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Prediction and experimental verification of tether net entanglement for space debris capture
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作者 Kaito Kosuge Hirohisa Kojima 《Astrodynamics》 EI CSCD 2024年第2期223-236,共14页
This study involved simulations and experiments aimed at assessing the efficacy of a tether net in encapsulating space debris.The tether net was modeled as a spring–mass–damper system considering the influence of ae... This study involved simulations and experiments aimed at assessing the efficacy of a tether net in encapsulating space debris.The tether net was modeled as a spring–mass–damper system considering the influence of aerodynamic and gravitational forces and the occurrence of debris collisions.To examine the influence of collision position and size disparity between the debris and the net on debris capture status,the entanglement nodes of the net were identified.Experiments were conducted to evaluate the wrapping capabilities of the tether net,focusing specifically on debris capture.Subsequently,the results were compared with those of the numerical simulation.In the experiments,radio frequency identification was used to identify the entanglement points of the tether net.Previous studies have indicated that the ideal collision point for capturing debris using a tether net with the debris intended to be captured is located at the center of the net.However,the experimental results of this study revealed that a collision position that is slightly shifted from the center of the tether net is more advantageous for capturing debris in terms of tether net entanglement. 展开更多
关键词 space debris tether net ENTANGLEMENT debris capture active debris removal(ADR)
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Game theory based finite-time formation control using artificial potentials for tethered space net robot
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作者 Yifeng MA Yizhai ZHANG +2 位作者 Panfeng HUANG Ya LIU Fan ZHANG 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2024年第8期358-372,共15页
The Tethered Space Net Robot(TSNR)is an innovative solution for active space debris capture and removal.Its large envelope and simple capture method make it an attractive option for this task.However,capturing maneuve... The Tethered Space Net Robot(TSNR)is an innovative solution for active space debris capture and removal.Its large envelope and simple capture method make it an attractive option for this task.However,capturing maneuverable debris with the flexible and elastic underactuated net poses significant challenges.To address this,a novel formation control method for the TSNR is proposed through the integration of differential game theory and robust adaptive control in this paper.Specifically,the trajectory of the TSNR is obtained through the solution of a real-time feedback pursuit-evasion game with a dynamic target,where the primary condition is to ensure the stability of the TSNR.Furthermore,to minimize tracking errors and maintain a specific configuration,a robust adaptive formation control scheme with Artificial Potential Field(APF)based on a Finite-Time Convergent Extended State Observer(FTCESO)is investigated.The proposed control method has a key advantage in suppressing complex oscillations by a new adaptive law,thus precisely maintaining the configuration.Finally,numerical simulations are performed to demonstrate the effectiveness of the proposed scheme. 展开更多
关键词 Game theory Formation control Artificial potential field Relative distance constraint tethered space net robot(TSNR)
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Dynamic modeling and control strategy for tethered satellite systems in orbital debris management
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作者 Feng Gao Jiayang Li +2 位作者 Fuxiang Dong Yi Ji Guanghui Sun 《Acta Mechanica Sinica》 2025年第2期204-215,共12页
The increasing accumulation of space debris threatens the integrity and functionality of satellites and complicates orbital operations.This paper constructs an advanced rigid-flexible coupling dynamic model for tether... The increasing accumulation of space debris threatens the integrity and functionality of satellites and complicates orbital operations.This paper constructs an advanced rigid-flexible coupling dynamic model for tethered satellite systems,tailored to enhance space debris management.Utilizing the nodal position finite element method,the model significantly improves the precision of simulating tether dynamics and captures the complex interactions involving satellite and debris attitude dynamics.This advancement allows for detailed examination of potential tether entanglements and provides crucial data for optimizing deorbiting processes.To overcome the limitations of conventional control techniques,a robust adaptive sliding mode control strategy is developed.This approach is specifically designed to manage the unpredictable conditions of the low-Earth orbit and ensure precise satellite attitude control,critical for successful debris removal.Validated through extensive numerical simulations,our model and control strategy demonstrate substantial improvements in operational reliability and safety,significantly enhancing the success rate of deorbiting missions. 展开更多
