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Influence of earthquake ground motion incoherency on multi-support structures 被引量:8
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作者 杨庆山 M.Saiid Saiidi +1 位作者 王航 Ahmad Itani 《Earthquake Engineering and Engineering Vibration》 SCIE EI CSCD 2002年第2期167-180,共14页
A linear response history analysis method is used to determine the influence of three factors:geometric incoherency,wave-passage,and local site characteristics on the response of lnulti-support structures subjected to... A linear response history analysis method is used to determine the influence of three factors:geometric incoherency,wave-passage,and local site characteristics on the response of lnulti-support structures subjected to differential ground motions.A one-span frame and a reduced model of a 24-span bridge,located in Las Vegas,Nevada are studied,in which the influence of each of the three factors and their combinations are analyzed.It is revealed that the incoherency of earthquake ground motion can have a dramatic influence on structural response by modifying the dynamics response to uniform excitation and inducing pseudo-static response,which does not exist in structures subjected to uniform excitation.The total response when all three sources of ground motion incoherency are included is generally larger than that of uniform excitation. 展开更多
关键词 EARTHQUAKE BRIDGES ground motion incoherency wave passage local site characteristics multi-support structures
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Experimental Investigation and Optimization Design of Multi-Support Pipeline System 被引量:15
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作者 Xiantao Zhang Wei Liu +1 位作者 Yamei Zhang Yujie Zhao 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2021年第2期135-149,共15页
The design of aircraft hydraulic pipeline system is limited by many factors,such as the integrity of aviation structure or narrow installation space,so the limited clamp support position should be considered.This pape... The design of aircraft hydraulic pipeline system is limited by many factors,such as the integrity of aviation structure or narrow installation space,so the limited clamp support position should be considered.This paper studied the frequency adjustment and dynamic responses reduction of the multi-support pipeline system through experiment and numerical simulation.To avoid the resonance of pipeline system,we proposed two different optimization programs,one was to avoid aero-engine working range,and another was to avoid aircraft hydraulic pump pulsation range.An optimization method was introduced in this paper to obtain the optimal clamp position.The experiments were introduced to validate the optimization results,and the theoretical optimization results can agree well with the test.With regard to avoiding the aero-engine vibration frequency,the test results revealed that the first natural frequency was far from the aero-engine vibration frequency.And the dynamic frequency sweep results showed that no resonance occurred on the pipeline in the engine vibration frequency range after optimization.Additionally,with regard to avoiding the pump vibration frequency,the test results revealed that natural frequencies have been adjusted and far from the pump vibration frequency.And the dynamic frequency sweep results showed that pipeline under optimal clamp position cannot lead to resonance.The sensitivity analysis results revealed the changing relationships between different clamp position and natural frequency.This study can provide helpful guidance on the analysis and design of practical aircraft pipeline. 展开更多
