48 research outputs found

    Robust gradient-based discrete-time iterative learning control algorithms

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    This paper considers the use of matrix models and the robustness of a gradient-based Iterative Learning Control (ILC) algorithm using both fixed learning gains and gains derived from parameter optimization. The philosophy of the paper is to ensure monotonic convergence with respect to the mean square value of the error time series. The paper provides a complete and rigorous analysis for the systematic use of matrix models in ILC. Matrix models make analysis clearer and provide necessary and sufficient conditions for robust monotonic convergence. They also permit the construction of sufficient frequency domain conditions for robust monotonic convergence on finite time intervals for both causal and non-causal controller dynamics. The results are compared with recent results for robust inverse-model based ILC algorithms and it is seen that the algorithm has the potential to improve robustness to high frequency modelling errors provided that resonances within the plant bandwidth have been suppressed by feedback or series compensation

    Short text messages to encourage adherence to medication and follow-up for people with psychosis (Mobile.Net): randomized controlled trial in Finland

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    Background: A text messaging service (short message service [SMS]) has the potential to target large groups of people with long-term illnesses such as serious mental disorders, who may have difficulty with treatment adherence. Robust research on the impact of mobile technology interventions for these patients remains scarce. Objective: The main objective of our study was to investigate the impact of individually tailored short text messages on the rate of psychiatric hospital readmissions, health care service use, and clinical outcomes. In addition, we analyzed treatment costs. Methods: Between September 2011 and November 2012, we randomly assigned 1139 people to a tailored text message intervention (n=569) or usual care (n=570). Participants received semiautomated text messages for up to 12 months or usual care. The primary outcome, based on routinely collected health register data, was patient readmission into a psychiatric hospital during a 12-month follow-up period. Secondary outcomes were related to other service use, coercion, medication, adverse events, satisfaction, social functioning, quality of life, and economic factors (cost analysis). Results: There was 98.24% (1119/1139) follow-up at 12 months. Tailored mobile telephone text messages did not reduce the rate of hospital admissions (242/563, 43.0% of the SMS group vs 216/556, 38.8% of the control group; relative risk 1.11; 95% CI 0.92-1.33; P=.28), time between hospitalizations (mean difference 7.0 days 95% CI –8.0 to 24.0; P=.37), time spent in a psychiatric hospital during the year (mean difference 2.0 days 95% CI –2.0 to 7.0; P=.35), or other service outcomes. People who received text messages were less disabled, based on Global Assessment Scale scores at the time of their readmission, than those who did not receive text messages (odds ratio 0.68; 95% CI 0.47-0.97; P=.04). The costs of treatment were higher for people in the SMS group than in the control group (mean €10,103 vs €9210, respectively, P<.001). Conclusions: High-grade routinely collected data can provide clear outcomes for pragmatic randomized trials. SMS messaging tailored with the input of each individual patient did not decrease the rate of psychiatric hospital visits after the 12 months of follow-up. Although there may have been other, more subtle effects, the results of these were not evident in outcomes of agreed importance to clinicians, policymakers, and patients and their families

    Associations of quantity and quality of carbohydrate sources with subjective appetite sensations during 3-year weight-loss maintenance : Results from the PREVIEW intervention study

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    Publisher Copyright: © 2021 The Author(s)Background & aims: The association of quantity and quality of carbohydrate sources with appetite during long-term weight-loss maintenance (WLM) after intentional weight loss (WL) is unclear. We aimed to investigate longitudinal associations of quantity and quality of carbohydrate sources with changes in subjective appetite sensations during WLM. Methods: This secondary analysis evaluated longitudinal data from the 3-year WLM phase of the PREVIEW study, a 2 × 2 factorial (diet–physical activity arms), multi-center, randomized trial. 1279 individuals with overweight or obesity and prediabetes (25–70 years; BMI≥25 kg m−2) were included. Individuals were merged into 1 group to assess longitudinal associations of yearly changes in appetite sensations. Quantity and quality of carbohydrate sources including total carbohydrate, glycemic index (GI), glycemic load (GL), and total dietary fiber were assessed via 4-day food diaries at 4 timepoints (26, 52, 104, and 156 weeks) during WLM. Visual analog scales were used to assess appetite sensations in the previous week. Results: During WLM, participants consumed on average 160.6 (25th, 75th percentiles 131.1, 195.8) g·day−1 of total carbohydrate, with GI 53.8 (48.7, 58.8) and GL 85.3 (67.2, 108.9) g day−1, and 22.3 (17.6, 27.3) g·day−1 of dietary fiber. In the available-case analysis, multivariable-adjusted linear mixed models with repeated measures showed that each 30-g increment in total carbohydrate was associated with increases in hunger (1.36 mm year−1, 95% CI 0.77, 1.95, P < 0.001), desire to eat (1.10 mm year−1, 0.59, 1.60, P < 0.001), desire to eat something sweet (0.99 mm year−1, 0.30, 1.68, P = 0.005), and weight regain (0.20%·year−1, 0.03, 0.36, P = 0.022). Increasing GI was associated with weight regain, but not associated with increases in appetite sensations. Each 20-unit increment in GL was associated with increases in hunger (0.92 mm year−1, 0.33, 1.51, P = 0.002), desire to eat (1.12 mm year−1, 0.62, 1.62, P < 0.001), desire to eat something sweet (1.13 mm year−1, 0.44, 1.81, P < 0.001), and weight regain (0.35%·year−1, 0.18, 0.52, P < 0.001). Surprisingly, dietary fiber was also associated with increases in desire to eat, after adjustment for carbohydrate or GL. Conclusions: In participants with moderate carbohydrate and dietary fiber intake, and low to moderate GI, we found that higher total carbohydrate, GL, and total fiber, but not GI, were associated with increases in subjective desire to eat or hunger over 3 years. This study was registered as ClinicalTrials.gov, NCT01777893.Peer reviewe

