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Fracture propagation of deflagration fracturing in deep shale multi-branch wells
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作者 ZHU Haiyan WANG Enbo +6 位作者 TANG Kai YI Xiangyi ZHAO Peng LI Qin ZHU Jianqiao XU Dezhao DENG Ying 《Petroleum Exploration and Development》 2025年第4期1064-1073,共10页
Based on the finite element-discrete element numerical method,a numerical model of fracture propagation in deflagration fracturing was established by considering the impact of stress wave,quasi-static pressure of expl... Based on the finite element-discrete element numerical method,a numerical model of fracture propagation in deflagration fracturing was established by considering the impact of stress wave,quasi-static pressure of explosive gas,and reflection of stress wave.The model was validated against the results of physical experiments.Taking the shale reservoirs of Silurian Longmaxi Formation in Luzhou area of the Sichuan Basin as an example,the effects of in-situ stress difference,natural fracture parameters,branch wellbore spacing,delay detonation time,and angle between branch wellbore and main wellbore on fracture propagation were identified.The results show that the fracture propagation morphology in deflagration fracturing is less affected by the in-situ stress difference when it is 5-15 MPa,and the tendency of fracture intersection between branch wellbores is significantly weakened when the in-situ stress difference reaches 20 MPa.The increase of natural fracture length promotes the fracture propagation along the natural fracture direction,while the increase of volumetric natural fracture density and angle limits the fracture propagation area and reduces the probability of fracture intersection between branch wells.The larger the branch wellbore spacing,the less probability of the fracture intersection between branch wells,allowing for the fracture propagation in multiple directions.Increasing the delay detonation time decreases the fracture spacing between branch wellbores.When the angle between the branch wellbore and the main wellbore is 45°and 90°,there is a tendency of fracture intersection between branch wellbores. 展开更多
关键词 deflagration fracturing multi-branch well fracture propagation law shale reservoir discrete fracture network
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Aggregation-induced Emission-active Hyperbranched Poly (tetrahydropyrimidine)s Synthesized from Multicomponent Tandem Polymerization 被引量:7
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作者 Yuzhang Huang Ping Chen +2 位作者 Bo Wei Rongrong Hu Ben Zhong Tang 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2019年第4期428-436,I0008,共10页
Hyperbranched polymer with highly branched three-dimensional topological structure, a large number of end groups, and multifaceted functionalities have gained much attention, while polymers with aggregation-induced em... Hyperbranched polymer with highly branched three-dimensional topological structure, a large number of end groups, and multifaceted functionalities have gained much attention, while polymers with aggregation-induced emission(AIE) properties become a group of popular luminescent materials recently. The design and synthesis of AIE-active hyperbranched polymers, which combine the advantages of these two types of materials, are attractive but challenging. In this work, four hyperbranched poly(tetrahydropyrimidine)s were synthesized from the metal-free room temperature multicomponent tandem polymerization of diester group-activated internal