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41.
目的: 探究二甲双胍联合糖皮质激素治疗伴糖耐量异常(IGT)的系统性红斑狼疮(SLE)患者的临床疗效及对胰岛功能、Th17/Treg细胞失衡的影响。方法: 本院84例伴IGT的SLE患者随机分为联用组和对照组各42例,均给予生活、饮食指导,对照组给予糖皮质激素治疗,联用组联合二甲双胍治疗,1个月后观察疗效,并评估胰岛功能和Th17/Treg细胞失衡情况。结果: 联用组总有效率明显高于对照组(90.48% vs. 71.43%,P<0.05),SLE活动指数评分为(2.6±0.3)分,红细胞沉降率(ESR)为(18±4)mm/h,显著低于对照组的(3.9±0.8)分、(23±4)mm/h(P<0.05)。治疗后联用组空腹血糖(FBG)、空腹胰岛素(Fins)、稳态模型-胰岛素抵抗指数(HOMA-IR)、胰岛β功能细胞指数(HOMA-β)显著改善(P<0.05),且与对照组相比差异有统计学意义(P<0.05);联用组正常糖耐量(NGT)占比明显高于对照组(73.81% vs. 30.95%,P<0.05)。治疗后联用组Th17、Treg细胞比例为(6.2±0.9)个/μL、(31±7)个/μL,Th17/Treg为(0.20±0.05),与对照组的(7.4±1.3)个/μL、(28±7)个/μL、(0.26±0.06)相比有统计学差异(P<0.05)。治疗后SLE活动指数评分与HOMA-IR、HOMA-β及Th17细胞、Treg细胞、Th17/Treg明显相关(P<0.05),且HOMA-IR、HOMA-β与Th17细胞、Treg细胞、Th17/Treg也明显相关(P<0.05)。2组不良反应均轻微,发生率无统计学差异(P>0.05)。结论: 二甲双胍联合糖皮质激素治疗伴IGT的SLE患者疗效显著,可控制疾病活动性,降低血糖水平、改善胰岛功能及纠正Th17/Treg细胞失衡,且安全性高。 相似文献
42.
Wireless Body Area Networks (WBANs) are envisaged to play crucial role in psychological, medical and non-medical applications. This paper presents iM-SIMPLE; a reliable, and power efficient routing protocol with high throughput for WBAN. We deploy sensor nodes on human body to measure the physiological parameters such as blood pressure, temperature, glucose, lactic acid, EMG, acceleration, pressure, and position. Data from sensors is forwarded to intermediate node, from where it is transmitted to sink. An end user can access the required information available at sink via internet. To minimize energy consumption of the network, we utilize multi-hop mode of communication. A cost function is introduced to select the forwarder; node with high residual energy and least distance to sink has minimum cost function value and is selected. Residual energy parameter balances the energy consumption among the sensor nodes, and least distance improves packet delivery to sink because of reduced less path loss. We formulate the minimum energy consumption and high throughput problems as an Integer Linear Program. In order to support mobility, we also consider two body postures. Simulation results confirm the performance advantage of iM-SIMPLE compared to contemporary schemes in terms of maximizing stability period and throughput of the network. 相似文献
43.
This paper concerns a state feedback integral control using a Lyapunov function approach for a rotary direct drive servo valve (RDDV) while considering parameter uncertainties. Modeling of this RDDV servovalve reveals that its mechanical performance is deeply influenced by friction torques and flow torques; however, these torques are uncertain and mutable due to the nature of fluid flow. To eliminate load resistance and to achieve satisfactory position responses, this paper develops a state feedback control that integrates an integral action and a Lyapunov function. The integral action is introduced to address the nonzero steady-state error; in particular, the Lyapunov function is employed to improve control robustness by adjusting the varying parameters within their value ranges. This new controller also has the advantages of simple structure and ease of implementation. Simulation and experimental results demonstrate that the proposed controller can achieve higher control accuracy and stronger robustness. 相似文献
44.
We develop a stochastic optimal control framework to address an important class of economic problems where there are discontinuities and a decision maker is able to undertake impulse controls in response to unexpected disturbances. Our contribution is two fold: (1) to develop a linear programming algorithm that produces a consistent approximation of the maximum value and optimal policy functions in the context of stochastic impulse controls; and (2) to illustrate the economic benefits of impulse controls optimized, using our framework, and calibrated to the population dynamics of a marine fishery. We contend that the framework has wide applicability and offers the possibility of higher economic pay-off for a wide-range of policy problems in the presence of discontinuities and adverse shocks. 相似文献
45.
Stream ciphers based on linear feedback shift register (LFSR) are suitable for constrained environments, such as satellite communications, radio frequency identification devices tag, sensor networks and Internet of Things, due to its simple hardware structures, high speed encryption and lower power consumption. LFSR, as a cryptographic primitive, has been used to generate a maximum period sequence. Because the switching of the status bits is regular, the power consumption of the LFSR is correlated in a linear way. As a result, the power consumption characteristics of stream cipher based on LFSR are vulnerable to leaking initialization vectors under the power attacks. In this paper, a new design of LFSR against power attacks is proposed. The power consumption characteristics of LFSR can be masked by using an additional LFSR and confused by adding a new filter Boolean function and a flip-flop. The design method has been implemented easily by circuits in this new design in comparison with the others. 相似文献
46.
