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Research on the intelligent internet nursing model based on the child respiratory and asthma control test scale for asthma management of preschool children 被引量:1
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作者 Chuan-Feng Pei Li Zhang +2 位作者 Xi-Yan Xu Zhen Qin Hong-Mei Liang 《World Journal of Clinical Cases》 SCIE 2023年第28期6707-6714,共8页
BACKGROUND Childhood asthma is a common respiratory ailment that significantly affects preschool children.Effective asthma management in this population is particularly challenging due to limited communication skills ... BACKGROUND Childhood asthma is a common respiratory ailment that significantly affects preschool children.Effective asthma management in this population is particularly challenging due to limited communication skills in children and the necessity for consistent involvement of a caregiver.With the rise of digital healthcare and the need for innovative interventions,Internet-based models can potentially offer relatively more efficient and patient-tailored care,especially in children.AIM To explore the impact of an intelligent Internet care model based on the child respiratory and asthma control test(TRACK)on asthma management in preschool children.METHODS The study group comprised preschoolers,aged 5 years or younger,that visited the hospital's pediatric outpatient and emergency departments between January 2021 and January 2022.Total of 200 children were evenly and randomly divided into the observation and control groups.The control group received standard treatment in accordance with the 2016 Guidelines for Pediatric Bronchial Asthma and the Global Initiative on Asthma.In addition to above treatment,the observation group was introduced to an intelligent internet nursing model,emphasizing the TRACK scale.Key measures monitored over a six-month period included the frequency of asthma attack,emergency visits,pulmonary function parameters(FEV1,FEV1/FVC,and PEF),monthly TRACK scores,and the SF-12 quality of life assessment.Post-intervention asthma control rates were assessed at six-month follow-up.RESULTS The observation group had fewer asthma attacks and emergency room visits than the control group(P<0.05).After six months of treatment,the children in both groups had higher FEV1,FEV1/FVC,and PEF(P<0.05).Statistically significant differences were observed between the two groups(P<0.05).For six months,children in the observation group had a higher monthly TRACK score than those in the control group(P<0.05).The PCS and MCSSF-12 quality of life scores were relatively higher than those before the nursing period(P<0.05).Furthermore,the groups showed statistically significant differences(P<0.05).The asthma control rate was higher in the observation group than in the control group(P<0.05).CONCLUSION TRACK based Intelligent Internet nursing model may reduce asthma attacks and emergency visits in asthmatic children,improve lung function,quality of life,and the TRACK score and asthma control rate.The effect of nursing was significant,allowing for development of an asthma management model. 展开更多
关键词 Child respiratory and asthma control test scale Intelligent internet nursing model PRESCHOOLERS Childhood asthma Administration Healthcare
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Model Reference Adaptive Control for Switched Systems with Closed-loop Reference Model Under Arbitrary Switching
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作者 Hao Yang Jing Xie Jun Zhao 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 2019年第3期35-42,共8页
