This work addresses the cut order planning(COP)problem for multi-color garment production,which is the first step in the clothing industry.First,a multi-objective optimization model of multicolor COP(MCOP)is establish...This work addresses the cut order planning(COP)problem for multi-color garment production,which is the first step in the clothing industry.First,a multi-objective optimization model of multicolor COP(MCOP)is established with production error and production cost as optimization objectives,combined with constraints such as the number of equipment and the number of layers.Second,a decoupled multi-objective optimization algorithm(DMOA)is proposed based on the linear programming decoupling strategy and non-dominated sorting in genetic algorithmsⅡ(NSGAII).The size-combination matrix and the fabric-layer matrix are decoupled to improve the accuracy of the algorithm.Meanwhile,an improved NSGAII algorithm is designed to obtain the optimal Pareto solution to the MCOP problem,thereby constructing a practical intelligent production optimization algorithm.Finally,the effectiveness and superiority of the proposed DMOA are verified through practical cases and comparative experiments,which can effectively optimize the production process for garment enterprises.展开更多
The principal-subordinate hierarchical multi-objective programming model of initial water rights allocation was developed based on the principle of coordinated and sustainable development of different regions and wate...The principal-subordinate hierarchical multi-objective programming model of initial water rights allocation was developed based on the principle of coordinated and sustainable development of different regions and water sectors within a basin. With the precondition of strictly controlling maximum emissions rights, initial water rights were allocated between the first and the second levels of the hierarchy in order to promote fair and coordinated development across different regions of the basin and coordinated and efficient water use across different water sectors, realize the maximum comprehensive benefits to the basin, promote the unity of quantity and quality of initial water rights allocation, and eliminate water conflict across different regions and water sectors. According to interactive decision-making theory, a principal-subordinate hierarchical interactive iterative algorithm based on the satisfaction degree was developed and used to solve the initial water rights allocation model. A case study verified the validity of the model.展开更多
An uncertain multi-objective programming problem is a special type of mathematical multi-objective programming involving uncertain variables. This type of problem is important because there are several uncertain varia...An uncertain multi-objective programming problem is a special type of mathematical multi-objective programming involving uncertain variables. This type of problem is important because there are several uncertain variables in real-world problems.Therefore, research on the uncertain multi-objective programming problem is highly relevant, particularly those problems whose objective functions are correlated. In this paper, an approach that solves an uncertain multi-objective programming problem under the expected-variance value criterion is proposed. First, we define the basic framework of the approach and review concepts such as a Pareto efficient solution and expected-variance value criterion using an order relation between various uncertain variables.Second, the uncertain multi-objective problem is converted into an uncertain single-objective programming problem via a linear weighted method or ideal point method. Then the problem is transformed into a deterministic single objective programming problem under the expected-variance value criterion. Third, four lemmas and two theorems are proved to illustrate that the optimal solution of the deterministic single-objective programming problem is an efficient solution to the original uncertainty problem. Finally, two numerical examples are presented to validate the effectiveness of the proposed approach.展开更多
To overcome the defects that the traditional ap-proach for multi-objective programming under uncertain ran-dom environment(URMOP)neglects the randomness and uncer-tainty of the problem and the volatility of the result...To overcome the defects that the traditional ap-proach for multi-objective programming under uncertain ran-dom environment(URMOP)neglects the randomness and uncer-tainty of the problem and the volatility of the results,a new ap-proach is proposed based on expected value-standard devi-ation value criterion(C_(ESD) criterion).Firstly,the effective solution to the URMOP problem is defined;then,by applying sequence relationship between the uncertain random variables,the UR-MOP problem is transformed into a single-objective program-ming(SOP)under uncertain random environment(URSOP),which are transformed into a deterministic counterpart based on the C_(ESD) criterion.Then the validity of the new approach is proved that the optimal solution to the SOP problem is also effi-cient for the URMOP problem;finally,a numerical example and a case application are presented to show the effectiveness of the new approach.展开更多
