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Numerical and theoretical study of large-scale failure of strata overlying sublevel caving mines with steeply dipping discontinuities
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作者 Kaizong Xia Zhiwei Si +3 位作者 Congxin Chen Xiaoshuang Li Junpeng Zou Jiahao Yuan 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2024年第8期1799-1815,共17页
The deformation and fracture evolution mechanisms of the strata overlying mines mined using sublevel caving were studied via numerical simulations.Moreover,an expression for the normal force acting on the side face of... The deformation and fracture evolution mechanisms of the strata overlying mines mined using sublevel caving were studied via numerical simulations.Moreover,an expression for the normal force acting on the side face of a steeply dipping superimposed cantilever beam in the surrounding rock was deduced based on limit equilibrium theory.The results show the following:(1)surface displacement above metal mines with steeply dipping discontinuities shows significant step characteristics,and(2)the behavior of the strata as they fail exhibits superimposition characteristics.Generally,failure first occurs in certain superimposed strata slightly far from the goaf.Subsequently,with the constant downward excavation of the orebody,the superimposed strata become damaged both upwards away from and downwards toward the goaf.This process continues until the deep part of the steeply dipping superimposed strata forms a large-scale deep fracture plane that connects with the goaf.The deep fracture plane generally makes an angle of 12°-20°with the normal to the steeply dipping discontinuities.The effect of the constant outward transfer of strata movement due to the constant outward failure of the superimposed strata in the metal mines with steeply dipping discontinuities causes the scope of the strata movement in these mines to be larger than expected.The strata in the metal mines with steeply dipping discontinuities mainly show flexural toppling failure.However,the steeply dipping structural strata near the goaf mainly exhibit shear slipping failure,in which case the mechanical model used to describe them can be simplified by treating them as steeply dipping superimposed cantilever beams.By taking the steeply dipping superimposed cantilever beam that first experiences failure as the key stratum,the failure scope of the strata(and criteria for the stability of metal mines with steeply dipping discontinuities mined using sublevel caving)can be obtained via iterative computations from the key stratum,moving downward toward and upwards away from the goaf. 展开更多
关键词 sublevel caving mines universal distinct element code(UDEC)numerical approach large-scale ground movement steeply dipping superimposed cantilever beam toppling failure
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Dipping Process Characteristics Based on Image Processing of Pictures Captured by High-speed Cameras 被引量:3
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作者 Junhui Li Yang Xia +3 位作者 Wei Wang Fuliang Wang Wei Zhang Wenhui Zhu 《Nano-Micro Letters》 SCIE EI CAS 2015年第1期1-11,共11页
The dipping process was recorded firstly by high-speed camera system; acceleration time, speed, and dipping time were set by the control system of dipping bed, respectively. By image processing of dipping process base... The dipping process was recorded firstly by high-speed camera system; acceleration time, speed, and dipping time were set by the control system of dipping bed, respectively. By image processing of dipping process based on Otsu's method, it was found that low-viscosity flux glue eliminates the micelle effectively, very low speed also leads to small micelle hidden between the bumps, and this small micelle and hidden phenomenon disappeared when the speed is ≥0.2 cm s-1. Dipping flux quantity of