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Deep learning models semi-automatic training system for quality control of transthoracic echocardiography
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作者 QIAN Sunnan WENG Hexiang +7 位作者 CHENG Hanlin SHI Zhongqing WANG Xiaoxian GUO Guanjun FANG Aijuan LUO Shouhua YAO Jing QI Zhanru 《中国医学影像技术》 CSCD 北大核心 2024年第8期1140-1145,共6页
Objective To explore the value of deep learning(DL)models semi-automatic training system for automatic optimization of clinical image quality control of transthoracic echocardiography(TTE).Methods Totally 1250 TTE vid... Objective To explore the value of deep learning(DL)models semi-automatic training system for automatic optimization of clinical image quality control of transthoracic echocardiography(TTE).Methods Totally 1250 TTE videos from 402 patients were retrospectively collected,including 490 apical four chamber(A4C),310 parasternal long axis view of left ventricle(PLAX)and 450 parasternal short axis view of great vessel(PSAX GV).The videos were divided into development set(245 A4C,155 PLAX,225 PSAX GV),semi-automated training set(98 A4C,62 PLAX,90 PSAX GV)and test set(147 A4C,93 PLAX,135 PSAX GV)at the ratio of 5∶2∶3.Based on development set and semi-automatic training set,DL model of quality control was semi-automatically iteratively optimized,and a semi-automatic training system was constructed,then the efficacy of DL models for recognizing TTE views and assessing imaging quality of TTE were verified in test set.Results After optimization,the overall accuracy,precision,recall,and F1 score of DL models for recognizing TTE views in test set improved from 97.33%,97.26%,97.26%and 97.26%to 99.73%,99.65%,99.77%and 99.71%,respectively,while the overall accuracy for assessing A4C,PLAX and PSAX GV TTE as standard views in test set improved from 89.12%,83.87%and 90.37%to 93.20%,90.32%and 93.33%,respectively.Conclusion The developed DL models semi-automatic training system could improve the efficiency of clinical imaging quality control of TTE and increase iteration speed. 展开更多
关键词 ECHOCARDIOGRAPHY quality control artificial intelligence
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三电平UPQC的线性自抗扰模型预测控制策略
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作者 蔡修闻 赵涛 +2 位作者 张铭洲 陶以彬 李桂璞 《电力工程技术》 北大核心 2025年第1期218-226,共9页
由于统一电能质量调节器(unified power quality conditioner,UPQC)系统结构复杂、控制难度大,单一的控制策略不足以使其应对电网系统中的各种故障情况。因此,文中采用一种线性自抗扰控制(linear active disturbance rejection control,... 由于统一电能质量调节器(unified power quality conditioner,UPQC)系统结构复杂、控制难度大,单一的控制策略不足以使其应对电网系统中的各种故障情况。因此,文中采用一种线性自抗扰控制(linear active disturbance rejection control,LADRC)与模型预测控制(model predictive control,MPC)的复合控制策略。在电压外环控制中采用LADRC策略以提高系统快速性与抗扰性,并给电流内环提供更精确的参考电流信号;在电流内环控制中采用电流MPC策略以提高跟踪参考信号的能力与系统的鲁棒性,同时对模型预测的空间电压矢量的分区进行优化,减少控制器计算量,在保证输出电流质量的前提下提高运算速度。最后,基于MATLAB/Simulink仿真实验平台对系统进行建模仿真,结果验证了采用LADRC-MPC控制策略对电网电压暂升/暂降、负载不对称引起的电流畸变与谐波污染等综合电能质量问题,可以起到更好的补偿效果,对电网电压的支撑能力也更强。 展开更多
关键词 统一电能质量调节器(UPqc) T型三电平逆变器 线性自抗扰控制(LADRC) 模型预测控制(MPC) 谐波补偿 扇区优化
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基于S7-300的中小型纸板机QCS系统的设计 被引量:7
