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Development and application of a neural network based coating weight control system for a hot-dip galvanizing line 被引量:2
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作者 Zai-sheng PAN Xuan-hao ZHOU Peng CHEN 《Frontiers of Information Technology & Electronic Engineering》 SCIE EI CSCD 2018年第7期834-846,共13页
The hot-dip galvanizing line(HDGL) is a typical order-driven discrete-event process in steelmaking. It has some complicated dynamic characteristics such as a large time-varying delay, strong nonlinearity, and unmeasur... The hot-dip galvanizing line(HDGL) is a typical order-driven discrete-event process in steelmaking. It has some complicated dynamic characteristics such as a large time-varying delay, strong nonlinearity, and unmeasured disturbance, all of which lead to the difficulty of an online coating weight controller design. We propose a novel neural network based control system to solve these problems. The proposed method has been successfully applied to a real production line at Va Lin LY Steel Co., Loudi, China. The industrial application results show the effectiveness and efficiency of the proposed method, including significant reductions in the variance of the coating weight and the transition time. 展开更多
关键词 Neural network Hot-dip galvanizing line (HDGL) Coating weight control
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Novel Parameter Identification Method for Basis Weight Control Loop of Papermaking Process 被引量:3
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作者 Yunzhu Shen Wei Tang Yungang Liu 《Paper And Biomaterials》 CAS 2023年第1期35-49,共15页
The basis weight control loop of the papermaking process is a non-linear system with time-delay and time-varying.It is impractical to identify a model that can restore the model of real papermaking process.Determining... The basis weight control loop of the papermaking process is a non-linear system with time-delay and time-varying.It is impractical to identify a model that can restore the model of real papermaking process.Determining a more accurate identification model is very important for designing the controller of the control system and maintaining the stable operation of the papermaking process.In this study,a strange nonchaotic particle swarm optimization(SNPSO)algorithm is proposed to identify the models of real papermaking processes,and this identification ability is significantly enhanced compared with particle swarm optimization(PSO).First,random particles are initialized by strange nonchaotic sequences to obtain high-quality solutions.Furthermore,the weight of linear attenuation is replaced by strange nonchaotic sequence and the time-varying acceleration coefficients and a mutation rule with strange nonchaotic characteristics are utilized in SNPSO.The above strategies effectively improve the global and local search ability of particles and the ability to escape from local optimization.To illustrate the effectiveness of SNPSO,step response data are used to identify the models of real industrial processes.Compared with classical PSO,PSO with timevarying acceleration coefficients(PSO-TVAC)and modified particle swarm optimization(MPSO),the simulation results demonstrate that SNPSO has stronger identification ability,faster convergence speed,and better robustness. 展开更多
关键词 basis weight control system PAPERMAKING system identification particle swarm optimization strange nonchaotic sequence
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Effect of motivational interviewing on postoperative weight control in patients with obstructive sleep apnea-hypopnea syndrome 被引量:5
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作者 Xiang-Hong Sun Peng-Shi Xue +1 位作者 Xiang-Xiu Qi Ling Fan 《World Journal of Clinical Cases》 SCIE 2020年第15期3209-3217,共9页
BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the w... BACKGROUND Obesity is an important factor to cause the obstructive sleep apnea-hypopnea syndrome(OSAHS).Higher body mass index(BMI)often results in more severe OSAHS.Currently,the common measures for controlling the weight mainly include diet control,increase exercise and so on.Motivational interviewing(MI)could explore the patient’s internal state and make the patient realize his/her ambivalence,resulting in the change in his/her behavior.This process emphasizes respecting the patient’s autonomy.AIM To evaluate the effect of MI on the weight control of patients with OSAHS.METHODS A randomized controlled study was conducted in 100 obese OSAHS patients undergoing surgical treatment at Shengjing Hospital of China Medical University.The patients were divided into an intervention group and a control group,with 50 cases each.The control group was given routine health education after the operation;in addition to the regular health education,the intervention group was given MI according to a predetermined plan.Obesity-related indicators,postoperative complications,and the sleep status of both groups were evaluated before and 6 mo after the intervention.RESULTS Patients in the intervention group had significantly improved body weight,BMI,and waist and neck circumferences compared with patients in the control group(P<0.05).Regarding complications at 6 mo after operation,the incidence of cough and reflux in patients in the intervention group was significantly lower than that in the control group(P<0.05).In addition,the Epworth Sleepiness Scale and Self-Rating Scale of Sleep scores of patients in the intervention group were significantly lower than those in the control group,and the sleep status of patients in the intervention group was improved(P<0.05).CONCLUSION MI intervention has a significant advantage over postoperative routine health education.It can greatly change the lifestyle,further control the postoperative weight,reduce the occurrence of complications,improve the quality of sleep,and improve long-term postoperative efficacy in OSAHS patients. 展开更多
