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AVAILABILITY SIMULATION OF MULTI-COMPONENT SYSTEM BASED ON OPPORTUNISTIC MAINTENANCE POLICY 被引量:5
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作者 蔡景 左洪福 吕德峰 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI 2009年第3期219-223,共5页
A multi-component system has the long fixed maintenance time, so the opportunistic maintenance policy is adopted to put preventive replacement and corrective replacement together, so that the long fixed maintenance ti... A multi-component system has the long fixed maintenance time, so the opportunistic maintenance policy is adopted to put preventive replacement and corrective replacement together, so that the long fixed maintenance time can be shared by more than one component, and the system availability can be improved. Then, the generation characteristics of the random failure time are researched based on the replacement maintenance and the minima[ maintenance. Furthermore, by choosing the opportunistic replacement ages of each component as opti- mized variables, a simulation algorithm based on an opportunistic maintenance policy is designed to maximize the total availability. Finally, the simulation result shows the validity of the algorithm by an example. 展开更多
关键词 AVAILABILITY multi-component system ALGORITHMS opportunistic maintenance minimal maintenance
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Multi-component opportunistic maintenance optimization for wind turbines with consideration of seasonal factor 被引量:4
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作者 SU Chun HU Zhao-yong LIU Yang 《Journal of Central South University》 SCIE EI CAS CSCD 2020年第2期490-499,共10页
Aiming at wind turbines,the opportunistic maintenance optimization is carried out for multi-component system,where minimal repair,imperfect repair,replacement as well as their effects on component’s effective age are... Aiming at wind turbines,the opportunistic maintenance optimization is carried out for multi-component system,where minimal repair,imperfect repair,replacement as well as their effects on component’s effective age are considered.At each inspection point,appropriate maintenance mode is selected according to the component’s effective age and its maintenance threshold.To utilize the maintenance opportunities for the components among the wind turbines,opportunistic maintenance approach is adopted.Meanwhile,the influence of seasonal factor on the component’s failure rate and improvement factor’s decrease with the increase of repair’s times are also taken into account.The maintenance threshold is set as the decision variable,and an opportunistic maintenance optimization model is proposed to minimize wind turbine’s life-cycle maintenance cost.Moreover,genetic algorithm is adopted to solve the model,and the effectiveness is verified with a case study.The results show that based on the component’s inherent reliability and maintainability,the proposed model can provide optimal maintenance plans accordingly.Furthermore,the higher the component’s reliability and maintainability are,the less the times of repair and replacement will be. 展开更多
关键词 wind turbine RELIABILITY seasonal factor multi-component maintenance opportunistic maintenance
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An Integrated Approach to Condition-Based Maintenance Decision-Making of Planetary Gearboxes: Combining Temporal Convolutional Network Auto Encoders with Wiener Process
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作者 Bo Zhu Enzhi Dong +3 位作者 Zhonghua Cheng Xianbiao Zhan Kexin Jiang Rongcai Wang 《Computers, Materials & Continua》 2026年第1期661-686,共26页
With the increasing complexity of industrial automation,planetary gearboxes play a vital role in largescale equipment transmission systems,directly impacting operational efficiency and safety.Traditional maintenance s... With the increasing complexity of industrial automation,planetary gearboxes play a vital role in largescale equipment transmission systems,directly impacting operational efficiency and safety.Traditional maintenance strategies often struggle to accurately predict the degradation process of equipment,leading to excessive maintenance costs or potential failure risks.However,existing prediction methods based on statistical models are difficult to adapt to nonlinear degradation processes.To address these challenges,this study proposes a novel condition-based maintenance framework for planetary gearboxes.A comprehensive full-lifecycle degradation experiment was conducted to collect raw vibration signals,which were then processed using a temporal convolutional network autoencoder with multi-scale perception capability to extract deep temporal degradation features,enabling the collaborative extraction of longperiod meshing frequencies and short-term impact features from the vibration signals.Kernel principal component analysis was employed to fuse and normalize these features,enhancing the characterization of degradation progression.A nonlinear Wiener process was used to model the degradation trajectory,with a threshold decay function introduced to dynamically adjust maintenance strategies,and model parameters optimized through maximum likelihood estimation.Meanwhile,the maintenance strategy was optimized to minimize costs per unit time,determining the optimal maintenance timing and preventive maintenance threshold.The comprehensive indicator of degradation trends extracted by this method reaches 0.756,which is 41.2%higher than that of traditional time-domain features;the dynamic threshold strategy reduces the maintenance cost per unit time to 55.56,which is 8.9%better than that of the static threshold optimization.Experimental results demonstrate significant reductions in maintenance costs while enhancing system reliability and safety.This study realizes the organic integration of deep learning and reliability theory in the maintenance of planetary gearboxes,provides an interpretable solution for the predictive maintenance of complex mechanical systems,and promotes the development of condition-based maintenance strategies for planetary gearboxes. 展开更多
