A new fuzzification method for multi-objective decision-making and selective sorting is proposed on the basis of the fuzzy consistent relation, and the specific algorithm is presented. The method is applied to the eva...A new fuzzification method for multi-objective decision-making and selective sorting is proposed on the basis of the fuzzy consistent relation, and the specific algorithm is presented. The method is applied to the evaluation of highway planning of Zhanjiang city. To decrease the subjectivity in the process of decision-making, the LOWA operator is introduced, and a discussion on how to select appropriate weights involved in multi-objective sorting is made. It is concluded that it is feasible to apply the fuzzy consistent relation to multi-objective decision-making analysis, and the improved fuzzication method is workable.展开更多
The treatment engineering of landslide hazard is a complicated systemengineering. The selecting treatment scheme is influenced by many factors such as technology,economics, environment, and risk. The decision-making o...The treatment engineering of landslide hazard is a complicated systemengineering. The selecting treatment scheme is influenced by many factors such as technology,economics, environment, and risk. The decision-making of treatment schemes of landslide hazard is aproblem of comprehensive judgment with multi-hierarchy and multi-objective. The traditional analysishierarchy process needs identity test. The traditional analysis hierarchy process is improved bymeans of optimal transfer matrix here. An improved hierarchy decision-making model for the treatmentof landslide hazard is set up. The judgment matrix obtained by the method can naturally meet therequirement of identity, so the identity test is not necessary. At last, the method is applied tothe treatment decision-making of the dangerous rock mass at the Slate Mountain, and its applicationis discussed in detail.展开更多
In the real situations of supply chain, there are different parts such as facilities, logistics warehouses and retail stores and they handle common kinds of products. In this research, these situations are focused on ...In the real situations of supply chain, there are different parts such as facilities, logistics warehouses and retail stores and they handle common kinds of products. In this research, these situations are focused on as the background of this research. They deal with the common quantities of their products, but due to their different environments, the optimal production quantity of one part can be unacceptable to another part and it may suffer a heavy loss. To avoid that kind of unacceptable situations, the common production quantities should be acceptable to all parts in one supply chain. Therefore, the motivation of this research is the necessity of the method to find the production quantities that make all decision makers acceptable is needed. However, it is difficult to find the production quantities that make all decision makers acceptable. Moreover, their acceptable ranges do not always have common ranges. In the decision making of car design, there are similar situations to this type of decision making. The performance of a car consists of purposes such as fuel efficiency, size and so on. Improving one purpose makes another worse and the relationship between these purposes is tradeoff. In these cases, Suriawase process is applied. This process consists of negotiations and reviews of the requirements of the purposes. In the step of negotiations, the requirements of the purposes are share among all decision makers and the solution that makes them as satisfied as possible. In the step of reviews of the requirements, they are reviewed based on the result of the negotiation if the result is unacceptable to some of decision makers. Therefore, through the iterations of the two steps, the solution that makes all decision makers satisfied is obtained. However, in the previous research, the effects that one decision maker reviews requirements in Suriawase process are quantified, but the mathematical model to modify the ranges of production quantities of all decision makers simultaneously is not shown. Therefore, in this research, based on Suriawase process, the mathematical model of multi-player multi-objective decision making is proposed. The mathematical model of multi-player multi-objective decision making by using linear physical programming (LPP) and robust optimization (RO) in the previous research is the basis of the methods of this research. LPP is one of the multi-objective optimization methods and RO is used to make the balance of the preference levels among decision makers. In LPP, the preference ranges of all objective functions are needed, so as the hypothesis of this research. In the research referred in this research, the method to control the effect of RO is not shown. If the effect of RO is too big, the average of the preference level becomes worse. The purpose of this research is to reproduce the mathematical model of multi-player multi-objective decision making based on Suriawase process and propose the method to control the effect of RO. In the proposed model, a set of the solutions of the negotiation problem is obtained and it is proved by the result of the numerical experiment. Therefore, the conclusion that the proposed model is available to obtain a set of the solutions of the negotiation problems in supply chain.展开更多
In tunnel construction,tunnel boring machine(TBM)tunnelling typically relies on manual experience with sub-optimal control parameters,which can easily lead to inefficiency and high costs.This study proposed an intelli...In tunnel construction,tunnel boring machine(TBM)tunnelling typically relies on manual experience with sub-optimal control parameters,which can easily lead to inefficiency and high costs.This study proposed an intelligent decision-making method for TBM tunnelling control parameters based on multiobjective optimization(MOO).First,the effective TBM operation dataset is obtained through data preprocessing of the Songhua River(YS)tunnel project in China.Next,the proposed method begins with developing machine learning models for predicting TBM tunnelling performance parameters(i.e.total thrust and cutterhead torque),rock mass classification,and hazard risks(i.e.tunnel collapse and shield jamming).Then,considering three optimal objectives,(i.e.,penetration rate,rock-breaking energy consumption,and cutterhead hob wear),the MOO framework and corresponding mathematical expression are established.The Pareto optimal front is solved using DE-NSGA-II algorithm.Finally,the optimal control parameters(i.e.,advance rate and cutterhead rotation speed)are obtained by the satisfactory solution determination criterion,which can balance construction safety and efficiency with satisfaction.Furthermore,the proposed method is validated through 50 cases of TBM tunnelling,showing promising potential of application.展开更多
Community detection is one of the most fundamental applications in understanding the structure of complicated networks.Furthermore,it is an important approach to identifying closely linked clusters of nodes that may r...Community detection is one of the most fundamental applications in understanding the structure of complicated networks.Furthermore,it is an important approach to identifying closely linked clusters of nodes that may represent underlying patterns and relationships.Networking structures are highly sensitive in social networks,requiring advanced techniques to accurately identify the structure of these communities.Most conventional algorithms for detecting communities perform inadequately with complicated networks.In addition,they miss out on accurately identifying clusters.Since single-objective optimization cannot always generate accurate and comprehensive results,as multi-objective optimization can.Therefore,we utilized two objective functions that enable strong connections between communities and weak connections between them.In this study,we utilized the intra function,which has proven effective in state-of-the-art research studies.We proposed a new inter-function that has demonstrated its effectiveness by making the objective of detecting external connections between communities is to make them more distinct and sparse.Furthermore,we proposed a Multi-Objective community strength enhancement algorithm(MOCSE).The proposed algorithm is based on the framework of the Multi-Objective Evolutionary Algorithm with Decomposition(MOEA/D),integrated with a new heuristic mutation strategy,community strength enhancement(CSE).The results demonstrate that the model is effective in accurately identifying community structures while also being computationally efficient.The performance measures used to evaluate the MOEA/D algorithm in our work are normalized mutual information(NMI)and modularity(Q).It was tested using five state-of-the-art algorithms on social networks,comprising real datasets(Zachary,Dolphin,Football,Krebs,SFI,Jazz,and Netscience),as well as twenty synthetic datasets.These results provide the robustness and practical value of the proposed algorithm in multi-objective community identification.展开更多
