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Ordered structures with Schottky heterojunction functional unit regulate immune response and osteogenesis
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作者 Peng Yu Maofei Ran +7 位作者 Heying Ran Xuebin Yang Youzhun Fan Zhengao Wang Zhengnan Zhou Jinxia Zhai Zefeng Lin Chengyun Ning 《Journal of Materials Science & Technology》 2025年第10期276-287,共12页
Mimicking the electric microenvironment of natural tissue is a promising strategy for developing biomedical implants. However, current research has not taken biomimetic electrical functional units into consideration w... Mimicking the electric microenvironment of natural tissue is a promising strategy for developing biomedical implants. However, current research has not taken biomimetic electrical functional units into consideration when designing biomedical implants. In this research, ordered structures with Schottky heterojunction functional unit (OSSH) were constructed on titanium implant surfaces for bone regeneration regulation. The Schottky heterojunction functional unit is composed of periodically distributed titanium microdomain and titanium oxide microdomain with different carrier densities and surface potentials. The OSSH regulates the M2-type polarization of macrophages to a regenerative immune response by activating the PI3K-AKT-mTOR signal pathway and further promotes osteogenic differentiation of rat bone marrow mesenchymal stem cells. This work provides fundamental insights into the biological effects driven by the Schottky heterojunction functional units that can electrically modulate osteogenesis. 展开更多
关键词 Ordered structures with functional unit MACROPHAGE Implant OSTEOGENESIS Electric microenvironment
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Block copolymer electrolyte with adjustable functional units for solid polymer lithium metal battery 被引量:3
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作者 Zhiyuan Lin Xianwei Guo +3 位作者 Yubo Yang Mingxue Tang Qi Wei Haijun Yu 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2021年第1期67-74,I0003,共9页
Solid polymer electrolytes have been considered as the promising candidates to improve the safety and stability of high-energy lithium metal batteries.However,the practical applications of solid polymer electrolytes a... Solid polymer electrolytes have been considered as the promising candidates to improve the safety and stability of high-energy lithium metal batteries.However,the practical applications of solid polymer electrolytes are still limited by the low ionic conductivity,poor interfacial contact with electrodes,narrow electrochemical window and weak mechanical strength.Here,a series of novel block copolymer electrolytes with three-dimensional networks are designed by cross-linked copolymerization of the polyethylene glycol soft segments and hexamethylene diisocyanate trimer hard segments.Their ionic migration performances and interface compatibilities with Li metal anode have been optimized delicately by tailoring the ratio of these functional units.The optimized block copolymer electrolyte has shown an amorphous crystalline structure,a high ionic conductivity of ~5.7×10^(-4)S cm^(-1),high lithium ion transference number(~0.49),wide electrochemical window up to ~4.65 V(vs.Li+/Li) and favorable mechanical strength at 55℃.Furthermore,the enhanced interface compatibility can well support the normal operations of lithium metal batteries using both LiFePO4 and LiNi0.8Co0.15Al0.05O2 cathodes.This study not only paves a new way to develop solid polymer electrolyte with optimizing functional units,but also provides a polymer electrolyte design strategy for the application demand of lithium metal battery. 展开更多
