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THE ABSENCE OF SINGULAR CONTINUOUS SPECTRUM FOR PERTURBED JACOBI OPERATORS
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作者 傅钲淇 黎雄 《Acta Mathematica Scientia》 SCIE CSCD 2024年第2期515-531,共17页
This paper is mainly about the spectral properties of a class of Jacobi operators(H_(c,b)u)(n)=c_(n)u(n+1)+c_(n-1)u(n-1)+b_(n)u(n),.where∣c_(n)−1∣=O(n^(−α))and b_(n)=O(n^(−1)).We will show that,forα≥1,the singula... This paper is mainly about the spectral properties of a class of Jacobi operators(H_(c,b)u)(n)=c_(n)u(n+1)+c_(n-1)u(n-1)+b_(n)u(n),.where∣c_(n)−1∣=O(n^(−α))and b_(n)=O(n^(−1)).We will show that,forα≥1,the singular continuous spectrum of the operator is empty. 展开更多
关键词 Jacobi operator singular continuous spectrum Prüfer variables
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Calculating the electron temperature in the lightning channel by continuous spectrum 被引量:1
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作者 董向成 陈建宏 +1 位作者 魏秀芳 袁萍 《Plasma Science and Technology》 SCIE EI CAS CSCD 2017年第12期57-61,共5页
Based on the theory of plasma continuous radiation, the relationship between the emission intensity of bremsstrahlung and recombination radiation and the plasma electron temperature is obtained. During the development... Based on the theory of plasma continuous radiation, the relationship between the emission intensity of bremsstrahlung and recombination radiation and the plasma electron temperature is obtained. During the development process of a return stroke of ground flash, the intensity of continuous radiation spectrum is separated on the basis of the spectrums with obviously different luminous intensity at two moments. The electron temperature of the lightning discharge channel is obtained through the curve fitting of the continuous spectrum intensity. It is found that electron temperature increases with the increase of wavelength and begins to reduce after the peak. The peak temperature of the two spectra is close to 25 000 K. To be compared with the result of discrete spectrum, the electron temperature is fitted by the O I line and N II line of the spectrum respectively. The comparison shows that the high temperature value is in good agreement with the temperature of the lightning core current channel obtained from the ion line information, and the low temperature at the high band closes to the calculation result of the atomic line, at a low band is lower than the calculation of the atomic line, which reflects the temperature of the luminous channel of the outer corona. 展开更多
关键词 lightning spectrum plasma continuous radiation spectral separation electron temperature
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Discrete Spectra and Continuous Spectrum of the BarotropicQuasi-Geostrophic Model-A Calculation ofMeteorological Data 被引量:1
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作者 张明华 曾庆存 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 1999年第4期487-506,共20页
Atmospheric disturbances at 300 hPa are decomposed into normal modes, referred as discrete—spectrum disturbances which can propagate freely in the observed zonal mean flow, and non—modal transient disturbances, refe... Atmospheric disturbances at 300 hPa are decomposed into normal modes, referred as discrete—spectrum disturbances which can propagate freely in the observed zonal mean flow, and non—modal transient disturbances, referred as continuous—spectrum disturbances which are continuously sheared and eventually absorbed by the zonal flow. It is shown that normal modes represent only a small fraction of the observed atmospheric disturbances, while continuous—spectrum disturbances represent the majority of observed disturbances, even when the basic flow is unstable. Daily variabilities of the observed continuous—spectrum disturbances are presented. They are shown to follow the results of wave—packet theory. Calculations suggest that there are abundant sources to excite continuous—spectrum disturbances in the atmosphere. 展开更多
关键词 Normal mode Discrete-spectrum continuous-spectrum WAVE-PACKET
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Wave-Mean Flow Interaction: the Role of Continuous-Spectrum Disturbances 被引量:1
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作者 曾庆存 张明华 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2000年第1期1-17,共17页