According to Hainan Island's biological characteristics, and existing structure of productivity of tropical crops and local climatic conditions, this paper carries on regional division of tropical crops by fuzzy m...According to Hainan Island's biological characteristics, and existing structure of productivity of tropical crops and local climatic conditions, this paper carries on regional division of tropical crops by fuzzy mathematics. Based on calculation of basic parameters for tl1e formation of production, near-tem optimum models of tropical crops structure of each region was established by means of multi-objective programming, and a far-term grey programming model was set up through the above-mentioned near-term model and prediction of future parameters. Conclusion shows that the near-term programming may raise the profit by 5. 1-55.7 percent and far-tem programming by 54-90 percent, both gainingobvious economic benefits.展开更多
To improve the efficiency of gate reassignment and optimize the plan of gate reassignment,the concept of disruption management is introduced,and a multi-objective programming model for airport gate reassignment is pro...To improve the efficiency of gate reassignment and optimize the plan of gate reassignment,the concept of disruption management is introduced,and a multi-objective programming model for airport gate reassignment is proposed.Considering the interests of passengers and the airport,the model minimizes the total flight delay,the total passengers′walking distance and the number of flights reassigned to other gates different from the planned ones.According to the characteristics of the gate reassignment,the model is simplified.As the multi-objective programming model is hard to reach the optimal solutions simultaneously,a threshold of satisfactory solutions of the model is set.Then a simulated annealing algorithm is designed for the model.Case studies show that the model decreases the total flight delay to the satisfactory solutions,and minimizes the total passengers′walking distance.The least change of planned assignment is also reached.The results achieve the goals of disruption management.Therefore,the model is verified to be effective.展开更多
This paper estimates the macroeconornic costs of CO2 emission reduction in China employing the input-output analysis with the multi-objective programming approach. The results show that the effect of reducing CO2 emis...This paper estimates the macroeconornic costs of CO2 emission reduction in China employing the input-output analysis with the multi-objective programming approach. The results show that the effect of reducing CO2 emissions on China＇s economy is significant. Under the present conditions, the estimated macroeconomic costs of CO2 emission reduction in 2010 for China are approximately 3,100-4,024 RMB t-1. The stronger the abatement actions, the higher the macroeconomic costs of per unit emission reduction would be. Excavation industry, oil industry, chemical industry, and metal smelting industry have high potential to abate their CO2 emissions.展开更多
This paper presents the Pareto solutions in continuous multi-objective mathematical programming. We discuss the role of some assumptions on the objective functions and feasible domain, the relationship between them, a...This paper presents the Pareto solutions in continuous multi-objective mathematical programming. We discuss the role of some assumptions on the objective functions and feasible domain, the relationship between them, and compactness, contractibility and fixed point properties of the Pareto sets. The authors have tried to remove the concavity assumptions on the objective functions which are usually used in multi-objective maximization problems. The results are based on constructing a retraction from the feasible domain onto the Pareto-optimal set.展开更多
Based on “One Belt and One Road”, this paper studies the path selection of multimodal transport by using the method of multi-objective mixed integer programming. Therefore, this paper studies the factors of transpor...Based on “One Belt and One Road”, this paper studies the path selection of multimodal transport by using the method of multi-objective mixed integer programming. Therefore, this paper studies the factors of transportation time, transportation cost and transportation safety performance, and establishes a mathematical model. In addition, the method of multi-objective mixed integer programming is used to comprehensively consider the different emphasis and differences of customers on cargo transportation. Then we use planning tools of Microsoft Excel to solve path selection and to determine whether the chosen path is economical and reliable. Finally, a relatively complex road network is built as an example to verify the accuracy of this planning method.展开更多
In this paper, a modified method to find the efficient solutions of multi-objective linear fractional programming (MOLFP) problems is presented. While some of the previously proposed methods provide only one efficient...In this paper, a modified method to find the efficient solutions of multi-objective linear fractional programming (MOLFP) problems is presented. While some of the previously proposed methods provide only one efficient solution to the MOLFP problem, this modified method provides multiple efficient solutions to the problem. As a result, it provides the decision makers flexibility to choose a better option from alternatives according to their financial position and their level of satisfaction of objectives. A numerical example is provided to illustrate the modified method and also a real life oriented production problem is modeled and solved.展开更多