关键词 Block copolymer electrolyte functional units Ionic migration performance Interface compatibility Lithium metal battery
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Dual-doping for enhancing chemical stability of functional anionic units in sulfide for high-performance all-solid-state lithium batteries 被引量:1
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作者 Peiwen Yu Niaz Ahmad +6 位作者 Jie Yang Chaoyuan Zeng Xiaoxiao Liang Weiming Huang Mei Ni Pengcheng Mao Wen Yang 《Journal of Energy Chemistry》 SCIE EI CAS CSCD 2023年第11期382-390,I0009,共10页
The sulfide-based solid-state electrolytes(SEs)reactivity toward moisture and Li-metal are huge barriers that impede their large-scale manufactu ring and applications in all-solid-state lithium batteries(ASSLBs).Herei... The sulfide-based solid-state electrolytes(SEs)reactivity toward moisture and Li-metal are huge barriers that impede their large-scale manufactu ring and applications in all-solid-state lithium batteries(ASSLBs).Herein,we proposed an Al and O dual-doped strategy for Li_(3)PS_(4)SE to regulate the chemical/electrochemical stability of anionic PS_(4)^(3-)tetrahedra to mitigate structural hydrolysis and parasitic reactions at the SE/Li interface.The optimized Li_(3.08)A_(10.04)P_(0.96)S_(3.92)O_(0.08)SE presents the highestσLi+of 3.27 mS cm^(-1),which is~6.8 times higher than the pristine Li_(3)PS_(4)and excellently inhibits the structural hydrolysis for~25 min@25%humidity at RT.DFT calculations confirmed that the enhanced chemical stability was revealed to the intrinsically stable entities,e.g.,POS33-units.Moreover,Li_(3.08)Al_(0.04)P_(0.96)S_(3.92)O_(0.08)SE cycled stably in Li//Li symmetric cell over 1000 h@0.1 mA cm^(-2)/0.1 mA h cm^(-2),could be revealed to Li-Al alloy and Li_(2)Oat SE/Li interface impeding the growth of Li-dendrites during cycling.Resultantly,LNO@LCO/Li_(3.08)Al_(0.04)P_(0.96)S_(3.92)O_(0.08)/Li-In cell delivered initial discharge capacities of 129.8 mA h g^(-1)and 83.74%capacity retention over 300 cycles@0.2 C at RT.Moreover,the Li_(3.08)Al_(0.04)P_(0.96)S_(3.92)O_(0.08)SE presented>90%capacity retention over 200 and 300 cycles when the cell was tested with LiNi_(0.8)Co_(0.15)Al_(0.05)O_(2)(NCA)cathode material vs.5 and 10 mg cm^(-2)@RT. 展开更多
关键词 Dual doping High Li^(+) conductivity Air-stability Pos_(3)^(3-) functional units Stable SE/electrode interface
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SCHWARZ-PICK ESTIMATES FOR PARTIAL DERIVATIVES OF ARBITARY ORDER OF BOUNDED HOLOMORPHIC FUNCTIONS IN THE UNIT BALL OF C^n 被引量:5
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作者 戴绍虞 陈怀惠 《Acta Mathematica Scientia》 SCIE CSCD 2011年第4期1624-1632,共9页
This paper gives a Schwarz-Pick estimate for bounded holomorphic functions in the unit ball of C n .
关键词 unit ball holomorphic function Schwarz-Pick estimate
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THE ASYMPTOTIC FORMULA OF THE ORTHOGONAL RATIONAL FUNCTION ON THE UNIT CIRCLE
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作者 Zhu Laiyi People’s Universityy of China, China 《Analysis in Theory and Applications》 1993年第2期24-36,共13页
In this paper we obtained the asymptotic formula of the orthogonal rational function on the unit circle with respect to the weight function μ(z) with preasigned poles, which are in the exterior of the unit disk.
