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IPS e.max Press铸瓷与合金嵌体治疗后牙牙体缺损效果对比研究
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作者 周冰 王子华 李佳彧 《河南外科学杂志》 2024年第2期148-150,共3页
目的探讨IPS e.max Press铸瓷与合金嵌体治疗后牙牙体缺损的效果。方法前瞻性纳入2020-05—2022-05三门峡市中心医院口腔科收治的后牙牙体缺损患者,根据修复材料分为IPS e.max Press铸瓷嵌体组(铸瓷组)和合金嵌体组(合金组)。比较2组患... 目的探讨IPS e.max Press铸瓷与合金嵌体治疗后牙牙体缺损的效果。方法前瞻性纳入2020-05—2022-05三门峡市中心医院口腔科收治的后牙牙体缺损患者,根据修复材料分为IPS e.max Press铸瓷嵌体组(铸瓷组)和合金嵌体组(合金组)。比较2组患者的基线资料。治疗前后检测患者的龈沟液中炎性因子、评价牙周健康情况。治疗3个月后评价牙体缺损边缘密合度和美牙效果。结果共纳入86例(132颗牙)患者,每组43例(66颗牙)。2组患者的基线资料差异无统计学意义(P>0.05)。治疗后铸瓷组患者的IL-6、IL-8、CXCL16水平和GI、SBI及PLI评分均低于合金组;牙体缺损边缘密合度优于合金组,美牙效果满意率高于合金组。差异均有统计学意义(P<0.05)。结论与合金嵌体比较,采用IPS e.max Press铸瓷嵌体治疗后牙牙体缺损有利于降低龈沟液中炎性因子水平,改善牙周健康状况和牙体缺损边缘密合度,并可提高患者对美牙效果的满意度。但仍需进行更大样本量的前瞻性随机对照研究予以证实。 展开更多
关键词 后牙牙体缺损 IPS e.max press铸瓷嵌体 合金嵌体 牙周健康
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Effect of hot isostatic pressure on the microstructure and tensile properties of γ'-strengthened superalloy fabricated through induction-assisted directed energy deposition
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作者 Jianjun Xu Hanlin Ding +1 位作者 Xin Lin Feng Liu 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2024年第5期1089-1097,共9页
The microstructure characteristics and strengthening mechanism of Inconel738LC(IN-738LC) alloy prepared by using induction-assisted directed energy deposition(IDED) were elucidated through the investigation of samples... The microstructure characteristics and strengthening mechanism of Inconel738LC(IN-738LC) alloy prepared by using induction-assisted directed energy deposition(IDED) were elucidated through the investigation of samples subjected to IDED under 1050℃ preheating with and without hot isostatic pressing(HIP,1190℃,105 MPa,and 3 h).Results show that the as-deposited sample mainly consisted of epitaxial columnar crystals and inhomogeneously distributed γ’ phases in interdendritic and dendritic core regions.After HIP,grain morphology changed negligibly,whereas the size of the γ’ phase became increasingly even.After further heat treatment(HT,1070℃,2 h + 845℃,24 h),the γ’ phase in the as-deposited and HIPed samples presented a bimodal size distribution,whereas that in the as-deposited sample showed a size that remained uneven.The comparison of tensile properties revealed that the tensile strength and uniform elongation of the HIP + HTed sample increased by 5% and 46%,respectively,due to the synergistic deformation of bimodal γ’phases,especially large cubic γ’ phases.Finally,the relationship between phase transformations and plastic deformations in the IDEDed sample was discussed on the basis of generalized stability theory in terms of the trade-off between thermodynamics and kinetics. 展开更多
关键词 directed energy deposition Ni-based superalloys high-temperature preheating hot isostatic pressing MICROSTRUCTURE tensile properties
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Effect of the capsule on deformation and densification behavior of nickel-based superalloy compact during hot isostatic pressing 被引量:3
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作者 Lebiao Yang Xiaona Ren +4 位作者 Chao Cai Pengju Xue MIrfan Hussain Yusheng Shi Changchun Ge 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2023年第1期122-130,共9页
