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Decoding the Solitude:Solitude and Reliance on Feelings versus Reasons in Decision Making 被引量:1
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作者 HOU Jia-wen LIU Feng-jun XU Yi-fan 《应用心理学》 2025年第3期195-210,共16页
Across four studies,we explore the impact of solitude on consumers’reliance on feelings versus reasons in decision making,along with the underlying mechanism and boundary conditions.The results indicate that solitude... Across four studies,we explore the impact of solitude on consumers’reliance on feelings versus reasons in decision making,along with the underlying mechanism and boundary conditions.The results indicate that solitude individuals(vs.non-solitude)would prefer feeling-based strategy in decision-making,resulting in a higher intention of choosing the affectively superior option over the cognitively superior option(Study 1).Self-focus plays the underlying mechanism in the solitude effect(Study 2).Moreover,we also examine two boundary conditions:motivation(Study 3)and temporal orientation(Study 4),which indicates that involuntary motivation and future orientation can mitigate the solitude effect on affective processing.These findings provide insights into consumers’judgments of product attributes and selection of decision-making strategies according to their situations. 展开更多
关键词 SOLITUDE decision making SELF-FOCUS MOTIVATION temporal orientation
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Making and Changing Plans
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作者 Maria Chiu 《空中英语教室(初级版.大家说英语)》 2025年第10期14-16,51,56,共5页
Making plans is a good idea,but every one's schedule looks differe nt.You may have to talk about your plans before you're able to make some.It could sound like this:You ask,"Do you have plans this Friday ... Making plans is a good idea,but every one's schedule looks differe nt.You may have to talk about your plans before you're able to make some.It could sound like this:You ask,"Do you have plans this Friday night?"If the person already has plans,they may say,"I do.But I'm free on Saturday."If that day doesn't work for you,you can say,"I'm not available that day.How about Sunday after no on?"After you figure out the day and time,mark it on your calendar. 展开更多
关键词 CALENDAR SCHEDULE changing plans AVAILABILITY communication making plans
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Decision-making and confrontation in close-range air combat based on reinforcement learning
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作者 Mengchao YANG Shengzhe SHAN Weiwei ZHANG 《Chinese Journal of Aeronautics》 2025年第9期401-420,共20页
The high maneuverability of modern fighters in close air combat imposes significant cognitive demands on pilots,making rapid,accurate decision-making challenging.While reinforcement learning(RL)has shown promise in th... The high maneuverability of modern fighters in close air combat imposes significant cognitive demands on pilots,making rapid,accurate decision-making challenging.While reinforcement learning(RL)has shown promise in this domain,the existing methods often lack strategic depth and generalization in complex,high-dimensional environments.To address these limitations,this paper proposes an optimized self-play method enhanced by advancements in fighter modeling,neural network design,and algorithmic frameworks.This study employs a six-degree-of-freedom(6-DOF)F-16 fighter model based on open-source aerodynamic data,featuring airborne equipment and a realistic visual simulation platform,unlike traditional 3-DOF models.To capture temporal dynamics,Long Short-Term Memory(LSTM)layers are integrated into the neural network,complemented by delayed input stacking.The RL environment incorporates expert strategies,curiositydriven rewards,and curriculum learning to improve adaptability and strategic decision-making.Experimental results demonstrate that the proposed approach achieves a winning rate exceeding90%against classical single-agent methods.Additionally,through enhanced 3D visual platforms,we conducted human-agent confrontation experiments,where the agent attained an average winning rate of over 75%.The agent's maneuver trajectories closely align with human pilot strategies,showcasing its potential in decision-making and pilot training applications.This study highlights the effectiveness of integrating advanced modeling and self-play techniques in developing robust air combat decision-making systems. 展开更多
关键词 Air combat Decision making Flight simulation Reinforcement learning Self-play
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Unit coordination knowledge enhanced autonomous decision-making approach of heterogeneous UAV formation
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作者 Yuqian WU Haoran ZHOU +3 位作者 Ling PENG Tao YANG Miao WANG Guoqing WANG 《Chinese Journal of Aeronautics》 2025年第2期381-402,共22页
