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Fault-tolerant control for diesel engine air path system via sliding mode surface
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作者 WU Wen-jie ZHANG Yi-xin +4 位作者 WANG Xing-jian WANG Shao-ping ZHANG Jian ZHENG Wei TAO Mo 《控制理论与应用》 北大核心 2025年第8期1570-1577,共8页
The operating environment of the diesel engine air path system is complex and may be affected by external random disturbances.Potentially leading to faults.This paper addresses the fault-tolerant control problem of th... The operating environment of the diesel engine air path system is complex and may be affected by external random disturbances.Potentially leading to faults.This paper addresses the fault-tolerant control problem of the diesel engine air path system,assuming that the system may simultaneously be affected by actuator faults and external random disturbances,a disturbance observer-based sliding mode controller is designed.Through the linear matrix inequality technique for solving observer and controller gains,optimal gain matrices can be obtained,eliminating the manual adjustment process of controller parameters and reducing the chattering phenomenon of the sliding mode surface.Finally,the effectiveness of the proposed method is verified through simulation analysis. 展开更多
关键词 disel engine air path fault-tolerant control sliding mode control disturbance observer
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A thrust estimation and control method of an adaptive cycle engine based on improved MFAC algorithm
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作者 Xin ZHOU Wenjuan CHEN +2 位作者 Jinquan HUANG Jingtian LIU Feng LU 《Chinese Journal of Aeronautics》 2025年第5期182-201,共20页
The development of the adaptive cycle engine is a crucial direction of advanced fighter power sources in the near future.However,this new technology brings more uncertainty to the design of the control system.To addre... The development of the adaptive cycle engine is a crucial direction of advanced fighter power sources in the near future.However,this new technology brings more uncertainty to the design of the control system.To address the versatile thrust demand under complex dynamic characteristics of the adaptive cycle engine,this paper proposes a direct thrust estimation and control method based on the Model-Free Adaptive Control(MFAC)algorithm.First,an improved Sliding Mode Control-MFAC(SMC-MFAC)algorithm has been developed by introducing a sliding mode variable structure into the standard Full Format Dynamic Linearization-MFAC(FFDL-MFAC)and designing self-adaptive weight coefficients.Then a trivariate double-loop direct thrust control structure with a controller-based thrust estimator and an outer command compensation loop has been established.Through thrust feedback and command correction,accurate control under multi-mode and operation conditions is achieved.The main contribution of this paper is the improved algorithm that combines the tracking capability of the MFAC and the robustness of the SMC,thus enhancing the dynamic performance.Considering the requirements of the online thrust feedback,the designed MFAC-based thrust estimator significantly speeds up the calculation.Additionally,the proposed command correction module can achieve the adaptive thrust control without affecting the operation of the inner loop.Simulations and Hardware-in-Loop(HIL)experiments have been performed on an adaptive cycle engine component-level model to investigate the estimation and control effect under different modes and health conditions.The results demonstrate that both the thrust estimation precision and operation speed are significantly improved compared with Extended Kalman Filter(EKF).Furthermore,the system can accelerate the response of the controlled plant,reduce the overshoot,and realize the thrust recovery within the safety range when the engine encounters the degradation. 展开更多
关键词 Adaptivecycle engine Direct thrust control Model-free adaptive control Sliding mode control Thrust estimation
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Active flow control in aeronautic field and disease treatment in medical field
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作者 Zhengyu ZUO Xin ZHANG 《Chinese Journal of Aeronautics》 2025年第11期1-4,共4页