the bump decreases by about 100 square pixels when flux viscosity is reduced from4,500 to 3,500 mpa s. For the 3,500 mpa s viscosity glue, dipping flux quantity increases with the increase of the speed and decreases with the increase of the speed after the speed is up to 0.8 cm s-1. The stable time of dipping glue can be obtained by real-time curve of dipping flux quantity and is only 80–90 ms when dipping speed is from 1.6 to 4.0 cm s-1. Dipping flux quantity has an increasing trend for acceleration time and has a decreasing trend for acceleration. Dipping flux quantity increases with the increase of dipping time, and is becoming saturated when the time is ≥55 ms. 展开更多
关键词 dipping acceleration dipping speed dipping time VISCOSITY Image processing
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0.87Na_(0.5)Bi_(0.5)TiO_3-0.13PbTiO_3薄膜的MOSD+Dipping制备
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作者 王卓 杨长红 +1 位作者 王民 房昌水 《人工晶体学报》 EI CAS CSCD 北大核心 2004年第5期817-819,共3页
采用MOSD+Dipping方法在P型Si(111)衬底上制备了0.87Na0.5Bi0.5TiO3-0.13PbTiO3薄膜。用X射线衍射技术研究了薄膜的结构和结晶性。用原子力显微镜分析了薄膜的表面形貌。同时还研究了薄膜的存储性能。
关键词 掺铅钛酸铋钠 铁电薄膜 制备 MOSD法 dipping 表面形貌 存储性能
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Structure instability forecasting and analysis of giant rock pillars in steeply dipping thick coal seams 被引量:9
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作者 Xing-ping Lai Huan Sun +3 位作者 Peng-fei Shan Ming Cai Jian-tao Cao Feng Cui 《International Journal of Minerals,Metallurgy and Materials》 SCIE EI CAS CSCD 2015年第12期1233-1244,共12页
Structure stability analysis of rock masses is essential for forecasting catastrophic structure failure in coal seam mining. Steeply dipping thick coal seams (SDTCS) are common in the Urumqi coalfield, and some dyna... Structure stability analysis of rock masses is essential for forecasting catastrophic structure failure in coal seam mining. Steeply dipping thick coal seams (SDTCS) are common in the Urumqi coalfield, and some dynamical hazards such as roof collapse and mining-induced seismicity occur frequently in the coal mines. The cause of these events is mainly structure instability in giant rock pillars sand- wiched between SDTCS. Developing methods to predict these events is important for safe mining in such a complex environment. This study focuses on understanding the structural mechanics model of a giant rock pillar and presents a viewpoint of the stability of a trend sphenoid fractured beam (TSFB). Some stability index parameters such as failure surface dips were measured, and most dips were observed to be between 46° and 51°. We used a digital panoramic borehole monitoring system to measure the TSFB's height (△H), which varied from 56.37 to 60.50 m. Next, FLAC^3D was used to model the distribution and evolution of vertical displacement in the giant rock pillars; the results confirmed the existence of a TSFB structure. Finally, we investigated the acoustic emission (AE) energy accumulation rate and observed that the rate commonly ranged from 20 to 40 kJ/min. The AE energy accumulation rate could be used to anticipate impeding seismic events related to structure failure. The results presented provide a useful approach for forecasting catastrophic events related to structure instability and for developing hazard prevention technology for mining in SDTCS. 展开更多
关键词 coal mining structural instability rock pillars forecasting acoustic emission (AE) steeply dipping coal beds
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Evaluation of the use of sublevel open stoping in the mining of moderately dipping medium-thick orebodies 被引量:7
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作者 Shuai Xu Ruiyu Liang +1 位作者 Fidelis TSuorineni Yuanhui Li 《International Journal of Mining Science and Technology》 SCIE EI CAS CSCD 2021年第2期333-346,共14页
