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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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General expert consensus on the application of network pharmacology in the research and development of new traditional Chinese medicine drugs 被引量:1
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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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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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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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A Flexible Dual-Mode Photodetector for Human-Machine Collaborative IR Imaging
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作者 Huajing Fang Xinxing Xie +5 位作者 Kai Jing Shaojie Liu Ainong Chen Daixuan Wu Liyan Zhang He Tian 《Nano-Micro Letters》 2025年第10期63-75,共13页
Photothermoelectric(PTE)photodetectors with selfpowered and uncooled advantages have attracted much interest due to the wide application prospects in the military and civilian fields.However,traditional PTE photodetec... Photothermoelectric(PTE)photodetectors with selfpowered and uncooled advantages have attracted much interest due to the wide application prospects in the military and civilian fields.However,traditional PTE photodetectors lack of mechanical flexibility and cannot operate independently without the test instrument.Herein,we present a flexible PTE photodetector capable of dual-mode output,combining electrical and optical signal generation for enhanced functionality.Using solution processing,high-quality MXene thin films are assembled on asymmetric electrodes as the photosensitive layer.The geometrically asymmetric electrode design significantly enhances the responsivity,achieving 0.33 m A W^(-1)under infrared illumination,twice that of the symmetrical configuration.This improvement stems from optimized photothermal conversion and an expanded temperature gradient.The PTE device maintains stable performance after 300 bending cycles,demonstrating excellent flexibility.A new energy conversion pathway has been established by coupling the photothermal conversion of MXene with thermochromic composite materials,leading to a real-time visualization of invisible infrared radiation.Leveraging this functionality,we demonstrate the first human-machine collaborative infrared imaging system,wherein the dual-mode photodetector arrays synchronously generate human-readable pattern and machine-readable pattern.Our study not only provides a new solution for functional integration of flexible photodetectors,but also sets a new benchmark for human-machine collaborative optoelectronics. 展开更多
关键词 MXene Dual-mode IR imaging Photothermoelectric THERMOCHROMIC human-machine collaboration
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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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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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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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Multi-Objective Parallel Human-machine Steering Coordination Control Strategy of Intelligent Vehicles Path Tracking Based on Deep Reinforcement Learning
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作者 Hongbo Wang Lizhao Feng +2 位作者 Shaohua Li Wuwei Chen Juntao Zhou 《Chinese Journal of Mechanical Engineering》 2025年第3期393-411,共19页
In the parallel steering coordination control strategy for path tracking,it is difficult to match the current driver steering model using the fixed parameters with the actual driver,and the designed steering coordinat... In the parallel steering coordination control strategy for path tracking,it is difficult to match the current driver steering model using the fixed parameters with the actual driver,and the designed steering coordination control strategy under a single objective and simple conditions is difficult to adapt to the multi-dimensional state variables’input.In this paper,we propose a deep reinforcement learning algorithm-based multi-objective parallel human-machine steering coordination strategy for path tracking considering driver misoperation and external disturbance.Firstly,the driver steering mathematical model is constructed based on the driver preview characteristics and steering delay response,and the driver characteristic parameters are fitted after collecting the actual driver driving data.Secondly,considering that the vehicle is susceptible to the influence of external disturbances during the driving process,the Tube MPC(Tube Model Predictive Control)based path tracking steering controller is designed based on the vehicle system dynamics error model.After verifying that the driver steering model meets the driver steering operation characteristics,DQN(Deep Q-network),DDPG(Deep Deterministic Policy Gradient)and TD3(Twin Delayed Deep Deterministic