The Shima yield criterion used in finite element analysis for nickel-based superalloy powder compact during hot isostatic pressing(HIP) was modified through uniaxial compression experiments. The influence of cylindric... The Shima yield criterion used in finite element analysis for nickel-based superalloy powder compact during hot isostatic pressing(HIP) was modified through uniaxial compression experiments. The influence of cylindrical capsule characteristics on FGH4096M superalloy powder compact deformation and densification behavior during HIP was investigated through simulations and experiments. Results revealed the simulation shrinkage prediction fitted well with the experimental shrinkage including a maximum shrinkage error of 1.5%. It was shown that the axial shrinkage was 1.7% higher than radial shrinkage for a cylindrical capsule with the size of ∮50 mm × 100 mm due to the force arm difference along the axial and radial direction of the capsule. The stress deviated from the isostatic state in the capsule led to the uneven shrinkage and non-uniform densification of the powder compact. The ratio of the maximum radial displacement to axial displacement increased from0.47 to 0.75 with the capsule thickness increasing from 2 to 4 mm. The pressure transmission is related to the capsule thickness, the capsule material performance, and physical parameters in the HIP process. 展开更多
关键词 hot isostatic pressing nickel-based superalloy compact CAPSULE DENSIFICATION DEFORMATION
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Effects of microstructure characteristics on the tensile properties and fracture toughness of TA15 alloy fabricated by hot isostatic pressing 被引量:1
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作者 Langping Zhu Yu Pan +6 位作者 Yanjun Liu Zhiyu Sun Xiangning Wang Hai Nan Muhammad-Arif Mughal Dong Lu Xin Lu 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2023年第4期697-706,共10页
Powder hot isostatic pressing(HIP) is an effective method to achieve near-net-shape manufacturing of high-quality complex thinwalled titanium alloy parts, and it has received extensive attention in recent years. Howev... Powder hot isostatic pressing(HIP) is an effective method to achieve near-net-shape manufacturing of high-quality complex thinwalled titanium alloy parts, and it has received extensive attention in recent years. However, there are few reports about the microstructure characteristics on the strengthening and toughening mechanisms of powder hot isostatic pressed(HIPed) titanium alloys. Therefore, TA15powder was prepared into alloy by HIP approach, which was used to explore the microstructure characteristics at different HIP temperatures and the corresponding tensile properties and fracture toughness. Results show that the fabricated alloy has a “basket-like structure” when the HIP temperature is below 950℃, consisting of lath clusters and surrounding small equiaxed grains belts. When the HIP temperature is higher than 950℃, the microstructure gradually transforms into the Widmanstatten structure, accompanied by a significant increase in grain size. The tensile strength and elongation are reduced from 948 MPa and 17.3% for the 910℃ specimen to 861 MPa and 10% for the 970℃ specimen.The corresponding tensile fracture