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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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A review of intelligent technologies for underground construction and infrastructure maintenance 被引量:1
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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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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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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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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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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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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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Selective maintenance decision optimization for systems executing multi-mission under stochastic mission duration
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作者 MA Weining DONG Enzhi +1 位作者 LI Hua ZHAO Mei 《Journal of Systems Engineering and Electronics》 2025年第1期209-223,共15页
This paper investigates the selective maintenance o systems that perform multi-mission in succession. Selective maintenance is performed on systems with limited break time to improve the success of the next mission. I... This paper investigates the selective maintenance o systems that perform multi-mission in succession. Selective maintenance is performed on systems with limited break time to improve the success of the next mission. In general, the duration of the mission is stochastic. However, existing studies rarely take into account system availability and the repairpersons with different skill levels. To solve this problem, a new multi-mission selective maintenance and repairpersons assignment model with stochastic duration of the mission are developed. To maximize the minimum phase-mission reliability while meeting the minimum system availability, the model is transformed into an optimization problem subject to limited maintenance resources. The optimization is then realized using an analytical method based on a self-programming function and a Monte Carlo simulation method, respectively. Finally, the validity of the model and solution method approaches are verified by numerical arithmetic examples. Comparative and sensitivity analyses are made to provide proven recommendations for decision-makers. 展开更多
关键词 multi-mission system selective maintenance problem stochastic duration Monte Carlo simulation AVAILABILITY
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Numerical Simulation and Diagnostic Analysis for the Maintenance Mechanism of the “3·31” Squall Line Event in Jiangxi Province
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作者 XU Yuan WU Jing +2 位作者 DONG Meng ZHAO Xin-yu TIAN Gao-shan 《Journal of Tropical Meteorology》 2025年第6期622-636,共15页
The “3·31” severe squall line event in eastern China was notable for its exceptional intensity and persistence,posing significant challenges to forecast accuracy. This study analyzed the maintenance stage of th... The “3·31” severe squall line event in eastern China was notable for its exceptional intensity and persistence,posing significant challenges to forecast accuracy. This study analyzed the maintenance stage of this event using highresolution convection-permitting numerical simulations, with a focus on vorticity budgets of the environmental flow, multiscale synoptic diagnostics, and Rotunno-Klemp-Weisman(RKW) theory. These analyses aimed to elucidate the mechanisms governing the morphological transition, the generation of associated convective gales, and the prolonged maintenance of the squall line event. The results show that the numerical simulation accurately reproduced the development and evolution of the squall line, particularly its location, with surface wind errors remaining within a reasonable range. The development of a mesoscale vortex modulated the dynamic and water vapor fields, providing favorable mesoscale environmental conditions for the organization and maintenance of the squall line. Vorticity budget analysis indicates that the divergence and tilting terms were the primary contributors to vorticity tendency. After the squall line entered Jiangxi Province, it exhibited a sharper leading edge and enhanced upward motion. Dry intrusion from the mid-toupper troposphere led to rapid downward momentum transfer at the meso-γ scale, thereby generating convective gales. In addition, the enhancement of the rear-inflow jet(RIJ) was related to the pressure difference between the interior and exterior of system, which resulted from the phase change of condensate within tilted updrafts. The RIJ was orthogonal to the squall line, causing it to transform from a linear into a bowing shape. Diagnosis based on the RKW theory underscore the important roles in both low-level and deep vertical wind shear in maintenaning the squall line. The ratios of the cold pool propagation velocity to the vertical wind shear were close to 1, which balanced with the ambient horizontal vorticity that allowed the convection to remain upright, thus sustaining the squall line's intensity for an extended period. In summary, the squall line event was sustained by a favorable environment created by the environmental vortex. The dry intrusion from the mid-to-upper troposphere and intensified RIJ resulted in the severe convective winds, while the balance between cold pool and ambient vertical wind shear promoted the system's prolonged maintenance. These findings provide an effective reference for the short-range forecasting of squall lines throughout their lifecycle. 展开更多