alkyne,polyfunctional aromatic amines, and formaldehyde in methanol under the catalysis of acetic acid. Through different monomer combination and controlling the monomer loading order, hyperbranched polymers with various topological structures as well as sequences of different functional groups in the polymer backbone were obtained with high molecular weights(up to 3.0 × 10~4 g/mol) in high yields(up to 98%). The hyperbranched poly(tetrahydropyrimidine) emitted faintly in solution, while its luminescence was notably enhanced in the aggregated state, suggesting its typical aggregation-induced emission property. It is anticipated that the multicomponent polymerization may provide a synthetic platform for the construction of hyperbranched polyheterocycles with diverse structures and functionalities. 展开更多
关键词 HYPERBRANCHED polymer MULTICOMPONENT TANDEM POLYMERIZATION Aggregation-induced emission Polyheterocycle
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Synthesis of Functional Hyperbranched Poly(methyltriazolylcarboxylate)s by Catalyst-free Click Polymerization of Butynoates and Azides 被引量:3
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作者 Mu-Ning Lang Wei-Wen Chi +4 位作者 Ting Han Qing-Zhen Zhao Hong-Kun Li Ben Zhong Tang Yong-Fang Li 《Chinese Journal of Polymer Science》 SCIE CAS CSCD 2020年第11期1171-1177,I0005,共8页
Azide-alkyne click polymerization has become a powerful tool for polymer synthesis.However,the click polymerization between internal alkynes and azides is rarely utilized to prepare functional polymers.In this work,th... Azide-alkyne click polymerization has become a powerful tool for polymer synthesis.However,the click polymerization between internal alkynes and azides is rarely utilized to prepare functional polymers.In this work,the polymerization reactions of activated internal alkyne monomers of tris(2-butynoate)s(1)with tetraphenylethene-containing diazides(2)were performed in dimethylformamide(DMF)under simple heating,affording four hyperbranched poly(methyltriazolylcarboxylate)s(hb-PMTCs)with high molecular weights(A4W up to 2.4 x 104)and regioregularities(up to 83.9%)in good yields.The hb-PMTCs are soluble in common organic solvents,and thermally stable with 5%weight loss temperatures up to 400℃.They are non-emissive in dilute solution,but become highly emissive in aggregated state,exhibiting aggregationinduced emission characteristics.The polymers can generate fluorescent photopatterns with high resolution,and can work as fluorescent sensors to detect nitroaromatic explosive with high sensitivity. 展开更多
关键词 Click polymerization Hyperbranched polymer Aggregation-induced emission Explosive detection Photopattern
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The Model of "Party Branch +" in Promoting Industrial Poverty Alleviation in Poverty-stricken Mountainous Areas of China: A Case Study of Xundian in Yunnan Province
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作者 Zhiqing YAN Zisheng YANG 《Asian Agricultural Research》 2019年第6期71-76,84,共7页
The integration and development of grass-roots Party organizations and accurate poverty alleviation is the focus in social development in the new period. This is also a new measure explored by the CPC Central Committe... The integration and development of grass-roots Party organizations and accurate poverty alleviation is the focus in social development in the new period. This is also a new measure explored by the CPC Central Committee in the new historical period to solve rural reform and extricate the poor from poverty,and can effectively enhance the