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Dipping Process Characteristics Based on Image Processing of Pictures Captured by High-speed Cameras 被引量:3
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作者 Junhui Li Yang Xia +3 位作者 Wei Wang Fuliang Wang Wei Zhang Wenhui Zhu 《Nano-Micro Letters》 SCIE EI CAS 2015年第1期1-11,共11页
The dipping process was recorded firstly by high-speed camera system; acceleration time, speed, and dipping time were set by the control system of dipping bed, respectively. By image processing of dipping process base... The dipping process was recorded firstly by high-speed camera system; acceleration time, speed, and dipping time were set by the control system of dipping bed, respectively. By image processing of dipping process based on Otsu's method, it was found that low-viscosity flux glue eliminates the micelle effectively, very low speed also leads to small micelle hidden between the bumps, and this small micelle and hidden phenomenon disappeared when the speed is ≥0.2 cm s-1. Dipping flux quantity of the bump decreases by about 100 square pixels when flux viscosity is reduced from4,500 to 3,500 mpa s. For the 3,500 mpa s viscosity glue, dipping flux quantity increases with the increase of the speed and decreases with the increase of the speed after the speed is up to 0.8 cm s-1. The stable time of dipping glue can be obtained by real-time curve of dipping flux quantity and is only 80–90 ms when dipping speed is from 1.6 to 4.0 cm s-1. Dipping flux quantity has an increasing trend for acceleration time and has a decreasing trend for acceleration. Dipping flux quantity increases with the increase of dipping time, and is becoming saturated when the time is ≥55 ms. 展开更多
关键词 dipping acceleration dipping speed dipping time VISCOSITY Image processing
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0.87Na_(0.5)Bi_(0.5)TiO_3-0.13PbTiO_3薄膜的MOSD+Dipping制备
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作者 王卓 杨长红 +1 位作者 王民 房昌水 《人工晶体学报》 EI CAS CSCD 北大核心 2004年第5期817-819,共3页
采用MOSD+Dipping方法在P型Si(111)衬底上制备了0.87Na0.5Bi0.5TiO3-0.13PbTiO3薄膜。用X射线衍射技术研究了薄膜的结构和结晶性。用原子力显微镜分析了薄膜的表面形貌。同时还研究了薄膜的存储性能。
关键词 掺铅钛酸铋钠 铁电薄膜 制备 MOSD法 dipping 表面形貌 存储性能
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Structure instability forecasting and analysis of giant rock pillars in steeply dipping thick coal seams 被引量:12
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作者 Xing-ping Lai Huan Sun +3 位作者 Peng-fei Shan Ming Cai Jian-tao Cao Feng Cui 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2015年第12期1233-1244,共12页
Structure stability analysis of rock masses is essential for forecasting catastrophic structure failure in coal seam mining. Steeply dipping thick coal seams (SDTCS) are common in the Urumqi coalfield, and some dyna... Structure stability analysis of rock masses is essential for forecasting catastrophic structure failure in coal seam mining. Steeply dipping thick coal seams (SDTCS) are common in the Urumqi coalfield, and some dynamical hazards such as roof collapse and mining-induced seismicity occur frequently in the coal mines. The cause of these events is mainly structure instability in giant rock pillars sand- wiched between SDTCS. Developing methods to predict these events is important for safe mining in such a complex environment. This study focuses on understanding the structural mechanics model of a giant rock pillar and presents a viewpoint of the stability of a trend sphenoid fractured beam (TSFB). Some stability index parameters such as failure surface dips were measured, and most dips were observed to be between 46° and 51°. We used a digital panoramic borehole monitoring