关键词 Space debris management tethered satellite systems Rigid-flexible coupling Sliding mode control
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Dynamic analysis of the tethered satellite system considering uncertain but bounded parameters 被引量:1
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作者 Xin Jiang Zhengfeng Bai 《Defence Technology(防务技术)》 SCIE EI CAS CSCD 2024年第12期116-124,共9页
Dynamic analysis of the tethered satellite system(TSS)can provide a fundamental guideline to the evaluation of performance and robust design of the system examined.Uncertainties inherited with the parameters would ind... Dynamic analysis of the tethered satellite system(TSS)can provide a fundamental guideline to the evaluation of performance and robust design of the system examined.Uncertainties inherited with the parameters would induce unexpected variation of the response and deteriorate the reliability of the system.In this work,the effect of uncertain mass of the satellites on the deployment and retrieval dynamics of the TSS is investigated.First the interval mode is employed to take the variation of mass of satellite into account in the processes of deployment and retrieval.Then,the Chebyshev interval method is used to obtain the lower and upper response bounds of the TSS.To achieve a smooth and reliable implementation of deployment and retrieval,the nonlinear programming based on the Gauss pseudospectral method is adopted to obtain optimal trajectory of tether velocity.Numerical results show that the uncertainties of mass of the satellites have a distinct influence on the response of tether tension in the processes of deployment and retrieval. 展开更多
关键词 Dynamic analysis Interval uncertainty tethered satellite Deployment and retrieval
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Hydrophobic tag tethering degrader as a promising paradigm of protein degradation:Past,present and future perspectives 被引量:1
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作者 Si Ha Jiacheng Zhu +1 位作者 Hua Xiang Guoshun Luo 《Chinese Chemical Letters》 SCIE CAS CSCD 2024年第8期187-200,共14页
Small molecule inhibitors have dominated the pharmaceutical landscape for a long time as the primary therapeutic paradigm targeting pathogenic proteins.However,their efficacy heavily relies on the amino acid compositi... Small molecule inhibitors have dominated the pharmaceutical landscape for a long time as the primary therapeutic paradigm targeting pathogenic proteins.However,their efficacy heavily relies on the amino acid composition and spatial constitution of proteins,rendering them susceptible to drug resistance and failing to target undruggable proteins.In recent years,the advent of targeted protein degradation(TPD)technology has captured substantial attention from both industry and academia.Employing an event-driven mode,TPD offers a novel approach to eliminate pathogenic proteins by promoting their degrada-tion,thus circumventing the limitations associated with traditional small molecule inhibitors.Hydropho-bic tag tethering degrader(HyTTD)technology represents one such TPD approach that is currently in the burgeoning stage.HyTTDs employ endogenous protein degradation systems to induce the degrada-tion of target proteins through the proteasome pathway,which displays significant potential for medical value.In this review,we provide a comprehensive overview of the development history and the reported mechanism of action of HyTTDs.Additionally,we delve into the physiological roles,structure-activity re-lationships,and medical implications of HyTTDs targeting various disease-associated proteins.Moreover,we propose insights into the challenges that necessitate resolution for the successful development of HyTTDs,with the ultimate goal of initiating a new age of clinical treatment leveraging the immense po-tential of HyTTDs. 展开更多
关键词 Targeted protein degradation(TPD) Hydrophobic tag Degrader Hydrophobic tag tethering degrader(HyTTD) Targeted therapy
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Strict finite-time sliding mode control for a tethered space net robot
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作者 Chen WANG Fan ZHANG 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2023年第12期325-335,共11页
