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CREWS评分预测急性加重期COPD机械通气患者院内死亡的价值分析 被引量:2
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作者 吴梅泉 叶瑞航 黄剑锋 《内科》 2019年第5期542-544,580,共4页
目的探讨慢性呼吸系统早期预警评分(CREWS)预测急性加重期慢性阻塞性肺疾病(COPD)机械通气患者院内死亡的价值。方法对2017年3月至2018年3月我院收治的96例急性加重期COPD患者的临床资料进行回顾性分析,根据院内死亡情况将患者分为死亡... 目的探讨慢性呼吸系统早期预警评分(CREWS)预测急性加重期慢性阻塞性肺疾病(COPD)机械通气患者院内死亡的价值。方法对2017年3月至2018年3月我院收治的96例急性加重期COPD患者的临床资料进行回顾性分析,根据院内死亡情况将患者分为死亡组及存活组。比较两组患者的性别、年龄、病程、肺功能分级、CREWS评分等情况;对急性加重期COPD机械通气患者院内死亡的危险因素进行多因素Logistic回归分析;通过绘制ROC曲线,分析CREWS评分预测急性加重期COPD机械通气患者院内死亡的价值。结果单因素分析结果显示,死亡组患者的CREWS评分显著高于存活组(P<0.05),两组患者的性别、年龄、肺功能分级、病程比较差异无统计学意义(P>0.05)。多因素Logistic回归分析结果显示,CREWS评分是急性加重期COPD机械通气患者院内死亡的危险因素。CREWS评分预测急性加重期COPD机械通气患者院内死亡的ROC曲线下面积为0.826,95%CI为0.745~0.908,最佳截断点为CREWS评分≥5分;根据CREWS评分预测患者院内死亡的敏感度为56.80%,特异性为98.10%。结论根据CREWS评分预测急性加重期COPD机械通气患者的院内死亡的敏感度较低,而特异性较高,患者院内死亡的风险随CREWS评分的增高而增大,需高度重视。 展开更多
关键词 急性加重期COPD 机械通气 crews评分 院内死亡
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PCT联合CREWS在慢性阻塞性肺疾病急性加重期病情及预后评估中的作用 被引量:1
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作者 刘银芳 《医学理论与实践》 2022年第14期2459-2461,共3页
目的:探讨降钙素源(PCT)联合慢性呼吸系统早期预警评分(CREWS)在慢性阻塞性肺疾病急性加重(AECOPD)患者疾病发展和预后评估中的应用价值和临床意义。方法:回顾性分析我院收治的168例AECOPD患者病例资料和预后信息,检查PCT值和肺功能,进... 目的:探讨降钙素源(PCT)联合慢性呼吸系统早期预警评分(CREWS)在慢性阻塞性肺疾病急性加重(AECOPD)患者疾病发展和预后评估中的应用价值和临床意义。方法:回顾性分析我院收治的168例AECOPD患者病例资料和预后信息,检查PCT值和肺功能,进行CREWS评分;根据是否机械通气分为机械通气组(MV)和非机械通气组(NMV);根据是否死亡分为死亡组和存活组;比较各组CREWS评分和PCT联合CREWS评分(联合值)的关系,并比较各组的CREWS评分和联合值的曲线下面积(AUROC值);应用Med Calc软件比较2个AUROC值的差异,分析2种评分的预测效能。结果:随着肺功能分级升高,患者CREWS评分PCT值和联合值均明显升高(P<0.05),联合值升高更加明显;MV组CREWS评分、PCT值及联合值均明显高于NMV组(P<0.05),死亡组的这3个值均明显高于存活组(P<0.05)。CREWS评分(AUROC=0.714)和联合值(AUROC=0.877)对患者是否需要机械通气均具有较好的预测效能;联合值的预测效能高于CREWS评分的效能(AUROC差值=0.163,P<0.0001);CREWS评分(AUROC=0.861)和联合值(AUROC=0.970)对患者死亡均具有较好的预测效能,但预测效能无明显差异(AUROC差值=0.109,P=0.1356)。结论:CREWS评分和PCT+CREWS评分对AECOPD患者病情和不良的临床预后均具有良好的预测作用,联合值对病情具有更好的预测价值。 展开更多
关键词 crews评分 慢性阻塞性肺疾病 预后 机械通气 肺功能
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China's Drilling Crews Enter the International Drilling Market
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作者 Ni Rongfu,Vice President of the Great Wall Drilling Company,CNPC. 《China Oil & Gas》 CAS 1996年第2期116-118,共3页
China'sDrillingCrewsEntertheInternationalDrillingMarket¥NiRongfu,VicePresidentoftheGreatWallDrillingCompany,... China'sDrillingCrewsEntertheInternationalDrillingMarket¥NiRongfu,VicePresidentoftheGreatWallDrillingCompany,CNPCKeywords:Dril... 展开更多
关键词 DRILLING crews DRILLING ENGINEERING INTERNATIONAL TRADE
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The Psychological Impact on the Emergency Crews after the Disaster Event on February 20, 2010
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作者 Jardim, Helena Goncalves Silva, Rita +1 位作者 Baptista, Marcia Silva Gouveia, Bruna Raquel 《Journal of Health Science》 2017年第1期33-35,共3页
The scope of this article is to screen thesymptoms of Post-Traumatic Stress Disorder (PTSD) among the professionals of health and public safety securi~ who providedhumanitarian aid fbr the population of Madeira afte... The scope of this article is to screen thesymptoms of Post-Traumatic Stress Disorder (PTSD) among the professionals of health and public safety securi~ who providedhumanitarian aid fbr the population of Madeira after the 2010 alluvium. It involves a cross-sectional study. The list of life events (LAV) and theperi-traumaticexperiences