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基于改进Kruskal-Wallis检验的低压开关电器状态表征参数选择 被引量:1
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作者 刘洋 曹云东 刘树鑫 《高电压技术》 EI CAS CSCD 北大核心 2024年第2期535-542,共8页
由于状态数据的多属性、高维度和大数据量,以及特征参数难以满足正态性和方差齐性检验的事实,低压开关电器的状态表征参数难于选择。针对该问题,基于非参数单体多状态样本的分组状态间秩差异性,以及特征参数Kruskal-Wallis(KW)检验统计... 由于状态数据的多属性、高维度和大数据量,以及特征参数难以满足正态性和方差齐性检验的事实,低压开关电器的状态表征参数难于选择。针对该问题,基于非参数单体多状态样本的分组状态间秩差异性,以及特征参数Kruskal-Wallis(KW)检验统计量的计算规则和变化趋势,研究论证了单体样本特征参数表征显著性鉴别机理。同时,基于状态序列斜率变化增量和子序列变异增量,提出样本状态时序分类算法,并将该算法与参数鉴别机理相结合,形成单体多状态样本改进KW检验理论。最后,基于改进理论提出低压开关电器状态表征参数选择新方法。以交流接触器为例进行验证,结果表明该文方法适用于具有非线性、非平稳、动态随机分布等特点的低压开关电器状态表征参数选择。实例证明,基于该方法获得状态表征曲线的拟合优度可达0.91,状态划分显著性P值可达8.42848×10–266,表征与分类精度较参数选择前及同类方法提升明显,为下一步研究低压开关电器状态的精确划分与识别奠定了理论基础。 展开更多
关键词 低压开关电器 状态表征 参数选择 kruskal-wallis检验 状态划分
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A SAS Macro for Testing Differences among Three or More Independent Groups Using Kruskal-Wallis and Nemenyi Tests 被引量:3
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作者 刘跃伟 陈卫红 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2012年第1期130-134,共5页
As a nonparametric method,the Kruskal-Wallis test is widely used to compare three or more independent groups when an ordinal or interval level of data is available,especially when the assump-tions of analysis of varia... As a nonparametric method,the Kruskal-Wallis test is widely used to compare three or more independent groups when an ordinal or interval level of data is available,especially when the assump-tions of analysis of variance (ANOVA) are not met.If the Kruskal-Wallis statistic is statistically signifi-cant,Nemenyi test is an alternative method for further pairwise multiple comparisons to locate the source of significance.Unfortunately,most popular statistical packages do not integrate the Nemenyi test,which is not easy to be calculated by hand.We described the theory and applications of the Kruskal-Wallis and Nemenyi tests,and presented a flexible SAS macro to implement the two tests.The SAS macro was demonstrated by two examples from our cohort study in occupational epidemiology.It provides a useful tool for SAS users to test the differences among three or more independent groups using a nonparametric method. 展开更多
关键词 kruskal-wallis Nemenyi multiple comparisons tests SAS macro
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Life-Cycle Bearing Capacity for Pre-Stressed T-beams Based on Full-Scale Destructive Test
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作者 Yushan Ye Tao Gao +4 位作者 Liankun Wang Junjie Ma Yingchun Cai Heng Liu Xiaoge Liu 《Structural Durability & Health Monitoring》 EI 2025年第1期145-166,共22页
To investigate the evolution of load-bearing characteristics of pre-stressed beams throughout their service life and to provide a basis for accurately assessing the actual working state of damaged pre-stressed concret... To investigate the evolution of load-bearing characteristics of pre-stressed beams throughout their service life and to provide a basis for accurately assessing the actual working state of damaged pre-stressed concrete T-beams,destructive tests were conducted on full-scale pre-stressed concrete beams.Based on the measurement and ana-lysis of beam deflection,strain,and crack development under various loading levels during the research tests,combined with the verification coefficient indicators