Tethered Space Net Robot(TSNR)is considered to be a promising approach for space debris removal,and accordingly it is also an interesting control problem due to its time-varying disturbances caused by an elastic and f... Tethered Space Net Robot(TSNR)is considered to be a promising approach for space debris removal,and accordingly it is also an interesting control problem due to its time-varying disturbances caused by an elastic and flexible net and a main connected tether.In this situation,the control scheme should be robust enough,low-frequency,and finite-time convergent in presence of external disturbances.In this paper,a robust controller with an advanced adaptive scheme is proposed.To improve robustness,the disturbance is skillfully involved in the adaptive scheme.It is strictly proven that the closed-loop system can converge to the desired trajectory in finite time in both reaching and sliding processes.Based on the theoretical proof,adaptive gains and corresponding dynamic stability characteristics are further discussed.Finally,the efficiency of the proposed control scheme is numerically proven via a TSNR.The proposed control scheme utilizes small and continuous control forces to compensate for the disturbance efficiently and track the desired trajectory quickly. 展开更多
关键词 Modified adaptive supertwisting control Strict finite-time convergence tethered space net robot(TSNR) Time-varying disturbance Underactuated system
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On the optimality of uniform velocity-deceleration separation scheme for tethered satellite systems
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作者 Peng Yu Ji-Feng Zhang +2 位作者 Shuping Tan Jin Guo Yanlong Zhao 《Control Theory and Technology》 EI CSCD 2024年第4期503-516,共14页
For mitigating the libration angle fluctuation of the tethered satellite system,this paper discusses how to make the uniform velocity-deceleration separation scheme achieve the best effect.First,a judgment condition i... For mitigating the libration angle fluctuation of the tethered satellite system,this paper discusses how to make the uniform velocity-deceleration separation scheme achieve the best effect.First,a judgment condition is established to determine the tether state by comparing the tether length and the relative distance of the sub-satellite and the parent satellite.Based on the tethered satellite system dynamics equation and Clohessy-Wiltshire equation,dynamic models are given for four cases of tether states.Second,the influence of the uniform velocity-deceleration separation scheme on the libration angle is analyzed by taking the libration angle at the separation ending time and the mean absolute value of the libration angle as index functions.Then,the optimality problem of the uniform velocity-deceleration separation scheme is formulated as an optimization problem with constraints,and an approximate solution algorithm is given by combining the back propagation neural network and Newton-Raphson method of multiple initial values.Finally,the effectiveness of the proposed method is verified by a numerical simulation. 展开更多
关键词 tethered satellite systems Libration angle Uniform velocity-deceleration separation Neural network
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美元稳定币发展与监管的启示
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作者 王永利 《经济导刊》 2025年第7期41-45,共5页
美元稳定币的出现和加快发展(1)最早发行的稳定币是Tether于2015年发行的USDT。①现正在加快发展,市值已超过1600亿美元。美元稳定币的出现,是为适应比特币等加密资产(不是货币)的发展需要。因为加密资产是线上全球化7×24交易和清... 美元稳定币的出现和加快发展(1)最早发行的稳定币是Tether于2015年发行的USDT。①现正在加快发展,市值已超过1600亿美元。美元稳定币的出现,是为适应比特币等加密资产(不是货币)的发展需要。因为加密资产是线上全球化7×24交易和清算,而各国法定货币兑换业务交易时间和交易速度无法满足这一要求,于是加密资产线上交易发展成为撇开银行和SWIFT的全新支付清算体系。 展开更多
关键词 美元稳定币 USDT 启示 tether 支付清算体系 加密资产 监管
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Effect of lengthening alkyl spacer on hydroformylation performance of tethered-phosphine modified Rh/SiO_2 catalyst 被引量:5
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作者 刘佳 严丽 +2 位作者 姜淼 李存耀 丁云杰 《Chinese Journal of Catalysis》 SCIE EI CAS CSCD 北大核心 2016年第2期268-272,共5页
Rh/SiO2 catalysts with tethered-phosphines with different alkyl spacer lengths have been prepared,tested and characterized.Lengthening the alkyl spacer of the tethered-phosphine improved the flexibility of tethered-ph... Rh/SiO2 catalysts with tethered-phosphines with different alkyl spacer lengths have been prepared,tested and characterized.Lengthening the alkyl spacer of the tethered-phosphine improved the flexibility of tethered-phospine,promoted the formation of active species and enhanced the activity of hydroformylation over other tethered-phosphine modified Rh/SiO2 catalysts. 展开更多
关键词 tethered phosphine Chain length RHODIUM Silica HYDROFORMYLATION
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国内外系留式观光气球法规标准比较研究
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作者 陈卫卫 王银兰 单宇佳 《中国特种设备安全》 2025年第7期1-5,共5页
通过调研国内外系留式观光气球(简称气球)发展现状和开展法规标准比较研究,全面掌握当前气球结构、材料和性能等技术指标,指出现有气球不符合我国标准的4个具体条款并提出建议方案。建议使用多功能织物层压复合材料单层球胆结构替代双... 通过调研国内外系留式观光气球(简称气球)发展现状和开展法规标准比较研究,全面掌握当前气球结构、材料和性能等技术指标,指出现有气球不符合我国标准的4个具体条款并提出建议方案。建议使用多功能织物层压复合材料单层球胆结构替代双层球胆结构;提出气囊安全系数和抗撕裂性能指标;建议根据温度、气压和泄漏等因素综合确定负压区体积;结合使用手册和事故案例提出剩余浮力应根据运营风速和气球设计允许偏转角度确定。以上研究结论将为相关标准制修订工作提供参考,促进气球行业发展和进步。 展开更多
关键词 系留式观光气球 织物层压复合材料 安全系数 负压区 剩余浮力
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A novel Dyson-Harrop CubeSat for harvesting energy in solar wind
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作者 Fuzhen YAO Zheng H.ZHU 《Chinese Journal of Aeronautics》 2025年第6期166-173,共8页