questionnaire (PTSB)--adult versionwere used for screening symptoms.The participants included 405 professionalson the emergency crews (mean age = 34.51). Most are male (83.5%) and was in his residence (52.8%) at the time of the event.The results showed that there are significant differences between the profession and the response to the event (P 〈 0.001), as well as in relation to Post Traumatic Stress Disorder (PTSD), being most evident in the group of firemen and military (P 〈 0.001) of developing PTSD.Therefore, the mental health care of the professionals should suggest the vital need for specific training and the prevention of psychological disorders. 展开更多
关键词 Natural disasters Post-traumatic Stress Disorder peritraumatic experiences psychological impact emergency crews.
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A Two-Stage Scenario-Based Robust Optimization Model and a Column-Row Generation Method for Integrated Aircraft Maintenance-Routing and Crew Rostering
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作者 Khalilallah Memarzadeh Hamed Kazemipoor +1 位作者 Mohammad Fallah Babak Farhang Moghaddam 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第11期1275-1304,共30页
Motivated by a critical issue of airline planning process,this paper addresses a new two-stage scenario-based robust optimization in operational airline planning to cope with uncertainty and possible flight disruption... Motivated by a critical issue of airline planning process,this paper addresses a new two-stage scenario-based robust optimization in operational airline planning to cope with uncertainty and possible flight disruptions.Following the route network scheme and generated flight timetables,aircraft maintenance routing and crew scheduling are critical factors in airline planning and operations cost management.This study considers the simultaneous assignment of aircraft fleet and crew to the scheduled flight while satisfying a set of operational constraints,rules,and regulations.Considering multiple locations for airline maintenance and crew bases,we solve the problem of integrated Aircraft Maintenance Routing and Crew Rostering(AMRCR)to achieve the minimum airline cost.One real challenge to the efficiency of the planning results is the possible disruptions in the initial scheduled flights.Due to the fact that disruption scenarios are expressed discretely with a specified probability,and we provide adjustable decisions under disruption to deal with this disruption risk,we provide a Two-Stage Scenario-Based Robust Optimization(TSRO)model.In this model,here-and-now or first-stage variables are the initial resource assignment.Furthermore,to adapt itself to different disruption scenarios,the model considers some adjustable variables,such as the decision to cancel the flight in case of disruption,as wait-and-see or second-stage variables.Considering the complexity of integrated models,and the scenario-based decomposable structure of the TRSO model to solve it with better computational performance,we apply the column and row generation(CRG)method that iteratively considers the disruption scenarios.The numerical results confirm the applicability of the proposed TSRO model in providing the AMRCR problem with an integrated and robust solution with an acceptable level of computational tractability.To evaluate the proposed TSRO model,which solves the AMRCR problem in an integrated and