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作者 丁智亮 汤伟 +1 位作者 胡连华 王孟效 《中国造纸》 CAS 北大核心 2008年第12期46-50,共5页
设计了基于S7-300PLC的适用于中小型板纸机的QCS系统。该QCS系统部分硬件采用进口配置,并与纸机干燥部和湿部子系统互相通讯应用,对定量水分进行测量和补偿,且将PID控制和模糊控制思想结合应用于定量水分的控制,结合其较强的鲁棒性和自... 设计了基于S7-300PLC的适用于中小型板纸机的QCS系统。该QCS系统部分硬件采用进口配置,并与纸机干燥部和湿部子系统互相通讯应用,对定量水分进行测量和补偿,且将PID控制和模糊控制思想结合应用于定量水分的控制,结合其较强的鲁棒性和自适应功能,有效抑制了定量水分的波动,实现了定量水分的精确测量和控制。 展开更多
关键词 qcs 定量 水分 S7—300 模糊控制
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一种进口QCS的改造实现 被引量:7
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作者 汤伟 王孟效 陈玉钟 《中国造纸》 CAS 北大核心 2004年第7期27-33,共7页
针对早期从国外引进的抄纸过程质量控制系统 (QCS)目前存在的问题 ,对一进口QCS进行深入研究 ,透析其对纸张定量水分在线检测的基本原理和详细补偿措施 ,保留原QCS的在线检测装置 (B/M计 ) ,采用以SiemensS7 30 0PLC为核心的检测控制系... 针对早期从国外引进的抄纸过程质量控制系统 (QCS)目前存在的问题 ,对一进口QCS进行深入研究 ,透析其对纸张定量水分在线检测的基本原理和详细补偿措施 ,保留原QCS的在线检测装置 (B/M计 ) ,采用以SiemensS7 30 0PLC为核心的检测控制系统取代其控制柜 ,组成新的QCS ,并用于三层长网纸板机的定量水分控制。 展开更多
关键词 抄纸过程 质量控制系统 定量/水分传感器
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ARQCS启动策略及其与资源消耗的关系 被引量:2
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作者 刘一鸣 周自江 +4 位作者 远芳 阮宇智 何文春 孙超 刘媛媛 《应用气象学报》 CSCD 北大核心 2014年第4期505-512,共8页
利用2012年4月1日—9月30日IBM P570高性能计算环境Oracle 11g数据库平台对全国自动气象站观测资料实时质量控制系统(ARQCS)的运行监控数据,探讨了ARQCS的启动策略及其与资料解析入库率、ARQCS的CPU耗时、服务时效之间的关系。结果表明... 利用2012年4月1日—9月30日IBM P570高性能计算环境Oracle 11g数据库平台对全国自动气象站观测资料实时质量控制系统(ARQCS)的运行监控数据,探讨了ARQCS的启动策略及其与资料解析入库率、ARQCS的CPU耗时、服务时效之间的关系。结果表明:自动气象站资料的解析入库效率呈"几"字型分布,每个观测时次的第5—20分钟入库率方差较大,是制约ARQCS质量控制时效的主要时间段。设置观测资料入库率不低于95%为首次启动条件,不仅比传统的第15分钟定时启动提前了20.6 s,而且首次启动时观测资料入库率不低于95%的概率从66.38%提升至95.83%。第20分钟后入库率仅增加1.36%,在此设置首次质量控制的强制启动点,可保证局部异常延时的资料服务时效。动态启动策略使ARQCS的启动次数由5次降为2次,平均每日节约CPU时间391 min。 展开更多
关键词 自动气象站观测资料 实时质量控制 启动策略 计算资源
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利用DQCT实现2018年8月超历史极值暴雨的高质量模拟
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作者 李博 李帅康 +3 位作者 陈超 钟水新 华灯鑫 徐波 《兰州大学学报(自然科学版)》 CAS CSCD 北大核心 2024年第1期31-39,共9页
构建较全面的双级质量控制技术(DQCT).利用中尺度天气预报模式(WRF)对2018年8月下旬华南地区一次超历史极值的暴雨过程进行高分辨率数值模拟,并用DQCT评判暴雨的模拟效果.结果表明,在暴雨形势背景场中用WRF成功模拟大尺度季风风场、西... 构建较全面的双级质量控制技术(DQCT).利用中尺度天气预报模式(WRF)对2018年8月下旬华南地区一次超历史极值的暴雨过程进行高分辨率数值模拟,并用DQCT评判暴雨的模拟效果.结果表明,在暴雨形势背景场中用WRF成功模拟大尺度季风风场、西南暖湿气流与低压交汇过程,并准确复制了造成高潭镇极端降雨的中尺度对流系统.总降雨量中的中γ尺度极值暴雨中心模拟得较为准确.该模式在24 h降雨量模拟中成功复制了暴雨中心的演变过程;在6 h降雨量模拟中较好地再现了中γ尺度雨带的演变过程.在暴雨重灾区高潭镇1 h降雨量演变过程的模拟中,总体降雨趋势与实况吻合较好.定性分析结果同步得到定量指标的验证. 展开更多
关键词 超历史极值暴雨 中γ尺度雨带 数值模拟 双级质量控制技术
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Novel method for the evaluation of data quality based on fuzzy control 被引量:1
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作者 Ban Xiaojuan Ning Shurong +1 位作者 Xu Zhaolin Cheng Peng 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2008年第3期606-610,共5页
One of the goals of data collection is preparing for decision-making, so high quality requirement must be satisfied. Rational evaluation of data quality is an effective way to identify data problem in time, and the qu... One of the goals of data collection is preparing for decision-making, so high quality requirement must be satisfied. Rational evaluation of data quality is an effective way to identify data problem in time, and the quality of data after this evaluation is satisfactory with the requirement of decision