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Inhibitory effect of the interlayer of two-dimensional vermiculite on the polysulfide shuttle in lithium-sulfur batteries
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作者 CHEN Xiaoli LUO Zhihong +3 位作者 XIONG Yuzhu WANG Aihua CHEN Xue SHAO Jiaojing 《无机化学学报》 北大核心 2025年第8期1661-1671,共11页
A functional interlayer based on two-dimensional(2D)porous modified vermiculite nanosheets(PVS)was obtained by acid-etching vermiculite nanosheets.The as-obtained 2D porous nanosheets exhibited a high specific surface... A functional interlayer based on two-dimensional(2D)porous modified vermiculite nanosheets(PVS)was obtained by acid-etching vermiculite nanosheets.The as-obtained 2D porous nanosheets exhibited a high specific surface area of 427 m^(2)·g^(-1)and rich surface active sites,which help restrain polysulfides(LiPSs)through good physi-cal and chemical adsorption,while simultaneously accelerating the nucleation and dissolution kinetics of Li_(2)S,effec-tively suppressing the shuttle effect.The assembled lithium-sulfur batteries(LSBs)employing the PVS-based inter-layer delivered a high initial discharge capacity of 1386 mAh·g^(-1)at 0.1C(167.5 mAh·g^(-1)),long-term cycling stabil-ity,and good rate property. 展开更多
关键词 vermiculite nanosheets two-dimensional materials INTERLAYER shuttle effect lithium-sulfur batteries
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Quadrant通道下经椎间孔单侧入路双侧减压植骨融合内固定术治疗腰椎间盘突出症43例 被引量:1
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作者 邢帅 鹿文博 +6 位作者 李志斌 郑谊 安占天 张锴 高延征 王红强 施新革 《郑州大学学报(医学版)》 北大核心 2025年第2期229-233,共5页
目的:探讨Quadrant通道下经椎间孔单侧入路双侧减压植骨融合内固定术治疗腰椎间盘突出症的临床效果。方法:回顾性收集2014年7月至2021年1月河南省人民医院收治的腰椎间盘突出症患者43例,均采用Quadrant通道下经椎间孔单侧入路双侧减压... 目的:探讨Quadrant通道下经椎间孔单侧入路双侧减压植骨融合内固定术治疗腰椎间盘突出症的临床效果。方法:回顾性收集2014年7月至2021年1月河南省人民医院收治的腰椎间盘突出症患者43例,均采用Quadrant通道下经椎间孔单侧入路双侧减压植骨融合内固定术治疗。术前、术后3个月、末次随访采用视觉模拟评分(VAS评分)、腰椎JOA评分、改良Oswestry功能障碍指数(ODI)及Pfirrmann分级评估疗效,采用腰椎正侧位及动力位片和(或)CT评价邻椎活动度及椎间融合情况。记录术中及术后并发症发生情况。结果:随访(47.3±9.1)个月。术前、术后3个月、末次随访时,VAS评分逐步降低(7.3±0.9、3.8±0.7、0.7±0.6),JOA评分逐步升高(9.6±1.3、22.6±2.3、26.9±8.1),ODI逐步降低(66.4±4.7、22.3±1.4、9.8±1.0)(P<0.05);末次随访时,邻近节段椎间盘退变Pfirrmann分级与术前比较差异无统计学意义(P>0.05)。邻近节段椎间隙高度、邻椎活动度差异均无统计学意义(P>0.05)。随访期间未发生内固定松动、邻椎病等并发症。结论:Quadrant通道下经椎间孔单侧入路双侧减压植骨融合内固定术治疗腰椎间盘突出症临床疗效确切,对椎旁结构破坏小,可有效维持椎体序列稳定。 展开更多
关键词 腰椎间盘突出症 微创手术 quadrant通道辅助技术 单侧入路双侧减压
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Research on aiming methods for small sample size shooting tests of two-dimensional trajectory correction fuse 被引量:1
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作者 Chen Liang Qiang Shen +4 位作者 Zilong Deng Hongyun Li Wenyang Pu Lingyun Tian Ziyang Lin 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第3期506-517,共12页
The longitudinal dispersion of the projectile in shooting tests of two-dimensional trajectory corrections fused with fixed canards is extremely large that it sometimes exceeds the correction ability of the correction ... The longitudinal dispersion of the projectile in shooting tests of two-dimensional trajectory corrections fused with fixed canards is extremely large that it sometimes exceeds the correction ability of the correction fuse actuator.The impact point easily deviates from the target,and thus the correction result cannot be readily evaluated.However,the cost of shooting tests is considerably high to conduct many tests for data collection.To address this issue,this study proposes an aiming method for shooting tests based on small sample size.The proposed method uses the Bootstrap method to expand the test data;repeatedly iterates and corrects the position of the simulated theoretical impact points through an improved compatibility test method;and dynamically adjusts the weight of the prior