关键词 multi-support pipeline system Clamp position optimization Frequency adjustment design Dynamic responses
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Seismic response of large-span spatial structures under multi-support and multidimensional excitations including rotational components 被引量:3
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作者 Zhang Jie Li Hongnan Li Chao 《Earthquake Engineering and Engineering Vibration》 SCIE EI CSCD 2021年第1期141-159,共19页
To achieve rational and precise seismic response predictions of large span spatial structures(LSSSs),the inherent non-uniformity and multidimensionality characteristics of earthquake ground motions should be properly ... To achieve rational and precise seismic response predictions of large span spatial structures(LSSSs),the inherent non-uniformity and multidimensionality characteristics of earthquake ground motions should be properly taken into consideration.However,due to the limitations of available earthquake stations to record seismic rotational components,the effects of rocking and torsional earthquake components are commonly neglected in the seismic analyses of LSSSs.In this study,a newly developed method to extract the rocking and torsion components at any point along the area of a deployed dense array from the translational earthquake recordings is applied to obtain the rotational seismic inputs for a LSSS.The numerical model of an actual LSSS,the Dalian International Conference Center(DICC),is developed to study the influences of multi-support and multidimensional excitations on the seismic responses of LSSSs.The numerical results reveal that the non-uniformity and multidimensionality of ground motion input can considerably affect the dynamic response of the DICC.The specific degree of influence on the overall and local structural displacements,deformations and forces are comprehensively investigated and discussed. 展开更多
关键词 large-span spatial structures seismic responses multi-support MULTIDIMENSIONAL rotational components
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A new spatial coherence model and analytical coeffi cients for multi-support response spectrum combination 被引量:2
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作者 王君杰 陈虎 《Earthquake Engineering and Engineering Vibration》 SCIE EI CSCD 2007年第3期225-235,共11页
In this paper, a new spatial coherence model of seismic ground motions is proposed by a fitting procedure. The analytical expressions of modal combination (correlation) coefficients of structural response are develo... In this paper, a new spatial coherence model of seismic ground motions is proposed by a fitting procedure. The analytical expressions of modal combination (correlation) coefficients of structural response are developed for multi-support seismic excitations. The coefficients from both the numerical integration and analytical solutions are compared to verify the accuracy of the solutions. It is shown that the analytical expressions of numerical modal combination coefficients are of high accuracy. The results of random responses of an example bridge show that the analytical modal combination coefficients developed in this paper are accurate enough to meet the requirements needed in practice. In addition, the computational efficiency of the analytical solutions of the modal combination coefficients is demonstrated by the response computation of the example bridge. It is found that the time required for the structural response analysis by using the analytical modal combination coefficients is less than 1/20 of that using numerical integral methods. 展开更多