Traditionally, “ eddy feeds zonal flow” in the atmosphere is considered as a result of decaying unstable waves. We show that disturbances made of non-modal solutions -the continuous-spec-trum disturbances-can also e... Traditionally, “ eddy feeds zonal flow” in the atmosphere is considered as a result of decaying unstable waves. We show that disturbances made of non-modal solutions -the continuous-spec-trum disturbances-can also effectively transport zonal angular momentum and interact with the zonal basic flow. These disturbances, though stable, eventually decay, losing their energy to strengthen the westerly jets in the atmosphere. Calculations with observational data illustrate that the atmospheric zonal flow is maintained primarily by continuous-spectrum disturbances rather than by unstable waves. Angular momen-tum transport by continuous-spectrum disturbances is one order of magnitude larger than that by all kinds of normal modes (referred as discrete-spectrum disturbances) including unstable waves. Key words Maintenance of zonal flow - Continuous-spectrum - Angular momentum - Transport This research was partly supported by the Chinese Program on Basic Research and by the Institute of Atmospheric Physics, Chinese Academy of Sciences. It was also supported by NASA Grant NAGW 3517, and DOE Grant DEFG0285-ER60314 to the State University of New York at Stony Brook. 展开更多
关键词 Maintenance of zonal flow continuous-spectrum Angular momentum TRANSPORT
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Continuous Emission Spectrum Measurement for Electron Temperature Determination in Low-Temperature Collisional Plasmas
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作者 刘秋艳 李弘 +2 位作者 陈志鹏 谢锦林 刘万东 《Plasma Science and Technology》 SCIE EI CAS CSCD 2011年第4期451-457,共7页
Continuous emission spectrum measurement is applied for the inconvenient diagnos- tics of low-temperature collisional plasmas. According to the physical mechanism of continuous emission, a simplified model is presente... Continuous emission spectrum measurement is applied for the inconvenient diagnos- tics of low-temperature collisional plasmas. According to the physical mechanism of continuous emission, a simplified model is presented to analyze the spectrum in low temperature plasma. The validity of this model is discussed in a wide range of discharge parameters, including electron tem- perature and ionization degree. Through the simplified model, the continuous emission spectrum in a collisional argon internal inductively coupled plasma is experimentally measured to determine the electron temperature distribution for different gas pressures and radio-frequency powers. The inverse Abel transform is also applied for a better spatially resoluted results. Meanwhile, the result of the continuous emission spectrum measurement is compared to that of the electrostatic double probes, which indicates the effectiveness of this method. 展开更多
关键词 continuous emission spectrum DIAGNOSTICS low-temperature plasma colli- sional plasma
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An Example of Embedded Singular Continuous Spectrum for Discrete Schrödinger Operators
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作者 Zheng Qi FU Xiong LI 《Acta Mathematica Sinica,English Series》 SCIE CSCD 2024年第8期1837-1849,共13页
We present an example of a potential such that the corresponding discrete Schrödinger operator has singular continuous spectrum embedded in the absolutely continuous spectrum.
关键词 Sparse potentials singular continuous spectrum Prüfer variables
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Modified Omega-K algorithm for processing helicopter-borne frequency modulated continuous waveform rotating synthetic aperture radar data 被引量:2
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作者 Dong Li Guisheng Liao +1 位作者 Yong Liao Lisheng Yang 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2015年第3期476-485,共10页
With appropriate geometry configuration, helicopter- borne rotating synthetic aperture radar (ROSAR) can break through the limitations of monostatic synthetic aperture radar (SAR) on forward-looking imaging. With ... With appropriate geometry configuration, helicopter- borne rotating synthetic aperture radar (ROSAR) can break through the limitations of monostatic synthetic aperture radar (SAR) on forward-looking imaging. With this capability, ROSAR has extensive potential applications, such as self-navigation and self-landing. Moreover, it has many advantages if combined with the frequency modulated continuous wave (FMCW) technology. A novel geometric configuration and an imaging algorithm for helicopter-borne FMCW-ROSAR are proposed. Firstly, by per- forming the equivalent phase center principle, the separated trans- mitting and receiving antenna system is equalized to the case of system configuration with antenna for both transmitting and receiving signals. Based on this, the accurate two-dimensional spectrum is obtained and the Doppler frequency shift effect in- duced by the continuous motion of the platform during the long pulse duration is compensated. Next, the impacts of the velocity approximation error on the imaging algorithm are analyzed in de- tail, and the system parameters selection and resolution analysis are presented. The well-focused SAR image is then obtained by using the improved Omega-K algorithm incorporating the accurate compensation method for the velocity approximation error. FJnally, correctness of the analysis and effectiveness of the proposed al- gorithm are demonstrated through simulation results. 展开更多
关键词 helicopter-borne rotating synthetic aperture radar(ROSAR) frequency modulated continuous wave (FMCW) improved Omega-K algorithm two-dimensional spectrum.