Vehicle Edge Computing(VEC)and Cloud Computing(CC)significantly enhance the processing efficiency of delay-sensitive and computation-intensive applications by offloading compute-intensive tasks from resource-constrain...Vehicle Edge Computing(VEC)and Cloud Computing(CC)significantly enhance the processing efficiency of delay-sensitive and computation-intensive applications by offloading compute-intensive tasks from resource-constrained onboard devices to nearby Roadside Unit(RSU),thereby achieving lower delay and energy consumption.However,due to the limited storage capacity and energy budget of RSUs,it is challenging to meet the demands of the highly dynamic Internet of Vehicles(IoV)environment.Therefore,determining reasonable service caching and computation offloading strategies is crucial.To address this,this paper proposes a joint service caching scheme for cloud-edge collaborative IoV computation offloading.By modeling the dynamic optimization problem using Markov Decision Processes(MDP),the scheme jointly optimizes task delay,energy consumption,load balancing,and privacy entropy to achieve better quality of service.Additionally,a dynamic adaptive multi-objective deep reinforcement learning algorithm is proposed.Each Double Deep Q-Network(DDQN)agent obtains rewards for different objectives based on distinct reward functions and dynamically updates the objective weights by learning the value changes between objectives using Radial Basis Function Networks(RBFN),thereby efficiently approximating the Pareto-optimal decisions for multiple objectives.Extensive experiments demonstrate that the proposed algorithm can better coordinate the three-tier computing resources of cloud,edge,and vehicles.Compared to existing algorithms,the proposed method reduces task delay and energy consumption by 10.64%and 5.1%,respectively.展开更多
With the increasing complexity of industrial automation,planetary gearboxes play a vital role in largescale equipment transmission systems,directly impacting operational efficiency and safety.Traditional maintenance s...With the increasing complexity of industrial automation,planetary gearboxes play a vital role in largescale equipment transmission systems,directly impacting operational efficiency and safety.Traditional maintenance strategies often struggle to accurately predict the degradation process of equipment,leading to excessive maintenance costs or potential failure risks.However,existing prediction methods based on statistical models are difficult to adapt to nonlinear degradation processes.To address these challenges,this study proposes a novel condition-based maintenance framework for planetary gearboxes.A comprehensive full-lifecycle degradation experiment was conducted to collect raw vibration signals,which were then processed using a temporal convolutional network autoencoder with multi-scale perception capability to extract deep temporal degradation features,enabling the collaborative extraction of longperiod meshing frequencies and short-term impact features from the vibration signals.Kernel principal component analysis was employed to fuse and normalize these features,enhancing the characterization of degradation progression.A nonlinear Wiener process was used to model the degradation trajectory,with a threshold decay function introduced to dynamically adjust maintenance strategies,and model parameters optimized through maximum likelihood estimation.Meanwhile,the maintenance strategy was optimized to minimize costs per unit time,determining the optimal maintenance timing and preventive maintenance threshold.The comprehensive indicator of degradation trends extracted by this method reaches 0.756,which is 41.2%higher than that of traditional time-domain features;the dynamic threshold strategy reduces the maintenance cost per unit time to 55.56,which is 8.9%better than that of the static threshold optimization.Experimental results demonstrate significant reductions in maintenance costs while enhancing system reliability and safety.This study realizes the organic integration of deep learning and reliability theory in the maintenance of planetary gearboxes,provides an interpretable solution for the predictive maintenance of complex mechanical systems,and promotes the development of condition-based maintenance strategies for planetary gearboxes.展开更多
Rapid urbanization in China has led to spatial antagonism between urban development and farmland protection and ecological security maintenance.Multi-objective spatial collaborative optimization is a powerful method f...Rapid urbanization in China has led to spatial antagonism between urban development and farmland protection and ecological security maintenance.Multi-objective spatial collaborative optimization is a powerful method for achieving sustainable regional development.Previous studies on multi-objective spatial optimization do not involve spatial corrections to simulation results based on the natural endowment of space resources.This study proposes an Ecological Security-Food Security-Urban Sustainable Development(ES-FS-USD)spatial optimization framework.This framework combines the non-dominated sorting genetic algorithm II(NSGA-II)and patch-generating land use simulation(PLUS)model with an ecological protection importance evaluation,comprehensive agricultural productivity evaluation,and urban sustainable development potential assessment and optimizes the territorial space in the Yangtze River Delta(YRD)region in 2035.The proposed sustainable development(SD)scenario can effectively reduce the destruction of landscape patterns of various land-use types while considering both ecological and economic benefits.The simulation results were further revised by evaluating the land-use suitability of the YRD region.According to the revised spatial pattern for the YRD in 2035,the farmland area accounts for 43.59%of the total YRD,which is 5.35%less than that in 2010.Forest,grassland,and water area account for 40.46%of the total YRD—an increase of 1.42%compared with the case in 2010.Construction land accounts for 14.72%of the total YRD—an increase of 2.77%compared with the case in 2010.The ES-FS-USD spatial optimization framework ensures that spatial optimization outcomes are aligned with the natural endowments of land resources,thereby promoting the sustainable use of land resources,improving the ability of spatial management,and providing valuable insights for decision makers.展开更多
In order to estimate water resources renewability scientifically, an Ideal Interval Method of Multiple Objective Decision-Making (IIMMODM) is presented. This method is developed through improving an ideal point method...In order to estimate water resources renewability scientifically, an Ideal Interval Method of Multiple Objective Decision-Making (IIMMODM) is presented. This method is developed through improving an ideal point method of multiple objective decision-making. The ideal interval is obtained with assessment standard instead of ideal points. The weights are decided by using the basic point and gray code accelerating genetic algorithm. This method has synthesized the expert’s suggestion and avoided giving a mark for the objective again. It could solve the complicated problem of compatible or incompatible multi-objective assessment. The principle of IIMMODM is presented in this paper. It is used to assess the water resources renewability for nine administrative divisions in the Yellow River basin. The result shows that the water resources renewability in the Yellow River basin is very low. Compared with the gray associate analysis method, fuzzy synthesis method and genetic projection pursuit method, the IIMMODM is easier to use. Compared with the ideal point method of multiple objective decision-making, the IIMMODM has good robustness, which is applicable to the comprehensive assessments of water resources.展开更多
Rural-urban land conversion is an inevitable phenomenon in urbanization arid industrialization. And the decision-making issue about this conversion is multi-objective because the social decision maker （the whole of c...Rural-urban land conversion is an inevitable phenomenon in urbanization arid industrialization. And the decision-making issue about this conversion is multi-objective because the social decision maker （the whole of central government and local authority） has to integrate the requirements of different interest groups （rural collective economic organizations, peasants, urban land users and the ones affected indirectly） and harmonize the sub-objects （economic, social and ecological outcomes） of this land allocation process. This paper established a multi-objective programming model for rural-urban land conversion decision-making and made some social welfare analysis correspondingly. Result shows that the general object of rural-urban land conversion decision-making is to reach the optimal level of social welfare in a certain state of resources allocation, while the preference of social decision makers and the value judgment of interest groups are two crucial factors which determine the realization of the rural-urban land conversion decision-making objects.展开更多
