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DIP付费模式下病案首页精细化管理策略
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作者 余佳平 徐红炜 +3 位作者 葛雅丽 徐美玲 徐玲 李贤燕 《现代医院》 2026年第2期230-233,共4页
目的探讨在按病种分值付费(DIP)改革背景下,通过构建病案首页精细化管理体系,提升医疗数据质量、优化医保基金使用效率及医院运营效益的有效路径。方法基于国家DIP 2.0版分组方案要求,系统建立涵盖多部门协同治理机制、四级质控体系、... 目的探讨在按病种分值付费(DIP)改革背景下,通过构建病案首页精细化管理体系,提升医疗数据质量、优化医保基金使用效率及医院运营效益的有效路径。方法基于国家DIP 2.0版分组方案要求,系统建立涵盖多部门协同治理机制、四级质控体系、信息化智能管控及分层培训与特例单议机制的综合管理框架,并结合医疗机构的实践案例进行实证分析。结果实施精细化管理后,医疗机构病案首页缺陷率显著降低超过10%,DIP入组准确率提升至98%以上,病例组合指数(CMI)得到优化,医保基金使用效率明显改善,部分医院实现DIP清算盈余。结论建立以“临床-病案-医保-医务”一体化协作为核心的病案首页精细化管理体系,是医疗机构适应DIP支付改革、实现质量提升与运营增效的关键策略,对推动医保支付从费用控制向价值医疗转型具有重要实践意义。 展开更多
关键词 dip支付 病案首页 精细化管理 多部门协作
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DRG/DIP支付改革绩效考核指标体系优化研究——基于四川省12市州考核文本的实证分析
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作者 李佳 邓立梅 +4 位作者 彭美华 刘璐 蒋涛 李梅 周望苏 《中国医疗保险》 2026年第1期87-93,共7页
目的:从医保管理视角分析四川省基本医保支付方式改革绩效考核指标特征,为探索构建科学的医保支付绩效考核机制提供参考。方法:收集四川省12个市州医保局印发的DRG/DIP年度考核评分表,运用词频分析、UCINET社会网络分析及熵权法,对指标... 目的:从医保管理视角分析四川省基本医保支付方式改革绩效考核指标特征,为探索构建科学的医保支付绩效考核机制提供参考。方法:收集四川省12个市州医保局印发的DRG/DIP年度考核评分表,运用词频分析、UCINET社会网络分析及熵权法,对指标的分布特征、中心度关系与权重结果进行综合分析。结果:分析发现,CMI值、时间消耗指数、费用消耗指数、医保结算清单填报率等指标在考核体系中出现频率高,中心度大,熵值高,熵权值低,具有核心通用性;不同市州在指标数量、结构和权重设置上存在差异,反映出医保支付方式改革政策导向的地区差异。结论:DRG/DIP绩效考核体系应契合医保支付方式改革目标,在统一标准与地区差异间寻求平衡,构建以省级统筹为方向,以基础性指标为核心、差异化指标为补充的绩效评价体系,考核结果可与医保清算和政策资源配置挂钩,通过横向比较形成标杆效应,并兼顾纵向分析,避免“鞭打快牛”。绩效考核体系需优选可量化的客观指标,根据改革进程持续优化,形成科学、灵活、可持续的考核体系。 展开更多
关键词 DRG/dip 医保支付方式改革 绩效评价 熵权法
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DRG/DIP支付方式改革对医院成本管控的影响及应对
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作者 李兰兰 《管理学家》 2026年第1期76-78,共3页
在深化医改的大背景下,DRG/DIP支付方式改革在全国范围内加速推进,深刻重塑医院运营格局。这一改革对医院成本管控产生了双向影响:在积极层面,促使医院优化成本结构,削减不必要的检查治疗支出,推动成本精细化管理,激励医院通过缩短住院... 在深化医改的大背景下,DRG/DIP支付方式改革在全国范围内加速推进,深刻重塑医院运营格局。这一改革对医院成本管控产生了双向影响:在积极层面,促使医院优化成本结构,削减不必要的检查治疗支出,推动成本精细化管理,激励医院通过缩短住院时长、提升床位周转率等方式提高医疗服务效率;在消极层面,因分组复杂性与医疗服务不确定性,加大成本管控难度,甚至存在医院为控本降低医疗质量的风险,也对医院信息化建设提出了更高的要求。为有效解决这些问题,医院需从优化成本核算体系、强化预算管理与成本控制、提升医疗服务效率与质量、加强信息化建设与人才培养等方面入手,完善成本管控策略,实现医疗质量与经济效益的平衡发展。 展开更多
关键词 DRG/dip支付方式 医院成本管控 改革 影响
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DRG/DIP付费对医疗服务能力、效率、质量的影响
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作者 郭萍 周明珠 吴庆艳 《卫生经济研究》 北大核心 2026年第1期40-43,共4页
目的:探讨DRG/DIP付费对医疗服务能力、效率、质量的影响,为推动医保支付方式改革提供参考。方法:基于各地实践,从医疗服务能力、效率和质量三个维度,总结DRG/DIP付费的实施成效及局限性。结果:DRG付费在提升医疗服务能力和效率方面成... 目的:探讨DRG/DIP付费对医疗服务能力、效率、质量的影响,为推动医保支付方式改革提供参考。方法:基于各地实践,从医疗服务能力、效率和质量三个维度,总结DRG/DIP付费的实施成效及局限性。结果:DRG付费在提升医疗服务能力和效率方面成效显著,但试点医院可能因成本控制压力而减少收治重症患者,或出现“低码高编”等不规范行为;DIP付费通过大数据分析实现医疗资源的优化配置,但在支持医疗技术创新方面存在局限性,或因分组标准与实际医疗资源消耗不匹配而面临挑战。结论:DRG/DIP付费各具优势与局限性,应融合两者优势,优化分组设计并加强信息化监管,实施差异化支付策略,从而全面提升医疗服务能力、效率、质量。 展开更多
关键词 DRG dip 医疗服务 医保支付方式改革
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DIP付费方式下全面预算管理在公立医院财务管理中的应用
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作者 杨颖 陈庆华 +2 位作者 周兰兰 陈艳丽 皋晗 《知识经济》 2026年第5期115-118,共4页
本文基于按病种分值付费(DIP)改革的背景,运用问卷调查法、案例分析法对80家医院的实际应用情况进行研究,探讨公立医院在DIP付费方式下全面预算管理的应用现状、存在问题及成功经验。本文指出部分医院在预算编制与执行、成本精细核算、... 本文基于按病种分值付费(DIP)改革的背景,运用问卷调查法、案例分析法对80家医院的实际应用情况进行研究,探讨公立医院在DIP付费方式下全面预算管理的应用现状、存在问题及成功经验。本文指出部分医院在预算编制与执行、成本精细核算、信息系统整合、跨部门协同及资产管控等方面仍面临挑战,存在数据质量风险、医疗服务质量隐患及复杂病例处理困难等问题。为此,本文总结出明确费用框架、强化财务与临床科室的协同机制等方面的实践经验,可为DIP支付方式的科学化、精细化发展提供参考与借鉴。 展开更多
关键词 dip付费方式 全面预算管理 公立医院 财务管理
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Call for Papers from Agricultural Products Processing and Storage
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《肉类研究》 北大核心 2026年第4期I0011-I0011,共1页