system to measure the TSFB's height (△H), which varied from 56.37 to 60.50 m. Next, FLAC^3D was used to model the distribution and evolution of vertical displacement in the giant rock pillars; the results confirmed the existence of a TSFB structure. Finally, we investigated the acoustic emission (AE) energy accumulation rate and observed that the rate commonly ranged from 20 to 40 kJ/min. The AE energy accumulation rate could be used to anticipate impeding seismic events related to structure failure. The results presented provide a useful approach for forecasting catastrophic events related to structure instability and for developing hazard prevention technology for mining in SDTCS. 展开更多
关键词 coal mining structural instability rock pillars forecasting acoustic emission (AE) steeply dipping coal beds
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Evaluation of the use of sublevel open stoping in the mining of moderately dipping medium-thick orebodies 被引量:7
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作者 Shuai Xu Ruiyu Liang +1 位作者 Fidelis TSuorineni Yuanhui Li 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2021年第2期333-346,共14页
The flow of blasted ore during mining of moderately dipping medium-thick orebodies is a challenge.Selecting a suitable mining system for such ore bodies is difficult.This paper proposes a diamond layout sublevel open ... The flow of blasted ore during mining of moderately dipping medium-thick orebodies is a challenge.Selecting a suitable mining system for such ore bodies is difficult.This paper proposes a diamond layout sublevel open stoping system using fan blastholes with backfilling to mine such orebodies.To evaluate the performance of system the relationships between ore recovery and stope footwall dip angle,footwall surface roughness,drawpoint spacing and production blast ring burden were investigated.An ore recovery data set from 81 laboratory physical model experiments was established from combinations of the listed factors.Various modules in a back propagation neural network structure were compared,and an optimal network structure identified.An ore recovery backpropagation neural network(BPNN)forecast model was developed.Using the model and sensitivity analysis of the factors affecting the proposed open stope mining system,the significance of each factor on ore recovery was studied.The study results were applied to a case study at the Shandong Gold Group Jiaojia Gold Mine.The results showed that the application of a BPNN and sensitivity analysis models for ore recovery prediction in the proposed mining system and field experimental results confirm that the suggested mining method is feasible. 展开更多
关键词 Moderately dipping medium-thick orebody Sublevel open stoping Fan blastholes Ore recovery Backpropagation neural network
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Monitoring strata behavior due to multi-slicing top coal caving longwall mining in steeply dipping extra thick coal seam 被引量:6
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作者 Yun Dongfeng Liu Zhu +3 位作者 Cheng Wendong Fan Zhendong Wang Dongfang Zhang Yuanhao 《International Journal of Mining Science and Technology》 SCIE EI CSCD 2017年第1期179-184,共6页