enthusiasm of the masses in poverty alleviation and development work. Xundian Hui and Yi Autonomous County is located in the mountainous area of northeast Yunnan Province. It is one of the 592 national key counties for poverty alleviation and development and one of the 38 continuous development counties in Wumeng Mountain area. Since the implementation of the accurate poverty alleviation strategy,Xundian County insists on getting rid of poverty to grasp the overall situation of county economic and social development,focus on the actual situation of the county people,and conscientiously grasp the key of industrial poverty alleviation. It regards industry as the fundamental driving force to realize poverty alleviation from " blood transfusion" to " blood creation",and innovates the model of " Party branch +" to help the poor out of poverty by industry. It has selected 187 agricultural enterprises( cooperatives,large households) to achieve full coverage of all registered poor households,and achieved remarkable results. It has realized that each poor village has one to two leading industries,and each poor household has one to two industrial income projects,having led 30 500 poor households to increase their average income by more than 1 850 yuan. The final incidence of poverty decreased from 26. 93% in 2014 to 0. 35% at the end of 2017,becoming one of the first counties in Yunnan Province to get rid of poverty. It is also the only county in Yunnan Province that has won the Antipoverty Organization Innovation Award of the State Council. Based on field research and interviews,this paper analyzes and summarizes the specific methods,main achievements,practical experience and popularization and application measures of Xundian County " Party Branch +" to promote industrial poverty alleviation,so as to provide necessary reference for accurate poverty reduction and poverty alleviation in similar mountainous areas of Yunnan Province and other provinces. 展开更多
关键词 Accurate POVERTY alleviation "Party Branch+" INDUSTRIAL POVERTY alleviation Model Xundian Hui and Yi Autonomous County
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Map-based cloning of a novel QTL qBN-1 influencing branch number in soybean[Glycine max(L.)Merr.] 被引量:5
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作者 Sobhi F.Lamlom Yong Zhang +5 位作者 Bohong Su Haitao Wu Xia Zhang Jindong Fu Bo Zhang Li-Juan Qiu 《The Crop Journal》 SCIE CAS CSCD 2020年第5期793-801,共9页
Branch number(BN)is an important agronomic attribute related to the plant architecture,adaptability,and yield of soybean.To date,few studies ofBNhave been conducted to elucidate its genetic background.We aimed to loca... Branch number(BN)is an important agronomic attribute related to the plant architecture,adaptability,and yield of soybean.To date,few studies ofBNhave been conducted to elucidate its genetic background.We aimed to localize genetic factors affecting BN using segregating populations derived fromthe high-branching cultivar‘Kennong24’(KN24)and the low-branching cultivar‘Kenfeng19’(KF19).Composite interval mapping analysis detected a QTL(qBN-1)on chromosome 6 between the SSR markers BARCSOYSSR_06_0993 and BARCSOYSSR_06_1070 using an F2 population.To fine-map qBN-1,a RIL population was developed and genotyped with 14 SSRmarkers located in the QTL region.qBN-1 was localized to a 115.67-kb interval flanked by markers BARCSOYSSR_06_1048 and BARCSOYSSR_06_1053.The QTL was further confirmed using backcross populations of size 1305(BC2F2 with KN24 as a recurrent parent)and 1712(BC3F2 with KF19 as a recurrent