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Design of Time-Resolved Shifted Dual Transmission Grating Spectrometer for the X-Ray Spectrum Diagnostics 被引量:1
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作者 王保清 易涛 +6 位作者 王传珂 朱效立 李廷帅 李晋 刘慎业 江少恩 丁永坤 《Plasma Science and Technology》 SCIE EI CAS CSCD 2016年第7期781-785,共5页
A new time-resolved shifted dual transmission grating spectrometer (SDTGS) is designed and fabricated in this work. This SDTGS uses a new shifted dual transmission grating (SDTG) as its dispersive component, which... A new time-resolved shifted dual transmission grating spectrometer (SDTGS) is designed and fabricated in this work. This SDTGS uses a new shifted dual transmission grating (SDTG) as its dispersive component, which has two sub transmission gratings with different line densities, of 2000 lines/mm and 5000 lines/mm. The axes of the two sub transmission gratings in SDTG are horizontally and vertically shifted a certain distance to measure a broad range of 0.1-5 keV time-resolved X-ray spectra. The SDTG has been calibrated with a soft X-ray beam of the synchrotron radiation facility and its diffraction efficiency is also measured. The designed SDTGS can take full use of the space on a record panel and improve the precision for measuring spatial and temporal spectrum simultaneously. It will be a promising application for accurate diagnosis of the soft X-ray spectrum in inertial confinement fusion. 展开更多
关键词 shifted dual transmission grating spectrometer GRATING x-ray spectra diag-nosis of the soft x-ray spectrum
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A novel method for gamma spectrum analysis of low-level and intermediate-level radioactive waste 被引量:2
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作者 Hui Yang Xin-Yu Zhang +4 位作者 Wei-Guo Gu Bing Dong Xue-Zhi Jiang Wen-Tao Zhou De-Zhong Wang 《Nuclear Science and Techniques》 SCIE EI CAS CSCD 2023年第6期199-213,共15页
The uncertainty of nuclide libraries in the analysis of the gamma spectra of low-and intermediate-level radioactive waste(LILW)using existing methods produces unstable results.To address this problem,a novel spectral ... The uncertainty of nuclide libraries in the analysis of the gamma spectra of low-and intermediate-level radioactive waste(LILW)using existing methods produces unstable results.To address this problem,a novel spectral analysis method is proposed in this study.In this method,overlapping peaks are located using a continuous wavelet transform.An improved quadratic convolution method is proposed to calculate the widths of the peaks and establish a fourth-order filter model to estimate the Compton edge baseline with the overlapping peaks.Combined with the adaptive sensitive nonlinear iterative peak,this method can effectively subtracts the background.Finally,a function describing the peak shape as a filter is used to