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Work engagement levels and correlates among physician assistants in Ghana:a cross-sectional study
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作者 Patrick Kwame Akwaboah Kofi Adjei Ntiri +2 位作者 George Baah Richmond Larweh Akosua Animwah Somuah 《Global Health Journal》 2025年第2期153-158,共6页
Background:Work engagement(WE)is critical to quality primary healthcare delivery.However,limited research has explored its levels and determinants among healthcare professionals in low-and middle-income countries.This... Background:Work engagement(WE)is critical to quality primary healthcare delivery.However,limited research has explored its levels and determinants among healthcare professionals in low-and middle-income countries.This study assessed the levels and correlates of work engagement among physician assistants(PAs)in Ghana.Methods:A cross-sectional study was conducted among 439 PAs from October to December 2024.Participants were recruited via emails,social media platforms,and posters featuring study links and scannable questionnaire codes.WE was measured using the validated Utrecht Work Engagement Scale questionnaire.Results:Overall,WE levels were average,with similar trends across the three subdomains.In the bootstrapped multivariate linear regression model,anxiety was negatively associated with WE(β=-0.49,95%confidence interval[CI]:-0.77 to-0.21).Conversely,working in an urban area(β=0.36,95%CI:0.05 to 0.67),holding the rank of PA/Senior PA(β=0.27,95%CI:0.03 to 0.52),reporting good self-rated health(β=0.54,95%CI:0.19 to 0.88),and working at health centers(β=0.86,95%CI:0.22 to 1.50)were positively associated with WElevels.Conclusion:WE levels are average in the study sample,highlighting the need for strategic interventions to improve and sustain the healthcare workforce's motivation and performance.Addressing workplace stressors,enhancing professional development opportunities,and fostering supportive work environments could improve engagement among PAs and healthcare professionals in general.Strengthening WE is essential for ensuring resilient quality primary healthcare systems and achieving the goals of universal health coverage. 展开更多
关键词 Work engagement Physician assistants Ghana Primary health care Healthcare professionals
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Assessing the performance of mobile AI assistants in delivering medical advice for early knee osteoarthritis
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作者 Abasi Maimaitiabula Wan-Bo Zhu +3 位作者 Mo Chen Xian-Yue Shen Xian-Zuo Zhang Chen Zhu 《Medical Data Mining》 2025年第3期33-39,共7页
Background:This study evaluates the ability of mobile AI voice assistants(AI-VAs)to provide accurate medical advice for early knee osteoarthritis(KOA)and compares their performance with conventional web searches and h... Background:This study evaluates the ability of mobile AI voice assistants(AI-VAs)to provide accurate medical advice for early knee osteoarthritis(KOA)and compares their performance with conventional web searches and human clinicians.Methods:From September to October 2024,two AI-VAs(Apple’s Siri and Huawei’s Xiaoyi)were tested on 15 KOA-related questions in Chinese and English.The assessment focused on the accuracy of voice recognition,response capabilities,and medical advice.Siri was further tested in four international regions(USA,UK,Germany,Hong Kong)using localized languages.Results:In Chinese-language tests,Siri and Xiaoyi showed comparable voice recognition(recognition accuracy:95.6%vs.93.3%)and response ability(speech response:88.9%vs.85.7%).However,Siri provided significantly more accurate medical advice(medical advice:95.6%vs.53.3%;Z=2.762,P<0.001).External validation via Global Quality Score further confirmed Siri’s superiority(mean Global Quality Score=4.0 vs.Xiaoai=0.9).Siri outperformed Xiaoyi in English-language tests(53.3%vs.0%).While Siri’s medical advice accuracy(95.6%)surpassed non-specialist clinicians(Z=2.685,P=0.007),it primarily reflects filtered search results(Baidu/Google)rather than clinical synthesis.Claims of equivalence to junior surgeons(98.2%)must be interpreted cautiously,as AI-VAs lack diagnostic reasoning capabilities.This distinction is critical to avoid overstating their role in clinical decision-making.Conclusion:Current AI-VAs offer limited value in providing precise medical advice for KOA,primarily serving as intermediaries for web search results.Their performance varies across languages,regions,and search engines. 展开更多
