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L_1 adaptive control with sliding-mode based adaptive law 被引量:2
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作者 Jie LUO Chengyu CAO 《Control Theory and Technology》 EI CSCD 2015年第3期221-229,共9页
This paper presents an adaptive control scheme with an integration of sliding mode control into the L1 adaptive control architecture, which provides good tracking performance as well as robustness against matched unce... This paper presents an adaptive control scheme with an integration of sliding mode control into the L1 adaptive control architecture, which provides good tracking performance as well as robustness against matched uncertainties. Sliding mode control is used as an adaptive law in the L1 adaptive control architecture, which is considered as a virtual control of error dynamics between estimated states and real states. Low-pass filtering mechanism in the control law design prevents a discontinuous signal in the adaptive law from appearing in actual control signal while maintaining control accuracy. By using sliding mode control as a virtual control of error dynamics and introducing the low-pass filtered control signal, the chattering effect is eliminated. The performance bounds between the close-loop adaptive system and the closed-loop reference system are characterized in this paper. Numerical simulation is provided to demonstrate the performance of the presented adaptive control scheme. 展开更多
关键词 L1 adaptive control sliding-mode control matched uncertainties
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Mixed L_1/H-infinity control for uncertain linear singular systems
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作者 Xiaofu JI Yukun SUN +1 位作者 Yonghong HUANG Hongye SU 《控制理论与应用(英文版)》 EI 2009年第2期134-138,共5页
The mixed L1/H-infinity control problem for a class of uncertain linear singular systems is considered using a matrix inequality approach. The purpose is to design a state feedback control law such that the resultant ... The mixed L1/H-infinity control problem for a class of uncertain linear singular systems is considered using a matrix inequality approach. The purpose is to design a state feedback control law such that the resultant closed-loop system is regular, impulse-free, stable and satisfies some given mixed L1/H-infinity performance. A sufficient condition for the existence of such control law is given in terms of a set of matrix inequalities by the introduction of inescapable set and *-norm. When these matrix inequalities are feasible, an explicit expression of the desired state feedback control law is given. A numerical example is used to demonstrate the applicability of the proposed approach. 展开更多
关键词 Mixed L 1/H-infinity optimization Robust control Uncertain linear singular system Matrix inequality
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L_1 adaptive controller of nonlinear reference system in presence of unmatched uncertainties
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作者 宋海涛 张涛 张国良 《Journal of Central South University》 SCIE EI CAS CSCD 2016年第4期834-840,共7页
An extension of L_1 adaptive control is proposed for the unmatched uncertain nonlinear system with the nonlinear reference system that defines the performance specifications. The control law adapts fast and tracks the... An extension of L_1 adaptive control is proposed for the unmatched uncertain nonlinear system with the nonlinear reference system that defines the performance specifications. The control law adapts fast and tracks the reference system with the guaranteed robustness and transient performance in the presence of unmatched uncertainties. The interval analysis is used to build the quasi-linear parameter-varying model of unmatched nonlinear system, and the robust stability of the proposed controller is addressed by sum of squares programming. The transient performance analysis shows that within the limit of hardware a large adaption gain can improve the asymptotic tracking performance. Simulation results are provided to demonstrate the theoretical findings of the proposed controller. 展开更多
关键词 L1 adaptive controller unmatched uncertainties ROBUSTNESS transient performance
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Feedforward compensation-based L1 adaptive control for aeropropulsion system test facility and hardware-in-the-loop verification
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作者 Jiashuai LIU Ai HE +1 位作者 Xitong PEI Yifu LONG 《Chinese Journal of Aeronautics》 2025年第3期85-95,共11页