This paper explores the model reference adaptive control problem for a class of switched linear systems under arbitrary switching with no need for the measurability of the system state.Based on the state of reference ... This paper explores the model reference adaptive control problem for a class of switched linear systems under arbitrary switching with no need for the measurability of the system state.Based on the state of reference model and the measurable output error, adaptive laws and controllers are designed for switched systems.Each subsystem may have its individual reference model and controller, which increases the design flexibility.The introduction of the closed-loop reference model is to get a better transient performance of the whole switched systems.A numerical example is provided to verify the effectiveness of the main results. 展开更多
关键词 SWITCHED systems model REFERENCE adaptive control common LYAPUNOV function arbitrary switching the closed-loop REFERENCE model
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Theoretical modeling of airways pressure waveform for dual-controlled ventilation with physiological pattern and linear respiratory mechanics
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作者 Francesco Montecchia 《Journal of Biomedical Science and Engineering》 2011年第4期320-340,共21页
The present paper describes the theoretical treatment performed for the geometrical optimization of advanced and improved-shape waveforms as airways pressure excitation for controlled breathings in dual-controlled ven... The present paper describes the theoretical treatment performed for the geometrical optimization of advanced and improved-shape waveforms as airways pressure excitation for controlled breathings in dual-controlled ventilation applied to anaesthetized or severe brain injured patients, the respiratory mechanics of which can be assumed linear. Advanced means insensitive to patient breathing activity as well as to ventilator settings while improved-shape intends in comparison to conventional square waveform for a progressive approaching towards physiological transpulmonary pressure and respiratory airflow waveforms. Such functional features along with the best ventilation control for the specific therapeutic requirements of each patient can be achieved through the implementation of both diagnostic and compensation procedures effectively carried out by the Advance Lung Ventilation System (ALVS) already successfully tested for square waveform as airways pressure excitation. Triangular and trapezoidal waveforms have been considered as airways pressure excitation. The results shows that the latter fits completely the requirements for a physiological pattern of endoalveolar pressure and respiratory airflow waveforms, while the former exhibits a lower physiological behaviour but it is anyhow periodically recommended for performing adequately the powerful diagnostic procedure. 展开更多
关键词 mathematical modeling mechanical ventilation controlled BREATHING pressure and airflow WAVEFORMS respiratory mechanics TIDAL and MINUTE VOLUMES
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A closed-loop particle swarm optimizer for multivariable process controller design 被引量:2
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作者 Kai HAN Jun ZHAO +1 位作者 Zu-hua XU Ji-xin QIAN 《Journal of Zhejiang University-Science A(Applied Physics & Engineering)》 SCIE EI CAS CSCD 2008年第8期1050-1060,共11页