关键词 Temporal convolutional network autoencoder full lifecycle degradation experiment nonlinear Wiener process condition-based maintenance decision-making fault monitoring
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Opportunistic maintenance for multi-component systems considering structural dependence and economic dependence 被引量:6
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作者 Junbao Geng Michael Azarian Michael Pecht 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2015年第3期493-501,共9页
Although opportunistic maintenance strategies are widely used for multi-component systems, all opportunistic mainte- nance strategies only consider economic dependence and do not take structural dependence into accoun... Although opportunistic maintenance strategies are widely used for multi-component systems, all opportunistic mainte- nance strategies only consider economic dependence and do not take structural dependence into account. An opportunistic main- tenance strategy is presented for a multi-component system that considers both structural dependence and economic dependence. The cost relation and time relation among components based on structural dependence are developed. The maintenance strategy for each component of a multi-component system involves one of five maintenance actions, namely, no-maintenance, a minimal maintenance action, an imperfect maintenance action, a perfect maintenance action, and a replacement action. The maintenance action is determined by the virtual age of the component, the life expectancy of the component, and the age threshold values. Monte Carlo simulation is designed to obtain the optimal oppor- tunistic maintenance strategy of the system over its lifetime. The simulation result reveals that the minimum maintenance cost with a strategy that considers structural dependence is less than that with a strategy that does not consider structural dependence. The availability with a strategy that considers structural dependence is greater than that with a strategy that does not consider structural dependence under the same conditions. 展开更多
关键词 opportunistic maintenance multi-component system structural dependence Monte Carlo simulation maintenance cost.
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Data Mining-Based Maintenance Management Framework of Multi-component System 被引量:4
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作者 周瑜 《Journal of Donghua University(English Edition)》 EI CAS 2015年第6期950-953,共4页
Complex repairable system is composed of thousands of components.Some maintenance management and decision problems in maintenance management and decision need to classify a set of components into several classes based... Complex repairable system is composed of thousands of components.Some maintenance management and decision problems in maintenance management and decision need to classify a set of components into several classes based on data mining.Furthermore,with the complexity of industrial equipment increasing,the managers should pay more attention to the key components and carry out the lean management is very important.Therefore,the idea"customer segmentation"of"precise marketing"can be used in the maintenance management of the multi-component system.Following the idea of segmentation,the components of multicomponent systems should be subdivied into groups based on specific attributes relevant to maintenance,such as maintenance cost,mean time between failures,and failure frequency.For the target specific groups of parts,the optimal maintenance policy,health assessment and maintenance scheduling can be determined.The proposed analysis framework will be given out.In order to illustrate the effectiveness of this method,a numerical example is given out. 展开更多
关键词 maintenance management multi-component system data mining association rules CLUSTERING
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Overview of Condition-Based Maintenance Decision-Making Optimization Modeling of Multi-component System 被引量:1
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作者 WANG Lei ZHANG Yaohui 《Journal of Donghua University(English Edition)》 EI CAS 2018年第4期353-356,共4页
Overview about three key contents of condition-based maintenance decision-making of a multi-component system is analyzed based on maintenance optimization and modeling. The component deterioration model, the correlati... Overview about three key contents of condition-based maintenance decision-making of a multi-component system is analyzed based on maintenance optimization and modeling. The component deterioration model, the correlation between the degraded components and the system configuration are analyzed separately in the deterioration model of multi-component system.For the maintenance polices,the opportunistic maintenance( OM)policy and the grouping maintenance( GM) policy are analyzed and summarized in combination with the condition-based maintenance( CBM) modeling of multi-component system. It is put forward that CBM modeling of multi-component system should be further researched based on the inspection interval and the maintenance threshold of multi-component system in availability. 展开更多