关键词 mobile devices voice assistant SIRI Xiaoyi knee osteoarthritis
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Does the Social Media Platform Change the Impression of Teaching Assistants?: A Facebook vs. Twitter Study
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作者 Zuoming Wang 《Social Networking》 2025年第1期1-13,共13页
This study analyzed how impressions are formed online depending on the type of social media and the implications that may come from the over-disclosure of information. Using a Qualtrics survey, 97 participants viewed ... This study analyzed how impressions are formed online depending on the type of social media and the implications that may come from the over-disclosure of information. Using a Qualtrics survey, 97 participants viewed the profile of a female teaching assistant on Twitter and Facebook. While there was little difference between the two social media, the use of self-disclosure on Twitter seemed slightly more inappropriate for sharing personal information. 展开更多
关键词 Impression Online Social Media Teaching Assistant
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Improving Clinical Support through Retrieval-Augmented Generation Powered Virtual Health Assistants
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作者 Biju Baburajan Anandavally 《Journal of Computer and Communications》 2024年第11期86-94,共9页
This article examines the implementation of a virtual health assistant powered by Retrieval-Augmented Generation (RAG) and GPT-4, aimed at enhancing clinical support through personalized, real-time interactions with p... This article examines the implementation of a virtual health assistant powered by Retrieval-Augmented Generation (RAG) and GPT-4, aimed at enhancing clinical support through personalized, real-time interactions with patients. The system is hypothesized to improve healthcare accessibility, operational efficiency, and patient outcomes by automating routine tasks and delivering accurate health information. The assistant leverages natural language processing and real-time data retrieval models to respond to patient inquiries, schedule appointments, provide medication reminders, assist with symptom triage, and answer insurance-related questions. By integrating RAG-based virtual care, the system reduces the burden on healthcare specialists and helps mitigate healthcare disparities, particularly in rural areas where traditional care is limited. Although the initial scope of testing did not validate all potential benefits, the results demonstrated high patient satisfaction and strong response accuracy, both critical for systems of this nature. These findings underscore the transformative potential of AI-driven virtual health assistants in enhancing patient engagement, streamlining operational workflows, and improving healthcare accessibility, ultimately contributing to better outcomes and more cost-effective care delivery. 展开更多
关键词 Retrieval-Augmented Generation (RAG) GPT-4 Healthcare assistants Artificial Intelligence
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Exposure measurement, risk assessment and source identification for exposure of traffic assistants to particle-bound PAHs in Tianjin, China 被引量:2
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作者 Xiaodan Xue Yan You +4 位作者 Jianhui Wu Bin Han Zhipeng Bai Naijun Tang Liwen Zhang 《Journal of Environmental Sciences》 SCIE EI CAS CSCD 2014年第2期448-457,共10页
