简介:Theriskofmyocardialinfarctionincreasesinpatientswithdiabetesmellitus.Theincidenceofmyocardialinfarctionissimilarinpatientswithtype2diabeteswithouthistoryofmyocardialinfarctionandinnon-diabeticpatientswithhistoryofmyocardialinfarction.DiabetesmellituswasconsideredasacoronarydiseaseequivalentbytheNationalCholesterolEducationProgram.Strictglycemiccontrolcanimprovethelong-termoutcomeofbothtype1andtype2diabetesmellitus.Whateverwithdiabeticornon-diabetic,strictglycemiccontrolwithintensiveinsulintherapycanreducethemortalityofcriticallyillpatientsinhospital.Aftermyocardialinfarction,therewouldbeaworseoutcomeforpatientswithpoorglycemiccontrol,whateverindiabeticornon-diabeticpatientswithstresshyperglycemia.Meanwhile,strictglycemiccontrolcanimprovetheoutcome.TheguidelineofAmericanCollegeofCardiology/AmericanHeartAssociationin2004onST-elevatedmyocardialinfarctionrecommendedinsulininfusionmaintainingtheeuglycemiaforpatientswithacutemyocardialinfarctionandcomplicatedconditions,whetherwithdiabetesmellitusornot,anditwasconsideredreasonabletoinfuseinsulinforallpatientswithhyperglycemiaduringtheperiodofacutemyocardialinfarction.Thispaperproposedaneffectiveandsafemethodforintravenousinsulininfusiontherapyfordiabeticpatientswithacutemyocardialinfarction.
简介:ISSN(Online):1755-9359;ISSN(Print):1755-9340Publishedin4issuesperyear.DescriptionOneofthemostdramatictechnologicaldevelopmentsintheeraofinformationisthedeploymentofcommunicationnetworks.Thison-goingrevolution
简介:AbstractBackground:Cystic echinococcosis is one of the most severe helminth zoonosis with a drastic impact on human health and livestock industry. Investigating optimal control strategy and assessing the crucial factors are essential for developing countermeasures to mitigate this disease.Methods:Two compartment models were formulated to study the dynamics of cystic echinococcosis transmission, to evaluate the effectiveness of various control measures, and to find the optimal control strategy. Sensitive analyses were conducted by obtaining PRCCs and contour plot was used to evaluate the effect of key parameters on the basic reproduction number. Based on forward-backward sweep method, numerical simulations were employed to investigate effects of key factors on the transmission of cystic echinococcosis and to obtain the optimal control strategy.Results:The food resources of stray dog and invalid sheep vaccination rate, which are always neglected, were significant to the transmission and control of cystic echinococcosis. Numerical simulations suggest that, the implementation of optimal control strategy can significantly reduce the infections. Improving the cost of health education and domestic dog deworming could not decrease human infections.Conclusions:Our study showed that only a long-term use of the optimal control measures can eliminate the disease. Meanwhile, during the intervention, sheep vaccination and stray dogs disposing should be emphasized ahead of domestic dogs deworming to minimize the control cost. Simultaneously reducing other wild intermediate hosts and strengthening the sheep vaccination as well as disposing the stray dogs would be most effective.
简介:这份报纸用单个万向节的控制时刻旋转罗盘(CMG)和磁性的torquers(MTQ)集中于小活泼的卫星的态度控制问题。因为他们的转矩扩大能力,CMG为活泼的卫星被认为是有效转矩发电机。然而,他们由于他们的复杂内部机制对失败脆弱。在这份报纸,CMG的不同失败盒子被分析。灵活失败容忍的控制策略被自动地在操作CMG和MTQ之中再分配要求的控制转矩开发,与提供CMG失败介绍的致动器动力学变化的可变limiter。关于在不同失败盒子下面的不同方向的演习的表演也被讨论并且检验。数字模拟证明建议策略在一或二CMG失败的情况中维持某些活泼。而且,有仅仅离开的一CMG的幸存策略也被验证。指太阳的稳定和指地球的稳定能在这种情况中被完成,它完成一些基本使命要求。
简介:这篇论文建议一个延期依赖者为引擎保证费用得到了控制计划有induction-to-torque延期和外部负担骚乱的闲散速度控制(ISC)。以操作模式的闲散速度的引擎的一个扩充linearization模型基于物理原则和实验数据被开发。在ISC一起提供在骚乱拒绝和ISC,上面的界限被给的多客观的费用功能,它能帮助我们考虑燃料经济和骚乱拒绝性能的另外的表演要求之间的妥协。杆限制被加到靠近环的系统保证状态的集中率。ISC的整个优化答案能在LMI的框架下面被解决。一个商业引擎模型被利用估计控制器的表演。这个模型上的模拟结果给我们看设计控制器能完成需要的性能。
简介:Anewmethodforanalyzingdynamicsofcontinuousneuralnetworksisproposed,andthenecessaryconvergenceconditionsforaclassofassociativenetworksareobtained.Basedonthestabilitycriterionandtheequationsofequilibriumsetofthenetwork,synthesisofaclassofassociativeneuralnetworksisgiven.Thestabilitycontrolmodelofasymmetricunstablenetworksissuggested,whichisalsoavalidwayforoptimizationanddynamiccontrolofstableneuralnetworks.
简介:Inthispapertheconceptofabsoluteobservabilityofnonlinearcontrolsystemsisadvanced.Differentfromthelineartime-invariantversion,therearedifferentdefinitionsofabsoluteobservabilityfornonlinearcontrolsystems.Twoalgorithmsformaximalabsolutelyobservablesubsystemsaregiven.Correspondingly,therearetworelevantnormalforms.Therelationswiththelargestcontrolledinvariantdistributioncontainedinkerdh,zerodynamicsetc.,arediscussedfromtheviewpointofmaximalabsoluteobservabilities.
简介:Purpose:Thisstudyaimedtoinvestigatewhetherworkloadintensitymodulatesexercise-inducedeffectonreactiontime(RT)performances,andmorespecificallytoclarifywhethercognitivecontrolthatplaysacrucialroleinrapiddecisionmakingisaltered.Methods:FourteenparticipantsperformedaSimonTaskwhilecycling20minatalight(firstventilatorythreshold,VT1e20%),moderate(VT1),orveryhard(VT1t20%)levelofexercise.Results:After15minofcycling,RTsarefasterthanduringthefirst5minofexercise.ThisbenefitdoesnotfluctuatewiththeintensityofexerciseandenlargesasRTlengthens.Despiteanumericaldifferencesuggestingagreaterfacilitationduringmoderateexercise(16ms)thanduringalightexercise(10ms),thebenefitisnotstatisticallydifferent.Interestingly,wedidnotobserveanysignsofworseningonRToronaccuracyduringveryhardexercise.Conclusion:Cognitivecontrolisextremelyrobustandappearsnottobeaffectedbytheintensityofexercise.Theselectiveinhibitionandthebetween-trialsadjustmentsareeffectivefromthebeginningtotheendofexercise,regardlessoftheworkloadoutput.