关键词 Obstructive sleep apnea-hypopnea syndrome POSTOPERATIVE weight control Motivational interview Quality of sleep PATIENTS
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Positioning-control Based on Trapezoidal Velocity Curve for High-precision Basis Weight Control Valve 被引量:3
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作者 Bo Wang Wei Tang +1 位作者 JiXian Dong Feng Wang 《Paper And Biomaterials》 2017年第2期42-50,共9页
Traditionally, basis weight control valve is driven by a constant frequency pulse signal. Therefore, it is difficult for the valve to match the control precision of basis weight. Dynamic simulation research using Matl... Traditionally, basis weight control valve is driven by a constant frequency pulse signal. Therefore, it is difficult for the valve to match the control precision of basis weight. Dynamic simulation research using Matlab/Simulink indicates that there is much more overshoot and fluctuating during the valve-positioning process. In order to improve the valve-positioning precision, the control method of trapezoidal velocity curve was studied. The simulation result showed that the positioning steady-state error was less than 0.0056%, whereas the peak error was less than 0.016% by using trapezoidal velocity curve at 10 positioning steps. A valve-positioning precision experimental device for the stepper motor of basis weight control valve was developed. The experiment results showed that the error ratio of 1/10000 positioning steps was 4% by using trapezoidal velocity curve. Furthermore, the error ratio of 10/10000 positioning steps was 0.5%. It proved that the valve-positioning precision of trapezoidal velocity curve was much higher than that of the constant frequency pulse signal control strategy. The new control method of trapezoidal velocity curve can satisfy the precision requirement of 10000 steps. 展开更多
关键词 high-precision basis weight control valve precision positioning control trapezoidal velocity curve Matlab/Simulink simulation
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PSO-based Parameter Tuning for a TwoDegree-of-Freedom IMC Scheme and Its Application to Paper Basis Weight Control 被引量:4
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作者 Wei Tang Zhimin Yuan +1 位作者 Wenjuan Shan MdMuhie Menul Haque 《Paper And Biomaterials》 2019年第4期57-63,共7页
Basis weight is an important indicator for evaluating paper quality and a major factor directly affecting the economic benefits of enterprises.Focusing on the large time-delay,time-varying,and nonlinear characteristic... Basis weight is an important indicator for evaluating paper quality and a major factor directly affecting the economic benefits of enterprises.Focusing on the large time-delay,time-varying,and nonlinear characteristics of a basis weight control system,a two-degree-of-freedom(TDF)internal model control(IMC)method based on a particle swarm optimization(PSO)algorithm was proposed.The method took the integral of time multiplied by the absolute error(ITAE)as the objective function,and the PSO algorithm was used to optimize the time constant of the tuning IMC filter.The simulation results for the control system under the proposed TDF-IMC method based on the PSO algorithm demonstrate good set-point tracking performance,strong anti-interference capabilities,and good robustness properties.The application results revealed that the basis weight fluctuation range of the paper was±2 g/m2,which significantly improved both the control quality and the product quality. 展开更多
关键词 basis weight control system large time delay IMC two-degreeof FREEDOM control PSO algorithm
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Graphic theory on interval stability of networked control systems 被引量:3
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作者 Li Jinna Zhang Qingling 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2008年第6期1185-1190,共6页
A new method on the interval stability of networked control systems (NCSs) with random delay and data packet dropout is studied. Combining interval systems and NCSs, a graphic condition on judging interval stability... A new method on the interval stability of networked control systems (NCSs) with random delay and data packet dropout is studied. Combining interval systems and NCSs, a graphic condition on judging interval stability is presented in terms of the weighted diagraph theory in graph theory. Furthermore, utilizing the graph-theoretic algorithm, the delay-depended controller gains are obtained. Aiming at the same delay and data packed dropout, several controller gains are obtained, simultaneously. The example and simulation illustrate the effectiveness of the proposed method. 展开更多
关键词 networked control systems interval stability weighted diagraph vertex matrix.
