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Effect of Camel Milk Fortified with Dates in Ice Cream Manufacture on Viscosity, Overrun, and Rheological Properties during Storage Period 被引量:1
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作者 S. A. Salem Fardous M. Meead G. H. El-Rashody 《Food and Nutrition Sciences》 2017年第5期551-564,共14页
The effect of using camel milk with 2 dates types (Sokary & Al-Khalas), in 3 forms (paste, pieces, and molasses), with 2 different concentrations (5% & 10%) in the manufacturing of ice cream on its viscosity, ... The effect of using camel milk with 2 dates types (Sokary & Al-Khalas), in 3 forms (paste, pieces, and molasses), with 2 different concentrations (5% & 10%) in the manufacturing of ice cream on its viscosity, overrun%, rheological and melting properties during storage period up to 60 days at -18&#176C was studied. It was noticed that there are higher mean of viscosity values (cp) when using “Al-khalas” dates paste 5% and 10% followed by samples with “sokary” paste then samples with molasses in ice cream samples compared to those with added date’s pieces of either “Sokary” or “Al-khalas”. There are significant differences of overrun values between all treatments and samples with the added date paste of either “sokary” or “Al-khalas” which recorded the lowest values. Increased melting resistance and good qualities as heat shock and melting properties were significantly better for the samples with added dates pieces or paste unlike the molasses. The storage effect is obvious decline, especially when using dates molasses. 展开更多
关键词 CAMEL MILK DATES Ice CREAM VISCOSITY overrun Melting Properties Heat Shock Storage Period
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New type of overrunning clutch based on curved-plate compression-torsion metamaterial 被引量:1
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作者 Yanbin Wang Haifeng Ou Lingling Hu 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2024年第8期154-165,共12页
Overrunning clutches are unidirectional drive mechanisms that are widely used in transmission systems.However,existing overrunning clutches have complex structures,require high preparation accuracy,and fail after a ce... Overrunning clutches are unidirectional drive mechanisms that are widely used in transmission systems.However,existing overrunning clutches have complex structures,require high preparation accuracy,and fail after a certain degree of wear.To address these issues,we propose a new type of overrunning clutch consisting of a conical structure and novel compression-torsion conversion(CTC)metamaterial with curved plates.Theoretical calculations are employed to guide the material distribution and ensure the deformation coordination of the curved-plate CTC metamaterial for greater ultimate torque.The transmission mechanism of the proposed overrunning clutch is derived to guide the parameter selection of the CTC metamaterial and the conical structure.Experiments and finite element simulations reveal that the curved-plate CTC metamaterial features excellent CTC efficiency,flexibility,and transverse stiffness,which is conducive reducing the resistance of the overrunning state and ensures stability during operation.The unidirectional transmission system constructed with the new overrunning clutch shows reliable performances under working and overrunning states.The constructed overrunning clutch provides an effective one-way transmission method.The clutch with simple construction and self-compensated ability for wear exhibits great potential in miniaturized and lightweight equipment or robots. 展开更多
关键词 overrunning clutch Mechanical metamaterial Compression-torsion conversion Curved-plate configuration
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Application of predictive control scheduling method to real-time periodic control tasks overrun 被引量:1
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作者 沈青 桂卫华 +1 位作者 阳春华 杨铁军 《Journal of Central South University of Technology》 EI 2007年第2期266-270,共5页
Based on the abort strategy of fixed periods, a novel predictive control scheduling methodology was proposed to efficiently solve overrun problems. By applying the latest control value in the prediction sequences to t... Based on the abort strategy of fixed periods, a novel predictive control scheduling methodology was proposed to efficiently solve overrun problems. By applying the latest control value in the prediction sequences to the control objective, the new strategy was expected to optimize the control system for better performance and yet guarantee the schedulability of all tasks under overrun. The schedulability of the real-time systems with p-period overruns was analyzed, and the corresponding stability criteria was given as well. The simulation results show that the new approach can improve the performance of control system compared to that of conventional abort strategy, it can reduce the overshoot and adjust time as well as ensure the schedulability and stability. 展开更多