关键词 PRO RATIONAL THE ASYMPTOTIC FORMULA OF THE ORTHOGONAL RATIONAL function ON THE unit CIRCLE 六丁
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Uniqueness Theorem of Algebroidal Function in the Unit Disc
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作者 ZHANG Xiao-mei SUN Dao-chun 《Chinese Quarterly Journal of Mathematics》 CSCD 2012年第3期357-363,共7页
In this paper, discussed are the problems about uniqueness of algebroidal functions in the unit disc with share-values in a sector domain instead of the whole disk. Results are obtained extending some uniqueness theor... In this paper, discussed are the problems about uniqueness of algebroidal functions in the unit disc with share-values in a sector domain instead of the whole disk. Results are obtained extending some uniqueness theorems of meromorphic functions. 展开更多
关键词 algebroidal function UNIQUENESS unit disk
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Incremental multivariable predictive functional control and its application in a gas fractionation unit 被引量:3
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作者 施惠元 苏成利 +3 位作者 曹江涛 李平 宋英莉 李宁波 《Journal of Central South University》 SCIE EI CAS CSCD 2015年第12期4653-4668,共16页
The control of gas fractionation unit(GFU) in petroleum industry is very difficult due to multivariable characteristics and a large time delay.PID controllers are still applied in most industry processes.However,the t... The control of gas fractionation unit(GFU) in petroleum industry is very difficult due to multivariable characteristics and a large time delay.PID controllers are still applied in most industry processes.However,the traditional PID control has been proven not sufficient and capable for this particular petro-chemical process.In this work,an incremental multivariable predictive functional control(IMPFC) algorithm was proposed with less online computation,great precision and fast response.An incremental transfer function matrix model was set up through the step-response data,and predictive outputs were deduced with the theory of single-value optimization.The results show that the method can optimize the incremental control variable and reject the constraint of the incremental control variable with the positional predictive functional control algorithm,and thereby making the control variable smoother.The predictive output error and future set-point were approximated by a polynomial,which can overcome the problem under the model mismatch and make the predictive outputs track the reference trajectory.Then,the design of incremental multivariable predictive functional control was studied.Simulation and application results show that the proposed control strategy is effective and feasible to improve control performance and robustness of process. 展开更多
关键词 gas fractionation unit multivariable process incremental predictive functional control
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Composite Cost Function Based Solution to the Unit Commitment Problem
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作者 Srikrishna Subramanian Radhakrishnan Anandhakumar 《Smart Grid and Renewable Energy》 2010年第2期88-97,共10页