specified in the codes,the verification coefficients of bridges at different stages of damage can be examined.The results indicate that the T-beams experience complete,incom-plete linear,and non-linear stages during the destructive test process.In the complete linear elastic stage,both the deflection and bottom strain verification coefficients comply with the specifications,indicating a good structural load-bearing capacity no longer adheres to the code’s requirements.In the non-linear stage,both coefficients exhi-bit a sharp increase,resulting in a further decrease in the structure’s load-bearing capacity.According to the pro-visions of the current code,the beam can be in the incomplete linear stage when both values fall within the code’s specified range.The strain verification coefficient sourced from the compression zone at the bottom of theflange is not recommended for assessing the bridge’s load-bearing capacity. 展开更多
关键词 Pre-stressed T-beams whole process destructive test bearing capacity verification coefficient
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基于Matlab的Kruskal-Wallis和Nemenyi检验的界面实现 被引量:10
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作者 胡小刚 陈剑鸿 +2 位作者 孙凤军 刘耀 夏培元 《中国卫生统计》 CSCD 北大核心 2011年第4期466-467,473,共3页
目的设计Kruskal-Wallis检验和Neminyi检验的程序,并完成界面化,为医学科研工作提供此类问题的技术支持。方法依据Kruskal-Wallis检验和Neminyi检验的建立过程,运用matlab编程实现这一过程。结果对相关数据进行处理,结果显示软件运用方... 目的设计Kruskal-Wallis检验和Neminyi检验的程序,并完成界面化,为医学科研工作提供此类问题的技术支持。方法依据Kruskal-Wallis检验和Neminyi检验的建立过程,运用matlab编程实现这一过程。结果对相关数据进行处理,结果显示软件运用方便,得出结果快速准确。结论该程序对这类医药科学实验设计和研究具有很大的帮助。 展开更多
关键词 MATLAB kruskal-wallis检验 Neminyi检验 程序
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基于Kruskal-Wallis检验的公路货运车辆实载率差异分析 被引量:9
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作者 张志俊 王盼盼 《交通运输系统工程与信息》 EI CSCD 北大核心 2014年第5期216-220,241,共6页
为探寻公路货运车辆实载率差异分析的科学方法,以获取提高公路货运车辆实载率的有效途径,本文分析了方差分析、因素分析和假设检验等方法的应用局限性,结合目前公路货运统计数据,提出了一种基于Kruskal-Wallis检验的公路货运车辆实载率... 为探寻公路货运车辆实载率差异分析的科学方法,以获取提高公路货运车辆实载率的有效途径,本文分析了方差分析、因素分析和假设检验等方法的应用局限性,结合目前公路货运统计数据,提出了一种基于Kruskal-Wallis检验的公路货运车辆实载率差异分析的新方法,并以陕西省为例进行了验证.结果表明:不同区域、不同吨位、不同轴数、不同经营模式的公路货运车辆实载率差异显著,多重比较的齐性子集区分明显. 展开更多
关键词 公路运输 差异分析 kruskal-wallis检验 货运车辆 实载率
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基于Kruskal-Wallis检验的地下水污染质分布的研究——以长春地区为例 被引量:6
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作者 高彦伟 陈殿友 《地球物理学进展》 CSCD 北大核心 2011年第6期2249-2254,共6页
为准确评价地下水污染质空间分布,本文以长春地区地下水重要组分NO_3^-为例,利用统计学的熵—矩检验法对长春地区2008年56个水质采样点的检测数据的概率分布进行了检验,得出数据不服从正态分布的结论.在此基础上,选择不要求总体服从正... 为准确评价地下水污染质空间分布,本文以长春地区地下水重要组分NO_3^-为例,利用统计学的熵—矩检验法对长春地区2008年56个水质采样点的检测数据的概率分布进行了检验,得出数据不服从正态分布的结论.在此基础上,选择不要求总体服从正态分布的非参数Kruskal-Wallis检验方法对长春地区所属的各个行政子区域地下水中的NO_3^-质量浓度的差异性进行了检验,发现7个区域中城区、环城、双阳之间NO_3^-质量浓度没有显著性差异,而与其它4个子区域地下水中的NO_3^-质量浓度存在显著性差异,从而按照各个子区域之间的差异性分区绘制了NO_3^-的单项评价等值线图.结果表明在多样本比较的基础上分区绘制等值线的方法能够反映出多因素作用下地下水污染质空间分布的差异性. 展开更多
关键词 熵-矩检验法 kruskal-wallis检验 长春地区 地下水 等值线图
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多独立样本Kruskal-Wallis检验的原理及其实证分析 被引量:27
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作者 张林泉 《苏州科技学院学报(自然科学版)》 CAS 2014年第1期14-16,38,共4页
阐述了多独立样本Kruskal-Wallis检验的基本思想和如何构造K-W统计量,运用多独立样本KruskalWallis检验方法进行了实例分析,并进行H检验的事后比较,给出应用Mathematica和SPSS做出的相关图形。
关键词 kruskal-wallis检验 K-W统计量 MATHEMATICA
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Kruskal-Wallis H检验平均秩多重比较在SPSS软件中的实现 被引量:23