Activeow control technology is a technique that controls the internaloweld of aircraft engines or theoweld around wings by means of disturbances induced by actuators,and adjusts the aerodynamic force and attitude of t... Activeow control technology is a technique that controls the internaloweld of aircraft engines or theoweld around wings by means of disturbances induced by actuators,and adjusts the aerodynamic force and attitude of the aircraft,so as to achieve the purposes of increasing lift,reducing drag,suppressing vibration and reducing noise.Hailed as an important source of innovative development for aircraft,this technology provides a new technical approach to solve the aerodynamic problems of aircraft,signicantly improve their comprehensive performance,break throughight boundaries,and promote disruptive innovation in the next generation of aircraft. 展开更多
关键词 aeronautical field disease treatment active flow control controls internaloweld adjusts aerodynamic force attitude aerodynamic problems activeow control technology aircraft engines
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Reinforcement Learning in Mechatronic Systems: A Case Study on DC Motor Control
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作者 Alexander Nüßgen Alexander Lerch +5 位作者 René Degen Marcus Irmer Martin de Fries Fabian Richter Cecilia Boström Margot Ruschitzka 《Circuits and Systems》 2025年第1期1-24,共24页
The integration of artificial intelligence into the development and production of mechatronic products offers a substantial opportunity to enhance efficiency, adaptability, and system performance. This paper examines ... The integration of artificial intelligence into the development and production of mechatronic products offers a substantial opportunity to enhance efficiency, adaptability, and system performance. This paper examines the utilization of reinforcement learning as a control strategy, with a particular focus on its deployment in pivotal stages of the product development lifecycle, specifically between system architecture and system integration and verification. A controller based on reinforcement learning was developed and evaluated in comparison to traditional proportional-integral controllers in dynamic and fault-prone environments. The results illustrate the superior adaptability, stability, and optimization potential of the reinforcement learning approach, particularly in addressing dynamic disturbances and ensuring robust performance. The study illustrates how reinforcement learning can facilitate the transition from conceptual design to implementation by automating optimization processes, enabling interface automation, and enhancing system-level testing. Based on the aforementioned findings, this paper presents future directions for research, which include the integration of domain-specific knowledge into the reinforcement learning process and the validation of this process in real-world environments. The results underscore the potential of artificial intelligence-driven methodologies to revolutionize the design and deployment of intelligent mechatronic systems. 展开更多
关键词 Artificial Intelligence in Product Development Mechatronic Systems Reinforcement Learning for control System Integration and Verification Adaptive Optimization Processes Knowledge-Based Engineering
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Construction Management of HVAC Engineering in Real Estate: Key Strategies for Quality Control
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作者 Faqi Li 《Journal of Architectural Research and Development》 2025年第6期82-89,共8页
This research focuses on quality control strategies in real estate HVAC engineering construction management.It first elaborates on the role of HVAC systems and challenges like material compliance risks and installatio... This research focuses on quality control strategies in real estate HVAC engineering construction management.It first elaborates on the role of HVAC systems and challenges like material compliance risks and installation deficiencies.Then it details design validation,vendor qualification,and construction-phase monitoring methods.Case studies in various real estate projects illustrate these strategies,and a 5-phase quality maturity model was proposed for quality improvement. 展开更多