To investigate the levels of exposure to particulate-bound polycyclic aromatic hydrocarbon (PAH) and to estimate the risk these levels pose to traffic assistants (TAs) in Tianjin (a rnegacity in North China), a ... To investigate the levels of exposure to particulate-bound polycyclic aromatic hydrocarbon (PAH) and to estimate the risk these levels pose to traffic assistants (TAs) in Tianjin (a rnegacity in North China), a measurement campaign (33 all-day exposure samples, 25 occupational-exposure samples and 10 indoor samples) was conducted to characterize the TAs' exposure to PAHs, assess the cancer risk and identify the potential sources of exposure. The average total exposure concentration of 14 PAHs was approximately 2871 + 928 ng/rn3 (on-duty), and 1622 + 457 ng/m3 (all-day). The indoor PAHs level was 1257 + 107 ng/m3. After 8000 Monte Carlo simulations, the cancer risk resulting from exposure to PAHs was found to be approximately 1.05 x 10-4. A multivariate analysis was applied to identify the potential sources, and the results showed that, in addition to vehicle exhaust, coal combustion and cooking fumes were also another two important contributors to personal PAH exposure. The diagnostic ratios of PAH compounds agree with the source apportionment results derived from principal component analysis. 展开更多
关键词 polycyclic aromatic hydrocarbons exposure risk assessment traffic assistants source identification
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Fulbright Foreign Language Teaching Assistants acting as cultural ambassadors on the campus
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作者 FENG Rui-min 《Sino-US English Teaching》 2009年第3期31-35,共5页
Many language instructors in colleges and universities around the world have teaching assistants to help them with the teaching. Since 1968, the Fulbright Foreign Language Teaching Assistant (FLTA) program has aimed... Many language instructors in colleges and universities around the world have teaching assistants to help them with the teaching. Since 1968, the Fulbright Foreign Language Teaching Assistant (FLTA) program has aimed to strengthen foreign language instruction at U.S. educational institutions by establishing a native speaker presence. As one of the first group of Fulbright Chinese Language Assistants, the author worked at the College of Wooster in the United States from August, 2005 to May, 2006. At the beginning of the paper, the author gave a brief introduction of Fulbright FLTA program. Then the author described five cultural activities that Fulbright FLTAs could employ in foreign language learners' learning process: giving presentations, teaching songs, watching movies, organizing free tea or coffee breaks, and holding free talks. The following section discussed two phenomena that FLTAs should avoid, that is, ethnocentrism and cultural stereotyping. The author pointed out in the conclusion that Fulbright language assistants should make efforts to be qualified cultural ambassadors. 展开更多
关键词 Fulbright Foreign Language Teaching assistants (FLTA) cultural ambassador ETHNOCENTRISM cultural stereotyping
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Teaching Assistants
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《考试与评价(英语外研新标准高一版)》 2009年第10期36-37,共2页
关键词 中学 英语教学 教学方法 阅读 《Teaching assistants
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Assistants
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作者 Hacke.,S 《电子与电脑》 1997年第2期43-45,共3页
关键词 assistants WEB页面 编码工具 WWW
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Al-based Assistants
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作者 Adela 《新世纪智能》 2018年第23期72-73,共2页
Whether you leave business school to become a corporate manager, a professional high performer or an entrepreneur, you will spend much of your time on tasks unrelated to your expertise. Only the most senior executives... Whether you leave business school to become a corporate manager, a professional high performer or an entrepreneur, you will spend much of your time on tasks unrelated to your expertise. Only the most senior executives now have dedicated personal assistants and so the more mundane work of emails. 展开更多
关键词 Al-based assistants BUSINESS
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Inquiring Natural Language Processing Capabilities on Robotic Systems through Virtual Assistants:A Systemic Approach
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作者 Ioannis Giachos Evangelos C.Papakitsos +1 位作者 Petros Savvidis Nikolaos Laskaris 《Journal of Computer Science Research》 2023年第2期28-36,共9页
