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A Probing Model of Secret Key Generation Based on Channel Autocorrelation Function
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作者 Xia Enjun Hu Binjie Shen Qiaoqiao 《China Communications》 SCIE CSCD 2024年第6期163-175,共13页
Secret key generation(SKG)is a promising solution to the problem of wireless communications security.As the first step of SKG,channel probing affects it significantly.Although there have been some probing schemes,ther... Secret key generation(SKG)is a promising solution to the problem of wireless communications security.As the first step of SKG,channel probing affects it significantly.Although there have been some probing schemes,there is a lack of research on the optimization of the probing process.This study investigates how to optimize correlated parameters to maximize the SKG rate(SKGR)in the time-division duplex(TDD)mode.First,we build a probing model which includes the effects of transmitting power,the probing period,and the dimension of sample vectors.Based on the model,the analytical expression of the SKGR is given.Next,we formulate an optimization problem for maximizing the SKGR and give an algorithm to solve it.We conclude the SKGR monotonically increases as the transmitting power increases.Relevant mathematical proofs are given in this study.From the simulation results,increasing appropriately the probing period and the dimension of the sample vector could increase the SKGR dramatically compared to a yardstick,which indicates the importance of optimizing the parameters related to the channel probing phase. 展开更多
关键词 channel autocorrelation function channel probing optimization problem physical layer security secret key generation
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Chloride channels in vascular function and disease
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作者 Dayue Darrel Duan Lingyu Linda Ye 《岭南心血管病杂志》 2011年第S1期24-25,共2页
Vascular smooth muscle cells(VSMCs) are the major component of vascular wall which are often stretched and compressed by pounding intravascular pressure.These mechanical signals are usually transformed to electrical... Vascular smooth muscle cells(VSMCs) are the major component of vascular wall which are often stretched and compressed by pounding intravascular pressure.These mechanical signals are usually transformed to electrical signals by the opening or closing of ion channels in VSNCs and endothelial cells.Intravascular pressure causes a graded membrane potential depolarization of the VSMCs and leads to vasoconstriction(i.e.,myogenic response),independent of the vascular endothelium. Although the important role of cation channels including L-type Ca<sup>2+</sup> channels,K<sup>+</sup> channels,and TRP channels in the regulation of vascular tone has been well established the functional roles played by Cl<sup>-</sup> channels in the regulation of the membrane potential and vascular tone remain essentially obscure. Recent emerging evidence implicates very important roles of Cl<sup>-</sup> channels in vascular function ranging from the control of membrane potential equilibrium, vascular contraction and relaxation to the regulation of intracellular pH,cell volume homeostasis,cell proliferation,migration,and apoptosis. 展开更多
关键词 CI Chloride channels in vascular function and disease
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Fading Effects on the Performance of OFDM-Based Systems Using Channel Transfer Function
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作者 Chie Dou 《通讯和计算机(中英文版)》 2012年第12期1404-1411,共8页
关键词 OFDM系统 信道增益 性能比较 衰落信道 传递函数 无线局域网 概率分布 信号噪声比
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Identification of Three Interactions to Determine the Conformation Change and to Maintain the Function of Kir2.1 Channel Protein
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作者 李军委 肖少英 +4 位作者 谢潇潇 于慧 张海林 展永 安海龙 《Chinese Physics Letters》 SCIE CAS CSCD 2015年第2期163-165,共3页
We find that a conserved mutation residue Glu to residue Asp (E303D), which both have the same polar and charged properties, makes Kit2.1 protein lose its function. To understand the mechanism, we identify three int... We find that a conserved mutation residue Glu to residue Asp (E303D), which both have the same polar and charged properties, makes Kit2.1 protein lose its function. To understand the mechanism, we identify three interactions which control the conformation change and maintain the function of the Kit2.1 protein by combining homology modeling and molecular dynamics with targeted molecular dynamics. We find that the E303D mutation weakens these interactions and results in the loss of the related function. Our data indicate that not only the amino residues but also the interactions determine the function of proteins. 展开更多