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作者 祁海萍 申希平 《兰州工业学院学报》 2015年第2期76-78,共3页
【目的】利用SPSS统计软件实现完全随机设计多个独立样本秩和检验的方法,即KruskalWallis H检验平均秩的多重比较.【方法】在SPSS 18.0以上的版本中,通过菜单操作方式实现.【结果】实例验证证明,结果运行正确,并介绍了SPSS软件实现平均... 【目的】利用SPSS统计软件实现完全随机设计多个独立样本秩和检验的方法,即KruskalWallis H检验平均秩的多重比较.【方法】在SPSS 18.0以上的版本中,通过菜单操作方式实现.【结果】实例验证证明,结果运行正确,并介绍了SPSS软件实现平均秩多重比较的原理.【结论】在SPSS18.0以上的版本中可通过菜单的方式实现Kruskal-Wallis H检验秩次间多重比较,为广大科研工作者进行统计分析提供了便利. 展开更多
关键词 kruskal-wallis H检验 平均秩 多重比较 SPSS
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基于Kruskal-Wallis检验的“互联网+消费金融”使用行为研究
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作者 胡彦蓉 刘洪久 《黔南民族师范学院学报》 2022年第3期107-115,共9页
采用问卷调查方法,基于Kruskal-Wallis检验,研究了性别、年龄、学历、收入、网购时间、每月网购次数、网购金额和“互联网+消费金融”使用行为之间的关系。结果显示:“互联网+消费金融”使用人群,以女性居多,年龄主要集中在25~40岁,收入... 采用问卷调查方法,基于Kruskal-Wallis检验,研究了性别、年龄、学历、收入、网购时间、每月网购次数、网购金额和“互联网+消费金融”使用行为之间的关系。结果显示:“互联网+消费金融”使用人群,以女性居多,年龄主要集中在25~40岁,收入以5001~8000元居多,购买的产品主要是衣着、化妆品、手机数码等低值易耗品;同时,性别、年龄、学历、网购时间、网购金额,对“互联网+消费金融”使用意愿具有显著性不同。 展开更多
关键词 kruskal-wallis检验 “互联网+消费金融” 使用行为
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Kruskal-Wallis检验原理介绍及其应用 被引量:11
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作者 蒲虎 《兴义民族师范学院学报》 2019年第4期108-111,共4页
为了解决样本间是否存在显著差异的情形,可采用Kruskal-Wallis检验,通过构造无结值和有结值的KW统计量,利用该方法对不同厂家生产的同一产品强度进行了检验分析。研究结果表明,4个厂生产的产品强度存在显著差异。在此基础上,通过Dunn检... 为了解决样本间是否存在显著差异的情形,可采用Kruskal-Wallis检验,通过构造无结值和有结值的KW统计量,利用该方法对不同厂家生产的同一产品强度进行了检验分析。研究结果表明,4个厂生产的产品强度存在显著差异。在此基础上,通过Dunn检验分析了两两厂之间的产品强度是否显著性差异,为相关部门在做产品质量监查时提供借鉴。 展开更多
关键词 方差分析 kruskal-wallis检验 Dunn检验
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昆明烟区土壤线虫数量与环境因子的Mantel Test分析
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作者 施锘 李恩星 +9 位作者 陈江政 蒋碧霞 吴思昊 贺艳杰 王戈 王娜 白羽祥 周鹏 杜宇 李杰 《山东农业科学》 北大核心 2024年第10期153-158,共6页
为进一步明确昆明烟区影响线虫的环境因素,于2022年采集云南昆明烟区8个县(市、区)64个乡镇的320个植烟土壤样品,调查与测定样品采集地的海拔、土壤线虫数量以及土壤理化性质(pH值及有机质、水解性氮、速效钾和有效磷含量),并探讨土壤... 为进一步明确昆明烟区影响线虫的环境因素,于2022年采集云南昆明烟区8个县(市、区)64个乡镇的320个植烟土壤样品,调查与测定样品采集地的海拔、土壤线虫数量以及土壤理化性质(pH值及有机质、水解性氮、速效钾和有效磷含量),并探讨土壤线虫数量与植烟土壤环境因子之间的潜在关系。结果表明,昆明烟区土壤线虫数量一定程度上受到海拔及土壤理化性质的影响,海拔与有机质、水解性氮和速效钾呈显著正相关,pH值与有效磷呈极显著负相关,相关系数为-0.850;土壤线虫数量与土壤有效磷呈正相关,与海拔、pH值、有机质、水解性氮、速效钾呈负相关,其中与海拔、有机质和水解性氮的相关系数较大,分别为-0.751、-0.651和-0.568。通过Mantel test分析确定海拔、有机质和水解性氮含量是影响昆明烟区土壤线虫数量的重要因子。本结果可为有效防治土壤线虫提供科学依据。 展开更多
关键词 土壤线虫 海拔 土壤理化特性 Mantel test分析
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Failure characterization of fully grouted rock bolts under triaxial testing 被引量:1
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作者 Hadi Nourizadeh Ali Mirzaghorbanali +3 位作者 Mehdi Serati Elamin Mutaz Kevin McDougall Naj Aziz 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2024年第3期778-789,共12页
Confining stresses serve as a pivotal determinant in shaping the behavior of grouted rock bolts.Nonetheless,prior investigations have oversimplified the three-dimensional stress state,primarily assuming hydrostatic st... Confining stresses serve as a pivotal determinant in shaping the behavior of grouted rock bolts.Nonetheless,prior investigations have oversimplified the three-dimensional stress state,primarily assuming hydrostatic stress conditions.Under these conditions,it is assumed that the intermediate principal stress(σ_(2))equals the minimum principal stress(σ_(3)).This assumption overlooks the potential variations in magnitudes of in situ stress conditions along all three directions near an underground opening where a rock bolt is installed.In