This paper presents a novel design for a Dyson-Harrop CubeSat aimed at harvesting energy from the solar wind. Unlike current photovoltaic-based satellite energy generation, the Dyson-Harrop satellite generates energy ... This paper presents a novel design for a Dyson-Harrop CubeSat aimed at harvesting energy from the solar wind. Unlike current photovoltaic-based satellite energy generation, the Dyson-Harrop satellite generates energy based on the photoelectric effect, which has the potential to achieve significantly higher efficiency than current photovoltaic technology. The proposed CubeSat system consists of three main components: a tether unit, an energy harvesting unit, and the central 3U CubeSat body. The tether unit generates a cylindrical magnetic field along its main tether,effectively concentrating electrons from the solar wind to the energy harvesting unit. The energy harvesting unit includes a spherical electron receiver, functioning as a capacitor, which attracts electrons from the solar wind, as well as an annular flat solar sail that captures photons in the solar wind to eject electrons via the photoelectric effect, resulting in an electric current in the system.The Dyson-Harrop CubeSat is shown to be highly efficient as an energy-generation system, producing approximately 1 kW of power by a 3U CubeSat. This energy can be transmitted via microwave beams to other spacecraft or ground stations on the Earth. It is important to note that this estimation is based on first-principle estimations, and thorough theoretical analysis and experimental validation are required to confirm the feasibility of the concept. 展开更多
关键词 Dyson sphere Solar wind Space powergeneration Photoelectric effect CUBESAT tethered satellite formation Microwave power transmission
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空间绳网差时异相展开动力学分析
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作者 马百方 竺伟梁 +1 位作者 毛黎君 庞兆君 《空间电子技术》 2025年第3期39-45,共7页
在空间碎片捕获任务中,发射装置与目标的相对位置常呈现非对称的特殊场景,当目标碎片位于发射装置侧向或斜下方时,传统同步发射因固定对称展开轨迹难以适应此类需求,针对此类特殊场景,提出一种基于时序控制的差时异相发射策略,通过分步... 在空间碎片捕获任务中,发射装置与目标的相对位置常呈现非对称的特殊场景,当目标碎片位于发射装置侧向或斜下方时,传统同步发射因固定对称展开轨迹难以适应此类需求,针对此类特殊场景,提出一种基于时序控制的差时异相发射策略,通过分步释放牵引体,结合非对称拉力场调整网口朝向,提升绳网有效覆盖范围。研究采用集中弹簧质点法和Hertz接触理论建立绳网-碎片展开抓捕的动力学模型,结合数学建模工具Matlab与有限元分析软件Abaqus分别进行动力学仿真,对比仿真结果验证动力学建模的正确性,并探究了时序发射方式以及空间绳网发射角度的可行域,为复杂空间相对位姿下的碎片清除提供可编程解决方案。 展开更多
关键词 空间绳网 时序控制 差时异相 动力学仿真
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Advances in dynamics and control of tethered satellite systems 被引量:28
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作者 Dongping P.Jin Haiyan Y.Hu 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2008年第3期229-241,共13页
The concept of tethered satellite system (TSS) promises to revolutionize many aspects of space exploration and exploitation. It provides not only numerous possible and valuable applications, but also challenging and... The concept of tethered satellite system (TSS) promises to revolutionize many aspects of space exploration and exploitation. It provides not only numerous possible and valuable applications, but also challenging and interesting problems related to their dynamics, control, and physical implementation. Over the past decades, this exciting topic has attracted significant attention from many researchers and gained a vast number of analytical, numerical and experimental achievements with a focus on the two essential aspects of both dynamics and control. This review article presents the historic background and recent hot topics for the space tethers, and introduces the dynamics and control of TSSs in a progressive manner, from basic operating principles to the state-of-the-art achievements. 展开更多
关键词 tethered satellite system Space tether DYNAMICS CONTROL
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Review of deployment technology for tethered satellite systems 被引量:13
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作者 B.S.Yu H.Wen D.P.Jin 《Acta Mechanica Sinica》 SCIE EI CAS CSCD 2018年第4期754-768,共15页
Tethered satellite systems(TSSs) have attracted significant attention due to their potential and valuable applications for scientific research. With the development of various launched on-orbit missions, the deploym... Tethered satellite systems(TSSs) have attracted significant attention due to their potential and valuable applications for scientific research. With the development of various launched on-orbit missions, the deployment of tethers is considered a crucial technology for operation of a TSS. Both past orbiting experiments and numerical results have shown that oscillations of the deployed tether due to the Coriolis force and environmental perturbations are inevitable and that the impact between the space tether and end-body at the end of the deployment process leads to complicated nonlinear phenomena. Hence, a set of suitable control methods plays a fundamental role in tether deployment. This review article summarizes previous work on aspects of the dynamics, control, and ground-based experiments of tether deployment. The relevant basic principles, analytical expressions, simulation cases, and experimental results are presented as well. 展开更多
关键词 tethered satellite DEPLOYMENT DYNAMICS CONTROL EXPERIMENT