The critical role of patient-reported outcome measures(PROMs)in enhancing clinical decision-making and promoting patient-centered care has gained a profound significance in scientific research.PROMs encapsulate a pati...The critical role of patient-reported outcome measures(PROMs)in enhancing clinical decision-making and promoting patient-centered care has gained a profound significance in scientific research.PROMs encapsulate a patient's health status directly from their perspective,encompassing various domains such as symptom severity,functional status,and overall quality of life.By integrating PROMs into routine clinical practice and research,healthcare providers can achieve a more nuanced understanding of patient experiences and tailor treatments accordingly.The deployment of PROMs supports dynamic patient-provider interactions,fostering better patient engagement and adherence to tre-atment plans.Moreover,PROMs are pivotal in clinical settings for monitoring disease progression and treatment efficacy,particularly in chronic and mental health conditions.However,challenges in implementing PROMs include data collection and management,integration into existing health systems,and acceptance by patients and providers.Overcoming these barriers necessitates technological advancements,policy development,and continuous education to enhance the acceptability and effectiveness of PROMs.The paper concludes with recommendations for future research and policy-making aimed at optimizing the use and impact of PROMs across healthcare settings.展开更多
The multi-objective particle swarm optimization algorithm(MOPSO)is widely used to solve multi-objective optimization problems.In the article,amulti-objective particle swarm optimization algorithmbased on decomposition...The multi-objective particle swarm optimization algorithm(MOPSO)is widely used to solve multi-objective optimization problems.In the article,amulti-objective particle swarm optimization algorithmbased on decomposition and multi-selection strategy is proposed to improve the search efficiency.First,two update strategies based on decomposition are used to update the evolving population and external archive,respectively.Second,a multiselection strategy is designed.The first strategy is for the subspace without a non-dominated solution.Among the neighbor particles,the particle with the smallest penalty-based boundary intersection value is selected as the global optimal solution and the particle far away fromthe search particle and the global optimal solution is selected as the personal optimal solution to enhance global search.The second strategy is for the subspace with a non-dominated solution.In the neighbor particles,two particles are randomly selected,one as the global optimal solution and the other as the personal optimal solution,to enhance local search.The third strategy is for Pareto optimal front(PF)discontinuity,which is identified by the cumulative number of iterations of the subspace without non-dominated solutions.In the subsequent iteration,a new probability distribution is used to select from the remaining subspaces to search.Third,an adaptive inertia weight update strategy based on the dominated degree is designed to further improve the search efficiency.Finally,the proposed algorithmis compared with fivemulti-objective particle swarm optimization algorithms and five multi-objective evolutionary algorithms on 22 test problems.The results show that the proposed algorithm has better performance.展开更多
With the development of renewable energy technologies such as photovoltaics and wind power,it has become a research hotspot to improve the consumption rate of new energy and reduce energy costs through algorithm impro...With the development of renewable energy technologies such as photovoltaics and wind power,it has become a research hotspot to improve the consumption rate of new energy and reduce energy costs through algorithm improvement.To reduce the operational costs of micro-grid systems and the energy abandonment rate of renewable energy,while simultaneously enhancing user satisfaction on the demand side,this paper introduces an improvedmultiobjective Grey Wolf Optimizer based on Cauchy variation.The proposed approach incorporates a Cauchy variation strategy during the optimizer’s search phase to expand its exploration range and minimize the likelihood of becoming trapped in local optima.At the same time,adoptingmultiple energy storage methods to improve the consumption rate of renewable energy.Subsequently,under different energy balance orders,themulti-objective particle swarmalgorithm,multi-objective grey wolf optimizer,and Cauchy’s variant of the improvedmulti-objective grey wolf optimizer are used for example simulation,solving the Pareto solution set of the model and comparing.The analysis of the results reveals that,compared to the original optimizer,the improved optimizer decreases the daily cost by approximately 100 yuan,and reduces the energy abandonment rate to zero.Meanwhile,it enhances user satisfaction and ensures the stable operation of the micro-grid.展开更多
To solve problems of poor security guarantee and insufficient training efficiency in the conventional reinforcement learning methods for decision-making,this study proposes a hybrid framework to combine deep reinforce...To solve problems of poor security guarantee and insufficient training efficiency in the conventional reinforcement learning methods for decision-making,this study proposes a hybrid framework to combine deep reinforcement learning with rule-based decision-making methods.A risk assessment model for lane-change maneuvers considering uncertain predictions of surrounding vehicles is established as a safety filter to improve learning efficiency while correcting dangerous actions for safety enhancement.On this basis,a Risk-fused DDQN is constructed utilizing the model-based risk assessment and supervision mechanism.The proposed reinforcement learning algorithm sets up a separate experience buffer for dangerous trials and punishes such actions,which is shown to improve the sampling efficiency and training outcomes.Compared with conventional DDQN methods,the proposed algorithm improves the convergence value of cumulated reward by 7.6%and 2.2%in the two constructed scenarios in the simulation study and reduces the number of training episodes by 52.2%and 66.8%respectively.The success rate of lane change is improved by 57.3%while the time headway is increased at least by 16.5%in real vehicle tests,which confirms the higher training efficiency,scenario adaptability,and security of the proposed Risk-fused DDQN.展开更多
This paper introduces the Surrogate-assisted Multi-objective Grey Wolf Optimizer(SMOGWO)as a novel methodology for addressing the complex problem of empty-heavy train allocation,with a focus on line utilization balanc...This paper introduces the Surrogate-assisted Multi-objective Grey Wolf Optimizer(SMOGWO)as a novel methodology for addressing the complex problem of empty-heavy train allocation,with a focus on line utilization balance.By integrating surrogate models to approximate the objective functions,SMOGWO significantly improves the efficiency and accuracy of the optimization process.The effectiveness of this approach is evaluated using the CEC2009 multi-objective test function suite,where SMOGWO achieves a superiority rate of 76.67%compared to other leading multi-objective algorithms.Furthermore,the practical applicability of SMOGWO is demonstrated through a case study on empty and heavy train allocation,which validates its ability to balance line capacity,minimize transportation costs,and optimize the technical combination of heavy trains.The research highlights SMOGWO's potential as a robust solution for optimization challenges in railway transportation,offering valuable contributions toward enhancing operational efficiency and promoting sustainable development in the sector.展开更多
Due to the numerous variables to take into account as well as the inherent ambiguity and uncertainty,evaluating educational institutions can be difficult.The concept of a possibility Pythagorean fuzzy hypersoft set(pP...Due to the numerous variables to take into account as well as the inherent ambiguity and uncertainty,evaluating educational institutions can be difficult.The concept of a possibility Pythagorean fuzzy hypersoft set(pPyFHSS)is more flexible in this regard than other theoretical fuzzy set-like models,even though some attempts have been made in the literature to address such uncertainties.This study investigates the elementary notions of pPyFHSS including its set-theoretic operations union,intersection,complement,OR-and AND-operations.Some results related to these operations are also modified for pPyFHSS.Additionally,the similarity measures between pPyFHSSs are formulated with the assistance of numerical examples and results.Lastly,an intelligent decision-assisted mechanism is developed with the proposal of a robust algorithm based on similarity measures for solving multi-attribute decision-making(MADM)problems.A case study that helps the decision-makers assess the best educational institution is discussed to validate the suggested system.The algorithmic results are compared with the most pertinent model to evaluate the adaptability of pPyFHSS,as it generalizes the classical possibility fuzzy set-like theoretical models.Similarly,while considering significant evaluating factors,the flexibility of pPyFHSS is observed through structural comparison.展开更多