关键词 HVAC engineering Quality control Real estate construction
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Development of Virtual Simulation System Based on Motion Control Card and Unity Platform
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作者 Shuangquan Wen Pengxiong Wang 《Journal of Electronic Research and Application》 2025年第1期94-99,共6页
Digital twin can simulate and monitor the state and behavior of physical entities in the real world,helping enterprises to better understand and manage real-world physical systems,improve production efficiency,reduce ... Digital twin can simulate and monitor the state and behavior of physical entities in the real world,helping enterprises to better understand and manage real-world physical systems,improve production efficiency,reduce costs,and improve safety and reliability.In this paper,we use GTS motion control card and Unity engine to build a digital twin system,and control a virtual industrial automation handling platform including two screw servo axes and multiple sensors through the physical GTS motion control card.The control card program controls the motion of the virtual model through transmission control protocol(TCP)communication,and the virtual model system feeds back the signal to the control card program to achieve the virtual and real synchronous digital twin effect.The digital twin system uses Unity engine to create a highly realistic virtual environment,and can run on multi-platform terminals. 展开更多
关键词 Digital twin GTS motion control card Unity engine TCP communication
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Research on the Evaluation of Risk Control Schemes for Engineering Projects under Uncertain Environments
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作者 Xiaoyang Zeng Weizhe Shu 《Journal of Architectural Research and Development》 2025年第6期66-71,共6页
To effectively select risk control schemes in uncertain environments,this paper has proposed an analysis and evaluation method based on the fuzzy comprehensive evaluation method.Firstly,enterprises have adopted the br... To effectively select risk control schemes in uncertain environments,this paper has proposed an analysis and evaluation method based on the fuzzy comprehensive evaluation method.Firstly,enterprises have adopted the brainstorming method and the Delphi method to identify risks in engineering projects,and organized the identified risks in the form of checklists to facilitate further analysis.Secondly,the fuzzy comprehensive evaluation theory was introduced to determine the comparison matrix of each risk factor and its weight.Furthermore,the top five risk factors in terms of weight ranking were taken as the evaluation factors for the selection of risk control plans.The plans were scored through the weighted scoring method,and the optimal risk control plan was determined based on the score.Finally,the feasibility of the proposed selection technology was verified through A research example of the risk control plan assessment for the construction project of Enterprise A. 展开更多
关键词 Engineering projects Fuzzy comprehensive evaluation method Uncertain environment Risk control schemes
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Research on Technology and Risk Control Strategy in Real Estate Construction Engineering Management
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作者 Senlin Ma 《Journal of Architectural Research and Development》 2025年第6期36-42,共7页
The complexity of real estate construction project management is highlighted,and this paper deeply discusses its technology and risk control strategy.Analyze the application field of technology and the construction of... The complexity of real estate construction project management is highlighted,and this paper deeply discusses its technology and risk control strategy.Analyze the application field of technology and the construction of risk management system,and verify the effectiveness of the strategy through cases.The is concluded that the integration of technology management and risk control is the core path to improve the efficiency of the project,and it points out that the application of intelligent tools should be strengthened and explore the new management mode under the dual-carbon goal. 展开更多