This paper attempts to approach the interface of a robot from the perspective of virtual assistants.Virtual assistants can also be characterized as the mind of a robot,since they manage communication and action with t... This paper attempts to approach the interface of a robot from the perspective of virtual assistants.Virtual assistants can also be characterized as the mind of a robot,since they manage communication and action with the rest of the world they exist in.Therefore,virtual assistants can also be described as the brain of a robot and they include a Natural Language Processing(NLP)module for conducting communication in their human-robot interface.This work is focused on inquiring and enhancing the capabilities of this module.The problem is that nothing much is revealed about the nature of the human-robot interface of commercial virtual assistants.Therefore,any new attempt of developing such a capability has to start from scratch.Accordingly,to include corresponding capabilities to a developing NLP system of a virtual assistant,a method of systemic semantic modelling is proposed and applied.For this purpose,the paper briefly reviews the evolution of virtual assistants from the first assistant,in the form of a game,to the latest assistant that has significantly elevated their standards.Then there is a reference to the evolution of their services and their continued offerings,as well as future expectations.The paper presents their structure and the technologies used,according to the data provided by the development companies to the public,while an attempt is made to classify virtual assistants,based on their characteristics and capabilities.Consequently,a robotic NLP interface is being developed,based on the communicative power of a proposed systemic conceptual model that may enhance the NLP capabilities of virtual assistants,being tested through a small natural language dictionary in Greek. 展开更多
关键词 Natural language processing Robotic systems Virtual assistant Human-robot interface
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Teaching Innovation with AI Assistants:Application and Impact Evaluation in Biochemistry Education 被引量:1
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作者 Ying Wang Cheng Gu +1 位作者 Bangsiqin Ding Jing Zhao 《Frontiers of Digital Education》 2025年第1期119-131,共13页
The rapid advancement of AI technology has significantly impacted higher education,presenting both opportunities and challenges for teaching and learning.Although students can benefit from AI,many remain unaware of it... The rapid advancement of AI technology has significantly impacted higher education,presenting both opportunities and challenges for teaching and learning.Although students can benefit from AI,many remain unaware of its potential utility.Moreover,concerns regarding the accuracy and reliability of AI complicate its proper use.This study incorporated an AI teaching assistant,called Blueink,into a biochemistry course at a medical university in China.The researchers assessed the alterations in individuals’knowledge,AI use,and critical thinking skills by conducting a review before and after the training.This was done to furnish valuable information for academics and specialists.The findings presented that the participating college students perceived AI as increasingly essential for contemporary learning and excelled at discovering significant facts using AI techniques.However,their confidence in AI responses and their habits and preferences for posing inquiries remained unchanged after the training.The study indicates that AI tools not only enhance students’skill acquisition but require greater clarity and proficiency.Collaborating with diverse specialists can yield superior AI tools for education. 展开更多
关键词 AI higher education teaching assistant critical thinking pedagogical innovation
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一种基于Home Assistant和MQTT的轻量级智能家居控制系统 被引量:3
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作者 屈海朋 潘立武 《工业控制计算机》 2025年第4期53-55,共3页
自动化、集成化、智能化已成为目前家居环境的标签,市面上智能家居设备采用各自的连接协议而无法互联互通。为打破各厂商智能家居设备的连接壁垒,利用Home Assistant平台搭建智能家居设备控制平台,采用MQTT协议实现设备间的通信,同时综... 自动化、集成化、智能化已成为目前家居环境的标签,市面上智能家居设备采用各自的连接协议而无法互联互通。为打破各厂商智能家居设备的连接壁垒,利用Home Assistant平台搭建智能家居设备控制平台,采用MQTT协议实现设备间的通信,同时综合运用传感器技术、嵌入式技术、虚拟化技术,设计并实现了一种轻量级智能家居控制系统。经测试,系统实现了不同品类的设备控制与管理、家居场景自动化和数据可视化等功能,系统可扩展性强、可靠性高,各组件响应速度快,成为实现智能家居设备一站式管理的一种简便有效手段。 展开更多