关键词 squall line bow echo convective gales numerical simulation maintenance mechanism
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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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Monitoring of railway tracks maintenance needs using dynamic responses collected by an in-service train
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作者 Ramin Ghiasi Abdollah Malekjafarian 《Railway Engineering Science》 2025年第4期553-580,共28页
Railway systems are critical components of transportation networks requiring consistent maintenance.This paper proposes a novel data-driven approach to detect various maintenance needs of railway track systems using a... Railway systems are critical components of transportation networks requiring consistent maintenance.This paper proposes a novel data-driven approach to detect various maintenance needs of railway track systems using acceleration data obtained from a passenger train in operation.The framework contains four modules.Firstly,data pre-processing and cleansing are performed to extract useful data from the whole dataset.Then,condition-sensitive features are extracted from the raw data in three different domains of time,frequency,and time-frequency.In the third module,the best subset of measurement features that characterize the state of the tracks are selected using the analysis of variance(ANOVA)algorithm which eliminates irrelevant characteristics from the feature set of responses.Finally,a multilabel classification algorithm based on the cascade feed-forward neural network(CFNN)is used to classify the type of maintenance needs of the track.An open-access dataset from a field study in Pennsylvania,USA,is used in this study for validation of the proposed method.The results indicate that employing a CFNN can achieve 95%accuracy in identifying two maintenance activities,tamping and surfacing,using time-domain features.Moreover,an extensive analysis has been conducted to evaluate the influence of various feature extraction and selection methods,diverse classification algorithms,and different types of accelerometers(uni-axial and tri-axial)on the accuracy of the proposed method. 展开更多
关键词 Rail maintenance Signal processing Exploratory data analysis DATA-DRIVEN Data reduction
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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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Failure rate analysis and maintenance plan optimization method for civil aircraft parts based on data fusion
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作者 Kang CAO Yongjie ZHANG Jianfei FENG 《Chinese Journal of Aeronautics》 2025年第1期306-324,共19页
In the face of data scarcity in the optimization of maintenance strategies for civil aircraft,traditional failure data-driven methods are encountering challenges owing to the increasing reliability of aircraft design.... In the face of data scarcity in the optimization of maintenance strategies for civil aircraft,traditional failure data-driven methods are encountering challenges owing to the increasing reliability of aircraft design.This study addresses this issue by presenting a novel combined data fusion algorithm,which serves to enhance the accuracy and reliability of failure rate analysis for a specific aircraft model by integrating historical failure data from similar models as supplementary information.Through a comprehensive analysis of two different maintenance projects,this study illustrates the application process of the algorithm.Building upon the analysis results,this paper introduces the innovative equal integral value method as a replacement for the conventional equal interval method in the context of maintenance schedule optimization.The Monte Carlo simulation example validates that the equivalent essential value method surpasses the traditional method by over 20%in terms of inspection efficiency ratio.This discovery indicates that the equal critical value method not only upholds maintenance efficiency but also substantially decreases workload and maintenance costs.The findings of this study open up novel perspectives for airlines grappling with data scarcity,offer fresh strategies for the optimization of aviation maintenance practices,and chart a new course toward achieving more efficient and cost-effective maintenance schedule optimization through refined data analysis. 展开更多
关键词 Small sample data Data fusion Failure rate maintenance planning Aircraft parts
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Secondary hyperparathyroidism in patients undergoing maintenance hemodialysis combined with hemoperfusion Cost-effectiveness analysis of efficacy
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作者 Liu Qian Hu Xiu +2 位作者 Wu Xiaolong Liu Minglin Song Bin 《Science International Innovative Medicine》 2025年第2期35-40,共6页
