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A Secure and Efficient Distributed Authentication Scheme for IoV with Reputation-Driven Consensus and SM9
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作者 Hui Wei Zhanfei Ma +2 位作者 Jing Jiang Bisheng Wang Zhong Di 《Computers, Materials & Continua》 2026年第1期822-846,共25页
The Internet of Vehicles(IoV)operates in highly dynamic and open network environments and faces serious challenges in secure and real-time authentication and consensus mechanisms.Existing methods often suffer from com... The Internet of Vehicles(IoV)operates in highly dynamic and open network environments and faces serious challenges in secure and real-time authentication and consensus mechanisms.Existing methods often suffer from complex certificate management,inefficient consensus protocols,and poor resilience in high-frequency communication,resulting in high latency,poor scalability,and unstable network performance.To address these issues,this paper proposes a secure and efficient distributed authentication scheme for IoV with reputation-driven consensus and SM9.First,this paper proposes a decentralized authentication architecture that utilizes the certificate-free feature of SM9,enabling lightweight authentication and key negotiation,thereby reducing the complexity of key management.To ensure the traceability and global consistency of authentication data,this scheme also integrates blockchain technology,applying its inherent invariance.Then,this paper introduces a reputation-driven dynamic node grouping mechanism that transparently evaluates and groups’node behavior using smart contracts to enhance network stability.Furthermore,a new RBSFT(Reputation-Based SM9 Friendly-Tolerant)consensus mechanism is proposed for the first time to enhance consensus efficiency by optimizing the PBFT algorithm.RBSFT aims to write authentication information into the blockchain ledger to achieve multi-level optimization of trust management and decision-making efficiency,thereby significantly improving the responsiveness and robustness in high-frequency IoV scenarios.Experimental results show that it excels in authentication,communication efficiency,and computational cost control,making it a feasible solution for achieving IoV security and real-time performance. 展开更多
关键词 Internet of vehicles consensus mechanism blockchain SM9
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Induction therapy in kidney transplant recipients:A consensus statement of Indian Society of Organ Transplantation
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作者 Vivek B Kute Manish Ramesh Balwani +25 位作者 Jigar B Shrimali Amit Pasari Vijay Kher Mohan Punabhai Patel Deodatta Chafekar Swarnalata Guditi Pratik Das Gireesh Mathihally Siddaiah Suraj Mohan Godara Vinant Bhargava Anurag Gupta Vishal Ramteke Nishant Deshpande Priyanka Tolani Narayan Prasad Radhika Krishna Patil Ravi Mohanka Sandeep Mahajan Sourabh Sharma Subho Banerjee Divyesh P Engineer Dhananjai Agarwal Pranjal Kashiv Arpita Lahiri Dinesh Khullar Aneesh Srivastava 《World Journal of Transplantation》 2026年第1期17-31,共15页
Kidney transplantation(KT)accounts for nearly three-fourths of organ transplants in India,with living donors contributing to 82%of cases.Induction immunosuppression is essential to optimize initial immunosuppression,r... Kidney transplantation(KT)accounts for nearly three-fourths of organ transplants in India,with living donors contributing to 82%of cases.Induction immunosuppression is essential to optimize initial immunosuppression,reduce acute rejections,and enable tailored use of maintenance agents.Rabbit anti-thymocyte globulin(rATG)and interleukin-2 receptor anatagonists(IL-2RA/IL-2RBs)are the most widely used induction therapies.However,data on induction practices across India are limited.To evaluate induction immunosuppression practices across KT centers in India and establish a consensus for different subsets of KT recipients.A nationwide online survey was conducted by the Indian Society of Organ Transplantation(ISOT)among its members(400 KT centers).Responses were analyzed to assess induction practices across diverse donor types,age groups,and immunological risk profiles.Heterogeneity in practices prompted consensus building using a modified Delphi process.Literature review and expert panel discussions(April 2024)were followed by structured voting,and 16 consensus statements were finalized.Of 400 centers approached,254 participated.rATG was the most commonly used induction therapy,followed by IL-2RBs;alemtuzumab was least used.Significant heterogeneity was observed in type,dose,and duration of induction therapy.Consensus recommendations were framed:rATG for high immunological risk recipients and deceased donor KTs;IL-2RB or low-dose rATG for low immunological risk;rituximab in ABOincompatible KTs;and tailoring based on age,diabetes,donor type,infection risk,and affordability.This first ISOT consensus provides 16 India-specific statements on induction therapy in KT.It emphasizes risk-stratified,evidenceinformed,and context-appropriate induction strategies,supporting standardization of care across the country. 展开更多