In the independent electro-hydrogen system(IEHS)with hybrid energy storage(HESS),achieving optimal scheduling is crucial.Still,it presents a challenge due to the significant deviations in values ofmultiple optimizatio...In the independent electro-hydrogen system(IEHS)with hybrid energy storage(HESS),achieving optimal scheduling is crucial.Still,it presents a challenge due to the significant deviations in values ofmultiple optimization objective functions caused by their physical dimensions.These deviations seriously affect the scheduling process.A novel standardization fusion method has been established to address this issue by analyzing the variation process of each objective function’s values.The optimal scheduling results of IEHS with HESS indicate that the economy and overall energy loss can be improved 2–3 times under different optimization methods.The proposed method better balances all optimization objective functions and reduces the impact of their dimensionality.When the cost of BESS decreases by approximately 30%,its participation deepens by about 1 time.Moreover,if the price of the electrolyzer is less than 15¥/kWh or if the cost of the fuel cell drops below 4¥/kWh,their participation will increase substantially.This study aims to provide a more reasonable approach to solving multi-objective optimization problems.展开更多
Accurate medical diagnosis,which involves identifying diseases based on patient symptoms,is often hindered by uncertainties in data interpretation and retrieval.Advanced fuzzy set theories have emerged as effective to...Accurate medical diagnosis,which involves identifying diseases based on patient symptoms,is often hindered by uncertainties in data interpretation and retrieval.Advanced fuzzy set theories have emerged as effective tools to address these challenges.In this paper,new mathematical approaches for handling uncertainty in medical diagnosis are introduced using q-rung orthopair fuzzy sets(q-ROFS)and interval-valued q-rung orthopair fuzzy sets(IVq-ROFS).Three aggregation operators are proposed in our methodologies:the q-ROF weighted averaging(q-ROFWA),the q-ROF weighted geometric(q-ROFWG),and the q-ROF weighted neutrality averaging(qROFWNA),which enhance decision-making under uncertainty.These operators are paired with ranking methods such as the similarity measure,score function,and inverse score function to improve the accuracy of disease identification.Additionally,the impact of varying q-rung values is explored through a sensitivity analysis,extending the analysis beyond the typical maximum value of 3.The Basic Uncertain Information(BUI)method is employed to simulate expert opinions,and aggregation operators are used to combine these opinions in a group decisionmaking context.Our results provide a comprehensive comparison of methodologies,highlighting their strengths and limitations in diagnosing diseases based on uncertain patient data.展开更多
BACKGROUND Understanding a patient's clinical status and setting priorities for their care are two aspects of the constantly changing process of clinical decision-making.One analytical technique that can be helpfu...BACKGROUND Understanding a patient's clinical status and setting priorities for their care are two aspects of the constantly changing process of clinical decision-making.One analytical technique that can be helpful in uncertain situations is clinical judgment.Clinicians must deal with contradictory information,lack of time to make decisions,and long-term factors when emergencies occur.AIM To examine the ethical issues healthcare professionals faced during the coronavirus disease 2019(COVID-19)pandemic and the factors affecting clinical decision-making.METHODS This pilot study,which means it was a preliminary investigation to gather information and test the feasibility of a larger investigation was conducted over 6 months and we invited responses from clinicians worldwide who managed patients with COVID-19.The survey focused on topics related to their professional roles and personal relationships.We examined five core areas influencing critical care decision-making:Patients'personal factors,family-related factors,informed consent,communication and media,and hospital administrative policies on clinical decision-making.The collected data were analyzed using the χ^(2) test for categorical variables.RESULTS A total of 102 clinicians from 23 specialties and 17 countries responded to the survey.Age was a significant factor in treatment planning(n=88)and ventilator access(n=78).Sex had no bearing on how decisions were made.Most doctors reported maintaining patient confidentiality regarding privacy and informed consent.Approximately 50%of clinicians reported a moderate influence of clinical work,with many citing it as one of the most important factors affecting their health and relationships.Clinicians from developing countries had a significantly higher score for considering a patient's financial status when creating a treatment plan than their counterparts from developed countries.Regarding personal experiences,some respondents noted that treatment plans and preferences changed from wave to wave,and that there was a rapid turnover of studies and evidence.Hospital and government policies also played a role in critical decision-making.Rather than assessing the appropriateness of treatment,some doctors observed that hospital policies regarding medications were driven by patient demand.CONCLUSION Factors other than medical considerations frequently affect management choices.The disparity in treatment choices,became more apparent during the pandemic.We highlight the difficulties and contradictions between moral standards and the realities physicians encountered during this medical emergency.False information,large patient populations,and limited resources caused problems for clinicians.These factors impacted decision-making,which,in turn,affected patient care and healthcare staff well-being.展开更多
Multi-instance image generation remains a challenging task in the field of computer vision.While existing diffusionmodels demonstrate impressive fidelity in image generation,they often struggle with precisely controll...Multi-instance image generation remains a challenging task in the field of computer vision.While existing diffusionmodels demonstrate impressive fidelity in image generation,they often struggle with precisely controlling each object’s shape,pose,and size.Methods like layout-to-image and mask-to-image provide spatial guidance but frequently suffer from object shape distortion,overlaps,and poor consistency,particularly in complex scenes with multiple objects.To address these issues,we introduce PolyDiffusion,a contour-based diffusion framework that encodes each object’s contour as a boundary-coordinate sequence,decoupling object shapes and positions.This approach allows for better control over object geometry and spatial positioning,which is critical for achieving high-quality multiinstance generation.We formulate the training process as a multi-objective optimization problem,balancing three key objectives:a denoising diffusion loss to maintain overall image fidelity,a cross-attention contour alignment loss to ensure precise shape adherence,and a reward-guided denoising objective that minimizes the Fréchet distance to real images.In addition,the Object Space-Aware Attention module fuses contour tokens with visual features,while a prior-guided fusion mechanism utilizes inter-object spatial relationships and class semantics to enhance consistency across multiple objects.Experimental results on benchmark datasets such as COCO-Stuff and VOC-2012 demonstrate that PolyDiffusion significantly outperforms existing layout-to-image and mask-to-image methods,achieving notable improvements in both image quality and instance-level segmentation accuracy.The implementation of Poly Diffusion is available at https://github.com/YYYYYJS/PolyDiffusion(accessed on 06 August 2025).展开更多
基金SupportedbytheNationalNaturalScienceFoundationofChina (No .60 1 340 1 0 )
文摘A new fuzzification method for multi-objective decision-making and selective sorting is proposed on the basis of the fuzzy consistent relation, and the specific algorithm is presented. The method is applied to the evaluation of highway planning of Zhanjiang city. To decrease the subjectivity in the process of decision-making, the LOWA operator is introduced, and a discussion on how to select appropriate weights involved in multi-objective sorting is made. It is concluded that it is feasible to apply the fuzzy consistent relation to multi-objective decision-making analysis, and the improved fuzzication method is workable.