Agricultural Products Processing and Storage(ISSN 3059-4510,Owner:Hunan Academy of Agricultural Sciences,China.Production and hosting:Springer Nature)is an international,peer-reviewed open access journal with the aim ... Agricultural Products Processing and Storage(ISSN 3059-4510,Owner:Hunan Academy of Agricultural Sciences,China.Production and hosting:Springer Nature)is an international,peer-reviewed open access journal with the aim to offer a platform for the rapid dissemination of significant,novel,and high-impact research in the fields of agricultural product processing science,technology,engineering,and nutrition.Additionally,supplemental issues are curated and published to facilitate in-depth discussions on special topics. 展开更多
关键词 processing Agricultural Products Consumer Demand
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基于多源数据融合的DIP支付下临床学科智能评价模型构建
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作者 赵筱博 《办公自动化》 2026年第5期1-3,共3页
按病种分值付费(DIP)改革推动医院管理模式向精细化转型,然而,传统临床学科评价体系在DIP支付背景下面临数据维度单一及响应不足的问题。为此,本研究构建涵盖医疗技术难度、经济运行效率、医疗质量安全与发展创新四维综合评价指标体系,... 按病种分值付费(DIP)改革推动医院管理模式向精细化转型,然而,传统临床学科评价体系在DIP支付背景下面临数据维度单一及响应不足的问题。为此,本研究构建涵盖医疗技术难度、经济运行效率、医疗质量安全与发展创新四维综合评价指标体系,并提出一种融合熵权法与主成分分析的动态权重确定方法,基于随机森林算法开发了学科智能评价模型。实证表明,该模型有效实现学科发展差异的量化识别与趋势判断,为医院在DIP支付背景下的学科精准管理与资源优化配置提供可靠的决策工具。 展开更多
关键词 dip支付 多源数据融合 临床学科 智能评价模型
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Call for Papers from Agricultural Products Processing and Storage
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《肉类研究》 北大核心 2026年第1期I0017-I0017,共1页
Agricultural Products Processing and Storage(ISSN 3059-4510,Owner:Hunan Academy of Agricultural Sciences,China.Production and hosting:Springer Nature)is an international,peer-reviewed open access journal with the aim ... Agricultural Products Processing and Storage(ISSN 3059-4510,Owner:Hunan Academy of Agricultural Sciences,China.Production and hosting:Springer Nature)is an international,peer-reviewed open access journal with the aim to offer a platform for the rapid dissemination of signifi cant,novel,and high-impact research in the fi elds of agricultural product processing science,technology,engineering,and nutrition.Additionally,supplemental issues are curated and published to facilitate in-depth discussions on special topics. 展开更多
关键词 NUTRITION SCIENCE open access journal agricultural products processing STORAGE technology ENGINEERING agricultural product
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DIP支付方式改革对不同科室医生行为影响研究——基于间断时间序列分析
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作者 曹晓琳 隋梦芸 +4 位作者 苏晓培 常兆玉 张凤銮 周鑫 宗家瑱 《中国医院管理》 北大核心 2026年第1期85-88,96,共5页
目的 探讨按病种分值付费支付方式改革前后内外科医生诊疗行为的变化,为医保支付方式改革提供依据。方法 选取山东省W市某三级甲等医院为样本,采用间断时间序列对医生诊疗行为指标进行分析。结果 外科科室的住院人次增长、次均住院费用... 目的 探讨按病种分值付费支付方式改革前后内外科医生诊疗行为的变化,为医保支付方式改革提供依据。方法 选取山东省W市某三级甲等医院为样本,采用间断时间序列对医生诊疗行为指标进行分析。结果 外科科室的住院人次增长、次均住院费用下降的趋势改变量差异均有统计学意义,全院平均住院日下降但不明显,全院病例组合指数虽增但趋势改变量下降明显,内科病例组合指数上升,外科均下降。结论 按病种分值付费支付方式改革增加了内外科服务量,但收治病例难度下降,卫生费用下降,需警惕潜在推诿患者的风险,应平衡控制医疗费用增长与收治重症激励的矛盾;平均住院日的变化反映不同科室效率响应的差异,外科效率提升显现,内科流程优化尚需加强。 展开更多
关键词 按病种分值付费 诊疗行为 间断时间序列
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DIP支付方式改革背景下公立医院成本管理路径分析
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作者 孙国琴 《知识经济》 2026年第1期109-112,共4页
在按病种分值付费(DIP)支付方式改革背景下,研究旨在探讨DIP支付对公立医院经济运行的影响,并评估成本管理路径的实施成效。研究采用回顾性前后对比分析法,选取淄博市第一医院2023年与2024年住院医保患者作为研究对象,重点对比分析城乡... 在按病种分值付费(DIP)支付方式改革背景下,研究旨在探讨DIP支付对公立医院经济运行的影响,并评估成本管理路径的实施成效。研究采用回顾性前后对比分析法,选取淄博市第一医院2023年与2024年住院医保患者作为研究对象,重点对比分析城乡居民住院人次、医疗总费用、次均费用及成本结构核心指标的变化情况。研究表明,DIP支付改革有效推动医院从规模扩张向内涵式发展转型,基于精细化成本核算的成本管理路径在控制医疗费用、提升运营效率方面显示出积极效果,为同类医院管理实践提供参考依据。 展开更多