关键词 multi-support seismic excitations spatial coherence model modal combination coefficients computational efficiency power spectrum density
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Research on the random seismic response analysis for multi- and large-span structures to multi-support excitations 被引量:3
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作者 Zhao Bo Wang Yuanqing +3 位作者 Chen Zhihua Shi Yongjiu Jiang Yang Wang Yihong 《Earthquake Engineering and Engineering Vibration》 SCIE EI CSCD 2015年第3期527-538,共12页
The pseudo excitation method(PEM) has been improved into a more practical form,on which the analytic formulae of seismic response power spectral density(PSD) of simplified large-span structural models have been derive... The pseudo excitation method(PEM) has been improved into a more practical form,on which the analytic formulae of seismic response power spectral density(PSD) of simplified large-span structural models have been derived.The analytic formulae and numerical computing results of seismic response PSD have been derived to study the mechanism of multi-support excitation effects,such as the wave-passage effect and incoherence effect,for the seismic response of multiand large-span structures.By using a multi-span truss as an example,the influence of multi-support excitation effects on the seismic response of such structures is studied. 展开更多
关键词 random seismic response multi-support excitations
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Seismic Response Analysis of Long-Span Suspen-Dome under Multi-Support Excitations 被引量:2
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作者 陈志华 乔文涛 王小盾 《Transactions of Tianjin University》 EI CAS 2010年第6期424-432,共9页
A practical suspen-dome project, Changzhou Gym roof, is adopted as an example and its transient analysis based on the multi-support excitations of the earthquake wave is carried out. Compared with the single support e... A practical suspen-dome project, Changzhou Gym roof, is adopted as an example and its transient analysis based on the multi-support excitations of the earthquake wave is carried out. Compared with the single support excitation, the position and value of the maximum stress under multi-support excitations both change and the amount of elements with obvious changes is large and more than 70% of the total. Moreover, when other terms are not changed, this influence will decrease as the span decreases, but increa... 展开更多
关键词 SUSPEN-DOME multi-support excitations single support excitation earthquake wave passage effect
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Nonlinear analysis of pounding between decks of multi-span bridge subjected to multi-support and multi-dimensional earthquake excitation
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作者 张海 焦莉 林君南 《Journal of Central South University》 SCIE EI CAS 2013年第9期2546-2554,共9页