The flow of blasted ore during mining of moderately dipping medium-thick orebodies is a challenge.Selecting a suitable mining system for such ore bodies is difficult.This paper proposes a diamond layout sublevel open ... The flow of blasted ore during mining of moderately dipping medium-thick orebodies is a challenge.Selecting a suitable mining system for such ore bodies is difficult.This paper proposes a diamond layout sublevel open stoping system using fan blastholes with backfilling to mine such orebodies.To evaluate the performance of system the relationships between ore recovery and stope footwall dip angle,footwall surface roughness,drawpoint spacing and production blast ring burden were investigated.An ore recovery data set from 81 laboratory physical model experiments was established from combinations of the listed factors.Various modules in a back propagation neural network structure were compared,and an optimal network structure identified.An ore recovery backpropagation neural network(BPNN)forecast model was developed.Using the model and sensitivity analysis of the factors affecting the proposed open stope mining system,the significance of each factor on ore recovery was studied.The study results were applied to a case study at the Shandong Gold Group Jiaojia Gold Mine.The results showed that the application of a BPNN and sensitivity analysis models for ore recovery prediction in the proposed mining system and field experimental results confirm that the suggested mining method is feasible. 展开更多
关键词 Moderately dipping medium-thick orebody Sublevel open stoping Fan blastholes Ore recovery Backpropagation neural network
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Monitoring strata behavior due to multi-slicing top coal caving longwall mining in steeply dipping extra thick coal seam 被引量:6
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作者 Yun Dongfeng Liu Zhu +3 位作者 Cheng Wendong Fan Zhendong Wang Dongfang Zhang Yuanhao 《International Journal of Mining Science and Technology》 SCIE EI CSCD 2017年第1期179-184,共6页
For studying the strata behavior due to multi-slicing top coal caving longwall mining along-the-strike direction in steeply dipping extra thick coal seams,the shield support pressures of the upper and lower slices of ... For studying the strata behavior due to multi-slicing top coal caving longwall mining along-the-strike direction in steeply dipping extra thick coal seams,the shield support pressures of the upper and lower slices of panel 37220 in Dongxia Coal Mine were monitored using the KJ513 dynamic monitoring system.The set up rooms adopted the "horizontal line-arc segment-inclined line" form and used different types of shield supports.The results show that the strata pressure of upper slice panel 37220-1 changed slightly along the strike direction,while along the dip direction it exhibited strong to weak pressure from bottom to top.The first weighting interval of lower slice panel 37220-2 was about 60.8 m,and the average periodic weighting interval were about 22.6 m.The strata behavior of panel 37220-2 exhibited a spatiotemporal characteristic in that periodic weighting occurred first in the middle-upper part,followed by the middle and upper parts,arc segment,and finally the lower part.During the periodic weighting,the weighting interval and intensity also exhibited strong space characteristics.The average dynamic load coefficient was 1.48 and the maximum lateral load of the side shield was 20-25 MPa. 展开更多
关键词 MONITORING Steeply dipping seam SLICING Longwall along the strike Fully mechanized top-caving face Strata behavior
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Three-dimensional strata movement around coal face of steeply dipping seam group 被引量:3
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作者 伍永平 解盘石 +1 位作者 任世广 李瑞斌 《Journal of Coal Science & Engineering(China)》 2008年第3期352-355,共4页