关键词 公立医院 按病种分值付费(dip) 成本管理
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DIP付费政策下医保精细化管理探究
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作者 潘冰玉 黄宵 《行政事业资产与财务》 2026年第2期52-54,共3页
按病种分值付费(DIP)作为我国医保支付方式改革的重要举措,正在推动医保管理从粗放式向精细化转变。本文分析了DIP付费政策在医保精细化管理中的实践路径、成效与挑战,探讨其机制设计对医疗费用控制、医疗服务行为引导及医保治理结构优... 按病种分值付费(DIP)作为我国医保支付方式改革的重要举措,正在推动医保管理从粗放式向精细化转变。本文分析了DIP付费政策在医保精细化管理中的实践路径、成效与挑战,探讨其机制设计对医疗费用控制、医疗服务行为引导及医保治理结构优化的作用。研究表明,DIP政策虽然可有效促进医疗费用结构的优化,但在支付标准精准性、医疗质量监管、利益协调机制等方面仍面临挑战,建议推进医保精细化管理,构建更加科学、高效的医保治理体系。 展开更多
关键词 dip付费 医保精细化管理 医保支付方式改革
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Multifunctional Dipoles Enabling Enhanced Ionic and Electronic Transport for High‑Energy Batteries
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作者 Shihai Cao Yuntong Sun +4 位作者 Yinghao Li Ao Wang Wenyao Zhang Zhendong Hao Jong‑Min Lee 《Nano-Micro Letters》 2026年第3期685-724,共40页
Achieving high-energy density remains a key objective for advanced energy storage systems.However,challenges,such as poor cathode conductivity,anode dendrite formation,polysulfide shuttling,and electrolyte degradation... Achieving high-energy density remains a key objective for advanced energy storage systems.However,challenges,such as poor cathode conductivity,anode dendrite formation,polysulfide shuttling,and electrolyte degradation,continue to limit performance and stability.Molecular and ionic dipole interactions have emerged as an effective strategy to address these issues by regulating ionic transport,modulating solvation structures,optimizing interfacial chemistry,and enhancing charge transfer kinetics.These interactions also stabilize electrode interfaces,suppress side reactions,and mitigate anode corrosion,collectively improving the durability of high-energy batteries.A deeper understanding of these mechanisms is essential to guide the design of next-generation battery materials.Herein,this review summarizes the development,classification,and advantages of dipole interactions in high-energy batteries.The roles of dipoles,including facilitating ion transport,controlling solvation dynamics,stabilizing the electric double layer,optimizing solid electrolyte interphase and cathode–electrolyte interface layers,and inhibiting parasitic reactions—are comprehensively discussed.Finally,perspectives on future research directions are proposed to advance dipole-enabled strategies for high-performance energy storage.This review aims to provide insights into the rational design of dipole-interactive systems and promote the progress of electrochemical energy storage technologies. 展开更多
关键词 High-energy batteries Electrochemical processes Ionic transport Electronic migration dipOLES
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Microseismic signal processing and rockburst disaster identification:A multi-task deep learning and machine learning approach
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作者 Chunchi Ma Weihao Xu +3 位作者 Xuefeng Ran Tianbin Li Hang Zhang Dongwei Xing 《Journal of Rock Mechanics and Geotechnical Engineering》 2026年第1期441-456,共16页