Policy Gradient)deep reinforcement learning algorithms are utilized to design a multi-objective parallel steering coordination strategy which satisfies the multi-dimensional state variables’input of the vehicle.Finally,the tracking accuracy,lateral safety,human-machine conflict and driver steering load evaluation index are designed in different driver operation states and different road environments,and the performance of the parallel steering coordination control strategies with different deep reinforcement learning algorithms and fuzzy algorithms are compared by simulations and hardware in the loop experiments.The results show that the parallel steering collaborative strategy based on a deep reinforcement learning algorithm can more effectively assist the driver in tracking the target path under lateral wind interference and driver misoperation,and the TD3-based coordination control strategy has better overall performance. 展开更多
关键词 Path tracking human-machine co-driving Parallel steering coordination Deep reinforcement learning
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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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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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Sufficient and Necessary Conditions for Leader-Following Consensus of Second-Order Multi-Agent Systems via Intermittent Sampled Control
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作者 Ziyang Wang Yuanzhen Feng +1 位作者 Zhengxin Wang Cong Zheng 《Computers, Materials & Continua》 2025年第6期4835-4853,共19页
Continuous control protocols are extensively utilized in traditional MASs,in which information needs to be transmitted among agents consecutively,therefore resulting in excessive consumption of limited resources.To de... Continuous control protocols are extensively utilized in traditional MASs,in which information needs to be transmitted among agents consecutively,therefore resulting in excessive consumption of limited resources.To decrease the control cost,based on ISC,several LFC problems are investigated for second-order MASs without and with time delay,respectively.Firstly,an intermittent sampled controller is designed,and a sufficient and necessary condition is derived,under which state errors between the leader and all the followers approach zero asymptotically.Considering that time delay is inevitable,a new protocol is proposed to deal with the time-delay situation.The error system’s stability is analyzed using the Schur stability theorem,and sufficient and necessary conditions for LFC are obtained,which are closely associated with the coupling gain,the system parameters,and the network structure.Furthermore,for the case where the current position and velocity information are not available,a distributed protocol is designed that depends only on the sampled position information.The sufficient and necessary conditions for LFC are also given.The results show that second-order MASs can achieve the LFC if and only if the system parameters satisfy the inequalities proposed in the paper.Finally,the correctness of the obtained results is verified by numerical simulations. 展开更多
关键词 Intermittent sampled control leader-following consensus time delay second-order multi-agent system
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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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A human-machine interaction method for rock discontinuities mapping by three-dimensional point clouds with noises
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作者 Qian Chen Yunfeng Ge +3 位作者 Changdong Li Huiming Tang Geng Liu Weixiang Chen 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第3期1646-1663,共18页
Rock discontinuities control rock mechanical behaviors and significantly influence the stability of rock masses.However,existing discontinuity mapping algorithms are susceptible to noise,and the calculation results ca... Rock discontinuities control rock mechanical behaviors and significantly influence the stability of rock masses.However,existing discontinuity mapping algorithms are susceptible to noise,and the calculation results cannot be fed back to users timely.To address this issue,we proposed a human-machine interaction(HMI)method for discontinuity mapping.Users can help the algorithm identify the noise and make real-time result judgments and parameter adjustments.For this,a regular cube was selected to illustrate the workflows:(1)point cloud was acquired using remote sensing;(2)the HMI method was employed to select reference points and angle thresholds to detect group discontinuity;(3)individual discontinuities were extracted from the group discontinuity using a density-based cluster algorithm;and(4)the orientation of each discontinuity was measured based on a plane fitting algorithm.The method was applied to a well-studied highway road cut and a complex natural slope.The consistency of the computational results with field measurements demonstrates its good accuracy,and the average error in the dip direction and dip angle for both cases was less than 3.Finally,the computational time of the proposed method was compared with two other popular algorithms,and the reduction in computational time by tens of times proves its high computational efficiency.This method provides geologists and geological engineers with a new idea to map rapidly and accurately rock structures under large amounts of noises or unclear features. 展开更多