Objective:To investigate the clinical efficacy and cost-effectiveness of combined hemodialysis(HD)and hemoperfusion(HP)therapy in managing secondary hyperparathyroidism(SHPT)in patients undergoing maintenance hemodial... Objective:To investigate the clinical efficacy and cost-effectiveness of combined hemodialysis(HD)and hemoperfusion(HP)therapy in managing secondary hyperparathyroidism(SHPT)in patients undergoing maintenance hemodialysis(MHD).Methods:A total of 195 patients with MHD and SHPT at Deyang People's Hospital from April 2024 to April 2025 were enrolled.Patients were randomly assigned to a control group receiving standard HD treatment and an experimental group receiving HD combined with HP therapy.The experimental group underwent 1 year of observation(97 cases in the experimental group,98 cases in the control group).During treatment,changes in parathyroid hormone(PTH),serum calcium,serum phosphorus,and inflammatory factors were monitored,along with analysis of treatment-related economic benefits and safety.Results:The experimental group demonstrated significantly better reductions in PTH,serum phosphorus,and inflammatory factors compared to the control group(P<0.05).Although the total treatment cost was slightly higher,the unit cost per therapeutic effect was lower,resulting in a superior cost-effectiveness ratio.Conclusion:Combined HD and HP therapy can significantly improve SHPT-related indicators in MHD patients,demonstrating safety,controllability,and high cost-effectiveness,making it a clinically applicable and recommended treatment option. 展开更多
关键词 maintenance hemodialysis secondary hyperparathyroidism HEMOPERFUSION cost-effect-iveness analysis
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Decoding maize meristems maintenance and differentiation:integrating single-cell and spatial omics
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作者 Bin Li Wenhao Liu +3 位作者 Jie Xu Xuxu Huang Long Yang Fang Xu 《Journal of Genetics and Genomics》 2025年第3期319-333,共15页
All plant organs are derived from stem cell-containing meristems.In maize,the shoot apical meristem(SAM)is responsible for generating all above-ground structures,including the male and female inflorescence meristems(I... All plant organs are derived from stem cell-containing meristems.In maize,the shoot apical meristem(SAM)is responsible for generating all above-ground structures,including the male and female inflorescence meristems(IMs),which give rise to tassel and ear,respectively.Forward and reverse genetic studies on maize meristem mutants have driven forward our fundamental understanding of meristem maintenance and differentiation mechanisms.However,the high genetic redundancy of the maize genome has impeded progress in functional genomics.This review comprehensively summarizes recent advancements in understanding maize meristem development,with a focus on the integration of single-cell and spatial technologies.We discuss the mechanisms governing stem cell maintenance and differentiation in SAM and IM,emphasizing the roles of gene regulatory networks,hormonal pathways,and cellular omics insights into stress responses and adaptation.Future directions include cross-species comparisons,multi-omics integration,and the application of these technologies to precision breeding and stress adaptation research,with the ultimate goal of translating our understanding of meristem into the development of higher yield varieties. 展开更多
关键词 Maize meristem Stem cell Single-cell and spatial technologies Meristem maintenance Regulatory mechanism
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Research on the Application of Digital Twin Technology in the Full Lifecycle Operation and Maintenance Management of Urban Road Infrastructure
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作者 Honghe Xian Jiayi Wang 《Journal of Architectural Research and Development》 2025年第6期29-35,共7页
With the continuous development of digital technology,urban management and urban construction have undergone tremendous changes,exerting a profound impact on people’s lives.As a vital component of cities,urban road i... With the continuous development of digital technology,urban management and urban construction have undergone tremendous changes,exerting a profound impact on people’s lives.As a vital component of cities,urban road infrastructure is closely related to the daily lives of citizens.The application of digital twin technology can provide more support for the full lifecycle operation and maintenance management of urban road infrastructure,effectively improving the quality and efficiency of operation and maintenance management,ensuring the effectiveness of urban road infrastructure,and building a higher-quality urban life.Based on urban road infrastructure,this paper analyzes the application value of digital twin technology,proposes strategies for full lifecycle operation and maintenance management,and offers more references for urban construction. 展开更多
关键词 Digital twin technology Urban roads INFRASTRUCTURE Full lifecycle Operation and maintenance management
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Research Progress in Predictive Maintenance of Offshore Platform Structures Based on Digital Twin Technology
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作者 Jincheng Sha Jiancheng Leng +2 位作者 Houbin Mao Jinyuan Pei Kaixin Diao 《哈尔滨工程大学学报(英文版)》 2025年第5期877-899,共23页