Weijin Jiang Jiahui Chen Yirong Jiang Yuhui Xu Yang Wang Lina Tan Guo Liang 《计算机、材料和连续体(英文)》2019,61(2):849-859
Aiming at the problem that the traditional collaborative filtering recommendation algorithm does not fully consider the influence of correlation between projects on recommendation accuracy, this paper introduces project attribute fuzzy matrix, measures the project relevance through fuzzy clustering method, and classifies all project attributes. Then, the weight of the project relevance is introduced in the user similarity calculation, so that the nearest neighbor search is more accurate. In the prediction scoring section, considering the change of user interest with time, it is proposed to use the time weighting function to improve the influence of the time effect of the evaluation, so that the newer evaluation information in the system has a relatively large weight. The experimental results show that the improved algorithm improves the recommendation accuracy and improves the recommendation quality. 相似文献
47.
Ching‐Ter Chang 《International Transactions in Operational Research》2021,28(1):493-511
Interval goal programming (IGP) with a marginal penalty function (PF) was first proposed by Charnes and Collomb in 1972, and further improved by Kvanli and other researchers. Recently, Lu and Chen proposed an efficient logarithmic method to formulate IGP with an S‐shaped PF. However, their method requires adding many binary variables when the problem size becomes large, which increases the computational burden in the solution process. This study proposes an efficient approach for the S‐shaped PF. The arbitrary PF frequently appears in the fields of business and industry. However, none of the previous approaches have addressed arbitrary PFs without adding binary variables. The proposed approach can be easily extended to formulate an arbitrary PF in which binary variables are no longer required, regardless of the number of break points. The proposed method can improve the efficiency of IGP for solving large size management and decision problems in considering PFs. In order to demonstrate the correctness, usefulness of the proposed model, illustrative examples are provided. 相似文献
48.
本文针对配电系统电能质量综合评估存在的评估指标权重分配过于主观或客观的问题,提出一种基于改进雷达图法的配电系统电能质量评估方法。该方法利用最小偏差组合权重法计算各评估指标的最优组合权重。并在传统雷达图的基础上对各指标轴间夹角值的确定和特征向量的选取两方面做了进一步的改进。首先采用扇形区域取代原始的三角形区域,并利用最小偏差组合权重法计算各指标轴间夹角值。其次选择新的特征向量构造评估函数对配电系统电能质量进行综合评估。最后通过对某钢铁厂棒材变电站10kV配电系统电能质量进行综合评估,验证了该方法的可行性和合理性。较传统雷达图而言,改进雷达图法解决了传统雷达图法中各指标间信息共用以及评估结果不唯一的问题,使评估结果更加准确合理。 相似文献
49.
Hai Huang Haichao An Haibo Ma Shenyan Chen 《International journal for numerical methods in engineering》2019,117(3):291-315
This work presents an engineering method for optimizing structures made of bars, beams, plates, or a combination of those components. Corresponding problems involve both continuous (size) and discrete (topology) variables. Using a branched multipoint approximate function, which involves such mixed variables, a series of sequential approximate problems are constructed to make the primal problem explicit. To solve the approximate problems, genetic algorithm (GA) is utilized to optimize discrete variables, and when calculating individual fitness values in GA, a second-level approximate problem only involving retained continuous variables is built to optimize continuous variables. The solution to the second-level approximate problem can be easily obtained with dual methods. Structural analyses are only needed before improving the branched approximate functions in the iteration cycles. The method aims at optimal design of discrete structures consisting of bars, beams, plates, or other components. Numerical examples are given to illustrate its effectiveness, including frame topology optimization, layout optimization of stiffeners modeled with beams or shells, concurrent layout optimization of beam and shell components, and an application in a microsatellite structure. Optimization results show that the number of structural analyses is dramatically decreased when compared with pure GA while even comparable to pure sizing optimization. 相似文献
50.
针对现有的基于局部特征的图像匹配算法对光照变化敏感、匹配正确率低等问题,提出一种具有光照鲁棒性的图像匹配算法。首先使用实时对比保留去色(RTCP)算法灰度化图像,然后利用对比拉伸函数模拟不同光照变换对图像的影响从而提取抗光照变换特征点,最后采用局部强度顺序模式建立特征点描述符,根据待匹配图像局部特征点描述符的欧氏距离判断是否为成对匹配点。在公开数据集上,所提算法与尺度不变特征变换(SIFT)算法、加速鲁棒特征(SURF)算法、"风"(KAZE)算法和ORB算法在匹配速度和匹配正确率上进行了对比实验。实验结果表明:随着图像亮度差异的增加,SIFT算法、SURF算法、"风"(KAZE)算法和ORB算法匹配正确率下降迅速,所提算法下降缓慢并且正确率均高于80%;所提算法特征点检测较慢和描述符维数较高,平均耗时为23.47 s,匹配速度不及另外四种算法,但匹配质量却远超过它们。对实时性要求不高的系统中,所提算法可以克服光照变化对图像匹配造成的影响。 相似文献