关键词 Real estate construction engineering management Technology application Risk control
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Global integration design method of acceleration and deceleration control schedule for variable cycle engine
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作者 Ying CHEN Sangwei LU +1 位作者 Wenxiang ZHOU Jinquan HUANG 《Chinese Journal of Aeronautics》 2025年第5期248-261,共14页
Variable Cycle Engine(VCE)serves as the core system in achieving future advanced fighters with cross-generational performance and mission versatility.However,the resultant complex configuration and strong coupling of ... Variable Cycle Engine(VCE)serves as the core system in achieving future advanced fighters with cross-generational performance and mission versatility.However,the resultant complex configuration and strong coupling of control parameters present significant challenges in designing acceleration and deceleration control schedules.To thoroughly explore the performance potential of engine,a global integration design method for acceleration and deceleration control schedule based on inner and outer loop optimization is proposed.The outer loop optimization module employs Integrated Surrogate-Assisted Co-Differential Evolutionary(ISACDE)algorithm to optimize the variable geometry adjustment laws based on B-spline curve,and the inner loop optimization module adopts the fixed-state method to design the open-loop fuel–air ratio control schedules,which are aimed at minimizing the acceleration and deceleration time under multiple constraints.Simulation results demonstrate that the proposed global integration design method not only furthest shortens the acceleration and deceleration time,but also effectively safeguards the engine from overlimit. 展开更多
关键词 control schedule design Acceleration and deceleration Variablecycle engine Fixed-states method Co-differential evolutionary algorithm
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Surrounding rock deformation characteristics and control strategies during passing through abandoned roadway group
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作者 YANG Feng SUN Qiang +2 位作者 ZHOU Nan CHEN Yong WEI Yongqi 《Journal of Mountain Science》 2025年第7期2707-2722,共16页
The disorderly mining activities and irrational layout in underground coal mines have left a large number of adjacent abandoned roadways.During the process of a working face passing through abandoned roadways,these st... The disorderly mining activities and irrational layout in underground coal mines have left a large number of adjacent abandoned roadways.During the process of a working face passing through abandoned roadways,these structures are prone to varying degrees of damage,with frequent occurrences of roof leakage and induced rock burst accidents,significantly impacting subsequent mining operations and safe production.To address these issues,this study investigates the surrounding rock deformation patterns during fully mechanized mining face passage through abandoned roadway clusters.Specific countermeasures were systematically summarized according to different occurrence characteristics of abandoned roadways.Through mechanical analysis,the critical unstable width of coal pillars was determined to be approximately 16.1~16.8 m.A three-dimensional numerical model was established based on 17 abandoned roadways with various shapes and occurrences in the working face.Simulation results indicate severe deformation and failure in roof rock layer roadways,while floor roadways exhibit relatively minor damage.Notably,when the distance between abandoned roadways and the coal seam exceeds 8 m,almost no damage occurs.Three technical measures for passing through abandoned roadway group was proposed according to their occurrence characteristics and implemented in engineering practice.Field applications demonstrate limited coal stress variations and weak strata pressure manifestations during the crossing process,ensuring safe passage through abandoned roadway clusters.This achievement enables efficient and safe crossing of abandoned roadway group in fully mechanized mining faces,enhances coal recovery rates,and provides practical engineering references for similar geological conditions. 展开更多