Design of general multivariable process controllers is an attractive and practical alternative to optimizing design by evolutionary algorithms (EAs) since it can be formulated as an optimization problem. A closed-loop... Design of general multivariable process controllers is an attractive and practical alternative to optimizing design by evolutionary algorithms (EAs) since it can be formulated as an optimization problem. A closed-loop particle swarm optimization (CLPSO) algorithm is proposed by mapping PSO elements into the closed-loop system based on control theories. At each time step, a proportional integral (PI) controller is used to calculate an updated inertia weight for each particle in swarms from its last fitness. With this modification, limitations caused by a uniform inertia weight for the whole population are avoided, and the particles have enough diversity. After the effectiveness, efficiency and robustness are tested by benchmark functions, CLPSO is applied to design a multivariable proportional-integral-derivative (PID) controller for a solvent dehydration tower in a chemical plant and has improved its performances. 展开更多
关键词 Multivariable process control Proportional-integral-derivative (PID) control model predictive control (MPC) Particle swarm optimization (PSO) closed-loop system
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Similarities of Model Predictive Control and Constrained Direct Inverse
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作者 László Richárd Tóth Lajos Nagy Ferenc Szeifert 《Intelligent Control and Automation》 2012年第3期278-283,共6页
To reach an acceptable controller strategy and tuning it is important to state what is considered “good”. To do so one can set up a closed-loop specification or formulate an optimal control problem. It is an interes... To reach an acceptable controller strategy and tuning it is important to state what is considered “good”. To do so one can set up a closed-loop specification or formulate an optimal control problem. It is an interesting question, if the two can be equivalent or not. In this article two controller strategies, model predictive control (MPC) and constrained direct inversion (CDI) are compared in controlling the model of a pilot-scale water heater. Simulation experiments show that the two methods are similar, if the manipulator movements are not punished much in MPC, and they act practically the same when a filtered reference signal is applied. Even if the same model is used, it is still important to choose tuning parameters appropriately to achieve similar results in both strategies. CDI uses an analytic approach, while MPC uses numeric optimization, thus CDI is more computationally efficient, and can be used either as a standalone controller or to supplement numeric optimization. 展开更多
关键词 model PREDICTIVE control INVERSE control Objective Function closed-loop Specification Heat Transfer
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Data-Driven Model Identification and Control of the Inertial Systems
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作者 Irina Cojuhari 《Intelligent Control and Automation》 2023年第1期1-18,共18页
In the synthesis of the control algorithm for complex systems, we are often faced with imprecise or unknown mathematical models of the dynamical systems, or even with problems in finding a mathematical model of the sy... In the synthesis of the control algorithm for complex systems, we are often faced with imprecise or unknown mathematical models of the dynamical systems, or even with problems in finding a mathematical model of the system in the open loop. To tackle these difficulties, an approach of data-driven model identification and control algorithm design based on the maximum stability degree criterion is proposed in this paper. The data-driven model identification procedure supposes the finding of the