distribution of simulation results based on Kullback-Leibler divergence,which to some extent avoids the real data being"submerged"by the simulation data and achieves the fusion Bayesian estimation of the dispersion center.The experimental results show that when the simulation accuracy is sufficiently high,the proposed method yields a smaller mean-square deviation in estimating the dispersion center and higher shooting accuracy than those of the three comparison methods,which is more conducive to reflecting the effect of the control algorithm and facilitating test personnel to iterate their proposed structures and algorithms.;in addition,this study provides a knowledge base for further comprehensive studies in the future. 展开更多
关键词 two-dimensional trajectory correction fuse Small sample size test Compatibility test KL divergence Fusion bayesian estimation
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Automatic modulation recognition of radiation source signals based on two-dimensional data matrix and improved residual neural network
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作者 Guanghua Yi Xinhong Hao +3 位作者 Xiaopeng Yan Jian Dai Yangtian Liu Yanwen Han 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第3期364-373,共10页
Automatic modulation recognition(AMR)of radiation source signals is a research focus in the field of cognitive radio.However,the AMR of radiation source signals at low SNRs still faces a great challenge.Therefore,the ... Automatic modulation recognition(AMR)of radiation source signals is a research focus in the field of cognitive radio.However,the AMR of radiation source signals at low SNRs still faces a great challenge.Therefore,the AMR method of radiation source signals based on two-dimensional data matrix and improved residual neural network is proposed in this paper.First,the time series of the radiation source signals are reconstructed into two-dimensional data matrix,which greatly simplifies the signal preprocessing process.Second,the depthwise convolution and large-size convolutional kernels based residual neural network(DLRNet)is proposed to improve the feature extraction capability of the AMR model.Finally,the model performs feature extraction and classification on the two-dimensional data matrix to obtain the recognition vector that represents the signal modulation type.Theoretical analysis and simulation results show that the AMR method based on two-dimensional data matrix and improved residual network can significantly improve the accuracy of the AMR method.The recognition accuracy of the proposed method maintains a high level greater than 90% even at -14 dB SNR. 展开更多
关键词 Automatic modulation recognition Radiation source signals two-dimensional data matrix Residual neural network Depthwise convolution
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Experimental study on energy storage and dissipation characteristics of granite under two-dimensional compression with constant confining pressure 被引量:19
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作者 SU You-qiang GONG Feng-qiang +1 位作者 LUO Song LIU Zhi-xiang 《Journal of Central South University》 SCIE EI CAS CSCD 2021年第3期848-865,共18页
To study the energy storage and dissipation characteristics of deep rock under two-dimensional compression with constant confining pressure,the single cyclic loading-unloading two-dimensional compression tests were pe... To study the energy storage and dissipation characteristics of deep rock under two-dimensional compression with constant confining pressure,the single cyclic loading-unloading two-dimensional compression tests were performed on granite specimens with two height-to-width(H/W)ratios under five confining pressures.Three energy density parameters(input