mode changes from transcrystalline plastic fracture to mixed fracture including intercrystalline cleavage.The fracture toughness of the specimens increases from 82.64 MPa·m^(1/2)for the 910℃ specimen to 140.18 MPa·m^(1/2)for the 970℃ specimen.Specimens below 950℃ tend to form holes due to the prior particle boundaries(PPBs), which is not conducive to toughening. Specimens above 950℃ have high fracture toughness due to the crack deflection, crack branching, and shear plastic deformation of the Widmanstatten structure. This study provides a valid reference for the development of powder HIPed titanium alloy. 展开更多
关键词 POWDER titanium alloy hot isostatic pressing STRENGTH fracture toughness
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Simple shear extrusion versus equal channel angular pressing:A comparative study on the microstructure and mechanical properties of an Mg alloy 被引量:1
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作者 A.Rezaei R.Mahmudi +1 位作者 C.Cayron R.E.Logé 《Journal of Magnesium and Alloys》 SCIE EI CAS CSCD 2023年第5期1769-1790,共22页
Two severe plastic deformation(SPD)techniques of simple shear extrusion(SSE)and equal channel angular pressing(ECAP)were employed to process an extruded Mg-6Gd-3Y-1.5Ag(wt%)alloy at 553 K for 1,2,4 and 6 passes.The mi... Two severe plastic deformation(SPD)techniques of simple shear extrusion(SSE)and equal channel angular pressing(ECAP)were employed to process an extruded Mg-6Gd-3Y-1.5Ag(wt%)alloy at 553 K for 1,2,4 and 6 passes.The microstructural evolutions were studied by electron back scattered diffraction(EBSD)analysis and transmission electron microscopy(TEM).The initial grain size of 7.5μm in the extruded alloy was reduced to about 1.3μm after 6 SPD passes.Discontinuous dynamic recrystallization was suggested to be operative in both SSE and ECAP,with also a potential contribution of continuous dynamic recrystallization at the early stages of deformation.The difference in the shear strain paths of the two SPD techniques caused different progression rate of dynamic recrystallization(DRX),so that the alloys processed by ECAP exhibited higher fractions of recrystallization and high angle grain boundaries(HAGBs).It was revealed that crystallographic texture was also significantly influenced by the difference in the strain paths of the two SPD methods,where dissimilar basal plane texture components were obtained.The compression tests,performed along extrusion direction(ED),indicated that the compressive yield stress(CYS)and ultimate compressive strength(UCS)of the alloys after both SEE and ECAP augmented continuously by increasing the number of passes.ECAP-processed alloys had lower values of CYS and UCS compared to their counterparts processed by SSE.This difference in the mechanical responses was attributed to the different configurations of basal planes with respect to the loading direction(ED)of each SPD technique. 展开更多
关键词 Mg-Gd-Y alloys Severe plastic deformation Simple shear extrusion Equal channel angular pressing Dynamic recrystallization Mechanical properties
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腔内注射雷珠单抗联合Ex-press引流植入术治疗新生血管性青光眼的疗效
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作者 克里木江·阿不拉 宋艳 +2 位作者 麦迪娜·那毕江 甫拉提·阿布都热衣木 阿依努尔·艾买尔 《局解手术学杂志》 2023年第7期612-616,共5页