maker. A fuzzy neural network based research method of data quality evaluation is proposed. First, the criteria for the evaluation of data quality are selected to construct the fuzzy sets of evaluating grades, and then by using the learning ability of NN, the objective evaluation of membership is carried out, which can be used for the effective evaluation of data quality. This research has been used in the platform of 'data report of national compulsory education outlay guarantee' from the Chinese Ministry of Education. This method can be used for the effective evaluation of data quality worldwide, and the data quality situation can be found out more completely, objectively, and in better time by using the method. 展开更多
关键词 data quality evaluation system fuzzy control theory neural network.
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Protection and Quality Control of Wild Chinese Herbal Medicine Resources in Nature Reserves by Taking Longyuwan Scenic Spot Within Funiu Mountain Nature Reserve as an Example 被引量:1
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作者 Wang Shao-hui Liu Meng-na +4 位作者 Wang Xu Zhang Ya-chen Han Yi-wen Zhang Ce Liu Tong-xiang 《Journal of Northeast Agricultural University(English Edition)》 CAS 2016年第3期90-96,共7页
This paper discussed how to protect and control the quality of wild Chinese herbal medicine resources in nature reserves by taking Longyuwan National Forest Park within Funiu Mountain Nature Reserve as an example. Thr... This paper discussed how to protect and control the quality of wild Chinese herbal medicine resources in nature reserves by taking Longyuwan National Forest Park within Funiu Mountain Nature Reserve as an example. Through the combination of three methods including literature review, visiting and investigational studies, and field surveys, the data of investigation, collection and collation were analyzed. According to data of surveys, collection and collation, problems related to the protection of wild Chinese herbal medicine resources faced by Longyuwan Scenic Spot within Funiu Mountain Nature Reserve were also analyzed and protection strategies and quality control of wild Chinese herbal medicine resources in this nature reserve were discussed. It was expected that the results would provide important scientific references for the sustainable development, protection and quality control of wild Chinese herbal medicine resources within nature reserves. 展开更多
关键词 nature reserve wild Chinese herbal medicine resource PROTECTION quality control
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造纸机控制系统及QCS、DCS的选择 被引量:8
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作者 钟益联 《中国造纸》 CAS 北大核心 2002年第3期65-67,共3页
对纸机控制系统作了简要论述,介绍了QCS系统技术参数,并从通信网络,操作站、控制站、I/O、工程师站及软件组态工具等方面对DCS系统作了一般技术性论述,指出纸机集成自动化控制系统是现代纸机的首选控制方案。
关键词 造纸 纸机控制系统 纸机集成自动化控制系统 qcs DCS
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Quality prediction and control of tube hollow 被引量:1
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作者 肖冬 王继春 +1 位作者 潘孝礼 毛志忠 《Journal of Central South University》 SCIE EI CAS 2011年第3期767-772,共6页