Enhancing Autonomous Decision-Making (ADM) for unmanned combat aerial vehicle formations in beyond-visual-range air combat is pivotal for future battlefields, whereas the predominant reinforcement learning technique f... Enhancing Autonomous Decision-Making (ADM) for unmanned combat aerial vehicle formations in beyond-visual-range air combat is pivotal for future battlefields, whereas the predominant reinforcement learning technique for ADM has been proven to be inadequately fitting complex tactical Unit Coordination (UC), limiting the integrity of decision-making for formations. This study proposes a knowledge-enhanced ADM method, with a focus on UC, to elevate formation combat effectiveness. The main innovation is integrating data mining technique with tactical knowledge mining and integration. Foremost, based on Frequent Event Arrangement Mining (FEAM) theory, a cross-channel UC knowledge mining method is designed by introducing data flow, which is capable of capturing dynamic coordinative action sequences. Then, a dual-mode knowledge integration method is proposed by employing the Graph Attention Network (GAT) and attenuated structural similarity, bolstering the interplay between autonomous UC tactics fitting and knowledge injection. The experimental results demonstrate that the algorithm surpasses the existing methods, providing more strategic maneuver trajectories and a win rate of more than 90% in different scenarios. The method is promising to augment the autonomous operational capabilities of unmanned formations and drive the evolution of combat effectiveness. 展开更多
关键词 Unmanned aerial vehicle Autonomous decision making Autonomous agents Data mining Knowledge mining Reinforcement learning
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The Craft of Weifang Kite Making
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《China Today》 2025年第10期F0003-F0003,共1页
WEIFANG City of east China’s Shandong Province is located in the central part of the Shandong Peninsula,bordering the Bohai Sea to the north and the Yellow Sea to the south.In springtime,the region sees little rainfa... WEIFANG City of east China’s Shandong Province is located in the central part of the Shandong Peninsula,bordering the Bohai Sea to the north and the Yellow Sea to the south.In springtime,the region sees little rainfall yet many windy days,with a single prevailing wind direction and minimal turbulence-an environmental condition ideal for kite flying. 展开更多
关键词 weifang kite making TURBULENCE wind direction environmental condition kite flying
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A Review of Artificial Intelligence-Enhanced Fuzzy Multi-Criteria Decision-Making Approaches for Sustainable Transportation Planning
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作者 Nezir Aydin Melike Cari +1 位作者 Betul Kara Ertugrul Ayyildiz 《Computers, Materials & Continua》 2025年第11期2625-2650,共26页
Transportation systems are rapidly transforming in response to urbanization,sustainability challenges,and advances in digital technologies.This review synthesizes the intersection of artificial intelligence(AI),fuzzy ... Transportation systems are rapidly transforming in response to urbanization,sustainability challenges,and advances in digital technologies.This review synthesizes the intersection of artificial intelligence(AI),fuzzy logic,and multi-criteria decision-making(MCDM)in transportation research.A comprehensive literature search was conducted in the Scopus database,utilizing carefully selected AI,fuzzy,and MCDM keywords.Studies were rigorously screened according to explicit inclusion and exclusion criteria,resulting in 73 eligible publications spanning 2006-2025.The review protocol included transparent data extraction on methodological approaches,application domains,and geographic distribution.Key findings highlight the prevalence of hybrid fuzzyAHPand TOPSIS methods,the widespread integration of machine learning for prediction and optimization,and a predominant focus on logistics and infrastructure planning within the transportation sector.Geographic analysis underscores a marked concentration of research activity in Asia,while other regions remain underrepresented,signaling the need for broader international collaboration.The review also addresses persistent challenges such asmethodological complexity,data limitations,and model interpretability.Future research directions are proposed,including the integration of reinforcement learning,real-time analytics,and big data-driven adaptive solutions.This study offers a comprehensive synthesis and critical perspective,serving as a valuable reference for researchers,practitioners,and policymakers seeking to enhance the efficiency,resilience,and sustainability of transportation systems through intelligent decision-making frameworks. 展开更多
关键词 Artificial intelligence multi-criteria decision making fuzzy logic transport planning smart transportation
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Safe and healthy working environment for occupational health:advancing evidence-informed policy-making
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作者 Min Zhang 《Global Health Journal》 2025年第2期63-64,F0002,共3页
With the civilization and modernization of human society,occupational health has emerged as a fundamental goal of social justice,as highlighted in the United Nations'Sustainable Development Goals(SDGs)since 2016.S... With the civilization and modernization of human society,occupational health has emerged as a fundamental goal of social justice,as highlighted in the United Nations'Sustainable Development Goals(SDGs)since 2016.Specifically,"SDG Goal 1:No Poverty","SDG 3:Good Health and Well-being",and"SDG 8:Decent Work and Economic Growth",are interconnected with other SDGs to support the pursuit of occupational health. 展开更多
关键词 modernization CIVILIZATION safe working environment development goals sdgs social justice occupational health evidence informed policy making healthy working environment