关键词 real-time system overrun predictive control scheduling STABILITY
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A Study on Factors Influencing Cost Overrun in High-rise Building Construction across India 被引量:1
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作者 Mohammed Tayyab Mohammed Furkhan +2 位作者 Mohammed Rizwan M.Jameel, Aaron Chadee 《Journal of Smart Buildings and Construction Technology》 2023年第1期52-83,共32页
Cost overrun is a common problem in construction projects worldwide.Most Indian construction projects,particularly those involving high-rise buildings,have had severe cost overruns.For managers,architects,engineers,an... Cost overrun is a common problem in construction projects worldwide.Most Indian construction projects,particularly those involving high-rise buildings,have had severe cost overruns.For managers,architects,engineers,and contractors,completing building projects within the specified cost budget has become the most important and hard assignment.Since it is common for high-rise building projects to go over budget,the aim of this study is to find out the causes of cost overruns and provide effective measures.The study found 70 cost overrun factors based on a comprehensive literature review and expert opinions.A Google form questionnaire was distributed to 150 construction professionals across India.After following up,101 of the 150 responses were received.A five-point Likert scale was used and the acquired data was analyzed and ranked using the Relative Importance Index(RII)technique.According to the findings of RII,the top ten critical factors influencing cost overruns were frequent change orders during construction by the owner,delay in construction,escalation of material prices,market inflation or deflation,rework,frequent changes in design,inaccurate evaluation of the project timeline,unforeseen ground condition,inaccurate quantity take-off,and delay in progressive payment by the owner.Spearman’s rank correlation test revealed that there is a very significant relationship between the rankings of factors provided by the owner,the consultant,and the contractor.In addition,a factor analysis tool in the SPSS software was also used to categorize the seventy factors into sixteen core components.The top ten critical factors were presented to subject matter experts,and their suggestions were being compiled.These results are expected to help construction professionals minimize cost overruns,improve cost control measures,and initiate future research. 展开更多
关键词 Cost overrun High-rise buildings RII Factor analysis Subject matter expert(SME) INDIA
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Transient dynamic analysis and comparison on wedging processes of overrunning clutches with different contact surfaces
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作者 魏巍 周洽 +1 位作者 刘树成 闫清东 《Journal of Beijing Institute of Technology》 EI CAS 2015年第2期207-212,共6页
The effects of contact surface on dynamic wedging behavior of the roller and inner-ring of the overrunning clutch in a dual-turbine torque converter were investigated to reveal the friction self- locking mechanism and... The effects of contact surface on dynamic wedging behavior of the roller and inner-ring of the overrunning clutch in a dual-turbine torque converter were investigated to reveal the friction self- locking mechanism and dynamic process. Planar strain clutch models including roller, inner-ring and outer-ring were built, and transient wedging process was analyzed with an explicit dynamics meth- od. The modeling of stress and strain distribution and variation of two kinds of contact surfaces show that there are three stages named slipping, wedging and binding respectively during whole wed- ging process. Meanwhile the geometric structures of contact surfaces greatly influence the peak stress and strain distribution of the wedging process of the roller and inner-ring. The load bearing performance of contact surfaces with logarithmic spiral curve is better than that with straight line. Our study provides theoretical foundation for design and further optimization of wedging contact surface of an overrunning clutch in a dual-turbine hydrodynamic torque converter. 展开更多
关键词 overrunning clutch wedging process explicit dynamics torque converter
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Study of Factors Causing Time and Cost Overrun in Pre-Construction Project (A Case Study of Malaysia)
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作者 Muhammad Ilyas Jing Li Irfan Ullah 《World Journal of Engineering and Technology》 2020年第1期1-12,共12页