The quality prediction of tube hollow model based on the variance staged multiway partial least square (MPLS) method was proposed.The key aspects of staged decomposition of the productive data,calculation of the varia... The quality prediction of tube hollow model based on the variance staged multiway partial least square (MPLS) method was proposed.The key aspects of staged decomposition of the productive data,calculation of the variance value,modeling,and on-lined prediction in the variance-staged MPLS method were introduced.Based on the model,iterative optimal control method was used for quality control of tube hollow.The experimental results show that the obvious benefits of this method are low maintenance cost,good real time function,high reliability precision,and practical application to on-line prediction and optimization on the quality of tube hollow. 展开更多
关键词 seamless tubes cross piercing tube hollow quality control variance-staged multiway partial least square (MPLS) iterative optimal control
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Chemical fingerprinting of Su-He-Xiang-Wan and attribution of major characteristic peaks for its quality control by GC-MS 被引量:1
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作者 WANG Wei-ping LIN Juan +2 位作者 ZHANG Liang-xiao ZHANG Ming-yue LIANG Yi-zeng 《Journal of Central South University》 SCIE EI CAS 2013年第8期2115-2123,共9页
A simple and facile gas chromatography-mass spectrometer (GC-MS) fingerprint of Su-He-Xiang-Wan (SHXW) was developed, the similarity analysis was conducted, and attribution of the major characteristic peaks was id... A simple and facile gas chromatography-mass spectrometer (GC-MS) fingerprint of Su-He-Xiang-Wan (SHXW) was developed, the similarity analysis was conducted, and attribution of the major characteristic peaks was identified for SHXW quality control. GC-MS analysis was performed on a QP2010 instrument (Shimadzu, Japan) equipped with a capillary column of RTX-5MS. The column temperature was initiated at 50℃, held for 5 min, increased at the rate of 3 ℃/min to 120 ℃, held for 2 min, and then increased at the rate of 4 ℃/min to 220℃, held for 10 min. Helium carrier gas was used at a constant flow rate of 1.3 mL/min. Mass conditions were ionization voltage, 70 eV; injector temperature, 250℃; ion source temperature, 250 ℃; splitting ratio, 30:1; full scan mode in the 40-500 Da mass ranges with rate of 0.2 s per scan. Attribution of the major characteristic peaks was identified for SHXW by comparing the chemical standards, references of Chinese herbal medicines and the negative controls of prescription samples (NC) of SHXW. With the help of the temperature-programmed retention indices (PTRIs) used together with mass spectra and chemical standards, 25 major characteristic peaks have been identified. Nine volatile medicinal materials were identified in the prescription of SHXW by attributing to the 27 major characteristic peaks. The results demonstrate that the proposed method is a powerful approach to quality control of complex herbal medicines. 展开更多
关键词 chromatographic fingerprint attribution analysis quality control herbal medicines complex prescription