For studying the strata behavior due to multi-slicing top coal caving longwall mining along-the-strike direction in steeply dipping extra thick coal seams,the shield support pressures of the upper and lower slices of ... For studying the strata behavior due to multi-slicing top coal caving longwall mining along-the-strike direction in steeply dipping extra thick coal seams,the shield support pressures of the upper and lower slices of panel 37220 in Dongxia Coal Mine were monitored using the KJ513 dynamic monitoring system.The set up rooms adopted the "horizontal line-arc segment-inclined line" form and used different types of shield supports.The results show that the strata pressure of upper slice panel 37220-1 changed slightly along the strike direction,while along the dip direction it exhibited strong to weak pressure from bottom to top.The first weighting interval of lower slice panel 37220-2 was about 60.8 m,and the average periodic weighting interval were about 22.6 m.The strata behavior of panel 37220-2 exhibited a spatiotemporal characteristic in that periodic weighting occurred first in the middle-upper part,followed by the middle and upper parts,arc segment,and finally the lower part.During the periodic weighting,the weighting interval and intensity also exhibited strong space characteristics.The average dynamic load coefficient was 1.48 and the maximum lateral load of the side shield was 20-25 MPa. 展开更多
关键词 MONITORING Steeply dipping seam SLICING Longwall along the strike Fully mechanized top-caving face Strata behavior
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Dipping Paint Curing Amorphous U-Core Used as Reactor 被引量:3
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作者 LI Guang-min LI De-ren +2 位作者 LIU Tian-cheng LI Li-jun LU Zhi-chao 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2013年第7期63-68,共6页
Non-oriented silicon steel (35W310) and amorphous ribbon (FeT8 Si9B13 amorphous alloy) reactor U-cores are made by welding and dipping paint curing, respectively. Amorphous U-core used to make reactor cut sharply ... Non-oriented silicon steel (35W310) and amorphous ribbon (FeT8 Si9B13 amorphous alloy) reactor U-cores are made by welding and dipping paint curing, respectively. Amorphous U-core used to make reactor cut sharply ed-dy current loss due to high electrical resistivity characteristic, thickness of thin ribbon and insulation of dipping paint. The amorphous alloy has high and constant magnetic permeability, and is more suitable for reactor design power to filter high order harmonic component. Keeping off high magnetostriction district with magnetic flux density of 50-100 mT can weaken influence on inductance of inductor due to elongation of magnetostriction. Amorphous al-loy has a lower temperature rise using the software Infolytica 7.2 simulation. 展开更多
关键词 amorphous Fe-Si-B alloy dipping paint curing power loss reactor U-core magnetic field simulation
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Breaking and mining-induced stress evolution of overlying strata in the working face of a steeply dipping coal seam 被引量:3
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作者 Xiaolou Chi Ke Yang Zhen Wei 《International Journal of Coal Science & Technology》 EI CAS CSCD 2021年第4期614-625,共12页
The breaking features and stress distribution of overlying strata in a steeply dipping coal seam(SDCS)differ significantly from those in a near-horizontal one.In this study,the laws governing the evolution of vertical... The breaking features and stress distribution of overlying strata in a steeply dipping coal seam(SDCS)differ significantly from those in a near-horizontal one.In this study,the laws governing the evolution of vertical stress release and shear stress concentration in the overlying strata of coal seams with different dip angles are derived via numerical simulation,rock mechanics tests,acoustic emissions,and field measurements.Thus,the stress-driven dynamic evolution of the overlying strata structure,in which a shear stress arch forms,is determined.Upon breaking the lower pari of the overlying strata,the