Steeply dipping seam group, which has complex occurrence conditions, belongs to the steeply dipping seam. The research on the strata movement around the coal face not only improves safe production technology in practi... Steeply dipping seam group, which has complex occurrence conditions, belongs to the steeply dipping seam. The research on the strata movement around the coal face not only improves safe production technology in practice, but also develops the mining theory. By using physical simulation experiments, numerical simulation and site test, the deformation, failure and movement of surrounding rock in Iongwall working face were analyzed. According to the analysis, characteristics of the seam group were formed which is different from the single seam. Asymmetry mechanics, sequential changes and imbalance of strata movement along the tendency working face were summarized. Furthermore the features of upper and lower seams were different. The mining of the lower seam induced more complex strata movement along the strike. Multi-section mining disturbed surrounding rocks in larger areas than the single section mining did, which had an impact on and dynamic loading function to the support when mining the lower seam, and produced a great influence on the stability of support-rock system. 展开更多
关键词 strata movement steeply dipping seam group support-rock system mining disturbance
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Breaking and mining-induced stress evolution of overlying strata in the working face of a steeply dipping coal seam 被引量:2
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作者 Xiaolou Chi Ke Yang Zhen Wei 《International Journal of Coal Science & Technology》 EI CAS CSCD 2021年第4期614-625,共12页
The breaking features and stress distribution of overlying strata in a steeply dipping coal seam(SDCS)differ significantly from those in a near-horizontal one.In this study,the laws governing the evolution of vertical... The breaking features and stress distribution of overlying strata in a steeply dipping coal seam(SDCS)differ significantly from those in a near-horizontal one.In this study,the laws governing the evolution of vertical stress release and shear stress concentration in the overlying strata of coal seams with different dip angles are derived via numerical simulation,rock mechanics tests,acoustic emissions,and field measurements.Thus,the stress-driven dynamic evolution of the overlying strata structure,in which a shear stress arch forms,is determined.Upon breaking the lower pari of the overlying strata,the shear stress transfers rapidly to the upper part of the working face.The damaged zone of the overlying strata migrates upward along the dip direction of the working face.The gangue in the lower part of the working face is compacted,leading to an increase in vertical stress.As the dip angle of the coal seam increases,the overlying strata fail suddenly under the action of shear stresses.Finally,the behavioral response of the overlying strata driven by shear stresses in the longwall working face of an SDCS is identified and analyzed in detail.The present research findings reveal the laws governing the behavior of mine pressure in the working face of an SDCS,which in turn can be used to establish the respective on-site guidance. 展开更多
关键词 Steeply dipping coal seam Migration of overlying strata Stress evolution Dynamic response
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Structures of ceramics coatings on steel fabricated by hot-dipping and micro-arc oxidation 被引量:1
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作者 SHEN De-jiu WANG Yu-lin GU Wei-chao XING Guang-zhong 《中国有色金属学会会刊:英文版》 CSCD 2004年第z1期170-172,共3页