The nonlinear analysis of pounding between bridge deck segments subjected to multi-support excitations and multi-dimensional earthquake motion was performed.A novel bottom rigid element(BRE)method of the current displ... The nonlinear analysis of pounding between bridge deck segments subjected to multi-support excitations and multi-dimensional earthquake motion was performed.A novel bottom rigid element(BRE)method of the current displacement input model for structural seismic analysis under the multi-support excitations was used to calculate structural dynamic response.In the analysis,pounding between adjacent deck segments was considered.The seismic response of a multi-span bridge subjected to the multi-support excitation,considering not only the traveling-wave effect and partial coherence effect,but also the seismic non-stationary characteristics of multi-support earthquake motion,was simulated using finite element method(FEM).Meanwhile,the seismic response of the bridge under uniform earthquake was also analyzed.Finally,comparative analysis was conducted and some calculation results were shown for pounding effect,under multi-dimensional and multi-support earthquake motion,when performing seismic response analysis of multi-span bridge.Compared with the case of uniform/multi-support/multi-support and multi-dimensional earthquake input,the maximum values of pounding force in the case of multi-support and multi-dimensional earthquake input increase by about 5 8 times;the absolute value of bottom moment and shear force of piers increase by about50%600%and 23.1%900%,respectively.A conclusion can be given that it is very necessary to consider the pounding effect under multi-dimensional and multi-support earthquake motion while performing seismic response analysis of multi-span bridge. 展开更多
关键词 POUNDING bridge bottom rigid method (BRE) multi-dimensional and multi-support earthquake motion
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The Liner Formulas between the Supporting Force and Axis Warp of Large-scale Rotary Kiln with Multi-support
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作者 Zhu Pingyu Shen Yiping +1 位作者 Li Ping Li Xuejun 《工程科学(英文版)》 2007年第2期214-220,共7页
Kilns are the key equipment in the metallurgy,architectural and chemistry industry.It is the statically indeterminate system with over load,large torque and multi-support.The kiln move axis warp resulting in that the ... Kilns are the key equipment in the metallurgy,architectural and chemistry industry.It is the statically indeterminate system with over load,large torque and multi-support.The kiln move axis warp resulting in that the load distribution is asymmetry,cause many mechanical failure and safe accidents and the interruption of the produce,which bring a great losses.Treating the distribution of the kiln load and the complexity of the stiffness change,the all-purpose model and matrix,used to solve the variable-stiffness beam upon complex load,are established in this paper.The resultant force of kiln in vertical and horizontal direction is calculated.Accordingly,the liner formulas for calculating the supporting force of the support wheels are obtained,and the wheel supporting force also can be easily obtained based on each shell warp.This will provide theory conference for safety management and rational maintenance. 展开更多
关键词 multi-support rotary kiln axis warp supporting force linear formula
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Seismic performance assessment of a precast segmental column bridge considering soil-structure interaction and depth-varying multi-support ground motioninputs
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作者 Yucheng DIAO Chao LI +2 位作者 Hongnan LI Huihui DONG Ertong HAO 《Frontiers of Structural and Civil Engineering》 2025年第9期1478-1492,共15页