文摘The treatment engineering of landslide hazard is a complicated systemengineering. The selecting treatment scheme is influenced by many factors such as technology,economics, environment, and risk. The decision-making of treatment schemes of landslide hazard is aproblem of comprehensive judgment with multi-hierarchy and multi-objective. The traditional analysishierarchy process needs identity test. The traditional analysis hierarchy process is improved bymeans of optimal transfer matrix here. An improved hierarchy decision-making model for the treatmentof landslide hazard is set up. The judgment matrix obtained by the method can naturally meet therequirement of identity, so the identity test is not necessary. At last, the method is applied tothe treatment decision-making of the dangerous rock mass at the Slate Mountain, and its applicationis discussed in detail.
文摘In the real situations of supply chain, there are different parts such as facilities, logistics warehouses and retail stores and they handle common kinds of products. In this research, these situations are focused on as the background of this research. They deal with the common quantities of their products, but due to their different environments, the optimal production quantity of one part can be unacceptable to another part and it may suffer a heavy loss. To avoid that kind of unacceptable situations, the common production quantities should be acceptable to all parts in one supply chain. Therefore, the motivation of this research is the necessity of the method to find the production quantities that make all decision makers acceptable is needed. However, it is difficult to find the production quantities that make all decision makers acceptable. Moreover, their acceptable ranges do not always have common ranges. In the decision making of car design, there are similar situations to this type of decision making. The performance of a car consists of purposes such as fuel efficiency, size and so on. Improving one purpose makes another worse and the relationship between these purposes is tradeoff. In these cases, Suriawase process is applied. This process consists of negotiations and reviews of the requirements of the purposes. In the step of negotiations, the requirements of the purposes are share among all decision makers and the solution that makes them as satisfied as possible. In the step of reviews of the requirements, they are reviewed based on the result of the negotiation if the result is unacceptable to some of decision makers. Therefore, through the iterations of the two steps, the solution that makes all decision makers satisfied is obtained. However, in the previous research, the effects that one decision maker reviews requirements in Suriawase process are quantified, but the mathematical model to modify the ranges of production quantities of all decision makers simultaneously is not shown. Therefore, in this research, based on Suriawase process, the mathematical model of multi-player multi-objective decision making is proposed. The mathematical model of multi-player multi-objective decision making by using linear physical programming (LPP) and robust optimization (RO) in the previous research is the basis of the methods of this research. LPP is one of the multi-objective optimization methods and RO is used to make the balance of the preference levels among decision makers. In LPP, the preference ranges of all objective functions are needed, so as the hypothesis of this research. In the research referred in this research, the method to control the effect of RO is not shown. If the effect of RO is too big, the average of the preference level becomes worse. The purpose of this research is to reproduce the mathematical model of multi-player multi-objective decision making based on Suriawase process and propose the method to control the effect of RO. In the proposed model, a set of the solutions of the negotiation problem is obtained and it is proved by the result of the numerical experiment. Therefore, the conclusion that the proposed model is available to obtain a set of the solutions of the negotiation problems in supply chain.
基金supported by the National Natural Science Foundation of China(Grant No.52179105)China Postdoctoral Science Foundation(Grant No.2024M762193)。
文摘In tunnel construction,tunnel boring machine(TBM)tunnelling typically relies on manual experience with sub-optimal control parameters,which can easily lead to inefficiency and high costs.This study proposed an intelligent decision-making method for TBM tunnelling control parameters based on multiobjective optimization(MOO).First,the effective TBM operation dataset is obtained through data preprocessing of the Songhua River(YS)tunnel project in China.Next,the proposed method begins with developing machine learning models for predicting TBM tunnelling performance parameters(i.e.total thrust and cutterhead torque),rock mass classification,and hazard risks(i.e.tunnel collapse and shield jamming).Then,considering three optimal objectives,(i.e.,penetration rate,rock-breaking energy consumption,and cutterhead hob wear),the MOO framework and corresponding mathematical expression are established.The Pareto optimal front is solved using DE-NSGA-II algorithm.Finally,the optimal control parameters(i.e.,advance rate and cutterhead rotation speed)are obtained by the satisfactory solution determination criterion,which can balance construction safety and efficiency with satisfaction.Furthermore,the proposed method is validated through 50 cases of TBM tunnelling,showing promising potential of application.
文摘Community detection is one of the most fundamental applications in understanding the structure of complicated networks.Furthermore,it is an important approach to identifying closely linked clusters of nodes that may represent underlying patterns and relationships.Networking structures are highly sensitive in social networks,requiring advanced techniques to accurately identify the structure of these communities.Most conventional algorithms for detecting communities perform inadequately with complicated networks.In addition,they miss out on accurately identifying clusters.Since single-objective optimization cannot always generate accurate and comprehensive results,as multi-objective optimization can.Therefore,we utilized two objective functions that enable strong connections between communities and weak connections between them.In this study,we utilized the intra function,which has proven effective in state-of-the-art research studies.We proposed a new inter-function that has demonstrated its effectiveness by making the objective of detecting external connections between communities is to make them more distinct and sparse.Furthermore,we proposed a Multi-Objective community strength enhancement algorithm(MOCSE).The proposed algorithm is based on the framework of the Multi-Objective Evolutionary Algorithm with Decomposition(MOEA/D),integrated with a new heuristic mutation strategy,community strength enhancement(CSE).The results demonstrate that the model is effective in accurately identifying community structures while also being computationally efficient.The performance measures used to evaluate the MOEA/D algorithm in our work are normalized mutual information(NMI)and modularity(Q).It was tested using five state-of-the-art algorithms on social networks,comprising real datasets(Zachary,Dolphin,Football,Krebs,SFI,Jazz,and Netscience),as well as twenty synthetic datasets.These results provide the robustness and practical value of the proposed algorithm in multi-objective community identification.