关键词 Rock discontinuities Three-dimensional(3D)point clouds Discontinuity identification Orientation measurement human-machine interaction
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Establishing expert consensus on Chinese herbal medicine for rheumatoid arthritis management in Singapore
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作者 Ang Loh Huijuan Li +3 位作者 Wai Ching Lam Yan Yin Tjioe Warren Fong Linda L.D.Zhong 《Journal of Traditional Chinese Medical Sciences》 2025年第3期319-327,共9页
Objective:To establish consensus on Chinese Herbal Medicine(CHM)for rheumatoid arthritis(RA)among 21 Singaporean experts,this study addressed the lack of CHM clinical practice guidelines(CPGs)in Singapore.Despite adva... Objective:To establish consensus on Chinese Herbal Medicine(CHM)for rheumatoid arthritis(RA)among 21 Singaporean experts,this study addressed the lack of CHM clinical practice guidelines(CPGs)in Singapore.Despite advancements in RA therapies,the disease's progressive nature and high costs of novel treatments worsen disparities in management and outcomes.The initiative aimed to bridge this gap by developing expert-backed recommendations for CHM use in RA care.Methods:The group of experts conducted two rounds of Delphi surveys containing 29 items identified from a literature review.Consensus was defined as≥75%of votes in dichotomized ratings on a fivepoint ordinal scale for recognition.Items that did not reach consensus were discussed in a focus group with four selected experts.Results:Nineteen experts completed both rounds of Delphi surveys.A consensus was reached for 27 items,which encompassed Chinese medicine rationale,pattern differentiation,management,CHM prescription,and co-effectiveness with pharmacological therapy.Collective expert opinions were formed for the two remaining items.All items received a recognition score>3.5.Conclusions:The consensus derived from this study provides a foundation for CHM CPGs for RA in Singapore.However,the findings are limited by the demographic composition of the experts and the representativeness of the patient pool. 展开更多
关键词 Rheumatoid arthritis Expert consensus Delphi survey Clinical practice guideline
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International Alliance of Urolithiasis(IAU)consensus on miniaturized percutaneous nephrolithotomy
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作者 Guo-Hua Zeng Wen Zhong +61 位作者 Giorgio Mazzon Wei Zhu Sven Lahme Sanjay Khadgi Janak Desai Madhu Agrawal David Schulsinger Mantu Gupta Emanuele Montanari Juan Manuel Lopez Martinez Shabir Almousawi Vincent Emanuel FMalonzo Seshadri Sriprasad Otas Durutovic Vimoshan Arumuham Stefania Ferretti Wissam Kamal Ke-Wei Xu Fan Cheng Xiao-Feng Gao Ji-Wen Cheng Bhaskar Somani Mordechai Duvdevani Kah Ann Git Christian Seitz Norberto Bernardo Tarek Ahmed Amin Ibrahim Albert Aquino Takahiro Yasui Cristian Fiori Thomas Knoll Athanasios Papatsoris Nariman Gadzhiev Ulanbek Zhanbyrbekuly Oriol Angerri Hugo Lopez Ramos Iliya Saltirov Mohamad Moussa Guido Giusti Fabio Vicentini Edgar Beltran Suarez Margaret Pearle Glenn MPreminger Qing-Hui Wu Chu Ann Chai Khurshid Ghani Marcus Maroccolo Marianne Brehmer Palle JOsther Marek Zawadzki Azimdjon Tursunkulov Monolov Nurbek Kytaibekovich Abdusamad Abdukakhorovich Abuvohidov Cesar Antonio Recalde Lara Zamari Noori Stefano Paolo Zanetti Sunil Shrestha Jean de la Rosette John Denstedt Zhang-Qun Ye Kemal Sarica Simon Choong 《Military Medical Research》 2025年第7期985-995,共11页
Over the past three decades,there has been increasing interest in miniaturized percutaneous nephrolithotomy(mPCNL)techniques featuring smaller tracts as they offer potential solutions to mitigate complications associa... Over the past three decades,there has been increasing interest in miniaturized percutaneous nephrolithotomy(mPCNL)techniques featuring smaller tracts as they offer potential solutions to mitigate complications associated with standard PCNL(sPCNL).However,despite this growing acceptance and recognition of its benefits,unresolved controversies and acknowledged limitations continue to impede widespread adoption due to a lack of consensus on optimal perioperative management strategies and procedural tips and tricks.In response to these challenges,an international panel comprising experts from the International Alliance of Urolithiasis(IAU)took on the task of compiling an expert consensus document on mPCNL procedures aimed at providing urologists with a comprehensive clinical framework for practice.This endeavor involved