deconvolve the energy spectrum to achieve accurate qualitative and quantitative analyses of the nuclide without the aid of a nuclide library.Gamma spectrum acquisition experiments for standard point sources of Cs-137 and Eu-152,a segmented gamma scanning experiment for a 200 L standard drum,and a Monte Carlo simulation experiment for triple overlapping peaks using the closest energy of three typical LILW nuclides(Sb-125,Sb-124,and Cs-134)are conducted.The results of the experiments indicate that(1)the novel method and gamma vision(GV)with an accurate nuclide library have the same spectral analysis capability,and the peak area calculation error is less than 4%;(2)compared with the GV,the analysis results of the novel method are more stable;(3)the novel method can be applied to the activity measurement of LILW,and the error of the activity reconstruction at the equivalent radius is 2.4%;and(4)The proposed novel method can quantitatively analyze all nuclides in LILW without a nuclide library.This novel method can improve the accuracy and precision of LILW measurements,provide key technical support for the reasonable disposal of LILW,and ensure the safety of humans and the environment. 展开更多
关键词 HPGe detector Low-level and intermediate-level radioactive waste Gamma spectrum analysis method Deconvolution method continuous wavelet transform
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海面船舶探测谱段优选与效能分析
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作者 张蕾 乔凯 黄石生 《红外与毫米波学报》 SCIE EI CAS CSCD 北大核心 2024年第2期235-241,共7页
船舶等海面目标的探测对于海面管理、国防安全、搜索救援等领域有着重要意义。星载红外遥感覆盖范围广,是实现船舶目标广域探测的有效手段。受太阳天顶角昼夜循环的影响,船舶与海面的温差周期性变化,导致海面船舶探测场景存在一天两次... 船舶等海面目标的探测对于海面管理、国防安全、搜索救援等领域有着重要意义。星载红外遥感覆盖范围广,是实现船舶目标广域探测的有效手段。受太阳天顶角昼夜循环的影响,船舶与海面的温差周期性变化,导致海面船舶探测场景存在一天两次的热交叉时期,此时使用单一探测谱段难以满足船舶目标全天时探测需求。文章以中纬度夏季和冬季海面环境为例,建立海面船舶探测场景的24小时红外辐射特征,提出多谱段优选组合方案,通过3.50~4.10μm和10.25~10.75μm双探测谱段探测实现信噪比优于16.52(夏季)和17.64(冬季)的昼夜连续观测。所提出的双谱段探测方法为实现广域全天时海面目标探测应用提供了技术支撑。 展开更多
关键词 谱段优选 全天时连续探测 探测场景仿真 船舶探测
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多跨连续梁自由振动的动态有限元分析
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作者 夏桂云 刘明暕 温睿 《振动与冲击》 EI CSCD 北大核心 2024年第15期150-159,共10页
利用Timoshenko梁振动微分方程的奇次解,建立了单元任意截面的变形、内力与节点位移的关系,取端点截面的内力得到动态有限元列式。动态有限元具有不依赖网格密度、可准确计算任意阶次的振动频率和振型等特点。利用动态有限元刚度矩阵行... 利用Timoshenko梁振动微分方程的奇次解,建立了单元任意截面的变形、内力与节点位移的关系,取端点截面的内力得到动态有限元列式。动态有限元具有不依赖网格密度、可准确计算任意阶次的振动频率和振型等特点。利用动态有限元刚度矩阵行列式为0条件,推导出1~4跨等截面等跨径的多跨连续梁频率方程。分析了多跨连续梁的自由振动,结果表明:相应简支梁的频率为多跨连续梁的固有频率、振型经扩展后为多跨连续梁的振型;多跨连续梁的振动有第二频谱现象和梁高振动特征。 展开更多
关键词 动态有限元 多跨连续梁 频率方程 模态 第二频谱 梁高振动
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2×2分块对角算子矩阵拟谱的精细刻画 被引量:1
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作者 申润拴 侯国林 《数学物理学报(A辑)》 CSCD 北大核心 2024年第1期12-25,共14页
设A,B为可分Hilbert空间X中的稠定闭线性算子,M_(0)=(A00B)表示2×2分块算子矩阵.文中精细刻画算子矩阵M0在对角扰动情形下的拟点谱、拟剩余谱与拟连续谱,所得结论与点谱、剩余谱和连续谱的结果进行了比较,并用例子进行了辅证.最后... 设A,B为可分Hilbert空间X中的稠定闭线性算子,M_(0)=(A00B)表示2×2分块算子矩阵.文中精细刻画算子矩阵M0在对角扰动情形下的拟点谱、拟剩余谱与拟连续谱,所得结论与点谱、剩余谱和连续谱的结果进行了比较,并用例子进行了辅证.最后,采用空间分解技巧,用主对角元的信息刻画M0在上三角扰动情形下的拟点谱分布. 展开更多