Cost and time overrun are the key troubles of any improvement ventures. These troubles are inflicting the terrible end result in the development of kingdom monetary improvement and thriving. To overcome these problems... Cost and time overrun are the key troubles of any improvement ventures. These troubles are inflicting the terrible end result in the development of kingdom monetary improvement and thriving. To overcome these problems, the?paper examines predominant impact on elements causing the mission postponement and cost. A poll review was led for the situation study embracing various information-gathering procedures. The discoveries from the contextual investigation uncovered that the most persuasive factors in Malaysia:?1) contractor’s inappropriate arranging, 2) poor site the board, 3) deficient contractual worker experience,?are the most powerful factors. This paper has likewise broken down the normal and least effective of the postpone variables causing task deferral and cost overrun in Malaysia. It likewise infers that there are various measures as per the idea of deferring components to decrease the effect on task postponement and cost overruns in the development industry.?There are significant factors in the control of time overrun that would be actual thought related to know and tackle in great impact to improvement rate which may additionally no capacity that be recovered. Thirty (30) massive development extensions in Malaysia were exceptional coping with time overrun at some stage in development. Out of 30 undertakings, 17 (56.67%) ventures had been introduced by using 1100 days’ time overrun, 5 (16.67%) extensions in the middle of a hundred and one to 200 days, 5 (16.67%) ventures?201 to 300 days while three (10%) ventures have been deferred for timeframe over 300 days. 展开更多
关键词 COST and TIME overruns DELAY Factors Construction Industry PROJECTS DELAY
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Avoiding Cost Overruns in Construction Projects in India
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作者 Abdussalam Shibani Kumar Arumugam 《Management Studies》 2015年第4期192-202,共11页
The main aim of this paper is to identify the major reasons for cost overruns in construction projects in India as well as the critical success factors that are helping to avoid the cost overruns. For this, the existi... The main aim of this paper is to identify the major reasons for cost overruns in construction projects in India as well as the critical success factors that are helping to avoid the cost overruns. For this, the existing literature is reviewed and critical success factors are identified. Based on them, survey questions and interview questions are prepared. The findings supported the proposed hypothesis, i.e., lack of certain critical success factors leads to cost overruns in construction projects in India. They also confirmed the proposed proactive and reactive strategies of some researchers. The effective critical success factors include appropriate planning in the initial stages, skills of contractors and architects, good relationship and regular coordination among client and contractor, and early contribution of contractor with the project. The ideal methods that help to reduce cost overruns include efficient planning, proper management of site and supervision of the project, suitable planning and arrangement of project, proper methods for construction, regular meetings on development of the project, and hiring proficient subcontractors and suppliers. 展开更多
关键词 INDIA CONSTRUCTION critical success factors cost overrun
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Project Team Perception of Causes of Building Cost Overruns: A Reflection in Tanzania
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作者 Harriet Eliufoo 《Journal of Civil Engineering and Architecture》 2017年第2期149-158,共10页
The paper provides an empirical insight into the significance of shared cognition reflected in the perception of key actors in selected construction projects. It has explored how clients, consultants and contractors p... The paper provides an empirical insight into the significance of shared cognition reflected in the perception of key actors in selected construction projects. It has explored how clients, consultants and contractors prioritize causes of cost overrun in building projects in Tanzania and measured the statistical variance in their order of rank. A total of 55 respondents were selected from public projects that had experienced cost overruns. The results show an inclination of the top 4 causes of cost overrun being technical and originate from internal sources. The Spearman correlation coefficient established a strong positive correlation in the ranking of causes of cost overrun in construction project by clients, consultants and contractors, suggesting a shared cognition is in place for the project team. The outcome provides a good base for contemplating success of mitigation measures for cost overruns and reiterates the significance for a shared cognition for project team success. 展开更多
关键词 Cost overrun construction project shared cognition team success.