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Information Quality Control of ERP System
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作者 GAO Jian-min, CHEN Fu-min, GAO Zhi-yong (Institute of CIMS, Mechanical Engineering School, Xi’an Jiaotong Unive rsity, Xi’an 710049, China) 《厦门大学学报(自然科学版)》 CAS CSCD 北大核心 2002年第S1期232-,共1页
From the viewpoint of manufacturing enterprises, th is thesis discusses the concept and definition of information quality as well as t he connotation of information quality. Based on our personal experiences of many y... From the viewpoint of manufacturing enterprises, th is thesis discusses the concept and definition of information quality as well as t he connotation of information quality. Based on our personal experiences of many years, we have summarized the cases of success and failure with ERP system, an d from the angle of information quality control, we have come up with the follow ing concepts : static information quality of enterprises, information maturity o f enterprises and dynamic information quality. 展开更多
关键词 information quality control ERP TQM
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ARMA-GM combined forewarning model for the quality control
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作者 WangXingyuan YangXu 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2005年第1期224-227,共4页
Three forecasting models are set up: the auto\|regressive moving average model, the grey forecasting model for the rate of qualified products P t, and the grey forecasting model for time intervals of the quality cata... Three forecasting models are set up: the auto\|regressive moving average model, the grey forecasting model for the rate of qualified products P t, and the grey forecasting model for time intervals of the quality catastrophes. Then a combined forewarning system for the quality of products is established, which contains three models, judgment rules and forewarning state illustration. Finally with an example of the practical production, this modeling system is proved fairly effective. 展开更多
关键词 auto-regressive moving average model (ARMA) grey system model (GM) combined forewarning model quality control.
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Dynamic estimation and reliability control of quality assurance for bored piles
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作者 赵文艺 徐志军 +1 位作者 郑俊杰 边晓亚 《Journal of Central South University》 SCIE EI CAS 2014年第3期1148-1157,共10页
A systematic method was proposed to estimate the occurrence probability of defective piles(OPDP) from a site according to quality assurance inspection. The OPDP was firstly suggested as the criterion to weight the per... A systematic method was proposed to estimate the occurrence probability of defective piles(OPDP) from a site according to quality assurance inspection. The OPDP was firstly suggested as the criterion to weight the performance of a pile foundation. Its prior distribution and updating distribution were deduced to follow Beta distributions. To calibrate the OPDP, a dynamic estimation model was established according to the relationships between prior mean and variance