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Non-Linear Response of Tethers Subjected to Parametric Excitation in Submerged Floating Tunnels 被引量:14
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作者 孙胜男 陈健云 李静 《China Ocean Engineering》 SCIE EI 2009年第1期167-174,共8页
For the study of the non-linear response of inclined tethers subjected to parametric excitation in submerged floating tunnels, a theoretical model for coupled tube-tether vibration is developed. Upon the assumption th... For the study of the non-linear response of inclined tethers subjected to parametric excitation in submerged floating tunnels, a theoretical model for coupled tube-tether vibration is developed. Upon the assumption that the static equilibri- um position of the tether is a quadratic parabola, the governing differential equations of the tether motion are derived by use of the Hamihon principle. An approximate numerical solution is obtained by use of Galerkin method and Runge-kutta method. The results show that, when the static equilibrium position of the tether is assumed to be. a quadratic parabola, the tether sag effect on its vibration may be reflected; the tether sag results in the asymmetry of tether vibration amplitude ; for the reduction of the tether amplitude, the buoyant unit weight of the tether should approach to zero as far as possible during the design. 展开更多
关键词 submerged floating tunnel tether parametric excitation quadratic parabola SAG
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Dynamics and de-spin control of massive target by single tethered space tug 被引量:5
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作者 Junjie KANG Zheng H.ZHU +2 位作者 Wei WANG Changqing WANG Aijun LI 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2019年第3期653-659,共7页
This paper investigates the dynamics and de-spin control of a massive target by a single tethered space tug in the post-capture phase. The dynamic model of the tethered system is derived and simplified to a dimensionl... This paper investigates the dynamics and de-spin control of a massive target by a single tethered space tug in the post-capture phase. The dynamic model of the tethered system is derived and simplified to a dimensionless form. Further, a decoupled PD controller is proposed, and the local stability of the controller is analyzed by linearization technique. Parametric studies of the dynamics and de-spin control of a massive target are conducted to characterize the dynamic process of de-spin with the proposed control law. It is shown that the massive target can be de-span by a single and small space tug with limited thrust within finite time. The thrust tangent with the tether de-spins the target while the thrust normal to the tether prevents the tether from winding up the target. The tether length has a positive contribution to the de-spin of a target. The longer tether leads to a faster de-spin process. 展开更多
关键词 De-spin DYNAMICS PD CONTROL SPACE tethers tethered TUG
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Nonlinear dynamics of flexible tethered satellite system subject to space environment 被引量:6
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作者 Bensong YU Dongping JIN Hao WEN 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI CSCD 2016年第4期485-500,共16页
The paper studies the nonlinear dynamics of a flexible tethered satellite system subject to space environments, such as the J2 perturbation, the air drag force, the solar pressure, the heating effect, and the orbital ... The paper studies the nonlinear dynamics of a flexible tethered satellite system subject to space environments, such as the J2 perturbation, the air drag force, the solar pressure, the heating effect, and the orbital eccentricity. The flexible tether is modeled as a series of lumped masses and viscoelastic dampers so that a finite multi- degree-of-freedom nonlinear system is obtained. The stability of equilibrium positions of the nonlinear system is then analyzed via a simplified two-degree-freedom model in an orbital reference frame. In-plane motions of the tethered satellite system are studied numerically, taking the space environments into account. A large number of numerical simulations show that the flexible tethered satellite system displays nonlinear dynamic characteristics, such as bifurcations, quasi-periodic oscillations, and chaotic motions. 展开更多
关键词 tethered satellite system flexible tether model space environment stability nonlinear dynamics
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Seismic Response of Submerged Floating Tunnel Tether 被引量:7
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作者 苏志彬 孙胜男 《China Ocean Engineering》 SCIE EI CSCD 2013年第1期43-50,共8页