关键词 Kidney transplant Induction therapy Rabbit anti-thymocyte globulin IL-2 receptor blockers RITUXIMAB consensus Indian Society of Organ Transplantation
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Output Consensus of Heterogeneous Linear MASs via Adaptive Event-Triggered Feedback Combination Control
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作者 Shuo Yuan Chengpu Yu Jian Sun 《IEEE/CAA Journal of Automatica Sinica》 2025年第1期285-287,共3页
Dear Editor,This letter studies output consensus problem of heterogeneous linear multiagent systems over directed graphs. A novel adaptive dynamic event-triggered controller is presented based only on the feedback com... Dear Editor,This letter studies output consensus problem of heterogeneous linear multiagent systems over directed graphs. A novel adaptive dynamic event-triggered controller is presented based only on the feedback combination of the agent's own state and neighbors' output,which can achieve exponential output consensus through intermittent communication. The controller is obtained by solving two linear matrix equations, and Zeno behavior is excluded. 展开更多
关键词 intermittent communication feedback combination heterogeneous linear multiagent systems exponential output consensus directed graphs output consensus problem output consensus solving two linear matrix equations
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Data-Driven Fault-Tolerant Bipartite Consensus Tracking for Multi-Agent Systems With a Non-Autonomous Leader
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作者 Yan Zhou Guanghui Wen +1 位作者 Jialing Zhou Tao Yang 《IEEE/CAA Journal of Automatica Sinica》 2025年第1期279-281,共3页
Dear Editor,This letter studies the bipartite consensus tracking problem for heterogeneous multi-agent systems with actuator faults and a leader's unknown time-varying control input. To handle such a problem, the ... Dear Editor,This letter studies the bipartite consensus tracking problem for heterogeneous multi-agent systems with actuator faults and a leader's unknown time-varying control input. To handle such a problem, the continuous fault-tolerant control protocol via observer design is developed. In addition, it is strictly proved that the multi-agent system driven by the designed controllers can still achieve bipartite consensus tracking after faults occur. 展开更多
关键词 fault tolerant actuator faults multi agent systems bipartite consensus tracking data driven bipartite consensus non autonomous leader observer design
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Data-Driven Iterative Learning Consensus Tracking Based on Robust Neural Models for Unknown Heterogeneous Nonlinear Multiagent Systems With Input Constraints
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作者 Chong Zhang Yunfeng Hu +2 位作者 TingTing Wang Xun Gong Hong Chen 《IEEE/CAA Journal of Automatica Sinica》 2025年第10期2153-2155,共3页
Dear Editor,Aiming at the consensus tracking problem of a class of unknown heterogeneous nonlinear multiagent systems(MASs)with input constraints,a novel data-driven iterative learning consensus control(ILCC)protocol ... Dear Editor,Aiming at the consensus tracking problem of a class of unknown heterogeneous nonlinear multiagent systems(MASs)with input constraints,a novel data-driven iterative learning consensus control(ILCC)protocol based on zeroing neural networks(ZNNs)is proposed.First,a dynamic linearization data model(DLDM)is acquired via dynamic linearization technology(DLT). 展开更多
关键词 dynamic linearization data model dldm consensus tracking problem input constraints consensus tracking unknown heterogeneous nonlinear multiagent systems robust neural models data driven iterative learning zeroing neural networks znns
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Expert consensus on imaging diagnosis and analysis of early correction of childhood malocclusion 被引量:2
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作者 Zitong Lin Chenchen Zhou +23 位作者 Ziyang Hu Zuyan Zhang Yong Cheng Bing Fang Hong He Hu Wang Gang Li Jun Guo Weihua Guo Xiaobing Li Guangning Zheng Zhimin Li Donglin Zeng Yan Liu Yuehua Liu Min Hu Lunguo Xia Jihong Zhao Yaling Song Huang Li Jun Ji Jinlin Song Lili Chen Tiemei Wang 《International Journal of Oral Science》 2025年第4期466-476,共11页