The precast segmental column(PSC)plays a vital role in both the design of new bridges and the rehabilitation of existing ones.Previous studies of PSCs have primarily focused on their individual seismic behavior.Howeve... The precast segmental column(PSC)plays a vital role in both the design of new bridges and the rehabilitation of existing ones.Previous studies of PSCs have primarily focused on their individual seismic behavior.However,research on the seismic performance of entire bridges supported by PSCs,particularly those incorporating soil-structure interaction(SSI),remains limited.Moreover,the amplification of earthquake waves as they propagate along the pile foundation to the surface,coupled with the coherency loss between earthquake motions at varying supports,may further impact the seismic responses of such bridges.This study systematically assesses the seismic performance of a PSC bridge(PSCB)supported by pile foundations considering the effects of SSI and depth-varying multi-support ground motions.Moreover,a benchmark bridge with the traditional monolithic column is also analyzed for comparison.The seismic fragility of bridges is calculated based on nonlinear time history analyses and joint probability density functions for both peak and residual responses.Parameter studies are conducted to reveal the influences of sSI,non-uniform excitation,and depth-varying earthquake loads on seismic performance assessments.This paper offers valuable insights for the reliable analysis of seismic response and fragility and the safety design of PSCB systems. 展开更多
关键词 precast segmental column bridge soil-structure interaction depth-varying multi-support ground motions seismic performance monolithic column bridge
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基坑多级支护机理研究与基于MARS优化分析
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作者 刘畅 代学震 任彦华 《土木工程学报》 北大核心 2026年第2期145-160,共16页
基坑多级支护是在预留反压土两侧设计支护桩的新型无支撑支护方式,其可以在取消水平内支撑的同时,达到足够的变形和稳定性控制要求。而桩顶连梁的设置可以进一步提升支护结构变形控制能力。基于天津市某基坑多级支护的工程实测数据,通... 基坑多级支护是在预留反压土两侧设计支护桩的新型无支撑支护方式,其可以在取消水平内支撑的同时,达到足够的变形和稳定性控制要求。而桩顶连梁的设置可以进一步提升支护结构变形控制能力。基于天津市某基坑多级支护的工程实测数据,通过有限元分析软件PLAXIS 3D进行数值分析,对有无设置桩顶连梁的多级支护结构的桩土相对位移、净桩侧摩阻力、桩体变形、桩体受力、土体位移场分布等开展分析,揭示了设置连梁工况下多级支护的工作机理,并结合MARS软件对多级支护结构提出工程优化建议。研究发现:两级桩发挥“地基梁、反压土、限位及刚架”作用,高效控制结构变形;其中,连梁、冠梁、两级桩体形成整体的刚架作用,提升了整体多级支护结构的稳定性与变形控制效果;由于桩侧摩阻力作用的充分发挥,支护结构产生自撑效应,高效控制结构变形。当两级支护间距处于1.5倍的基坑开挖深度范围时,设置连梁可以实现对桩体变形、坑内隆起及坑外沉降的有效控制。此外,当土质较为均匀时,两级支护桩长设置约为1.8倍基坑开挖深度、一级坑开挖深度比约为0.5,支护结构变形控制最小,成本控制最佳。 展开更多
关键词 基坑支护 多级支护桩 作用机理 MARS
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构建基于多元主体协作的女大学生就业精准帮扶体系
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作者 杨文飞 《安阳工学院学报》 2026年第1期79-82,共4页
随着经济结构性改革的深化和高校毕业人数的不断增多,女大学生就业难已成为一项社会性问题。为了有效帮助女大学生群体顺利就业,迫切需要政府、高校、企业三大帮扶主体在资源、力量等方面加强投入,并形成普适性帮扶框架。基于多元主体... 随着经济结构性改革的深化和高校毕业人数的不断增多,女大学生就业难已成为一项社会性问题。为了有效帮助女大学生群体顺利就业,迫切需要政府、高校、企业三大帮扶主体在资源、力量等方面加强投入,并形成普适性帮扶框架。基于多元主体协作的女大学生就业精准帮扶体系通过构建“精准识别-动态适配-长效跟踪”的帮扶闭环,实现各方主体的联动,能够促进女大学生的职业发展,并将成果扩展至全体大学生,最终推动高校全体大学生高质量就业。 展开更多
关键词 女大学生 就业帮扶 多元主体协作 精准帮扶体系 职业发展
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核环吊单点激励与多点激励地震响应对比分析
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作者 刘华理 滕儒民 +2 位作者 蒋建阳 李永亮 朱涛 《大连理工大学学报》 北大核心 2026年第1期78-85,共8页
为研究多点激励对核环吊抗震分析的影响,建立了考虑非线性因素的核环吊有限元模型.采用单点激励与多点激励不同时程分析方法进行对比研究,并选取300、600、1 000 m/s三种视波速的行波效应工况对核环吊进行多点激励抗震分析.结果表明:相... 为研究多点激励对核环吊抗震分析的影响,建立了考虑非线性因素的核环吊有限元模型.采用单点激励与多点激励不同时程分析方法进行对比研究,并选取300、600、1 000 m/s三种视波速的行波效应工况对核环吊进行多点激励抗震分析.结果表明:相同地震波输入下单点激励与多点激励各方法计算所得的核环吊地震响应结果较为接近;行波效应下核环吊各结构部件作用力均发生不同变化,多数结构应力响应减小,不同工况钢丝绳力、水平轮力、垂直台车力响应峰值较单点激励结果浮动-20%~13%,结构响应随视波速变化的规律因部件以及地震波传播方向不同而各有差异.计算方法应根据工程实际需要合理选择,以更加真实全面地评定核环吊的抗震性能. 展开更多
关键词 核环吊 地震响应 多点激励 时程分析 行波效应