Firstly, an aluminum coating was produced metallurgically on mild steel by hot-dipping, then an aluminum oxide coating was formed self-growingly from the aluminum coating by micro-arc oxidation treatment. The structur... Firstly, an aluminum coating was produced metallurgically on mild steel by hot-dipping, then an aluminum oxide coating was formed self-growingly from the aluminum coating by micro-arc oxidation treatment. The structures of the composite coatings were investigated by means of SEM, TEM and XRD. The results show that the composite coating consists of three layers which are Fe-Al alloy, aluminum coating and aluminum oxide orderly outward from the steel substrate. There are amorphous phases, k-Al2O3 and θ-Al2O3 mainly in the aluminum oxide. 展开更多
关键词 HOT dipping micro-arc OXIDATION CERAMIC coating
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Preparation of tetrapod-like ZnO whiskers from waste hot dipping zinc 被引量:1
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作者 陈艺锋 唐谟堂 +2 位作者 杨声海 张保平 杨建广 《Journal of Central South University of Technology》 EI 2004年第1期51-54,共4页
Large and uniform tetrapod-like ZnO whiskers (T-ZnO) were prepared from waste hot dipping zinc by vapor oxidation and examined by means of X-ray diffraction and ICP-AES analysis and scanning electron microscope. The... Large and uniform tetrapod-like ZnO whiskers (T-ZnO) were prepared from waste hot dipping zinc by vapor oxidation and examined by means of X-ray diffraction and ICP-AES analysis and scanning electron microscope. The products are pure hexagonal wurtzite crystals with tetrapod shape and edge size of center body 56 μm and needle length of 100130 μm. The size and shape of ZnO particles are fully controlled by the growth conditions and T-ZnO can be obtained only at 8501 000 ℃ and total gas flow rate ranging from 40 to 250 L·h-1 in which the size of the T-ZnO particles varies slightly with temperature. The process of the formation of T-ZnO is that T-ZnO may nucleate at the initial stage with a complete tetrapod shape and develop to the large size, but not the process of (preferential) growth of octahedral nuclei and subsequent growth of the needles. The experiment presents a new method to prepare T-ZnO economically by using the waste hot dipping zinc. 展开更多
关键词 waste hot dipping zinc tetrapod-like ZnO whisker PREPARATION crystal morphology
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Steeply dipping structural target-oriented viscoacoustic least-squares reverse time migration and its application
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作者 Chen Kang Han Song +3 位作者 Ran Qi Wen Long Zhang Guang-Zhi Qu Ying-Ming 《Applied Geophysics》 SCIE CSCD 2022年第4期528-536,604,共10页
Steeply dipping structural imaging is a significant challenge because surface geophones cannot obtain seismic primary reflection wave information from steeply dipping structures.Prismatic waves with a significant amou... Steeply dipping structural imaging is a significant challenge because surface geophones cannot obtain seismic primary reflection wave information from steeply dipping structures.Prismatic waves with a significant amount of steeply dipping information can be used to improve the imaging eff ect on steeply dipping structures.Subsurface attenuation leads to amplitude loss and phase distortion of seismic waves,and ignoring this attenuation during imaging can cause blurring of migration amplitudes.In this study,we proposed a steeply dipping structural target-oriented viscoacoustic least-squares reverse time migration(LSRTM)method with prismatic and primary waves as an objective function based on the viscous wave equation,while deriving Q-compensated wavefield propagation and joint operators of prismatic and primary waves and the Q-compensated demigration operator.Numerical examples on synthetic and field data verified the advantages of the proposed viscoacoustic LSRTM method of joint primary and prismatic waves over conventional viscoacoustic LSRTM and non-compensated LSRTM when using attenuating observed data. 展开更多
关键词 Q-compensation prismatic wave least-squares reverse time migration steeply dipping structure