this study,a series of push tests was meticulously conducted under triaxial conditions.These tests involved applying non-uniform confining stresses(σ_(2)≠σ_(3))to cubic specimens,aiming to unveil the previously overlooked influence of intermediate principal stresses on the strength properties of rock bolts.The results show that as the confining stresses increase from zero to higher levels,the pre-failure behavior changes from linear to nonlinear forms,resulting in an increase in initial stiffness from 2.08 kN/mm to 32.51 kN/mm.The load-displacement curves further illuminate distinct post-failure behavior at elevated levels of confining stresses,characterized by enhanced stiffness.Notably,the peak load capacity ranged from 27.9 kN to 46.5 kN as confining stresses advanced from σ_(2)=σ_(3)=0 to σ_(2)=20 MPa and σ_(3)=10 MPa.Additionally,the outcomes highlight an influence of confining stress on the lateral deformation of samples.Lower levels of confinement prompt overall dilation in lateral deformation,while higher confinements maintain a state of shrinkage.Furthermore,diverse failure modes have been identified,intricately tied to the arrangement of confining stresses.Lower confinements tend to induce a splitting mode of failure,whereas higher loads bring about a shift towards a pure interfacial shear-off and shear-crushed failure mechanism. 展开更多
关键词 Rock bolts Bolt-grout interface Bond strength Push test Triaxial tests
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Unbound^(28)O,the heaviest oxygen isotope observed:a cutting-edge probe for testing nuclear models 被引量:1
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作者 Jian-Guo Li Bai-Shan Hu +1 位作者 Shuang Zhang Fu-Rong Xu 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2024年第2期1-2,共2页
The beyond-dripline oxygen isotopes^(27,28)O were recently observed at RIKEN,and were found to be unbound decaying into^(24)O by emitting neutrons.The unbound feature of the heaviest oxygen isotope,^(28)O,provides an ... The beyond-dripline oxygen isotopes^(27,28)O were recently observed at RIKEN,and were found to be unbound decaying into^(24)O by emitting neutrons.The unbound feature of the heaviest oxygen isotope,^(28)O,provides an excellent test for stateof-the-art nuclear models.The atomic nucleus is a self-organized quantum manybody system comprising specific numbers of protons Z and neutrons N. 展开更多
关键词 testING QUANTUM system
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基于Kruskal-Wallis单因素方差分析的武汉高校大学生英语水平研究
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作者 余艳 《科教导刊》 2014年第9S期58-59,共2页
为研究武汉高校非英语专业大学生的英语水平,本文搜集了武汉部分高校2014年全国大学生英语竞赛初赛成绩,首先通过图示来展现数据的特点,然后集中阐述了Kruskal-Wallis单因素方差检验的原理,并利用该检验方法对多样本数据即部分高校大学... 为研究武汉高校非英语专业大学生的英语水平,本文搜集了武汉部分高校2014年全国大学生英语竞赛初赛成绩,首先通过图示来展现数据的特点,然后集中阐述了Kruskal-Wallis单因素方差检验的原理,并利用该检验方法对多样本数据即部分高校大学生初赛成绩进行检验,最后得出结论并且对武汉非英语专业大学生的英语水平提出了猜想。 展开更多
关键词 kruskal-wallis单因素方差 箱线图 结点 大学生英语水平
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Electrochemical biosensors for point-of-care testing 被引量:1
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作者 Jinsol Kim Juho Jeong Seung Hwan Ko 《Bio-Design and Manufacturing》 SCIE EI CAS CSCD 2024年第4期548-565,共18页