energy density,elastic energy density and dissipated energy density)in the axial and lateral directions of granite specimens under different confining pressures were calculated using the area integral method.The experimental results show that,for the specimens with a specific H/W ratio,these three energy density parameters in the axial and lateral directions increase nonlinearly with the confining pressure as quadratic polynomial functions.Under constant confining pressure compression,the linear energy storage law of granite specimens in the axial and lateral directions was founded.Using the linear energy storage law in different directions,the elastic energy density in various directions(axial elastic energy density,lateral elastic energy density and total elastic energy density)of granite under any specific confining pressures can be calculated.When the H/W ratio varies from 1:1 to 2:1,the lateral compression energy storage coefficient increases and the corresponding axial compression energy storage coefficient decreases,while the total compression energy storage coefficient is almost independent of the H/W ratio. 展开更多
关键词 rock mechanics two-dimensional compression linear energy storage law single cyclic loading-unloading height-to-width ratio
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Simulation of two-dimensional interior ballistics model of solid propellant electrothermal-chem ical launch with discharge rod plasma generator 被引量:6
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作者 Yan-jie Ni Yong Jin +3 位作者 Niankai Cheng Chun-xia Yang Hai-yuan Li Bao-ming Li 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2017年第4期249-256,共8页
Instead of the capillary plasma generator(CPG),a discharge rod plasma generator(DRPG)is used in the30 mm electrothermal-chemical(ETC)gun to improve the ignition uniformity of the solid propellant.An axisymmetric two-d... Instead of the capillary plasma generator(CPG),a discharge rod plasma generator(DRPG)is used in the30 mm electrothermal-chemical(ETC)gun to improve the ignition uniformity of the solid propellant.An axisymmetric two-dimensional interior ballistics model of the solid propellant ETC gun(2D-IB-SPETCG)is presented to describe the process of the ETC launch.Both calculated pressure and projectile muzzle velocity accord well with the experimental results.The feasibility of the 2D-IB-SPETCG model is proved.Depending on the experimental data and initial parameters,detailed distribution of the ballistics parameters can be simulated.With the distribution of pressure and temperature of the gas phase and the propellant,the influence of plasma during the ignition process can be analyzed.Because of the radial flowing plasma,the propellant in the area of the DRPG is ignited within 0.01 ms,while all propellant in the chamber is ignited within 0.09 ms.The radial ignition delay time is much less than the axial delay time.During the ignition process,the radial pressure difference is less than 5 MPa at the place 0.025 m away from the breech.The radial ignition uniformity is proved.The temperature of the gas increases from several thousand K(conventional ignition)to several ten thousand K(plasma ignition).Compare the distribution of the density and temperature of the gas,we know that low density and high temperature gas appears near the exits of the DRPG,while high density and low temperature gas appears at the wall near the breech.The simulation of the 2D-IB-SPETCG model is an effective way to investigate the interior ballistics process of the ETC launch.The 2D-IB-SPETC model can be used for prediction and improvement of experiments. 展开更多
关键词 Electrothermal-chemical LAUNCH Interior BALLISTICS SIMULATION Two-phase flow two-dimensional model