Early correction of childhood malocclusion is timely managing morphological,structural,and functional abnormalities at different dentomaxillofacial developmental stages.The selection of appropriate imaging examination... Early correction of childhood malocclusion is timely managing morphological,structural,and functional abnormalities at different dentomaxillofacial developmental stages.The selection of appropriate imaging examination and comprehensive radiological diagnosis and analysis play an important role in early correction of childhood malocclusion.This expert consensus is a collaborative effort by multidisciplinary experts in dentistry across the nation based on the current clinical evidence,aiming to provide general guidance on appropriate imaging examination selection,comprehensive and accurate imaging assessment for early orthodontic treatment patients. 展开更多
关键词 dentomaxillofacial developmental stagesthe childhood malocclusionthis early correction expert consensus radiological diagnosis analysis imaging diagnosis childhood malocclusion selection appropriate imaging examination
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General expert consensus on the application of network pharmacology in the research and development of new traditional Chinese medicine drugs 被引量:2
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作者 Shao Li Wei Xiao 《Chinese Journal of Natural Medicines》 2025年第2期129-142,共14页
The research and development of new traditional Chinese medicine(TCM)drugs have progressively established a novel system founded on the integration of TCM theory,human experience,and clinical trials(termed the“Three ... The research and development of new traditional Chinese medicine(TCM)drugs have progressively established a novel system founded on the integration of TCM theory,human experience,and clinical trials(termed the“Three Combinations”).However,considering TCM's distinctive features of“syndrome differentiation and treatment”and“multicomponent formulations and complex mechanisms”,current TCM drug development faces challenges such as insufficient understanding of the material basis and the overall mechanism of action and an incomplete evidence chain system.Moreover,significant obstacles persist in gathering human experience data,evaluating clinical efficacy,and controlling the quality of active ingredients,which impede the innovation process in TCM drug development.Network pharmacology,centered on the“network targets”theory,transcends the limitations of the conventional“single target”reductionist research model.It emphasizes the comprehensive effects of disease or syndrome biological networks as targets to elucidate the overall regulatory mechanism of TCM prescriptions.This approach aligns with the holistic perspective of TCM,offering a novel method consistent with TCM's holistic view for investigating the complex mechanisms of TCM and developing new TCM drugs.It is internationally recognized as a“next-generation drug research model”.To advance the research of new tools,methods,and standards for TCM evaluation and to overcome fundamental,critical,and cutting-edge technical challenges in TCM regulation,this consensus aims to explore the characteristics,progress,challenges,applicable pathways,and specific applications of network pharmacology as a new theory,method,and tool in TCM drug development.The goal is to enhance the quality of TCM drug research and development and accelerate the efficiency of developing new TCM products. 展开更多
关键词 Network pharmacology Research and development of new traditional Chinese medicine drugs Expert consensus
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Lightweight consensus mechanisms in the Internet of Blockchained Things:Thorough analysis and research directions 被引量:1
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作者 Somia Sahraoui Abdelmalik Bachir 《Digital Communications and Networks》 2025年第4期1245-1260,共16页
The Internet of Things(IoT)has gained substantial attention in both academic research and real-world applications.The proliferation of interconnected devices across various domains promises to deliver intelligent and ... The Internet of Things(IoT)has gained substantial attention in both academic research and real-world applications.The proliferation of interconnected devices across various domains promises to deliver intelligent and advanced services.However,this rapid expansion also heightens the vulnerability of the IoT ecosystem to security threats.Consequently,innovative solutions capable of effectively mitigating risks while accommodating the unique constraints of IoT environments are urgently needed.Recently,the convergence of Blockchain technology and IoT has introduced a decentralized