Aeropropulsion System Test Facility (ASTF) is required to accurately control the pressure and temperature of the airflow to test the performance of the aero-engine. However, the control accuracy of ASTF is significant... Aeropropulsion System Test Facility (ASTF) is required to accurately control the pressure and temperature of the airflow to test the performance of the aero-engine. However, the control accuracy of ASTF is significantly affected by the flow disturbance caused by aero-engine acceleration and deceleration. This would reduce the credibility of ASTF’s test results for the aero-engine. Therefore, first, this paper proposes a feedforward compensation-based L1 adaptive control method for ASTF to address this problem. The baseline controller is first designed based on ideal uncoupled closed-loop dynamics to achieve dynamic decoupling. Then, L1 adaptive control is adopted to deal with various uncertainties and ensure good control performance. To further enhance the anti-disturbance performance, a feedforward strategy based on disturbance prediction is designed in the L1 adaptive control framework to compensate for the unmatched flow disturbance, which cannot be measured directly. In addition, this strategy takes into account the effects of actuator dynamics. With this method, the feedforward term can be determined from the nominal model parameters despite uncertainties. Finally, to demonstrate the effectiveness of the proposed method, various comparative experiments are performed on a hardware-in-the-loop system of ASTF. The experimental results show that the proposed method possesses excellent tracking performance, anti-disturbance performance and robustness. 展开更多
关键词 L_(1)adaptive control Feedforward compensation DISTURBANCE COUPLING Hardware-in-the-loop simulation Aeropropulsion system test facility
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Glycated hemoglobin is not enough:The role of glycemia risk index for glycemic control assessment in type 1 diabetes
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作者 Bin-Bin He Zi-Zhu Liu +6 位作者 Ruo-Yao Xu Li Fan Rui Guo Chao Deng Yu-Ting Xie Zhi-Guang Zhou Xia Li 《World Journal of Diabetes》 2025年第6期172-185,共14页
BACKGROUND Glycated hemoglobin(HbA1c),the gold standard for assessing glycemic control,has limited ability to reflect the risks of hypoglycemia and glycemic variability,raising great concerns,especially in patients wi... BACKGROUND Glycated hemoglobin(HbA1c),the gold standard for assessing glycemic control,has limited ability to reflect the risks of hypoglycemia and glycemic variability,raising great concerns,especially in patients with type 1 diabetes(T1D).The glycemia risk index(GRI),a composite metric derived from continuous glucose monitoring(CGM),has emerged as a potential solution by systematically in-tegrating both hypoglycemia and hyperglycemia risks into a single interpretable score.The GRI exhibited linear correlations with HbA1c(r=0.53),time in range(r=-0.90),time above range(r=0.63),time below range(TBR)(r=0.37),and co-efficient of variation(CV)(r=0.71).It correlated strongly with TBR and CV than HbA1c.The association between HbA1c levels and GRI was influenced by TBR and CV.At a given HbA1c,each 1%increase in TBR or CV raised GRI by 1.87[95%confidence interval(CI):1.72-2.01]and 1.94(95%CI:1.80-2.10),respectively(P<0.001).Clustering of the CGM data identified four subgroups:Moderate-risk glycemic fluctuations,high-risk hypoglycemia,optimal glycemic control,and high-risk hyperglycemia.The GRI and its components for hypoglycemia and hyperglycemia could distinguish between these subgroups.CONCLUSION The GRI offers a comprehensive view of glycemic control in T1D.Combining HbA1c with the GRI enables accurate assessment for managing glycemic control in patients with T1D. 展开更多
关键词 Continuous glucose monitoring Glycemia risk index Glycated hemoglobin Glycemic control assessment Type 1 diabetes
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Controllable growth of wafer-scale two-dimensional PdS_(2x)Se_(2(1-x))nanofilms with fully tunable compositions for high-performance photodetectors
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作者 Huan Zhou Yulong Hao +10 位作者 Chen Fan Shiwei Zhang Chen Wang Kaiyi Wang Jie Zhou Shijie Hao Ting Shu Xuemei Lu Bo Li Yongqiang Yu Guolin Hao 《Journal of Materials Science & Technology》 2025年第25期200-207,共8页