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Seem to overrun on time and budget for engineering projects
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作者 CHEN Yu LIANG De Xiang 《International Journal of Technology Management》 2014年第8期177-178,共2页
In this thesis,construction industries face with the major challenges are cost overruns and time delays, which have existed in most of projects, especially in developing countries. Construction projects and the enviro... In this thesis,construction industries face with the major challenges are cost overruns and time delays, which have existed in most of projects, especially in developing countries. Construction projects and the environment are increasingly complex, thus it has greater demands on project managers and cost managers that deliver processes on time. However the process of construction is limited to unforeseeable and variable factors, resulting from many sources. The aim of the report is to analyze determining factors about causing budget overrun and time delays by reviewing and identifying past cases. Furthermore, the construction process is made up of three critical phases, i.e. conception, design, construction. Generally, the majority of time delays and cost overrun happen in the period of construction, where many factors are always unforeseeable, and time delays usually associate with cost overruns. (Chan and Kumaraswamy, 1997) 展开更多
关键词 cost overruns and time delays the construction process case studies client and consultant
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Research on Cost Overrun Risk of Construction Phase of Vietnam Highway International Contracting Project
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作者 Hong Anh Vu Jianqiong Wang +2 位作者 Lianxing Min Sy Hung Mai Hong Phong Nguyen 《Engineering(科研)》 2016年第3期86-98,共13页
Recently, the highway construction projects increase rapidly in Vietnam and most of them are international contracting projects. It results serious negative influence on the local government and enterprises that the c... Recently, the highway construction projects increase rapidly in Vietnam and most of them are international contracting projects. It results serious negative influence on the local government and enterprises that the common cost overrun of projects, and the risk factors of it is different in the different countries, different stages and projects types. So in this paper, we generate an evaluation index system of highway construction projects cost overrun risk in Vietnam in the perspective of different project participants, and also evaluate the effects of these factors in method of regression analysis. The empirical results confirmed 7 main factors that have aggravated cost overrun risk in construction stages, e.g. survey and design scheme risk. In final, the corresponding suggestions are proposed to reduce the project cost overrun risk. 展开更多