parent).The fine-mapping region of qBN-1 contained only two candidate genes,Glyma.06G208800 and Glyma.06G208900,whose expression patterns were investigated by qRT-PCR.Compared to Glyma.06G208800 gene expression,Glyma.06G208900 showed the highest expression of the two genes and showed a significant difference in expression between high-and low-branching genotypes in either axillary meristem or shoot apical meristem,and showed opposite expression patterns in the two tissues at V4 and R1 stages.These results identify Glyma.06G208900 as a novel candidate gene controlling BN.Taken together,the results of this study provide a foundation for cloning and functional analysis of the qBN-1 gene and for the improvement of BN bymarker-assisted selection in soybean breeding. 展开更多
关键词 SOYBEAN CULTIVAR GLYCINE
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Shareable Instruments and Observatories for the Joint Research Center on Space Weather of the Siberian Branch of Russian Academy of Sciences and Chinese Academy of Sciences
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作者 G.Y.Smolkov 《空间科学学报》 CAS CSCD 北大核心 2005年第5期345-350,共6页
Presented are the ideas and proposals in regards to the pooling of by RAS, SB, ISTP, and CSSAR,CAS toward coordinated usage of existing ground-based and orbiting helio-geophysical observatories, single large installat... Presented are the ideas and proposals in regards to the pooling of by RAS, SB, ISTP, and CSSAR,CAS toward coordinated usage of existing ground-based and orbiting helio-geophysical observatories, single large installations as well as creating, forecasting services and new observing facilities, in the interests of achieving a profitable activity of the China-Russia Joint Research Center on Space Weather (JRCSW). 展开更多
关键词 天文台 空间气象 西伯利亚 俄罗斯 中国 科学研究 数据库 气象预报
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The Relationship between Consumption of Fast Food with Level of Serum Folat among Nursing Students of Islamic Azad University, Tehran Medical Sciences Branch in 2016
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作者 Naghibeiranvand Mehran Moshtagheshgh Zahra 《International Journal of Clinical Medicine》 2017年第5期338-343,共6页
In recent decades, substantial increase in average weight of individuals has been seen in rich countries. Such changes are the result of significant changes in pattern of people’s lives. One of these issues is increa... In recent decades, substantial increase in average weight of individuals has been seen in rich countries. Such changes are the result of significant changes in pattern of people’s lives. One of these issues is increasing levels in consumption of fast foods or processed foods. According to experts, the consumption of processed foods, because of having high-calories and trans-fatty acids, is fattening and harmful. In this study, the researchers after obtaining permission from the ethics committee and head of the School of Nursing, introduced themselves to nursing students then, samples were randomly selected among those who are eligible for the study. Before performing to complete the questionnaire and relevant experiments, testimonial were asked from the subjects. At the end of the study, results were suggested that, levels of Serum folate between males and females and also among married and single people were equivalent. Level of Serum folate among those students who usually have anemia in their families is significantly lower than those ones who have not anemia in their families (P = 0.003). There was a significant relationship between age and semester with levels of folate (P i.e. by increasing age and educational terms, levels of serum folate would be reduced. The level of serum folate among students who smoke is lesser than those do not (P = 0.001). 展开更多