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Vibration test and analysis of Laoshan bicycle gymnasium for the Olympic Games under multi-support excitations 被引量:5
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作者 YE JiHong ZHOU ShuLu +2 位作者 BAO Wei WEI Zheng LI ZhiJun 《Science China(Technological Sciences)》 SCIE EI CAS 2008年第9期1516-1529,共14页
The vibration tests of Laoshan bicycle gymnasium for the Olympic Games are performed under multi-support excitations in order to verify the effectiveness of multi-support time history method. The excitation sources co... The vibration tests of Laoshan bicycle gymnasium for the Olympic Games are performed under multi-support excitations in order to verify the effectiveness of multi-support time history method. The excitation sources come from the impact forces acting on the ring beam of the reticulated structure, on the basis of which the records of motions of each excited point and corresponding structural vibration responses are all collected. The theoretical analytical model of the structure is further established and the structural dynamic responses are obtained subjected to the same excitation case via multi-support time history method. The calculation results are generally in agreement with those of the test in both time domain and frequency domain, which verify the effectiveness of multi-support time history method. The vibration test can also provide references for long-span structures under multi-support excitations. 展开更多
关键词 VIBRATION test multi-support EXCITATION multi-support TIME HISTORY method
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自由贸易试验区视阈下政府支持水平、财富水平对城市创新能力的影响
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作者 燕楠 许娜瑞 《科技与经济》 2026年第1期66-70,共5页
2013年至今,我国已设立22个自由贸易试验区,其推动我国社会经济和外贸实现高质量发展,并显著影响所在城市的创新能力。基于2012—2023年具有代表性的222个城市的面板数据,采用多时点双重差分的方法,在双固定模型下检验了自由贸易试验区... 2013年至今,我国已设立22个自由贸易试验区,其推动我国社会经济和外贸实现高质量发展,并显著影响所在城市的创新能力。基于2012—2023年具有代表性的222个城市的面板数据,采用多时点双重差分的方法,在双固定模型下检验了自由贸易试验区视阈下政府支持水平和财富水平二者对城市创新能力的影响。研究表明,政府支持水平和财富水平对自由贸易试验区所在城市创新能力具有正向的中介作用影响。未来我国应扩大自由贸易试验区的设立范围,积极发挥政府在自由贸易试验区建设中的职能,提高城市的财富水平,推动社会共同富裕的实现,进一步推动经济高质量发展,实现强国富民的中国式现代化目标。 展开更多
关键词 自由贸易试验区 城市创新 政府支持水平 财富水平 多时点双重差分
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水域下埋隧道的凸形场区SV波散射地震差动及桥梁非线性响应
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作者 李鑫洋 柳国环 陈志超 《振动工程学报》 北大核心 2026年第1期215-226,共12页
开展并实现基于SV波散射理论的隧道和其上覆水凸形场区多点地震动模拟,研究相干模型、地貌及隧道埋深对地震动以及长大桥梁非线性响应的影响。基于区域分解及波动理论,求解场地SV波散射理论解(获得传递函数)并获得自功率谱;基于传递函... 开展并实现基于SV波散射理论的隧道和其上覆水凸形场区多点地震动模拟,研究相干模型、地貌及隧道埋深对地震动以及长大桥梁非线性响应的影响。基于区域分解及波动理论,求解场地SV波散射理论解(获得传递函数)并获得自功率谱;基于传递函数和覆水相干模型得到互功率谱,由此集成地下功率谱矩阵;生成多点相干地震动并从物理本质揭示场地特征对其产生的影响;将覆水凸起-隧道场地激发的地震动视作“自由场”,采用自编人工边界程序精准输入到土-连续刚构桥有限元模型,探究了覆水相干、埋置隧道及地形效应对结构的影响。结果显示:与传统相干函数相比,覆水相干函数降低了水域场地多点地震动幅值但增大了其空间变异性,导致结构响应存在差异;隧道位置显著改变SV波散射场,导致浅埋隧道地下多点地震动差异性及幅值提升,结构位移及应力峰值普遍大于深埋情况;地形效应改变了桥梁破坏模式。地表输入放大了结构响应且破坏时间早于地下多点激励,钢筋更早进入非线性反应阶段。场地覆水、隧道埋深及地形对桥梁地震响应的影响不容忽视,应当予以考虑以免误估结构响应。 展开更多
关键词 地下多点地震动 隧道埋深 桥梁工程 覆水相干函数 非线性响应
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基于ISSA优化SVM的牵引变压器故障诊断方法研究
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作者 马月红 王晓成 +3 位作者 李桂景 赵慧亮 赵辰 曹彦敏 《铁道学报》 北大核心 2026年第2期48-55,共8页
准确评估铁路牵引变电站内牵引变压器的运行状态,对铁路输变电具有重要意义。针对支持向量机(SVM)在变压器故障诊断中易受最优参数影响,导致诊断准确率低、稳定性差等问题,提出一种多策略改进的麻雀搜索算法(ISSA),用于优化支持向量机... 准确评估铁路牵引变电站内牵引变压器的运行状态,对铁路输变电具有重要意义。针对支持向量机(SVM)在变压器故障诊断中易受最优参数影响,导致诊断准确率低、稳定性差等问题,提出一种多策略改进的麻雀搜索算法(ISSA),用于优化支持向量机的参数。采用种群精英初始化,在发现者中引入正弦动态自适应权重,在加入者和警戒者中分别引入切线飞行算子和柯西逆算子对原始麻雀搜索算法进行改进;对支持向量机的参数进行寻优;将模型应用于变压器的故障诊断中。仿真试验结果表明,ISSA算法在测试函数评价指标中优于对比的4种算法,利用优化后的支持向量机对变压器进行故障诊断的准确率相较于其他5种模型分别提高8.7%、7.9%、12.6%、11%、14.2%,具有较高的诊断准确率。 展开更多