关键词 算子矩阵 拟点谱 拟剩余谱 拟连续谱 拟零子空间
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基于差分进化算法的减速器齿轮参数优化设计
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作者 马玉峰 宁欣 +1 位作者 郑艳玲 赵炳豪 《机械强度》 CAS CSCD 北大核心 2024年第3期652-661,共10页
根据上海道路循环工况,利用载荷的随机连续性和20CrMnMo材料的低载强化特性进行减速器齿轮有限寿命的轻量化设计。基于线性损伤理论,分别计算编制载荷谱和连续载荷谱在低载强化效应下的疲劳损伤,将疲劳损伤约束在一定范围内为选取条件,... 根据上海道路循环工况,利用载荷的随机连续性和20CrMnMo材料的低载强化特性进行减速器齿轮有限寿命的轻量化设计。基于线性损伤理论,分别计算编制载荷谱和连续载荷谱在低载强化效应下的疲劳损伤,将疲劳损伤约束在一定范围内为选取条件,以齿轮体积最小为优化目标,建立了齿轮有限寿命的轻量化优化模型,通过差分进化算法求解得到优化后的齿轮参数。实验结果表明,设计的模型可快速准确优化齿轮参数,在采用连续载荷谱和考虑低载强化效应时,优化的齿轮参数最小。优化的模型可移植性好,可直接迁移到其他变速系统零件的轻量化设计。 展开更多
关键词 连续载荷谱 低载强化 减速器齿轮 轻量化设计 差分进化算法
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分块对角算子矩阵在上三角扰动下的精细拟谱和固有拟谱
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作者 申润拴 侯国林 《数学杂志》 2024年第4期358-368,共11页
本文研究了对角分块算子矩阵在上三角有界扰动情形下的精细拟谱和固有拟谱的问题.利用空间分解技巧和算子的扰动原理等方法,将谱的结论推广到拟谱上,获得了对角分块算子矩阵在上三角有界扰动情形下的ε-单射性以及它的拟剩余谱与拟连续... 本文研究了对角分块算子矩阵在上三角有界扰动情形下的精细拟谱和固有拟谱的问题.利用空间分解技巧和算子的扰动原理等方法,将谱的结论推广到拟谱上,获得了对角分块算子矩阵在上三角有界扰动情形下的ε-单射性以及它的拟剩余谱与拟连续谱.最后,刻画了对角分块算子矩阵在上三角有界扰动情形下的固有拟点谱、固有拟剩余谱和固有拟连续谱. 展开更多
关键词 算子矩阵 拟点谱 拟剩余谱 拟连续谱 固有拟谱
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混凝土徐变柔度函数的高效逼近方法
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作者 向华伟 荣华 +2 位作者 范兴朗 耿岩 白林洪 《原子能科学技术》 EI CAS CSCD 北大核心 2024年第8期1689-1696,共8页
混凝土徐变是引起安全壳预应力损失的主要因素之一,采用指数算法求解混凝土徐变效应时需要将混凝土徐变柔度函数采用Dirichlet级数表达,如何获得精确表征柔度函数的Dirichlet级数是实现指数算法的关键。基于连续延迟谱法,本文提出一种... 混凝土徐变是引起安全壳预应力损失的主要因素之一,采用指数算法求解混凝土徐变效应时需要将混凝土徐变柔度函数采用Dirichlet级数表达,如何获得精确表征柔度函数的Dirichlet级数是实现指数算法的关键。基于连续延迟谱法,本文提出一种求解拉普拉斯逆变换的Weeks方法来逼近Dirichlet级数。对工程中常用的CEB MC90徐变模型,构建了基于Weeks方法的Dirichlet级数逼近算法,并给出了提高方法效率的相关参数取值范围。结果表明,提出的方法仅需对原混凝土徐变柔度函数求1阶导数,即可返回时域函数的显示表达式,避免了高阶求导存在计算复杂和计算效率低的问题。将本文方法计算结果与原柔度函数解析解进行对比,验证了方法的有效性。 展开更多
关键词 混凝土安全壳 混凝土徐变 柔度函数 DIRICHLET级数 连续延迟谱 Weeks方法
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High-rate electrochemical H_(2)O_(2) production over multimetallic atom catalysts under acidic–neutral conditions
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作者 Yueyu Tong Jiaxin Liu +5 位作者 Bing-Jian Su Jenh-Yih Juang Feng Hou Lichang Yin Shi Xue Dou Ji Liang 《Carbon Energy》 SCIE EI CAS CSCD 2024年第1期44-62,共19页
Hydrogen peroxide(H_(2)O_(2))production by the electrochemical 2-electron oxygen reduction reaction(2e−ORR)is a promising alternative to the energy-intensive anthraquinone process,and single-atom electrocatalysts show... Hydrogen peroxide(H_(2)O_(2))production by the electrochemical 2-electron oxygen reduction reaction(2e−ORR)is a promising alternative to the energy-intensive anthraquinone process,and single-atom electrocatalysts show the unique capability of high selectivity toward 2e−ORR against the 4e−one.The extremely low surface density of the single-atom