目的探讨腔内注射雷珠单抗联合Ex-press引流植入术治疗新生血管性青光眼(NVG)的疗效。方法选取2019年7月至2020年7月我院眼科收治的NVG患者100例(100眼)作为研究对象,按照随机数字表法将其分为对照组和观察组,每组50例(50眼)。对照组给... 目的探讨腔内注射雷珠单抗联合Ex-press引流植入术治疗新生血管性青光眼(NVG)的疗效。方法选取2019年7月至2020年7月我院眼科收治的NVG患者100例(100眼)作为研究对象,按照随机数字表法将其分为对照组和观察组,每组50例(50眼)。对照组给予单纯Ex-press引流植入术,观察组给予腔内注射雷珠单抗联合Ex-press引流植入术。比较2组患者治疗前后眼压、视力水平及治疗有效率。采用ELISA法测定并比较2组患者血浆及房水中转化生长因子β1(TGF-β1)和血清及房水中血管内皮生长因子(VEGF)、白介素-6(IL-6)及促红细胞生成素(EPO)水平。记录2组患者不良反应的发生情况。结果2组患者治疗后4周、3个月的眼压均较治疗前降低(P<0.05),且观察组眼压明显低于对照组(P<0.05);观察组患者治疗后4周、3个月的视力改善优于对照组(P<0.05)。观察组的治疗有效率明显高于对照组(P<0.05)。2组患者治疗后4周血浆中TGF-β1水平,血清中VEGF、IL-6水平和房水中VEGF、IL-6、TGF-β1、EPO水平均明显降低(P<0.05),且观察组降低更明显(P<0.05)。2组患者不良反应发生率比较差异无统计学意义(P>0.05)。结论腔内注射雷珠单抗联合Ex-press引流植入术治疗NVG可有效降低眼内压,改善患者视力,下调TGF-β1、EPO水平,进而提高患者治疗有效率。 展开更多
关键词 新生血管性青光眼 雷珠单抗 Ex-press引流植入术 TGF-β1 EPO
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Tension-Compression Asymmetry in Ultrafine-grained Commercially Pure Ti Processed by ECAP
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作者 刘晓燕 LI Shuaikang +1 位作者 YANG Xirong LUO Lei 《Journal of Wuhan University of Technology(Materials Science)》 SCIE EI CAS CSCD 2023年第3期689-694,共6页
A homogenous microstructure of ultrafine-grained (UFG) commercially pure (CP) Ti characterized by equiaxed grains/subgrains with an average grain size of about 150 nm and strong prismatic fiber texture were obtained a... A homogenous microstructure of ultrafine-grained (UFG) commercially pure (CP) Ti characterized by equiaxed grains/subgrains with an average grain size of about 150 nm and strong prismatic fiber texture were obtained after 4 passes of equal channel angular pressing (ECAP).Tension–compression asymmetry in yield and work hardening behavior of UFG CP Ti were investigated by uniaxial tension and compression tests.The experimental results reveal that UFG CP Ti exhibits a relatively obvious tensioncompression asymmetry in yielding and work hardening behavior.The basal and prismaticslip are suppressed either for tension or compression,which is the easiest to activate.The tension twin system{1012}<1011> easily activated in compression deformation due to the prismatic fiber texture based on the Schmidt factor,consequently resulting in a lower yield strength under compression than tension.ECAP can improve the tension-compression asymmetry of CP Ti due to grain refinement.The interaction among the dislocations,grain boundaries and deformation twins are the main work hardening mechanisms for compression deformation,while the interaction between the dislocations and grain boundaries for tension deformation.Deformation twins lead to the higher work hardening under compression than tension. 展开更多
关键词 ultrafine-grained commercially pure Ti equal channel angular pressing tensioncompression asymmetry texture TWINNING
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Superplastic behavior of a fine-grained Mg-Gd-Y-Ag alloy processed by equal channel angular pressing
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作者 A.Rezaei R.Mahmudi R.E.Logé 《Journal of Magnesium and Alloys》 SCIE EI CAS CSCD 2023年第10期3815-3828,共14页