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Development of AHP-Based Divergence Distance Measure between P,q,r-Spherical Fuzzy Sets with Applications in Multi-Criteria Decision Making
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作者 Shah Zeb Khan Muhammad Rahim +3 位作者 Adel M.Widyan A.Almutairi Njood Shaher Ethaar Almutire Hamiden Abd El-Wahed Khalifa 《Computer Modeling in Engineering & Sciences》 2025年第5期2185-2211,共27页
This study introduces a novel distance measure(DM)for(p,q,r)-spherical fuzzy sets((p,q,to improve decision-making in complex and uncertain environments.Many existing distance measures eitherr)-SFSs)fail to satisfy ess... This study introduces a novel distance measure(DM)for(p,q,r)-spherical fuzzy sets((p,q,to improve decision-making in complex and uncertain environments.Many existing distance measures eitherr)-SFSs)fail to satisfy essential axiomatic properties or produce unintuitive outcomes.To address these limitations,we propose a new three-dimensional divergence-based DM that ensures mathematical consistency,enhances the discrimination of information,and adheres to the axiomatic framework of distance theory.Building on this foundation,we construct a multi-criteria decision-making(MCDM)model that utilizes the proposed DM to evaluate and rank alternatives effectively.The applicability and robustness of the model are validated through a practical case study,demonstrating that it leads to more rational,consistent,and reliable decision outcomes compared to existing approaches. 展开更多
关键词 p q r-spherical fuzzy sets DIVERGENCE distance measures AHP decision making
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Social support and career adaptability among college students:The mediating roles of proactive personality and career decision making self-efficacy
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作者 Zhijun Liu Jiaxin Liang 《Journal of Psychology in Africa》 2025年第3期361-368,共8页
We examined the relationship between social support and career adaptability,as well as the mediating roles of proactive personality and career decision-making self-efficacy in this process.A total of 1354 Chinese coll... We examined the relationship between social support and career adaptability,as well as the mediating roles of proactive personality and career decision-making self-efficacy in this process.A total of 1354 Chinese college students(female=964;mean age=19.53 years,SD=1.33 years)completed an online questionnaire.Path analysis indicated that social support was positively associated with higher levels of career adaptability.Both proactive personality and career decision-making self-efficacy served as parallel mediators,strengthening the relationship between social support and career adaptability.The complete chain mediation analysis revealed that social support influences career adaptability primarily through proactive personality,which in turn enhances career decision-making self-efficacy,further contributing to increased career adaptability.These findings extend career capital theory by demonstrating that social and psychological resources jointly facilitate career adaptability. 展开更多
关键词 social support proactive personality career decision making self-efficacy careeradaptability
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Research on the Construction and Application of Intelligent Financial Decision-Making Model Driven by Generative Artificial Intelligence
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作者 Limei Fu 《Proceedings of Business and Economic Studies》 2025年第4期77-83,共7页
This study focuses on the construction and application of intelligent financial decision-making models driven by generative artificial intelligence(AI).It analyzes the mechanisms by which generative AI empowers financ... This study focuses on the construction and application of intelligent financial decision-making models driven by generative artificial intelligence(AI).It analyzes the mechanisms by which generative AI empowers financial decision-making within a dual framework of dynamic knowledge evolution and risk control.The research reveals that generative AI,with its superior data processing,pattern recognition,and autonomous learning capabilities,can transcend the limitations of traditional decision-making models,facilitating a significant shift from causal inference to probabilistic creation in decision-making paradigms.By systematically constructing an intelligent financial decision-making model that includes data governance,core engine,and decision output layers,the study clarifies the functional roles and collaborative mechanisms of each layer.Additionally,it addresses key challenges in technology application,institutional adaptation,and organizational transformation by proposing systematic strategies for technical risk management,institutional innovation,and organizational capability enhancement,aiming to provide robust theoretical support and practical guidance for the intelligent transformation of corporate financial decision-making. 展开更多
关键词 Generative artificial intelligence Intelligent financial decision making Decision model Risk control
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A Book Review of The Making of a Hero
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作者 刘子硕 朱玮玮(指导) 《中学生英语》 2025年第15期8-8,共1页
Among all the books I've read,The Making of a Hero is my favorite.It tells us a story about a boy who becomes a patriotic hero step by step.