This paper presents a new approach via composite cost function to solve the unit commitment problem. The unit com-mitment problem involves determining the start-up and shut-down schedules for generating units to meet ... This paper presents a new approach via composite cost function to solve the unit commitment problem. The unit com-mitment problem involves determining the start-up and shut-down schedules for generating units to meet the fore-casted demand at the minimum cost. The commitment schedule must satisfy the other constraints such as the generating limits, spinning reserve, minimum up and down time, ramp level and individual units. The proposed algorithm gives the committed units and economic load dispatch for each specific hour of operation. Numerical simulations were carried out using three cases: four-generator, seven-generator, and ten-generator thermal unit power systems over a 24 h period. The produced schedule was compared with several other methods, such as Dynamic programming, Branch and bound, Ant colony system, and traditional Tabu search. The result demonstrated the accuracy of the proposed method. 展开更多
关键词 COMPOSITE COST function Generation SCHEDULING unit COMMITMENT
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Cost Effective Operating Strategy for Unit Commitment and Economic Dispatch of Thermal Power Plants with Cubic Cost Functions Using TLBO Algorithm
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作者 E. B. Elanchezhian S. Subramanian S. Ganesan 《Journal of Power and Energy Engineering》 2015年第6期20-30,共11页
This paper deals with a Unit Commitment (UC) problem of a power plant aimed to find the optimal scheduling of the generating units involving cubic cost functions. The problem has non convex generator characteristics, ... This paper deals with a Unit Commitment (UC) problem of a power plant aimed to find the optimal scheduling of the generating units involving cubic cost functions. The problem has non convex generator characteristics, which makes it very hard to handle the corresponding mathematical models. However, Teaching Learning Based Optimization (TLBO) has reached a high efficiency, in terms of solution accuracy and computing time for such non convex problems. Hence, TLBO is applied for scheduling of generators with higher order cost characteristics, and turns out to be computationally solvable. In particular, we represent a model that takes into account the accurate higher order generator cost functions along with ramp limits, and turns to be more general and efficient than those available in the literature. The behavior of the model is analyzed through proposed technique on modified IEEE-24 bus system. 展开更多
关键词 CUBIC COST functionS RAMP Rate TEACHING Learning Based Optimization unit COMMITMENT
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Generic functional modelling of multi-pulse auto-transformer rectifier units for more-electric aircraft applications 被引量:1
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作者 Tao YANG Serhiy BOZHKO +2 位作者 Patrick WHEELER Shaoping WANG Shuai WU 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2018年第5期883-891,共9页
