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改良Load-sharing评分对胸腰段脊柱骨折手术的指导价值 被引量:6
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作者 马辕华 《实用骨科杂志》 2016年第2期103-106,共4页
目的探讨改良Load-sharing评分对胸腰段脊柱骨折手术治疗方法选择的指导价值。方法选取2012年9月至2014年9月我院收治的69例胸腰段脊柱骨折患者为研究对象,根据改良Load-sharing评分选择不同的手术方式,对于评分为4~6分的患者应用后路手... 目的探讨改良Load-sharing评分对胸腰段脊柱骨折手术治疗方法选择的指导价值。方法选取2012年9月至2014年9月我院收治的69例胸腰段脊柱骨折患者为研究对象,根据改良Load-sharing评分选择不同的手术方式,对于评分为4~6分的患者应用后路手术;对于评分≥7分且保留完整骨折椎后方结构、不伴有脱位的患者,应用前路手术+骨折椎体次切+前路植骨术;对于评分≥7分且骨折椎后方结构破坏或伴有脱位的患者,应用前后路联合手术+骨折椎体次切+前路植骨术。观察记录临床治疗效果。结果所有患者的后凸角、椎管占位及椎体压缩于手术后均得到恢复,与手术前比较差异具有统计学意义(P〈0.05)。40例不完全性神经功能损害患者中,3级神经功能恢复者2例,2级神经功能恢复者14例,1级神经功能恢复者24例。根据Denis分级对术后腰痛评价分级,P1 49例,P2 14例,P3 6例。术后31例恢复原来从事工作或体力劳动,32例更换较轻松工作或轻体力劳动,6例生活能自理但不能参加正常工作及劳动。结论改良Load-sharing评分对胸腰段脊柱骨折手术治疗方法的选择具有重要指导价值。 展开更多
关键词 改良load-sharing评分 胸腰段脊柱骨折 治疗方法
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改良Load-sharing评分对胸腰椎脊柱骨折患者手术的指导意义 被引量:1
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作者 张燕良 姬广林 曾淑娟 《基层医学论坛》 2017年第28期3835-3836,共2页
目的分析改良Load-sharing评分对胸腰椎脊柱骨折患者手术方法选择的指导意义。方法选择2015年1月—2016年12月收治的胸腰椎脊柱骨折患者55例,采用改良Load-sharing评分帮助其选择不同手术治疗方式,而后对手术治疗效果进行评价分析。结... 目的分析改良Load-sharing评分对胸腰椎脊柱骨折患者手术方法选择的指导意义。方法选择2015年1月—2016年12月收治的胸腰椎脊柱骨折患者55例,采用改良Load-sharing评分帮助其选择不同手术治疗方式,而后对手术治疗效果进行评价分析。结果所有患者经手术治疗后,后凸角、椎管占位、椎体压缩均获得明显恢复,与术前比较存在明显差异(P<0.05)。结论在对胸腰椎脊柱骨折患者实施手术治疗时,以改良Load-sharing评分为依据,对手术方式进行选择,对于改善手术治疗效果具有重要临床价值。改良Load-sharing评分对胸腰椎脊柱骨折手术治疗具有重要的指导意义,值得关注。 展开更多
关键词 胸腰椎脊柱骨折 改良load-sharing评分 手术治疗 临床价值
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Load-sharing Characteristic of Multiple Pinions Driving in Tunneling Boring Machine 被引量:7
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作者 WEI Jing SUN Qinchao +3 位作者 SUN Wei DING Xin TU Wenping WANG Qingguo 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2013年第3期532-540,共9页
The failure of the key parts, such as gears, in cutter head driving system of tunneling boring machine has not been properly solved under the interaction of driving motors asynchronously and wave tunneling torque load... The failure of the key parts, such as gears, in cutter head driving system of tunneling boring machine has not been properly solved under the interaction of driving motors asynchronously and wave tunneling torque load. A dynamic model of multi-gear driving system is established considering the inertia effects of driving mechanism and cutter head as well as the bending-torsional coupling. By taking into account the nonlinear coupling factors between ring gear and multiple pinions, the influence for meshing angle by bending-torsional coupling and the dynamic load-sharing characteristic of multiple pinions driving are analyzed. Load-sharing coefficients at different rotating cutter head speeds and input torques are presented. Numerical results indicate that the load-sharing coefficients can reach up to 1.2-1.3. A simulated experimental platform of the multiple pinions driving is carried out and the torque distributions under the step load in driving shaft of pinions are measured. The imbalance of torque distribution of pinions is verified and the load-sharing coefficients in each pinion can reach 1.262. The results of simulation and test are similar, which shows the correctness of theoretical model. A loop coupling control method is put forward based on current torque master slave control method. The imbalance of the multiple pinions driving in cutter head driving system of tunneling boring machine can be greatly decreased and the load-sharing coefficients can be reduced to 1.051 by using the loop coupling control method. The proposed research provides an effective solution to the imbalance of torque distribution and synchronous control method for multiple pinions driving of TBM. 展开更多
关键词 load-sharing characteristic tunneling boring machine(TBM) multiple pinions driving nonlinear dynamic characteristic
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Load-sharing评分应用于胸腰椎段脊柱骨折治疗的可行性及安全性分析 被引量:10