关键词 multi-component SYSTEM condition-based maintenance maintenance polices
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Remaining Useful Life Prediction Method for Multi-Component System Considering Maintenance:Subsea Christmas Tree System as A Case Study 被引量:1
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作者 WU Qi-bing CAI Bao-ping +5 位作者 FAN Hong-yan WANG Guan-nan RAO Xi GE Weifeng SHAO Xiao-yan LIU Yong-hong 《China Ocean Engineering》 SCIE EI CSCD 2024年第2期198-209,共12页
Maintenance is an important technical measure to maintain and restore the performance status of equipment and ensure the safety of the production process in industrial production,and is an indispensable part of predic... Maintenance is an important technical measure to maintain and restore the performance status of equipment and ensure the safety of the production process in industrial production,and is an indispensable part of prediction and health management.However,most of the existing remaining useful life(RUL)prediction methods assume that there is no maintenance or only perfect maintenance during the whole life cycle;thus,the predicted RUL value of the system is obviously lower than its actual operating value.The complex environment of the system further increases the difficulty of maintenance,and its maintenance nodes and maintenance degree are limited by the construction period and working conditions,which increases the difficulty of RUL prediction.An RUL prediction method for a multi-omponent system based on the Wiener process considering maintenance is proposed.The performance degradation model of components is established by a dynamic Bayesian network as the initial model,which solves the uncertainty of insufficient data problems.Based on the experience of experts,the degree of degradation is divided according to Poisson process simulation random failure,and different maintenance strategies are used to estimate a variety of condition maintenance factors.An example of a subsea tree system is given to verify the effectiveness of the proposed method. 展开更多
关键词 remaining useful life Wiener process dynamic Bayesian networks maintenance subsea Christmas tree system
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Optimization of extended warranty cost for multi-component systems with economic dependence based on group maintenance
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作者 WANG Rongcai DONG Enzhi +1 位作者 CHENG Zhonghua WANG Qian 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2023年第2期396-407,共12页
During extended warranty(EW)period,maintenance events play a key role in controlling the product systems within normal operations.However,the modelling of failure process and maintenance optimization is complicated ow... During extended warranty(EW)period,maintenance events play a key role in controlling the product systems within normal operations.However,the modelling of failure process and maintenance optimization is complicated owing to the complex features of the product system,namely,components of the multi-component system are interdependent with each other in some form.For the purpose of optimizing the EW pricing decision of the multi-component system scientifically and rationally,taking the series multi-component system with economic dependence sold with EW policy as a research object,this paper optimizes the imperfect preventive maintenance(PM)strategy from the standpoint of EW cost.Taking into consideration adjusting the PM moments of the components in the system,a group maintenance model is developed,in which the system is repaired preventively in accordance with a specified PM base interval.In order to compare with the system EW cost before group maintenance,the system EW cost model before group maintenance is developed.Numerical example demonstrates that offering group maintenance programs can reduce EW cost of the system to a great extent,thereby reducing the EW price,which proves to be a win-win strategy to manufacturers and users. 展开更多
关键词 extended warranty(EW)cost multi-component system economic dependence preventive maintenance(PM) group maintenance
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A Dynamic Maintenance Strategy for Multi-Component Systems Using a Genetic Algorithm
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作者 Dongyan Shi Hui Ma Chunlong Ma 《Computer Modeling in Engineering & Sciences》 SCIE EI 2023年第3期1899-1923,共25页
In multi-component systems,the components are dependent,rather than degenerating independently,leading to changes inmaintenance schedules.In this situation,this study proposes a grouping dynamicmaintenance strategy.Co... In multi-component systems,the components are dependent,rather than degenerating independently,leading to changes inmaintenance schedules.In this situation,this study proposes a grouping dynamicmaintenance strategy.Considering the structure of multi-component systems,the maintenance strategy is determined according to the importance of the components.The strategy can minimize the expected depreciation cost of the system and divide the system into optimal groups that meet economic requirements.First,multi-component models are grouped.Then,a failure probability model of multi-component systems is established.The maintenance parameters in each maintenance cycle are updated according to the failure probability of the components.Second,the component importance indicator is introduced into the grouping model,and the optimization model,which aimed at a maximum economic profit,is established.A genetic algorithm is used to solve the non-deterministic polynomial(NP)-complete problem in the optimization model,and the optimal grouping is obtained through the initial grouping determined by random allocation.An 11-component series and parallel system is used to illustrate the effectiveness of the proposed strategy,and the influence of the system structure and the parameters on the maintenance strategy is discussed. 展开更多