关键词 Abandoned roadway group 3D abandoned roadway model Numerical simulation control strategies Engineering application
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Benefit Evaluation of Geotechnical Projects for Debris Flow Prevention and Control Based on Projection Pursuit in Wenchuan County,SW China
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作者 Hao Zheng Mingtao Ding +1 位作者 Tao Huang Zemin Gao 《Journal of Earth Science》 2025年第2期700-716,共17页
Benefit evaluation of debris flow prevention and control projects was one of the essential contents of debris flow prevention and mitigation work.In order to scientifically and quantitatively evaluate the comprehensiv... Benefit evaluation of debris flow prevention and control projects was one of the essential contents of debris flow prevention and mitigation work.In order to scientifically and quantitatively evaluate the comprehensive benefit of debris flow prevention and control projects,this study identified nine factors as evaluation indicators from economic,social,and ecological aspects.The projection pursuit(PP) model based on the improved particle swarm optimization(IPSO) algorithm was used to construct a mathematical model to evaluate the benefit of debris flow prevention and control projects.The interpolation method was applied to divide the benefit grades.The debris flow prevention and control projects in Qipan,Taoguan,Chutou,Anjia,and Mozi gullies in Wenchuan County were chosen as typical cases for empirical analysis.The case study revealed that,among the criteria layer indicators,investment per unit of the protected area,investment per unit of the protected population,the amount of water and soil conservation,and reduction rate of accumulation fan had the most significant weights.The social and ecological benefits were found to be the more important in the target layer.The comprehensive benefit of Qipan,Taoguan,Chutou,Anjia,and Mozi gullies was found to be 4.44,4.83,1.95,3,and 2,respectively.The benefit ranking of the five gullies was consistent with their effectiveness in disaster prevention ranking in the flood season of 2019.Therefore,it could prove that the newly-built benefit evaluation model was practical and feasible,and the evaluation results of the sample could be reasonably interpreted,which verified the effectiveness of the methods. 展开更多
关键词 debris flow prevention and control project benefit evaluation projection pursuit model particle swarm optimization engineering geology
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Development of the two-stage SCR control strategy to satisfy ultra-low NO_(x) emission regulation for heavy-duty diesel engine
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作者 Jincheng Li Gang Li +3 位作者 Haibo Sun Linpeng Li Zunqing Zheng Mingfa Yao 《Journal of Environmental Sciences》 2025年第10期360-370,共11页
The emission regulations for heavy-duty diesel engines regarding nitrogen oxide(NO_(x))are becoming increasingly stringent,particularly in relation to cold start cycles.While the twostage selective catalytic reduction... The emission regulations for heavy-duty diesel engines regarding nitrogen oxide(NO_(x))are becoming increasingly stringent,particularly in relation to cold start cycles.While the twostage selective catalytic reduction(SCR)has the potential to achieve ultra-low NO_(x) emissions,several challenges remain,including the accurate prediction of ammonia(NH_(3))storage mass and the co-control of the two-stage SCR.The first step in this study involved the establishment of a rapid control prototype platform to facilitate the development and validation of a two-stage SCR control strategy.Secondly,an initial method for predicting the NH_(3) storage based on the mass conservation law was proposed,which was subsequently improved by filling and emptying experiments.The third step involved the development of a two-stage SCR co-control strategy,including obtaining the steady-state NH_(3) storage target value,dynamic correction for NH_(3) storage target value,regulation of NH_(3) storage,and control of the close-coupled SCR urea injector state.Finally,the two-stage SCR urea injection control strategy was certified under the world harmonized transient cycle(WHTC).The results demonstrate that the composite value of engine outlet NO_(x) emissions under cold and hot start WHTC cycles is 13 g/(kW·h).Meanwhile,the composite value of tailpipe NO_(x) emissions under cold and hot start WHTC cycles is 0.065 g/(kW·h),representing only 14%of the EU VI limit value of 0.46 g/(kW·h).Thus,the findings demonstrate that integrating an accurate NH_(3) storage prediction method with the two-stage SCR co-control function is crucial for heavy-duty diesel engines to achieve ultra-low NO_(x) emissions. 展开更多