关键词 Fast FOOD SERUM Folate NURSING Students
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Miniaturization and Second Harmonic Suppression of Branch-Line Coupler Using Four Open-End Stubs
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作者 Ali Reza Hazeri Tayeb Faraji 《通讯和计算机(中英文版)》 2010年第5期64-67,共4页
关键词 支线耦合器 谐波抑制 小型化 存根 分枝 设计方法 模态分析 分支机构
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Actin gene family in Branchiostoma belched
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作者 FENG Jun 《科学教育与博物馆》 2016年第1期28-36,共9页
Actin is a highly conserved cytoskeletal protein that is found in essentially all eukaryotic cells,which plays a paramount role in several basic functions of the organism, such as the maintenance of cellshape, cell di... Actin is a highly conserved cytoskeletal protein that is found in essentially all eukaryotic cells,which plays a paramount role in several basic functions of the organism, such as the maintenance of cellshape, cell division, cell mobility and muscle contraction. However, little is known about actin gene family inChinese amphioxus (Branchiostoma belcheri). Here we systemically analyzed the actin genes family inBranchiostoma belched and found that amphioxus contains 33 actin genes. These genes have undergoneextensive expansion through tandem duplications by phylogenetic analysis. In addition, we also providedevidence indicating that actin genes have divergent functions by specializing their EST data in both Bran-chiostoma belched and Branchiostoma florida. Our results provided an alternative explanation for the evolu-tion of actin genes, and gave new insights into their functional roles. 展开更多
关键词 ACTIN GENE FAMILY AMPHIOXUS evolution EST data
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Children with Sickle Cell Disease in Northern Benin: Follow up of a Cohort at the Borgou/Alibori Branch of Integrated Medical Healthcare Center for Infants and Pregnant Women with Sickle Cell Disease from 2017 to 2022
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作者 Falilatou Agbeille Mohamed Alphonse Noudamadjo +6 位作者 Médétinmè Gérard Kpanidja Yémalin Zinsou François Anikè Akinola Kpedio Clarisse Marie Chantal Bossa Julien Didier Adédémy Joseph Agossou 《Open Journal of Pediatrics》 2024年第3期445-458,共14页
Introduction: Sickle cell disease is a public health problem in sub-Saharan Africa. A national referral center for the management of infants and pregnant women with sickle cell disease (CPMI-NFED) was created three de... Introduction: Sickle cell disease is a public health problem in sub-Saharan Africa. A national referral center for the management of infants and pregnant women with sickle cell disease (CPMI-NFED) was created three decades ago in Cotonou, in the south of Benin with two regional branches including that of Parakou in the North for better access of patients to specialized care. This work is a review of five years of activities in order to describe the epidemiological, clinical, hematological and evolutionary profiles of the children followed up in the said branch. Method: This was a descriptive and retrospective cross-sectional study on the medical records of children with sickle cell disease, followed up at the regional branch of CPMI-NFED in Borgou/Alibori from June 1, 2017 to May 31, 2022. The variables studied were epidemiological, clinical, biological and evolutionary. Results: A total of 101 children with sickle cell disease were included in the study, including 78 homozygous SS (77.2%) and 23 heterozygous SC (22.8%). Their mean age at inclusion was 51.2 ± 37.6 months [6 - 204]. The sex ratio was 1.4. Vaso-occlusive crises were the main diagnostic circumstances in 42.3% of homozygotes. More than half of the children (51.5%) had a regular follow-up. The average baseline level of hemoglobin (Hb) in homozygous children was 8.8 ± 1.4 g/dl [5.8 - 11.5];and the rate of Hb S varied between 61.9 and 94.7%. In heterozygous SC children, the mean baseline level of Hb was 10.7 ± 0.6 g/dl [9.7 - 11.5]. Acute complications observed during follow-up were dominated by pneumonia and vaso-occlusive crises in both phenotypes. The overall mortality was 3% and only affected homozygous patients. Conclusion: On average, three out of four children were homozygous in our cohort. The main acute complications were infectious and vaso-occlusive. The mortality only affected homozygous carriers. Specialized follow-up has contributed to improving the quality of life of children with sickle cell disease. This could be implemented on a large scale for better survival of children with sickle cell disease. 展开更多
关键词 Sickle Cell Disease CHILDREN CPMI-NFED Parakou BENIN
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Ecological Environment Monitoring Station of Yanshan Branch,Wenshan Prefecture Ecological Environment Bureau,Yunnan Province,Yanshan 663100,China
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作者 Sumei LI Guofang ZENG +1 位作者 Lei YIN Zhangyue WANG 《Meteorological and Environmental Research》 2024年第5期14-16,20,共4页
How ecological environmental monitoring provides scientific and technological strength for ecological environmental management was studied.In recent years,the Ecological Environment Monitoring Station of Yanshan Branc... How ecological environmental monitoring provides scientific and technological strength for ecological environmental management was studied.In recent years,the Ecological Environment Monitoring Station of Yanshan Branch,Wenshan Prefecture Ecological Environment Bureau,Yunnan Province has developed into a provincial environmental education base,a provincial science education base,and a national environmental protection facility open to the public by relying on monitoring equipment and facilities,personnel training,monitoring and law enforcement interaction,analysis of abnormal data,and countermeasures and suggestions were put forward for the problems in the development. 展开更多
关键词 Ecological environment monitoring Ecological environment management Scientific and technological strength
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参蛤补肺汤联合化疗治疗利福平敏感复治肺结核临床观察
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作者 陈代平 方明珠 +2 位作者 程瑶 赵丽华 李林 《辽宁中医杂志》 北大核心 2026年第1期91-95,共5页
目的探究参蛤补肺汤联合西药化疗治疗利福平敏感复治肺结核的临床效果。方法将136例利福平敏感型复治肺结核患者随机分成两组,包括治疗组(68例)和对照组(68例),其中治疗组采用标准化的治疗方案:(2HRZS(L)E/6HRE)联合参蛤补肺汤;对照组... 目的探究参蛤补肺汤联合西药化疗治疗利福平敏感复治肺结核的临床效果。方法将136例利福平敏感型复治肺结核患者随机分成两组,包括治疗组(68例)和对照组(68例),其中治疗组采用标准化的治疗方案:(2HRZS(L)E/6HRE)联合参蛤补肺汤;对照组则单用标准化的治疗方案。观察两组在治疗后2、5个月和疗程结束时的痰菌转阴、病灶吸收及空洞闭合情况,计算两组的治疗成功率;观察两组在治疗后的临床症状及免疫功能改善情况;通过多因素回归分析治疗成功的相关因素。结果治疗组在各个观察点的细菌转阴率均高于对照组(P<0.05),治疗组的治疗成功率为88.2%(60/68),高于对照组的72.1%(49/68)(P<0.05);在疗程结束后,治疗组的胸部X线病灶吸收显效率高于对照组(P<0.05),临床症状改善快于对照组(P<0.05),T淋巴细胞CD_(4)^(+)/CD_(8)^(+)比值高于对照组(P<0.05);治疗过程中,治疗组不良反应发生率低于对照组(P<0.05);治疗前患者为多耐药是治疗成功的独立危险因素,而使用参蛤补肺汤辅助治疗则是治疗成功的独立保护因素。结论使用参蛤补肺汤辅助治疗利福平敏感的复治肺结核患者,可促进细菌转阴、提高治疗成功率、加速病灶吸收、促进症状改善、改善细胞免疫、减少不良反应,是更为优化的复治肺结核治疗方案。 展开更多
关键词 复治肺结核 参蛤补肺汤 利福平敏感 方案评价 疗效比较研究