mathematical model of the system based on the undamped transient response of the closed-loop system. The system is approximated with the inertial model, where the coefficients are calculated based on the values of the critical transfer coefficient, oscillation amplitude and period of the underdamped response of the closed-loop system. The data driven control design supposes that the tuning parameters of the controller are calculated based on the parameters obtained from the previous step of system identification and there are presented the expressions for the calculation of the tuning parameters. The obtained results of data-driven model identification and algorithm for synthesis the controller were verified by computer simulation. 展开更多
关键词 Data-Driven model Identification controller Tuning Undamped Transient Response closed-loop System Identification PID controller
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Review of Field Weakening Control Strategies of Permanent Magnet Synchronous Motors 被引量:3
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作者 Runze Jing Gaolin Wang +1 位作者 Guoqiang Zhang Dianguo Xu 《CES Transactions on Electrical Machines and Systems》 EI CSCD 2024年第3期319-331,共13页
Due to high power density,high efficiency,and accurate control performance,permanent magnet synchronous motors(PMSMs)have been widely adopted in equipment manufacturing and energy transformation fields.To expand the s... Due to high power density,high efficiency,and accurate control performance,permanent magnet synchronous motors(PMSMs)have been widely adopted in equipment manufacturing and energy transformation fields.To expand the speed range under finite DC-bus voltage,extensive research on field weakening(FW)control strategies has been conducted.This paper summarizes the major FW control strategies of PMSMs,which are categorized into calculation-based methods,voltage closed-loop control methods,and model predictive control related methods.The existing strategies are analyzed and compared according to performance,robustness,and execution difficulty,which can facilitate the implementation of FW control. 展开更多
关键词 Calculation-based methods Field weakening control model predictive control Permanent magnet synchronous motor OVERMODULATION Voltage closed-loop control
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Control of epileptiform spikes based on nonlinear unscented Kalman filter 被引量:1
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作者 刘仙 高庆 李小俚 《Chinese Physics B》 SCIE EI CAS CSCD 2014年第1期41-48,共8页
A new control strategy based on nonlinear unscented Kalman filter(UKF) is proposed for a neural mass model that serves as a model for simulating real epileptiform stereo-electroencephalographic (SEEG) signals. The UKF... A new control strategy based on nonlinear unscented Kalman filter(UKF) is proposed for a neural mass model that serves as a model for simulating real epileptiform stereo-electroencephalographic (SEEG) signals. The UKF is used as an observer to estimate the state from the noisy measurement because it has been proved to be effective for state estimation of nonlinear systems. A UKF controller is constructed via the estimated state and is illustrated to be effective for epileptiform spikes suppression of aforementioned model by numerical simulations. 展开更多
关键词 unscented Kalman filter(UKF) control epileptiform spike closed-loop control neural mass model
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CONTINUOUS-TIME GENERALIZED PREDICTIVECONTROL WITH POLE-PLACEMENT
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作者 吕剑虹 徐治皋 陈来九 《Journal of Southeast University(English Edition)》 EI CAS 1994年第1期81-88,共8页