Point-of-care testing(POCT)is the practice of diagnosing and monitoring diseases where the patient is located,as opposed to traditional treatment conducted solely in a medical laboratory or other clinical setting.POCT... Point-of-care testing(POCT)is the practice of diagnosing and monitoring diseases where the patient is located,as opposed to traditional treatment conducted solely in a medical laboratory or other clinical setting.POCT has been less common in the recent past due to a lack of portable medical devices capable of facilitating effective medical testing.However,recent growth has occurred in this field due to advances in diagnostic technologies,device miniaturization,and progress in wearable electronics.Among these developments,electrochemical sensors have attracted interest in the POCT field due to their high sensitivity,compact size,and affordability.They are used in various applications,from disease diagnosis to health status monitoring.In this paper we explore recent advancements in electrochemical sensors,the methods of fabricating them,and the various types of sensing mechanisms that can be used.Furthermore,we delve into methods for immobilizing specific biorecognition elements,including enzymes,antibodies,and aptamers,onto electrode surfaces and how these sensors are used in real-world POCT settings. 展开更多
关键词 Point-of-care testing(POCT) Electrochemical sensor ENZYME ANTIBODY Health care
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Aquifer Test求群孔抽水试验水文地质参数
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作者 李红伟 《中国高新科技》 2024年第5期56-57,129,共3页
在水文地质条件复杂的地区,往往采用大型的群孔抽水试验充分揭露含水层特征,获取水文地质参数。用Aquifer Test软件求解水文地质参数,则方便实用、简捷高效,可快速输出拟合图形和求参结果。Aquifer Test提供了丰富的求参方案,求参必须... 在水文地质条件复杂的地区,往往采用大型的群孔抽水试验充分揭露含水层特征,获取水文地质参数。用Aquifer Test软件求解水文地质参数,则方便实用、简捷高效,可快速输出拟合图形和求参结果。Aquifer Test提供了丰富的求参方案,求参必须结合当地当时的水文地质条件实际情况考虑,选择适合的方案和时空数据求取水文地质参数。 展开更多
关键词 群孔抽水试验 水文地质参数 Aquifer test
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Micromechanical testing and property upscaling of planetary rocks:A critical review 被引量:1
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作者 Yiwei Liu Guoping Zhang +1 位作者 Jiangmei Qiao Xuhai Tang 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2024年第9期1217-1241,共25页
Knowledge of the mechanical behavior of planetary rocks is indispensable for space explorations.The scarcity of pristine samples and the irregular shapes of planetary meteorites make it difficult to obtain representat... Knowledge of the mechanical behavior of planetary rocks is indispensable for space explorations.The scarcity of pristine samples and the irregular shapes of planetary meteorites make it difficult to obtain representative samples for conventional macroscale rock mechanics experiments(macro-RMEs).This critical review discusses recent advances in microscale RMEs(micro-RMEs)techniques and the upscaling methods for extracting mechanical parameters.Methods of mineralogical and microstructural analyses,along with non-destructive mechanical techniques,have provided new opportunities for studying planetary rocks with unprecedented precision and capabilities.First,we summarize several mainstream methods for obtaining the mineralogy and microstructure of planetary rocks.Then,nondestructive micromechanical testing methods,nanoindentation and atomic force microscopy(AFM),are detailed reviewed,illustrating the principles,advantages,influencing factors,and available testing results from literature.Subsequently,several feasible upscaling methods that bridge the micro-measurements of meteorite pieces to the strength of the intact body are introduced.Finally,the potential applications of planetary rock mechanics research to guiding the design and execution of space missions are environed,ranging from sample return missions and planetary defense to extraterrestrial construction.These discussions are expected to broaden the understanding of the microscale mechanical properties of planetary rocks and their significant role in deep space exploration. 展开更多