关键词 In Identification of Three Interactions to Determine the Conformation Change and to Maintain the function of Kir2.1 channel Protein
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UWB System Based on the Modified Gegenbauer Function in MISO Channel
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作者 A. Okassa M’foubat C. Tatkeu F. Elbahhar 《Wireless Engineering and Technology》 2013年第2期117-123,共7页
In this paper, we propose a new multi-user Rake receiver, based on the interference mutualization with a matrix representation for Multiple Input Single Output MISO channel. The proposed system used the Modified Gegen... In this paper, we propose a new multi-user Rake receiver, based on the interference mutualization with a matrix representation for Multiple Input Single Output MISO channel. The proposed system used the Modified Gegenbauer functions in order to generate the signal and to ensure the multi users transmission system. The new proposed receiver allows, using the temporal and special diversity, to avoid the interferences between symbols and to improve the system performances in terms of Bit Error Rate BER and interferences between users with a low algorithm complexity. The proposed solution is based on the classical Rake receiver associated with the equalizer receiver. In order to adapt the Rake approach, in single detection case and in multi users Ultra Wide Band environment, we propose a multi-user Rake receiver using the matrix form. Our proposed system is evaluated in terms of channel effects and multi users’ interferences. 展开更多
关键词 UWB MISO channel RAKE Receiver LMMSE MODIFIED Gegenbauer function
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Heat and Mass Transfer on Non-Newtonian Peristaltic Flow in a Channel in Presence of Magnetic Field: Analytical and Numerical Analysis
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作者 Md. Maruf Hasan Md. Enamul Karim Md. Abdus Samad 《Applied Mathematics》 2024年第8期568-583,共16页
A study has been arranged to investigate the flow of non-Newtonian fluid in a vertical asymmetrical channel using peristalsis. The porous medium allows the electrically conductive fluid to flow in the channel, while a... A study has been arranged to investigate the flow of non-Newtonian fluid in a vertical asymmetrical channel using peristalsis. The porous medium allows the electrically conductive fluid to flow in the channel, while a uniform magnetic field is applied perpendicular to the flow direction. The analysis takes into account the combined influence of heat and mass transfer, including the effects of Soret and Dufour. The flow’s non-Newtonian behavior is characterized using a Casson rheological model. The fluid flow equations are examined within a wave frame of reference that has a wave velocity. The analytic solution is examined using long wavelengths and a small Reynolds number assumption. The stream function, temperature, concentration and heat transfer coefficient expressions are derived. The bvp4c function from MATLAB has been used to numerically solve the transformed equations. The flow characteristics have been analyzed using graphs to demonstrate the impacts of different parameters. 展开更多
关键词 Stream function Mass Transfer Vertical channel Casson Fluid
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Throughput Analysis of the IEEE 802.11 Distributed Coordination Function Considering Erroneous Channel and Capture Effects 被引量:6
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作者 Ponnusamy Kumar A.Krishnan 《International Journal of Automation and computing》 EI 2011年第2期236-243,共8页
This paper presents a performance study of the distributed coordination function (DCF) of 802.11 networks considering erroneous channel and capture effects under non-saturated traffic conditions employing a basic ac... This paper presents a performance study of the distributed coordination function (DCF) of 802.11 networks considering erroneous channel and capture effects under non-saturated traffic conditions employing a basic access method.The aggregate throughput of a practical wireless local area network (WLAN) strongly depends on the channel conditions.In a real radio environment,the received signal power at the access point from a station is subjected to deterministic path loss,shadowing,and fast multipath fading.The binary exponential backoff (BEB) mechanism of IEEE 802.11 DCF severely suffers from more channel idle time under high bit error rate (BER).To alleviate the low performance of IEEE 802.11 DCF,a new mechanism is introduced,which greatly outperforms the existing methods under a high BER.A multidimensional Markov chain model is used to characterize the behavior of DCF in order to account both non-ideal channel conditions and capture effects. 展开更多
关键词 IEEE 802.11 distributed coordination function (DCF) binary exponential backoff (BEB) erroneous channel capture FADING bit error rate (BER) non-saturation throughput.