关键词 Home Assistant MQTT 轻量级 智能家居控制系统 设备管理
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Research status of high efficiency deep penetration welding of medium-thick plate titanium alloy:A review 被引量:4
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作者 Zhihai Dong Ye Tian +4 位作者 Long Zhang Tong Jiang Dafeng Wang Yunlong Chang Donggao Chen 《Defence Technology(防务技术)》 2025年第3期178-202,共25页
Titanium alloy has the advantages of high strength,strong corrosion resistance,excellent high and low temperature mechanical properties,etc.,and is widely used in aerospace,shipbuilding,weapons and equipment,and other... Titanium alloy has the advantages of high strength,strong corrosion resistance,excellent high and low temperature mechanical properties,etc.,and is widely used in aerospace,shipbuilding,weapons and equipment,and other fields.In recent years,with the continuous increase in demand for medium-thick plate titanium alloys,corresponding welding technologies have also continued to develop.Therefore,this article reviews the research progress of deep penetration welding technology for medium-thick plate titanium alloys,mainly covering traditional arc welding,high-energy beam welding,and other welding technologies.Among many methods,narrow gap welding,hybrid welding,and external energy field assistance welding all contribute to improving the welding efficiency and quality of medium-thick plate titanium alloys.Finally,the development trend of deep penetration welding technology for mediumthick plate titanium alloys is prospected. 展开更多
关键词 Titanium alloy Deep penetration welding Narrow gap welding Hybrid welding External energy field assistance welding
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Reconfigurable organic ambipolar optoelectronic synaptic transistor for information security access 被引量:1
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作者 Xinqi Ma Wenbin Zhang +11 位作者 Qi Zheng Wenbiao Niu Zherui Zhao Kui Zhou Meng Zhang Shuangmei Xue Liangchao Guo Yan Yan Guanglong Ding Suting Han Vellaisamy A.L.Roy Ye Zhou 《Journal of Semiconductors》 2025年第2期133-142,共10页
In this data explosion era,ensuring the secure storage,access,and transmission of information is imperative,encom-passing all aspects ranging from safeguarding personal devices to formulating national information secu... In this data explosion era,ensuring the secure storage,access,and transmission of information is imperative,encom-passing all aspects ranging from safeguarding personal devices to formulating national information security strategies.Leverag-ing the potential offered by dual-type carriers for transportation and employing optical modulation techniques to develop high reconfigurable ambipolar optoelectronic transistors enables effective implementation of information destruction after read-ing,thereby guaranteeing data security.In this study,a reconfigurable ambipolar optoelectronic synaptic transistor based on poly(3-hexylthiophene)(P3HT)and poly[[N,N-bis(2-octyldodecyl)-napthalene-1,4,5,8-bis(dicarboximide)-2,6-diyl]-alt-5,5′-(2,2′-bithiophene)](N2200)blend film was fabricated through solution-processed method.The resulting transistor exhib-ited a relatively large ON/OFF ratio of 10^(3) in both n-and p-type regions,and tunable photoconductivity after light illumination,particularly with green light.The photo-generated carriers could be effectively trapped under the gate bias,indicating its poten-tial application in mimicking synaptic behaviors.Furthermore,the synaptic plasticity,including volatile/non-volatile and excita-tory/inhibitory characteristics,could be finely modulated by electrical and optical stimuli.These optoelectronic reconfigurable properties enable the realization of information light assisted burn after reading.This study not only offers valuable insights for the advancement of high-performance ambipolar organic optoelectronic synaptic transistors but also presents innovative ideas for the future information security access systems. 展开更多
关键词 RECONFIGURABLE AMBIPOLAR OPTOELECTRONIC synaptic transistor light assisted burn after reading
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High ductility induced by twin-assisted grain rotation and merging in solid-state cold spray additive manufactured Cu 被引量:1