关键词 Heavy-duty diesel engine Ultra-low nitrogen oxide emission Close-coupled selective catalytic REDUCTION Ammonia storage mass Two-stage selective catalytic reduction control strategy
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塔克拉玛干沙漠“锁边”的战略意义与未来展望
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作者 田洪志 王玲娥 《防护林科技》 2026年第1期78-83,共6页
塔克拉玛干沙漠是中国第一大沙漠,其边缘地区长期受到沙漠扩展和沙尘暴的威胁。为应对这些问题,中国自20世纪70年代末便启动了一系列生态恢复与保护工程。2024年11月,塔克拉玛干沙漠“锁边”工程成功实现3046 km生态屏障的全面合龙。这... 塔克拉玛干沙漠是中国第一大沙漠,其边缘地区长期受到沙漠扩展和沙尘暴的威胁。为应对这些问题,中国自20世纪70年代末便启动了一系列生态恢复与保护工程。2024年11月,塔克拉玛干沙漠“锁边”工程成功实现3046 km生态屏障的全面合龙。这一阶段性成果不仅是我国生态治理的重要里程碑,也为保障生态安全、推动强国建设和实现中华民族的永续发展奠定了基础。其战略意义在于实现生态保护与环境恢复,促进经济发展与社会稳定,维护边疆稳定与国家安全,改善交通条件与践行“一带一路”倡议。为巩固这一阶段性成果,从根本上遏制黄沙的蔓延,塔克拉玛干沙漠“锁边”工程将进入提质增效的新阶段,应持续巩固与提升治沙成果,大力发展具有地方特色的沙产业,继续加强治沙的国际合作与交流。 展开更多
关键词 塔克拉玛干沙漠 “锁边”工程 生态治沙 工程治沙 光伏治沙
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MODEL REFERENCE ADAPTIVE CONTROL BASED ON NONLINEAR COMPENSATION FOR TURBOFAN ENGINE 被引量:4
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作者 潘慕绚 黄金泉 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI 2012年第3期215-221,共7页
The design of a turbofan rotor speed control system, using model reference adaptive control(MRAC) method with input and output measurements, is discussed for the purpose of practical application. The nonlinear compe... The design of a turbofan rotor speed control system, using model reference adaptive control(MRAC) method with input and output measurements, is discussed for the purpose of practical application. The nonlinear compensator based on functional link neural network is used to deal with the engine nonlinearity and the hardware-in-loop simulation is also developed. The results show that the nonlinear MRAC controller has the adequate performance of compensating and adapting nonlinearity arising from the change of engine state or working environment. Such feature demonstrates potential practical applications of MRAC for aeroengine control system. 展开更多
关键词 turbofan engin model reference adaptive control(MRAC) functional link neural network (FLNN) hardware-in-loop(HIL) simulation
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Noise Control of a Two Stroke Engine Car
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作者 葛蕴珊 吴思进 +2 位作者 刘福水 张付军 黄英 《Journal of Beijing Institute of Technology》 EI CAS 1998年第2期203-209,共7页
Aim To control the noise of two stroke engine Methods On the basis of noise identification,a new muffler and acoustic shield were designed,Results the car's pass-by noise below the national limit Conclusion throug... Aim To control the noise of two stroke engine Methods On the basis of noise identification,a new muffler and acoustic shield were designed,Results the car's pass-by noise below the national limit Conclusion through proper noise controlling measures,the pass-by noise of two stroke engines could be reduced under national permitting limit. 展开更多
关键词 noise control two stroke engine VEHICLE
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Speed Disturbance in the Diesel Engine Electronic Control System
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作者 刘兴华 张幽彤 《Journal of Beijing Institute of Technology》 EI CAS 2000年第4期387-390,共4页
In order to sample the speed signal of electronic diesel engine in real time and make the engine work reliable, the diesel engine control system's speed acquisition was studied and the problem of speed disturbance... In order to sample the speed signal of electronic diesel engine in real time and make the engine work reliable, the diesel engine control system's speed acquisition was studied and the problem of speed disturbance was solved. The control system was based on the 8?bit electronic control unit(ECU) system and the assembly language was used to design the software for controlling the engine fuel quantity and the turbocharger of the variable geometry turbine for the heavy duty diesel engine. By changing the timing method for speed acquisition, the problem of speed disturbance was solved and the reliability of the ECU was improved. 展开更多