The Auto-Transformer Rectifier Unit(ATRU) is one preferred solution for high-power AC/DC power conversion in aircraft. This is mainly due to its simple structure, high reliability and reduced k VA ratings. Indeed, t... The Auto-Transformer Rectifier Unit(ATRU) is one preferred solution for high-power AC/DC power conversion in aircraft. This is mainly due to its simple structure, high reliability and reduced k VA ratings. Indeed, the ATRU has become a preferred AC/DC solution to supply power to the electric environment control system on-board future aircraft. In this paper, a general modelling method for ATRUs is introduced. The developed model is based on the fact that the DC voltage and current are strongly related to the voltage and current vectors at the AC terminals of ATRUs. In this paper, we carry on our research in modelling symmetric 18-pulse ATRUs and develop a generic modelling technique. The developed generic model can study not only symmetric but also asymmetric ATRUs. An 18-pulse asymmetric ATRU is used to demonstrate the accuracy and efficiency of the developed model by comparing with corresponding detailed switching SABER models provided by our industrial partner. The functional models also allow accelerated and accurate simulations and thus enable whole-scale more-electric aircraft electrical power system studies in the future. 展开更多
关键词 Asymmetric transformer functional modelling More-Electric Aircraft Multi-pulse rectifier Transformer rectifier unit
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基于卷积注意力模块-卷积门控循环单元的电力系统暂态稳定一体化评估方法
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作者 徐艳春 孙思涵 +5 位作者 张婧宇 唐新琳 张涛 席磊 王凌云 MI Lu 《电力建设》 北大核心 2026年第2期57-70,共14页
【目的】为提高电力系统暂态稳定评估效果,解决样本不平衡问题下的评估有效性,提出一种基于注意力机制与卷积门控循环单元的多任务暂态稳定一体化评估方法。【方法】所提方法融合卷积门控循环单元与卷积注意力模块,构建表征暂态功角稳... 【目的】为提高电力系统暂态稳定评估效果,解决样本不平衡问题下的评估有效性,提出一种基于注意力机制与卷积门控循环单元的多任务暂态稳定一体化评估方法。【方法】所提方法融合卷积门控循环单元与卷积注意力模块,构建表征暂态功角稳定与暂态电压稳定问题的综合特征集。通过对传统二分类交叉熵损失函数的改进,实现动态权重调整,使模型在训练过程中更加关注失稳样本。同时,分析分类决策阈值对模型性能的影响,确定适合暂态稳定评估的最优分类决策阈值,以降低关键失稳事件的误判风险。【结果】仿真验证表明,所提出的融合卷积注意力机制并改进损失函数的卷积门控循环单元多任务模型,能够有效提升对暂态功角稳定和暂态电压稳定问题的综合评估准确性,明显降低失稳样本的漏判风险,在处理样本不平衡问题方面表现出较强的有效性与鲁棒性。【结论】所提方法通过空间与通道双重注意力机制有效增强了模型对关键特征的关注能力,实现了电力系统暂态功角与暂态电压稳定的高效一体化评估,可为电网稳定运行提供新的技术支撑。 展开更多
关键词 暂态稳定评估 卷积门控循环单元 卷积注意力机制 损失函数 分类阈值
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考虑不确定性的再生微粉地聚合物碳排放评价
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作者 章玉容 刘洋 冯晨祥 《浙江工业大学学报》 北大核心 2026年第1期68-73,共6页
采用生命周期评价方法,选取单位体积与单位体积单位强度两种不同功能单位,对6组不同配合比的再生微粉地聚合物进行碳排放定量化分析,同时基于数据质量指标和蒙特卡罗模拟相结合的方法对碳排放结果进行不确定性分析。研究结果表明:再生... 采用生命周期评价方法,选取单位体积与单位体积单位强度两种不同功能单位,对6组不同配合比的再生微粉地聚合物进行碳排放定量化分析,同时基于数据质量指标和蒙特卡罗模拟相结合的方法对碳排放结果进行不确定性分析。研究结果表明:再生微粉地聚合物的碳排放主要来源于原材料生产阶段(约86%);功能单位的选取对再生微粉地聚合物碳排放结果的影响显著,应根据决策的侧重点选择不同的功能单位;当考虑不确定性后,虽然再生微粉地聚合物的碳排放均值会随着再生微粉体积掺量的增加而降低,但其标准差会随着再生微粉体积掺量的增加而增大,即离散性增大,故在某些情况下,大体积掺量再生微粉地聚合物的碳排放反而比小体积掺量再生微粉地聚合物的碳排放高。 展开更多
关键词 再生微粉地聚合物 碳排放 不确定性 功能单位 数据质量指标 蒙特卡罗模拟
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Reusing Test Cases Based on the Function Point
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作者 张娟 童维勤 +2 位作者 蔡立志 黄文彬 HWANG Jenq-Neng 《Journal of Donghua University(English Edition)》 EI CAS 2014年第4期441-446,共6页
Reusing test cases from existing test case library is quite common in the software testing field. Testing practice tells us that there is a strong relationship between the granularity of a function unit under testing ... Reusing test cases from existing test case library is quite common in the software testing field. Testing practice tells us that there is a strong relationship between the granularity of a function unit under testing and that of the test case. A function unit with small granularity usually results in the test cases with the same