An extruded Mg-6Gd-3Y-1.5Ag(wt%) alloy was processed by 6 passes of equal channel angular pressing(ECAP) at 553 K using route Bc to refine the microstructure. Electron back-scattered diffraction(EBSD) analysis showed ... An extruded Mg-6Gd-3Y-1.5Ag(wt%) alloy was processed by 6 passes of equal channel angular pressing(ECAP) at 553 K using route Bc to refine the microstructure. Electron back-scattered diffraction(EBSD) analysis showed a fully recrystallized microstructure for the extruded alloy with a mean grain size of 8.6 μm. The microstructure of the ECAP-processed alloy was uniformly refined through dynamic recrystallization(DRX). This microstructure contained fine grains with an average size of 1.3 μm, a high fraction of high angle grain boundaries(HAGBs), and nano-sized Mg_(5)Gd-type particles at the boundaries of the DRXed grains, detected by transmission electron microscopy(TEM). High-temperature shear punch testing(SPT) was used to evaluate the superplastic behavior of both the extruded and ECAP-processed alloys by measuring the strain rate sensitivity(SRS) index(m-value). While the highest m-value for the extruded alloy was measured to be 0.24 at 673 K, the ECAP-processed alloy exhibited much higher m-values of 0.41 and 0.52 at 598 and 623 K, respectively,delineating the occurrence of superplastic flow. Based on the calculated average activation energy of 118 kJ mol^(-1) and m-values close to 0.5, the deformation mechanism for superplastic flow at the temperatures of 598 and 623 K for the ECAP-processed alloys was recognized to be grain boundary sliding(GBS) assisted by grain boundary diffusion. 展开更多
关键词 Mg-Gd-Y alloys Equal channel angular pressing SUPERPLASTICITY Strain rate sensitivity Grain boundary sliding
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Effect of hot isostatic pressing processing parameters on microstructure and properties of Ti60 high temperature titanium alloy
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作者 Tian-yu Liu Kun Shi +6 位作者 Jun Zhao Shi-bing Liu You-wei Zhang Hong-yu Liu Tian-yi Liu Xiao-ming Chen Xin-min Mei 《China Foundry》 SCIE CAS CSCD 2023年第1期49-56,共8页
Hot isostatic pressing parameters are critical to Ti60 high temperature titanium alloy castings which have wide application perspective in aerospace.In order to obtain optimal processing parameters,the effects of hot ... Hot isostatic pressing parameters are critical to Ti60 high temperature titanium alloy castings which have wide application perspective in aerospace.In order to obtain optimal processing parameters,the effects of hot isostatic pressing parameters on defects,composition uniformity,microstructure and mechanical properties of Ti60 cast high temperature titanium alloy were investigated in detail.Results show that increasing temperature and pressure of hot isostatic pressing can reduce defects,especially,the internal defects are substantially eliminated when the temperature exceeds 920℃or the pressure exceeds 125 MPa.The higher temperature and pressure can improve the microstructure uniformity.Besides,the higher pressure can promote the composition uniformity.With the temperature increases from 880℃to 960℃,α-laths are coarsened.But with increasing pressure,the grain size of prior-βphase,the widths ofα-laths andα-colony are reduced.The tensile strength of Ti60 alloy is 949 MPa,yield strength is 827 MPa,and the elongation is 11%when the hot isostatic pressing parameters are 960℃/125 MPa/2 h,which exhibits the best match between the strength and plasticity. 展开更多