Two-dimensional(2D)noble transition-metal dichalcogenide materials(NTMDs)have garnered remarkable attention due to their intriguing properties exhibiting potential applications in nanoelectronics,optoelectronics,and p... Two-dimensional(2D)noble transition-metal dichalcogenide materials(NTMDs)have garnered remarkable attention due to their intriguing properties exhibiting potential applications in nanoelectronics,optoelectronics,and photonics.The electronic structure and physical properties of 2D NTMDs can be effectively modulated using alloy engineering strategy.Nevertheless,the precise growth of wafer-scale 2D NTMDs alloys remains a significant challenge.In this work,we have achieved the controllable preparation of wafer-scale(2-inch)2D PdS_(2x)Se_(2(1-x)) nanofilms(NFs)with fully tunable compositions on various substrates using pre-deposited Pd NFs assisted chemical vapor deposition technique.High-performance photodetectors based on the PdS_(2x)Se_(2(1-x))NFs were fabricated,which exhibit broadband photodetection performance from visible to near-infrared(NIR)wavelength range at room temperature.Significantly,the PdS0.9Se1.1-based photodetectors display a responsivity up to 0.192 A W^(-1) and a large specific detectivity of 5.5×1011 Jones for 850 nm light,enabling an excellent high-resolution NIR single-pixel imaging(SPI)without an additional filtering circuit.Our work paves a new route for the controlled synthesis of wafer-scale and high-quality 2D NTMDs alloy NFs,which is essential for designing advanced optoelectronic devices. 展开更多
关键词 PdS_(2x)Se_(2(1-x)) NANOFILMS Wafer-scale controllable growth PHOTODETECTORS Single-pixel imaging
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Optimizing risk management for post-amputation wound complications in diabetic patients: Focus on glycemic and immunosuppressive control
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作者 Zhi-Peng Li Jin-Ke Sun +1 位作者 Wei-Ping Fu Chang-Jiang Zhang 《World Journal of Diabetes》 2025年第3期277-283,共7页
This study highlights the importance of identifying and addressing risk factors associated with wound complications following transtibial amputation in diabetic patients.These amputations,often necessitated by severe ... This study highlights the importance of identifying and addressing risk factors associated with wound complications following transtibial amputation in diabetic patients.These amputations,often necessitated by severe diabetic foot ulcers,carry significant risks of postoperative complications such as infection and delayed wound healing.Elevated hemoglobin A1c levels,indicative of poor glycemic control,and a history of kidney transplantation,due to required immunosuppressive therapy,are key factors influencing these outcomes.This paper emphasizes the need for enhanced glycemic management and personalized postoperative care,particularly for immunocompromised individuals,to minimize complications and improve patient prognosis.Future research should focus on prospective studies to validate targeted interventions and optimize care strategies,ultimately aiming to reduce the healthcare burden associated with diabetic foot complications. 展开更多
关键词 Transtibial amputation Diabetic foot Wound complications Risk factors Glycemic control Hemoglobin A1c Immunosuppressive therapy Kidney transplantation Personalized care Postoperative outcomes
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基于T-S模糊模型的不确定时滞系统鲁棒L_1滤波 被引量:7
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作者 李艳辉 周秀杰 刘俊丽 《控制与决策》 EI CSCD 北大核心 2016年第5期895-900,共6页
针对外部干扰信号为峰值有界的不确定时滞系统,提出一种新的基于T-S模糊模型的鲁棒1滤波方法.根据平行分布补偿法(PDC)和Lyapunov稳定性理论,构造模糊基依赖Lyapunov-Krasovskii泛函,并利用积分不等式方法,建立基于T-S模糊模型的不确定... 针对外部干扰信号为峰值有界的不确定时滞系统,提出一种新的基于T-S模糊模型的鲁棒1滤波方法.根据平行分布补偿法(PDC)和Lyapunov稳定性理论,构造模糊基依赖Lyapunov-Krasovskii泛函,并利用积分不等式方法,建立基于T-S模糊模型的不确定时滞系统的时滞相关峰值—–峰值(L_1)性能判据.最后通过LMI技术将鲁棒1滤波器设计问题转化为LMIs的凸优化求解问题.仿真示例验证了所提出方法的有效性. 展开更多
关键词 T-S模糊模型 鲁棒L_1滤波 时滞相关 模糊基依赖 线性矩阵不等式
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方差无穷非线性自回归序列的自加权L_1估计 被引量:2
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作者 周杰 刘三阳 张正策 《高校应用数学学报(A辑)》 CSCD 北大核心 2008年第2期193-199,共7页
对具有无穷方差的非线性自回归序列x_t=φ(x_(t-1),x_(t-2),…,x_(t-p),θ)+ε_t,E(ε_t^2)=∞,利用局部二次近似和连续函数空间C(R^q)上弱收敛随机过程最小点的渐近性质,证明了若存在δ≥1,使得E|ε_t|~δ<∞成立,则θ满足一定条件... 对具有无穷方差的非线性自回归序列x_t=φ(x_(t-1),x_(t-2),…,x_(t-p),θ)+ε_t,E(ε_t^2)=∞,利用局部二次近似和连续函数空间C(R^q)上弱收敛随机过程最小点的渐近性质,证明了若存在δ≥1,使得E|ε_t|~δ<∞成立,则θ满足一定条件的自加权L_1估计θ_(L_1)是渐近正态估计,Wald检验统计量也具有通常的x^2分布,为模型的统计推断提供了理论基础. 展开更多
关键词 非线性自回归 自加权L_1估计 弱收敛 渐近正态 Wald检验统计量
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半参数回归模型非参数分量L_1模估计的最优收敛速度 被引量:1
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作者 赵选民 孙浩 《纯粹数学与应用数学》 CSCD 1997年第2期6-11,共6页
对半参数回归模型,采用分段多项式逼近非参数函数,构造了参数与非参数分量L1模估计,并获得了非参数分量L1模估计的最优估计收敛速度为Op(n-m+r[2(m+r)+1]).