shear stress transfers rapidly to the upper part of the working face.The damaged zone of the overlying strata migrates upward along the dip direction of the working face.The gangue in the lower part of the working face is compacted,leading to an increase in vertical stress.As the dip angle of the coal seam increases,the overlying strata fail suddenly under the action of shear stresses.Finally,the behavioral response of the overlying strata driven by shear stresses in the longwall working face of an SDCS is identified and analyzed in detail.The present research findings reveal the laws governing the behavior of mine pressure in the working face of an SDCS,which in turn can be used to establish the respective on-site guidance. 展开更多
关键词 Steeply dipping coal seam Migration of overlying strata Stress evolution Dynamic response
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Three-dimensional strata movement around coal face of steeply dipping seam group 被引量:3
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作者 伍永平 解盘石 +1 位作者 任世广 李瑞斌 《Journal of Coal Science & Engineering(China)》 2008年第3期352-355,共4页
Steeply dipping seam group, which has complex occurrence conditions, belongs to the steeply dipping seam. The research on the strata movement around the coal face not only improves safe production technology in practi... Steeply dipping seam group, which has complex occurrence conditions, belongs to the steeply dipping seam. The research on the strata movement around the coal face not only improves safe production technology in practice, but also develops the mining theory. By using physical simulation experiments, numerical simulation and site test, the deformation, failure and movement of surrounding rock in Iongwall working face were analyzed. According to the analysis, characteristics of the seam group were formed which is different from the single seam. Asymmetry mechanics, sequential changes and imbalance of strata movement along the tendency working face were summarized. Furthermore the features of upper and lower seams were different. The mining of the lower seam induced more complex strata movement along the strike. Multi-section mining disturbed surrounding rocks in larger areas than the single section mining did, which had an impact on and dynamic loading function to the support when mining the lower seam, and produced a great influence on the stability of support-rock system. 展开更多
关键词 strata movement steeply dipping seam group support-rock system mining disturbance
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Structures of ceramics coatings on steel fabricated by hot-dipping and micro-arc oxidation 被引量:1
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作者 SHEN De-jiu WANG Yu-lin GU Wei-chao XING Guang-zhong 《中国有色金属学会会刊:英文版》 CSCD 2004年第z1期170-172,共3页
Firstly, an aluminum coating was produced metallurgically on mild steel by hot-dipping, then an aluminum oxide coating was formed self-growingly from the aluminum coating by micro-arc oxidation treatment. The structur... Firstly, an aluminum coating was produced metallurgically on mild steel by hot-dipping, then an aluminum oxide coating was formed self-growingly from the aluminum coating by micro-arc oxidation treatment. The structures of the composite coatings were investigated by means of SEM, TEM and XRD. The results show that the composite coating consists of three layers which are Fe-Al alloy, aluminum coating and aluminum oxide orderly outward from the steel substrate. There are amorphous phases, k-Al2O3 and θ-Al2O3 mainly in the aluminum oxide. 展开更多
关键词 HOT dipping micro-arc OXIDATION CERAMIC coating