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Dipping cells in acidic bath could make stem cells
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作者 Jinhui Chen Yiwen Ruan +1 位作者 Kwok-fai So Xiao-Ming Xu 《Neural Regeneration Research》 SCIE CAS CSCD 2014年第6期575-576,共2页
The discovery that somatic mammalian cells can be epigeneti- cally reprogrammed to induced pluripotent stem cells (iPSCs) through the exogenous expression of the Oct4, Sox2, Klf4 and c-Myc (OSKM) has demonstrated ... The discovery that somatic mammalian cells can be epigeneti- cally reprogrammed to induced pluripotent stem cells (iPSCs) through the exogenous expression of the Oct4, Sox2, Klf4 and c-Myc (OSKM) has demonstrated a new way for cell-replace- ment therapy in regenerative medicine (Li et al., 2013; Nishimura and Takahashi, 2013; Takahashi and Yamanaka, 2013). This novel technology has opened new therapeutic opportunities to gener- ate stem cells in any tissue for cell replacement therapy in a num- ber of disorders (Yamanaka, 2012; Li et al., 2013; Nishimura and Takahashi, 2013; Takahashi and Yamanaka, 2013). Just last week, two papers published in Nature, describing a surprisingly sim- ple method to turn mature cells into embryonic-like stem ceils by culturing cells in a low pH medium (Obokata et al., 2014a, 2014b). This method by Obokata and colleagues is truly the sim- plest, cheapest, and fastest method ever achieved for reprogram- min~ somatic cells into multiootent stem cells. 展开更多
关键词 STEM cell dipping cells in acidic bath could make stem cells
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Research on drawing coal effects in the dipping and steep——dipping coal seams
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作者 胡伟 王窈惠 《Journal of Coal Science & Engineering(China)》 2002年第1期45-50,共6页
Controllable drawing roof coal mining method is applied either to rently inclined seam or to big dipping seam. This paper sums up four corresponding methods according to conditions of our country, and analyses the coa... Controllable drawing roof coal mining method is applied either to rently inclined seam or to big dipping seam. This paper sums up four corresponding methods according to conditions of our country, and analyses the coal-recovering effects and proves applicated conditions and measures for improving by "drawing coal theory of the ellipsoid". Its conclusion basically consists with practice. This work is of guiding meaning for designing drawing coal technology. 展开更多
关键词 drawing coal dipping and steep-dipping coal seams drawing coal theory of the ellipsoid
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基于医方视角的DIP目录编制与实施
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作者 宋静 万彬 胡月 《黑龙江医学》 2025年第2期207-209,共3页
区域点数法总额预算和按病种分值付费(Diagnosis-Intervention Packet,DIP)目录构建是DIP支付方式改革落地的关键。从医疗机构角度出发,对DIP目录编制过程中存在的一些问题进行思考与探讨。首先,对DIP目录编制的过程与基本形式进行描述... 区域点数法总额预算和按病种分值付费(Diagnosis-Intervention Packet,DIP)目录构建是DIP支付方式改革落地的关键。从医疗机构角度出发,对DIP目录编制过程中存在的一些问题进行思考与探讨。首先,对DIP目录编制的过程与基本形式进行描述。其次,对DIP目录构建过程中,医疗机构重视的过滤表、新技术及新项目入组结算、科室与病种分值计算问题进行剖析,分析现状及其中存在的问题。最后,提出充分评估过滤表内容,加强医保精细化管理,合理结算新技术项目,优先采用病种分值进行院内医保管理等建议,为更好地推进、落实DIP支付方式改革提供参考。 展开更多
关键词 DIP目录 过滤表 支付方式改革
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高质量发展背景下公立医院DIP绩效考核体系构建研究
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作者 张霞 李杰 李洪利 《行政事业资产与财务》 2025年第3期24-26,共3页
随着医疗改革不断深入,公立医院内部管理面临巨大的挑战。医保支付方式变革,尤其引入DIP,为公立医院绩效考核带来了新的挑战。DIP考核指标的加入丰富了绩效考核内容,成为绩效管理的新抓手。科学合理的DIP绩效考核体系对于公立医院提高... 随着医疗改革不断深入,公立医院内部管理面临巨大的挑战。医保支付方式变革,尤其引入DIP,为公立医院绩效考核带来了新的挑战。DIP考核指标的加入丰富了绩效考核内容,成为绩效管理的新抓手。科学合理的DIP绩效考核体系对于公立医院提高医疗服务质量、合理配置医疗资源、提高运营效率以及促进公立医院高质量发展具有重大意义,本文对此进行了探讨,以供参考。 展开更多
关键词 高质量发展 公立医院 DIP 绩效考核
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DIP支付方式改革对河南省某三甲医院的控费效果评价研究
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作者 赵祖桉 贺强 +1 位作者 张超 赵进进 《卫生软科学》 2025年第1期1-4,共4页