关键词 半参数回归模型 L_1模估计 最优收敛速度
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单变量离散混合l_1/ H_2 问题(英文)
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作者 吴俊 褚健 《控制理论与应用》 EI CAS CSCD 北大核心 1999年第6期910-913,共4页
本文描述了H2 性能约束下的离散控制系统l1 设计问题,并提出了该无穷维优化问题的一种上逼近解法,通过求解一系列的截断问题能够得到无穷维问题的次优解,混合l1/ H2 问题最优值对H2
关键词 l1控制 H2控制 离散系统 连续性
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一总线在北京谱仪实验模型BESⅢ Slow Control中的应用 被引量:2
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作者 谢小希 谢嵩 +8 位作者 高翠山 聂振东 张银鸿 陈锡辉 刘国明 高路 谢一冈 Fabrizio Murtas Paolo Valente 《核电子学与探测技术》 CAS CSCD 北大核心 2005年第5期475-480,共6页
介绍了北京正负电子对撞机国家重点工程中,BESⅢS low Con tro l在全新北京谱仪中的重要性,并对通过在三个探测器:M uon RPC、量能器EM C、漂移室M DC实验模型中的具体实例应用,介绍了慢控制主要采用的一总线技术。
关键词 北京谱仪BESⅢ 慢控制 一总线 慢控制巡检仪
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Control Efficacy of Validamycin A·(0.2 Billion Spores/ml) Paenibacillus polymyxa DN-1 3% AS for Rice Sheath Blight
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作者 胡飞 苏卫华 +4 位作者 李昌春 周子燕 胡本进 徐丽娜 郑进国 《Agricultural Science & Technology》 CAS 2016年第11期2615-2618,共4页
With validamycin A.(0.2 billion spores/ml) Paenibacillus polymyxa DN-1 3% AS as the test agent, the effects of different dosage and different application time on the control efficacy for' rich sheath blight were in... With validamycin A.(0.2 billion spores/ml) Paenibacillus polymyxa DN-1 3% AS as the test agent, the effects of different dosage and different application time on the control efficacy for' rich sheath blight were investigated. The results of two- year test showed that when the application amount was in the range of 45-90 g.a.i/ hm^2, the field efficacy of validamycin A-(0.2 billion spores/ml) P. polymyxa DN-1 3% AS in the initial infection stage of rich sheath blight (Le., the diseased plant rate was below 5%) reached 80.38%-89.06%, and that in the peak infection stage (i.e., the diseased plant rate was higher than 10%) reached only 41.12%-53.26%. The field efficacy of validamycin A.(0.2 billion spores/ml) P. polymyxa DN-1 3% AS at the early onset of rich sheath blight was significantly better than that at the onset, so that the application time of validamycin A .(0.2 billion spores/ml) P. polymyxa DN-1 3% AS should be appropriately brought forward in the prevention and control of rice sheath blight. 展开更多
关键词 Validamycin A-(0.2 billion spores/roll P. polymyxa DN-1 3% AS Rice sheath blight Initial infection stage Peak infection stage control efficacy
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无人机L_1自适应俯仰控制性能仿真 被引量:2
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作者 胡龙珍 牛尔卓 刘玮 《南京航空航天大学学报》 EI CAS CSCD 北大核心 2017年第S1期109-113,共5页
面向无人机全包线飞行时动态的非线性、战损/故障导致的舵面效能变化以及外部环境的时变干扰问题,以俯仰角控制为例,设计了L_1自适应控制器,同时设计PI控制器以便对比分析控制性能。通过开展一系列仿真试验,可以发现,对于存在模型不确... 面向无人机全包线飞行时动态的非线性、战损/故障导致的舵面效能变化以及外部环境的时变干扰问题,以俯仰角控制为例,设计了L_1自适应控制器,同时设计PI控制器以便对比分析控制性能。通过开展一系列仿真试验,可以发现,对于存在模型不确定性、舵面效能变化和外部时变干扰情况,L_1自适应控制器的稳定性和鲁棒性明显优于PI控制器,满足无人机的控制需求,为工程应用奠定基础。 展开更多
关键词 俯仰角控制 L1自适应控制器 PI控制器 鲁棒性
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基于L_1-ITD的尾座式无人机姿态控制 被引量:3
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作者 王姝旸 张晶 杨凌宇 《北京航空航天大学学报》 EI CAS CSCD 北大核心 2023年第9期2501-2509,共9页
针对尾座式无人机在垂直起降(VTOL)阶段对风干扰敏感的问题,提出了一种基于L1-ITD的尾座式无人机姿态控制方法。建立了垂直起降阶段尾座式无人机六自由度非线性模型,设计了基于L1自适应的无人机姿态控制器,可抑制扰动对系统性能的影响,... 针对尾座式无人机在垂直起降(VTOL)阶段对风干扰敏感的问题,提出了一种基于L1-ITD的尾座式无人机姿态控制方法。建立了垂直起降阶段尾座式无人机六自由度非线性模型,设计了基于L1自适应的无人机姿态控制器,可抑制扰动对系统性能的影响,实现垂直起降阶段存在风干扰和模型不确定时对无人机姿态的良好控制。在此基础上,针对L1自适应控制方法对量测噪声敏感及无法直接获取有效微分信号的问题,引入改进跟踪微分器,在快速精确跟踪信号的同时抑制了量测噪声的影响。仿真结果验证了所提方法的有效性。 展开更多
关键词 L_1自适应控制 跟踪微分器 尾座式无人机 姿态控制 量测噪声
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H_2/l_1混合优化问题的凸二次规划解法
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作者 孔亚广 吴俊 孙优贤 《控制与决策》 EI CSCD 北大核心 2001年第2期250-253,共4页