small granularity. Therefore a test case defined as the function point,i. e.,the smallest size function unit,was provided for the first time.Though test cases with smaller granularity usually have better reusability,the cost of accurately reusing and integrating such test cases is also higher. In order to balance the test case reusability and the cost of test case reuse,a novel test case reuse model based on the function point was proposed in this paper. In this model,a reusable test case for specification-based testing was defined and some reuse strategies and three formal reuse methods were given. Finally,the complete automatic software process was realized by a reusing generation tool. The new method has improved reuse accuracy,while greatly enhances the software productivity. 展开更多
关键词 function point function unit test case test case suite REUSE RG tool Z specification language
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DPU驱动的软件与可编程硬件协同UPF架构设计与优化
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作者 刘松 张琳 +5 位作者 高铠炜 雷玮琛 师建新 苑新婧 蒲凌君 张建忠 《通信学报》 北大核心 2026年第2期150-167,共18页
随着移动网络的演进,高带宽、低时延及海量连接的服务对用户平面功能(UPF)提出更高要求。然而,移动流量分布偏斜性与业务异构性导致规则数量激增且粒度细化,引发的规则依赖问题严重制约现有UPF转发性能,且现有依赖消除算法的计算时延过... 随着移动网络的演进,高带宽、低时延及海量连接的服务对用户平面功能(UPF)提出更高要求。然而,移动流量分布偏斜性与业务异构性导致规则数量激增且粒度细化,引发的规则依赖问题严重制约现有UPF转发性能,且现有依赖消除算法的计算时延过高,难以满足新型的低时延服务要求。为此,提出一种数据处理单元(DPU)驱动的软件与可编程硬件协同UPF架构,该架构基于流量特征识别和软硬件内在服务特点,将大流分离并卸载至可编程硬件加速,CPU侧则执行小流处理,快速生成独立规则以消除规则依赖,同时提出一种规则存储结构与多管线段协同更新机制。在高并发测试环境下,系统吞吐量达97 Gbit/s,端到端转发时延低于500μs,规则依赖解析计算开销降低65%以上,规则存储与更新效率提升50%。 展开更多
关键词 移动网络 可编程网络 数据处理单元 网内计算 用户面功能
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基于线程池任务调度的局部同步FMI联合仿真方法
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作者 薛朝阳 钱晓超 刘飞 《计算机科学》 北大核心 2026年第2期107-116,共10页
并行仿真是提高仿真性能的关键技术,然而当前基于FMI(Functional Mock-up Interface)的并行联合仿真存在诸多挑战,如FMU(Functional Mock-up Unit)和执行线程耦合、输入输出同步、FMI API互斥等问题。针对这些问题,提出了一种基于线程... 并行仿真是提高仿真性能的关键技术,然而当前基于FMI(Functional Mock-up Interface)的并行联合仿真存在诸多挑战,如FMU(Functional Mock-up Unit)和执行线程耦合、输入输出同步、FMI API互斥等问题。针对这些问题,提出了一种基于线程池任务调度的局部同步FMI联合仿真方法。首先,给出了该方法的框架,该框架由仿真方案、主算法、调度器和缓冲区组成,以提供并行仿真的模块化表示。然后,重点描述了FMI并行联合仿真主算法,其将单个FMU的单次仿真任务分为仿真执行和任务调度两阶段,由调度器调度执行,并自定义读写锁解决仿真过程中的同步问题;同时,通过将输出暂存到缓冲区,以避免FMI API竞争访问的问题。最后通过一个房间温差模型和一个船舶定位模型验证了所提方法的准确性,与FMU并行的非迭代雅可比方法进行对比,所提方法取得了显著的性能提升。 展开更多
关键词 并行仿真 联合仿真 FMI FMU 主算法 无锁优化
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城市两居室住宅室内的功能分区与空间利用率提升设计实践
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作者 李淑 《鞋类工艺与设计》 2026年第2期144-146,共3页
随着我国城市化进入高质量发展阶段,集约化住宅已成为主流。两居室作为核心家庭主力户型,面临有限空间与复合功能需求间的突出矛盾。本文基于《“十四五”城乡人居环境建设规划》政策导向,融合建筑学与环境行为学理论,探讨通过动态功能... 随着我国城市化进入高质量发展阶段,集约化住宅已成为主流。两居室作为核心家庭主力户型,面临有限空间与复合功能需求间的突出矛盾。本文基于《“十四五”城乡人居环境建设规划》政策导向,融合建筑学与环境行为学理论,探讨通过动态功能分区与立体化空间策略提升两居室空间效能。研究表明,科学的设计干预能显著增强住宅的适应性、舒适性与可持续性,为城市住宅精细化设计提供兼具学术价值与实践意义的参考路径。 展开更多
关键词 两居室住宅 功能分区 空间利用率 室内设计
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基于Dynamic GNN-MB网络的毫米波雷达人体动作识别方法
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作者 彭国梁 李浩然 +3 位作者 胡芬 郑好 郑志鹏 郇战 《现代雷达》 北大核心 2026年第1期41-47,共7页
在人体动作识别研究中,考虑到视频和图像性能受限以及对隐私的保护,毫米波雷达技术被视为更有效的替代方案,既能保护隐私又能提高人体动作特征的识别准确性。针对毫米波雷达产生的稀疏点云,设计了一种新颖的图神经网络动态记忆图神经网... 在人体动作识别研究中,考虑到视频和图像性能受限以及对隐私的保护,毫米波雷达技术被视为更有效的替代方案,既能保护隐私又能提高人体动作特征的识别准确性。针对毫米波雷达产生的稀疏点云,设计了一种新颖的图神经网络动态记忆图神经网络(Dynamic GNN-MB),在图神经网络中加入了动态边选择函数,使其能够自主地学习点云之间边的权重并提取特征;进一步,将动态图神经网络(Dynamic GNN)与堆叠的双向门控循环单元相结合,构建了一个完整的人体活动识别框架。实验中使用公共数据集验证了网络的有效性,结果表明,Dynamic GNN-MB网络模型对人体动作识别的准确率可达97.05%,相较于其他网络结构,具有更高的识别率。 展开更多