robust manner,five Key Performance Indicators(KPIs)like Number of delayed/canceled flights,Average delay time,and Average profit are taken into account.As key results driven by conducting a case study,we show the proposed TSRO model has substantially improved the solutions at all indicators compared with those of the sequential/non-integrated and nominal/non-robust models.The simulated instances used to assess the performance of the proposed model and CRG method reveal that both CPLEX and the CRG method exhibit comparable and nearly optimal performance for small-scale problems.However,for large-scale instances the proposed TSRO model falls short in terms of computational efficiency.Conversely,the proposed CRG method is capable of significantly reducing computational time and the optimality gap to an acceptable level. 展开更多
关键词 Aircraft maintenance routing crew scheduling ROSTERING uncertainty scenario-based robust optimization column and row generation
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Using Differential Evolution Method to Solve Crew Rostering Problem 被引量:1
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作者 Budi Santosa Andiek Sunarto Arief Rahman 《Applied Mathematics》 2010年第4期316-325,共10页
Airline crew rostering is the assignment problem of crew members to planned rotations/pairings for certain month. Airline companies have the monthly task of constructing personalized monthly schedules (roster) for cre... Airline crew rostering is the assignment problem of crew members to planned rotations/pairings for certain month. Airline companies have the monthly task of constructing personalized monthly schedules (roster) for crew members. This problem became more complex and difficult while the aspirations/criterias to assess the quality of roster grew and the constraints increased excessively. This paper proposed the differential evolution (DE) method to solve the airline rostering problem. Different from the common DE, this paper presented random swap as mutation operator. The DE algorithm is proven to be able to find the near optimal solution accurately for the optimization problem. Through numerical experiments with some real datasets, DE showed more competitive results than two other methods, column generation and MOSI (the one used by the Airline). DE produced good results for small and medium datasets, but it still showed reasonable results for large dataset. For large crew rostering problem, we proposed decomposition procedure to solve it in more efficient manner using DE. 展开更多
关键词 DIFFERENTIAL Evolution crew SCHEDULING PAIRING ROSTERING
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Analysis of workload of tank crew under the conditions of informatization 被引量:5
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作者 Ming MAO Fang XIE +1 位作者 Jian-jun HU Bo SU 《Defence Technology(防务技术)》 SCIE EI CAS 2014年第1期17-21,共5页
A consensus has been reached that the tanks need to be integrated into the informatization battlefield. With the development of technology,the tank crew has being gradually decreased, so the research on two-soldier cr... A consensus has been reached that the tanks need to be integrated into the informatization battlefield. With the development of technology,the tank crew has being gradually decreased, so the research on two-soldier crew tank has become a hotspot. The workload of tank crew under the conditions of informatization is analyzed based on the combat mission of tank and the typical combat scenarios, and the impact of new technologies on workload is evaluated. The crew members in tank can be reduced from three to two, but it is necessary to substantially improve the automation of target search and the reliability of each subsystem and component. 展开更多