关键词 Condition-based maintenance predictive maintenance maintenance strategy genetic algorithm NP-complete problems
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A review of intelligent technologies for underground construction and infrastructure maintenance 被引量:2
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作者 Weiqiang Xie Wenzhao Meng Wei Wu 《Intelligent Geoengineering》 2025年第1期22-34,共13页
Scientific and technological advancements are rapidly transforming underground engineering,shifting from labor-intensive,time-consuming methods to automated,real-time systems.This timely and comprehensive review cover... Scientific and technological advancements are rapidly transforming underground engineering,shifting from labor-intensive,time-consuming methods to automated,real-time systems.This timely and comprehensive review covers in-situ testing,intelligent monitoring,and geophysical testing methods,highlighting fundamental principles,testing apparatuses,data processing techniques,and engineering applications.The state-of-the-art summary emphasizes not only cutting-edge innovations for complex and harsh environments but also the transformative role of artificial intelligence and machine learning in data interpretations.The integration of big data and advanced algorithms is particularly impactful,enabling the identification,prediction,and mitigation of potential risks in underground projects.Key aspects of the discussion include detection capabilities,method integration,and data convergence of intelligent technologies to drive enhanced safety,operational efficiency,and predictive reliability.The review also examines future trends in intelligent technologies,emphasizing unified platforms that combine multiple methods,real-time data,and predictive analytics.These advancements are shaping the evolution of underground construction and maintenance,aiming for risk-free,high-efficiency underground engineering. 展开更多
关键词 Underground construction Infrastructure maintenance In-situ testing Intelligent monitoring Geophysical investigation
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Correlation between anxiety, depression, self-perceived burden, and psychological resilience in patients with chronic renal failure on maintenance hemodialysis 被引量:1
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作者 Yin-Yin Ye Liang-Fei Tao +3 位作者 Yan-Lang Yang Yu-Wei Wang Xiao-Ming Yang Hai-Hong Xu 《World Journal of Psychiatry》 2025年第7期103-110,共8页
BACKGROUND Research examining the relationships among anxiety,depression,self-perceived burden(SPB),and psychological resilience(PR),along with the determinants of PR,in patients with chronic renal failure(CRF)receivi... BACKGROUND Research examining the relationships among anxiety,depression,self-perceived burden(SPB),and psychological resilience(PR),along with the determinants of PR,in patients with chronic renal failure(CRF)receiving maintenance hemodia-lysis(MHD)is limited.AIM To investigate the correlation between anxiety,depression,SPB,and PR in pati-ents with CRF on MHD.METHODS This study included 225 patients with CRF on MHD who were admitted between June 2021 and June 2024.The anxiety level was evaluated using the Self-Rating Anxiety Scale(SAS);the depression status was assessed using the Self-Rating Depression Scale(SDS);the SPB was measured using the SPB Scale(SPBS);and the PR was determined using the Connor–Davidson Resilience Scale(CD-RISC).The correlations among the SAS,SDS,SPB,and CD-RISC were analyzed using Pearson’s correlation coefficients.Univariate and multivariate analyses were performed to identify the factors that influence the PR of patients with CRF on MHD.RESULTS The SAS,SDS,SPB,and CD-RISC scores of the 225 patients were 45.25±15.36,54.81±14.68,32.31±11.52,and 66.48±9.18,respectively.Significant negative correlations were observed between SAS,SDS,SPB,and CD-RISC.Furthermore,longer dialysis vintage(P=0.015),the absence of religious beliefs(P=0.020),lower monthly income(P=0.008),higher SAS score(P=0.013),and higher SDS score(P=0.006)were all independent factors that adversely affected the PR of patients with CRF on MHD.CONCLUSION Patients with CRF on MHD present with varying degrees of anxiety,depression,and SPB,all of which exhibit a significant negative correlation with their PR.Moreover,longer dialysis vintage,the absence of religious beliefs,lower monthly income,higher SAS score,and higher SDS score were factors that negatively affected the PR of patients with CRF on MHD. 展开更多
关键词 Chronic renal failure maintenance hemodialysis ANXIETY DEPRESSION Self-perceived burden Psychological resilience
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Making Predictive Maintenance a Reality
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作者 Subash Senthil Mohanvel 《Intelligent Control and Automation》 2025年第1期1-18,共18页