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Preparation of tetrapod-like ZnO whiskers from waste hot dipping zinc 被引量:1
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作者 陈艺锋 唐谟堂 +2 位作者 杨声海 张保平 杨建广 《Journal of Central South University of Technology》 EI 2004年第1期51-54,共4页
Large and uniform tetrapod-like ZnO whiskers (T-ZnO) were prepared from waste hot dipping zinc by vapor oxidation and examined by means of X-ray diffraction and ICP-AES analysis and scanning electron microscope. The... Large and uniform tetrapod-like ZnO whiskers (T-ZnO) were prepared from waste hot dipping zinc by vapor oxidation and examined by means of X-ray diffraction and ICP-AES analysis and scanning electron microscope. The products are pure hexagonal wurtzite crystals with tetrapod shape and edge size of center body 56 μm and needle length of 100130 μm. The size and shape of ZnO particles are fully controlled by the growth conditions and T-ZnO can be obtained only at 8501 000 ℃ and total gas flow rate ranging from 40 to 250 L·h-1 in which the size of the T-ZnO particles varies slightly with temperature. The process of the formation of T-ZnO is that T-ZnO may nucleate at the initial stage with a complete tetrapod shape and develop to the large size, but not the process of (preferential) growth of octahedral nuclei and subsequent growth of the needles. The experiment presents a new method to prepare T-ZnO economically by using the waste hot dipping zinc. 展开更多
关键词 waste hot dipping zinc tetrapod-like ZnO whisker PREPARATION crystal morphology
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High Temperature Oxidation and Wear Resistance of Y-modified Hot Dipping Aluminized Coating on SCH12 Steel
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作者 Fan, X. S. Yang, Z. G. Zhang, C. 《稀有金属材料与工程》 SCIE EI CAS CSCD 北大核心 2012年第S1期231-235,共5页
Microstructures,high-temperature oxidation and wear resistance of hot dipping Al-Si-Y coating on SCH12 heat resistant cast steel were investigated in this study.The aluminized coating was characterized by scanning ele... Microstructures,high-temperature oxidation and wear resistance of hot dipping Al-Si-Y coating on SCH12 heat resistant cast steel were investigated in this study.The aluminized coating was characterized by scanning electron microscopy(SEM),energy dispersive X-ray spectrometry(EDX)and X-ray diffraction(XRD).The results showed that the coating was composed of the Al-rich outer layer and the intermetallics inner layer.In the Al-rich layer,some Y-rich precipitates and Fe-Al-Si-Cr precipitates could be observed.The intermetallics layer presented three layers induced by the increase of Fe,Cr,Ni content and the corresponding decrease of Al,Si content.The oxidation tests were conducted in still air at 850℃for up to 100 h.After oxidation,a top oxide scale composed of mainlyα-Al2O3,Al5Y3O12 was formed on the steel surface.The intermetallics beneath the oxide scale consisted of mainly FeAl and small amount of Fe2Al5 and Cr3Si phase.The mass gain of the coated and uncoated SCH1steel is 0.45 mg/cm 2 and 0.57 mg/cm 2,respectively.The wear resistance was investigated using a high-temperature pin-on-disc tribometer at 650℃.The wear rate for the coated and uncoated steel is 0.45μm 3 /μm.N and 3.01μm 3 /μm.N,respectively.The high temperature wear tests and oxidation tests results demonstrated that the yttrium-modified aluminized specimen had significantly improved high-temperature wear resistance and equivalent oxidation resistance compared with the original SCH12 specimen. 展开更多
关键词 HOT dipping ALUMINIZING OXIDATION RESISTANCE high-temperature WEAR RESISTANCE