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作者 Wenya Li Jingwen Yang +2 位作者 Zhengmao Zhang Yingchun Xie Chunjie Huang 《Journal of Materials Science & Technology》 2025年第11期11-15,共5页
1.Introduction.Cold Spray(CS)is a highly advanced solid-state metal depo-sition process that was first developed in the 1980s.This innovative technique involves the high-speed(300-1200 m/s)impact deposition of micron-... 1.Introduction.Cold Spray(CS)is a highly advanced solid-state metal depo-sition process that was first developed in the 1980s.This innovative technique involves the high-speed(300-1200 m/s)impact deposition of micron-sized particles(5-50μm)to fabricate coatings[1-3].CS has been extensively used in a variety of coating applications,such as aerospace,automotive,energy,medical,marine,and others,to provide protection against high temperatures,corrosion,erosion,oxidation,and chemicals[4,5].Nowadays,the technical interest in CS is twofold:(i)as a repair process for damaged components,and(ii)as a solid-state additive manufacturing process.Compared to other fusion-based additive manufacturing(AM)technologies,Cold Spray Additive Manufacturing(CSAM)is a new member of the AM family that can enable the fabrication of deposits without undergoing melting.The chemical composition has been largely preserved from the powder to the deposit due to the minimal oxidation.The significant advantages of CSAM over other additive manufacturing processes include a high production rate,unlimited deposition size,high flexibility,and suitability for repairing damaged parts. 展开更多
关键词 additive manufacturing DUCTILITY cold spray MERGING solid state deposition twin assisted grain rotation
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Development and identification of wheat-Psathyrostachys huashanica 7NsS small segment translocation lines with early heading date gene Ehd-7Ns 被引量:1
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作者 Binwen Tan Jing Gao +13 位作者 Zhijun Yao Wei Zhu Lili Xu Yiran Cheng Yi Wang Jian Zeng Xing Fan Lina Sha Haiqin Zhang Peng Qin Yinghui Li Yonghong Zhou Dandan Wu Houyang Kang 《The Crop Journal》 2025年第4期1186-1196,共11页
Psathyrostachys huashanica Keng ex P.C.Kuo(2n=2x=14,NsNs),a wild relative of wheat,represents a valuable germplasm resource for genetic improvement of wheat.We previously confirmed that a chromosome 7Ns from P.huashan... Psathyrostachys huashanica Keng ex P.C.Kuo(2n=2x=14,NsNs),a wild relative of wheat,represents a valuable germplasm resource for genetic improvement of wheat.We previously confirmed that a chromosome 7Ns from P.huashanica carries genes that accelerate heading and maturity in wheat.Here,we developed three small segment translocation lines(T7NsS-2BL 2BS,T7NsS-1AS 1AL#1,and T7NsS-1AS 1AL#2)along with one additional small segment translocation line(T7NsS-7BS 7BL)through^(60)Co-γ irradiation,identified using genomic in situ hybridization(GISH),fluorescence in situ hybridization(FISH),and liquid chip array analyses.Our findings demonstrated that chromosome 7NsS contained a major early heading date gene,tentatively designated Ehd-7Ns,which was mapped to an approximate31.45 Mb region,corresponding to the short arm of wheat chromosome 7A(IWGSC RefSeq v1.0).The T7NsS-1AS 1AL#2 line exhibited no significant yield penalty and possessed superior agronomic traits relative to the other translocation lines in the field,making it a promising pre-breeding donor for breeding early maturing wheat.Furthermore,21 specific Kompetitive Allele Specific PCR(KASP)markers were developed based on transcriptome data,enabling effective tracing of alien chromosomal segments carrying this source of Ehd-7Ns in marker-assisted breeding.Collectively,these newly developed translocation lines and specific KASP markers will facilitate the transfer and utilization of favorable genes from P.huashanica chromosome 7Ns in future wheat breeding programs. 展开更多
关键词 Early maturity KASP markers Marker assisted selection Wheat breeding
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一款智能飞机轮挡的电控设计与实现
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作者 陈建民 郭宝英 《黎明职业大学学报》 2025年第3期96-102,108,共8页