采用上逼近算法求解 H2 / l1 混合优化问题。首先将其转化为有限维的凸二次规划问题 ,并利用L emke互补转轴算法求解 ;然后逐次进行逼近。
关键词 H2/l1混合优化问题 凸二次规划 H∞优化控制 鲁棒性
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Effect of aerobic and anaerobic exercises on glycemic control in type 1 diabetic youths 被引量:6
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作者 Andrea Lukács László Barkai 《World Journal of Diabetes》 SCIE CAS 2015年第3期534-542,共9页
AIM:To evaluate the long-term effect of aerobic and/or anaerobic exercise on glycemic control in youths with type 1 diabetes.METHODS:Literature review was performed in spring and summer 2014 using Pub Med/MEDLINE,Goog... AIM:To evaluate the long-term effect of aerobic and/or anaerobic exercise on glycemic control in youths with type 1 diabetes.METHODS:Literature review was performed in spring and summer 2014 using Pub Med/MEDLINE,Google Scholar,Scopus,and Science Direct with the following terms:aerobic,anaerobic,high-intensity,resistance,exercise/training,combined with glycemic/metabolic control,glycated haemoglobin A1c(Hb A1c) and type 1diabetes.Only peer-reviewed articles in English were included published in the last 15 years.It was selected from 1999 to 2014.Glycemic control was measured with Hb A1 c.Studies with an intervention lasting at least 12 wk were included if the Hb A1 c was measured before and after the intervention.RESULTS:A total of nine articles were found,and they were published between the years of 2002-2011.The sample size was 401 diabetic youths(166 males and 235 females) with an age range of 10-19 years except one study,in which the age range was 13-30 years.Study participants were from Australia,Tunisia,Lithuania,Taiwan,Turkey,Brazilia,Belgium,Egypt and France.Four studies were aerobic-based,four were combined aerobic and anaerobic programs,and one compared aerobic exercise to anaerobic one.Available studies had insufficient evidence that any type of exercise or combined training would clearly improve the glycemic control in type 1 diabetic youth.Only three(two aerobic-based and one combined) studies could provide a significant positive change in glycemic control.CONCLUSION:The regular physical exercise has several other valuable physiological and health benefits that justify the inclusion of exercise in pediatric diabetes treatment and care. 展开更多
关键词 TYPE 1 diabetes MELLITUS Glycemic control Exercise AEROBIC ANAEROBIC
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基于费用优化的排队服务系统的最优控制策略分析
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作者 佘启月 唐应辉 余玅妙 《应用数学》 北大核心 2026年第1期209-220,共12页
基于样品检测系统背景,本文考虑一个具有服务启动(p,N)-策略和双阈值(m,N)-策略的M/G/1排队服务系统,我们首先求得稳态队长的概率母函数、平均队长和顾客平均等待时间的表达式.其次,我们把检测系统检验样品过程用排队服务过程刻画,建立... 基于样品检测系统背景,本文考虑一个具有服务启动(p,N)-策略和双阈值(m,N)-策略的M/G/1排队服务系统,我们首先求得稳态队长的概率母函数、平均队长和顾客平均等待时间的表达式.其次,我们把检测系统检验样品过程用排队服务过程刻画,建立系统的费用结构模型和费用目标函数,从经济效益的角度出发讨论了系统的费用优化与最优控制策略,在没有平均等待时间和有平均等待时间约束下,通过数值计算实验确定了使得系统期望费用最小的最优控制策略(m^(*),N^(*)),并讨论了参数p、m、N对系统的空闲率和附加平均队长的影响,同时也分析了参数p对费用优化和最优控制策略的影响. 展开更多
关键词 服务启动(p N)-策略 双阈值(m N)-策略 M/G/1排队 费用优化 最优控制策略
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Gain self-scheduled H_∞ control for morphing aircraft in the wing transition process based on an LPV model 被引量:45
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作者 Yue Ting Wang Lixin Ai Junqiang 《Chinese Journal of Aeronautics》 SCIE EI CAS CSCD 2013年第4期909-917,共9页