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作者 王恩梁 《检验医学与临床》 CAS 2017年第24期3682-3684,共3页
目的探讨Load-sharing评分应用于胸腰椎段脊柱骨折治疗的可行性及安全性。方法选取于该院诊治的胸腰椎段脊柱骨折患者80例作为研究对象,术前通过采用Load-sharing评分对患者进行评估,根据评估分值选择不同的手术入路方式,其中4分≤Load-... 目的探讨Load-sharing评分应用于胸腰椎段脊柱骨折治疗的可行性及安全性。方法选取于该院诊治的胸腰椎段脊柱骨折患者80例作为研究对象,术前通过采用Load-sharing评分对患者进行评估,根据评估分值选择不同的手术入路方式,其中4分≤Load-sharing评分≤6分的患者36例行后路短节段内固定术,作为A组;Load-sharing评分>6分且不伴脱位,骨折椎后方结构完整的16例患者行前路内固定+骨折椎体次切术+前路植骨术,作为B组;评分>6分且伴有脱位或后方结构不完整者的28例患者行前后路联合+骨折椎体次切术+前路植骨术,作为C组。对所有患者进行随访,观察手术效果及并发症发生情况。结果经手术治疗后,3种手术方案中的后凸角、椎体压缩、椎管占位改善情况明显优于手术前,差异均有统计学意义(P<0.05);日本骨科协会评估治疗分数评分较手术前均有明显改善,差异有统计学意义(P<0.05),本组患者腰背神经功能恢复均较好,仅有7.5%的患者出现轻微并发症。结论 Load-sharing评分指导胸腰椎段脊柱骨折行不同手术方案治疗效果良好,对临床手术入路的选择具有一定的参考价值。 展开更多
关键词 load-sharing评分 胸腰椎段脊柱骨折 可行性 手术入路
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New model for load-sharing k-out-of-n:G system with different components 被引量:5
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作者 Tang Yinghui Zhang Jing 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2008年第4期748-751,842,共5页
On the basis of capacity flow model, a new model is developed for a load-sharing k-out-of-n: G system consisting of different components, to describe the increase of the same component's failure rates under differen... On the basis of capacity flow model, a new model is developed for a load-sharing k-out-of-n: G system consisting of different components, to describe the increase of the same component's failure rates under different loads. All components have exponential life distributions and are nonrepairable in the system. Reliability of load- sharing 2-out- of-3: G system is calculated and some special cases for the system are discussed. The calculation and discussions show that the model is right and practical. 展开更多
关键词 load-sharing k-out-of-n: G system system reliability
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Assessment of load-sharing thoracolumbar injury: A modified scoring system 被引量:2
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作者 Qi-Hang Su Yong-Chao Li +2 位作者 Yan Zhang Jun Tan Biao Cheng 《World Journal of Clinical Cases》 SCIE 2020年第21期5128-5138,共11页
BACKGROUND Many classification systems of thoracolumbar spinal fractures have been proposed to enhance treatment protocols,but none have achieved universal adoption.AIM To develop a new patient scoring system for case... BACKGROUND Many classification systems of thoracolumbar spinal fractures have been proposed to enhance treatment protocols,but none have achieved universal adoption.AIM To develop a new patient scoring system for cases with thoracolumbar injury classification and severity score(TLICS)=4,namely the load-sharing thoracolumbar injury score(LSTLIS).METHODS Based on thoracolumbar injury classification and severity score,this study proposes the use of the established load-sharing classification(LSC)to develop an improved classification system(LSTLIS).To prove the reliability and reproducibility of LSTLIS,a retrospective analysis for patients with thoracolumbar vertebral fractures has been conducted.RESULTS A total of 102 cases were enrolled in the study.The scoring trend of LSTLIS is roughly similar as the LSC scoring,however,the average deviation based on the former method is relatively smaller than that of the latter.Thus,the robustness of the LSTLIS scoring method is better than that of LSC.LSTLIS can further classify patients with TLICS=4,so as to assess more accurately this particular circumstance,and the majority of LSTLIS recommendations are consistent with actual clinical decisions.LSTLIS is a scoring system that combines LSC and TLICS to compensate for the lack of appropriate inclusion of anterior and middle column compression fractures with TLICS.Following preliminary clinical verification,LSTLIS has greater feasibility and reliability value,is more practical in comprehensively assessing certain clinical circumstances,and has better accuracy with clinically significant guidelines. 展开更多