关键词 hot isostatic pressing processing parameters Ti60 titanium alloy DEFECTS composition uniformity microstructure mechanical properties
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虚拟现实技术在成人心肺复苏培训中应用的范围综述 被引量:1
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作者 冯佳 邵翠梅 +6 位作者 陈姝怡 张秋霞 姚晓芳 郑苏炜 彭丹 郑琳琳 兰美娟 《中国急救医学》 CAS CSCD 2024年第1期68-72,共5页
目的对虚拟现实(virtual reality,VR)技术在成人心肺复苏(cardiopulmonary resuscitation,CPR)培训中的应用进行范围审查,以识别VR技术干预的内容要素和应用效果。方法以乔安娜布里格斯研究所范围综述指南为方法学框架,检索PubMed、Emb... 目的对虚拟现实(virtual reality,VR)技术在成人心肺复苏(cardiopulmonary resuscitation,CPR)培训中的应用进行范围审查,以识别VR技术干预的内容要素和应用效果。方法以乔安娜布里格斯研究所范围综述指南为方法学框架,检索PubMed、Embase、CINAHL、Web of Science、Cochrane Library、中国知网、万方和中国生物医学文献数据库,检索时限为建库至2023年8月31日,对纳入文献进行汇总和分析。结果共纳入15篇文献,VR技术干预的内容要素包括实施CPR的意愿、反应、自我效能、按压频率、按压深度、无血流时间、复训时间、时间成本;结局指标类型为心理指标、胸外按压的质量指标、经济指标。结论VR技术在成人CPR培训中具有良好的应用前景,在心理、胸外按压质量、经济等方面的效果还可进一步挖掘。未来可基于面对面培训联合数字化反馈装置,最大化发挥VR技术的优势,形成一套综合干预策略和创新的培训模式,以进一步提高CPR培训的整体成效。 展开更多
关键词 虚拟现实 心肺复苏 培训 范围综述 自我效能 按压频率 按压深度 无复流时间
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The Press of the State of Mato Grosso and the Civil-Military Coup of 1964
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作者 Edvaldo Correa Sotana 《Journalism and Mass Communication》 2023年第3期97-104,共8页
In the last few years,the media has been taken as a source and object of study in the area of history.Researchers have already demonstrated that Folha de S.Paulo,O Estado de S.Paulo,Diário de S.Paulo,O Globo,Jorn... In the last few years,the media has been taken as a source and object of study in the area of history.Researchers have already demonstrated that Folha de S.Paulo,O Estado de S.Paulo,Diário de S.Paulo,O Globo,Jornal do Brasil,Tribuna da Imprensa,and Correio da Manhãcontributed to the civil-military coup of 1964.In addition to them,periodicals produced in the State of Mato Grosso also played an important role in the process that culminated in the overthrow of President João Goulart.O Progresso,O Mato-grossense,O Correio do Estado,and O Estado de Mato Grosso are a few examples.In this article,the aim is to demonstrate the role of the written press in the State of Mato Grosso in the civil-military coup of 1964.Therefore,it is understood that newspapers play a role in the political game and in the construction of the historical event itself. 展开更多
关键词 press State of Mato Grosso Coup of 1964
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中美外交部门新闻发布会的中国形象建构比较研究——基于语料库的批评话语分析 被引量:1
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作者 刘苹 董格格 《新闻与传播评论》 北大核心 2024年第2期106-118,共13页
一个国家外交部门的发言代表该国的立场和观点,在国家形象建构中具有重要地位。以三维分析模型为理论框架,以系统功能语法为分析手段,基于语料库对中美外交部门新闻发布会发言人的话语进行实证比较研究,可分析和总结双方发言人的话语特... 一个国家外交部门的发言代表该国的立场和观点,在国家形象建构中具有重要地位。以三维分析模型为理论框架,以系统功能语法为分析手段,基于语料库对中美外交部门新闻发布会发言人的话语进行实证比较研究,可分析和总结双方发言人的话语特征及其建构的中国形象。研究发现:中美双方发言人在词汇层面的分类系统和情态系统、话语层面的内容选择和互文性策略上表现出较大差异,他们各自针对新冠肺炎疫情背景下中国抗疫、经济、政治、军事、外交等维度的表现,建构了“人类命运共同体的共建者”和“美国最严峻的竞争对手”的差异性形象。两者建构的结果差异如此明显,其原因在于双方政治理念、经济政策、文化传统和价值观等方面客观存在的分歧。为了更好地推动中国形象的自我建构和他者建构,有必要拓展国家形象塑造的渠道和方式,进一步优化话语策略并改善话语方式。 展开更多
关键词 批评话语分析 新闻发布会 中国形象 语料库
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基于TRIZ理论的多工位柔性压曲机设计
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作者 唐静静 杨磊 +3 位作者 徐雪萌 刘权 李颖鹏 张东凯 《包装与食品机械》 CAS 北大核心 2024年第1期46-52,共7页