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Steeply dipping structural target-oriented viscoacoustic least-squares reverse time migration and its application
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作者 Chen Kang Han Song +3 位作者 Ran Qi Wen Long Zhang Guang-Zhi Qu Ying-Ming 《Applied Geophysics》 SCIE CSCD 2022年第4期528-536,604,共10页
Steeply dipping structural imaging is a significant challenge because surface geophones cannot obtain seismic primary reflection wave information from steeply dipping structures.Prismatic waves with a significant amou... Steeply dipping structural imaging is a significant challenge because surface geophones cannot obtain seismic primary reflection wave information from steeply dipping structures.Prismatic waves with a significant amount of steeply dipping information can be used to improve the imaging eff ect on steeply dipping structures.Subsurface attenuation leads to amplitude loss and phase distortion of seismic waves,and ignoring this attenuation during imaging can cause blurring of migration amplitudes.In this study,we proposed a steeply dipping structural target-oriented viscoacoustic least-squares reverse time migration(LSRTM)method with prismatic and primary waves as an objective function based on the viscous wave equation,while deriving Q-compensated wavefield propagation and joint operators of prismatic and primary waves and the Q-compensated demigration operator.Numerical examples on synthetic and field data verified the advantages of the proposed viscoacoustic LSRTM method of joint primary and prismatic waves over conventional viscoacoustic LSRTM and non-compensated LSRTM when using attenuating observed data. 展开更多
关键词 Q-compensation prismatic wave least-squares reverse time migration steeply dipping structure
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Numerical and theoretical study of large-scale failure of strata overlying sublevel caving mines with steeply dipping discontinuities
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作者 Kaizong Xia Zhiwei Si +3 位作者 Congxin Chen Xiaoshuang Li Junpeng Zou Jiahao Yuan 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2024年第8期1799-1815,共17页
The deformation and fracture evolution mechanisms of the strata overlying mines mined using sublevel caving were studied via numerical simulations.Moreover,an expression for the normal force acting on the side face of... The deformation and fracture evolution mechanisms of the strata overlying mines mined using sublevel caving were studied via numerical simulations.Moreover,an expression for the normal force acting on the side face of a steeply dipping superimposed cantilever beam in the surrounding rock was deduced based on limit equilibrium theory.The results show the following:(1)surface displacement above metal mines with steeply dipping discontinuities shows significant step characteristics,and(2)the behavior of the strata as they fail exhibits superimposition characteristics.Generally,failure first occurs in certain superimposed strata slightly far from the goaf.Subsequently,with the constant downward excavation of the orebody,the superimposed strata become damaged both upwards away from and downwards toward the goaf.This process continues until the deep part of the steeply dipping superimposed strata forms a large-scale deep fracture plane that connects with the goaf.The deep fracture plane generally makes an angle of 12°-20°with the normal to the steeply dipping discontinuities.The effect of the constant outward transfer of strata movement due to the constant outward failure of the superimposed strata in the metal mines with steeply dipping discontinuities causes the scope of the strata movement in