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英语学习者交际中Back-channeling策略使用的对比研究 被引量:2
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作者 黄清贵 《安徽理工大学学报(社会科学版)》 2008年第3期49-57,共9页
许多国外语言学者的研究成果证明,Back-channeling是日常交际中很重要的一种交际策略和技巧。仔细观察并对比了三组英语熟练程度不同的在校大学生在用英语进行交际时所采用的Back-channeling在频率、形式、位置及功能方面的异同点,并分... 许多国外语言学者的研究成果证明,Back-channeling是日常交际中很重要的一种交际策略和技巧。仔细观察并对比了三组英语熟练程度不同的在校大学生在用英语进行交际时所采用的Back-channeling在频率、形式、位置及功能方面的异同点,并分析了其背后的原因及意义。 展开更多
关键词 反馈策略 频率 形式 位置 功能
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Vortex Channel Modelling for the Radio Vortex System 被引量:1
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作者 Qibiao Zhu Tao Jiang 《China Communications》 SCIE CSCD 2018年第4期121-129,共9页
In this paper, a free-space vortex channel model of the radio vortex system is proposed to describe the propagation characteristics of vortex signals over the vortex channel. The key idea is to combine the Laguerre-Ga... In this paper, a free-space vortex channel model of the radio vortex system is proposed to describe the propagation characteristics of vortex signals over the vortex channel. The key idea is to combine the Laguerre-Gaussian(LG) modes in the optical field with the free-space propagation model in the radio field. The proposed free-space vortex channel model is derived from the electric field expression of the LG modes and the freespace channel transfer function of the freespace propagation model theoretically. Simulation results verify that the proposed model could reflect the vortex channel characteristics better than the currently used free-space propagation model. 展开更多
关键词 vortex channel model radiovortex FREE-SPACE laguerre-gaussian modes channel transfer function
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Role of HCN channels in the nervous system:membrane excitability and various modulations 被引量:5
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作者 Xie-chuan WENG Shao-jun LIU 《中国应用生理学杂志》 CAS CSCD 2014年第6期506-510,共5页
Hyperpolarization-activated and cyclic nucleotide-gated(HCN) channels,distributing in a variety of tissues,especially in excitable cells such as heart cells and many kinds of neurons,have an important role in the modu... Hyperpolarization-activated and cyclic nucleotide-gated(HCN) channels,distributing in a variety of tissues,especially in excitable cells such as heart cells and many kinds of neurons,have an important role in the modulation of heart rate and neuronal excitability.Different from typical voltage-gated sodium channels and potassium channels,HCN channels were evoked inward currents when the cell was hyperpolarized.More and more recent studies have disclosed that HCN channels play important roles in the nervous system,which were linked with its special electrophysiological features as well as its regulatory effect on the cellular membrane excitability.HCN channels could be modulated by many factors including both extracellular molecules and intracellular signaling cascades,which made its functions complicated in the different condition.Based on its role,HCN channels are presumed to be a promising target for chronic pain and brain disorders.In this paper,we will focus on the advancement of roles of HCN channels in the neural system as well as its complex modulator factors. 展开更多