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Parameters optimization for exponentially weighted moving average control chart using generalized regression neural network
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作者 梁宗保 《Journal of Chongqing University》 CAS 2006年第3期131-136,共6页
As a useful alternative of Shewhart control chart, exponentially weighted moving average (EWMA) control chat has been applied widely to quality control, process monitoring, forecast, etc. In this paper, a method was... As a useful alternative of Shewhart control chart, exponentially weighted moving average (EWMA) control chat has been applied widely to quality control, process monitoring, forecast, etc. In this paper, a method was introduced for optimal design of EWMA and multivariate EWMA (MEWMA) control charts, in which the optimal parameter pair ( λ, k) or ( λ, h ) was searched by using the generalized regression neural network (GRNN). The results indicate that the optimal parameter pair can be obtained effectively by the proposed strategy for a given in-control average running length (ARLo) and shift to detect under any conditions, removing the drawback of incompleteness existing in the tables that had been reported. 展开更多
关键词 parameter optimization exponentially weighted moving average control chart generalized regression neural network
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A Neural Network Controller for Basis-weight Control of Papermaking Processes
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作者 胡恒章 沈毅 《Journal of Harbin Institute of Technology(New Series)》 EI CAS 1996年第1期29-33,共5页
ANeuralNetworkControllerforBasis-weightControlofPapermakingProcessesHUHengzhang;SHENYi(胡恒章);(沈毅)(Dept.ofCont... ANeuralNetworkControllerforBasis-weightControlofPapermakingProcessesHUHengzhang;SHENYi(胡恒章);(沈毅)(Dept.ofControlEngineering,Ha... 展开更多
关键词 ss: NEURAL networks BASIS weight control long system response delay PAPERMAKING process
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V-BILIPSCHITZ DETERMINACY OF WEIGHTED HOMOGENEOUS ANALYTIC FUNCTION-GERMS ON WEIGHTED HOMOGENEOUS REAL ANALYTIC VARIETIES 被引量:1
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作者 刘恒兴 张敦穆 《Acta Mathematica Scientia》 SCIE CSCD 2010年第4期1249-1256,共8页
In this article, we provide estimates for the degree of V bilipschitz determinacy of weighted homogeneous function germs defined on weighted homogeneous analytic variety V satisfying a convenient Lojasiewicz condition... In this article, we provide estimates for the degree of V bilipschitz determinacy of weighted homogeneous function germs defined on weighted homogeneous analytic variety V satisfying a convenient Lojasiewicz condition.The result gives an explicit order such that the geometrical structure of a weighted homogeneous polynomial function germs is preserved after higher order perturbations. 展开更多