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Numerical investigation of flow and heat transfer behind a two-dimensional backward-facing step equipped with a semi-porous baffle 被引量:4
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作者 Hamid-Reza BAHRAMI 《Journal of Central South University》 SCIE EI CAS CSCD 2021年第11期3354-3367,共14页
The backward-facing step is a critical problem existing in many engineering and industrial applications.In this study,a semi-porous baffle(the root of the baffle is a porous medium and the tip is solid) is placed behi... The backward-facing step is a critical problem existing in many engineering and industrial applications.In this study,a semi-porous baffle(the root of the baffle is a porous medium and the tip is solid) is placed behind the step.The effects of the length of the porous part,and the baffle location on the energy transfer and pressure drop are studied in different Reynolds numbers(Re=100,200,300,400,500).The effect of the Darcy number of the porous medium on the aforementioned parameters is also investigated.Both the local maximum and average relative Nusselt numbers(divided by the Nusselt of the base case with no baffle at the same Reynolds) and relative pressure drop(calculated as the relative Nusselt number) are reported.The results show that by adoption of the proper length of the porous medium,the average relative and maximum local Nusselt numbers could be enhanced by 20% and 90%,respectively.Low permeable porous media give better energy transfer.For example,porous media with Da=10^(-5) give 30% better maximum local Nusselt number and about 7% higher average Nusselt number with respect to the same case with Da=10^(-2). 展开更多
关键词 porous media enhanced heat transfer BAFFLE backward-facing step two-dimensional channel
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New two-dimensional fuzzy C-means clustering algorithm for image segmentation 被引量:4
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作者 周鲜成 申群太 刘利枚 《Journal of Central South University of Technology》 EI 2008年第6期882-887,共6页
To solve the problem of poor anti-noise performance of the traditional fuzzy C-means (FCM) algorithm in image segmentation, a novel two-dimensional FCM clustering algorithm for image segmentation was proposed. In this... To solve the problem of poor anti-noise performance of the traditional fuzzy C-means (FCM) algorithm in image segmentation, a novel two-dimensional FCM clustering algorithm for image segmentation was proposed. In this method, the image segmentation was converted into an optimization problem. The fitness function containing neighbor information was set up based on the gray information and the neighbor relations between the pixels described by the improved two-dimensional histogram. By making use of the global searching ability of the predator-prey particle swarm optimization, the optimal cluster center could be obtained by iterative optimization, and the image segmentation could be accomplished. The simulation results show that the segmentation accuracy ratio of the proposed method is above 99%. The proposed algorithm has strong anti-noise capability, high clustering accuracy and good segment effect, indicating that it is an effective algorithm for image segmentation. 展开更多
关键词 image segmentation fuzzy C-means clustering particle swarm optimization two-dimensional histogram
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A review on spatial self-phase modulation of two-dimensional materials 被引量:2
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作者 ZHANG Xue-jun YUAN Zhen-hua +4 位作者 YANG Rui-xin HE Yi-lin QIN Ying-lin XIAO Si HE Jun 《Journal of Central South University》 SCIE EI CAS CSCD 2019年第9期2295-2306,共12页