sites and the inflexibility in manipulating their geometric/electronic configurations,however,compromise the H_(2)O_(2) yield and impede further performance enhancement.Herein,we construct a family of multiatom catalysts(MACs),on which two or three single atoms are closely coordinated to form high-density active sites that are versatile in their atomic configurations for optimal adsorption of essential*OOH species.Among them,the Cox–Ni MAC presents excellent electrocatalytic performance for 2e−ORR,in terms of its exceptionally high H_(2)O_(2) yield in acidic electrolytes(28.96 mol L^(−1) gcat.^(−1) h^(−1))and high selectivity under acidic to neutral conditions in a wide potential region(>80%,0–0.7 V).Operando X-ray absorption and density functional theory analyses jointly unveil its unique trimetallic Co2NiN8 configuration,which efficiently induces an appropriate Ni–d orbital filling and modulates the*OOH adsorption,together boosting the electrocatalytic 2e−ORR capability.This work thus provides a new MAC strategy for tuning the geometric/electronic structure of active sites for 2e−ORR and other potential electrochemical processes. 展开更多
关键词 hydrogen peroxide production multiatom catalysts operando x-ray adsorption spectrum reaction mechanism tendency structure-property relation
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随机激励作用下船舶横摇运动的奇异非混沌动力学
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作者 何智超 乐源 +1 位作者 李高磊 刘润 《动力学与控制学报》 2024年第1期52-59,共8页
基于一类规则横浪作用下的单自由度船舶横摇运动模型,考虑恢复力矩和阻尼力矩的非线性因素,以一低干舷船模为例,利用龙格库塔法求解了横摇运动方程,通过时间庞加莱截面绘制了系统的分岔图;考虑其受随机风荷载扰动下不同周期吸引子演变... 基于一类规则横浪作用下的单自由度船舶横摇运动模型,考虑恢复力矩和阻尼力矩的非线性因素,以一低干舷船模为例,利用龙格库塔法求解了横摇运动方程,通过时间庞加莱截面绘制了系统的分岔图;考虑其受随机风荷载扰动下不同周期吸引子演变成奇异非混沌吸引子的具体过程,发现周期激励系统在随机激励扰动下同样存在奇异非混沌吸引子,且当分岔参数离混沌区域越远,所需要随机激励的幅值越大才能诱发奇异非混沌吸引子.通过最大李雅普诺夫指数验证吸引子的非混沌性;采用奇异连续谱和分形图刻画吸引子的奇异性. 展开更多
关键词 船舶横摇 随机激励 奇异非混沌 李雅普诺夫指数 奇异连续谱
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脉冲射流下气力输送系统特性的数值模拟研究
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作者 田驰 张丹 +3 位作者 贝绍轶 王天波 万超一 郑焱 《江苏理工学院学报》 2024年第2期106-117,共12页
使用计算流体动力学和离散单元(CFD-DEM)耦合方法,对原管道和加装射流发生器的管道进行数值模拟,通过改变空气速度、射流位置、射流速度以及射流频率,研究颗粒的运动状态。结果表明:在使用脉冲射流的时,颗粒在管道出口的动能显著增加,... 使用计算流体动力学和离散单元(CFD-DEM)耦合方法,对原管道和加装射流发生器的管道进行数值模拟,通过改变空气速度、射流位置、射流速度以及射流频率,研究颗粒的运动状态。结果表明:在使用脉冲射流的时,颗粒在管道出口的动能显著增加,颗粒由原管道的底部拖曳运动转变为颗粒群悬浮运动,运输系统的能量转换率也显著提高。对管道中不同位置颗粒的波动速度进行频谱分析和连续小波变换分析,结果表明:射流可以有效调节颗粒在管道内运动的周期性,并且减缓管道内颗粒的纵向发展速度,将更多的能量转换为输送系统所需的颗粒轴向速度,进而减小气力输送系统的能耗。 展开更多
关键词 脉冲射流 数值模拟 能量转换效率 功率谱 连续小波变换
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以急性前庭综合征为首发表现的抗GQ1b抗体综合征1例报告
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作者 邱晓琪 李文 周丽 《中国实用神经疾病杂志》 2024年第4期488-492,共5页
目的 分析以急性前庭综合征为首发表现的抗GQ1b抗体综合征的临床特点及眼部运动表现。方法 报道1例以急性前庭综合征为首发表现的抗GQ1b抗体综合征患者,并进行相关文献复习。结果 该患者存在自发眼震及凝视诱发眼震,同时有头脉冲试验异... 目的 分析以急性前庭综合征为首发表现的抗GQ1b抗体综合征的临床特点及眼部运动表现。方法 报道1例以急性前庭综合征为首发表现的抗GQ1b抗体综合征患者,并进行相关文献复习。结果 该患者存在自发眼震及凝视诱发眼震,同时有头脉冲试验异常,合并眼肌麻痹。结论 抗GQ1b抗体综合征是一组累及周围和中枢神经系统,以眼肌麻痹、共济失调、意识障碍等为主要表现的自身免疫性谱系疾病。以急性前庭综合征为主要表现的这一组疾病可能是抗GQ1b抗体综合征的一个亚型,可与其他类别重叠。 展开更多
