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Comprehensive health assessment of shield tunnel structure based on prototype experiment 被引量:11
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作者 LI Pan ZHANG Ya-wei +1 位作者 JIANG Fu-yu ZHENG Hu 《Journal of Central South University》 SCIE EI CAS CSCD 2018年第3期681-689,共9页
Health state of shield tunnels is one of the most important parameters for structure maintenance.Usually,the shield tunnel is extremely long in longitude direction and composed by many segments.It is difficult to quan... Health state of shield tunnels is one of the most important parameters for structure maintenance.Usually,the shield tunnel is extremely long in longitude direction and composed by many segments.It is difficult to quantify the relationship between the structure damage state and shield tunnel structure deformation by the model test because of unpredictable effects of different scales between model test and prototype tunnel structure.Here,an in-situ monitoring project was conducted to study the excavation induced shield tunnel structure damage,which could be considered a prototype test on the tunnel deformation.The disaster performance of tunnel leakage,segment crack,segment dislocation and segment block drop-off during longitude deformation and cross-section ovality developments was analyzed.The results indicate that instead of the longitude deformation,the ovality value has the strongest correlation to the rest disease performance,which could be used as the assessment index of the tunnel health.For this tunnel,it is in health state when the ovality is less than 0.5%,and the serious damage could be found when the ovality value is higher than 0.77%.The research results provide valuable reference to shield tunnel health assessment and help complete the standard of shield tunnel construction. 展开更多
关键词 shield tunnel health assessment DEFORMATION structure disease
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医院收治患者的病种结构及其对CMI值的影响研究 被引量:13
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作者 陈灵峰 《医院管理论坛》 2020年第10期25-27,共3页
DRG评价体系体现了医疗机构的综合医疗水平和疑难病例的诊疗能力。CMI值基于疾病和手术操作、反映医疗机构整体技术难度的综合评价指标。RW值反映疾病的严重程度、诊疗难度和消耗的医疗资源。病种结构是影响CMI值的关键因素,提升CMI值,... DRG评价体系体现了医疗机构的综合医疗水平和疑难病例的诊疗能力。CMI值基于疾病和手术操作、反映医疗机构整体技术难度的综合评价指标。RW值反映疾病的严重程度、诊疗难度和消耗的医疗资源。病种结构是影响CMI值的关键因素,提升CMI值,要从优化医院的病种结构,减少低RW值病种占比,提升高RW值病种的占比入手。本文从实际工作出发,浅谈病种结构对DRG管理中的CMI值的影响。 展开更多
关键词 疾病诊断相关分组DRGs CMI值CMI value RW占比RW ratio 病种结构disease structure
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Coexistent Charcot-Marie-Tooth type 1A and type 2 diabetes mellitus neuropathies in a Chinese family 被引量:3
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作者 A-ping Sun Lu Tang +3 位作者 Qin Liao Hui Zhang Ying-shuang Zhang Jun Zhang 《Neural Regeneration Research》 SCIE CAS CSCD 2015年第10期1696-1699,共4页
Charcot-Marie-Tooth disease type 1A(CMT1A) is caused by duplication of the peripheral myelin protein 22(PMP22) gene on chromosome 17. It is the most common inherited demyelinating neuropathy. Type 2 diabetes melli... Charcot-Marie-Tooth disease type 1A(CMT1A) is caused by duplication of the peripheral myelin protein 22(PMP22) gene on chromosome 17. It is the most common inherited demyelinating neuropathy. Type 2 diabetes mellitus is a common metabolic disorder that frequently causes predominantly sensory neuropathy. In this study, we report the occurrence of CMT1 A in a Chinese family affected by type 2 diabetes mellitus. In this family, seven individuals had duplication of the PMP22 gene, although only four had clinical features of polyneuropathy. All CMT1 A patients with a clinical phenotype also presented with type 2 diabetes mellitus. The other three individuals had no signs of CMT1 A or type 2 diabetes mellitus. We believe that there may be a genetic link between these two diseases. 展开更多
关键词 nerve regeneration PMP22 duplication demyelinating degeneration hereditary disease phenotype axonal loss electrophysiology concentric structure multiplex ligation-dependent probe amplification neural regeneration
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