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城市型天然气脱硫站多源耦合噪声识别与综合治理技术研究及工程实践
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作者 栗源 陈剑 +1 位作者 李璐 胡樾 《石油炼制与化工》 北大核心 2026年第1期103-109,共7页
城市型天然气脱硫站在实际运行中会产生气体流动噪声、机械振动噪声及工艺操作噪声等多种噪声污染,极易干扰周围居民生活。结合城市型天然气脱硫站噪声产生原因及传播特征,通过系统调研识别出站内高噪声设备设施为循环冷却水塔、泵组、... 城市型天然气脱硫站在实际运行中会产生气体流动噪声、机械振动噪声及工艺操作噪声等多种噪声污染,极易干扰周围居民生活。结合城市型天然气脱硫站噪声产生原因及传播特征,通过系统调研识别出站内高噪声设备设施为循环冷却水塔、泵组、空气分离装置、高速管道,噪声呈现宽频带和低中高频复合叠加的特性,噪声最大达96 dB(A)。通过对比不同噪声识别与治理技术,提出“声源优化控制-吸声减噪处理-隔声屏障阻隔”的综合治理方案,采取增设吸隔声屏障、设备隔声罩和消声器、管道包裹降噪等措施。治理方案实施后厂界等效声级均值可控制在47 dB(A)以下,优于《工业企业厂界环境噪声排放标准》(GB 12348—2008)二级声环境功能区噪声标准要求,主要高噪声设备、设施的噪声平均降低19.6 dB(A)。 展开更多
关键词 噪声治理 天然气脱硫站 包裹降噪 声源控制 吸隔声屏障 声阵列技术 噪声频谱
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基于IoT技术的寒地黑土质量信息监测系统
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作者 葛宜元 孙道起 +4 位作者 孟庆祥 王囡囡 高士军 苏安双 王淼 《农机化研究》 北大核心 2026年第1期226-232,267,共8页
寒地黑土是我国东北地区的重要农业资源,土壤质量和环境状况直接影响粮食产量和质量。为有效监测和管理寒地黑土质量和环境变化情况,构建了一种基于物联网(IoT)技术的寒地黑土质量信息监测系统。该系统通过传感器采集土壤湿度、温度、p... 寒地黑土是我国东北地区的重要农业资源,土壤质量和环境状况直接影响粮食产量和质量。为有效监测和管理寒地黑土质量和环境变化情况,构建了一种基于物联网(IoT)技术的寒地黑土质量信息监测系统。该系统通过传感器采集土壤湿度、温度、pH值和氮磷钾等养分数据,并利用无线网络传输至数据处理中心,进行数据存储、分析和可视化展示。设计地力评价模块,根据寒地作物种植需求,选择适合寒地黑土的地力评价因子,以选定的评价指标为基本对象,通过选取层次分析法进行指标权重分析,利用模糊综合评价法进行隶属度计算以进行寒地黑土信息评价;系统可实现土壤质量信息的实时监测,数据查询、分析、评价和下载。验证试验结果表明,该系统在寒地环境中数据测量稳定,土壤温度测量精度达到±0.3℃,湿度为±0.26%RH,pH值为±0.03,系统阈值报警响应时间平均为15 s。该系统实现了寒地黑土质量信息的中长期稳定监测,对地力的评价符合农业部标准,可为肥料施用等农田管理提供科学合理的建议,进而提高管理效率,实现作物增产增收。 展开更多
关键词 寒地黑土 质量监测 MCGS IoT技术 可视化 地力评价
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基于对标管理和节点分析的煤层气集气系统站场工艺优化方法
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作者 孟凡华 张博 +3 位作者 刘松群 吴春升 屈丽彬 王子辉 《油气田地面工程》 2026年第1期60-65,共6页
在企业管理活动中,对标管理和节点分析是企业不断改进和获得竞争优势的最重要管理方式。山西煤层气分公司自2021年起,按照中国石油天然气股份有限公司煤层气田管理指标开展对标管理工作,发现了综合用能高的主要问题。为进一步提升煤层... 在企业管理活动中,对标管理和节点分析是企业不断改进和获得竞争优势的最重要管理方式。山西煤层气分公司自2021年起,按照中国石油天然气股份有限公司煤层气田管理指标开展对标管理工作,发现了综合用能高的主要问题。为进一步提升煤层气田地面系统运行管理水平,构建了一套具有二级节点、41项管控参数的煤层气集气系统井站管理体系,建立了节点分析和对标管理融合的工作流程,在此基础上,通过分析和论证,实施站场优化4处,实现沁水盆地煤层气田站场运行参数逐步提升。2021至2023年单位气田气生产综合能耗、单位气田气采集输综合能耗、单位气田气处理综合能耗逐年下降,完成了2021年的能耗指标低于平均值到2023年指标接近先进值的转变。 展开更多
关键词 煤层气 集气系统 对标管理 节点分析 工艺优化
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超声监测动脉粥样硬化性肾动脉狭窄患者血流动力学与肾实质弹性值预测肾功能预后的价值
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作者 杨翠英 谢迎新 +3 位作者 刘晓伟 张冬青 赵雅培 薛丽丽 《河北医科大学学报》 2026年第1期57-65,共9页
目的探讨超声监测动脉粥样硬化性肾动脉狭窄(atherosclerotic renal artery stenosis,ARAS)患者血流动力学与肾实质弹性值预测肾功能预后的价值。方法选取2021年1月—2022年12月河北医科大学第二医院鹿泉院区收治的ARAS患者204例,均行... 目的探讨超声监测动脉粥样硬化性肾动脉狭窄(atherosclerotic renal artery stenosis,ARAS)患者血流动力学与肾实质弹性值预测肾功能预后的价值。方法选取2021年1月—2022年12月河北医科大学第二医院鹿泉院区收治的ARAS患者204例,均行肾动脉狭窄介入术治疗,术前、术后1周行彩色多普勒超声(color Doppler flow imaging,CDFI)及声脉冲辐射弹性成像(acoustic radiation force impulse,ARFI)检查,术后随访12个月,根据肾功能预后分为预后良好组与预后不良组。比较2组临床资料及术前、术后1周超声血流动力学参数[肾动脉流速峰值(peak systolic velocity,PSV)、阻力指数(resistive index,RI)、肾动脉与腹主动脉流速比值(renal-to-aortic ratio,RAR)、肾动脉与叶间动脉流速比值(renal-to-interlobar ratio,RIR)]、肾实质弹性值[剪切波传播速度(shear wave velocity,SWV)值]、变化率(Δ%);点二列相关系数分析各参数变化率与肾功能预后的相关性;Logistic回归分析确定各参数变化率对肾功能预后的影响,绘制受试者工作特征(receiver operating characteristic,ROC)曲线,计算曲线下面积(area under the curve,AUC),分析各参数变化率对肾功能预后的预测价值。结果预后不良组肾动脉狭窄程度为重度占比(77.05%)、术前收缩压[(140.16±13.85)mmHg]、舒张压[(83.67±5.71)mmHg],高于预后良好组[60.00%、(128.75±11.07)mmHg、(76.28±5.28)mmHg],差异有统计学意义(P<0.05)。术后1周,预后不良组和预后良好组肾动脉PSV、RI、RAR、RIR、肾实质SWV值[预后不良组:(115.68±36.13)cm/s、(0.66±0.04)、(1.85±0.62)、(2.58±0.83)、(3.49±0.67)m/s;预后良好组(76.13±25.48)cm/s、(0.62±0.02)、(1.31±0.49)、(1.72±0.51)、(2.82±0.53)m/s]低于术前[预后不良组:(281.43±33.43)cm/s、(0.78±0.05)、(4.46±0.61)、(8.64±1.18)、(4.75±1.02)m/s;预后良好组:(252.36±24.12)cm/s、(0.75±0.04)、(4.02±0.48)、(7.26±0.75)、(4.06±0.94)m/s],预后不良组肾动脉PSV、RI、RAR、RIR、肾实质SWV值高于预后良好组,差异有统计学意义(P<0.05)。