关键词 调制因子 神经系统 N通道 HCN 兴奋性 细胞膜 电压门控钠通道 可兴奋细胞
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Performance of M-QAM, M-DPSK and M-PSK with MRC diversity in a Nakagami-m fading channel
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作者 Alam S.M.Shamsul Alam Choi GoangSeog 《Journal of Central South University》 SCIE EI CAS 2014年第4期1347-1352,共6页
The nature of a wireless communication channel is very unpredictable. To design a good communication link, it is required to know the statistical model of the channel accurately. The average symbol error probability(A... The nature of a wireless communication channel is very unpredictable. To design a good communication link, it is required to know the statistical model of the channel accurately. The average symbol error probability(ASER) was analyzed for different modulation schemes. A unified analytical framework was presented to obtain closed-form solutions for calculating the ASER of M-ary differential phase-shift keying(M-DPSK), coherent M-ary phase-shift keying(M-PSK), and quadrature amplitude modulation(QAM) over single or multiple Nakagami-m fading channels. Moreover, the ASER was estimated and evaluated by using the maximal ratio-combining(MRC) diversity technique. Simulation results show that an error rate of the fading channel typically depends on Nakagami parameters(m), space diversity(N), and symbol rate(M). A comparison between M-PSK, M-DPSK, and M-QAM modulation schemes was shown, and the results prove that M-ary QAM(M-QAM) demonstrates better performance compared to M-DPSK and M-PSK under all fading and non-fading conditions. 展开更多
关键词 M-ary differential phase-shift keying(M-DPSK) M-ary phase shift keying(M-PSK) Nakagami-m fading channel probability density function(PDF) symbol error rate(SER) M-ary quadrature amplitude modulation(M-QAM)
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改进YOLACT的服装图像实例分割方法 被引量:1
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作者 顾梅花 董晓晓 +1 位作者 花玮 崔琳 《纺织高校基础科学学报》 CAS 2024年第2期82-91,共10页
针对服装图像实例分割精度与速度较低的问题,提出一种基于改进YOLACT的服装图像实例分割方法。以YOLACT为基础模型,首先在ResNet101网络中采用深度可分离卷积代替传统卷积,减少模型计算量和模型参数,加快模型速度;然后,在模板生成网络... 针对服装图像实例分割精度与速度较低的问题,提出一种基于改进YOLACT的服装图像实例分割方法。以YOLACT为基础模型,首先在ResNet101网络中采用深度可分离卷积代替传统卷积,减少模型计算量和模型参数,加快模型速度;然后,在模板生成网络后引入高效通道注意力模块,优化输出特征,捕获服装图像的跨通道交互信息,加强对掩膜分支的特征提取能力;最后,训练过程采用LeakyReLU激活函数,避免反向传播时权值信息得不到及时更新,提升模型对服装图像负值特征信息的提取能力。结果表明:与原模型相比,所提方法能有效减少模型参数量,在提升速度的同时提高了精度,其速度提升了4.82帧/s,平均精度提升了5.4%。 展开更多