these mines to be larger than expected.The strata in the metal mines with steeply dipping discontinuities mainly show flexural toppling failure.However,the steeply dipping structural strata near the goaf mainly exhibit shear slipping failure,in which case the mechanical model used to describe them can be simplified by treating them as steeply dipping superimposed cantilever beams.By taking the steeply dipping superimposed cantilever beam that first experiences failure as the key stratum,the failure scope of the strata(and criteria for the stability of metal mines with steeply dipping discontinuities mined using sublevel caving)can be obtained via iterative computations from the key stratum,moving downward toward and upwards away from the goaf. 展开更多
关键词 sublevel caving mines universal distinct element code(UDEC)numerical approach large-scale ground movement steeply dipping superimposed cantilever beam toppling failure
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Dipping cells in acidic bath could make stem cells
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作者 Jinhui Chen Yiwen Ruan +1 位作者 Kwok-fai So Xiao-Ming Xu 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第6期575-576,共2页
The discovery that somatic mammalian cells can be epigeneti- cally reprogrammed to induced pluripotent stem cells (iPSCs) through the exogenous expression of the Oct4, Sox2, Klf4 and c-Myc (OSKM) has demonstrated ... The discovery that somatic mammalian cells can be epigeneti- cally reprogrammed to induced pluripotent stem cells (iPSCs) through the exogenous expression of the Oct4, Sox2, Klf4 and c-Myc (OSKM) has demonstrated a new way for cell-replace- ment therapy in regenerative medicine (Li et al., 2013; Nishimura and Takahashi, 2013; Takahashi and Yamanaka, 2013). This novel technology has opened new therapeutic opportunities to gener- ate stem cells in any tissue for cell replacement therapy in a num- ber of disorders (Yamanaka, 2012; Li et al., 2013; Nishimura and Takahashi, 2013; Takahashi and Yamanaka, 2013). Just last week, two papers published in Nature, describing a surprisingly sim- ple method to turn mature cells into embryonic-like stem ceils by culturing cells in a low pH medium (Obokata et al., 2014a, 2014b). This method by Obokata and colleagues is truly the sim- plest, cheapest, and fastest method ever achieved for reprogram- min~ somatic cells into multiootent stem cells. 展开更多
关键词 STEM cell dipping cells in acidic bath could make stem cells
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Research on drawing coal effects in the dipping and steep——dipping coal seams
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作者 胡伟 王窈惠 《Journal of Coal Science & Engineering(China)》 2002年第1期45-50,共6页
Controllable drawing roof coal mining method is applied either to rently inclined seam or to big dipping seam. This paper sums up four corresponding methods according to conditions of our country, and analyses the coa... Controllable drawing roof coal mining method is applied either to rently inclined seam or to big dipping seam. This paper sums up four corresponding methods according to conditions of our country, and analyses the coal-recovering effects and proves applicated conditions and measures for improving by "drawing coal theory of the ellipsoid". Its conclusion basically consists with practice. This work is of guiding meaning for designing drawing coal technology. 展开更多
关键词 drawing coal dipping and steep-dipping coal seams drawing coal theory of the ellipsoid
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按病种分值付费对上海市某二甲综合性医院平均住院日的影响分析
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作者 尹逊丽 沈励 +3 位作者 陈薇敏 张晓艳 黄燕 周蓓 《现代医院》 2026年第1期86-90,共5页