关键词 HIGHWAY CONSTRUCTION Cost overrun Risk Management VIETNAM
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Structural Design of an Overrun Duplex Apartment in Chongqing
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作者 SHENChongsheng 《外文科技期刊数据库(文摘版)工程技术》 2022年第3期214-219,共6页
Due to the functional requirements of the buildings with leaping floors, even and odd floors are required to have staggered openings. As a result, there are many wall pillars and weak connecting plates passing through... Due to the functional requirements of the buildings with leaping floors, even and odd floors are required to have staggered openings. As a result, there are many wall pillars and weak connecting plates passing through the floors. This kind of hole wall column should be regarded as the key component;This kind of weak connection plate and strip plays an important role in connecting the peripheral vertical members under the horizontal action of wind and earthquake. At the same time, the structural units of foreign houses are often frame-supported transfer structures for the use of basements. Therefore, this paper focuses on the performance of portal wall columns, weak connection beams at the sides of the portal, connection strips, frame pillar beams and floor shear walls under earthquake resistance and rare earthquakes. According to the analysis results, targeted structural technical measures are taken. 展开更多
关键词 THERMOCLINE floor slabs with openings overrun analysis
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螺旋超越离合器结构设计及动态接合性能研究
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作者 李俊 朱楚 +3 位作者 刘捷舟 李培军 李松柏 严宏志 《现代制造工程》 北大核心 2026年第1期135-144,共10页
为进一步提升超越离合器在极端工况下的承载能力并延长其使用寿命,设计了一种结构简单、低副替代高副的新型螺旋超越离合器。考虑自锁及解楔、最小弹簧预紧力、耐磨性和强度等约束条件,对螺旋超越离合器进行了结构设计。进一步,针对实... 为进一步提升超越离合器在极端工况下的承载能力并延长其使用寿命,设计了一种结构简单、低副替代高副的新型螺旋超越离合器。考虑自锁及解楔、最小弹簧预紧力、耐磨性和强度等约束条件,对螺旋超越离合器进行了结构设计。进一步,针对实际工况建立了离合器动力学仿真模型,对启动接合和差速接合2种工况进行了仿真分析,对比分析了内外环与中介环摩擦系数及螺纹升角等关键参数对离合器差速接合性能的影响。研究结果表明,所设计的螺旋超越离合器具有较好的接合性能;差速接合时冲击扭矩较启动接合时大(约2倍的额定扭矩),实际使用中可优先选用启动接合;螺纹升角对螺旋超越离合器差速接合冲击扭矩影响较大,内外环与中介环摩擦系数大小对离合器接合时间影响较大,为螺旋超越离合器的应用提供了一种可行的技术方案。 展开更多
关键词 螺旋超越离合器 结构设计 动力学 接合性能 冲击扭矩
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基于PSO-BP的超越离合器磨损预测算法
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作者 周龙 李乐 王立勇 《北京信息科技大学学报(自然科学版)》 2026年第1期69-79,共11页