关键词 Retrospective analysis Thoracolumbar fractures load-sharing classification Thoracolumbar injury classification and severity score Scoring system Clinical protocols
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Reliability analysis of k-out-of-n system with load-sharing and failure propagation effect
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作者 CHEN Ying MA Qichao +1 位作者 WANG Ze LI Yingyi 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2021年第5期1221-1231,共11页
In complex systems,functional dependency and physical dependency may have a coupling effect.In this paper,the reliability of a k-out-of-n system is analyzed considering load-sharing effect and failure mechanism(FM)pro... In complex systems,functional dependency and physical dependency may have a coupling effect.In this paper,the reliability of a k-out-of-n system is analyzed considering load-sharing effect and failure mechanism(FM)propagation.Three types of FMs are considered and an accumulative damage model is proposed to illustrate the system behavior of the k-out-of-n system and the coupling effect between load-sharing effect and FM propagation effect.A combinational algorithm based on Binary decision diagram(BDD)and Monte-Carlo simulation is presented to evaluate the complex system behavior and reliability of the k-out-of-n system.A current stabilizing system that consists of a 3-out-of-6 subsystem with FM propagation effect is presented as a case to illustrate the complex behavior and to verify the applicability of the proposed method.Due to the coupling effect change,the main mechanism and failure mode will be changed,and the system lifetime is shortened.Reasons are analyzed and results show that different sensitivity factors of three different FMs lead to the change of the development rate,thus changing the failure scenario.Neglecting the coupling effect may lead to an incomplete and ineffective measuring and monitoring plan.Design strategies must be adopted to make the FM propagation insensitive to load-sharing effect. 展开更多
关键词 k-out-of-n system load-sharing effect failure mechanism propagation damage factor model combinational algorithm
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Effect of Supported Bearing Clearance on Load-Sharing Characteristics of a Double-Row Planetary Gear System
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作者 王林峰 刘静 《Journal of Donghua University(English Edition)》 CAS 2021年第2期140-147,共8页
Few studies were focused on the load-sharing characteristics of double-row planetary gear(DRPG)systems with bearings.Meanwhile,the supported bearing has an important influence on the transmission characteristics of th... Few studies were focused on the load-sharing characteristics of double-row planetary gear(DRPG)systems with bearings.Meanwhile,the supported bearing has an important influence on the transmission characteristics of the entire system.To overcome this problem,a multi-body dynamic(MBD)model of the DRPG system fully considering the influences of bearing parameters is established.Dynamic loads among contacting gear pairs have been obtained to calculate the load-sharing coefficient(LSC)of the system.The LSC of each gear tooth pair has been compared to study the effect of the supported bearing clearance on the load-sharing characteristics.These methods are based on Hertz contact theory.The liner stiffness and damping are used in the model.The results show that the supported bearing clearance has a greatly effect on the LSC of the DRPG system.Choosing appropriate clearance parameters of supported bearing can help suppress the uneven load distribution of the DRPG system.The results can provide some guidance to find new method to study the LSC and increase the service life of planetary gear systems. 展开更多
关键词 double-row planetary gear(DRPG)system supported bearing clearance load-sharing coefficient(LSC) multi-body dynamic(MBD)
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Load-sharing评分在胸腰椎段脊柱骨折治疗中的应用