关键词 making hero patriotic hero BOY
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Suzuki-Type(μ,v)-Weak Contraction for the Hesitant Fuzzy Soft Set Valued Mappings with Applications in Decision Making
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作者 Muhammad Sarwar Rafiq Alam +2 位作者 Kamaleldin Abodayeh Saowaluck Chasreechai Thanin Sitthiwirattham 《Computer Modeling in Engineering & Sciences》 2025年第5期2213-2236,共24页
In this manuscript,the notion of a hesitant fuzzy soft fixed point is introduced.Using this notion and the concept of Suzuki-type(μ,ν)-weak contraction for hesitant fuzzy soft set valued-mapping,some fixed point res... In this manuscript,the notion of a hesitant fuzzy soft fixed point is introduced.Using this notion and the concept of Suzuki-type(μ,ν)-weak contraction for hesitant fuzzy soft set valued-mapping,some fixed point results are established in the framework of metric spaces.Based on the presented work,some examples reflecting decision-making problems related to real life are also solved.The suggested method’s flexibility and efficacy compared to conventional techniques are demonstrated in decision-making situations involving uncertainty,such as choosing the best options in multi-criteria settings.We noted that the presented work combines and generalizes two major concepts,the idea of soft sets and hesitant fuzzy set-valued mapping from the existing literature. 展开更多
关键词 Hesitant fuzzy soft set valued mapping Suzuki-type(μ ν)-weak contraction fixed point decision making problem
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Tjong:A transformer‐based Mahjong AI via hierarchical decision‐making and fan backward 被引量:2
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作者 Xiali Li Bo Liu +2 位作者 Zhi Wei Zhaoqi Wang Licheng Wu 《CAAI Transactions on Intelligence Technology》 SCIE EI 2024年第4期982-995,共14页
Mahjong,a complex game with hidden information and sparse rewards,poses significant challenges.Existing Mahjong AIs require substantial hardware resources and extensive datasets to enhance AI capabilities.The authors ... Mahjong,a complex game with hidden information and sparse rewards,poses significant challenges.Existing Mahjong AIs require substantial hardware resources and extensive datasets to enhance AI capabilities.The authors propose a transformer‐based Mahjong AI(Tjong)via hierarchical decision‐making.By utilising self‐attention mechanisms,Tjong effectively captures tile patterns and game dynamics,and it decouples the decision pro-cess into two distinct stages:action decision and tile decision.This design reduces de-cision complexity considerably.Additionally,a fan backward technique is proposed to address the sparse rewards by allocating reversed rewards for actions based on winning hands.Tjong consists of 15M parameters and is trained using approximately 0.5 M data over 7 days of supervised learning on a single server with 2 GPUs.The action decision achieved an accuracy of 94.63%,while the claim decision attained 98.55%and the discard decision reached 81.51%.In a tournament format,Tjong outperformed AIs(CNN,MLP,RNN,ResNet,VIT),achieving scores up to 230%higher than its opponents.Further-more,after 3 days of reinforcement learning training,it ranked within the top 1%on the leaderboard on the Botzone platform. 展开更多
关键词 decision making deep learning deep neural networks
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Method for triangular fuzzy multiple attribute decision making based on two-dimensional density operator method 被引量:1
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作者 LIN Youliang LI Wu +1 位作者 LIU Gang HUANG Dong 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2024年第1期178-185,共8页
Aiming at the triangular fuzzy(TF)multi-attribute decision making(MADM)problem with a preference for the distribution density of attribute(DDA),a decision making method with TF number two-dimensional density(TFTD)oper... Aiming at the triangular fuzzy(TF)multi-attribute decision making(MADM)problem with a preference for the distribution density of attribute(DDA),a decision making method with TF number two-dimensional density(TFTD)operator is proposed based on the density operator theory for the decision maker(DM).Firstly,a simple TF vector clustering method is proposed,which considers the feature of TF number and the geometric distance of vectors.Secondly,the least deviation sum of squares method is used in the program model to obtain the density weight vector.Then,two TFTD operators are defined,and the MADM method based on the TFTD operator is proposed.Finally,a numerical example is given to illustrate the superiority of this method,which can not only solve the TF MADM problem with a preference for the DDA but also help the DM make an overall comparison. 展开更多