In this paper, we shall be interested in characterization of efficient solutions for special classes of problems. These classes consider roughly B-invexity of involved functions. Sufficient and necessary conditions fo...In this paper, we shall be interested in characterization of efficient solutions for special classes of problems. These classes consider roughly B-invexity of involved functions. Sufficient and necessary conditions for a feasible solution to be an efficient or properly efficient solution are obtained.展开更多
In this paper, we address bilevel multi-objective programming problems (BMPP) in which the decision maker at each level has multiple objective functions conflicting with each other. Given a BMPP, we show how to constr...In this paper, we address bilevel multi-objective programming problems (BMPP) in which the decision maker at each level has multiple objective functions conflicting with each other. Given a BMPP, we show how to construct two artificial multiobjective programming problems such that any point that is efficient for both the two problems is an efficient solution of the BMPP. Some necessary and sufficient conditions for which the obtained result is applicable are provided. A complete procedure of the implementation of an algorithm for generating efficient solutions for the linear case of BMPP is presented. A numerical example is provided to illustrate how the algorithm operates.展开更多
In this paper, we present an algorithm to solve the inequality constrained multi-objective programming (MP) by using a penalty function with objective parameters and constraint penalty parameter. First, the penalty fu...In this paper, we present an algorithm to solve the inequality constrained multi-objective programming (MP) by using a penalty function with objective parameters and constraint penalty parameter. First, the penalty function with objective parameters and constraint penalty parameter for MP and the corresponding unconstraint penalty optimization problem (UPOP) is defined. Under some conditions, a Pareto efficient solution (or a weakly-efficient solution) to UPOP is proved to be a Pareto efficient solution (or a weakly-efficient solution) to MP. The penalty function is proved to be exact under a stable condition. Then, we design an algorithm to solve MP and prove its convergence. Finally, numerical examples show that the algorithm may help decision makers to find a satisfactory solution to MP.展开更多
This paper deals with the optimality conditions and dual theory of multi-objective programming problems involving generalized convexity. New classes of generalized type-I functions are introduced for arcwise connected...This paper deals with the optimality conditions and dual theory of multi-objective programming problems involving generalized convexity. New classes of generalized type-I functions are introduced for arcwise connected functions, and examples are given to show the existence of these functions. By utilizing the new concepts, several sufficient optimality conditions and Mond-Weir type duality results are proposed for non-differentiable multi-objective programming problem.展开更多
A multi-objective linear programming problem is made from fuzzy linear programming problem. It is due the fact that it is used fuzzy programming method during the solution. The Multi objective linear programming probl...A multi-objective linear programming problem is made from fuzzy linear programming problem. It is due the fact that it is used fuzzy programming method during the solution. The Multi objective linear programming problem can be converted into the single objective function by various methods as Chandra Sen’s method, weighted sum method, ranking function method, statistical averaging method. In this paper, Chandra Sen’s method and statistical averaging method both are used here for making single objective function from multi-objective function. Two multi-objective programming problems are solved to verify the result. One is numerical example and the other is real life example. Then the problems are solved by ordinary simplex method and fuzzy programming method. It can be seen that fuzzy programming method gives better optimal values than the ordinary simplex method.展开更多
In this paper, the statistical averaging method and the new statistical averaging methods have been used to solve the fuzzy multi-objective linear programming problems. These methods have been applied to form a single...In this paper, the statistical averaging method and the new statistical averaging methods have been used to solve the fuzzy multi-objective linear programming problems. These methods have been applied to form a single objective function from the fuzzy multi-objective linear programming problems. At first, a numerical example of solving fuzzy multi-objective linear programming problem has been provided to validate the maximum risk reduction by the proposed method. The proposed method has been applied to assess the risk of damage due to natural calamities like flood, cyclone, sidor, and storms at the coastal areas in Bangladesh. The proposed method of solving the fuzzy multi-objective linear programming problems by the statistical method has been compared with the Chandra Sen’s method. The numerical results show that the proposed method maximizes the risk reduction capacity better than Chandra Sen’s method.展开更多