and robust framework for securing data and interactions,commonly referred to as the Internet of Blockchained Things(IoBT).Extensive research efforts have been devoted to adapting Blockchain technology to meet the specific requirements of IoT deployments.Within this context,consensus algorithms play a critical role in assessing the feasibility of integrating Blockchain into IoT ecosystems.The adoption of efficient and lightweight consensus mechanisms for block validation has become increasingly essential.This paper presents a comprehensive examination of lightweight,constraint-aware consensus algorithms tailored for IoBT.The study categorizes these consensus mechanisms based on their core operations,the security of the block validation process,the incorporation of AI techniques,and the specific applications they are designed to support. 展开更多
关键词 Blockchain Internet of Things Lightweight consensus
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Proof-of-trusted-work:A lightweight blockchain consensus for decentralized IoT networks
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作者 Pengzhan Jiang Long Shi +3 位作者 Bin Cao Taotao Wang Baofeng Ji Jun Li 《Digital Communications and Networks》 2025年第4期1054-1065,共12页
Traditional Internet of Things(IoT)architectures that rely on centralized servers for data management and decision-making are vulnerable to security threats and privacy leakage.To address this issue,blockchain has bee... Traditional Internet of Things(IoT)architectures that rely on centralized servers for data management and decision-making are vulnerable to security threats and privacy leakage.To address this issue,blockchain has been advocated for decentralized data management in a tamper-resistance,traceable,and transparent manner.However,a major issue that hinders the integration of blockchain and IoT lies in that,it is rather challenging for resource-constrained IoT devices to perform computation-intensive blockchain consensuses such as Proof-of-Work(PoW).Furthermore,the incentive mechanism of PoW pushes lightweight IoT nodes to aggregate their computing power to increase the possibility of successful block generation.Nevertheless,this eventually leads to the formation of computing power alliances,and significantly compromises the decentralization and security of BlockChain-aided IoT(BC-IoT)networks.To cope with these issues,we propose a lightweight consensus protocol for BC-IoT,called Proof-of-Trusted-Work(PoTW).The goal of the proposed consensus is to disincentivize the centralization of computing power and encourage the independent participation of lightweight IoT nodes in blockchain consensus.First,we put forth an on-chain reputation evaluation rule and a reputation chain for PoTW to enable the verifiability and traceability of nodes’reputations based on their contributions of computing power to the blockchain consensus,and we incorporate the multi-level block generation difficulty as a rewards for nodes to accumulate reputations.Second,we model the block generation process of PoTW and analyze the block throughput using the continuous time Markov chain.Additionally,we define and optimize the relative throughput gain to quantify and maximize the capability of PoTW that suppresses the computing power centralization(i.e.,centralization suppression).Furthermore,we investigate the impact of the computing power of the computing power alliance and the levels of block generation difficulty on the centralization suppression capability of PoTW.Finally,simulation results demonstrate the consistency of the analytical results in terms of block throughput.In particular,the results show that PoTW effectively reduces the block generation proportion of the computing power alliance compared with PoW,while simultaneously improving that of individual lightweight nodes.This indicates that PoTW is capable of suppressing the centralization of computing power to a certain degree.Moreover,as the levels of block generation difficulty in PoTW increase,its centralization suppression capability strengthens. 展开更多
关键词 Internet of things Blockchain DECENTRALIZATION Lightweight consensus Proof-of-trusted-work
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A consensus-based solution for cryptocurrencies arbitrage bots in intelligent blockchain
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作者 Lingyue Zhang Zongyang Zhang +1 位作者 Tianyu Li Shancheng Zhang 《Digital Communications and Networks》 2025年第3期700-710,共11页