关键词 METEORITES Planetary rock mechanics Non-destructive testing Upscaling method Extraterrestrial construction Space exploration
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Seismic performance evaluation of water supply pipes installed in a full-scale RC frame structure based on a shaking table test 被引量:1
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作者 Wu Houli Guo Endong +2 位作者 Wang Jingyi Dai Xin Dai Chenxi 《Earthquake Engineering and Engineering Vibration》 SCIE EI CSCD 2024年第1期163-178,共16页
As an important part of nonstructural components,the seismic response of indoor water supply pipes deserves much attention.This paper presents shaking table test research on water supply pipes installed in a full-scal... As an important part of nonstructural components,the seismic response of indoor water supply pipes deserves much attention.This paper presents shaking table test research on water supply pipes installed in a full-scale reinforced concrete(RC)frame structure.Different material pipes and different methods for penetrating the reinforced concrete floors are combined to evaluate the difference in seismic performance.Floor response spectra and pipe acceleration amplification factors based on test data are discussed and compared with code provisions.A seismic fragility study of displacement demand is conducted based on numerical simulation.The acceleration response and displacement response of different combinations are compared.The results show that the combination of different pipe materials and different passing-through methods can cause obvious differences in the seismic response of indoor riser pipes. 展开更多
关键词 water supply pipe different materials shaking table test amplification factor seismic fragility
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Development of multi-functional anchorage support dynamic-static coupling performance test system and its application
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作者 Qi Wang Shuo Xu +4 位作者 Bei Jiang Chong Zhang Zhe Sun Jingxuan Liu Cailin Jiao 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2024年第3期339-349,共11页
In underground engineering with complex conditions,the bolt(cable)anchorage support system is in an environment where static and dynamic stresses coexist,under the action of geological conditions such as high stresses... In underground engineering with complex conditions,the bolt(cable)anchorage support system is in an environment where static and dynamic stresses coexist,under the action of geological conditions such as high stresses and strong disturbances and construction conditions such as the application of high prestress.It is essential to study the support components performance under dynamic-static coupling conditions.Based on this,a multi-functional anchorage support dynamic-static coupling performance test system(MAC system)is developed,which can achieve 7 types