Objective:Aiming at the problems of clinical pathway optimization and medical cost control for stroke patients,this study proposes a clinical pathway discrimination model based on the XGBoost integrated learning algor...Objective:Aiming at the problems of clinical pathway optimization and medical cost control for stroke patients,this study proposes a clinical pathway discrimination model based on the XGBoost integrated learning algorithm.Combined with the multi-objective programming(MOP)method,this study explores its application value under the Diagnosis-Intervention Packet(DIP)payment model.Methods:The data of stroke patients(ICD codes I60-I63)from 2018 to 2024 were obtained through the medical record statistical management system of medical institutions in Guangdong Province.Efficiency indicators(average length of hospital stay),health economics indicators(total cost),effectiveness indicators(mortality rate),and specific indicators(NIHSS score)were extracted.The XGBoost algorithm was used to construct the clinical pathway discrimination model,and the hyperparameters were optimized through grid search.Based on the DIP payment rules,the prediction results of the model were used as inputs to establish a dynamic programming model,aiming to minimize costs and maximize curative effects to obtain the optimal clinical pathway plan.Results:The goodness-of-fit(R 2)of the XGBoost model on the test set reached 0.768,which was significantly better than that of the random forest(0.691)and the BP neural network(0.343).The total cost of the clinical pathway optimized by the dynamic programming model decreased by 12.7%(95%CI:10.2-15.1%),the average length of hospital stay was shortened by 1.8 days,and the NIHSS improvement rate increased by 8.3%.Conclusion:The integrated model proposed in this study has high accuracy and robustness in clinical pathway discrimination.Combined with the MOP method,it can provide a scientific basis for the optimization of medical resources under the DIP model,helping medical institutions achieve the dual goals of precise cost control and curative effect improvement.展开更多
The accessory gearbox is a crucial component of the power transmission system of an aero-engine.The current design of the accessory gearbox case heavily relies on engineering experience,resulting in a bulky and heavy ...The accessory gearbox is a crucial component of the power transmission system of an aero-engine.The current design of the accessory gearbox case heavily relies on engineering experience,resulting in a bulky and heavy structure.This makes it increasingly challenging to meet the design requirements of high-power density.This work proposes a multi-objective topology optimization method based on the compromise programming method for the aero-engine accessory gearbox case.By locally thinning the gearbox case wall thickness,the case weight is reduced by 12.7%,and the maximum Mises stress is also reduced by 19.7%compared to the initial design scheme.Furthermore,the maximum vibration acceleration amplitude is reduced by 23.9%.These results provide a new solution for the lightweight design of the aero-engine accessory gearbox case.展开更多
基金Supported by the Natural Science Foundation of Zhejiang Province(No.LQ22F030015).
文摘This work addresses the cut order planning(COP)problem for multi-color garment production,which is the first step in the clothing industry.First,a multi-objective optimization model of multicolor COP(MCOP)is established with production error and production cost as optimization objectives,combined with constraints such as the number of equipment and the number of layers.Second,a decoupled multi-objective optimization algorithm(DMOA)is proposed based on the linear programming decoupling strategy and non-dominated sorting in genetic algorithmsⅡ(NSGAII).The size-combination matrix and the fabric-layer matrix are decoupled to improve the accuracy of the algorithm.Meanwhile,an improved NSGAII algorithm is designed to obtain the optimal Pareto solution to the MCOP problem,thereby constructing a practical intelligent production optimization algorithm.Finally,the effectiveness and superiority of the proposed DMOA are verified through practical cases and comparative experiments,which can effectively optimize the production process for garment enterprises.
基金supported by the Public Welfare Industry Special Fund Project of the Ministry of Water Resources of China (Grant No. 200701028)the Humanities and Social Science Foundation Program of Hohai University (Grant No. 2008421411)
文摘The principal-subordinate hierarchical multi-objective programming model of initial water rights allocation was developed based on the principle of coordinated and sustainable development of different regions and water sectors within a basin. With the precondition of strictly controlling maximum emissions rights, initial water rights were allocated between the first and the second levels of the hierarchy in order to promote fair and coordinated development across different regions of the basin and coordinated and efficient water use across different water sectors, realize the maximum comprehensive benefits to the basin, promote the unity of quantity and quality of initial water rights allocation, and eliminate water conflict across different regions and water sectors. According to interactive decision-making theory, a principal-subordinate hierarchical interactive iterative algorithm based on the satisfaction degree was developed and used to solve the initial water rights allocation model. A case study verified the validity of the model.