基金supported by Key Science and Technology Program of Henan Province,China(Grant Nos.242102210147,242102210027)Fujian Province Young and Middle aged Teacher Education Research Project(Science and Technology Category)(No.JZ240101)(Corresponding author:Dong Yuan).
文摘Vehicle Edge Computing(VEC)and Cloud Computing(CC)significantly enhance the processing efficiency of delay-sensitive and computation-intensive applications by offloading compute-intensive tasks from resource-constrained onboard devices to nearby Roadside Unit(RSU),thereby achieving lower delay and energy consumption.However,due to the limited storage capacity and energy budget of RSUs,it is challenging to meet the demands of the highly dynamic Internet of Vehicles(IoV)environment.Therefore,determining reasonable service caching and computation offloading strategies is crucial.To address this,this paper proposes a joint service caching scheme for cloud-edge collaborative IoV computation offloading.By modeling the dynamic optimization problem using Markov Decision Processes(MDP),the scheme jointly optimizes task delay,energy consumption,load balancing,and privacy entropy to achieve better quality of service.Additionally,a dynamic adaptive multi-objective deep reinforcement learning algorithm is proposed.Each Double Deep Q-Network(DDQN)agent obtains rewards for different objectives based on distinct reward functions and dynamically updates the objective weights by learning the value changes between objectives using Radial Basis Function Networks(RBFN),thereby efficiently approximating the Pareto-optimal decisions for multiple objectives.Extensive experiments demonstrate that the proposed algorithm can better coordinate the three-tier computing resources of cloud,edge,and vehicles.Compared to existing algorithms,the proposed method reduces task delay and energy consumption by 10.64%and 5.1%,respectively.
基金funded by scientific research projects under Grant JY2024B011.
文摘With the increasing complexity of industrial automation,planetary gearboxes play a vital role in largescale equipment transmission systems,directly impacting operational efficiency and safety.Traditional maintenance strategies often struggle to accurately predict the degradation process of equipment,leading to excessive maintenance costs or potential failure risks.However,existing prediction methods based on statistical models are difficult to adapt to nonlinear degradation processes.To address these challenges,this study proposes a novel condition-based maintenance framework for planetary gearboxes.A comprehensive full-lifecycle degradation experiment was conducted to collect raw vibration signals,which were then processed using a temporal convolutional network autoencoder with multi-scale perception capability to extract deep temporal degradation features,enabling the collaborative extraction of longperiod meshing frequencies and short-term impact features from the vibration signals.Kernel principal component analysis was employed to fuse and normalize these features,enhancing the characterization of degradation progression.A nonlinear Wiener process was used to model the degradation trajectory,with a threshold decay function introduced to dynamically adjust maintenance strategies,and model parameters optimized through maximum likelihood estimation.Meanwhile,the maintenance strategy was optimized to minimize costs per unit time,determining the optimal maintenance timing and preventive maintenance threshold.The comprehensive indicator of degradation trends extracted by this method reaches 0.756,which is 41.2%higher than that of traditional time-domain features;the dynamic threshold strategy reduces the maintenance cost per unit time to 55.56,which is 8.9%better than that of the static threshold optimization.Experimental results demonstrate significant reductions in maintenance costs while enhancing system reliability and safety.This study realizes the organic integration of deep learning and reliability theory in the maintenance of planetary gearboxes,provides an interpretable solution for the predictive maintenance of complex mechanical systems,and promotes the development of condition-based maintenance strategies for planetary gearboxes.
基金National Natural Science Foundation of China,No.42301470,No.52270185,No.42171389Capacity Building Program of Local Colleges and Universities in Shanghai,No.21010503300。
文摘Rapid urbanization in China has led to spatial antagonism between urban development and farmland protection and ecological security maintenance.Multi-objective spatial collaborative optimization is a powerful method for achieving sustainable regional development.Previous studies on multi-objective spatial optimization do not involve spatial corrections to simulation results based on the natural endowment of space resources.This study proposes an Ecological Security-Food Security-Urban Sustainable Development(ES-FS-USD)spatial optimization framework.This framework combines the non-dominated sorting genetic algorithm II(NSGA-II)and patch-generating land use simulation(PLUS)model with an ecological protection importance evaluation,comprehensive agricultural productivity evaluation,and urban sustainable development potential assessment and optimizes the territorial space in the Yangtze River Delta(YRD)region in 2035.The proposed sustainable development(SD)scenario can effectively reduce the destruction of landscape patterns of various land-use types while considering both ecological and economic benefits.The simulation results were further revised by evaluating the land-use suitability of the YRD region.According to the revised spatial pattern for the YRD in 2035,the farmland area accounts for 43.59%of the total YRD,which is 5.35%less than that in 2010.Forest,grassland,and water area account for 40.46%of the total YRD—an increase of 1.42%compared with the case in 2010.Construction land accounts for 14.72%of the total YRD—an increase of 2.77%compared with the case in 2010.The ES-FS-USD spatial optimization framework ensures that spatial optimization outcomes are aligned with the natural endowments of land resources,thereby promoting the sustainable use of land resources,improving the ability of spatial management,and providing valuable insights for decision makers.
文摘In order to estimate water resources renewability scientifically, an Ideal Interval Method of Multiple Objective Decision-Making (IIMMODM) is presented. This method is developed through improving an ideal point method of multiple objective decision-making. The ideal interval is obtained with assessment standard instead of ideal points. The weights are decided by using the basic point and gray code accelerating genetic algorithm. This method has synthesized the expert’s suggestion and avoided giving a mark for the objective again. It could solve the complicated problem of compatible or incompatible multi-objective assessment. The principle of IIMMODM is presented in this paper. It is used to assess the water resources renewability for nine administrative divisions in the Yellow River basin. The result shows that the water resources renewability in the Yellow River basin is very low. Compared with the gray associate analysis method, fuzzy synthesis method and genetic projection pursuit method, the IIMMODM is easier to use. Compared with the ideal point method of multiple objective decision-making, the IIMMODM has good robustness, which is applicable to the comprehensive assessments of water resources.
基金an achievement of the NSFC (National Natural Science Foundation) project ‘Welfare Changes of Different Interest Groups and the Equilibrium of Their Welfare in the Process of Rural–urban Land Conversion (Grant No. 70773047)
文摘Rural-urban land conversion is an inevitable phenomenon in urbanization arid industrialization. And the decision-making issue about this conversion is multi-objective because the social decision maker （the whole of central government and local authority） has to integrate the requirements of different interest groups （rural collective economic organizations, peasants, urban land users and the ones affected indirectly） and harmonize the sub-objects （economic, social and ecological outcomes） of this land allocation process. This paper established a multi-objective programming model for rural-urban land conversion decision-making and made some social welfare analysis correspondingly. Result shows that the general object of rural-urban land conversion decision-making is to reach the optimal level of social welfare in a certain state of resources allocation, while the preference of social decision makers and the value judgment of interest groups are two crucial factors which determine the realization of the rural-urban land conversion decision-making objects.