为提升对超越离合器关键部件磨损状态的评估精度,提出了基于粒子群优化-反向传播(particle swarm optimization-back propagation,PSO-BP)模型的超越离合器磨损预测算法。首先,基于ABAQUS有限元仿真平台,结合Archard磨损准则并引入用户... 为提升对超越离合器关键部件磨损状态的评估精度,提出了基于粒子群优化-反向传播(particle swarm optimization-back propagation,PSO-BP)模型的超越离合器磨损预测算法。首先,基于ABAQUS有限元仿真平台,结合Archard磨损准则并引入用户子程序UMESHMOTION,建立了磨损有限元模型。通过将磨损量映射至网格节点位移,实现了材料去除效应的几何边界演化与磨损深度的动态更新,并结合试验验证了模型的准确性。其次,在此基础上,进一步提取累计滑移距离、瞬时滑移距离与接触应力等关键参数作为输入,以磨损深度作为输出,构建PSO-BP预测模型,实现对楔块与内环接触区域磨损深度的高精度预测。对比分析表明,与传统BP神经网络和GA-BP神经网络相比,PSO-BP模型的拟合精度为99.838%,其预测误差更集中于零误差区域,体现出较高的准确性。 展开更多
关键词 超越离合器 磨损深度 有限元分析 磨损预测
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08201工作面CO来源辨识及综合治理实践
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作者 石德忠 《山西焦煤科技》 2026年第2期34-37,共4页
以某矿08201工作面CO超限为背景,从煤氧结合角度对回采工作中遗煤量和漏风情况进行分析辨别,明确了回采工作面和临近采空区是造成工作面CO浓度异常的主要原因;通过提高回采速度、降低遗煤量、减少漏风、井上下注浆、调整风量等协同治理... 以某矿08201工作面CO超限为背景,从煤氧结合角度对回采工作中遗煤量和漏风情况进行分析辨别,明确了回采工作面和临近采空区是造成工作面CO浓度异常的主要原因;通过提高回采速度、降低遗煤量、减少漏风、井上下注浆、调整风量等协同治理措施,有效抑制了灾害的进一步发生,维持了矿井的正常生产。 展开更多
关键词 CO超限 煤氧结合 遗煤量 漏风量 协同治理
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DRG付费下中医院BZ1病组费用超支原因及对策研究
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作者 徐峰 唐菁 +1 位作者 李梦楠 黄彦 《现代医院管理》 2026年第1期80-83,共4页
目的 探讨疾病诊断相关分组(DRG)下中医院BZ1病组住院费用超支原因及影响因素,为中医院DRG运营提供支持。方法 采用描述性统计分析BZ1病组的分组情况、费用占比、主要诊断分布、费用盈亏;通过单因素分析和多元线性回归探究BZ1病组患者... 目的 探讨疾病诊断相关分组(DRG)下中医院BZ1病组住院费用超支原因及影响因素,为中医院DRG运营提供支持。方法 采用描述性统计分析BZ1病组的分组情况、费用占比、主要诊断分布、费用盈亏;通过单因素分析和多元线性回归探究BZ1病组患者住院费用影响因素。结果 单因素分析显示,年龄、住院天数、主要诊断、DRG组别、是否实施中医临床路径、医保类型对住院费用的影响差异具有统计学意义(P<0.05);多元线性回归分析显示,住院天数和主要诊断是住院费用的影响因素。结论 提高主要诊断正确率对解决病组费用超支问题有益,医保机构应考虑中医诊疗特色及BZ1病组患者的特殊情况,针对因患者平均年龄较大、康复类占比高导致平均住院时间较长,进而增加中医院医疗成本的问题,出台针对性支持政策,助力中医院DRG付费模式的探索。 展开更多
关键词 CHS-DRG付费 中医院 BZ1病组 病组费用超支
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魏家地煤矿东1104运输顺槽掘进工作面动力现象事故分析
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作者 寇德瑞 朱亚娟 +2 位作者 金辰睿 苗在全 李文忠 《煤炭与化工》 2026年第3期31-35,共5页
为明确魏家地煤矿东1104运输顺槽掘进工作面动力现象的成因及特征,为类似复杂地质条件下矿井掘进安全提供参考,基于现场监测数据及地质资料,对事故进行系统分析。东1104运输顺槽地质构造复杂、应力环境恶劣,邻近多采空区且受多条逆断层... 为明确魏家地煤矿东1104运输顺槽掘进工作面动力现象的成因及特征,为类似复杂地质条件下矿井掘进安全提供参考,基于现场监测数据及地质资料,对事故进行系统分析。东1104运输顺槽地质构造复杂、应力环境恶劣,邻近多采空区且受多条逆断层影响,煤层厚度变化大且松软破碎。2025年12月15日中班,工作面迎头空顶修面作业时发生冒顶压出事故,T1甲烷传感器峰值浓度达42.56%。通过对事故经过、动力现象特征及影响因素的分析,认定事故直接原因包括复杂应力叠加、煤层厚度异常增厚、构造挤压作用、应力卸荷不充分及超前支护不及时,瓦斯异常涌出源于冒落煤体及周边卸荷煤体的瓦斯解吸。研究结果表明,该事故为冒顶压出引发瓦斯异常涌出的动力现象。该研究为矿井在复杂地质区域掘进安全防控提供了理论依据和实践指导。 展开更多
关键词 工作面 瓦斯超限 动力现象 构造 冒顶 支护
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插装式平衡阀先导压力复位率提升设计与测试方法
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作者 张帅帅 杨海峰 +5 位作者 孙宝军 侯云 李志鹏 田捍卫 陈家恒 商映举 《阀门》 2026年第1期57-62,共6页