关键词 服装图像实例分割 YOLACT 深度可分离卷积 高效通道注意力 激活函数
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Effects of Tiaomaiyin and Its Disassembled Prescription on Expression of L-type Calcium Channel β2 Subunit in Rat Model of Tachyarrhythmia
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作者 Jingze SU Yao HAN +2 位作者 Zhizhen WEI Wen SUN Tianyu QIN 《Medicinal Plant》 CAS 2019年第3期34-36,39,共4页
[Objectives] To study the effects of Tiaomaiyin and its disassembled prescription on expression of L-type calcium channel β2 subunit in rat model of tachyarrhythmia. [Methods] Sixty Wistar rats were randomly divided ... [Objectives] To study the effects of Tiaomaiyin and its disassembled prescription on expression of L-type calcium channel β2 subunit in rat model of tachyarrhythmia. [Methods] Sixty Wistar rats were randomly divided into model group,Tiaomaiyin prescription group( whole prescription group),main efficacy group of removing heat to cool blood( blood cooling group),and auxiliary drug efficacy group of benefiting qi and nourishing heart( qi benefiting group),auxiliary efficacy group of promoting flow of qi and blood circulation( qi flow promoting group),and amiodarone group( western medicine group). Aconitine was given 7 d after the intragastric administration of the corresponding drugs,and the time of occurrence of arrhythmia in each group was observed. The left ventricular myocardium was subjected to reverse transcription-polymerase chain reaction and Western blotting. [Results] The ventricular premature beats( VPB) time in the whole prescription group and western medicine group was significantly longer than that in the model group. Ventricular tachycardia( VT),ventricular fibrillation( VF),and cardiac arrest( CA) were longer in the whole prescription group,blood cooling group,and western medicine group. The mRNA and protein expression of L-type calcium channel β2 subunit in the whole prescription group,blood cooling group and western medicine group were significantly decreased. [Conclusions] Tiaomaiyin whole prescription group and blood cooling group can reduce the occurrence time of tachyarrhythmia and reduce the expression of LTCC β2 in myocardium. 展开更多
关键词 TACHYARRHYTHMIA Tiaomaiyin RAT L-TYPE calcium channel β2 SUBUNIT CARDIAC function
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Control of beam halo-chaos by sample function 被引量:1
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作者 白龙 张荣 +2 位作者 翁甲强 罗晓曙 方锦清 《Chinese Physics B》 SCIE EI CAS CSCD 2006年第6期1226-1230,共5页