针对天气环境及人为误操作等因素导致在飞机停放期间出现滑脱等安全隐患问题,设计一款基于ESP32处理器的智能轮挡。通过收集和处理飞机轮挡外斜面和顶面压力环境数据,进行状态识别,并利用基于Python语言的开源软件Home Assistant系统平... 针对天气环境及人为误操作等因素导致在飞机停放期间出现滑脱等安全隐患问题,设计一款基于ESP32处理器的智能轮挡。通过收集和处理飞机轮挡外斜面和顶面压力环境数据,进行状态识别,并利用基于Python语言的开源软件Home Assistant系统平台对轮挡进行实时监视,配置自动化场景。研究结果表明:当飞机安全环境压力参数符合警报预定情况时,可发出警告通知,并在网页端和手机移动端实现信号同步报警。同时,该智能轮挡针还安装人体感应模块,在光线较暗情况下,当人体靠近时主动发光,避免人员误踢到飞机轮挡。 展开更多
关键词 飞机智能轮挡 ESP32 Home Assistant系统 自动化
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基于人工智能模型的婴幼儿行为监护系统
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作者 舒锐 傅铭伟 +2 位作者 彭挺 李永康 杨波 《电子测量技术》 北大核心 2025年第7期107-116,共10页
随着人工智能技术的发展,婴儿监护系统在生活中的应用日益普及,本文设计了一种基于人工智能的婴幼儿行为监护系统,利用计算机视觉技术和深度学习算法,结合Raspberry Pi 4B、Camera V2等硬件设备,实现对婴幼儿行为的实时监测与智能分析... 随着人工智能技术的发展,婴儿监护系统在生活中的应用日益普及,本文设计了一种基于人工智能的婴幼儿行为监护系统,利用计算机视觉技术和深度学习算法,结合Raspberry Pi 4B、Camera V2等硬件设备,实现对婴幼儿行为的实时监测与智能分析。系统通过Google MediaPipe姿态识别算法提取婴幼儿关节特征并结合设置的安全范围,采用优化后的Moondream 2模型进行多模态数据推理,显著提升系统实时性和准确性。系统引入轻量化时间序列分析模块以增强行为变化的敏感度以及动态预警功能的集成,确保监护系统的高效、可靠。通过Home Assistant平台、MQTT协议及内网穿透技术,系统支持远程访问与实时通知功能。实验结果表明,系统在准确性及稳定性方面表现良好,可广泛应用于家庭监护和智能看护场景,为婴幼儿的安全管理提供了新型解决方案。 展开更多
关键词 人工智能 婴儿监护系统 计算机视觉 姿态识别 Home Assistant
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Early intelligent active assistance in walking for hemiplegic patients under suspension protection: a randomized controlled trial
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作者 Ma Shanxin Zheng Jianling +5 位作者 Cheng Jian Lin Xi Li Qiuyuan Wang Li Zeng Yangkang Song Luping 《中国组织工程研究》 北大核心 2026年第12期3075-3082,共8页
BACKGROUND:Hemiplegia,a prevalent stroke-related condition,is often studied for motor dysfunction;however,spasticity remains under-researched.Abnormal muscle tone significantly hinders hemiplegic patients’walking rec... BACKGROUND:Hemiplegia,a prevalent stroke-related condition,is often studied for motor dysfunction;however,spasticity remains under-researched.Abnormal muscle tone significantly hinders hemiplegic patients’walking recovery.OBJECTIVE:To determine whether early suspension-protected training with a personal assistant machine for stroke patients enhances walking ability and prevents muscle spasms.METHODS:Thirty-two early-stage stroke patients from Shenzhen University General Hospital and the China Rehabilitation Research Center were randomly assigned to the experimental group(n=16)and the control group(n=16).Both groups underwent 4 weeks of gait training under the suspension protection system for 30 minutes daily,5 days a week.The experimental group used the personal assistant machine during training.Three-dimensional gait analysis(using the Cortex motion capture system),Brunnstrom staging,Fugl-Meyer Assessment for lower limb motor function,Fugl-Meyer balance function,and the modified Ashworth Scale were evaluated within 1 week before the intervention and after 4 weeks of intervention.RESULTS AND CONCLUSION:After the 4-week intervention,all outcome measures showed significant changes in each group.The experimental group had a small but significant increase in the modified Ashworth Scale score(P<0.05,d=|0.15|),while the control group had a large significant increase(P<0.05,d=|1.48|).The experimental group demonstrated greater improvements in walking speed(16.5 to 38.44 cm/s,P<0.05,d=|4.01|),step frequency(46.44 to 64.94 steps/min,P<0.05,d=|2.32|),stride length(15.50 to 29.81 cm,P<0.05,d=|3.44|),and peak hip and knee flexion(d=|1.82|to|2.17|).After treatment,the experimental group showed significantly greater improvements than the control group in walking speed(38.44 vs.26.63 cm/s,P<0.05,d=|2.75|),stride length,peak hip and knee flexion(d=|1.31|to|1.45|),step frequency(64.94 vs.59.38 steps/min,P<0.05,d=|0.85|),and a reduced support phase(bilateral:24.31%vs.28.38%,P<0.05,d=|0.88|;non-paretic:66.19%vs.70.13%,P<0.05,d=|0.94|).For early hemiplegia,personal assistant machine-assisted gait training under the suspension protection system helps establish a correct gait pattern,prevents muscle spasms,and improves motor function. 展开更多
关键词 hemiplegia stroke suspension protection system personal assistant machine intelligent walking aid early rehabilitation active training walking function NEUROPLASTICITY gait analysis motor function recovery rehabilitation training balance ability
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