of testing functions,including single component performance,anchored net performance,anchored rock performance and so on.The bolt and cable mechanical tests are conducted by MAC system under different prestress levels.The results showed that compared to the non-prestress condition,the impact resistance performance of prestressed bolts(cables)is significantly reduced.In the prestress range of 50–160 k N,the maximum reduction rate of impact energy resisted by different types of bolts is 53.9%–61.5%compared to non-prestress condition.In the prestress range of 150–300 k N,the impact energy resisted by high-strength cable is reduced by76.8%–84.6%compared to non-prestress condition.The MAC system achieves dynamic-static coupling performance test,which provide an effective means for the design of anchorage support system. 展开更多
关键词 Anchorage support system Development of test system Dynamic-static coupling test Combined stress
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Real-world utility of serological tests in patients with suspected scrub typhus in the Republic of Korea:A single-center,retrospective,observational study
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作者 Seulki Kim A Reum Kim +2 位作者 Seungjin Lim Su Jin Lee Moonsuk Bae 《Asian Pacific Journal of Tropical Medicine》 SCIE CAS 2024年第6期273-280,I0004,I0005,共10页
Objective:Serological tests are widely used for scrub typhus diagnosis;however,their limitations are evident.This study aims to assess their practical value in clinical settings.Methods:We analyzed the data of adult p... Objective:Serological tests are widely used for scrub typhus diagnosis;however,their limitations are evident.This study aims to assess their practical value in clinical settings.Methods:We analyzed the data of adult patients with suspected scrub typhus who visited a tertiary care hospital in the Republic of Korea from September to December from 2019 to 2021.The included patients had an acute fever and at least one of the following ten secondary findings:myalgia,skin rash,eschar,headache,thrombocytopenia,increased liver enzyme levels,lymphadenopathy,hepatomegaly,splenomegaly,and pleural effusion.The diagnoses were grouped as scrub typhus or other diseases by two infectious disease physicians.Results:Among 136 patients who met the eligibility criteria,109 had scrub typhus and 27 had different diseases.Single and paired total antibodies using immunofluorescence assay(IFA),and total antibodies using immunochromatography-based rapid diagnostic testing(ICT)were measured in 98%,22%,and 75%of all patients,respectively.Confirmation using paired samples for scrub typhus was established at a median of 11[interquartile range(IQR)10-16]days following the first visit.Among the 82 admitted patients,the median admission time was 9(IQR 7-13)days.According to IFA,58(55%)patients with scrub typhus had total immunoglobulin titers≥1:320,while 23(85%)patients with other disease had titers<1:320.Positive ICT results were observed in 64(74%)patients with scrub typhus and 10(67%)patients with other diseases showed negative ICT results.Conclusions:Serological testing for scrub typhus is currently insufficient for decision-making in clinical practice. 展开更多
关键词 Scrub typhus Serological test Immunofluorescence assay IMMUNOCHROMATOGRAPHY Rapid detecting test
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