for the fabrication of film-cooling holes.However,It is extremely difficult for the holes to achieve higher precision and machining quality owing to the working liquid diminish in the lateral machining gap.In this study,a non-metallic backing layer was proposed to overcome the diminish of working liquid,and the electrochemical reaming,as a post-processing method for ECDM,was used to further improve the machining accuracy and quality of the holes.First,the three-dimensional morphology of the melted pit of a paraffin backing layer was scanned to obtain the geometric parameters.Then,simulation analysis and experimental verification of auxiliary flushing by using the non-metallic backing layer were performed.The machining performance of the holes machined with electrochemical reaming based on non-metallic backing layer was confirmed by the observations of the surface topography of the hole wall and orifice,measurement of the orifice precision,and analysis of the element composition on the surface of the orifice wall.Finally,an optimum combination of machining parameters for electrochemical reaming is obtained through a process parameter optimization experiment. 展开更多
关键词 Backing layer ECDM Electrochemical reaming Non-metallic
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WORLD NEWS IN BRIEF (May 1-15, 1991)
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《国际展望》 北大核心 1991年第10期32-32,共1页
Chinese Premier Li Peng ended his four-day visit to the Democratic People’s Republic of Korea and flew back to Beijing on May 6. On May 6, Japanese Prime Minister Toshiki Kaifu ended a five-nation tour of Southeast A... Chinese Premier Li Peng ended his four-day visit to the Democratic People’s Republic of Korea and flew back to Beijing on May 6. On May 6, Japanese Prime Minister Toshiki Kaifu ended a five-nation tour of Southeast Asia during which he strongly backed the US military presence in the region. Throughout his 10-day trip, which took him to Malaysia, Brunei, Thailand and Singapore, Kaifu vowed his country would never again become a military power. 展开更多
关键词 MILITARY Premier MINISTER SOUTHEAST Thailand backed NEWS Japanese MALAYSIA NEVER
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Mechanism analysis of free formation of backing weld by the pulsed MAG-TIG double arc tandem welding
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作者 Liu Liming Zhou Yanbin 《China Welding》 EI CAS 2019年第4期8-15,共8页
Because of the presence of lower-level automation and efficiency in the backing welding of medium–thick plates,pulse-metalactive-gas–metal-inert-gas(MAG–MIG)dual-arc welding was applied to backing welding of 24-mm-... Because of the presence of lower-level automation and efficiency in the backing welding of medium–thick plates,pulse-metalactive-gas–metal-inert-gas(MAG–MIG)dual-arc welding was applied to backing welding of 24-mm-thick Q235-B plate and the process and mechanism of root welding with back formation were investigated.The heating position of the MAG-arc at the front of the molten pool could be adjusted by using the electromagnetic force between the MAG-arc and the MIG-arc,and part of the arc energy could work on the root face directly.By combining the arc-discharge behaviour and analysis of flow in the molten pool,the shear stress of a tungsten inert gas(TIG)arc to the molten pool could make the liquid metal flow backwards.Thus,the quality of the front and bottom liquid metal were reduced,which favored the balance and stability.Continuous and stable back formation with uniform penetration could be achieved by using the pulse MAG–TIG dual-arc welding technology. 展开更多
关键词 pulse MAG–TIG dual ARC BACKING WELD one-side WELDING with back formation high-efficiency WELDING mechanism analysis
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Study of properties and mechanisms of backing weld of stainless steel piping with no backing gas
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作者 李国栋 栗卓新 +1 位作者 魏琪 郑丽君 《China Welding》 EI CAS 2009年第3期65-68,共4页
This work investigates the proposed welding of stainless steels with no backing gas by using solid wire ER316L-Si and mixed gases ( He + Ar + CO2 ). The protection mechanism was also discussed from the view of arc... This work investigates the proposed welding of stainless steels with no backing gas by using solid wire ER316L-Si and mixed gases ( He + Ar + CO2 ). The protection mechanism was also discussed from the view of arc physics and the alloy elements in the solid wire. The result shows that when the proportion of helium in the above-noted mixed gases excesses 45 percent, the mechanical properties and the intergranular corrosion tendency meet corresponding Chinese standards. Further, the alloy elements in the solid wire can react with oxygen during the period of high temperature boosted by helium arc ; this result in the formation of a bed of thin slag, which can avoid the oxidation of the backing weld and eliminate the need of backing gas. 展开更多
关键词 stainless steel solid wire no backing gas mixed gases
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