and updating mean and variance. Finally, a reliability-control method dealing with uncertainties arising from quality assurance inspection was formalized to judge whether all the bored piles from a site can be accepted. It is exemplified that the OPDP can be substantially improved when more definite prior information and sampling formation become available. For the example studied herein, the Bayesian estimator of updating variance for OPDP is reduced from 0.0037 to 0.0014 for the first inspection, from 0.0014 to 0.0009 for the second inspection, and with less uncertainty by incorporating experience information. 展开更多
关键词 bored piles quality assurance inspection reliability control occurrence probability Bayesian method
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Facing a Problem of Electrical Energy Quality in Ship Networks-measurements, Estimation, Control 被引量:2
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作者 TomaszTarasiuk JanuszMindykowski XiaoyanXu 《上海海运学院学报》 北大核心 2003年第3期193-199,共7页
In this paper, electrical energy quality and its indices in ship electric networks are introduced, especially the meaning of electrical energy quality terms in voltage and active and reactive power distribution indice... In this paper, electrical energy quality and its indices in ship electric networks are introduced, especially the meaning of electrical energy quality terms in voltage and active and reactive power distribution indices. Then methods of measurement of marine electrical energy indices are introduced in details and a microprocessor measurement-diagnosis system with the function of measurement and control is designed. Afterwards, estimation and control of electrical power quality of marine electrical power networks are introduced. And finally, according to the existing method of measurement and control of electrical power quality in ship power networks, the improvement of relative method is proposed. 展开更多
关键词 船舶 电子网络 电能质量 测量 估计 控制 电气设备
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Quality Control System of Judicial Expertise in China
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作者 ZHU Guang-you 《法医学杂志》 CAS CSCD 2013年第4期295-296,共2页
The current quality control system of judicial expertise in China For a long time in China,the administrative organization of justice has been subordinate to universities,Ministry of Public Health,Ministry of Public S... The current quality control system of judicial expertise in China For a long time in China,the administrative organization of justice has been subordinate to universities,Ministry of Public Health,Ministry of Public Security,the Procuratorate,the Court and National Security Agency.These administrative organizations are mainly in charge of the management of judicial expertise.The quality control system of judicial expertise can be classified into three levels. 展开更多
关键词 司法鉴定 中国 大学 司法工作
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无线节点状态QC与资料品质关系研究与应用 被引量:1
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作者 田新琦 蔡存军 +2 位作者 瞿维迎 孟祥顺 路交通 《石油物探》 CSCD 北大核心 2024年第4期735-745,共11页