关键词 信息化战场 工作量 坦克 乘员 作战任务 工作负载 目标搜索 自动化
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An Improved Genetic Algorithm for Crew Pairing Optimization 被引量:1
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作者 Bahadir Zeren Ibrahim Ozkol 《Journal of Intelligent Learning Systems and Applications》 2012年第1期70-80,共11页
Crew pairing is a sequence of flights beginning and ending at the same crewbase. Crew pairing planning is one of the primary processes in airline crew scheduling;it is also the primary cost-determining phase in airlin... Crew pairing is a sequence of flights beginning and ending at the same crewbase. Crew pairing planning is one of the primary processes in airline crew scheduling;it is also the primary cost-determining phase in airline crew scheduling. Optimizing crew pairings in an airline timetable helps minimize operational crew costs and maximize crew utilization. There are numerous restrictions that must be considered and just as many regulations that must be satisfied in crew pairing generation. The most important regulations—and the ones that make crew pairing planning a highly constrained optimization problem—are the the limits of the flight and the duty periods. Keeping these restrictions and regulations in mind, the main goal of the optimization is the generation of low cost sets of valid crew pairings which cover all flights in the airline’s timetable. For this research study, We examined studies about crew pairing optimization and used these previously existing methods of crew pairing to develop a new solution of the crew pairing problem using genetic algorithms. As part of the study we created a new genetic operator—called perturbation operator.Unlike traditional genetic algorithm implementations, this new perturbation operator provides much more stable results, an obvious increase in the convergence rate, and takes into account the existence of multiple crewbases. 展开更多
关键词 OPTIMIZATION GENETIC Algorithms crew PLANNING crew PAIRING crew PAIRING OPTIMIZATION AIRLINE crew PLANNING AIRLINE crew PAIRING AIRLINE crew PAIRING OPTIMIZATION
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3D DSMC Simulation of Rarefied Gas Flows around a Space Crew Capsule Using OpenFOAM
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作者 Zhi Shang Shuo Chen 《Open Journal of Applied Sciences》 2013年第1期35-38,共4页
An open source Direct Simulation Monte Carlo (DSMC) code, called as dsmcFoam in OpenFOAM, is used to study a blunt body with the shape of a space crew capsule return vehicle. The rarefied gas has the Knudsen number wi... An open source Direct Simulation Monte Carlo (DSMC) code, called as dsmcFoam in OpenFOAM, is used to study a blunt body with the shape of a space crew capsule return vehicle. The rarefied gas has the Knudsen number with 0.03. The flow with a Mach number 4.35 over the capsule was simulated by DSMC. The distributions of velocity field and temperature around the capsule were calculated. This study may provide some useful information for the reentry of the return vehicle. 展开更多
关键词 DSMC Rarefied Gas crew CAPSULE REENTRY OPENFOAM