平衡阀作为液压回路中的重要元件,可有效防止重物负载超速下降。复位率作为平衡阀的一项重要指标,决定了超载工况紧急制动的及时性,当复位率较低时,重物负载失速坠落会造成重大财产损失,严重时会造成人员伤亡。为了解决其插装式平衡阀... 平衡阀作为液压回路中的重要元件,可有效防止重物负载超速下降。复位率作为平衡阀的一项重要指标,决定了超载工况紧急制动的及时性,当复位率较低时,重物负载失速坠落会造成重大财产损失,严重时会造成人员伤亡。为了解决其插装式平衡阀复位率普遍较低的问题,本文以一款平衡阀为研究对象,以提升复位率为目标,对主弹簧参数、阀芯密封面加工质量、动密封O形圈参数等进行了优化设计,并进行了试验验证。试验结果表明,优化后复位率提升22.35%,本研究为复位率的提升提供了一个有效方法。 展开更多
关键词 插装式 平衡阀 复位率 超越工况
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房屋建筑工程施工阶段造价超支的原因及控制策略
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作者 畅杨鹏 《中国厨卫》 2026年第1期290-292,295,共4页
在城市化进程加速背景下,房屋建筑工程施工阶段的造价超支问题已成为影响项目投资效益的核心矛盾。文章基于施工阶段造价管理的技术特性,系统剖析设计变更、合同管理漏洞、价格波动及施工组织失效等多维致因,构建以挣值法(EVM)为核心的... 在城市化进程加速背景下,房屋建筑工程施工阶段的造价超支问题已成为影响项目投资效益的核心矛盾。文章基于施工阶段造价管理的技术特性,系统剖析设计变更、合同管理漏洞、价格波动及施工组织失效等多维致因,构建以挣值法(EVM)为核心的动态监控模型,并融合BIM技术协同优化与材料价格风险对冲等策略,形成全过程造价控制体系。文章通过量化分析典型工程数据,验证了所提控制策略的技术可行性,为提升施工阶段造价管理的精准性提供理论支撑与实践路径。 展开更多
关键词 施工阶段 造价超支 挣值法 BIM技术 风险控制
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新型磁悬浮片梭精密引纬及控制方法
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作者 朱里 王家庆 +1 位作者 吴晓光 张弛 《天津纺织科技》 2026年第1期50-54,共5页
现有织机采用机械扭轴式投梭模式,由于机械冲击、摩擦等因素,能耗高、效率低,无法满足超宽幅织物的编织要求。本文基于磁悬浮非接触式驱动原理,提出一种新型磁悬浮片梭及引纬机理,研究新型磁悬浮引纬片梭构型,阐释磁悬浮片梭引纬基本工... 现有织机采用机械扭轴式投梭模式,由于机械冲击、摩擦等因素,能耗高、效率低,无法满足超宽幅织物的编织要求。本文基于磁悬浮非接触式驱动原理,提出一种新型磁悬浮片梭及引纬机理,研究新型磁悬浮引纬片梭构型,阐释磁悬浮片梭引纬基本工作原理,基于系统磁力学分析,确定片梭模型的动态方程。试验表明,通过校正网络,校正磁悬浮片梭的动态模型,能有效改进片梭运行稳定性,提高响应时间至0.001 s,稳态误差精度至10%。 展开更多
关键词 磁悬浮片梭 精密引纬 校正网络 滞后-超前校正 控制方法
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疾病诊断相关分组付费背景下脑缺血病例住院费用的超支与结余分析
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作者 孙溢晨 劳颖谦 +1 位作者 郑尧 覃双凌 《中国卫生标准管理》 2026年第1期50-54,共5页
目的探讨按疾病诊断相关分组(diagnosis related groups,DRG)付费背景下脑缺血患者住院费用结构和医保费用情况。方法选取桂林医科大学第二附属医院2021年1月—2023年12月核心疾病诊断相关分组编码为BR2(脑缺血性疾患)病组4975例患者的... 目的探讨按疾病诊断相关分组(diagnosis related groups,DRG)付费背景下脑缺血患者住院费用结构和医保费用情况。方法选取桂林医科大学第二附属医院2021年1月—2023年12月核心疾病诊断相关分组编码为BR2(脑缺血性疾患)病组4975例患者的病案首页为研究对象,利用描述性分析、非参数检验、logistic回归模型,分析脑缺血病例的住院费用结构及医保费用的超支与结余情况。结果研究对象中的“脑缺血性疾患”病组患者共4975例,其中男性60.94%(3032/4975),女性39.06%(1943/4975),平均年龄69(60,75)岁,平均住院时间7(5,9)d。根据患者的入组病历类型分类得知,正常倍率病例占95.20%(4736/4975),低倍率病例占3.78%(188/4975),高倍率病例占1.02%(51/4975)。“脑缺血性疾患”病组中没有进行手术的病例占93.27%(4640/4975),进行手术的占6.73%(335/4975)。住院总费用平均6396.61(4889.93,8677.99)元,医疗服务费平均753.00(524.50,1121.00)元,诊断费平均3206.85(2501.60,3856.50)元,治疗费平均0(0,16.90)元,西药费平均1466.52(786.78,2727.57)元,中药费平均434.52(143.52,800.88)元,耗材费平均220.96(105.30,292.41)元。超支组与结余组性别、住院时间、入组病历类型、有无手术的分布比较,差异均有统计学意义(P<0.05)。logistic回归分析显示,性别、住院时间、入组病历类型、是否手术为“脑缺血性疾患”病例超支与结余情况的影响因素(P<0.05)。结论“脑缺血性疾患”患者费用中诊断费占比较高,费用结构有待优化;超支病例占比较多;医保支付标准的制定有待完善。相关部门应关注诊断项目收费,减少不必要的诊断环节,科学优化临床路径,医保部门需完善支付标准的制定。 展开更多
关键词 疾病诊断相关分组 脑缺血性疾患 住院费用结构 超支与结余 诊断费用 支付标准
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