关键词 V bilipschitz determinacy weighted homogeneous polynomial function germs controlled vector field weighted homogeneous control functions
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Time-inconsistent stochastic linear-quadratic control problem with indefinite control weight costs 被引量:1
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作者 Qi Lü Bowen Ma 《Science China Mathematics》 SCIE CSCD 2024年第1期211-236,共26页
A time-inconsistent linear-quadratic optimal control problem for stochastic differential equations is studied.We introduce conditions where the control cost weighting matrix is possibly singular.Under such conditions,... A time-inconsistent linear-quadratic optimal control problem for stochastic differential equations is studied.We introduce conditions where the control cost weighting matrix is possibly singular.Under such conditions,we obtain a family of closed-loop equilibrium strategies via multi-person differential games.This result extends Yong’s work(2017) in the case of stochastic differential equations,where a unique closed-loop equilibrium strategy can be derived under standard conditions(namely,the control cost weighting matrix is uniformly positive definite,and the other weighting coefficients are positive semidefinite). 展开更多
关键词 linear-quadratic optimal control problem time-inconsistent cost functional generalized Riccati equation indefinite control weight cost closed-loop equilibrium strategy
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采用改进MPC提高储能系统电压暂态特性研究 被引量:1
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作者 鲍建 杨沛豪 《电源学报》 CSCD 北大核心 2024年第2期242-249,共8页
储能系统通过换流器实现并网运行,常规换流器因为其开关频率低,在采样、计算环节存在延时导致储能系统暂态特性差,甚至引起整个电网不稳定。本文采用模型预测控制MPC(model predictive control)来实现储能系统功率快速响应,避免延时影... 储能系统通过换流器实现并网运行,常规换流器因为其开关频率低,在采样、计算环节存在延时导致储能系统暂态特性差,甚至引起整个电网不稳定。本文采用模型预测控制MPC(model predictive control)来实现储能系统功率快速响应,避免延时影响。引入功率权重价值函数在有功、无功MPC控制中,计算储能换流器输出电压最优值。针对因为滤波电感参数偏移导致的MPC模型不准确问题,本文采用电感误差补偿控制来提高模型精度。通过Matlab/Simulink仿真和实验来验证本文所提方案可提高储能系统暂态特性,有效消除误差对MPC控制性能的影响。 展开更多
关键词 储能系统 暂态特性 模型预测控制 功率权重价值函数 电感误差电压补偿
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倾转三旋翼无人机控制设计与飞行实验
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作者 余立 贺光 +2 位作者 王祥科 赵述龙 鲍毅 《控制理论与应用》 EI CAS CSCD 北大核心 2024年第9期1698-1706,共9页