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Crew Gold公司宣布金产量增加
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《黄金》 CAS 北大核心 2009年第1期59-59,共1页
Crew Gold公司已经透露,在2008年的第三季度,金产量达到66996盎司,较去年同期增长34%。
关键词 产量 黄金 crew Gold公司
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Chinese Drilling Crew Working in Mongolia
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《China Oil & Gas》 CAS 1998年第1期37-37,共1页
关键词 Chinese Drilling crew Working in Mongolia
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45130-Drilling Crew First Enter into the International Drilling Market
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作者 Song Zhixian, Drilling(Engineering Bureau, CNPC) 《China Oil & Gas》 CAS 1995年第2期56-57,共2页
45130-DrillingCrewFirstEnterintotheInternationalDrillingMarket¥SongZhixian,Drilling(EngineeringBureau,CNPC)4... 45130-DrillingCrewFirstEnterintotheInternationalDrillingMarket¥SongZhixian,Drilling(EngineeringBureau,CNPC)45130-DrillingCrew... 展开更多
关键词 Drilling crew First Enter into the International Drilling Market
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Quest Crew,让街舞从炫技到幽默
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作者 安安 《课堂内外(高中版)(A版)》 2009年第12期34-35,共2页
你能想象航天工程师在舞台上popping么?或者,你能想象理发师Krump么?如果你还没看过Quest Crew,赶紧去找段视频补补课,相信任何一段十分钟的视频足以让你赞不绝口,哦,或许是笑不掩口。他们的编舞简直强到了一个境界:幽默,戏剧效果丰富,... 你能想象航天工程师在舞台上popping么?或者,你能想象理发师Krump么?如果你还没看过Quest Crew,赶紧去找段视频补补课,相信任何一段十分钟的视频足以让你赞不绝口,哦,或许是笑不掩口。他们的编舞简直强到了一个境界:幽默,戏剧效果丰富,音乐性强,视觉效果好; 展开更多
关键词 Quest crew
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劳斯菜斯Crew工厂绝版车下线
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《轿车情报》 2002年第10期11-11,共1页
关键词 劳斯菜斯crew汽车公司 产品开发 Corniche敞篷车 技术装备
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没有硝烟的现代战争 ASL亚洲联赛=JS=TEAM VS Spi Crew
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《电子竞技》 2008年第17期80-81,共2页
各位《使命召唤》的死忠们,你们好。随着CoD4在世界范围内掀起了一股战争游戏热的狂潮,越来越多的玩家加入到这个大家庭中来。而且,在全世界范围内,CoD4的比赛在各地如火如荼的展开,使CoD4在电子竞技这个大家庭中也拥有了一席之地。为... 各位《使命召唤》的死忠们,你们好。随着CoD4在世界范围内掀起了一股战争游戏热的狂潮,越来越多的玩家加入到这个大家庭中来。而且,在全世界范围内,CoD4的比赛在各地如火如荼的展开,使CoD4在电子竞技这个大家庭中也拥有了一席之地。为了满足众多CoD4爱好者的需要,提高大家的竞技水平和技巧,《电子竞技》杂志将在以后的Replay栏目中加入CoD4的战报分析,希望广大玩家能够喜欢。借此机会,我们也要感谢CoD4中文站以及Loper给予的大力支持。可能有很多玩家对于CoD4的比赛模式还不是太熟悉,这里先给大家普及一下基础知识。基本上现在所有的CoD4比赛采用的都是Search&Destory模式。其实也就相当于CS中的埋放C4模式。所不同的就是CoD4没有金钱系统,也就少了对于经济的控制,每一局双方都能够全装备进行战斗。而比赛规则也与CS类似。采用MR20赛制。也就是说,上下半场各10局,先胜11局的队伍取得胜利。另外还有很多关于武器限制和地图选择的条例,在这里就不一一说明,在CoD4新手教程中会一一为大家介绍。 展开更多
关键词 JS=TEAM VS Spi crew 电子竞技 JS 防守队员 SPI 战争游戏 竞技水平 ASL EAM 现代战争 VS
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Change and Relationship of Hematocrit and Electrocardiogram of the Crew in High Altitude Span Transportation
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作者 Yuan Zhencai Zhang Xuefeng Peng Quansheng 《工程科学(英文版)》 2006年第2期231-235,共5页
Objective: To investigate the effect of high altitude span transportation on the change of hematocrit and electrocardiogram of the crew in the plateau construction, and discuss their relationship. Method: By SPSS 11.0... Objective: To investigate the effect of high altitude span transportation on the change of hematocrit and electrocardiogram of the crew in the plateau construction, and discuss their relationship. Method: By SPSS 11.0 statistical software, to treat hematocrit and electrocardiogram in the examination data of the the crew, who took part in the construction of Qinghai-Tibetan