Underground engineering projects such as deep tunnel excavation often encounter rockburst disasters accompanied by numerous microseismic events.Rapid interpretation of microseismic signals is crucial for the timely id... Underground engineering projects such as deep tunnel excavation often encounter rockburst disasters accompanied by numerous microseismic events.Rapid interpretation of microseismic signals is crucial for the timely identification of rockbursts.However,conventional processing encompasses multi-step workflows,including classification,denoising,picking,locating,and computational analysis,coupled with manual intervention,which collectively compromise the reliability of early warnings.To address these challenges,this study innovatively proposes the“microseismic stethoscope"-a multi-task machine learning and deep learning model designed for the automated processing of massive microseismic signals.This model efficiently extracts three key parameters that are necessary for recognizing rockburst disasters:rupture location,microseismic energy,and moment magnitude.Specifically,the model extracts raw waveform features from three dedicated sub-networks:a classifier for source zone classification,and two regressors for microseismic energy and moment magnitude estimation.This model demonstrates superior efficiency compared to traditional processing and semi-automated processing,reducing per-event processing time from 0.71 s to 0.49 s to merely 0.036 s.It concurrently achieves 98%accuracy in source zone classification,with microseismic energy and moment magnitude estimation errors of 0.13 and 0.05,respectively.This model has been well applied and validated in the Daxiagu Tunnel case in Sichuan,China.The application results indicate that the model is as accurate as traditional methods in determining source parameters,and thus can be used to identify potential geomechanical processes of rockburst disasters.By enhancing the signal processing reliability of microseismic events,the proposed model in this study presents a significant advancement in the identification of rockburst disasters. 展开更多
关键词 Underground engineering Microseismic signal processing Deep learning MULTI-TASK Rockburst identification
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Enhancing Convolution Recurrent Network with Graph Signal Processing:High Suppressive Interference Mitigation
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作者 Guo Pengcheng Yu Miao +1 位作者 Gu Miaomiao Ren Bingyin 《China Communications》 2026年第1期255-272,共18页
In this paper,we propose a novel graph signal processing convolution recurrent network(GSP CRN)for signal enhancement against high suppressive interference(HSI)in wireless communications.GSPCRN consists of the short-t... In this paper,we propose a novel graph signal processing convolution recurrent network(GSP CRN)for signal enhancement against high suppressive interference(HSI)in wireless communications.GSPCRN consists of the short-time graph signal processing(SGSP)approach and a modified convolution recurrent network.Similar to the traditional shorttime time-frequency transformation,SGSP frames the complex-valued communication signal and transforms it to the graph-domain representations,where the connection and weight flexibility of each vertex are fully taken into account.In the presence of HSI,SGSP can extract signal features from new graph-domain dimensions and empower neural networks for weak signal enhancement.Two SGSP methods,adjacency singular value decomposition and implicit graph transformation,are designed to capture relationships among the sampling points in the segmented signals.Simulation results demonstrate that our proposed GSPCRN outperforms existing classic methods in extracting weak signals from the HSI environment.When the interference-to-signal ratio exceeds 27dB,only our proposed GSPCRN can achieve the interference mitigation. 展开更多