A mathematical equation for vibration of submerged floating tunnel tether under the effects of earthquake and parametric excitation is presented. Multi-step Galerkin method is used to simplify this equation and the fo... A mathematical equation for vibration of submerged floating tunnel tether under the effects of earthquake and parametric excitation is presented. Multi-step Galerkin method is used to simplify this equation and the fourth-order Runge-Kuta integration method is used for numerical analysis. Finally, vibration response of submerged floating tunnel tether subjected to earthquake and parametric excitation is analyzed in a few numerical examples. The results show that the vibration response of tether varies with the seismic wave type; the steady maximum mid-span displacement of tether subjected to seismic wave keeps constant when parametric resonance takes place; the transient maximum mid-span displacement of tether is related to the peak value of input seismic wave acceleration. 展开更多
关键词 submerged floating tunnel seismic response Runge-Kuta integration method tether parametric excitation
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Parametric Vibration of Submerged Floating Tunnel Tether Under Random Excitation 被引量:6
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作者 孙胜男 苏志彬 《China Ocean Engineering》 SCIE EI 2011年第2期349-356,共8页
For the study of the parametric vibration response of submerged floating tunnel tether under random excitation, a nonlinear random parametric vibration equation of coupled tether and tube of submerged floating tunnel ... For the study of the parametric vibration response of submerged floating tunnel tether under random excitation, a nonlinear random parametric vibration equation of coupled tether and tube of submerged floating tunnel is set up. Subsequently, vibration response of tether in the tether-tube system is analyzed by Monte Carlo method. It may be concluded that when the tube is subjected to zero-mean Gaussian white noise random excitation, the displacement and velocity root mean square responses of tether reach the peak if the circular frequency of tube doubles that of tether; the displacement and velocity root mean square responses of tether increase as the random excitation root mean square increases; owing to the damping force of water, the displacement and velocity root mean square responses of tether decrease rapidly compared with tether in air; increasing the damping of the tether or tube reduces the displacement and velocity root mean square responses of tether; the large-amplitude vibration of tether may be avoided by locating dampers on the tether or tube. 展开更多
关键词 ocean engineering submerged floating tunnel tether parametric vibration random excitation
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Microsurgical efficacy in 326 children with tethered cord syndrome: a retrospective analysis 被引量:7
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作者 Ai-Jia Shang Chang-Hao Yang +4 位作者 Cheng Cheng Ben-Zhang Tao Yuan-Zheng Zhang Hai-Hao Gao Shao-Cong Bai 《Neural Regeneration Research》 SCIE CAS CSCD 2019年第1期149-155,共7页
Tethered cord syndrome is a progressive disease with a typically insidious onset in infants and children, and which can lead to persistent progress of neurological deficits and a high rate of disability without timely... Tethered cord syndrome is a progressive disease with a typically insidious onset in infants and children, and which can lead to persistent progress of neurological deficits and a high rate of disability without timely intervention. The purpose of this study was to investigate the curative effect of microsurgery in children with different types of tethered cord syndrome. In this study, we analyzed 326 patients with tethered cord syndrome, aged from 2 months to 14 years old, who were followed for 3-36 months after microscopic surgery. Based on clinical manifestations and imaging findings, these patients were classified into five types: tight ilium terminale (53 cases), lipomyelome- ningocele (55 cases), lipomatous malformation (124 cases), postoperative adhesions (56 cases), and split cord malformation (38 cases). All patients underwent microsurgery. Curative effects were measured before and 3 months after surgery by Spina Bifida Neurological Scale based on sensory and motor functions, reflexes, and bladder and bowel function. The results showed that Spina Bifida Neurological Scale scores improved in all five types after surgery. Overall effective rates in these patients were 75%. Effective rates were 91% in tight ilium terminale, 84% in lipomyelomeningocele, 65% in lipomatous malformation, 75% in postoperative adhesion, and 79% in split cord mal- formation. Binary logistic regression analysis revealed that types of tethered cord syndrome (lipoma-type or not) and symptom duration before surgery were independent influencing factors of surgical outcome. These results show that therapeutic effect is markedly different in patients with different types of tethered cord syndrome. Suitable clinical classification for tethered cord syndrome will be helpful in predicting prognosis and guiding treatment. This trial has been registered in the Chinese Clinical Trial Registry (registration number: ChiCTR1800016464). 展开更多
关键词 nerve regeneration tethered cord syndrome SURGERY THERAPY PROGNOSIS children patients surgical outcome surgical methods prophylactic surgery spina bifida neural regeneration
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