预后不良组肾动脉PSVΔ%、RIΔ%、RARΔ%、RIRΔ%、肾实质SWV值Δ%[(58.90±10.23)、(15.38±1.52)、(58.52±7.88)、(70.14±5.31)、(26.53±3.76)]低于预后良好组[(69.83±14.06)、(17.33±2.18)、(67.41±9.39)、(76.31±6.57)、(30.54±4.05)],差异有统计学意义(P<0.05)。点二列相关性分析显示,肾动脉PSVΔ%、RIΔ%、RARΔ%、RIRΔ%、肾实质SWV值Δ%与肾功能预后不良风险呈负相关(P<0.05)。Logistic回归分析显示,平衡处理混杂因素后,肾动脉PSVΔ%、RIΔ%、RARΔ%、RIRΔ%、肾实质SWV值Δ%是ARAS患者肾功能预后的独立影响因素(P<0.05)。ROC分析显示,肾动脉PSVΔ%、RIΔ%、RARΔ%、RIRΔ%、肾实质SWV值Δ%预测ARAS患者肾功能预后的AUC分别为0.761、0.730、0.776、0.781、0.749,联合预测的AUC为0.904,显著高于各参数单独预测价值(Z=3.661、3.839、2.982、3.048、3.578,均P<0.05)。结论超声血流动力学参数及肾实质弹性值变化率均是ARAS患者介入术后肾功能预后的独立影响因素,联合应用对肾功能预后不良具有一定预测价值,可作为临床预测术后肾功能的新型方案,从而可指导临床决策。 展开更多
关键词 肾动脉梗阻 动脉粥样硬化 超声检查 预后d
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交叉电项针治疗卒中相关性肺炎呼吸机依赖患者的临床疗效
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作者 蔡国锋 孙波 +8 位作者 庄哲 贾坤平 王虹 郭祀慧 崔成 高子茵 吴珍琦 马兴武 孙满超 《中国急救医学》 2026年第1期50-55,共6页
目的观察交叉电项针对卒中相关性肺炎呼吸机依赖患者脱机的影响。方法将90例卒中相关性肺炎呼吸机依赖患者采用随机数字表法分为项针组、电项针组和交叉电项针组,每组30例。三组在相同的基础针灸、对症治疗及基础护理的基础上,分别采用... 目的观察交叉电项针对卒中相关性肺炎呼吸机依赖患者脱机的影响。方法将90例卒中相关性肺炎呼吸机依赖患者采用随机数字表法分为项针组、电项针组和交叉电项针组,每组30例。三组在相同的基础针灸、对症治疗及基础护理的基础上,分别采用项针、电项针和交叉电项针三种不同的针刺治疗方案,共治疗28 d。对三组膈肌呼吸变异度(TFdi)、动脉氧分压(PaO_(2))、动脉二氧化碳分压(PaCO_(2))、肺炎严重指数(PSI)、格拉斯哥昏迷评分(GCS评分)和脱机成功率进行比较,探讨三组治疗方案对卒中相关性肺炎呼吸机依赖患者的治疗效果。结果三组组内治疗前后比较,TFdi、PaO_(2)、PaCO_(2)、PSI、GCS等相关指标均有改善(P<0.05);治疗后三组TFdi、PaO_(2)、PaCO_(2)、PSI、GCS等指标改善程度,交叉电项针组>电项针组>项针组(P<0.05)。交叉电项针组脱机成功率86.67%,电项针组脱机成功率66.67%,项针组脱机成功率50.00%,结合各组治疗后各项指标及最终脱机成功率,交叉电项针组治疗效果优于电项针组和项针组(P<0.05)。结论交叉电项针治疗能改善卒中相关性肺炎呼吸机依赖患者的TFdi、PaO_(2)、PaCO_(2)、PSI、GCS等相关指标,提高脱机成功率。 展开更多
关键词 交叉电项针 卒中相关性肺炎 呼吸机依赖
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洱海周边面山植物植被类型及功能类型调查
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作者 李春叶 周顺福 《林业勘查设计》 2026年第1期87-94,共8页
针对洱海周边面山植物植被类型及植物功能型进行调查研究。洱海周边植物是该湿地生态系统的基本组成部分,也是湿地生态系统结构和功能的核心。在生物多样性保护中发挥关键作用,直接影响洱海物种多样性及水质状况,其周边面山植物的种类... 针对洱海周边面山植物植被类型及植物功能型进行调查研究。洱海周边植物是该湿地生态系统的基本组成部分,也是湿地生态系统结构和功能的核心。在生物多样性保护中发挥关键作用,直接影响洱海物种多样性及水质状况,其周边面山植物的种类数量及优势种的变化情况是判定湿地生态系统稳定程度的重要指标。此次调查选取31块典型样地,共采集到洱海周边面山植物475种,隶属于335属、121科,划分为18种植被类型,同时结合地理成分、保护和利用价值、植物来源及人为因素管理等条件进行植物功能类型划分,将其划分为土著种、狭域特有植物、保护植物、栽培种、湿地引入种和外来入侵种等不同的功能类型。该项调查研究对后期洱海面山植被恢复选取树种提供依据和参考。 展开更多
关键词 面山植物 植被类型 植物功能类型 洱海
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甲基丙烯酰胺类聚合物的合成及其处理含聚污水的性能研究
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作者 高勇 李杭宸 宋鹏 《环境科学与管理》 2026年第1期102-106,共5页
为了减轻环境污染并保护水资源免受严重损害,研究甲基丙烯酰胺类聚合物的合成及其处理含聚污水的性能评估。从某炼化厂现场获取含聚污水样本,设计不同配比的甲基丙烯酰胺类聚合物,调整引发剂和还原剂的含量,制备一系列具有不同特性的聚... 为了减轻环境污染并保护水资源免受严重损害,研究甲基丙烯酰胺类聚合物的合成及其处理含聚污水的性能评估。从某炼化厂现场获取含聚污水样本,设计不同配比的甲基丙烯酰胺类聚合物,调整引发剂和还原剂的含量,制备一系列具有不同特性的聚合物,对每种聚合物进行特性黏数测试及絮凝试验。实验结果表明:AM:DMC:DP配比为75:20:5的聚合物特性黏数最高,污水处理能力最优。当添加量为150 mg/L时,污染物去除效果显著,COD去除率达38%,且杀菌率较高。 展开更多
关键词 甲基丙烯酰胺 聚合物 含聚污水 特性黏数 絮凝试验
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追踪护理模式联合共情护理在乳腺癌内分泌治疗方案联合新辅助化疗患者中的应用
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作者 陈静 王清 《妇儿健康导刊》 2026年第1期98-101,共4页
目的 分析追踪护理模式联合共情护理在乳腺癌内分泌治疗(ET)方案联合新辅助化疗患者中的应用效果。方法 纳入2023年5月至2024年10月在江苏省人民医院接受ET方案联合新辅助化疗的102例乳腺癌患者作为研究对象,以随机数字表法将患者分为... 目的 分析追踪护理模式联合共情护理在乳腺癌内分泌治疗(ET)方案联合新辅助化疗患者中的应用效果。方法 纳入2023年5月至2024年10月在江苏省人民医院接受ET方案联合新辅助化疗的102例乳腺癌患者作为研究对象,以随机数字表法将患者分为对照组(n=51)和观察组(n=51),两组均予以常规护理,观察组则在常规护理基础上给予追踪护理模式联合共情护理进行干预,对比两组患者干预前后的心理状态、应对方式、自我管理效能。结果 干预后,观察组伯恩斯抑郁量表、伯恩斯焦虑量表评分均低于对照组,医学应对方式问卷、中文版癌症自我管理效能感量表评分均高于对照组(P<0.05)。结论 在乳腺癌患者的ET方案联合新辅助化疗过程中应用追踪护理模式联合共情护理可以更好地缓解患者的负面情绪,提高其应对疾病的能力和自我管理效能。 展开更多
关键词 追踪护理模式 共情护理 乳腺癌 内分泌治疗方案 新辅助化疗
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