Intelligent blockchain is an emerging field that integrates Artificial Intelligence(AI)techniques with blockchain networks,with a particular emphasis on improving the performance of blockchain,especially in cryptocurr... Intelligent blockchain is an emerging field that integrates Artificial Intelligence(AI)techniques with blockchain networks,with a particular emphasis on improving the performance of blockchain,especially in cryptocurrencies exchanges.Meanwhile,arbitrage bots are widely deployed and increasing in intelligent blockchain.These bots exploit the characteristics of cryptocurrencies exchanges to engage in frontrunning,generating substantial profits at the expense of ordinary users.In this paper,we address this issue by proposing a more efficient asynchronous Byzantine ordered consensus protocol,which can be used to prevent arbitrage bots from changing the order of the transactions for profits in intelligent blockchain-based cryptocurrencies.Specifically,we present two signal asynchronous common subset protocols,the more optimal one with only constant time complexity.We implement both our protocol and the optimal existing solution Chronos with Go language in the same environment.The experiment results indicate that our protocols achieve a threefold improvement over Chronos in consensus latency and nearly a tenfold increase in throughput. 展开更多
关键词 Artificial intelligence Blockchain Arbitrage bots Byzantine consensus Asynchronous network
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Expert consensus on technical and protection standards for digital chest X-ray examination in the Guangdong-Hong Kong-Macao Greater Bay area
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作者 Guangdong-Hong Kong-Macao Greater Bay Area Imaging Technology Alliance Medical Imaging Technician Branch of Guangdong Medical Doctor Association +4 位作者 Junhui Zheng Yuquan Song Pak Leong Apollo Wong Chin Chun U Tat Ming Ng 《Radiation Medicine and Protection》 2025年第6期356-360,共5页
Digital chest radiography is a widely used modality for screening and diagnosing respiratory diseases.Within the Guangdong-Hong Kong-Macao Greater Bay Area,however,regional differences in equipment parameters,operatin... Digital chest radiography is a widely used modality for screening and diagnosing respiratory diseases.Within the Guangdong-Hong Kong-Macao Greater Bay Area,however,regional differences in equipment parameters,operating procedures,and radiation-protection standards have hindered medical collaboration,mutual recog-nition of results,and multicenter research.Meanwhile,although dynamic digital radiography(DDR)has been introduced into clinical practice,unified standards for image acquisition,functional evaluation,and radiation protection remain lacking.To address these challenges and promote high-quality integration of imaging services across the Greater Bay Area,there is an urgent need for a consensus that integrates both static and dynamic chest radiography while accommodating the regulatory frameworks and clinical practices of the three regions.The consensus establishes technical specifications,quality-control standards,and radiation-protection requirements applicable to both conventional and dynamic digital chest radiography.For the first time,it systematically in-tegrates DDR acquisition under quiet breathing,forced breathing,and blood-flow sequences;defines methods for functional parameter extraction and clinical application scenarios;and provides BMI-stratified exposure rec-ommendations with reference dose ranges.In addition,the consensus harmonizes relevant radiation-protection provisions from the Chinese Mainland,Hong Kong,China,and Macao,China,thereby forming a unified and actionable system for quality control and safety management. 展开更多
关键词 Digital radiography Chest radiography Imaging techniques Radiation protection Expert consensus
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Bronchial artery embolization for hemoptysis:a consensus statement by the Chinese College of Interventionalists
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作者 Jianfei Tu Zhongzhi Jia +11 位作者 Binyan Zhong Bin Shen Guodong Zhang Dengke Zhang Haipeng Yu Yiping Chen Xi Liu Liming Wang Gaojun Teng Sen Jiang Jiansong Ji Clinical Guidelines Committee of Chinese College of Interventionalists 《World Journal of Emergency Medicine》 2025年第3期197-205,共9页
Hemoptysis is defined as bleeding originating from the respiratory tract distal to the larynx and is associated with a wide spectrum of underlying conditions,including bronchiectasis,pulmonary malignancies,tuberculosi... Hemoptysis is defined as bleeding originating from the respiratory tract distal to the larynx and is associated with a wide spectrum of underlying conditions,including bronchiectasis,pulmonary malignancies,tuberculosis,aspergillosis,and vascular malformations.^([1-3]) A metaanalysis involving patients with massive hemoptysis reported a mortality rate of 3.5%.^([4])This underscores the critical importance of prompt and eff ective embolization of the responsible artery to improve outcomes,particularly in patients presenting with life-threatening hemoptysis. 展开更多