针对压曲机单点单次压制曲块质量不稳定、提浆效果差等问题,采用TRIZ理论对压曲机进行总体方案创新设计。利用分割、多维化原理设计多工位压曲装置,包括落料、预压整形、3次捶打和脱模输出等6个工位,平均产量为500块/h。采用复制、动态... 针对压曲机单点单次压制曲块质量不稳定、提浆效果差等问题,采用TRIZ理论对压曲机进行总体方案创新设计。利用分割、多维化原理设计多工位压曲装置,包括落料、预压整形、3次捶打和脱模输出等6个工位,平均产量为500块/h。采用复制、动态化、改变参数、近似化原理设计锤头装置,每个模盒均对应包含8个可独立捶打的柔性锤头装置,实现24次/周期的多点、多频次柔性捶打。运用SolidWorks进行设备虚拟建模,通过样机验证方案。试验结果表明,设备压制的曲块含水率约为12%,曲块表面提浆效果面积比约为82%,曲皮厚度约为0.96 cm,曲块中间松、四周紧,断面整洁。研究为压曲机的创新设计提供新的思路。 展开更多
关键词 TRIZ理论 压曲机 多工位 柔性
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耳穴揿针联合栀黄散穴位贴敷在胆石症患者中的应用研究
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作者 孙惠 郭晓娟 何婷婷 《辽宁中医杂志》 CAS 北大核心 2024年第2期172-175,共4页
目的观察耳穴揿针联合栀黄散穴位贴敷对胆石症患者的应用效果。方法将120例患者随机分为A组:耳穴揿针组(40例),B组:穴位贴敷组(40例),C组:联合治疗组(40例)。A组患者在常规西医治疗的基础上加用耳穴揿针治疗,按压4~6次/d,1~3 min/次,5 ... 目的观察耳穴揿针联合栀黄散穴位贴敷对胆石症患者的应用效果。方法将120例患者随机分为A组:耳穴揿针组(40例),B组:穴位贴敷组(40例),C组:联合治疗组(40例)。A组患者在常规西医治疗的基础上加用耳穴揿针治疗,按压4~6次/d,1~3 min/次,5 d 1个疗程,双耳交替操作。B组患者在常规西医治疗的基础上加用栀黄散穴位贴敷,贴敷于双侧胆俞穴、双侧肝俞穴、右侧期门穴、双侧阳陵泉穴,贴敷时间为4~6 h,2次/d,5 d 1个疗程。C组患者在常规西医治疗的基础上联合使用耳穴揿针和栀黄散穴位贴敷治疗。通过疼痛数值评分量表(NRS)比较3组患者治疗后0.5、1、2、24、48 h疼痛评分;治疗前后3组患者C反应蛋白(C-reactive protein,CRP)、胆红素、肝功能(ALT)变化情况;通过B超检查治疗前后胆囊收缩功能、胆囊壁厚度。结果干预后3组患者疼痛评分时间效应值、CRP、胆红素、ALT数值、胆囊壁厚度均低于干预前,胆囊收缩功能较干预前增加,差异具有统计学意义(P<0.05),A组、B组两组患者干预后疼痛评分时间效应值、CRP、胆红素、ALT数值、胆囊壁厚度、胆囊收缩功能比较,差异无统计学意义(P>0.05)。C组患者干预后疼痛评分时间效应值、CRP、胆红素、ALT数值、胆囊壁厚度均低于A、B两组,胆囊收缩功能高于A、B两组,差异具有统计学意义(P<0.05)。结论耳穴揿针和栀黄散穴位贴敷应用于胆石症患者,均可减轻患者的疼痛反应,降低炎症作用,促进肝功能恢复,增强胆囊收缩功能。将两者联合应用,临床疗效更加显著,能够加速患者康复,值得临床推广。 展开更多
关键词 胆石症 耳穴揿针 穴位贴敷 联合应用
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热压型煤成型条件优化试验研究方法
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作者 许江 贾立 +7 位作者 甘青青 彭守建 闫发志 王旭 戴诗杰 焦峰 李奇贤 陈月霞 《煤炭学报》 EI CAS CSCD 北大核心 2024年第2期739-752,共14页
针对当前煤矿瓦斯动力学物理模拟试验中型煤材料存在低强度和高渗透率问题,建立了一套热压型煤成型条件优化试验研究方法。首先,自主研发了热压型煤试验系统,并对试验系统优势和今后改进方向进行了汇总,同时基于Horsfield致密堆积理论... 针对当前煤矿瓦斯动力学物理模拟试验中型煤材料存在低强度和高渗透率问题,建立了一套热压型煤成型条件优化试验研究方法。首先,自主研发了热压型煤试验系统,并对试验系统优势和今后改进方向进行了汇总,同时基于Horsfield致密堆积理论创建了型煤材料最优配制方案,最后形成了以马氏距离度量法和黄金分割法相结合的成型条件优化方法。为了验证试验方法的效果,通过控制成型温度为311.8℃、升温速率为5℃/min和保温时间为5.3 h,开展了不同成型压力条件下热压型煤试验研究,研究了不同成型压力条件下的热压型煤微观结构、物理力学特性和渗透特性等响应特征。结果表明:增加成型压力,总孔隙度逐渐减小,单轴抗压强度呈先增大后减少的变化趋势,破坏形式以块状剥落和纵向破裂为主,初始渗透率呈先减小后增大、最小渗透率则呈先减后增再减的变化趋势。以各成型条件的具体数值为试验点、热压型煤和原煤的关键参数为评价参量构建样本矩阵,计算各成型条件下热压型煤和原煤之间的马氏距离,再结合黄金分割法对试验区间进行优化求解,优化后的最佳成型压力为80 MPa,在此成型条件下制作的热压型煤密度、单轴抗压强度和初始渗透率分别为1.137 g/cm^(3)、12.21 MPa、1.32×10^(-15)m^(2),与原煤的1.132 g/cm^(3)、12.83 MPa、1.08×10^(-15)m^(2)相似性极高,达到了提高型煤强度、降低型煤渗透率的目的。 展开更多
关键词 煤矿瓦斯 热压型煤 单轴抗压强度 渗透率
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揿针对腹腔镜全子宫切除术后恶心呕吐的影响
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作者 肖静 鲍志丽 刘晓捷 《中国医药指南》 2024年第2期134-136,共3页
目的探讨揿针对腹腔镜全子宫切除术后恶心呕吐的影响。方法将80例行腹腔镜全子宫切除手术的患者,随机分为观察组和对照组,每组各40例。对照组接受常规治疗和护理,观察组在常规治疗和护理的基础上配合术后采用内关穴及合谷穴揿针埋针治疗... 目的探讨揿针对腹腔镜全子宫切除术后恶心呕吐的影响。方法将80例行腹腔镜全子宫切除手术的患者,随机分为观察组和对照组,每组各40例。对照组接受常规治疗和护理,观察组在常规治疗和护理的基础上配合术后采用内关穴及合谷穴揿针埋针治疗3天。比较两组术后当天、术后第2天、术后第3天的NVAS评分以及术后两组治疗有效率。结果术后当天两组患者NVAS评分比较差异无统计学意义(P>0.05),术后第2天和术后第3天两组患者NVAS评分对比,对照组均高于观察组(均P<0.05);观察组治疗总有效率高于对照组(P<0.05)。结论腹腔镜全子宫切除术后使用揿针治疗,显著减少患者术后恶心呕吐等不适,患者易于接受。 展开更多
关键词 揿针 腹腔镜 恶心呕吐
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耳穴贴压联合针灸对高血压病患者血压血脂的影响 被引量:1
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作者 骆晓金 《中国中医药现代远程教育》 2024年第6期99-102,共4页