关键词 adjacency matrix short-time graph signal processing signal enhancement wireless communications
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Data Processing Solutions on Low Signal-to-noise Data in Loess Plateau Area:A Case Study in Ordos Basin,China
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作者 GAO Rongtao CHENG Yun +1 位作者 TANG Ziqi LIU Zhao 《CT理论与应用研究(中英文)》 2026年第1期154-162,共9页
While the Ordos Basin is recognized for its substantial hydrocarbon exploration prospects,its rugged loess tableland terrain has rendered seismic exploration exceptionally challenging[1-3].Persistent obstacles such as... While the Ordos Basin is recognized for its substantial hydrocarbon exploration prospects,its rugged loess tableland terrain has rendered seismic exploration exceptionally challenging[1-3].Persistent obstacles such as complex 3D survey planning,low signal-tonoise ratio raw data,inadequate near-surface velocity modeling,and imaging inaccuracy have long hindered the advancement of seismic exploration across this region.Through a problem-solving approach rooted in geological target analysis,this research systematically investigates the behavioral patterns of nodal seismometer-based high-density seismic acquisition in loess plateau.Tailored advancements in waveform enhancement and depth velocity modelling methodologies have been engineered.Field validations confirm that the optimized workflow demonstrates marked improvements in amplitude preservation and imaging resolution,offering novel insights for future reservoir characterization endeavors. 展开更多
关键词 loess plateau ACQUISITION low signal to noise ratio data processing depth modeling
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Processing map for oxide dispersion strengthening Cu alloys based on experimental results and machine learning modelling
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作者 Le Zong Lingxin Li +8 位作者 Lantian Zhang Xuecheng Jin Yong Zhang Wenfeng Yang Pengfei Liu Bin Gan Liujie Xu Yuanshen Qi Wenwen Sun 《International Journal of Minerals,Metallurgy and Materials》 2026年第1期292-305,共14页
Oxide dispersion strengthened(ODS)alloys are extensively used owing to high thermostability and creep strength contributed from uniformly dispersed fine oxides particles.However,the existence of these strengthening pa... Oxide dispersion strengthened(ODS)alloys are extensively used owing to high thermostability and creep strength contributed from uniformly dispersed fine oxides particles.However,the existence of these strengthening particles also deteriorates the processability and it is of great importance to establish accurate processing maps to guide the thermomechanical processes to enhance the formability.In this study,we performed particle swarm optimization-based back propagation artificial neural network model to predict the high temperature flow behavior of 0.25wt%Al2O3 particle-reinforced Cu alloys,and compared the accuracy with that of derived by Arrhenius-type constitutive model and back propagation artificial neural network model.To train these models,we obtained the raw data by fabricating ODS Cu alloys using the internal oxidation and reduction method,and conducting systematic hot compression tests between 400 and800℃with strain rates of 10^(-2)-10 S^(-1).At last,processing maps for ODS Cu alloys were proposed by combining processing parameters,mechanical behavior,microstructure characterization,and the modeling results achieved a coefficient of determination higher than>99%. 展开更多