基金supported by the National Natural Science Foundation of China(71601183 71571190)
文摘An uncertain multi-objective programming problem is a special type of mathematical multi-objective programming involving uncertain variables. This type of problem is important because there are several uncertain variables in real-world problems.Therefore, research on the uncertain multi-objective programming problem is highly relevant, particularly those problems whose objective functions are correlated. In this paper, an approach that solves an uncertain multi-objective programming problem under the expected-variance value criterion is proposed. First, we define the basic framework of the approach and review concepts such as a Pareto efficient solution and expected-variance value criterion using an order relation between various uncertain variables.Second, the uncertain multi-objective problem is converted into an uncertain single-objective programming problem via a linear weighted method or ideal point method. Then the problem is transformed into a deterministic single objective programming problem under the expected-variance value criterion. Third, four lemmas and two theorems are proved to illustrate that the optimal solution of the deterministic single-objective programming problem is an efficient solution to the original uncertainty problem. Finally, two numerical examples are presented to validate the effectiveness of the proposed approach.
基金supported by the National Natural Science Foundation of China(72001213)the basic research program of Natural Science of Shaanxi Province,China(2021JQ-369).
文摘To overcome the defects that the traditional ap-proach for multi-objective programming under uncertain ran-dom environment(URMOP)neglects the randomness and uncer-tainty of the problem and the volatility of the results,a new ap-proach is proposed based on expected value-standard devi-ation value criterion(C_(ESD) criterion).Firstly,the effective solution to the URMOP problem is defined;then,by applying sequence relationship between the uncertain random variables,the UR-MOP problem is transformed into a single-objective program-ming(SOP)under uncertain random environment(URSOP),which are transformed into a deterministic counterpart based on the C_(ESD) criterion.Then the validity of the new approach is proved that the optimal solution to the SOP problem is also effi-cient for the URMOP problem;finally,a numerical example and a case application are presented to show the effectiveness of the new approach.
文摘According to Hainan Island's biological characteristics, and existing structure of productivity of tropical crops and local climatic conditions, this paper carries on regional division of tropical crops by fuzzy mathematics. Based on calculation of basic parameters for tl1e formation of production, near-tem optimum models of tropical crops structure of each region was established by means of multi-objective programming, and a far-term grey programming model was set up through the above-mentioned near-term model and prediction of future parameters. Conclusion shows that the near-term programming may raise the profit by 5. 1-55.7 percent and far-tem programming by 54-90 percent, both gainingobvious economic benefits.
基金Supported by the National Natural Science Foundation of China(71103034)the Natural Science Foundation of Jiangsu Province(bk2011084)
文摘To improve the efficiency of gate reassignment and optimize the plan of gate reassignment,the concept of disruption management is introduced,and a multi-objective programming model for airport gate reassignment is proposed.Considering the interests of passengers and the airport,the model minimizes the total flight delay,the total passengers′walking distance and the number of flights reassigned to other gates different from the planned ones.According to the characteristics of the gate reassignment,the model is simplified.As the multi-objective programming model is hard to reach the optimal solutions simultaneously,a threshold of satisfactory solutions of the model is set.Then a simulated annealing algorithm is designed for the model.Case studies show that the model decreases the total flight delay to the satisfactory solutions,and minimizes the total passengers′walking distance.The least change of planned assignment is also reached.The results achieve the goals of disruption management.Therefore,the model is verified to be effective.
基金supported by the National Natural Science Foundation of China under Grant Nos. 70825001 and 70941039
文摘This paper estimates the macroeconornic costs of CO2 emission reduction in China employing the input-output analysis with the multi-objective programming approach. The results show that the effect of reducing CO2 emissions on China＇s economy is significant. Under the present conditions, the estimated macroeconomic costs of CO2 emission reduction in 2010 for China are approximately 3,100-4,024 RMB t-1. The stronger the abatement actions, the higher the macroeconomic costs of per unit emission reduction would be. Excavation industry, oil industry, chemical industry, and metal smelting industry have high potential to abate their CO2 emissions.
文摘This paper presents the Pareto solutions in continuous multi-objective mathematical programming. We discuss the role of some assumptions on the objective functions and feasible domain, the relationship between them, and compactness, contractibility and fixed point properties of the Pareto sets. The authors have tried to remove the concavity assumptions on the objective functions which are usually used in multi-objective maximization problems. The results are based on constructing a retraction from the feasible domain onto the Pareto-optimal set.