关键词 fuzzy decision making CLUSTERING density operator multi-attribute decision making(MADM)
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Novelty of Different Distance Approach for Multi-Criteria Decision-Making Challenges Using q-Rung Vague Sets
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作者 Murugan Palanikumar Nasreen Kausar +3 位作者 Dragan Pamucar Seifedine Kadry Chomyong Kim Yunyoung Nam 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第6期3353-3385,共33页
In this article,multiple attribute decision-making problems are solved using the vague normal set(VNS).It is possible to generalize the vague set(VS)and q-rung fuzzy set(FS)into the q-rung vague set(VS).A log q-rung n... In this article,multiple attribute decision-making problems are solved using the vague normal set(VNS).It is possible to generalize the vague set(VS)and q-rung fuzzy set(FS)into the q-rung vague set(VS).A log q-rung normal vague weighted averaging(log q-rung NVWA),a log q-rung normal vague weighted geometric(log q-rung NVWG),a log generalized q-rung normal vague weighted averaging(log Gq-rung NVWA),and a log generalized q-rungnormal vagueweightedgeometric(logGq-rungNVWG)operator are discussed in this article.Adescription is provided of the scoring function,accuracy function and operational laws of the log q-rung VS.The algorithms underlying these functions are also described.A numerical example is provided to extend the Euclidean distance and the Humming distance.Additionally,idempotency,boundedness,commutativity,and monotonicity of the log q-rung VS are examined as they facilitate recognizing the optimal alternative more quickly and help clarify conceptualization.We chose five anemia patients with four types of symptoms including seizures,emotional shock or hysteria,brain cause,and high fever,who had either retrograde amnesia,anterograde amnesia,transient global amnesia,post-traumatic amnesia,or infantile amnesia.Natural numbers q are used to express the results of the models.To demonstrate the effectiveness and accuracy of the models we are investigating,we compare several existing models with those that have been developed. 展开更多
关键词 Vague set aggregating operators euclidean distance hamming distance decision making
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Two-Stage IoT Computational Task Offloading Decision-Making in MEC with Request Holding and Dynamic Eviction
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作者 Dayong Wang Kamalrulnizam Bin Abu Bakar Babangida Isyaku 《Computers, Materials & Continua》 SCIE EI 2024年第8期2065-2080,共16页
The rapid development of Internet of Things(IoT)technology has led to a significant increase in the computational task load of Terminal Devices(TDs).TDs reduce response latency and energy consumption with the support ... The rapid development of Internet of Things(IoT)technology has led to a significant increase in the computational task load of Terminal Devices(TDs).TDs reduce response latency and energy consumption with the support of task-offloading in Multi-access Edge Computing(MEC).However,existing task-offloading optimization methods typically assume that MEC’s computing resources are unlimited,and there is a lack of research on the optimization of task-offloading when MEC resources are exhausted.In addition,existing solutions only decide whether to accept the offloaded task request based on the single decision result of the current time slot,but lack support for multiple retry in subsequent time slots.It is resulting in TD missing potential offloading opportunities in the future.To fill this gap,we propose a Two-Stage Offloading Decision-making Framework(TSODF)with request holding and dynamic eviction.Long Short-Term Memory(LSTM)-based task-offloading request prediction and MEC resource release estimation are integrated to infer the probability of a request being accepted in the subsequent time slot.The framework learns optimized decision-making experiences continuously to increase the success rate of task offloading based on deep learning technology.Simulation results show that TSODF reduces total TD’s energy consumption and delay for task execution and improves task offloading rate and system resource utilization compared to the benchmark method. 展开更多
关键词 Decision making internet of things load prediction task offloading multi-access edge computing
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A Large-Scale Group Decision Making Model Based on Trust Relationship and Social Network Updating
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作者 Rongrong Ren Luyang Su +2 位作者 Xinyu Meng Jianfang Wang Meng Zhao 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第1期429-458,共30页