针对倾转三旋翼无人机的飞行控制问题,本文围绕控制分配算法、控制权重设计和模态转换策略3个方面开展研究.首先,分析飞行控制原理,构建模态转换飞行控制框架;其次,为提高控制分配鲁棒性,设计串级解耦控制分配算法并提出两种控制分配参... 针对倾转三旋翼无人机的飞行控制问题,本文围绕控制分配算法、控制权重设计和模态转换策略3个方面开展研究.首先,分析飞行控制原理,构建模态转换飞行控制框架;其次,为提高控制分配鲁棒性,设计串级解耦控制分配算法并提出两种控制分配参数修正方法;为实现稳定的模态转换飞行,引入可达力矩集设计控制权重,并提出基于时间和倾转角度的模态转换策略;最后,分别开展旋翼模态与模态转换飞行试验,验证了控制方法的有效性.试验结果表明:引入参数修正的串级解耦控制分配算法可有效提高控制分配鲁棒性,并改善姿态控制性能,基于设计的控制权重与模态转换策略可确保模态转换飞行的安全性、稳定性. 展开更多
关键词 倾转三旋翼无人机 飞行控制系统 控制分配 控制权重 模态转换策略 飞行试验
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Influence of nutritional care during pregnancy on weight control and maternal and infant outcomes in patients with pregnancy-induced hypertension
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作者 LIU Xiao-qing LIU Li-bao YANG Zhu-li 《South China Journal of Cardiology》 CAS 2024年第3期156-161,共6页
Background Preeclampsia is a common disease in pregnant women,characterized by clinical manifestations such as hypertension and proteinuria,which not only seriously affect the safety of pregnant women,but also jeopard... Background Preeclampsia is a common disease in pregnant women,characterized by clinical manifestations such as hypertension and proteinuria,which not only seriously affect the safety of pregnant women,but also jeopardize the safety of the fetus,threatening maternal and infant safety.Currently,in addition to routine hypoglycemic and antihypertensive treatments,auxiliary treatment methods such as exercise and diet are gradually gaining clinical recognition.Therefore,this study aimed to observe the effects of comprehensive nutrition care during pregnancy on weight control during pregnancy and maternal and infant outcomes in patients with pregnancy-induced hypertension syndrome.Methods A total of 100 cases of preeclampsia patients in our hospital from August 2021 to May 2022 were selected and randomly divided into a nutrition group and a conventional group,with 50 cases in each group.The conventional group received routine care,while the nutrition group received additional comprehensive nutrition care during pregnancy based on routine care.The weight control and blood pressure control during pregnancy and maternal and infant outcomes of the two groups were observed.Results The weight control during pregnancy in the nutrition group was significantly better than that in the conventional group(P<0.05).There was no significant difference in systolic and diastolic blood pressure between the two groups before intervention(P>0.05),but both systolic and diastolic blood pressure in both groups were lower after intervention,with the nutrition group significantly lower than the conventional group(P<0.05).The incidence of neonatal asphyxia,placental abruption,postpartum hemorrhage,and cesarean section in the nutrition group was significantly lower than that in the conventional group(P<0.05).Conclusions Comprehensive nutrition care during pregnancy can effectively control weight and blood pressure levels in patients with preeclampsia,and improve maternal and infant outcomes.[S Chin J Cardiol 2024;25(3):156-161] 展开更多