关键词 diesel engine electronic control system speed disturbance
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Open multilevel hierarchic intelligent control system for eco-industrial system
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作者 陈静 张文红 《Journal of Southeast University(English Edition)》 EI CAS 2006年第2期242-247,共6页
In allusion to the characteristics of the open complex giant system, an open multilevel hierarchic intelligent control system is established for the eco-industrial system. With the idea of the open engineering system,... In allusion to the characteristics of the open complex giant system, an open multilevel hierarchic intelligent control system is established for the eco-industrial system. With the idea of the open engineering system, using the hall for workshop of metasynthetic engineering (HWME), intelligent control techniques, the expert system and the design of experiments are integrated within the framework of the nonlinear multiobjective decision support system to develop a robust, top-level design specification so as to make the system have the quality of adaptive control, self-organizing, self-learning and robustness. Finally, an illustrative example is given to clarify the effectiveness of the method. 展开更多
关键词 eco-industry complex giant systems hall for workshop of metasynthetic engineering open engineering system intelligent control nonlinear multi-objective
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采用欧拉-拉格朗日方法的针栓推力室燃烧性能数值仿真
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作者 余航 刘赟聪 +4 位作者 孙五川 黄佐华 李龙飞 卞香港 张英佳 《西安交通大学学报》 北大核心 2026年第1期171-179,共9页
针对带有边区液膜冷却的针栓式喷注器火箭发动机“效率-冷却”的固有矛盾,以甲基肼/四氧化二氮(MMH/NTO)针栓发动机为研究对象,采用k-ωSST湍流模型、欧拉-拉格朗日方法及涡耗散概念模型耦合多步化学反应机理,开展了推力室燃烧过程三维... 针对带有边区液膜冷却的针栓式喷注器火箭发动机“效率-冷却”的固有矛盾,以甲基肼/四氧化二氮(MMH/NTO)针栓发动机为研究对象,采用k-ωSST湍流模型、欧拉-拉格朗日方法及涡耗散概念模型耦合多步化学反应机理,开展了推力室燃烧过程三维数值仿真研究,系统剖析了边路冷却比例和动量比对推力室性能的影响机制。研究结果表明:双排孔针栓喷注器的射流雾化结构呈现3个锥角的典型特征,燃烧高度依赖雾化掺混效果;随冷却比例增加,壁面温度显著降低,当冷却比例超过27%时,推进剂混合比偏离最佳值,推力室室压降低。综合考虑壁面温度安全性与推力室性能,边路冷却比例最优区间为20%~27%;动量比对推力室流场分布和燃烧效率影响显著,存在最佳动量比区间,偏离该区间均导致掺混效果不佳,进而使得推力室性能下降,双排孔针栓喷注器的建议动量比区间为2.10~3.06。该研究为MMH/NTO双组元针栓喷注推力室设计优化提供重要依据,为实现针栓发动机高效、安全运行提供工程指导,也为同类型姿轨控发动机性能优化提供设计参考。 展开更多
关键词 姿轨控发动机 针栓式喷注器 甲基肼/四氧化二氮 三维数值仿真
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使用《Linear Control Systems Engineering》的实践
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作者 王林江 徐德胜 +1 位作者 康海珍 顾秀芳 《电气电子教学学报》 2004年第1期30-31,97,共3页
本文介绍了使用原版教材《L inear Con trol Systems Engineering》、英语授课的教学实践及改革措施 ,提出了进一步的实施计划。
关键词 高校 《Linear control Systems Engineering》 原版教材 英语授课 教学改革 现代控制理论
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上斜方肌处体外冲击波与运动控制训练治疗慢性非特异性颈痛
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作者 李郝静 王新 +2 位作者 宋成林 张胜男 陈云昕 《中国组织工程研究》 北大核心 2026年第5期1162-1170,共9页
背景:慢性非特异性颈痛的发病率高且病因不明,肌筋膜疼痛与颈部深屈肌萎缩是关键因素。体外冲击波治疗能够改善微循环、缓解局部疼痛,并对颈椎退行性发展具有延缓作用;运动控制训练可显著改善颈部肌力与耐力、减轻颈部疼痛,两种方法单... 背景:慢性非特异性颈痛的发病率高且病因不明,肌筋膜疼痛与颈部深屈肌萎缩是关键因素。体外冲击波治疗能够改善微循环、缓解局部疼痛,并对颈椎退行性发展具有延缓作用;运动控制训练可显著改善颈部肌力与耐力、减轻颈部疼痛,两种方法单独应用的效果有限。目的:探讨上斜方肌处体外冲击波联合运动控制训练对慢性非特异性颈痛的治疗效果。方法:在沈阳体育学院招募慢性非特异性颈痛患者42例,均为男性,采用随机数字表法随机分3组干预:冲击波组(n=14)进行上斜方肌处体外冲击波干预,每周1次,每次10-15 min,共干预4周;训练组(n=14)进行运动控制训练,每周3次,每次40-50 min,共治疗4周;联合组(n=14)进行上斜方肌处体外冲击波干预联合运动控制训练,共干预4周。干预前及干预1,4周后,评估患者疼痛、颈椎功能,检测上斜方肌厚度、血流动力学参数及血清白细胞介素6与肿瘤坏死因子α水平。结果与结论:①与干预前比较,3组干预1,4周后的目测类比评分与颈部功能障碍指数均降低(P<0.05);干预1,4周后,联合组目测类比评分与颈部功能障碍指数均低于冲击波组、训练组(P<0.05);②与干预前比较,训练组、联合组干预4周后的上斜方肌厚度增加(P<0.05);联合组干预4周后的上斜方肌厚度大于冲击波组、训练组(P<0.05);③与干预前比较,冲击波组、联合组干预1,4周后的颈横动脉上升段收缩期峰值速度升高(P<0.05)、阻力指数降低(P<0.05),训练组干预4周后的颈横动脉上升段收缩期峰值速度升高(P<0.05)、阻力指数降低(P<0.05);干预1,4周后,联合组颈横动脉上升段收缩期峰值速度高于冲击波组、训练组(P<0.05),阻力指数低于冲击波组、训练组(P<0.05);④与干预前比较,冲击波组、联合组干预1,4周后的白细胞介素6与肿瘤坏死因子α水平降低(P<0.05),训练组干预4周后的白细胞介素6与肿瘤坏死因子α水平降低(P<0.05);干预1,4周后,联合组白细胞介素6与肿瘤坏死因子α水平低于冲击波组、训练组(P<0.05);⑤结果表明,体外冲击波联合运动控制训练治疗慢性非特异性颈痛可显著减轻疼痛、改善颈部功能,作用机制可能为促进触发点处血流速度、降低血流阻力、降低血清白细胞介素6与肿瘤坏死因子α水平、增加上斜方肌厚度。 展开更多
关键词 颈痛 上斜方肌 体外冲击波 运动控制 触发点 炎症 颈横动脉 工程化组织构建
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