Self-diffraction appears when the strong laser goes through two-dimensional material suspension,and this spatial self-phase modulation(SPPM)phenomenon can be used to measure nonlinear optical parameters and achieve op... Self-diffraction appears when the strong laser goes through two-dimensional material suspension,and this spatial self-phase modulation(SPPM)phenomenon can be used to measure nonlinear optical parameters and achieve optical switch.At present,the mechanism of SPPM is still ambiguous.The debate mainly focuses on whether the phenomenon is caused by the nonlinear refractive index of the two-dimensional material or the thermal effect of the laser.The lack of theory limits the dimension of the phase modulation to the radius of the diffraction ring and the vertical imbalance.Therefore,it is urgent to establish a unified and universal SSPM theoretical system of two-dimensional material. 展开更多
关键词 nonlinear optics spatial self-phase modulation two-dimensional materials
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Two-dimensional Electrophoresis Analysis of Proteins in Response to Cold Stress in Extremely Cold-resistant Winter Wheat Dongnongdongmai 1 Tillering Nodes 被引量:2
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作者 Cang Jing Yu Jing +4 位作者 Liu Li-jie Yang Yang Cui Hong Hao Zai-bin Li Zhuo-fu 《Journal of Northeast Agricultural University(English Edition)》 CAS 2012年第1期27-35,共9页
The overwintering survival ratio of the cultivar Dongnongdongmai 1 with strong cold-resistance in paramos of Heilongjiang Province in China are over 85%. The tillering nodes are the most important organs for overwinte... The overwintering survival ratio of the cultivar Dongnongdongmai 1 with strong cold-resistance in paramos of Heilongjiang Province in China are over 85%. The tillering nodes are the most important organs for overwintering survival of winter wheat, because there are more substances associated with cold resistance in tillering nodes than those in leaves and roots. Proteins in the tillering nodes of the cold-resistant cultivar Dongnongdongmai 1 grown under field conditions with or without any lowtemperature stress were analyzed by 2-dimensional electrophoresis and identified by mass spectrometry. In the range of pH 4-7, the expression of 37 proteins showed obvious difference (±more than two fold) in the proteomic maps of cold-stressed and non-stressed tillering nodes, including a new protein spot. All proteins exhibiting the difference in expression were identified using matrix-assisted laser desorption/ionization time-of-flight mass spectrometry, followed by a database search for protein identification and function prediction. Five groups of proteins were confirmed, namely stress-related proteins (22%), metabolism-associated proteins (35%), and signaling molecules (24%), cell wall-binding proteins (5%), unclear proteins (14%). This indicated that tillering node cells supported the energy requirements of plant growth and stress resistance by signal transduction adapting to metabolism and structure. 展开更多
关键词 Dongnongdongmai 1 PROTEOME two-dimensional electrophoresis peptide mass fingerprinting
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Large-scale two-dimensional nonlinear FE analysis on PGA amplification effect with depth and focusing effect of Fuzhou Basin 被引量:2
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作者 金丹丹 陈国兴 董菲蕃 《Journal of Central South University》 SCIE EI CAS 2014年第7期2894-2903,共10页