The K-V beam through an axisymmetric uniform-focusing channel is studied using the particle-core model. The beam halo-chaos is found, and a sample function controller is proposed based on mechanism of halo formation a... The K-V beam through an axisymmetric uniform-focusing channel is studied using the particle-core model. The beam halo-chaos is found, and a sample function controller is proposed based on mechanism of halo formation and strategy of controlling halo-chaos. We perform multiparticle simulation to control the halo by using the sample function controller. The numerical results show that our control method is effective. We also find that the radial ion density changes when the ion beam is in the channel: not only can the halo-chaos and its regeneration be eliminated by using the sample function control method, but also the density uniformity can be found at the beam's centre as long as an appropriate control method is chosen. 展开更多
关键词 beam halo-chaos sample function radial ion density uniform-focusing channel
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Effective Channel Utilization in 802.11 WLANs
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作者 Devansh Gaur 《通讯和计算机(中英文版)》 2011年第2期103-110,共8页
关键词 802.11无线局域网 MAC层协议 数据传输 点协调功能 主节点 无线网络 网络使用 网络节点
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六经针法联合西药治疗老年膝关节骨性关节炎临床效果
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作者 冉君 李林秀 +2 位作者 刘三洪 刘晓 李锐冬 《临床误诊误治》 CAS 2024年第21期79-84,共6页
目的 探究六经针法联合西药治疗老年膝关节骨性关节炎(KOA)患者的效果及安全性。方法 选取2023年3月至2024年3月收治的106例KOA患者,采用随机数字表法分为观察组和对照组各53例。对照组采用常规西药治疗,观察组采用六经针法辅助常规西... 目的 探究六经针法联合西药治疗老年膝关节骨性关节炎(KOA)患者的效果及安全性。方法 选取2023年3月至2024年3月收治的106例KOA患者,采用随机数字表法分为观察组和对照组各53例。对照组采用常规西药治疗,观察组采用六经针法辅助常规西药治疗。比较2组临床疗效、不良反应及治疗前后中医证候积分、关节功能、生存质量、步态参数、凝血功能、血清炎性因子水平。结果 观察组总有效率[94.34%(50/53)]高于对照组[79.25%(42/53)],中医证候积分低于对照组(P<0.05);观察组治疗后关节功能、步态参数、生存质量评分改善程度优于对照组,活化部分凝血活酶时间、凝血酶时间、凝血酶原时间高于对照组,纤维蛋白原及C反应蛋白、白细胞介素-1β、白细胞介素-6、肿瘤坏死因子-α水平低于对照组(P<0.05,P<0.01)。2组均无明显不良反应。结论 六经针法辅助西药治疗老年KOA效果确切,安全性良好。 展开更多
关键词 骨关节炎 六经针法 关节功能 生活质量 凝血酶原时间 白细胞介素-6 老年人
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基于GaAs E/D PHEMT工艺的Ku波段双通道幅相控制多功能芯片
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作者 徐伟 赵子润 +1 位作者 刘会东 李远鹏 《半导体技术》 CAS 北大核心 2024年第6期575-579,588,共6页
基于GaAs增强/耗尽型赝配高电子迁移率晶体管(E/D PHEMT)工艺设计了一款14~18 GHz的双通道多功能芯片。芯片集成了单刀双掷(SPDT)开关、6 bit数控移相器、4 bit数控衰减器和增益补偿放大器。采用正压控制开关以减小控制位数;优化移相、... 基于GaAs增强/耗尽型赝配高电子迁移率晶体管(E/D PHEMT)工艺设计了一款14~18 GHz的双通道多功能芯片。芯片集成了单刀双掷(SPDT)开关、6 bit数控移相器、4 bit数控衰减器和增益补偿放大器。采用正压控制开关以减小控制位数;优化移相、衰减和放大等电路拓扑结构,以获得良好的幅相特性;采用紧凑布局、双通道对称的版图设计,以实现小尺寸和高性能。测试结果表明,+5 V电压下,接收通道增益大于3 dB,1 dB压缩点输出功率大于8 dBm;发射通道增益大于1 dB,1 dB压缩点输出功率大于2 dBm;64态移相均方根误差小于2.5°,16态衰减均方根误差小于0.3 dB,芯片尺寸为3.90 mm×2.25 mm。该多功能芯片可实现对射频信号幅度和相位的高精度控制,可广泛应用于微波收发模块。 展开更多
关键词 双通道 多功能芯片 增强/耗尽型赝配高电子迁移率晶体管(E/D PHEMT) 单刀双掷(SPDT)开关 数控移相器 数控衰减器
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复杂战场环境下改进YOLOv5军事目标识别算法研究 被引量:4
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作者 宋晓茹 刘康 +2 位作者 高嵩 陈超波 阎坤 《兵工学报》 EI CAS CSCD 北大核心 2024年第3期934-947,共14页