目的 探析高血压病患者采用耳穴贴压联合针灸治疗对血压与血脂的影响。方法 选择枣庄市立医院2021年3月—2022年3月接诊的90例高血压病患者,按照随机数字表法分为2组,每组45例。对照组口服药物治疗,观察组耳穴贴压联合针灸治疗。比较2... 目的 探析高血压病患者采用耳穴贴压联合针灸治疗对血压与血脂的影响。方法 选择枣庄市立医院2021年3月—2022年3月接诊的90例高血压病患者,按照随机数字表法分为2组,每组45例。对照组口服药物治疗,观察组耳穴贴压联合针灸治疗。比较2组患者血压、血脂、中医证候积分和治疗总有效率。结果 治疗后,观察组舒张压、收缩压均低于对照组,差异有统计学意义(P<0.05);观察组总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)低于对照组,高密度脂蛋白胆固醇(HDL-C)高于对照组,差异均有统计学意义(P<0.05);观察组主症(头痛、眩晕)与次症(心悸、胸闷、畏寒肢冷)中医证候积分均低于对照组,差异有统计学意义(P<0.05)。观察组的治疗总有效率为97.78%(44/45),高于对照组的80.00%(36/45),差异有统计学意义(P<0.05)。结论 高血压病患者采用耳穴贴压联合针灸治疗可以更好地改善血压与血脂,值得推广。 展开更多
关键词 头痛 高血压病 血脂 耳穴贴压疗法 针灸疗法
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不同形貌Al-Fe金属的块体压制成形模拟研究
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作者 李振亮 王鑫 《制造技术与机床》 北大核心 2024年第4期71-77,共7页
文章以含40%Al的Al-Fe复合金属为研究对象,对颗粒状和屑状40Al-Fe复合金属分别进行压制预变形,并对屑状40Al-Fe复合金属预制坯进行了二次热压缩变形,重点研究压制预变形及二次热压缩对Al-Fe复合金属成形性和界面影响。结果表明:压力为16... 文章以含40%Al的Al-Fe复合金属为研究对象,对颗粒状和屑状40Al-Fe复合金属分别进行压制预变形,并对屑状40Al-Fe复合金属预制坯进行了二次热压缩变形,重点研究压制预变形及二次热压缩对Al-Fe复合金属成形性和界面影响。结果表明:压力为16 MPa时,颗粒状40Al-Fe复合金属预制坯(密度为4.54 g/cm^(3))成形性良好且形成致密界面;压力为16 MPa时,屑状40Al-Fe复合金属预制坯(密度为3.50 g/cm3)可以成形但界面存在孔洞,Al屑主要为“片层状”“狗牙状”“圆圈状”“波浪状”,其经二次热压缩变形,“圆圈状”Al屑连成一个整体,“狗牙状”与“波浪状”Al屑均演变为“片层状”,而Fe屑仍为“片层状”“块状”,未发生明显变形。变形温度300℃、变形速率0.5 s^(-1)、变形程度0.1是目前生产工艺最佳参数,此时屑状40Al-Fe复合金属成形性最佳且界面结合良好(密度为4.66 g/cm^(3))。 展开更多
关键词 压制成形 Al-Fe复合金属 界面
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X射线荧光光谱(XRF)法测定喀斯特地区土壤样品中Al_(2)O_(3)、CaO、Fe_(2)O_(3)、K_(2)O、MgO、SiO_(2)含量
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作者 耿梅梅 许丽卫 +5 位作者 陈闻 张丽萍 袁红朝 贺珍 彭灿 王久荣 《中国无机分析化学》 北大核心 2024年第3期299-305,共7页
为揭示喀斯特地区不同自然环境下土壤的相似性和差异性,为后续喀斯特石漠化治理和植被恢复提供科学依据,利用微晶纤维素作为粘结剂,采用粉末样品压片制样,使用波长色散X射线荧光光谱法建立了同时测定喀斯特地区碳酸盐、硅酸盐土壤样品... 为揭示喀斯特地区不同自然环境下土壤的相似性和差异性,为后续喀斯特石漠化治理和植被恢复提供科学依据,利用微晶纤维素作为粘结剂,采用粉末样品压片制样,使用波长色散X射线荧光光谱法建立了同时测定喀斯特地区碳酸盐、硅酸盐土壤样品中关键成分Al_(2)O_(3)、CaO、Fe_(2)O_(3)、K_(2)O、MgO、SiO_(2)含量的方法。从粘结剂对压片效果的影响,粘结剂添加比例对元素含量检测结果的影响,Al_(2)O_(3)、CaO、Fe_(2)O_(3)、K_(2)O、MgO、SiO_(2)的测量参数分析线,分析晶体、基体效应和谱线重叠干扰等方面进行了方法参数确认。根据优化的参数,使用49个土壤标准物质绘制校准曲线建立了检测方法。结果表明,利用新建方法进行Al_(2)O_(3)、CaO、Fe_(2)O_(3)、K_(2)O、MgO、SiO_(2)检测,检出限多在61.0 mg/kg以下,相对标准偏差(RSD,n=6)为0~3.7%,同时,利用新建方法对采自喀斯特地区不同类型的土壤样品进行检测,Al_(2)O_(3)、CaO、Fe_(2)O_(3)、K_(2)O、MgO、SiO_(2)均可被检出。方法具有操作简便、快速、准确的优点,可同时检测喀斯特地区碳酸盐、硅酸盐土壤样品中Al_(2)O_(3)、CaO、Fe_(2)O_(3)、K_(2)O、MgO、SiO_(2)含量。 展开更多
关键词 波长色散X射线荧光光谱 粉末压片 喀斯特 土壤 碳酸盐 硅酸盐
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耳穴压豆联合艾灸在减重术后患者中的应用效果
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作者 朱小华 徐雯 +2 位作者 殷俊翔 林伟青 陈晓亮 《实用临床医学(江西)》 CAS 2024年第2期93-97,共5页
目的探究耳穴压豆联合艾灸在腹腔镜袖状胃切除术(LSG)后患者中的应用效果。方法选取2018年3月至2022年11月期间在普外一科接受LSG的105例患者作为研究对象,采用随机抽签法将其分为对照组(n=53)与试验组(n=52)。对照组术后采用常规护理... 目的探究耳穴压豆联合艾灸在腹腔镜袖状胃切除术(LSG)后患者中的应用效果。方法选取2018年3月至2022年11月期间在普外一科接受LSG的105例患者作为研究对象,采用随机抽签法将其分为对照组(n=53)与试验组(n=52)。对照组术后采用常规护理加认知行为模式进行干预,试验组在对照组护理的基础上,于术后6个月时增加使用艾灸联合耳穴压豆方法干预。比较2组患者手术后6、8、10、12个月所测体重、体重指数(BMI)、腰臀比(WHR)、体脂率(BF)、内脏脂肪面积(VFA)、多余体重减少百分比(EWL)、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)水平。结果术后6个月,2组体重、BMI、WHR、BF、VFA、EWL、TC、TG、LDL-C、HDL-C比较差异无统计学意义(P>0.05)。术后8、10和12个月时,试验组体重、BMI、WHR、BF、VFA、TC、TG、LDL-C、HDL-C明显低于对照组(P<0.05或P<0.001),且EWL明显高于对照组(P<0.05)。结论耳穴压豆联合艾灸应用于LSG术后的患者可以有效提高其代谢水平,调节其内分泌功能,有助于巩固减重手术的中长期效果,预防术后复胖的发生。 展开更多
关键词 耳穴压豆 艾灸 减重术后 术后复胖
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