This article investigates gain self-scheduled H 1 robust control system design for a tailless fold- ing-wing morphing aircraft in the wing shape varying process. During the wing morphing phase, the aircraft's dynamic... This article investigates gain self-scheduled H 1 robust control system design for a tailless fold- ing-wing morphing aircraft in the wing shape varying process. During the wing morphing phase, the aircraft's dynamic response will be governed by time-varying aerodynamic forces and moments. Nonlinear dynamic equations of the morphing aircraft are linearized by using Jacobian linearization approach, and a linear parameter varying (LPV) model of the morphing aircraft in wing folding is obtained. A multi-loop controller for the morphing aircraft is formulated to guarantee stability for the wing shape transition process. The proposed controller uses a set of inner-loop gains to provide stability using classical techniques, whereas a gain self-scheduled H 1 outer-loop controller is devised to guarantee a specific level of robust stability and performance for the time-varying dynamics. The closed-loop simulations show that speed and altitude vary slightly during the whole wing folding process, and they converge rapidly after the process ends. This proves that the gain self-scheduled H 1 robust controller can guarantee a satisfactory dynamic performance for the morphing aircraft during the whole wing shape transition process. Finally, the flight control system's robustness for the wing folding process is verified according to uncertainties of the aerodynamic parameters in the nonlinear model. 展开更多
关键词 Gain self-scheduled H 1 robust control Linear parameter varying Morphing aircraft Wing transition
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Type 1 diabetes and celiac disease:The effects of gluten free diet on metabolic control 被引量:2
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作者 Andrea E Scaramuzza Cecilia Mantegazza +1 位作者 Alessandra Bosetti Gian Vincenzo Zuccotti 《World Journal of Diabetes》 SCIE CAS 2013年第4期130-134,共5页
Type 1 diabetes mellitus is associated with celiac disease,with a prevalence that varies between 0.6% and 16.4%,according to different studies.After a diagnosis of celiac disease is confirmed by small bowel biopsy,pat... Type 1 diabetes mellitus is associated with celiac disease,with a prevalence that varies between 0.6% and 16.4%,according to different studies.After a diagnosis of celiac disease is confirmed by small bowel biopsy,patients are advised to commence a gluten-free diet(GFD).This dietary restriction may be particularly difficult for the child with diabetes,but in Europe(and in Italy) many food stores have targeted this section of the market with better labeling of products and more availability of specific GFD products.Treatment with a GFD in symptomatic patients has been shown to improve the symptoms,signs and complications of celiac disease.However,the effects of a GFD on diabetic control are less well established.Initial reports of improved hypoglycemic control were based on children who were diagnosed with celiac disease associated with malabsorption,but there have subsequently been reports of improvement in patients with type 1 diabetes with subclinical celiac disease.There are other studies reporting no effect,improved control and an improvement of hypoglycemic episodes.Moreover,in this review we wish to focus on low glycemic index foods,often suggested in people with type 1 diabetes,since they might reduce postprandial glycemic excursion and enhance longterm glycemic control.In contrast,GFD may be rich in high glycemic index foods that can increase the risk of obesity,insulin resistance and cardiovascular disease,worsening the metabolic control of the child with diabetes.Hence,it is important to evaluate the impact of a GFD on metabolic control,growth and nutritional status in children with type 1 diabetes. 展开更多
关键词 Adolescents CELIAC DISEASE CHILDREN Glycemic control TYPE 1 DIABETES
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