文摘The critical role of patient-reported outcome measures(PROMs)in enhancing clinical decision-making and promoting patient-centered care has gained a profound significance in scientific research.PROMs encapsulate a patient's health status directly from their perspective,encompassing various domains such as symptom severity,functional status,and overall quality of life.By integrating PROMs into routine clinical practice and research,healthcare providers can achieve a more nuanced understanding of patient experiences and tailor treatments accordingly.The deployment of PROMs supports dynamic patient-provider interactions,fostering better patient engagement and adherence to tre-atment plans.Moreover,PROMs are pivotal in clinical settings for monitoring disease progression and treatment efficacy,particularly in chronic and mental health conditions.However,challenges in implementing PROMs include data collection and management,integration into existing health systems,and acceptance by patients and providers.Overcoming these barriers necessitates technological advancements,policy development,and continuous education to enhance the acceptability and effectiveness of PROMs.The paper concludes with recommendations for future research and policy-making aimed at optimizing the use and impact of PROMs across healthcare settings.
基金supported by National Natural Science Foundations of China(nos.12271326,62102304,61806120,61502290,61672334,61673251)China Postdoctoral Science Foundation(no.2015M582606)+2 种基金Industrial Research Project of Science and Technology in Shaanxi Province(nos.2015GY016,2017JQ6063)Fundamental Research Fund for the Central Universities(no.GK202003071)Natural Science Basic Research Plan in Shaanxi Province of China(no.2022JM-354).
文摘The multi-objective particle swarm optimization algorithm(MOPSO)is widely used to solve multi-objective optimization problems.In the article,amulti-objective particle swarm optimization algorithmbased on decomposition and multi-selection strategy is proposed to improve the search efficiency.First,two update strategies based on decomposition are used to update the evolving population and external archive,respectively.Second,a multiselection strategy is designed.The first strategy is for the subspace without a non-dominated solution.Among the neighbor particles,the particle with the smallest penalty-based boundary intersection value is selected as the global optimal solution and the particle far away fromthe search particle and the global optimal solution is selected as the personal optimal solution to enhance global search.The second strategy is for the subspace with a non-dominated solution.In the neighbor particles,two particles are randomly selected,one as the global optimal solution and the other as the personal optimal solution,to enhance local search.The third strategy is for Pareto optimal front(PF)discontinuity,which is identified by the cumulative number of iterations of the subspace without non-dominated solutions.In the subsequent iteration,a new probability distribution is used to select from the remaining subspaces to search.Third,an adaptive inertia weight update strategy based on the dominated degree is designed to further improve the search efficiency.Finally,the proposed algorithmis compared with fivemulti-objective particle swarm optimization algorithms and five multi-objective evolutionary algorithms on 22 test problems.The results show that the proposed algorithm has better performance.
基金supported by the Open Fund of Guangxi Key Laboratory of Building New Energy and Energy Conservation(Project Number:Guike Energy 17-J-21-3).
文摘With the development of renewable energy technologies such as photovoltaics and wind power,it has become a research hotspot to improve the consumption rate of new energy and reduce energy costs through algorithm improvement.To reduce the operational costs of micro-grid systems and the energy abandonment rate of renewable energy,while simultaneously enhancing user satisfaction on the demand side,this paper introduces an improvedmultiobjective Grey Wolf Optimizer based on Cauchy variation.The proposed approach incorporates a Cauchy variation strategy during the optimizer’s search phase to expand its exploration range and minimize the likelihood of becoming trapped in local optima.At the same time,adoptingmultiple energy storage methods to improve the consumption rate of renewable energy.Subsequently,under different energy balance orders,themulti-objective particle swarmalgorithm,multi-objective grey wolf optimizer,and Cauchy’s variant of the improvedmulti-objective grey wolf optimizer are used for example simulation,solving the Pareto solution set of the model and comparing.The analysis of the results reveals that,compared to the original optimizer,the improved optimizer decreases the daily cost by approximately 100 yuan,and reduces the energy abandonment rate to zero.Meanwhile,it enhances user satisfaction and ensures the stable operation of the micro-grid.
基金Supported by National Key Research and Development Program of China(Grant No.2022YFE0117100)National Science Foundation of China(Grant No.52102468,52325212)Fundamental Research Funds for the Central Universities。
文摘To solve problems of poor security guarantee and insufficient training efficiency in the conventional reinforcement learning methods for decision-making,this study proposes a hybrid framework to combine deep reinforcement learning with rule-based decision-making methods.A risk assessment model for lane-change maneuvers considering uncertain predictions of surrounding vehicles is established as a safety filter to improve learning efficiency while correcting dangerous actions for safety enhancement.On this basis,a Risk-fused DDQN is constructed utilizing the model-based risk assessment and supervision mechanism.The proposed reinforcement learning algorithm sets up a separate experience buffer for dangerous trials and punishes such actions,which is shown to improve the sampling efficiency and training outcomes.Compared with conventional DDQN methods,the proposed algorithm improves the convergence value of cumulated reward by 7.6%and 2.2%in the two constructed scenarios in the simulation study and reduces the number of training episodes by 52.2%and 66.8%respectively.The success rate of lane change is improved by 57.3%while the time headway is increased at least by 16.5%in real vehicle tests,which confirms the higher training efficiency,scenario adaptability,and security of the proposed Risk-fused DDQN.
基金supported by the National Natural Science Foundation of China(Project No.5217232152102391)+2 种基金Sichuan Province Science and Technology Innovation Talent Project(2024JDRC0020)China Shenhua Energy Company Limited Technology Project(GJNY-22-7/2300-K1220053)Key science and technology projects in the transportation industry of the Ministry of Transport(2022-ZD7-132).
文摘This paper introduces the Surrogate-assisted Multi-objective Grey Wolf Optimizer(SMOGWO)as a novel methodology for addressing the complex problem of empty-heavy train allocation,with a focus on line utilization balance.By integrating surrogate models to approximate the objective functions,SMOGWO significantly improves the efficiency and accuracy of the optimization process.The effectiveness of this approach is evaluated using the CEC2009 multi-objective test function suite,where SMOGWO achieves a superiority rate of 76.67%compared to other leading multi-objective algorithms.Furthermore,the practical applicability of SMOGWO is demonstrated through a case study on empty and heavy train allocation,which validates its ability to balance line capacity,minimize transportation costs,and optimize the technical combination of heavy trains.The research highlights SMOGWO's potential as a robust solution for optimization challenges in railway transportation,offering valuable contributions toward enhancing operational efficiency and promoting sustainable development in the sector.
基金supported by the Deanship of Graduate Studies and Scientific Research at Qassim University(QU-APC-2024-9/1).