[目的]探讨按病种分值付费(DIP)对公立医院住院患者费用变化的影响,评价DIP的控费效果,为公立医院优化医疗费用结构及精细化管理提供参考。[方法]收集河南省某三甲医院2021-2023年出院患者的病案首页信息2,078,923份,筛选出院人次占比... [目的]探讨按病种分值付费(DIP)对公立医院住院患者费用变化的影响,评价DIP的控费效果,为公立医院优化医疗费用结构及精细化管理提供参考。[方法]收集河南省某三甲医院2021-2023年出院患者的病案首页信息2,078,923份,筛选出院人次占比前十的病种,得到有效信息69,934份,通过非参数检验、灰色关联分析、结构变动度分析患者住院费用变化。[结果]DIP支付方式改革后,住院患者总费用、次均各项费用均明显下降,与住院次均总费用关联度最大的是检查检验费。2021-2023年占比前十的病种患者医疗费用结构变动度为14.32%,结构变动贡献率由大到小依次为材料费(29.36%)、检查检验费(25.64%)、西药费(20.64%)、医疗服务费(17.49%)、中药费(6.81%)、其他费(0.06%)。[结论]DIP支付方式有效控制患者的住院费用,对公立医院费用结构优化具有导向作用。材料费结构贡献率较高,是影响次均费用变动的主要因素。 展开更多
关键词 DIP 住院费用 占比前十病种 结构变动度 灰色关联分析
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消化道内镜治疗病例诊断相关分组再细分策略研究
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作者 赵欣如 唐以军 +5 位作者 王明举 李富星 方伟 田瑞 罗勤 余红星 《中国医疗保险》 2025年第3期79-84,共6页
目的:探讨对DRG组再细分,为制定更加合理的分组提供参考。方法:选取湖北省十堰市某三甲综合医院和另一家二级综合医院2019—2023年消化道内镜治疗GJ1、GK1、GK2和GK3组四个ADRG组的病例;采用非参数检验和多重线性回归分析病例费用影响因... 目的:探讨对DRG组再细分,为制定更加合理的分组提供参考。方法:选取湖北省十堰市某三甲综合医院和另一家二级综合医院2019—2023年消化道内镜治疗GJ1、GK1、GK2和GK3组四个ADRG组的病例;采用非参数检验和多重线性回归分析病例费用影响因素,采用决策树模型进行ADRG组的再细分,并将细分结果与国家医保局DRG2.0版分组结果比较;选取“胃和十二指肠息肉”病例,将本研究细分组结果与国家医保局DIP2.0分组结果比较。结果:消化道内镜治疗病例分为12个DRG细分组,细分后RIV值上升,CV值下降;“胃和十二指肠息肉”病例按本研究细分组与按DIP2.0分组比较,本研究RIV值为0.4610,DIP2.0分组RIV值为0.4725,且后者的CV值普遍高于本研究结果。结论:对消化道内镜治疗病例,在DRG分组基础上,可以以病例的主要操作类型进行再次细分,细分后组内费用集中,组间费用差异大,与DIP2.0分组方案相比,分组效能相当。本研究的分组策略能够为优化医保支付方式提供思路。 展开更多
关键词 消化系统 内镜治疗 DRG DIP
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DRG/DIP付费下儿童专科医院的挑战及应对之策
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作者 王涛 杨心怡 +1 位作者 张燕 张雯婷 《卫生经济研究》 北大核心 2025年第3期87-90,共4页
目的:探讨DRG/DIP付费下儿童专科医院的挑战及应对之策。方法:以常州市某儿童医院为样本医院,分析DRG/DIP付费下医院经济运行情况,并与当地某综合医院进行对比。结果:DRG/DIP付费下儿童专科医院面临新的挑战:传统医疗行为模式“颠覆”... 目的:探讨DRG/DIP付费下儿童专科医院的挑战及应对之策。方法:以常州市某儿童医院为样本医院,分析DRG/DIP付费下医院经济运行情况,并与当地某综合医院进行对比。结果:DRG/DIP付费下儿童专科医院面临新的挑战:传统医疗行为模式“颠覆”、成本核算复杂性增加、病案管理与信息化要求提升、绩效管理与激励机制亟需更新、市场竞争加剧。结论:儿童专科医院亟需健全DRG/DIP成本管控体系及责任督查机制、加强DRG/DIP专题培训学习、加快信息平台建设、完善绩效评价体系,积极应对DRG/DIP付费下医院运行管理的挑战。 展开更多
关键词 DRG DIP 儿童专科医院 运行管理
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Dipping Paint Curing Amorphous U-Core Used as Reactor 被引量:3
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作者 LI Guang-min LI De-ren +2 位作者 LIU Tian-cheng LI Li-jun LU Zhi-chao 《Journal of Iron and Steel Research International》 SCIE EI CAS CSCD 2013年第7期63-68,共6页
Non-oriented silicon steel (35W310) and amorphous ribbon (FeT8 Si9B13 amorphous alloy) reactor U-cores are made by welding and dipping paint curing, respectively. Amorphous U-core used to make reactor cut sharply ... Non-oriented silicon steel (35W310) and amorphous ribbon (FeT8 Si9B13 amorphous alloy) reactor U-cores are made by welding and dipping paint curing, respectively. Amorphous U-core used to make reactor cut sharply ed-dy current loss due to high electrical resistivity characteristic, thickness of thin ribbon and insulation of dipping paint. The amorphous alloy has high and constant magnetic permeability, and is more suitable for reactor design power to filter high order harmonic component. Keeping off high magnetostriction district with magnetic flux density of 50-100 mT can weaken influence on inductance of inductor due to elongation of magnetostriction. Amorphous al-loy has a lower temperature rise using the software Infolytica 7.2 simulation. 展开更多
关键词 amorphous Fe-Si-B alloy dipping paint curing power loss reactor U-core magnetic field simulation
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公立医院基于病种的耗材使用标准路径及管理模式探索
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作者 谭嘉文 罗金燕 +2 位作者 缪家清 吴丽华 余冬兰 《中国医院建筑与装备》 2025年第3期10-14,共5页
某三级甲等公立医院Z医院基于病种进行耗材使用标准路径及管理模式的探索。以医保三级分类为基础对医用耗材进行分级分类,以临床路径和医疗收费明细作为医疗行为分解基础,并基于真实世界数据(Real World Data,RWD)和专家意见修正。以3... 某三级甲等公立医院Z医院基于病种进行耗材使用标准路径及管理模式的探索。以医保三级分类为基础对医用耗材进行分级分类,以临床路径和医疗收费明细作为医疗行为分解基础,并基于真实世界数据(Real World Data,RWD)和专家意见修正。以3种病种为例,探索建立公立医院基于病种的耗材使用标准路径,分析其实践意义和存在问题。未来医疗机构可以在建立各病种耗材使用标准路径的基础上,对医用耗材进行分档次精细化管理,并依托信息系统进行合理监测与特异性预警。 展开更多
关键词 公立医院 医用耗材 使用管理 DIP 临床路径
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