Denurcioslu et al. presented a method named continuous-time general-ized predictive control(CGPC) in 1991, which is obtained on the basis of the mini-mization of a quadratic cost function. However, In engineering prac... Denurcioslu et al. presented a method named continuous-time general-ized predictive control(CGPC) in 1991, which is obtained on the basis of the mini-mization of a quadratic cost function. However, In engineering practice, the behav-ior of a control system is generally evaluated by observing its dynamic response con-cerned mainly with the clused-loup poles uf the system. A CGPC algorithm withclosed-loop pole-placement is propused in this paper which advances the results byDemircioglu et al. 展开更多
关键词 PREDICTIVE control POLE-PLACEMENT closed-loop model
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DMAIC持续改进模型对呼吸系统疾病诊疗设备管理的效果分析
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作者 刘佳 李静 +2 位作者 李新楠 穆秋燃 吴婧 《中国医学装备》 2025年第9期103-108,共6页
目的:探讨定义、测量、分析、改进和控制(DMAIC)5个阶段持续改进模型对呼吸系统疾病诊疗设备管理的效果。方法:针对呼吸系统疾病诊疗设备管理问题,结合DMAIC持续改进模型的5个阶段,制定多元管理对策。选取2021年8月至2023年7月新疆维吾... 目的:探讨定义、测量、分析、改进和控制(DMAIC)5个阶段持续改进模型对呼吸系统疾病诊疗设备管理的效果。方法:针对呼吸系统疾病诊疗设备管理问题,结合DMAIC持续改进模型的5个阶段,制定多元管理对策。选取2021年8月至2023年7月新疆维吾尔自治区人民医院呼吸内科临床在用的80台诊疗设备,将2021年8月至2022年7月的设备管理采用传统管理方法,2022年8月至2023年7月的设备管理采用呼吸系统疾病诊疗设备DMAIC持续改进模型管理方法(持续改进管理方法)。比较两种管理方法的设备失效占比、风险评估评分、检查合格率和设备操作使用人员满意度评分。结果:采用持续改进管理方法的呼吸系统疾病诊疗设备平均故障停机、造成外界伤害、开机自检异常、质量检测不合格和治疗运行质量差的平均失效占比分别为(1.58±0.51)%、(0.34±0.10)%、(0.65±0.20)%、(2.08±0.53)%和(1.61±0.52)%,均低于传统管理方法,差异均有统计学意义(t=14.512、11.205、24.354、17.169、17.663,P<0.05);设备可探测度、严重程度和发生概率风险评估评分均低于传统管理方法,差异均有统计学意义(t=10.478、6.930、9.407,P<0.05);设备检查合格率高于传统管理方法,差异有统计学意义(x^(2)=9.642,P<0.05)。设备操作使用人员对采用持续改进管理方法的呼吸系统疾病诊疗设备的性能、设备清洁度和及时性满意度评分均高于传统管理方法,差异均有统计学意义(t=2.204、2.268、2.604,P<0.05)。结论:呼吸系统疾病诊疗设备DMAIC持续改进模型管理方法能够显著提升设备管理水平,降低设备失效风险,提高设备使用效率和操作使用人员满意度。 展开更多
关键词 DMAIC持续改进模型 呼吸系统疾病 设备管理 根本原因分析
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持续缺氧对闭环呼吸系统的影响及其动力学机制研究
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作者 夏露源 段利霞 王智慧 《力学学报》 北大核心 2025年第3期782-800,共19页
呼吸控制系统精确控制呼吸节律的生成和维持,以适应机体在不同生理和病理状态下的需求.当机体动脉血中的氧分压低于正常范围时,可能引发病理性呼吸急促.Pre-Bötzinger复合体作为呼吸节律起源的关键部位,其中包含呼气神经元、吸气... 呼吸控制系统精确控制呼吸节律的生成和维持,以适应机体在不同生理和病理状态下的需求.当机体动脉血中的氧分压低于正常范围时,可能引发病理性呼吸急促.Pre-Bötzinger复合体作为呼吸节律起源的关键部位,其中包含呼气神经元、吸气神经元和跨时相神经元,这些神经元通过神经调节和化学调节等多种机制协同工作,共同调控呼吸节律.呼吸过程涉及神经元网络的放电活动、肺泡的扩张与收缩、以及血液中氧气的传输等多个时间尺度的相互作用.在一定的缺氧条件下,闭环系统可以实现自我恢复.文章主要研究在不同的初始放电状态时,持续性缺氧干扰后系统的自我恢复能力.研究结果表明,系统的恢复情况可分为:完全恢复至常氧水平、部分恢复至轻度缺氧水平或完全无法恢复.基于方波电流的简洁性,简化了模型并应用动力学分析方法,探讨了产生不同缺氧反应的动力学机制.分岔分析表明,系统在施加持续缺氧前、缺氧过程中、移除缺氧后以及再次达到稳定状态的各个阶段的分岔结构变化是影响系统恢复能力的关键因素,并且只有缺氧前后分岔结构不发生改变的情形下,系统才具备自我恢复至常氧的能力.本研究增进了持续缺氧干扰对呼吸节律影响的理解,研究节律恢复的外部因素和生理条件的联系,以及节律恢复的内在动力学机制. 展开更多
关键词 呼吸节律 闭环呼吸控制模型 分岔分析 快慢变量分离 簇放电
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基于呼吸参数的模拟管制工作负荷预测模型研究
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作者 张荣 张茜 +1 位作者 史文萱 靖晴 《交通运输系统工程与信息》 北大核心 2025年第4期317-325,共9页
为探究人体呼吸参数与管制工作负荷的关系,本文选取27名被试开展模拟管制实验,对不同类型工作负荷下被试的呼吸参数进行采集分析。首先,根据Spearman秩相关系数计算结果,分别获取与脑力和体力管制工作负荷显著相关的呼吸参数。然后,基... 为探究人体呼吸参数与管制工作负荷的关系,本文选取27名被试开展模拟管制实验,对不同类型工作负荷下被试的呼吸参数进行采集分析。首先,根据Spearman秩相关系数计算结果,分别获取与脑力和体力管制工作负荷显著相关的呼吸参数。然后,基于有序Logistic模型方法,以显著相关的呼吸参数为自变量,5类不同严重程度的脑力和体力管制工作负荷为因变量,构建脑力负荷和体力负荷严重程度预测模型并进行似然比和拟合优度检验。进一步,绘制ROC(Receiver Operating Characteristic)曲线,检验预测模型的性能;最后,使用交叉表评价方法预测模型的准确率。结果表明:呼吸参数中,呼吸周期与脑力负荷显著相关,呼吸周期、呼吸幅值和吸呼比与体力负荷显著相关。在0.05的显著性水平下,构建的脑力负荷和体力负荷严重程度预测模型拟合效果良好,整体AUC(Area Under Curve)分别为0.679和0.753,模型均具有一定的检测性能。交叉表评价结果表明,模型对脑力和体力负荷中的高负荷状态预测效果最好,准确率分别高达88.9%和83.3%。本文研究结果能够为基于呼吸参数的管制工作负荷监测提供一定参考价值。 展开更多
关键词 航空运输 预测模型 Spearman秩相关系数 有序Logistic模型 管制工作负荷 呼吸参数