railway in 2003, before, during and after the construction. Then, we compared the data among the constructors in the fixed altitude during the same period. Result: The hematocrit of the crew slowly and continually rose to the maximum(p<0.01) after the construction in the high altitude span during one construction year, and the abnormal rate of electrocardiogram obviously decreased(p<0.05). The abnormal rate of electrocardiogram apparently improved when hematocrit reached 52% among the range from 45.12% to 52.24%, and the correlation analysis showed that the electrocardiographic change was closely and negatively correlated with the hematocrit among the range of hematocrit(p<0.05). Conclusion: Although the higher-level stress state of the crew made the hematocrit in the blood continually increase in the long-term high altitude span construction, the hematocrit reached the more reasonable hematocrit compensation and made it the optimum state of Hct in the end. As a result, the perfusion of tissues and organs was improved. The abnormal rate of electrocardiogram apparently improved because the oxygen delivery of the myocardium reached the optimum compensation. 展开更多
关键词 列车乘务员 血细胞比容 心电图 高海拔地区
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基于多模态数据的船员适岗状态监测预警模型研究
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作者 刘清 吴宇航 +2 位作者 王绪明 王磊 王馨玥 《武汉理工大学学报(交通科学与工程版)》 2024年第4期616-621,共6页
本文聚焦船员不同阶段的指标关联性,构建了基于船员岗前、出岗不同阶段多模态数据的适岗状态监测预警指标体系,建立了船员适岗状态监测预警的随机森林模型.结果表明:考虑船员岗前、出岗不同阶段多模态数据关联的适岗状态监测预警模型准... 本文聚焦船员不同阶段的指标关联性,构建了基于船员岗前、出岗不同阶段多模态数据的适岗状态监测预警指标体系,建立了船员适岗状态监测预警的随机森林模型.结果表明:考虑船员岗前、出岗不同阶段多模态数据关联的适岗状态监测预警模型准确率达到94.4%,仅考虑船员单一阶段适岗状态监测预警模型准确率为80.6%;船员适岗状态影响程度较大的指标为疲劳程度(0.1827)、工作压力(0.1368)、水上服务资历(0.1178)、血压(0.0854)、工作状态(0.0763)、岗前(0.0708)和出岗心率(0.0659). 展开更多
关键词 船员 适岗状态 预警 多模态 随机森林
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企业船员评估员在航海类人才培养中作用现状与对策研究
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作者 黄华 李刚 鲍佳音 《浙江交通职业技术学院学报》 CAS 2024年第2期57-61,共5页
航运企业船员评估员不仅是海事院校实践教学的评价者,也是学生职业发展的引导者。针对目前航运企业船员评估员参与评估工作积极性不高的现状进行分析,给航海管理机构、航运企业、海事院校提出建议,以期提高相关部门及人员的参与度,同时... 航运企业船员评估员不仅是海事院校实践教学的评价者,也是学生职业发展的引导者。针对目前航运企业船员评估员参与评估工作积极性不高的现状进行分析,给航海管理机构、航运企业、海事院校提出建议,以期提高相关部门及人员的参与度,同时强调校企双方以航运企业船员评估员为纽带,深化校企合作,为培养高素质航海类人才做出贡献。 展开更多
关键词 航运企业船员评估员 航运人才培养 航海教育
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智能化地震队系统的设计及应用
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作者 易昌华 李春芬 +2 位作者 韩善锋 黄磊 刘小峰 《物探装备》 2024年第4期211-214,227,共5页
针对当前地震勘探面临作业环境复杂、项目管理难度大、作业成本压力激增等难题,提出了智能化地震队系统“云边端”一体化架构解决方案,按照“一平台两体系”模式开发建设。实现了地震勘探生产智能化任务分发、生产数据智能化采集、多维... 针对当前地震勘探面临作业环境复杂、项目管理难度大、作业成本压力激增等难题,提出了智能化地震队系统“云边端”一体化架构解决方案,按照“一平台两体系”模式开发建设。实现了地震勘探生产智能化任务分发、生产数据智能化采集、多维度全方位生产进度统计及可视化、车辆和作业人员位置的实时监控、风险信息数据的采集加载及安全预警。该系统的推广应用,提高了地震勘探生产效率和质量,降低了生产成本,保障了作业安全。 展开更多
关键词 智能化 地震队 质量 安全 勘探
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大数据背景下船员培训驾驶舱平台设计与实现——以浙江国际海运职业技术学院船员培训为例
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作者 舒伟权 朱俊彦 《武汉船舶职业技术学院学报》 2024年第3期104-110,共7页
以大数据时代为背景,以浙江国际海运职业技术学院船员培训系统为例,设计并实现了一套基于大数据的船员培训驾驶舱平台。通过引入Hadoop、Hive、Spark等大数据技术实现了船员培训数据的采集、分析和可视化展示。该平台的设计目标在于提... 以大数据时代为背景,以浙江国际海运职业技术学院船员培训系统为例,设计并实现了一套基于大数据的船员培训驾驶舱平台。通过引入Hadoop、Hive、Spark等大数据技术实现了船员培训数据的采集、分析和可视化展示。该平台的设计目标在于提升船员培训效果,通过大数据存储分析技术对培训项目、人次、计划等数据进行采集和分析,形成主题评估及数据对比,为管理层决策提供支撑。详细介绍了平台的总体架构、环境准备、数据导入、清洗、处理、持久化和可视化等关键步骤,强调了数据处理的全流程。 展开更多
关键词 大数据技术 船员培训 平台设计 数据可视化
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