关键词 bronchial artery embolization respiratory tract consensus statement vascular malformations massive hemoptysis HEMOPTYSIS mortality rate Chinese College Interventionalists
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Privacy-preserving distributed consensus over directed networks with limited communication
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作者 Yang Song Jian Guo Jimin Wang 《Journal of Automation and Intelligence》 2025年第4期291-298,共8页
The issue of privacy leakage in distributed consensus has garnered significant attention over the years,but existing studies often overlook the challenges posed by limited communication in algorithm design.This paper ... The issue of privacy leakage in distributed consensus has garnered significant attention over the years,but existing studies often overlook the challenges posed by limited communication in algorithm design.This paper addresses the issue of privacy preservation in distributed weighted average consensus under limited communication scenarios.Specifically targeting directed and unbalanced topologies,we propose a privacy-preserving implementation protocol that incorporates the Paillier homomorphic encryption scheme.The protocol encrypts only the 1-bit quantized messages exchanged between agents,thus ensuring both the correctness of the consensus result and the confidentiality of each agent's initial state.To demonstrate the practicality of the proposed method,we carry out numerical simulations that illustrate its ability to reach consensus effectively while ensuring the protection of private information. 展开更多
关键词 Distributed consensus Privacy preservation QUANTIZATION Paillier cryptosystem Directed network
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Traditional Chinese Medicine + artificial intelligence: Wuzhen consensus
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作者 Junhua Zhang Xiangmei Chen +17 位作者 Luqi Huang Liang Liu Qi Wang Jinzhou Tian Liguo Zhu Shilin Chen Junning Zhao Zongyou Li Jingqing Hu Xiangfei Meng Zhaopeng Meng Yiyu Cheng Xiaohui Fan Yi Wang Fengwen Yang Wenke Zheng Boli Zhang other representatives of the consensus drafting group 《Acupuncture and Herbal Medicine》 2025年第2期134-135,共2页
Through three millennia of practice,Traditional Chinese Medicine(TCM)has evolved by integrating knowledge from diverse disciplines,forging a distinct developmental path that respects its ancient foundations while inco... Through three millennia of practice,Traditional Chinese Medicine(TCM)has evolved by integrating knowledge from diverse disciplines,forging a distinct developmental path that respects its ancient foundations while incorporating innovation.TCM has achieved significant breakthroughs in elucidating its theoretical foundations using contemporary scientific methodologies,through the implementation of modernization initiatives over the past three decades.The TCM modernization program has yielded continuous innovations,propelling TCM into a high-quality development stage across both clinical practice and industrial applications.Notably,these advances have enhanced global recognition and adoption of TCM. 展开更多
关键词 wuzhen consensus integrating knowledge diverse disciplinesforging clinical practice chinese medicine tcm artificial intelligence MODERNIZATION traditional chinese medicine contemporary scientific methodologiesthrough
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Nonconvex Constrained Consensus of Discrete-Time Heterogeneous Multi-Agent Systems with Arbitrarily Switching Topologies
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作者 Honghao Wu 《Journal of Electronic Research and Application》 2025年第1期14-22,共9页
This paper mainly focuses on the velocity-constrained consensus problem of discrete-time heterogeneous multi-agent systems with nonconvex constraints and arbitrarily switching topologies,where each agent has first-ord... This paper mainly focuses on the velocity-constrained consensus problem of discrete-time heterogeneous multi-agent systems with nonconvex constraints and arbitrarily switching topologies,where each agent has first-order or second-order dynamics.To solve this problem,a distributed algorithm is proposed based on a contraction operator.By employing the properties of the stochastic matrix,it is shown that all agents’position states could converge to a common point and second-order agents’velocity states could remain in corresponding nonconvex constraint sets and converge to zero as long as the joint communication topology has one directed spanning tree.Finally,the numerical simulation results are provided to verify the effectiveness of the proposed algorithms. 展开更多