关键词 牵引变压器 麻雀搜索算法 多策略改进 支持向量机 故障诊断
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基于多特征融合的轴承故障诊断方法
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作者 张娜 王卓 +1 位作者 王枭雄 白晓平 《现代电子技术》 北大核心 2026年第4期178-186,共9页
旋转机械设备轴承的转速会随工作环境变化而波动,该波动会干扰故障特征提取。为了更准确地识别出轴承故障在不同转速下引发的信号微弱变化,提出一种基于多特征融合的轴承故障诊断方法。该研究基于声发射信号,采集了三种转速下轴承的内... 旋转机械设备轴承的转速会随工作环境变化而波动,该波动会干扰故障特征提取。为了更准确地识别出轴承故障在不同转速下引发的信号微弱变化,提出一种基于多特征融合的轴承故障诊断方法。该研究基于声发射信号,采集了三种转速下轴承的内圈故障、外圈故障和滚动体故障数据。首先,将一维声发射时序信号通过小波变换(WT)和灰度化处理转换为二维灰度图像。其次,将二维图像作为特征图,输入到优化后的梯度方向直方图(HOG)、局部二值模式(LBP)及深度神经网络(CVGG16)中进行特征提取,构建HLV模型以得到特征图的全方位、多层次信息。最后,将HLV模型提取到的三类特征进行多特征串行融合,采用主成分分析(PCA)对融合后的特征进行降维,提升检测速率;使用支持向量机(SVM)学习算法训练分类模型,进而实现轴承的故障诊断。研究结果表明:HLV特征提取模型与其他单一模型相比可以得到更有效的故障特征,准确率为97.50%,采用的PCA可提升训练速率;所提WHLVS轴承故障诊断方法相较于其他方法具有优越性,精确率高达97.52%;在三种公开数据集上的评估指标P、R、F_(1)、mAP均在94%以上,验证了该方法的可靠性和应用潜力。 展开更多
关键词 轴承 故障诊断 多特征融合 声发射信号 小波变换 主成分分析 支持向量机
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无支撑界面聚合制备含多巴胺包覆碳纳米管的薄膜纳米复合膜
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作者 高阳 高卓凡 +5 位作者 周志辉 吴红丹 李家正 向媛 范泽宇 金雅璇 《武汉科技大学学报》 北大核心 2026年第1期37-46,共10页
采用无支撑界面聚合技术制备含多巴胺-多壁碳纳米管(DA-MWCNT)的薄膜纳米复合膜并进行了相关的性能测试。结果表明,在DA-MWCNT质量分数为0.01%、水相沉积时间为2 min的制备条件下,所制膜材料的分离性能最佳,并且具有较强的DMF耐受性和... 采用无支撑界面聚合技术制备含多巴胺-多壁碳纳米管(DA-MWCNT)的薄膜纳米复合膜并进行了相关的性能测试。结果表明,在DA-MWCNT质量分数为0.01%、水相沉积时间为2 min的制备条件下,所制膜材料的分离性能最佳,并且具有较强的DMF耐受性和长期稳定性。 展开更多
关键词 有机溶剂纳滤膜 无支撑界面聚合 多巴胺 多壁碳纳米管 聚酰亚胺
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多维度支持性照护在结直肠癌造口患者生存扩展期中的应用
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作者 许艳华 刘菁菁 +1 位作者 崔堂文 潘威婕 《海南医学》 2026年第5期735-740,共6页
目的探讨多维度支持性照护对结直肠癌造口患者生存扩展期的负性情绪、自护能力、症状困扰及生活质量的影响。方法选取2021年1月至2024年6月于河南大学第一附属医院就诊的结直肠癌造口生存扩展期患者94例,采用随机数表法分为对照组和支... 目的探讨多维度支持性照护对结直肠癌造口患者生存扩展期的负性情绪、自护能力、症状困扰及生活质量的影响。方法选取2021年1月至2024年6月于河南大学第一附属医院就诊的结直肠癌造口生存扩展期患者94例,采用随机数表法分为对照组和支持性照护组,每组47例。对照组患者给予常规护理干预,支持性照护组患者在对照组的基础上给予多维度支持性照护,两组均干预3个月。比较两组患者干预前、干预3个月后(干预后)的负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、自护能力[自我护理能力测定表(ESCA)]、症状困扰[安德森症状评估量表胃肠道肿瘤特异性模块(MDASI-GI)]、生活质量[结直肠癌患者生命质量测定量表(FACT-C)],同时比较两组患者干预期间的并发症发生率。结果干预后支持性照护组患者的SAS评分、SDS评分分别为(46.58±3.58)分、(42.97±5.19)分,明显低于对照组的(53.14±5.36)分、(55.58±4.73)分,ESCA为(138.72±8.63)分,明显高于对照组的(105.36±10.45)分,差异均有统计学意义(P<0.05);干预后支持性照护组患者MDASI-GI中的症状严重程度、症状困扰程度及总分分别为(42.68±8.31)分、(17.23±3.57)分、(59.91±4.25)分,明显低于对照组的(65.39±9.07)分、(28.36±5.81)分、(93.75±10.65)分,差异均有统计学意义(P<0.05);干预后支持性照护组患者FACT-C中的生理状况、情感状况、社会/家庭状况、功能状况、结直肠癌附加关注评分及总分明显高于对照组,差异均有统计学意义(P<0.05);干预期间支持性照护组患者的并发症发生率为4.26%,明显低于对照组的17.02%,差异有统计学意义(P<0.05)。结论多维度支持性照护可改善结直肠癌造口生存扩展期患者负性情绪,提升其自护能力,减轻其症状困扰,提升其生活质量,并降低并发症发生率。 展开更多
关键词 结直肠癌 造口 生存扩展期 多维度支持性照护 症状困扰 生活质量
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人工智能在临床医学中的应用进展
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作者 申维玺 张建 《中国临床新医学》 2026年第1期1-5,共5页
人工智能(AI)作为引领新一轮科技革命的核心技术,已深度融入临床医学的各个环节。自20世纪50年代诞生以来,AI经历了从符号逻辑到深层神经网络的跨越式发展,目前已在疾病诊断、方案制订、药物研发及医院管理中展现出广阔的应用前景。国... 人工智能(AI)作为引领新一轮科技革命的核心技术,已深度融入临床医学的各个环节。自20世纪50年代诞生以来,AI经历了从符号逻辑到深层神经网络的跨越式发展,目前已在疾病诊断、方案制订、药物研发及医院管理中展现出广阔的应用前景。国际监管方面,美国食品药品监督管理局(FDA)已建立并持续更新AI-Enabled Medical Device List,并对相关软件和器械实施风险分级与全生命周期监管。国内方面,中国在积极推进“AI+医疗卫生”行动、促进新技术临床转化的同时,监管部门亦同步加强制度建设,在医疗器械注册审评、AI医疗软件风险管理、数据安全与隐私保护等方面逐步完善规范要求,形成覆盖技术准入、应用实施与风险防控的监管体系,为AI技术在临床实践中的规范落地提供制度支撑。在上述国际与国内监管框架的共同推动下,AI技术正逐步应用于临床诊疗与公共卫生管理,在提升基层医疗服务能力、肿瘤早筛及流行病学管理等方面展现出重要应用前景。该文综述了AI在临床医学中的最新应用进展,涵盖计算机视觉与自然语言处理等技术基础,系统分析了其在实际应用中面临的数据隐私、算法透明度及法律责任界定等挑战,并强调AI医疗应用应坚持“以人为本”和“人类主导”原则,通过多中心验证与协同监管,推动精准医学的可持续发展。 展开更多
关键词 人工智能 医学影像 临床决策支持 多模态大模型 精准医学 伦理挑战
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