关键词 oxide dispersion strengthened Cu alloys constitutive model machine learning hot deformation processing maps
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Teaching Reform of Chinese Medicine Processing Technology Course under the Integration of Technical and Higher Vocational Education
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作者 Lianfang LI 《Medicinal Plant》 2026年第1期72-77,82,共7页
Against the backdrop of integrated development between technical education and higher vocational education,the teaching of Chinese Medicine Processing Technology courses faces new opportunities and challenges.This pap... Against the backdrop of integrated development between technical education and higher vocational education,the teaching of Chinese Medicine Processing Technology courses faces new opportunities and challenges.This paper analyzes the existing problems in the current teaching of Chinese Medicine Processing Technology courses,discusses the necessity of reforming the teaching model under the context of integration,and proposes the construction of a"Dual-Capability Progression,Six-Dimensional Empowerment"teaching model.The aim is to enhance the teaching quality of Chinese Medicine Processing Technology courses and cultivate high-quality skilled talents in Chinese medicine processing who can meet industry demands. 展开更多
关键词 Technical education Higher vocational education Integrated development Chinese Medicine processing Technology Course Teaching reform
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A Multi-Stage Pipeline for Date Fruit Processing: Integrating YOLOv11 Detection, Classification, and Automated Counting
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作者 Ali S.Alzaharani Abid Iqbal 《Computers, Materials & Continua》 2026年第1期1327-1353,共27页
In this study,an automated multimodal system for detecting,classifying,and dating fruit was developed using a two-stage YOLOv11 pipeline.In the first stage,the YOLOv11 detection model locates individual date fruits in... In this study,an automated multimodal system for detecting,classifying,and dating fruit was developed using a two-stage YOLOv11 pipeline.In the first stage,the YOLOv11 detection model locates individual date fruits in real time by drawing bounding boxes around them.These bounding boxes are subsequently passed to a YOLOv11 classification model,which analyzes cropped images and assigns class labels.An additional counting module automatically tallies the detected fruits,offering a near-instantaneous estimation of quantity.The experimental results suggest high precision and recall for detection,high classification accuracy(across 15 classes),and near-perfect counting in real time.This paper presents a multi-stage pipeline for date fruit detection,classification,and automated counting,employing YOLOv11-based models to achieve high accuracy while maintaining real-time throughput.The results demonstrated that the detection precision exceeded 90%,the classification accuracy approached 92%,and the counting module correlated closely with the manual tallies.These findings confirm the potential of reducing manual labour and enhancing operational efficiency in post-harvesting processes.Future studies will include dataset expansion,user-centric interfaces,and integration with harvesting robotics. 展开更多
关键词 Date fruit cultivation YOLOv11 precision agriculture real-time processing automated fruit counting deep learning agricultural productivity
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