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Research on Propeller Dynamic Load Simulation System of Electric Propulsion Ship 被引量:12
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作者 黄辉 沈爱弟 褚建新 《China Ocean Engineering》 SCIE EI CSCD 2013年第2期255-263,共9页
A dynamic marine propeller simulation system was developed, which is utilized for meeting the experimental requirement of theory research and engineering design of marine electric propulsion system. By applying an act... A dynamic marine propeller simulation system was developed, which is utilized for meeting the experimental requirement of theory research and engineering design of marine electric propulsion system. By applying an actual ship parameter and its accurate propeller J' -KT' and J' - Kp' curve data, functional experiments based on the simulation system were carried out. The experiment results showed that the system can correctly emulate the propeller characteristics, produce the dynamic and steady performances of the propeller under different navigation modes, and present actual load torque for electric propulsion motor. 展开更多
关键词 electric propulsion ship-propeller model dynamic load emulation torque closed-loop control
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电磁感应驱动下闭环呼吸控制系统中的混合节律及其动力学分析 被引量:2
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作者 陈雪丽 夏露源 +1 位作者 王智慧 段利霞 《物理学报》 SCIE EI CAS CSCD 北大核心 2024年第18期54-68,共15页
Pre-Botzinger复合体是哺乳类动物呼吸节律起源的关键部位.外周化学感受器可通过监测血液中氧气和二氧化碳浓度的变化,显著影响呼吸节律.本文基于pre-Botzinger复合体神经元,同时考虑运动池、肺容积、肺氧、血氧以及化学感受器等因素,... Pre-Botzinger复合体是哺乳类动物呼吸节律起源的关键部位.外周化学感受器可通过监测血液中氧气和二氧化碳浓度的变化,显著影响呼吸节律.本文基于pre-Botzinger复合体神经元,同时考虑运动池、肺容积、肺氧、血氧以及化学感受器等因素,建立了电磁感应驱动的闭环呼吸控制模型.研究发现,在不同电磁感应驱动下,系统的缺氧反应受到磁流反馈系数的控制.通过分岔分析和数值模拟,揭示了磁流反馈系数对呼吸节律的恢复能力具有显著影响,并阐明了产生不同缺氧反应的动力学机制.此外,研究发现在电磁感应驱动下,闭环系统中混合簇放电节律能够自动恢复的条件为缺氧扰动前后的分岔结构完全相同;而当缺氧扰动前后的分岔结构不同,系统中混合簇放电节律则不能自动恢复.对于较轻电磁感应驱动下不能自动恢复的情形,适当增大磁流反馈系数能使系统自动恢复,这与Hopf分岔、极限环的鞍结分岔密切相关.本研究有助于理解呼吸中枢与外周化学感受反馈的相互作用对呼吸节律的影响以及外部感应对缺氧反应的控制作用. 展开更多
关键词 呼吸节律 闭环呼吸控制模型 分岔分析 电磁感应
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单气腔仿肺软体驱动器建模与变形特性分析 被引量:2
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作者 张来喜 文伟韬 +2 位作者 孟文强 徐丰羽 马凯威 《仪器仪表学报》 EI CAS CSCD 北大核心 2024年第7期176-188,共13页
放射治疗是肺癌治疗的重要手段,然而肺部肿瘤随呼吸运动产生的空间运动,对精准放疗提出了挑战。针对目前精准放射治疗中图像引导带来的对健康组织的额外辐射剂量问题,本文提出一种利用仿肺软体驱动器体外模拟肺的呼吸变形运动,通过建模... 放射治疗是肺癌治疗的重要手段,然而肺部肿瘤随呼吸运动产生的空间运动,对精准放疗提出了挑战。针对目前精准放射治疗中图像引导带来的对健康组织的额外辐射剂量问题,本文提出一种利用仿肺软体驱动器体外模拟肺的呼吸变形运动,通过建模预测肺部肿瘤运动的思路,从而减少患者接受额外辐射剂量,实现精准并安全的放射治疗。首先利用CT图像精准完成肺部的外形还原,然后得到的肺部随呼吸的变形运动规律。在此基础上,设计了肺部空腔的形态,并通过变形仿真验证了结构设计的合理性,据此制作了仿肺软体驱动器样机。最后,通过给予离散化的周期性气压来模拟实际的呼吸状态对样机进行了测试。实验结果表明:所设计仿肺软体驱动器可以按预期完成呼吸变形模拟,最大气压为45 kPa,最大轴向位移为5.9 mm,最大径向位移为3.4 mm。仿肺软体驱动器具有良好的呼吸运动变形模拟效果,可以为肺部肿瘤精准安全放射治疗提供借鉴。 展开更多
关键词 仿肺软体驱动器 逆向建模 呼吸运动 变形控制
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优秀耐力运动员吸氧量随心率变化的二维动态数学模型及其数理关系的研究
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作者 黄耕文 范晓燕 +3 位作者 简坤林 邓伟明 张智祥 周蓉晖 《四川体育科学》 1997年第Z1期29-32,共4页
从运动医学和医用数学的角度,探讨我国优秀耐力性运动员心肺功能吸氧量与心率之间存在的二维动态数理关系,以达到在同一动态数理关系体系中,只要获得其中心率指标的动态变化数据输入,即可求出吸氧量指标的变化数据之目的。
关键词 心肺功能 吸氧量 心率 数学模型 医务监督
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高流量呼吸湿化治疗仪的机理分析与数据建模 被引量:2
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作者 魏立峰 杨私 +2 位作者 李雨桐 周成广 孙明仪 《计算机测量与控制》 2020年第6期257-260,265,共5页
绝对湿度是高流量呼吸湿化治疗仪的重要控制参数,控制不当会影响治疗效果,建立准确稳态模型是控制绝对湿度的基础;通过对湿化仪的系统结构和工作原理进行研究,建立湿化仪稳态过程的机理模型;此模型具有多元、高阶次和非线性且缺少部分... 绝对湿度是高流量呼吸湿化治疗仪的重要控制参数,控制不当会影响治疗效果,建立准确稳态模型是控制绝对湿度的基础;通过对湿化仪的系统结构和工作原理进行研究,建立湿化仪稳态过程的机理模型;此模型具有多元、高阶次和非线性且缺少部分可测参数,难以实现模型的精确辨识;采用多元线性拟合方法,建立以湿化罐出气口温度为控制目标的稳态模型,仪器测试结果表明通过对湿化罐出气口温度进行控制,实现了对湿化罐出气口绝对湿度的间接控制,验证了数据模型的有效性和实用性。 展开更多