复杂战场环境下军事目标识别技术是提升战场情报获取能力的基础和关键。针对当前军事目标识别技术在复杂战场环境下漏检误检率高、实时性差等问题,提出一种基于改进YOLOv5模型的PB-YOLO军事目标识别算法。将改进的目标识别算法对于陆战... 复杂战场环境下军事目标识别技术是提升战场情报获取能力的基础和关键。针对当前军事目标识别技术在复杂战场环境下漏检误检率高、实时性差等问题,提出一种基于改进YOLOv5模型的PB-YOLO军事目标识别算法。将改进的目标识别算法对于陆战场军事单元的识别锚框进行重新聚类,以提升模型对于目标大小适应度,加速模型收敛;采用通道-空间并行注意力机制,增加模型对复杂战场环境下目标特征信息与位置信息关注度;在特征融合网络部分使用BiFPN以提升模型对于特征的融合能力与速度;采用Alpha_IoU损失函数加速模型收敛,解决当真实框与预测框重合时IoU计算退化问题。实验结果表明,在自建军事目标数据集下,改进算法与主流目标识别算法相比,在保证模型空间复杂度的同时,mAP值达到了90.17%。消融实验对比结果表明,改进后网络较原模型精度提升11.57%,具有较好的识别性能,能够为战场情报获取提供有效的技术支撑。 展开更多
关键词 军事目标识别 通道-空间并行注意力机制 特征融合 损失函数
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潮沟曲流摆动对潮滩沉积物碳输出的影响——以江苏中部潮滩为例
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作者 赵堃 龚政 +2 位作者 文天翼 康彦彦 韩广轩 《生态学报》 CAS CSCD 北大核心 2024年第14期6154-6164,共11页
潮滩是全球固碳能力最高的生态系统之一,是缓解全球变暖的有效蓝色碳汇。针对潮滩碳汇功能,现有研究多关注生物作用下的碳输入过程,关于地貌演变,特别是潮沟曲流摆动引起的沉积物碳输出过程研究较少,因此无法准确评估潮滩碳汇功能的动... 潮滩是全球固碳能力最高的生态系统之一,是缓解全球变暖的有效蓝色碳汇。针对潮滩碳汇功能,现有研究多关注生物作用下的碳输入过程,关于地貌演变,特别是潮沟曲流摆动引起的沉积物碳输出过程研究较少,因此无法准确评估潮滩碳汇功能的动态变化。研究结合野外观测、遥感反演与室内实验,探究了潮沟曲流摆动对潮滩沉积物碳输出过程的影响,从曲流摆动速率与有机碳空间分布特征两方面开展分析。研究结果表明:潮沟曲流摆动速率的空间差异可达数个量级,由粉砂滩的10^(-3) m/s锐减至互花米草盐沼滩的10^(-6) m/s;粉砂淤泥滩潮沟摆动速率存在显著的季节性差异,冬季摆动速率约为夏季的两倍;潮滩土壤有机碳含量呈海向递减趋势:互花米草盐沼滩(4.62 g/kg)>粉砂淤泥滩(2.61 g/kg)>粉砂滩(1.51 g/kg);综合考虑曲流摆动速率与土壤有机碳含量,发现粉砂滩沉积物碳输出速率显著高于互花米草盐沼滩,可达49.4 g C m^(-2) a^(-1),与该区域的碳埋藏速率相当。研究证实了潮沟曲流摆动对潮滩沉积物碳输出过程的重要性,为提升潮滩碳汇功能预测水平提供了重要的理论依据与数据支撑。 展开更多
关键词 曲流摆动 碳输出 碳汇功能 潮沟 潮滩 崩岸
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Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的临床疗效
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作者 陈云生 伍耀宏 +2 位作者 徐灿华 陈荣春 石江友 《中国脊柱脊髓杂志》 CAS CSCD 北大核心 2024年第7期704-710,共7页
目的:探讨Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的效果。方法:回顾性分析2021年9月~2022年9月我院收治的80例退变性腰椎疾病患者的病历资料,根据患者治疗方式分为观察组(38例,男17例,女21例,年龄61.0... 目的:探讨Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病的效果。方法:回顾性分析2021年9月~2022年9月我院收治的80例退变性腰椎疾病患者的病历资料,根据患者治疗方式分为观察组(38例,男17例,女21例,年龄61.0±4.9岁)和对照组(42例,男20例,女22例,年龄60.5±5.4岁),观察组患者采取Delta大通道内镜下Endo-PLIF治疗,对照组采取开放后路腰椎椎间融合术治疗,记录两组患者术中出血量、术后引流量、手术时间、手术切口长度、住院时间,比较患者并发症发生情况。于术前、术后1周、1个月、3个月、6个月使用视觉模拟量表(visual analogue scale,VAS)评分评估患者腰痛情况,并采用Oswestry功能障碍指数(Oswestry disability index,ODI)评估患者腰椎功能;使用改良Macnab标准对患者进行疗效评估。根据患者术后1年随访时的腰椎影像学复查结果,使用Bridwell椎间融合标准对患者手术节段融合情况进行评估。结果:观察组患者的术中出血量及术后引流量分别低于对照组(88.46±10.98mL vs 112.99±12.01mL、159.73±18.42mL vs 201.36±23.06mL,P<0.05),手术切口及住院时间分别短于对照组(1.54±0.36cm vs 5.43±1.01cm、6.79±1.22d vs 8.03±1.43d,P<0.05),手术时间长于对照组(162.33±19.57min vs 126.87±23.15min,P<0.05)。80例患者术后均获随访,随访时间15~40个月(19.0±6.3个月)。观察组患者术后1周、术后1个月的VAS评分分别为2.46±0.51分、1.21±0.38分,ODI分别为(17.84±4.15)%、(10.69±1.88)%,均低于对照组[VAS评分分别为3.68±0.62分、2.01±0.41分,ODI分别为(21.33±3.48)%、(12.33±2.17)%,均P<0.05],两组患者术后3个月、术后6个月的VAS评分比较无统计学差异(P>0.05)。观察组治疗优良率为92.11%,与对照组的85.71%比较无统计学意义(P=0.487)。两组患者融合分级比较,差异无统计学意义(Z=0.487,P=0.624)。观察组术后并发症发生率为5.26%,与对照组的9.52%比较无统计学差异(P=0.678)。结论:Delta大通道内镜辅助下后路椎管减压椎间植骨融合术治疗退变性腰椎疾病效果良好,可以减少术中出血量,缩短手术切口和住院时间,更快改善患者术后短期内疼痛、腰椎功能,安全性较好。 展开更多
关键词 退变性腰椎疾病 后路内镜下融合术 Delta大通道内镜 疼痛 腰椎功能
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