While Artificial Intelligence (AI) is leading the way in terms of hardware advancements, such as GPUs, memory, and processing power, real-time applications are still catching up. It is inevitable that when one aspect ... While Artificial Intelligence (AI) is leading the way in terms of hardware advancements, such as GPUs, memory, and processing power, real-time applications are still catching up. It is inevitable that when one aspect leads and other trails behind, they coexist in life, as is often the case. The trailing aspect cannot remain far behind because, without application and use, there would be a dead end. Everything, whether an object, software, or tool, must have a practical use for humans. Without this, it will become obsolete. We can see this in many instances, such as blockchain technology, which is superior yet faces challenges in practical implementation, leading to a decline in adoption. This publication aims to bridge the gap between AI advancements and maintenance, specifically focusing on making predictive maintenance a practical application. There are multiple building blocks that make predictive maintenance a practical application. Each block performs a function leading to an output. This output forms an input to the receiving block. There are also foundational parts for all these building blocks to perform a function. Eventually, once the building blocks are connected, they form a loop and start to lead the path to predictive maintenance. Predictive maintenance is indeed practically achievable, but one must comprehend all the building blocks necessary for its implementation. Although detailed explanations will be provided in the upcoming sections, it is important to understand that simply purchasing software and plugging it in might be a far-fetched approach. 展开更多
关键词 PREDICTIVE Predictive maintenance How to Achieve Predictive maintenance
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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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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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Multi-component decompositions,linear superpositions,and new nonlinear integrable coupled KdV-type systems
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作者 Xiazhi Hao S Y Lou 《Communications in Theoretical Physics》 2025年第2期1-12,共12页
In the realm of nonlinear integrable systems,the presence of decompositions facilitates the establishment of linear superposition solutions and the derivation of novel coupled systems exhibiting nonlinear integrabilit... In the realm of nonlinear integrable systems,the presence of decompositions facilitates the establishment of linear superposition solutions and the derivation of novel coupled systems exhibiting nonlinear integrability.By focusing on single-component decompositions within the potential BKP hierarchy,it has been observed that specific linear superpositions of decomposition solutions remain consistent with the underlying equations.Moreover,through the implementation of multi-component decompositions within the potential BKP hierarchy,successful endeavors have been undertaken to formulate linear superposition solutions and novel coupled Kd V-type systems that resist decoupling via alterations in dependent variables. 展开更多
关键词 integrable system single-component decomposition multi-component decomposition linear superposition integrable coupled KdV-type system
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A facile high-efficiency preparation strategy for Al-containing multi-component boride microcrystals with superior comprehensive performance
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作者 Yong Fan Jinfeng Nie +7 位作者 Zhigang Ding Yujing Zhang Xiang Chen Wei Liu Sen Yang Sida Liu Xiangfa Liu Yonghao Zhao 《Journal of Materials Science & Technology》 2025年第1期190-203,共14页
Multi-component transition group metal borides(MMB_(2))have become a research hotspot due to their new composition design concepts and superior properties compared with conventional ceramics.Most of the current method... Multi-component transition group metal borides(MMB_(2))have become a research hotspot due to their new composition design concepts and superior properties compared with conventional ceramics.Most of the current methods,however,are complicated and time-consuming,the mass production remains a chal-lenge.Herein,we proposed a new high-efficiency strategy for synthesis of MMB_(2)using molten aluminum as the medium for the first time.The prepared Al-containing multi-component borides(TiZrHfNbTa)B_(2)microcrystals had a homogeneous composition with a hexagonal AlB_(2)structure and ultra-high hardness value of∼35.3 GPa,which was much higher than data reported in the literature and the rule of mix-ture estimations.Furthermore,combined with the First-principles calculation results,we found that the Poisson’s ratio(v)values exhibit a clearly ascending trend from 0.17 at VEC=3.5 to 0.18 at VEC=3.4,then to 0.201 at VEC=3.2 with the increasing of Al content.This indicates that the intrinsic toughness of multi-component boride microcrystals is obviously enhanced by the trace-doped Al elements.Besides,the fabricated Al-containing multi-component boride microcrystals have superior oxidation activation en-ergy and structural stability.The enhanced oxidation resistance is mainly attributed to the formation of a protective Al2 O3 oxide layer and the lattice distortion,both of which lead to sluggish diffusion of O_(2).These findings propose a new unexplored avenue for the fabrication of MMB_(2)materials with supe-rior comprehensive performance including ultra-hardness and intrinsically improved thermo-mechanical properties. 展开更多
关键词 multi-component borides First-principles calculations Crystal growth Mechanical properties Oxidation behavior
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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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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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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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