文摘Due to the numerous variables to take into account as well as the inherent ambiguity and uncertainty,evaluating educational institutions can be difficult.The concept of a possibility Pythagorean fuzzy hypersoft set(pPyFHSS)is more flexible in this regard than other theoretical fuzzy set-like models,even though some attempts have been made in the literature to address such uncertainties.This study investigates the elementary notions of pPyFHSS including its set-theoretic operations union,intersection,complement,OR-and AND-operations.Some results related to these operations are also modified for pPyFHSS.Additionally,the similarity measures between pPyFHSSs are formulated with the assistance of numerical examples and results.Lastly,an intelligent decision-assisted mechanism is developed with the proposal of a robust algorithm based on similarity measures for solving multi-attribute decision-making(MADM)problems.A case study that helps the decision-makers assess the best educational institution is discussed to validate the suggested system.The algorithmic results are compared with the most pertinent model to evaluate the adaptability of pPyFHSS,as it generalizes the classical possibility fuzzy set-like theoretical models.Similarly,while considering significant evaluating factors,the flexibility of pPyFHSS is observed through structural comparison.
基金sponsored by R&D Program of Beijing Municipal Education Commission(KM202410009013).
文摘In the independent electro-hydrogen system(IEHS)with hybrid energy storage(HESS),achieving optimal scheduling is crucial.Still,it presents a challenge due to the significant deviations in values ofmultiple optimization objective functions caused by their physical dimensions.These deviations seriously affect the scheduling process.A novel standardization fusion method has been established to address this issue by analyzing the variation process of each objective function’s values.The optimal scheduling results of IEHS with HESS indicate that the economy and overall energy loss can be improved 2–3 times under different optimization methods.The proposed method better balances all optimization objective functions and reduces the impact of their dimensionality.When the cost of BESS decreases by approximately 30%,its participation deepens by about 1 time.Moreover,if the price of the electrolyzer is less than 15¥/kWh or if the cost of the fuel cell drops below 4¥/kWh,their participation will increase substantially.This study aims to provide a more reasonable approach to solving multi-objective optimization problems.
文摘Accurate medical diagnosis,which involves identifying diseases based on patient symptoms,is often hindered by uncertainties in data interpretation and retrieval.Advanced fuzzy set theories have emerged as effective tools to address these challenges.In this paper,new mathematical approaches for handling uncertainty in medical diagnosis are introduced using q-rung orthopair fuzzy sets(q-ROFS)and interval-valued q-rung orthopair fuzzy sets(IVq-ROFS).Three aggregation operators are proposed in our methodologies:the q-ROF weighted averaging(q-ROFWA),the q-ROF weighted geometric(q-ROFWG),and the q-ROF weighted neutrality averaging(qROFWNA),which enhance decision-making under uncertainty.These operators are paired with ranking methods such as the similarity measure,score function,and inverse score function to improve the accuracy of disease identification.Additionally,the impact of varying q-rung values is explored through a sensitivity analysis,extending the analysis beyond the typical maximum value of 3.The Basic Uncertain Information(BUI)method is employed to simulate expert opinions,and aggregation operators are used to combine these opinions in a group decisionmaking context.Our results provide a comprehensive comparison of methodologies,highlighting their strengths and limitations in diagnosing diseases based on uncertain patient data.
文摘BACKGROUND Understanding a patient's clinical status and setting priorities for their care are two aspects of the constantly changing process of clinical decision-making.One analytical technique that can be helpful in uncertain situations is clinical judgment.Clinicians must deal with contradictory information,lack of time to make decisions,and long-term factors when emergencies occur.AIM To examine the ethical issues healthcare professionals faced during the coronavirus disease 2019(COVID-19)pandemic and the factors affecting clinical decision-making.METHODS This pilot study,which means it was a preliminary investigation to gather information and test the feasibility of a larger investigation was conducted over 6 months and we invited responses from clinicians worldwide who managed patients with COVID-19.The survey focused on topics related to their professional roles and personal relationships.We examined five core areas influencing critical care decision-making:Patients'personal factors,family-related factors,informed consent,communication and media,and hospital administrative policies on clinical decision-making.The collected data were analyzed using the χ^(2) test for categorical variables.RESULTS A total of 102 clinicians from 23 specialties and 17 countries responded to the survey.Age was a significant factor in treatment planning(n=88)and ventilator access(n=78).Sex had no bearing on how decisions were made.Most doctors reported maintaining patient confidentiality regarding privacy and informed consent.Approximately 50%of clinicians reported a moderate influence of clinical work,with many citing it as one of the most important factors affecting their health and relationships.Clinicians from developing countries had a significantly higher score for considering a patient's financial status when creating a treatment plan than their counterparts from developed countries.Regarding personal experiences,some respondents noted that treatment plans and preferences changed from wave to wave,and that there was a rapid turnover of studies and evidence.Hospital and government policies also played a role in critical decision-making.Rather than assessing the appropriateness of treatment,some doctors observed that hospital policies regarding medications were driven by patient demand.CONCLUSION Factors other than medical considerations frequently affect management choices.The disparity in treatment choices,became more apparent during the pandemic.We highlight the difficulties and contradictions between moral standards and the realities physicians encountered during this medical emergency.False information,large patient populations,and limited resources caused problems for clinicians.These factors impacted decision-making,which,in turn,affected patient care and healthcare staff well-being.
基金supported in part by the Scientific Research Fund of National Natural Science Foundation of China(Grant No.62372168)the Hunan Provincial Natural Science Foundation of China(Grant No.2023JJ30266)+2 种基金the Research Project on teaching reform in Hunan province(No.HNJG-2022-0791)the Hunan University of Science and Technology(No.2022-44-8)the National Social Science Funds of China(19BZX044).
文摘Multi-instance image generation remains a challenging task in the field of computer vision.While existing diffusionmodels demonstrate impressive fidelity in image generation,they often struggle with precisely controlling each object’s shape,pose,and size.Methods like layout-to-image and mask-to-image provide spatial guidance but frequently suffer from object shape distortion,overlaps,and poor consistency,particularly in complex scenes with multiple objects.To address these issues,we introduce PolyDiffusion,a contour-based diffusion framework that encodes each object’s contour as a boundary-coordinate sequence,decoupling object shapes and positions.This approach allows for better control over object geometry and spatial positioning,which is critical for achieving high-quality multiinstance generation.We formulate the training process as a multi-objective optimization problem,balancing three key objectives:a denoising diffusion loss to maintain overall image fidelity,a cross-attention contour alignment loss to ensure precise shape adherence,and a reward-guided denoising objective that minimizes the Fréchet distance to real images.In addition,the Object Space-Aware Attention module fuses contour tokens with visual features,while a prior-guided fusion mechanism utilizes inter-object spatial relationships and class semantics to enhance consistency across multiple objects.Experimental results on benchmark datasets such as COCO-Stuff and VOC-2012 demonstrate that PolyDiffusion significantly outperforms existing layout-to-image and mask-to-image methods,achieving notable improvements in both image quality and instance-level segmentation accuracy.The implementation of Poly Diffusion is available at https://github.com/YYYYYJS/PolyDiffusion(accessed on 06 August 2025).