Based on the explicit finite element(FE) method and platform of ABAQUS,considering both the inhomogeneity of soils and concave-convex fluctuation of topography,a large-scale refined two-dimensional(2D) FE nonlinear an... Based on the explicit finite element(FE) method and platform of ABAQUS,considering both the inhomogeneity of soils and concave-convex fluctuation of topography,a large-scale refined two-dimensional(2D) FE nonlinear analytical model for Fuzhou Basin was established.The peak ground motion acceleration(PGA) and focusing effect with depth were analyzed.Meanwhile,the results by wave propagation of one-dimensional(1D) layered medium equivalent linearization method were added for contrast.The results show that:1) PGA at different depths are obviously amplified compared to the input ground motion,amplification effect of both funnel-shaped depression and upheaval areas(based on the shape of bedrock surface) present especially remarkable.The 2D results indicate that the PGA displays a non-monotonic decreasing with depth and a greater focusing effect of some particular layers,while the 1D results turn out that the PGA decreases with depth,except that PGA at few particular depth increases abruptly; 2) To the funnel-shaped depression areas,PGA amplification effect above 8 m depth shows relatively larger,to the upheaval areas,PGA amplification effect from 15 m to 25 m depth seems more significant.However,the regularities of the PGA amplification effect could hardly be found in the rest areas; 3) It appears a higher regression rate of PGA amplification coefficient with depth when under a smaller input motion; 4) The frequency spectral characteristic of input motion has noticeable effects on PGA amplification tendency. 展开更多
关键词 seismic effect of basin LARGE-SCALE fluctuation of topography inhomogeneity site focusing effect two-dimensional refined finite element model nonlinear analysis
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Two-dimensional linear connected-k system with trinary states and its reliability
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作者 Xian Zhao Wei Zhao Weijuan Xie 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2011年第5期866-870,共5页
Existing studies about two-dimensional consecutivek-out-of-n: F system is dealt with two states (either component or system): working or failure. A new model for two-dimensional linear consecutive-k-out-of-n: F s... Existing studies about two-dimensional consecutivek-out-of-n: F system is dealt with two states (either component or system): working or failure. A new model for two-dimensional linear consecutive-k-out-of-n: F system is proposed, in which the components and systems can be at any of the three states: full working, derating working, and failure. Furthermore, two engineer- ing concrete instances of the new system are given. By using the finite Markov chain imbedding approach, the system reliability is presented in a unified formula with the product of matrices for the case of independent and identically distributed component states which can be extended to the independent but non-identical case easily. Finally, an example is given to illustrate the effectiveness of the above approach and tractability of various problems. 展开更多
关键词 RELIABILITY two-dimensional systems trinary states
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Thermal Behavior and Crystal Transition of Biodegradable Poly(butylenes adipate)Revealed by Two-Dimensional Correlation Spectroscopy
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作者 CHEN Yu-jing Isao Noda Young Mee Jung 《光谱学与光谱分析》 SCIE EI CAS CSCD 北大核心 2016年第S1期139-140,共2页
In the present study,thermal behavior and crystal transition of pure poly(butylene adipate)(PBA)upon heating process were investigated by FTIR spectroscopy.To gain further insight into the thermal behavior alteration ... In the present study,thermal behavior and crystal transition of pure poly(butylene adipate)(PBA)upon heating process were investigated by FTIR spectroscopy.To gain further insight into the thermal behavior alteration and the phase transition of PBA,we performed two-dimensional(2D)correlation analysis.We found thatβ-form PBA crystal undergoes not only the melting process but also crystal transition upon the heating process. 展开更多