关键词 HETEROGENEOUS Multi-agent systems Nonconvex constraint consensus
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Expert consensus on hypodermic care for allergen-specific immunotherapy
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作者 Wang Qing Liu Jun +12 位作者 Zhi Fan Wan Wenjin Tian Fengying Huo Xiaopeng Zhou Wenhua Yang Yongshi Wang Tiantian Sun Jinlyu on behalf of the Expert Consensus on Hypodermic Care for Allergen-Specific Immunotherapy Expert Consensus on Subcutaneous Injection for Allergen-Specific Immunotherapy Allergy and Clinical Immunology Committee of Chinese Research Hospital Association Allergy Care Group,Chinese Society of Allergology Allery Prevention and Control Committee of Chinese Preventive Medicine Association 《Allergy Medicine》 2025年第4期49-54,共6页
Objective:To develop an expert consensus on subcutaneous injection for allergen-specific immunotherapy.Methods:Relevant domestic and international literature was reviewed,and nursing experts experienced in subcutaneou... Objective:To develop an expert consensus on subcutaneous injection for allergen-specific immunotherapy.Methods:Relevant domestic and international literature was reviewed,and nursing experts experienced in subcutaneous injection of allergen-specific immunotherapy were interviewed to form the initial draft of the consensus.A total of 85 experts from 42 hospitals nationwide were invited to participate the discussions.Through two rounds of expert consultations,adjustments,revisions,and improvements to the initial draft,an online meeting was held to form the final version of the consensus.The content approved by more than 75%of the expert group is retained.Results:The expert consensus includes operational standards for subcutaneous injection of allergen-specific immunotherapy,identification and management of adverse reactions,and health education.Conclusion:The consensus demonstrates strong scientific rigor and practicality,providing guidance for nursing practices in the field of clinical allergology. 展开更多
关键词 Allergen-specific immunotherapy Subcutaneous injection NURSING Expert consensus
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First regional consensus on the management of Helicobacter pylori infection in the Middle East
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作者 Ala I Sharara Fahad I Alsohaibani +5 位作者 Ahmad Alsaegh Khalid Al Ejji Sameer Al Awadhi Peter Malfertheiner Sherif A Karam Talal Al-Taweel 《World Journal of Gastroenterology》 2025年第27期15-41,共27页
Helicobacter pylori(H.pylori),a widespread gram-negative bacterium that colonizes the stomach,causes chronic gastritis,which may progress to peptic ulcer,mucosa-associated lymphoid tissue lymphoma,and gastric cancer.H... Helicobacter pylori(H.pylori),a widespread gram-negative bacterium that colonizes the stomach,causes chronic gastritis,which may progress to peptic ulcer,mucosa-associated lymphoid tissue lymphoma,and gastric cancer.H.pylori infection affects over 50%of people in developing countries and 10%-20%in developed countries.The Kyoto consensus classifies H.pylori gastritis as an infectious disease in the International Classification of Disease 11th Revision.The Maastricht/Florence consensus recommends treatment for all infected individuals,introducing a shift in the management strategies.The prevalence of H.pylori infection is high in the Middle East,with infection rates of 40%-70%and 85%-90%being reported among children and adults,respectively.The increasing resistance to antibiotics,including macrolides and fluoroquinolones,is a major challenge in the management of H.pylori.Clarithromycin resistance,which is associated with reduced effectiveness of standard triple therapy regimens,leading to higher rates of treatment failure,impacts the eradication rates.This emphasizes the need for routine antibiotic susceptibility testing at the national level,the use of alternative therapies,including new molecular methods,and antibiotic stewardship.An online panel of experts from the Middle East,along with an international expert,developed this consensus to provide comprehensive guidelines on the diagnosis,treatment,prevention,and role of gut microbiota in H.pylori infection,with the goal of improving clinical decision-making and reducing the impact of antibiotic resistance in the region.These guidelines are intended to support healthcare professionals involved in the diagnosis and management of H.pylori,including primary care physicians,gastroenterologists,and other specialists.They may also inform future clinical research aimed at optimizing treatment strategies and addressing regional challenges. 展开更多