目的从按病种分值付费对某二甲医院平均住院日的影响角度出发,研究DIP支付改革下某二甲医院平均住院日的变化情况,为DIP支付改革下综合评价医疗服务和质量管理提供决策思路。方法从某二甲医院HQMS系统中导出DIP支付前后2022年7月1日—2... 目的从按病种分值付费对某二甲医院平均住院日的影响角度出发,研究DIP支付改革下某二甲医院平均住院日的变化情况,为DIP支付改革下综合评价医疗服务和质量管理提供决策思路。方法从某二甲医院HQMS系统中导出DIP支付前后2022年7月1日—2025年6月30日的住院病案首页信息,运用SPSS23.0对平均住院日、术前平均住院日、术后平均住院日、平均住院费用、手术占比、治疗转归、主要诊断及主要手术选择正确率等指标进行统计分析,通过t检验或卡方检验比较前后差异。结果DIP支付后全院平均住院日下降0.6天,术前平均住院日下降0.3天,差异均有统计学意义。同时全院31个临床科室中有16个平均住院日实现下降,差异均有统计学意义,其他科室的平均住院日变动不明显。DIP支付方式改革后,CMI值增加0.0809,DIP组数增加42组。病案首页的主要诊断和主要手术填写正确率均提高13%,卡方检验差异有统计学意义。结论实施DIP支付后,该二甲医院转变医院管理方式,提升医院内部管理水平和医疗服务效率,提升病种收治能力,实现了平均住院日、术前及术后平均住院日的迅速下降,提升了医院治疗水平和医疗质量,降低了医疗费用。 展开更多
关键词 DIP支付 平均住院日 管理方式 医疗质量 均次费
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DIP付费模式下病案首页精细化管理策略
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作者 余佳平 徐红炜 +3 位作者 葛雅丽 徐美玲 徐玲 李贤燕 《现代医院》 2026年第2期230-233,共4页
目的探讨在按病种分值付费(DIP)改革背景下,通过构建病案首页精细化管理体系,提升医疗数据质量、优化医保基金使用效率及医院运营效益的有效路径。方法基于国家DIP 2.0版分组方案要求,系统建立涵盖多部门协同治理机制、四级质控体系、... 目的探讨在按病种分值付费(DIP)改革背景下,通过构建病案首页精细化管理体系,提升医疗数据质量、优化医保基金使用效率及医院运营效益的有效路径。方法基于国家DIP 2.0版分组方案要求,系统建立涵盖多部门协同治理机制、四级质控体系、信息化智能管控及分层培训与特例单议机制的综合管理框架,并结合医疗机构的实践案例进行实证分析。结果实施精细化管理后,医疗机构病案首页缺陷率显著降低超过10%,DIP入组准确率提升至98%以上,病例组合指数(CMI)得到优化,医保基金使用效率明显改善,部分医院实现DIP清算盈余。结论建立以“临床-病案-医保-医务”一体化协作为核心的病案首页精细化管理体系,是医疗机构适应DIP支付改革、实现质量提升与运营增效的关键策略,对推动医保支付从费用控制向价值医疗转型具有重要实践意义。 展开更多
关键词 DIP支付 病案首页 精细化管理 多部门协作
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DRG/DIP支付改革绩效考核指标体系优化研究——基于四川省12市州考核文本的实证分析
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作者 李佳 邓立梅 +4 位作者 彭美华 刘璐 蒋涛 李梅 周望苏 《中国医疗保险》 2026年第1期87-93,共7页
目的:从医保管理视角分析四川省基本医保支付方式改革绩效考核指标特征,为探索构建科学的医保支付绩效考核机制提供参考。方法:收集四川省12个市州医保局印发的DRG/DIP年度考核评分表,运用词频分析、UCINET社会网络分析及熵权法,对指标... 目的:从医保管理视角分析四川省基本医保支付方式改革绩效考核指标特征,为探索构建科学的医保支付绩效考核机制提供参考。方法:收集四川省12个市州医保局印发的DRG/DIP年度考核评分表,运用词频分析、UCINET社会网络分析及熵权法,对指标的分布特征、中心度关系与权重结果进行综合分析。结果:分析发现,CMI值、时间消耗指数、费用消耗指数、医保结算清单填报率等指标在考核体系中出现频率高,中心度大,熵值高,熵权值低,具有核心通用性;不同市州在指标数量、结构和权重设置上存在差异,反映出医保支付方式改革政策导向的地区差异。结论:DRG/DIP绩效考核体系应契合医保支付方式改革目标,在统一标准与地区差异间寻求平衡,构建以省级统筹为方向,以基础性指标为核心、差异化指标为补充的绩效评价体系,考核结果可与医保清算和政策资源配置挂钩,通过横向比较形成标杆效应,并兼顾纵向分析,避免“鞭打快牛”。绩效考核体系需优选可量化的客观指标,根据改革进程持续优化,形成科学、灵活、可持续的考核体系。 展开更多
关键词 DRG/DIP 医保支付方式改革 绩效评价 熵权法
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政策演进视角下中医优势病种按病种付费模式创新与实践路径研究
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作者 张晓溪 陈蒙恩 +1 位作者 王焱 王志伟 《中国医疗保险》 2026年第2期97-103,共7页
目的:基于政策演进视角,分析中医优势病种按病种付费地方实践的模式创新路径与内在逻辑,为国家层面的政策整合与标准化提供参考。方法:运用政策文本分析法,对东、中、西部代表性统筹地区的19份政策文件进行分析;借助公共政策间断均衡理... 目的:基于政策演进视角,分析中医优势病种按病种付费地方实践的模式创新路径与内在逻辑,为国家层面的政策整合与标准化提供参考。方法:运用政策文本分析法,对东、中、西部代表性统筹地区的19份政策文件进行分析;借助公共政策间断均衡理论,阐释不同付费模式产生的政策背景与演进动因。结果:地方实践历经“按病种定额付费”与“按DRG/DIP付费”两种主导模式,二者在政策复杂性、技术精细度和价值导向上呈现明显的演进关系。定额付费模式操作简便,但激励作用有限;DRG/DIP模式则衍生出固定比率倾斜、按病种倾斜、同病同价三类支付标准,并积极探索与疗效价值挂钩。两种模式的并存,反映了改革在“支付标准化”与“中医特色化”“管理精细化”与“操作简易性”之间的现实张力。结论:中医优势病种付费改革呈现从简单定额向复杂整合的演进路径。国家层面应实施分类推进策略,强化中医临床路径与疗效评价标准的数据化、标准化建设,构建“自上而下”规范与“自下而上”创新相结合的政策学习机制,引导地方实践向更科学、更具价值导向的付费模式演进。 展开更多
关键词 中医优势病种 按病种付费 DRG DIP 政策演进 间断均衡理论
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DRG/DIP支付方式改革对医院成本管控的影响及应对
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作者 李兰兰 《管理学家》 2026年第1期76-78,共3页
在深化医改的大背景下,DRG/DIP支付方式改革在全国范围内加速推进,深刻重塑医院运营格局。这一改革对医院成本管控产生了双向影响:在积极层面,促使医院优化成本结构,削减不必要的检查治疗支出,推动成本精细化管理,激励医院通过缩短住院... 在深化医改的大背景下,DRG/DIP支付方式改革在全国范围内加速推进,深刻重塑医院运营格局。这一改革对医院成本管控产生了双向影响:在积极层面,促使医院优化成本结构,削减不必要的检查治疗支出,推动成本精细化管理,激励医院通过缩短住院时长、提升床位周转率等方式提高医疗服务效率;在消极层面,因分组复杂性与医疗服务不确定性,加大成本管控难度,甚至存在医院为控本降低医疗质量的风险,也对医院信息化建设提出了更高的要求。为有效解决这些问题,医院需从优化成本核算体系、强化预算管理与成本控制、提升医疗服务效率与质量、加强信息化建设与人才培养等方面入手,完善成本管控策略,实现医疗质量与经济效益的平衡发展。 展开更多
关键词 DRG/DIP支付方式 医院成本管控 改革 影响
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