关键词 Poly(butylene adipate) Thermal behavior Crystal transition two-dimensional correlation spec-troscopy
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Study on the Hydrogen Bond Interaction Between Soy Protein Isolate and Glycerol Using Two-Dimensional Correlation Fourier-Transform Infrared Spectroscopy
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作者 YAN Zhi-wei YANG He-li ZHANG Pu-dun 《光谱学与光谱分析》 SCIE EI CAS CSCD 北大核心 2016年第S1期85-86,共2页
A series of soy protein isolate(SPI)films plasticized by glycerol(Gly)were studied using attenuated total reflectance-Fourier transform infrared spectroscopy(ATR/FTIR).Perturbation-correlation movingwindow two-dimensi... A series of soy protein isolate(SPI)films plasticized by glycerol(Gly)were studied using attenuated total reflectance-Fourier transform infrared spectroscopy(ATR/FTIR).Perturbation-correlation movingwindow two-dimensional(PCMW2D)and two-dimensional correlation(2DCOS)analyses were applied to the amideⅠband and thus the hydrogen bond interaction between SPI and Gly was systematically investigated.When Gly concentrations were in the range 0~35%,the hydrogen bond amongβ-sheets was replaced by the one between SPI chain and Gly molecule,which caused these protein chains being changed toα-helix.However,the transformation ofβ-sheet toα-helix was saturated and both of them tend to change to random coil when Gly concentrations were in the range 35%~60%. 展开更多
关键词 two-dimensional correlation infrared spectroscopy Soy protein isolate GLYCEROL Hydrogen bond interaction
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Evolution of Two-Dimensional Correlation Spectroscopy
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作者 Isao Noda 《光谱学与光谱分析》 SCIE EI CAS CSCD 北大核心 2016年第S1期3-4,共2页
A number of useful techniques associated with two-dimensional correlation spectroscopy(2DCOS)to improve its performance and utility have been developed in the last 30years.Evolution of these 2DCOS techniques,including... A number of useful techniques associated with two-dimensional correlation spectroscopy(2DCOS)to improve its performance and utility have been developed in the last 30years.Evolution of these 2DCOS techniques,including some of the very recent developments,is reviewed with examples.Topics include merged or modified asynchronous 2Dcorrelation spectrum,two-dimensional codistribution spectroscopy(2DCDS),Pareto scaling,and null-space projection treatment of spectral dataset. 展开更多
关键词 two-dimensional correlation spectroscopy 2DCOS 2DCDS Merged 2D Pareto scaling Nullspace projection
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基于国土空间适宜性与迫切性评价的国土空间整治分区研究——以镇安县为例
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作者 周璐红 张怡琳 《贵州师范大学学报(自然科学版)》 北大核心 2025年第4期52-60,共9页
为推进国土空间综合整治县域规划,选择秦岭山区的镇安县作为研究对象,采用多因素综合评价法、三维魔方法、四象限法,进行农业种植、城镇开发与生态保护功能分区,根据整治适宜性与迫切性进行次序分区,叠加识别优势区。结果表明:1)国土空... 为推进国土空间综合整治县域规划,选择秦岭山区的镇安县作为研究对象,采用多因素综合评价法、三维魔方法、四象限法,进行农业种植、城镇开发与生态保护功能分区,根据整治适宜性与迫切性进行次序分区,叠加识别优势区。结果表明:1)国土空间功能分区中农业种植区、城镇发展区和生态保护区占比为50.16%、11.87%和37.97%,分别集中于县域东南部、中心交通要塞地带和西部区域。2)国土空间次序分区中优先、重点、适度、暂缓整治区占比分别为23.30%、34.57%、12.08%、30.06%,分别集中于永乐街道、县域西部、县域东南和回龙镇、县域中东部区域。3)综合整治分区结果:农业优先种植区集于中南部,宜高效发展农业生产;城镇优先开发区位于永乐街办,紧邻农业优先发展区,促进城乡融合发展;生态优先保护区位于木王镇、月河镇,发展农田生态,促进生态保护区建设,达成生态生产经济综合提升。 展开更多
关键词 国土空间分区 多因素综合评价法 三维魔方法 四象限法 镇安县
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经皮椎弓根螺钉内固定联合Quadrant微创撑开系统在治疗腰椎退行性疾病中的临床应用 被引量:22
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作者 晏怡果 王文军 +3 位作者 欧阳智华 姚女兆 王麓山 朱一平 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2013年第3期204-208,共5页