关键词 Helicobacter pylori Antibiotic resistance consensus guidelines Gastric cancer Gut microbiota
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Leader-Following Consensus for a Class of Nonlinear Cascaded Multi-Agent Systems
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作者 LI Xianda KANG Jianling 《Journal of Donghua University(English Edition)》 2025年第2期213-218,共6页
This paper focuses on the problem of leaderfollowing consensus for nonlinear cascaded multi-agent systems.The control strategies for these systems are transformed into successive control problem schemes for lower-orde... This paper focuses on the problem of leaderfollowing consensus for nonlinear cascaded multi-agent systems.The control strategies for these systems are transformed into successive control problem schemes for lower-order error subsystems.A distributed consensus analysis for the corresponding error systems is conducted by employing recursive methods and virtual controllers,accompanied by a series of Lyapunov functions devised throughout the iterative process,which solves the leaderfollowing consensus problem of a class of nonlinear cascaded multi-agent systems.Specific simulation examples illustrate the effectiveness of the proposed control algorithm. 展开更多
关键词 cascaded multi-agent system distributed control consensus recursive method
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Distributed Saturated Impulsive Quasi-Consensus for Leader-Follower Multi-Agent Systems:An Open Topology Framework
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作者 Haitao Zhu Jianquan Lu +1 位作者 Yijun Lou Xinsong Yang 《IEEE/CAA Journal of Automatica Sinica》 2025年第9期1941-1943,共3页
Dear Editor,This letter studies a real-world issue in leader-follower multi-agent systems(MASs)named open topology,which permits the variations of agent set and network connections.Specially,a novel transition process... Dear Editor,This letter studies a real-world issue in leader-follower multi-agent systems(MASs)named open topology,which permits the variations of agent set and network connections.Specially,a novel transition process is developed to explain how the involved variation of network scale affects the dynamic behavior of the MASs.From a resource limited perspective,the distributed saturated impulsive control is then designed,under which some sufficient criteria are integrated into local quasi-consensus performance.We also provide a combined optimization algorithm for all agents to make the estimated domain of initial errors closer to the real one,thereby resulting in less conservativeness.Finally,a numerical example validates our results. 展开更多
关键词 distributed saturated impulsive control leader follower multi agent systems optimization algorithm agent set network open topology transition process open topologywhich quasi consensus
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Spectrum Sharing Policy-Based Consensus Mechanism in Satellite-Terrestrial Integrated Network
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作者 Wang Weihan Zhao Youping 《China Communications》 2025年第6期101-115,共15页
Blockchain-based spectrum sharing with consensus is the key technology for sixth-generation mobile communication to realize dynamic spectrum management.In order to avoid the waste of computing and communication resour... Blockchain-based spectrum sharing with consensus is the key technology for sixth-generation mobile communication to realize dynamic spectrum management.In order to avoid the waste of computing and communication resources,a spectrum sharing policy-based consensus mechanism is proposed in this paper.Firstly,a spectrum sharing algorithm based on graph neural network is designed in the satelliteterrestrial spectrum sharing networks under the underlay model.It avoids high computational overhead of the traditional iterative optimization algorithm when the wireless channel condition and network topology are highly dynamic.Secondly,a consensus mechanism based on spectrum sharing strategy is designed,which converts the traditional meaningless hash problem into the graph neural network training.Miners compete for accounting rights by training a graph neutral network model that meets the spectrum sharing requirement.Finally,the consensus delay,communication and storage overhead of the proposed consensus mechanism are analyzed theoretically.The simulation results show that the proposed consensus mechanism can effectively improve spectrum efficiency with excellent scalability and generalization performance. 展开更多
关键词 blockchain consensus mechanism satellite-terrestrial integrated network spectrum sharing
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