随着高密度地震采集技术的发展,采集排列片越来越大,用于接收的无线采集节点设备数量也随之成倍增加,基于WiFi和蓝牙的节点状态质控方法已无法满足每日地震数据采集前完成节点状态质控的要求。为此,引入了一种基于LoRa通信技术及LoRaWA... 随着高密度地震采集技术的发展,采集排列片越来越大,用于接收的无线采集节点设备数量也随之成倍增加,基于WiFi和蓝牙的节点状态质控方法已无法满足每日地震数据采集前完成节点状态质控的要求。为此,引入了一种基于LoRa通信技术及LoRaWAN通信协议的质控方法,并且借助无人机搭载LoRa网关,实现对节点状态的近实时质控。通过分析昆腾节点HyperQ质控数据,确定了节点异常状态出现频率最高的阻尼、自然频率和灵敏度3项基本信息,探讨了节点状态质控数据与地震数据之间的关系,提出了复杂作业区节点更换的指导原则,认为在无线节点地震数据采集过程中,应当综合应用节点状态质控方法和地震数据质控方法共同监控地震数据的采集质量。在南美地区X工区沼泽区地震数据采集项目中,基于节点更换原则,应用综合节点质控方法,在成本可控的前提下,保证了沼泽区单炮采集数据质量,使得采集质量指标为A级的单炮比例提高了9.72%,满足了质控要求,且新采集资料品质得到大幅提升。 展开更多
关键词 无线节点采集 LoRa技术 HyperQ质控技术 地震数据属性评价 单炮采集质量指标
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基于五桥臂MMC-UPQC的复合模型预测控制研究 被引量:2
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作者 李金洪 周建萍 +1 位作者 夏文豪 龚益琳 《电力系统保护与控制》 EI CSCD 北大核心 2024年第11期179-187,共9页
针对模块化多电平统一电能质量调节器(modular multilevel unified power quality conditioner, MMC-UPQC)六桥臂结构下的单相桥臂故障问题,提出了一种五桥臂拓扑,这种新型拓扑可实现故障情况下的电能质量补偿。首先,对MMC-UPQC串并联... 针对模块化多电平统一电能质量调节器(modular multilevel unified power quality conditioner, MMC-UPQC)六桥臂结构下的单相桥臂故障问题,提出了一种五桥臂拓扑,这种新型拓扑可实现故障情况下的电能质量补偿。首先,对MMC-UPQC串并联侧的数学模型进行分析,提出了一种复合模型预测控制(hybrid model predictive control,H-MPC),所提控制方法结合了有限集模型预测控制(finite-control-set model predictive control, FCS-MPC)以及快速模型预测控制(fast model predictive control, F-MPC)。然后,通过构建两侧独立的价值函数减少了控制方法的计算量,同时也实现了五桥臂解耦控制。最后,相比传统线性(例如PI)和非线性(例如无源控制passivity-based control,PBC)的控制策略,所提复合模型预测控制在电压补偿、负序电压抑制以及谐波电流补偿等方面具有一定优势,并在一定程度上避免了复杂的参数整定及坐标变化环节。仿真实验结果证明了所提控制方法的可行性和优越性。 展开更多
关键词 桥臂故障 电能质量 模块化多电平统一电能质量调节器 五桥臂拓扑 复合模型预测控制
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非隔离单相半桥UPQC直流纹波分析及其影响抑制
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作者 唐岑 向诗彪 +2 位作者 孟令辉 朱唯伟 舒泽亮 《电机与控制学报》 EI CSCD 北大核心 2024年第3期33-42,共10页
非隔离单相半桥统一电能质量调节器(UPQC)两侧变换器的脉动功率差将在直流电容及分电容上产生复杂的多倍频电压纹波,各次电压纹波会对串联侧变换器的补偿电压有不同的影响,降低串联侧变换器的补偿效果。为了抑制直流电压纹波影响,利用... 非隔离单相半桥统一电能质量调节器(UPQC)两侧变换器的脉动功率差将在直流电容及分电容上产生复杂的多倍频电压纹波,各次电压纹波会对串联侧变换器的补偿电压有不同的影响,降低串联侧变换器的补偿效果。为了抑制直流电压纹波影响,利用等效电容电流模型计算直流电容电压表达式,分析直流纹波及非线性负载对补偿电压的影响路径,并仿真验证其正确性。针对分电容电压纹波和非线性负载对电压补偿效果的影响,提出一种抑制多倍频纹波影响的补偿电压特定次谐波控制策略。最后,基于SiC器件建立了非隔离单相半桥UPQC实验平台进行实验验证,实验结果表明在非线性工况下,所提控制策略将补偿电压THD从12.2%降低至2.4%,相比于传统控制可以减少约70%的直流电容需求。 展开更多
关键词 电能质量 统一电能质量调节器 分电容电压纹波 纹波影响抑制 补偿电压特定次谐波控制
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2023年度国家康复医学专业医疗服务与质量安全报告 被引量:3
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作者 刘京宇 杨延砚 +4 位作者 张元鸣飞 刘小燮 张娜 张之良 周谋望 《中国康复理论与实践》 北大核心 2025年第1期1-20,共20页
目的从医疗机构康复医疗服务结构、环节、结果指标等方面,分析2022年全国综合医院康复医学科及康复医院的医疗服务质量与安全现状。方法本报告数据源自国家医疗质量管理与控制信息系统。2023年度调查共纳入全国7250家医疗机构的康复医... 目的从医疗机构康复医疗服务结构、环节、结果指标等方面,分析2022年全国综合医院康复医学科及康复医院的医疗服务质量与安全现状。方法本报告数据源自国家医疗质量管理与控制信息系统。2023年度调查共纳入全国7250家医疗机构的康复医疗质量相关数据,覆盖全部二级以上综合医院、康复医院,以及中医、中西医结合综合医院。经过数据清洗,最终纳入3153家配置康复医学科病房的医院数据进行深入分析。结果在2023年度纳入调查的7250家综合医院中,仅3277家设置康复医学病房。综合医院中,56.46%医院的平均每床配置医师数、77.67%医院的平均每床配置康复治疗师数、51.18%医院的平均每床配置护士数未达到国家要求。尽管较2021年有所改善,但人才缺口依然显著。此外,综合医院骨科、神经内科病房、重症医学科病房的早期康复介入率分别为13.98%、20.82%和21.36%。综合医院康复医学科出院患者平均日常生活活动能力(ADL)改善率为77.69%,康复医院出院患者ADL改善率为66.78%。结论康复医学科病房配置及设施规模不足,康复服务人力资源短缺,康复服务与临床服务的融入欠缺,康复服务的效果与效率尚有提升空间等。建议扩大康复服务规模、完善学科建设;提高康复人力资源的数量和质量;将康复服务融入健康服务体系;建立健全临床康复指南和技术规范;构建康复医学信息平台等。 展开更多
关键词 康复医学 医疗服务 质量安全 质量控制
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