目的:探讨经皮椎弓根螺钉内固定联合Quadrant微创撑开系统在治疗腰椎退行性疾病中的临床应用价值。方法:我院于2010年2月。2012年2月共治疗腰椎退行性疾病患者92例,随机对其中46例采用经皮椎弓根内固定联合Quadrant微创撑开系统行椎... 目的:探讨经皮椎弓根螺钉内固定联合Quadrant微创撑开系统在治疗腰椎退行性疾病中的临床应用价值。方法:我院于2010年2月。2012年2月共治疗腰椎退行性疾病患者92例,随机对其中46例采用经皮椎弓根内固定联合Quadrant微创撑开系统行椎间盘摘除植骨融合术治疗(微创组),46例采用传统后路腰椎间融合术(PLIF)治疗(传统组),分别对两组手术时间、切口长度、失血量、末次随访时根据改良MacNab标准判定的优良率、术前及术后半年与术后1年腰背痛VAS评分、并发症等进行对比分析。结果:患者均获随访,随访时间4~24个月,平均16个月。微创组术后并发症出现切口延期愈合1例,脑脊液漏1例。微创组与传统组的手术时间分别为100.0±21.7min和91.0±18.1min,优良率分别为89.2%和86.9%,两组间比较差异无显著性(P〉0.05)。微创组与传统组术前VAS评分分别为6.0±3.3分和6.3±2.5分,术后6个月时分别为2.5±1.3分和2.6±1.4分,术后1年时分别为1.4±1.1分和1.3±1.1分.两组患者术后腰背痛较术前均得到缓解(P〈0.05),两组间比较差异无显著性(P〉0.05)。手术切口微创组(2.5±0.2cm)小于传统组(5.1±0.6cm),出血量微创组(80.0±7.2m1)少于传统组(152.0±12.3m1),差异均有显著性(P〈0.05)。微创组24例在术后3个月,18例在术后6个月,其余4例患者在术后1年时影像学上获得植骨融合;传统组25例在术后3个月,18例在术后6个月,其余3例患者在术后1年时影像学上获得植骨融合。结论:经皮椎弓根内固定联合Quadrant微创撑开系统应用于腰椎后路治疗腰椎问盘突出症是一种安全、有效的方法,较之传统后路手术具有切口小,出血量少的优势。 展开更多
关键词 quadrant 微创撑开系统 腰椎间盘突出症 经皮椎弓根钉
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双侧肌间隙入路Quadrant系统下行腰椎翻修术 被引量:25
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作者 康辉 蔡贤华 +1 位作者 徐峰 黄勇 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2011年第12期1001-1005,共5页
目的:探讨后正中皮肤切口椎旁双侧肌间隙入路微创经椎间孔腰椎椎体间融合(TLIF)技术在腰椎翻修手术中的临床疗效。方法:2007年3月~2010年2月我院收治的手术后行腰椎翻修患者24例,其中腰椎间盘突出症行腰椎间盘镜下髓核摘除术后8例、腰... 目的:探讨后正中皮肤切口椎旁双侧肌间隙入路微创经椎间孔腰椎椎体间融合(TLIF)技术在腰椎翻修手术中的临床疗效。方法:2007年3月~2010年2月我院收治的手术后行腰椎翻修患者24例,其中腰椎间盘突出症行腰椎间盘镜下髓核摘除术后8例、腰椎间盘突出症行单纯椎板开窗减压髓核摘除术后10例、腰椎管狭窄症后路椎板开窗减压术后6例。其中L4/5 13例、L5/S1 11例。均采用后正中皮肤切口椎旁双侧肌间隙入路,在Quadrant可扩张管道系统下行微创TLIF手术。采用JOA(29分法)功能评分对患者再次手术前、手术后1年临床疗效进行评估、并计算改善率。结果:随访时间14~26个月,平均16个月。患者均无脑脊液漏、无神经根损伤。术前JOA评分为13.91±1.44分,术后1年JOA评分为23.70±1.33分,与术前比较有统计学差异(P﹤0.05)。根据改善率评估临床效果,其中优17例、良5例、可2例。结论:后正中切口双侧肌间隙入路在Quadrant可扩张管道系统下行微创TLIF是腰椎翻修的一种可行方法。 展开更多
关键词 微创 quadrant系统 微创经椎间孔腰椎椎体间融合术 翻修 腰椎
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Quadrant通道下经椎间孔腰椎椎体间融合术治疗复发性腰椎间盘突出症的疗效 被引量:24
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作者 康辉 蔡贤华 +1 位作者 徐峰 黄勇 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2013年第3期198-203,共6页
目的:探讨Quadrant通道下微创经椎间孔腰椎椎体间融合术(TLIF)治疗复发性腰椎间盘突出症的临床疗效。方法:2007年2月~2010年3月采用微创TLIF治疗复发性腰椎间盘突出症患者35例,男22例,女13例;年龄33~62岁,平均53.2岁;L4/5 18例,L5/S1... 目的:探讨Quadrant通道下微创经椎间孔腰椎椎体间融合术(TLIF)治疗复发性腰椎间盘突出症的临床疗效。方法:2007年2月~2010年3月采用微创TLIF治疗复发性腰椎间盘突出症患者35例,男22例,女13例;年龄33~62岁,平均53.2岁;L4/5 18例,L5/S1 13例,L4/5和L5/S1双节段4例。复发时间为初次手术后8~70个月,平均38.2个月。均经椎旁肌间隙在Quadrant可扩张管道系统下行微创TLIF。采用视觉模拟评分(VAS)评估患者术前、术后3d和术后1年的疼痛情况;采用腰椎JOA功能评分(29分法)对患者术前、术后1年的腰椎功能进行评估,并计算改善率,按改善率判定临床疗效。结果:手术时间为105~210min,平均145min;术中出血量210~580ml,平均335ml;术后引流量90~230ml,平均140ml。术中均无脑脊液漏及神经根损伤。术前VAS评分为7.63±0.81分,术后3d为2.46±0.92分,术后1年为1.14±0.69分,术后3d与术前比较、术后1年与术后3d比较均有统计学差异(P﹤0.05)。术前JOA评分为14.26±1.36分,术后1年为25.06±1.19分,术后1年与术前比较有统计学差异(P<0.05);术后1年时JOA评分改善率为41%~90%,平均78%,优21例,良10例,可4例。随访19~41个月,平均20个月,植骨均融合,融合时间为6~12个月,平均9.5个月,随访期间无椎弓根螺钉断裂、融合器移位。结论:经Quadrant通道微创TLIF治疗复发性腰椎间盘突出症临床疗效满意。 展开更多
关键词 腰椎间盘突出症 复发性 经椎间孔腰椎椎体间融合术 quadrant通道 疗效
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经Quadrant通道椎管内肿瘤切除与传统半椎板椎管内肿瘤切除术的对比研究 被引量:11
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作者 陈琛 鲍刚 何百祥 《西安交通大学学报(医学版)》 CAS CSCD 北大核心 2016年第2期183-186,共4页
目的对比分析经Quadrant通道显微镜下椎管内肿瘤切除与传统显微手术椎管内肿瘤切除的手术相关指标和疗效。方法回顾自2013年7月至2015年7月本院33例病变长度小于5cm的椎管内肿瘤患者,其中16例接受经Quadrant通道显微镜下椎管内肿瘤切除... 目的对比分析经Quadrant通道显微镜下椎管内肿瘤切除与传统显微手术椎管内肿瘤切除的手术相关指标和疗效。方法回顾自2013年7月至2015年7月本院33例病变长度小于5cm的椎管内肿瘤患者,其中16例接受经Quadrant通道显微镜下椎管内肿瘤切除,另外17例接受传统半椎板椎管内肿瘤切除。比较两组患者相关指标,包括手术切口长度、手术时间、术中出血量、术后首次下地活动时间、术后住院时间、术后1周视觉疼痛模拟(VAS)评分、JOA评分治疗改善率等。结果与传统手术相比,Quadrant通道手术组患者在手术切口长度、术中出血量、术后首次下地活动时间、术后住院时间、术后1周视觉疼痛模拟(VAS)评分等方面均优于传统组(P<0.05)。结论经Quadrant通道显微镜下椎管内肿瘤切除术具有创伤小、出血少、恢复快、疗效肯定的优点,是一种安全有效的治疗椎管内较小肿瘤的方法。 展开更多
关键词 椎管内肿瘤 quadrant通道 显微手术 对比研究 JOA评分
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