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作者 马林 《中国伤残医学》 2021年第8期18-19,共2页
目的:探究Load-sharing评分在胸腰椎段脊柱骨折治疗中的应用效果.方法:随机选取2016年1月-2019年12月我院收治的50例胸腰椎段脊柱骨折患者.Load-sharing评分4-6分的患者为A组,Load-sharing评分>6分不伴脱位,骨折椎后方结构完整的患者... 目的:探究Load-sharing评分在胸腰椎段脊柱骨折治疗中的应用效果.方法:随机选取2016年1月-2019年12月我院收治的50例胸腰椎段脊柱骨折患者.Load-sharing评分4-6分的患者为A组,Load-sharing评分>6分不伴脱位,骨折椎后方结构完整的患者为B组,Load-sharing评分>6分且伴脱位或者骨折椎后方结构不完整的患者为C组.观察记录3组患者的手术效果.结果:手术后3组患者的后凸角、椎体压缩、椎管占位改善情况优于手术前,P<0.05,差异有统计学意义.治疗分数评分优于手术前,P<0.05,差异有统计学意义.结论:Load-sharing评分能够正确指导手术方案的选定,且指导治疗的效果良好,在胸腰椎段脊柱骨折患者的治疗方案制定中值得大力推广. 展开更多
关键词 load-sharing评分 胸腰椎段脊柱骨折 骨折椎后方结构
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RELIABILITY ANALYSIS FOR A REPAIRABLE PARALLEL SYSTEM WITH TIME-VARYING FAILURE RATES 被引量:1
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作者 TangShengdao WangFengquan 《Applied Mathematics(A Journal of Chinese Universities)》 SCIE CSCD 2005年第1期85-90,共6页
To solve a real problem:how to calculate the reliability of a system with time-varying failure rates in industry systems,this paper studies a model for the load-sharing parallel system with time-varying failure rates,... To solve a real problem:how to calculate the reliability of a system with time-varying failure rates in industry systems,this paper studies a model for the load-sharing parallel system with time-varying failure rates,and obtains calculating formulas of reliability and availability of the system by solving differential equations.In this paper,the failure rates are expressed in polynomial configuration.The constant,linear and Weibull failure rate are in their special form.The polynomial failure rates provide flexibility in modeling the practical time-varying failure rates. 展开更多
关键词 time-varying failure rates repairable parallel system Markov chain reliability and availability of system load-sharing.
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Experiments of Multi-element Composite Foundation with Steel Pipe Pile and Gravel Pile
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作者 王仙芝 郑俊杰 《Journal of Southwest Jiaotong University(English Edition)》 2008年第3期254-259,共6页
A set of serf-developed apparatus for foundation physical model were utilized to conduct model tests of the multi-element composite foundation with a steel pipe pile and several gravel piles. Some load-bearing charact... A set of serf-developed apparatus for foundation physical model were utilized to conduct model tests of the multi-element composite foundation with a steel pipe pile and several gravel piles. Some load-bearing characteristics of the multi-element Composite foundation, including the curves of foundation settlement, stresses of piles, pile-soil stress ratio, and load-sharing ratio of piles and soil, were obtained to study its working performances in silty sand soil. The experimental results revealed that the multi-element composite foundation with steel pipe pile and gravel pile contributed more than the gravel pile composite foundation in improving the bearing capacity of the silty fine sand. 展开更多
关键词 Steel pipe pile Gravel pile Model test Multi-element composite foundation Pile-soil stress ratio load-sharing ratio
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含多齿不同间隙的人字星型齿轮系统的齿距误差相位匹配研究
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作者 陈家俊 朱如鹏 +3 位作者 陈蔚芳 李苗苗 尹逊民 张晓旭 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2024年第3期242-260,共19页
在加工过程中,齿轮不可避免地会产生齿距误差,这会加剧人字星型齿轮系统(HSGT)的振动和噪声.尽管加工精度是有限的,但通过适当的组合误差相位可以进一步提高系统的动态性能.本工作中,根据齿距误差的周期性及其对间隙的影响,推导了传动... 在加工过程中,齿轮不可避免地会产生齿距误差,这会加剧人字星型齿轮系统(HSGT)的振动和噪声.尽管加工精度是有限的,但通过适当的组合误差相位可以进一步提高系统的动态性能.本工作中,根据齿距误差的周期性及其对间隙的影响,推导了传动过程中啮合齿对形成的不同齿隙,然后分别考虑各齿对的啮合状态和误差激振力.建立了在齿距误差影响下含有多齿不同间隙的HSGT动力学模型,并通过齿轮箱振动实验验证了该模型的可靠性.基于该模型分析了人字中心齿轮两侧误差相位的调整对均载性能的影响机理,探索了三个平行星型齿轮最优的误差相位组合.当齿距误差值一定时,本研究可以指导HSGT中各人字齿轮误差相位的组合,从而减少振动,提高系统的均载性能. 展开更多
关键词 Herringbone gear Star gear system Pitch error Time-varying backlash load-sharing characteristics
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