conducting a systematic literature review to identify research gaps(RGs),which formed the foundation for developing a structured questionnaire survey.Subsequently,a two-round modified Delphi survey was implemented,culminating in a group meeting to generate final evidence-based comments.All 64 experts completed the second-round survey,resulting in a response rate of 100.0%.Fifty-eight key questions were raised focusing on mPCNLs within 4 main domains,including general information(13 questions),preoperative work-up(13 questions),procedural tips and tricks(19 questions),and postoperative evaluation and follow-up(13 questions).Additionally,9 questions evaluated the experts’experience with PCNLs.Consensus was reached on 30 questions after the second-round survey,while professional statements for the remaining 28 key questions were provided after discussion in an online panel meeting.mPCNL,characterized by a tract smaller than 18 Fr and an innovative lithotripsy technique,has firmly established itself as a viable and effective approach for managing upper urinary tract stones in both adults and pediatrics.It offers several advantages over sPCNL including reduced bleeding,fewer requirements for nephrostomy tubes,decreased pain,and shorter hospital stays.The series of detailed techniques presented here serve as a comprehensive guide for urologists,aiming to improve their procedural understanding and optimize patient outcomes. 展开更多
关键词 Percutaneous nephrolithotomy(PCNL) Miniaturized PCNL(mPCNL) Expert consensus Kidney stone Operation
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Compensation for Heterogeneous Unknowns and Performance-Prescribed Consensus
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作者 Linzhen Yu Yungang Liu 《IEEE/CAA Journal of Automatica Sinica》 2025年第1期173-182,共10页
In this paper, the multi-agent systems(MASs) typically with heterogeneous unknown nonlinearities and nonidentical unknown control coefficients are studied. Although the model information of MASs is coarse, the leader-... In this paper, the multi-agent systems(MASs) typically with heterogeneous unknown nonlinearities and nonidentical unknown control coefficients are studied. Although the model information of MASs is coarse, the leader-following consensus is still pursued, with a prescribed performance and zero consensus errors. Leveraging a powerful funnel control strategy, a fully distributed and completely relative-state-dependent protocol is designed. Distinctively, the time-varying function characterizing the performance boundary is introduced, not only to construct the funnel gains but also as an indispensable part of the protocol,enhancing the control ability and enabling the consensus errors to converge to zero(rather than a residual set). Remark that when control directions are unknown, coexisting with inherent system nonlinearities, it is essential to incorporate an additional compensation mechanism while imposing a hierarchical structure of communication topology for the control design and analysis. Simulation examples are given to illustrate the effectiveness of the theoretical results. 展开更多
关键词 Fully distributed protocol funnel control nonidentical unknown control directions performance-prescribed consensus unknown heterogeneous nonlinearities
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Impulsive Consensus of MASs With Input Saturation and DoS Attacks
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作者 Xuyang Wang Dengxiu Yu Xiaodi Li 《IEEE/CAA Journal of Automatica Sinica》 2025年第2期414-424,共11页
This paper investigates the secure impulsive consensus of Lipschitz-type nonlinear multi-agent systems(MASs) with input saturation. According to the coupling of input saturation and denial of service(DoS) attacks, imp... This paper investigates the secure impulsive consensus of Lipschitz-type nonlinear multi-agent systems(MASs) with input saturation. According to the coupling of input saturation and denial of service(DoS) attacks, impulsive control for MASs becomes extremely challenging. Considering general DoS attacks,this paper provides the sufficient conditions for the almost sure consensus of the MASs with input saturation, where the error system can achieve almost sure local exponential stability.Through linear matrix inequalities(LMIs), the relation between the trajectory boundary and DoS attacks is characterized, and the trajectory boundary is estimated. Furthermore, an optimization method of the domain of attraction is proposed to maximize the size. And a non-conservative and practical boundary is proposed to characterize the effect of DoS attacks on MASs. Finally, considering a multi-agent system with typical Chua's circuit dynamic model, an example is provided to illustrate the theorems' correctness. 展开更多
关键词 Almost sure consensus denial of service(DoS)attacks impulsive control input saturation
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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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