Offshore platforms are large,complex structures designed for long-term service,and they are characterized by high risk and significant investment.Ensuring the safety and reliability of in-service offshore platforms re... Offshore platforms are large,complex structures designed for long-term service,and they are characterized by high risk and significant investment.Ensuring the safety and reliability of in-service offshore platforms requires intelligent operation and maintenance strategies.Digital twin technology can enable the accurate description and prediction of changes in the platform’s physical state through real-time monitoring data.This technology is expected to revolutionize the maintenance of existing offshore platform structures.A digital twin system is proposed for real-time assessment of structural health,prediction of residual life,formulation of maintenance plans,and extension of service life through predictive maintenance.The system integrates physical entities,digital models,intelligent predictive maintenance tools,a visualization platform,and interconnected modules to provide a comprehensive and efficient maintenance framework.This paper examines the current development status of core technologies in physical entity monitoring,digital model construction,and intelligent predictive maintenance.It also outlines future directions for the advancement of these technologies within the digital twin system,offering technical insights and practical references to support further research and applications of digital twin technology in offshore platform structures. 展开更多
关键词 Offshore platform Digital twin Physical entity monitoring Digital model construction Predictive maintenance
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The Impact of Digital-Intelligent Health Education on Dry Weight Management in Patients Undergoing Maintenance Hemodialysis
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作者 Yujuan Dai 《Journal of Clinical and Nursing Research》 2025年第10期49-55,共7页
Objective:To evaluate the effectiveness of digital-intelligent health education for patients undergoing maintenance hemodialysis.Methods:From December 2023 to December 2024,82 patients undergoing maintenance hemodialy... Objective:To evaluate the effectiveness of digital-intelligent health education for patients undergoing maintenance hemodialysis.Methods:From December 2023 to December 2024,82 patients undergoing maintenance hemodialysis in our hospital were selected and randomly divided into an observation group(n=41,receiving routine health education)and a control group(n=41,receiving digital health education).The levels of knowledge,belief,and behavior related to dry weight control,as well as changes in dry weight and complications,were compared before and after intervention.Results:After intervention,the observation group had higher scores for knowledge(40.96±6.43),belief(39.11±6.39),behavior(39.66±5.78),and total score(119.04±13.11)compared to the control group(p<0.05).The observation group also showed better dry weight control than the control group(p<0.05).The total incidence of complications in the observation group(4.88%,2/41)was lower than that in the control group(21.95%,9/41)(p<0.05).Conclusion:The rational application of digital-intelligent health education can effectively maintain dry weight in patients undergoing maintenance hemodialysis,reduce complications,and improve patients’knowledge,belief,and behavior levels.This approach is worthy of promotion. 展开更多
关键词 Digital-intelligent Health education maintenance hemodialysis Dry weight
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A Two-Stage Wiener Degradation Model-Based Approach for Visual Maintenance of Photovoltaic Modules
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作者 Jie Lin Hongchi Shen +1 位作者 Tingting Pei Yan Wu 《Energy Engineering》 2025年第6期2449-2463,共15页
This study proposes a novel visual maintenance method for photovoltaic(PV)modules based on a two-stage Wiener degradation model,addressing the limitations of traditional PV maintenance strategies that often result in ... This study proposes a novel visual maintenance method for photovoltaic(PV)modules based on a two-stage Wiener degradation model,addressing the limitations of traditional PV maintenance strategies that often result in insufficient or excessive maintenance.The approach begins by constructing a two-stage Wiener process performance degradation model and a remaining life prediction model under perfect maintenance conditions using historical degradation data of PV modules.This enables accurate determination of the optimal timing for postfailure corrective maintenance.To optimize the maintenance strategy,the study establishes a comprehensive cost model aimed at minimizing the long-term average cost rate.The model considers multiple cost factors,including inspection costs,preventive maintenance costs,restorative maintenance costs,and penalty costs associated with delayed fault detection.Through this optimization framework,the method determines both the optimal maintenance threshold and the ideal timing for predictive maintenance actions.Comparative analysis demonstrates that the twostage Wiener model provides superior fitting performance compared to conventional linear and nonlinear degradation models.When evaluated against traditional maintenance approaches,including Wiener process-based corrective maintenance strategies and static periodic maintenance strategies,the proposed method demonstrates significant advantages in reducing overall operational costs while extending the effective service life of PV components.The method achieves these improvements through effective coordination between reliability optimization and economic benefit maximization,leading to enhanced power generation performance.These results indicate that the proposed approach offers a more balanced and efficient solution for PV system maintenance. 展开更多
关键词 Photovoltaic module remaining life maintenance strategy Wiener modeling
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