关键词 动作识别 毫米波雷达 动态边选择函数 图神经网络 双向门控循环单元
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电动石油钻机自动送钻系统智能控制研究
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作者 何丰 《自动化应用》 2026年第3期45-47,53,共4页
在自动送钻系统的传统控制方法中,根据单环传递函数建立控制模型,难以适应工况变化,且电动送钻系统存在机械惯性,在阶跃干扰信号的影响下,输出钻压易失稳,影响智能控制效果。因此,设计了电动石油钻机自动送钻系统智能控制方法。通过修... 在自动送钻系统的传统控制方法中,根据单环传递函数建立控制模型,难以适应工况变化,且电动送钻系统存在机械惯性,在阶跃干扰信号的影响下,输出钻压易失稳,影响智能控制效果。因此,设计了电动石油钻机自动送钻系统智能控制方法。通过修正杨格模式,分析钻速、钻压之间的关系,根据自动送钻控制系统智能控制的双环传递函数,建立电动石油钻机自动送钻系统智能控制模型,以适应工况变化。考虑到电动送钻系统存在机械惯性,模糊量化处理模型中的参数偏差量,通过二进制编码与单位阶跃响应函数,校正自动送钻系统智能控制模型的单位阶跃响应信号,从而实现电动石油钻机自动送钻系统的智能控制。结果显示,在干扰信号(1)和(2)的影响下,输出钻压仍能稳定在20 kN左右,智能控制效果良好,对自动送钻系统的稳定运行具有重要作用。 展开更多
关键词 电动石油钻机 自动送钻 智能控制方法 单位阶跃响应函数 钻压
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Prognostic value of cortisol and thyroid function tests in poisoned patients admitted to toxicology ICU 被引量:7
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作者 Shahin Shadnia Nasim Zamani +3 位作者 Hossein Hassanian-Moghaddam Hamed Shafaroodi Mina Padandar Mohammad Hasan Rezaeizadeh 《World Journal of Emergency Medicine》 SCIE CAS 2018年第1期51-55,共5页
BACKGROUND: Prognostic value of cortisol and thyroid function tests(TFTs) has previously been evaluated in medical ICUs. We aimed to evaluate prognostic efficacy of cortisol and TFTs in critically ill poisoned patient... BACKGROUND: Prognostic value of cortisol and thyroid function tests(TFTs) has previously been evaluated in medical ICUs. We aimed to evaluate prognostic efficacy of cortisol and TFTs in critically ill poisoned patients admitted to toxicology intensive care unit(ICU).METHODS: In a prospective study of consecutively enrolled subjects admitted to the toxicology ICU, lab analyses included TFTs(total T3 and T4 as well as TSH) and cortisol levels drawn between 8 am–10 am during period of the first 24 hours post-ingestion/exposure. Simplified Acute Physiology Score Ⅱ(SAPS Ⅱ) and Acute Physiology and Chronic Health Evaluation Ⅱ(APACHE Ⅱ) were recorded. All scores were compared to detect the best prognostic factor. Type of poisoning was also included.RESULTS: In 200 patients evaluated, 129 were male and mean age was 31 years. In general, SAPS Ⅱ, T4, and cortisol could prognosticate death. After regression analysis, only cortisol had such efficacy(P=0.04; OR=1.06; 95%CI=1.05–1.08; cut-off=42 μg/d L; sensitivity=70%; specificity=82%). Between aluminium phosphide(ALP)-and non ALP-poisoned patients, level of consciousness, mean arterial pressure, and cortisol level could prognosticate death in ALP poisoning(all Ps<0.001 in both uni and multivariate analyses). Median(interquartile range; IQR) GCS was 7(6, 10) and 15(8, 15) in non-ALP and ALP-poisoned patients(P<0.003). SAPS Ⅱ and APACHE Ⅱ could not prognosticate death at all.CONCLUSION: Cortisol best prognosticated outcomes for subjects admitted to the toxicology ICU. Its level is higher in ALP-poisoned patients probably due to the higher stress while they remain conscious till the final stages of toxicity and are aware of deterioration of their clinical condition or may be due to their significantly lower blood pressures. 展开更多
关键词 PROGNOSIS Intensive care unit CORTISOL Thyroid function tests POISONING
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