关键词 Comprehensive nutrition care during pregnancy Preeclampsia weight control during pregnancy Maternal and infant outcomes
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基于通用攻击树的电力工控系统安全研究
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作者 张建珍 祁彦军 闫波 《山西电子技术》 2024年第6期98-99,117,共3页
针对等级保护测评中电力行业工控系统普遍存在的安全风险,提出基于通用攻击树模型的风险量化评估方法。依据CVSSv3.1系统对通用攻击树模型进行安全分析,对攻击树节点进行风险量化及攻击路径加权运算,提出精准建模、加权攻击能力与攻击... 针对等级保护测评中电力行业工控系统普遍存在的安全风险,提出基于通用攻击树模型的风险量化评估方法。依据CVSSv3.1系统对通用攻击树模型进行安全分析,对攻击树节点进行风险量化及攻击路径加权运算,提出精准建模、加权攻击能力与攻击路径、攻击发生概率等因素改进通用攻击树。该方法减少工控系统等保测评中的量化的人为主观因素,加权树及安全框架能为企业提供科学有效的风险防范措施。 展开更多
关键词 工业控制系统 通用攻击树 等保2.0 加权树 风险量化评估
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基于STM32的牡蛎重量分级机控制系统设计
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作者 杨进 王萌 +3 位作者 孙成波 王昊 冯博 刘长卿 《中国农机化学报》 北大核心 2024年第5期111-115,共5页
为提高牡蛎自动化加工水平,基于STM32单片机设计牡蛎重量分级控制系统。该控制系统由数据采集模块、分级控制模块、驱动模块和人机交互模块组成,以牡蛎重量为分级标准,称重托盘重量和位置信息为主要控制条件,采用遗传算法优化神经网络(G... 为提高牡蛎自动化加工水平,基于STM32单片机设计牡蛎重量分级控制系统。该控制系统由数据采集模块、分级控制模块、驱动模块和人机交互模块组成,以牡蛎重量为分级标准,称重托盘重量和位置信息为主要控制条件,采用遗传算法优化神经网络(GA-BP)动态称重模型和动态追踪定位方式,准确获得牡蛎重量和称重托盘位置,使用触摸屏进行人机交互,可实现称重分级一体化。试验结果表明,该控制系统的称重误差最大为0.8 g,在最大运行速度下,分级准确率达到95%,较好地实现牡蛎快速称重分级。 展开更多
关键词 牡蛎 重量分级 GA-BP算法 动态称重 控制系统
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基于智能体异质影响的观点一致性控制研究
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作者 张甜甜 尚丽辉 《小型微型计算机系统》 CSCD 北大核心 2024年第5期1069-1075,共7页
针对传统观点模型中个体影响能力相同的简单设定,本文基于社会网络结构的拓扑属性,将节点度相关的时变指数权重引入连续观点模型,提出异质权重观点演化动力学模型,研究多智能体系统中的个体异质性对观点演化行为的影响,并从网络拓扑结... 针对传统观点模型中个体影响能力相同的简单设定,本文基于社会网络结构的拓扑属性,将节点度相关的时变指数权重引入连续观点模型,提出异质权重观点演化动力学模型,研究多智能体系统中的个体异质性对观点演化行为的影响,并从网络拓扑结构角度对观点一致性进行分析和控制.仿真结果表明与传统模型相比,网络个体的异质性相互作用极大地改变了观点演化状态,促进了整个系统的观点一致性达成.随着权重指数增大,个体的异质性影响能力增加,使网络连通性增强.网络中节点度较大的个体的主导作用促使观点能够更快地收敛达成一致,从而提高了系统收敛效率.与固定权重观点模型相比,权重随观点的动态演化使系统能够在相对有限的交互邻域内更快地收敛. 展开更多
关键词 观点演化 权重网络 异质影响 一致性控制 多智能体系统
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基于镜像修正FxLMS控制算法的船舶管路振动主动控制
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作者 刘学广 谭鉴 +3 位作者 吴牧云 张二宝 闫明 刘济源 《哈尔滨工程大学学报》 EI CAS CSCD 北大核心 2024年第1期77-84,共8页
针对船舶管路减振和抗冲击的需求,本文根据镜像修正自适应滤波算法,设计出了一种管路振动主动控制策略,能够有效地控制管路在低频下的振动,并且在次级通道发生突变时,控制系统可再次快速收敛,进行稳定控制。本文先对镜像修正自适应滤波... 针对船舶管路减振和抗冲击的需求,本文根据镜像修正自适应滤波算法,设计出了一种管路振动主动控制策略,能够有效地控制管路在低频下的振动,并且在次级通道发生突变时,控制系统可再次快速收敛,进行稳定控制。本文先对镜像修正自适应滤波算法进行理论研究,分析算法的迭代及控制过程;再通过仿真分别验证算法在不同参考信号输入下的收敛性及稳定性;最后搭建实验台架,通过试验验证算法的实际控制效果。试验结果表明:该控制策略在管路振动主动控制中能够降低15.37%的振动强度,比自适应滤波算法控制策略的控制效果好8.85%。所以镜像修正自适应滤波算法能够及时有效地进行管路振动控制。 展开更多