关键词 高流量呼吸湿化治疗仪 绝对湿度 稳态模型 间接控制
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整体管理模式在基层医院呼吸道传播疾病中的应用效果分析 被引量:1
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作者 张霞 《中国当代医药》 2014年第35期148-149,152,共3页
目的探讨整体管理模式在基层医院呼吸道传播疾病中的应用效果。方法选取2011年2月~2012年2月在本院就诊的120例患者作为研究对象,随机分为对照组和观察组,各60例,对照组采用常规管理模式,观察组采用整体管理模式,比较两组的院内感染发... 目的探讨整体管理模式在基层医院呼吸道传播疾病中的应用效果。方法选取2011年2月~2012年2月在本院就诊的120例患者作为研究对象,随机分为对照组和观察组,各60例,对照组采用常规管理模式,观察组采用整体管理模式,比较两组的院内感染发生率和患者满意度。结果观察组的院内感染发生率显著低于对照组,差异有统计学意义(P〈0.05)。观察组的患者满意度显著优于对照组,差异有统计学意义(P〈0.05)。结论整体管理模式在基层医院呼吸道传播疾病中的应用效果显著,可降低院内感染发生率,提高患者满意度,值得临床推广应用。 展开更多
关键词 基层医院 呼吸道传播 管理模式 防控
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Artificial intelligence for closed-loop ventilation therapy with hemodynamic control using the open lung concept
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作者 Anake Pomprapa Danita Muanghong +5 位作者 Marcus Köny Steffen Leonhardt Philipp Pickerodt Onno Tjarks David Schwaiberger Burkhard Lachmann 《International Journal of Intelligent Computing and Cybernetics》 EI 2015年第1期50-68,共19页
Purpose–The purpose of this paper is to develop an automatic control system for mechanical ventilation therapy based on the open lung concept(OLC)using artificial intelligence.In addition,mean arterial blood pressure... Purpose–The purpose of this paper is to develop an automatic control system for mechanical ventilation therapy based on the open lung concept(OLC)using artificial intelligence.In addition,mean arterial blood pressure(MAP)is stabilized by means of a decoupling controller with automated noradrenaline(NA)dosage to ensure adequate systemic perfusion during ventilation therapy for patients with acute respiratory distress syndrome(ARDS).Design/methodology/approach–The aim is to develop an automatic control system for mechanical ventilation therapy based on the OLC using artificial intelligence.In addition,MAP is stabilized by means of a decoupling controller with automated NA dosage to ensure adequate systemic perfusion during ventilation therapy for patients with ARDS.Findings–Thisinnovativeclosed-loop mechanicalventilation system leadsto a significant improvement in oxygenation,regulates end-tidal carbon dioxide for appropriate gas exchange and stabilizes MAP to guarantee proper systemic perfusion during the ventilation therapy.Research limitations/implications–Currently,this automatic ventilation system based on the OLC can only be applied in animal trials;for clinical use,such a system generally requires a mechanical ventilator and sensors with medical approval for humans.Practical implications–For implementation of a closed-loop ventilation system,reliable signals from the sensors are a prerequisite for successful application.Originality/value–Theexperiment with porcine dynamics demonstrates thefeasibility and usefulness of this automatic closed-loop ventilation therapy,with hemodynamic control for severe ARDS.Moreover,this pilot study validated a new algorithm for implementation of the OLC,whereby all control objectives are fulfilled during the ventilation therapy with adequate hemodynamic control of patients with ARDS. 展开更多
关键词 Artificial intelligence Acute respiratory distress syndrome(ARDS) closed-loop mechanical ventilation Electrical impedance tomography(EIT) Hemodynamic control Open lung concept
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对歌唱发声的几个重要感觉的把握与理解
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作者 付昀 《四川教育学院学报》 2008年第9期40-41,共2页
文章从客观角度力图解释歌唱发声过程中的诸如歌唱发声与话语声的区别,歌唱时的对抗控制感觉等问题。并从生理学和歌唱感觉的主客观关联上进行了一定探讨,从中寻找出一条声乐理论研究的新路子。
关键词 歌唱发声 歌唱感觉 呼吸肌群 发声的双重控制 歌唱感觉模式
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