With the development of big data and social computing,large-scale group decisionmaking(LGDM)is nowmerging with social networks.Using social network analysis(SNA),this study proposes an LGDM consensus model that consid... With the development of big data and social computing,large-scale group decisionmaking(LGDM)is nowmerging with social networks.Using social network analysis(SNA),this study proposes an LGDM consensus model that considers the trust relationship among decisionmakers(DMs).In the process of consensusmeasurement:the social network is constructed according to the social relationship among DMs,and the Louvain method is introduced to classify social networks to form subgroups.In this study,the weights of each decision maker and each subgroup are computed by comprehensive network weights and trust weights.In the process of consensus improvement:A feedback mechanism with four identification and two direction rules is designed to guide the consensus of the improvement process.Based on the trust relationship among DMs,the preferences are modified,and the corresponding social network is updated to accelerate the consensus.Compared with the previous research,the proposedmodel not only allows the subgroups to be reconstructed and updated during the adjustment process,but also improves the accuracy of the adjustment by the feedbackmechanism.Finally,an example analysis is conducted to verify the effectiveness and flexibility of the proposed method.Moreover,compared with previous studies,the superiority of the proposed method in solving the LGDM problem is highlighted. 展开更多
关键词 Large-scale group decision making social network updating trust relationship group consensus feedback mechanism
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Fuzzy multi-criteria decision-making method-based operational assessment of Chinese electricity markets
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作者 Weijie Wu Dongwei Li +2 位作者 Hui Sun Yixin Li Yining Zhang 《Global Energy Interconnection》 EI CSCD 2024年第6期733-748,共16页
The evaluation of the electricity market is crucial for fostering market construction and development.An accurate assessment of the electricity market reveals developmental trends,identifies operational issues,and con... The evaluation of the electricity market is crucial for fostering market construction and development.An accurate assessment of the electricity market reveals developmental trends,identifies operational issues,and contributes to stable and healthy market growth.This study investigated the characteristics of electricity markets in different provinces and synthesized a comprehensive set of evaluation indicators to assess market effectiveness.The evaluation framework,comprising nine indicators organized into two tiers,was constructed based on three aspects:market design,market efficiency,and developmental coordination.Furthermore,a novel fuzzy multi-criteria decision-making evaluation model for electricity market performance was developed based on the Fuzzy-BWM and fuzzy COPRAS methodologies.This model aimed to ensure both accuracy and comprehensiveness in market operation assessment.Subsequently,empirical analyses were conducted on four typical provincial-level electricity markets in China.The results indicate that Guangdong’s electricity market performed best because of its effective balance of stakeholder interests and adherence to contractual integrity principles.Zhejiang and Shandong ranked second and third,respectively,whereas Sichuan exhibited the poorest market performance.Sichuan’s electricity market must be improved in terms of market design,such that market players can obtain a fairly competitive environment.The sensitivity analysis of the constructed indicators verified the effectiveness of the evaluation model proposed in this study.Finally,policy recommendations were proposed to facilitate the sustainable development of China’s electricity markets with the objective of transforming them into efficient and secure markets adaptable to the evolution of novel power systems. 展开更多
关键词 Electricity market Operational assessment Fuzzy best-worst method Fuzzy complex proportional assessment Fuzzy multi-criteria decision making
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Shared decision making in rural general practices:a qualitative exploration of older rural South Australians'perceived involvement in clinical consultations with doctors
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作者 Mohammad Hamiduzzaman Noore Siddiquee +4 位作者 Harry James Gaffney Frances Barraclough Aziz Rahman Jennene Greenhill Vicki Flood 《Global Health Journal》 2024年第3期140-146,共7页
Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a quali... Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a qualitative study with older rural Australians to explore barriers to and facilitators of SDM in local general practices.Methods:We conducted a patient-oriented research,partnering with older rural Australians,families,and health service providers in research design.Participants who visited general practices were purposively sampled from five small rural towns in South Australia.A semi-structured interview guide was used for interviews and reflexive thematic coding was conducted.Results:Telephone interviews were held with 27 participants.Four themes were identified around older rural adults’involvement in SDM:(1)Understanding of"patient involvement";(2)Positive and negative outcomes;(3)Barriers to SDM;and(4)Facilitators to SDM.Understanding of patient involvement in SDM considerably varied among participants,with some reporting their involvement was contingent on the“opportunity to ask questions”and the“treatment choices”offered to them.Alongside the opportunity for involvement,barriers such as avoidance of cultural care and a lack of continuity of care are new findings.Challenges encountered in SDM implementation also included resource constraints and time limitations in general practices.Rural knowledge of general practitioners and technology integration in consultations were viewed as potential enablers..Conclusion:Adequate resources and well-defined guidelines about the process should accompany the implementation of SDM in rural general practices of South Australia.Innovative strategies by general practitioners promoting health literacy and culturally-tailored communication approaches could increase older rural Australians'involvement in general. 展开更多
关键词 General practices Shared decision making Olderrural Australians Patient involvement South Australia
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Performance of the walking trail making test in older adults with white matter hyperintensities
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作者 Hong-Yi Zhao Zhi-Qiang Zhang +2 位作者 Yong-Hua Huang Hong Li Fang-Yuan Wei 《World Journal of Psychiatry》 SCIE 2024年第1期102-110,共9页
BACKGROUND Several studies have reported that the walking trail making test(WTMT)completion time is significantly higher in patients with developmental coordination disorders and mild cognitive impairments.We hypothes... BACKGROUND Several studies have reported that the walking trail making test(WTMT)completion time is significantly higher in patients with developmental coordination disorders and mild cognitive impairments.We hypothesized that WTMT performance would be altered in older adults with white matter hyperintensities(WMH).AIM To explore the performance in the WTMT in older people with WMH.METHODS In this single-center,observational study,25 elderly WMH patients admitted to our hospital from June 2019 to June 2020 served as the WMH group and 20 participants matched for age,gender,and educational level who were undergoing physical examination in our hospital during the same period served as the control group.The participants completed the WTMT-A and WTMT-B to obtain their gait parameters,including WTMT-A completion time,WTMT-B completion time,speed,step length,cadence,and stance phase percent.White matter lesions were scored according to the Fazekas scale.Multiple neuropsychological assessments were carried out to assess cognitive function.The relationships between WTMT performance and cognition and motion in elderly patients with WMH were analyzed by partial Pearson correlation analysis.RESULTS Patients with WMH performed significantly worse on the choice reaction test(CRT)(0.51±0.09 s vs 0.44±0.06 s,P=0.007),verbal fluency test(VFT,14.2±2.75 vs 16.65±3.54,P=0.012),and digit symbol substitution test(16.00±2.75 vs 18.40±3.27,P=0.010)than participants in the control group.The WMH group also required significantly more time to complete the WTMT-A(93.00±10.76 s vs 70.55±11.28 s,P<0.001)and WTMT-B(109.72±12.26 s vs 82.85±7.90 s,P<0.001).WTMT-A completion time was positively correlated with CRT time(r=0.460,P=0.001),while WTMT-B completion time was negatively correlated with VFT(r=-0.391,P=0.008).On the WTMT-A,only speed was found to statistically differ between the WMH and control groups(0.803±0.096 vs 0.975±0.050 m/s,P<0.001),whereas on the WTMT-B,the WMH group exhibited a significantly lower speed(0.778±0.111 vs 0.970±0.053 m/s,P<0.001)and cadence(82.600±4.140 vs 85.500±5.020 steps/m,P=0.039),as well as a higher stance phase percentage(65.061±1.813%vs 63.513±2.465%,P=0.019)relative to controls.CONCLUSION Older adults with WMH showed obviously poorer WTMT performance.WTMT could be a potential indicator for cognitive and motor deficits in patients with WMH. 展开更多
关键词 White matter hyperintensities Cognitive dysfunction Motor deficits Gait analysis Trail making test Small vessel disease
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