    What do individuals with schizophrenia need to increase their well-being

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    The aim of this qualitative study was to deepen the knowledge of how individuals with schizophrenia themselves describe what they need in order to increase their well-being in everyday life. Seven patients were interviewed. An open explorative approach was applied and grounded theory was used for the analysis resulting in five categories illustrating how patients with schizophrenia handle their struggle for a normal life. The patients stressed first the importance of receiving information about the disease: for themselves, for society, and for their families. Taking part in social contacts such as attending meeting places and receiving home visits were identified as important as well as having meaningful employment. They also pointed out the importance of taking part in secure professional relationships. Mainly they expressed the need for continuity in the relationships and the wish to be heard and seen by the professionals. Finally, interviewees addressed the need for support for sustaining independent living through practical housekeeping and financial help. To conclude, the participants in the present study described their need for help as mainly linked to activities in their overall life situation rather than just their psychosis

    We All Know How, Don’t We? On the Role of Scrum in IT-Offshoring

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    Part 2: Creating Value through Software DevelopmentInternational audienceOffshoring in the IT-industry involves dual interactions between a mother company and an external supplier, often viewed with an implicit perspective from the mother company. This article review general off shoring and IT offshoring literature, focusing on the proliferation of a globally available set of routines; Scrum and Agile. Two cases are studied; a small company and short process and a large mother company with a long process. The interactions of the set ups shows that global concepts like Scrum and Agile are far from a common platform. The “well known” concepts are locally shaped and the enterprises have mixed experiences

    Issues of algebra and optimality in Iterative Learning Control

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    Abstract In this thesis a set of new algorithms is introduced for Iterative Learning Control (ILC) and Repetitive Control (RC). Both areas of study are relatively new in control theory, and the common denominator for them is that they concentrate on controlling systems that include either reference signals or disturbances which are periodic. This provides opportunities for using past information or experience so that the control system learns the control action that results in good performance in terms of reference tracking or disturbance rejection. The first major contribution of the thesis is the algebraic analysis of ILC systems. This analysis shows that in the discrete-time case ILC algorithm design can be considered as designing a multivariable controller for a multivariable static plant and the reference signal that has to be tracked is a multivariable step function. Furthermore, the algebraic analysis reveals that time-varying algorithms should be used instead of time-invariant ones in order to guarantee monotonic convergence of the error in norm. However, from the algebraic analysis it is not clear how to select the free parameters of a given ILC algorithm. Hence in this thesis optimisation methods are used to automate this design phase. Special emphasis is placed on the so called Norm-Optimal Iterative Learning Control (NOILC) that was originally developed in (Amann:1996) as a new result it is shown that a convex modification of the existing predictive algorithm will result in a considerable improvement in convergence speed. Because the NOILC algorithm is computationally quite complex, a new set of Parameter-Optimal ILC algorithms are derived that converge under certain assumptions on the original plant. Three of these new algorithms will result in monotonic convergence to zero tracking error for an arbitrary discrete-time, linear, time-invariant plant. This a very strong property that has been earlier reported for only a small number of ILC algorithms. In the RC case it is shown that an existing RC algorithm that has been widely analysed and used in the research literature is in fact highly unrobust if the algorithm is implemented using sampled-data processing. Consequently, in this thesis a new optimality based discrete-time RC algorithm is derived, which converges to zero tracking error asymptotically for an arbitrary linear, time-invariant discrete-time plant under mild controllability and observability conditions
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