关键词 抗GQ1b抗体综合征 前庭综合征 自身免疫性连续性疾病 免疫相关谱系疾病 肠道菌群
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Evaluation of Clinician Training in Autism Screening, Care Management, and Patient Education
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作者 Belinda O’Hagan Julie White +9 位作者 Ilana Hardesty Rachel Amgott Candice Bangham Xinyang Liu Alyson Codner Amy Ursitti Alana Chandler Sarah Foster Marilyn Augustyn Jacey Greece 《Open Journal of Pediatrics》 2024年第3期488-513,共26页
Objective: The demand for pediatric developmental evaluations has far exceeded the workforce available to perform them, which creates long significant wait times for services. A year-long clinician training using the ... Objective: The demand for pediatric developmental evaluations has far exceeded the workforce available to perform them, which creates long significant wait times for services. A year-long clinician training using the Extension for Community Healthcare Outcomes (ECHO<sup>®</sup>) model with monthly meetings was conducted and evaluated for its impact on primary care clinicians’ self-reported self-efficacy, ability to administer autism screening and counsel families, professional fulfillment, and burnout. Methods: Participants represented six community health centers and a hospital-based practice. Data collection was informed by participant feedback and the Normalization Process Theory via online surveys and focus groups/interviews. Twelve virtual monthly trainings were delivered between November 2020 and October 2021. Results: 30 clinicians participated in data collection. Matched analyses (n = 9) indicated statistically significant increase in self-rated ability to counsel families about autism (Pre-test Mean = 3.00, Post-test Mean = 3.89, p = 0.0313), manage autistic patients’ care (Pre-test Mean = 2.56, Post-test Mean = 4.11, p = 0.0078), empathy toward patients (Pre-test Mean = 2.11, Post-test Mean = 1.22, p = 0.0156) and colleagues (Pre-test Mean = 2.33, Post-test Mean = 1.22, respectively, p = 0.0391). Unmatched analysis revealed increases in participants confident about educating patients about autism (70.59%, post-test n = 12 vs. 3.33%, pre-test n = 1, p = 0.0019). Focus groups found increased confidence in using the term “autism”. Conclusion: Participants reported increases in ability and confidence to care for autistic patients, as well as empathy toward patients and colleagues. Future research should explore long-term outcomes in participants’ knowledge retention, confidence in practice, and improvements to autism evaluations and care. 展开更多
关键词 Autism spectrum Disorder Program Evaluation Case-Based Training Provider Burnout continuing Medical Education
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