关键词 镜像修正自适应滤波算法 在线辨识 自适应滤波算法 归一化算法 整体建模算法 镜像系统 权向量迭代 振动主动控制
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农机装备电控液压提升系统变权重因子自适应控制研究 被引量:1
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作者 崔丹丹 崔高伟 张涛 《机床与液压》 北大核心 2024年第9期115-122,共8页
针对传统大马力拖拉机电液提升系统控制精度不足的问题,提出利用多个反馈参数进行综合调节的控制方案,通过对不同的反馈控制方式进行权重划分,可综合各反馈控制的优势以实现多性能平衡的目的。另外,考虑到常规控制的权重因子固定不可变... 针对传统大马力拖拉机电液提升系统控制精度不足的问题,提出利用多个反馈参数进行综合调节的控制方案,通过对不同的反馈控制方式进行权重划分,可综合各反馈控制的优势以实现多性能平衡的目的。另外,考虑到常规控制的权重因子固定不可变的问题,提出权重因子基于反馈信号的自适应变化控制方案,利用3种反馈信号与设定值的偏差进行权重因子的增量调节,使得权重因子能更好地满足性能参数的变动,分别设计了3个权重因子的自适应控制规则和对应控制器的输入输出参数。选用犁耕深度、牵引力、滑转率作为控制性能的评价指标对无反馈控制、力位综合控制以及所提自适应控制进行对比,结果表明:所提控制方法的犁耕深度均匀性较高,牵引力和滑转率数值较小,且变化范围明显小于其他2种控制方式;在提高犁耕均匀性的同时也提高了燃油经济性,并降低了悬挂系统的冲击效应。 展开更多
关键词 电液提升系统 变权重因子自适应控制 反馈调节 性能优化
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微电网运行控制关键技术评价
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作者 刘晓明 胡丽娟 +3 位作者 赵凤展 益西措姆 王文烨 吕国庆 《电器与能效管理技术》 2024年第5期1-9,共9页
微电网是一种智能化的控制系统,其运行效果与管控技术密切相关。为了实现微电网的精细化管理,开展了微电网运行过程评价研究,建立了包含有功功率控制、电压/无功调节、孤岛安全技术和能量优化管理4个方面的微电网运行控制关键技术评价... 微电网是一种智能化的控制系统,其运行效果与管控技术密切相关。为了实现微电网的精细化管理,开展了微电网运行过程评价研究,建立了包含有功功率控制、电压/无功调节、孤岛安全技术和能量优化管理4个方面的微电网运行控制关键技术评价指标体系;同时提出了基于改进变权评价方法的综合评价方法,解决了评价结果不能反映部分指标权重较小但指标值已严重偏离正常值的实际评价问题。最后,通过实际微电网运行评价算例,验证了提出的微电网运行过程评价指标体系和评价方法的有效性。 展开更多
关键词 微电网 运行控制关键技术 指标体系 变权重方法
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基于DRG的抗菌药物使用合理性评价细则构建及多部门协作管控成效
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作者 邱昌露 毕红朋 代雪飞 《中国药房》 CAS 北大核心 2024年第23期2941-2947,共7页
目的以呼吸系统感染/炎症的疾病诊断相关分组(DRG)为抓手,促进抗菌药物的合理使用。方法创建呼吸系统感染/炎症患者抗菌药物临床使用合理性评价细则(包括药物选择、集采品种、用法用量等12项评价指标),并运用属性层次模型赋予各指标评... 目的以呼吸系统感染/炎症的疾病诊断相关分组(DRG)为抓手,促进抗菌药物的合理使用。方法创建呼吸系统感染/炎症患者抗菌药物临床使用合理性评价细则(包括药物选择、集采品种、用法用量等12项评价指标),并运用属性层次模型赋予各指标评分权重。采用加权优劣解距离(TOPSIS)法对2021年1-9月(多部门协作管控前,对照组)的102例及2022年1-9月(多部门协作管控后,干预组)的103例用药情况进行综合评价;计算各评价指标与最优方案的相对接近度,并比较多部门协作管控前后抗菌药物使用合理性、抗菌药物相关评估指标、卫生经济评估指标及诊疗结局相关指标的差异。结果在抗菌药物使用中,干预组患者抗菌药物总体使用不合理率、平均累计限定日剂量(DDD)及联合用药使用率均较对照组显著降低(P<0.05);在卫生经济评估指标中,干预组患者的次均抗菌药物费用及次均住院费用均较对照组显著降低(P<0.05);在诊疗结局相关指标中,干预组患者的平均住院天数较对照组显著减少(P<0.05),但两组间临床疗效并无明显差异(P>0.05)。进一步组间比较发现,在平均累计DDD上,对于ES31、ES33及ES35病组,干预组患者较对照组均显著降低(P<0.05);在联合用药使用率上,对于ES31、ES35病组,干预组患者较对照组均显著降低(P<0.05);在次均抗菌药物费用上,对于ES35病组,干预组患者较对照组显著降低(P<0.05),且干预组中ES35、ES33病组患者的次均抗菌药物费用均显著低于ES31病组(P<0.05)。结论基于DRG构建的呼吸系统感染/炎症患者抗菌药物临床使用合理性评价细则,可对抗菌药物使用合理性进行综合评价;多部门协作管控可提高抗菌药物使用合理性,降低医疗费用的支出。 展开更多
关键词 疾病诊断相关分组 多部门协作管控 加权TOPSIS法 呼吸系统感染/炎症 抗菌药物 合理性评价
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