文摘Based on “One Belt and One Road”, this paper studies the path selection of multimodal transport by using the method of multi-objective mixed integer programming. Therefore, this paper studies the factors of transportation time, transportation cost and transportation safety performance, and establishes a mathematical model. In addition, the method of multi-objective mixed integer programming is used to comprehensively consider the different emphasis and differences of customers on cargo transportation. Then we use planning tools of Microsoft Excel to solve path selection and to determine whether the chosen path is economical and reliable. Finally, a relatively complex road network is built as an example to verify the accuracy of this planning method.
文摘In this paper, a modified method to find the efficient solutions of multi-objective linear fractional programming (MOLFP) problems is presented. While some of the previously proposed methods provide only one efficient solution to the MOLFP problem, this modified method provides multiple efficient solutions to the problem. As a result, it provides the decision makers flexibility to choose a better option from alternatives according to their financial position and their level of satisfaction of objectives. A numerical example is provided to illustrate the modified method and also a real life oriented production problem is modeled and solved.
文摘In this paper, we shall be interested in characterization of efficient solutions for special classes of problems. These classes consider roughly B-invexity of involved functions. Sufficient and necessary conditions for a feasible solution to be an efficient or properly efficient solution are obtained.
文摘In this paper, we address bilevel multi-objective programming problems (BMPP) in which the decision maker at each level has multiple objective functions conflicting with each other. Given a BMPP, we show how to construct two artificial multiobjective programming problems such that any point that is efficient for both the two problems is an efficient solution of the BMPP. Some necessary and sufficient conditions for which the obtained result is applicable are provided. A complete procedure of the implementation of an algorithm for generating efficient solutions for the linear case of BMPP is presented. A numerical example is provided to illustrate how the algorithm operates.
文摘In this paper, we present an algorithm to solve the inequality constrained multi-objective programming (MP) by using a penalty function with objective parameters and constraint penalty parameter. First, the penalty function with objective parameters and constraint penalty parameter for MP and the corresponding unconstraint penalty optimization problem (UPOP) is defined. Under some conditions, a Pareto efficient solution (or a weakly-efficient solution) to UPOP is proved to be a Pareto efficient solution (or a weakly-efficient solution) to MP. The penalty function is proved to be exact under a stable condition. Then, we design an algorithm to solve MP and prove its convergence. Finally, numerical examples show that the algorithm may help decision makers to find a satisfactory solution to MP.
文摘This paper deals with the optimality conditions and dual theory of multi-objective programming problems involving generalized convexity. New classes of generalized type-I functions are introduced for arcwise connected functions, and examples are given to show the existence of these functions. By utilizing the new concepts, several sufficient optimality conditions and Mond-Weir type duality results are proposed for non-differentiable multi-objective programming problem.
文摘A multi-objective linear programming problem is made from fuzzy linear programming problem. It is due the fact that it is used fuzzy programming method during the solution. The Multi objective linear programming problem can be converted into the single objective function by various methods as Chandra Sen’s method, weighted sum method, ranking function method, statistical averaging method. In this paper, Chandra Sen’s method and statistical averaging method both are used here for making single objective function from multi-objective function. Two multi-objective programming problems are solved to verify the result. One is numerical example and the other is real life example. Then the problems are solved by ordinary simplex method and fuzzy programming method. It can be seen that fuzzy programming method gives better optimal values than the ordinary simplex method.
文摘In this paper, the statistical averaging method and the new statistical averaging methods have been used to solve the fuzzy multi-objective linear programming problems. These methods have been applied to form a single objective function from the fuzzy multi-objective linear programming problems. At first, a numerical example of solving fuzzy multi-objective linear programming problem has been provided to validate the maximum risk reduction by the proposed method. The proposed method has been applied to assess the risk of damage due to natural calamities like flood, cyclone, sidor, and storms at the coastal areas in Bangladesh. The proposed method of solving the fuzzy multi-objective linear programming problems by the statistical method has been compared with the Chandra Sen’s method. The numerical results show that the proposed method maximizes the risk reduction capacity better than Chandra Sen’s method.
基金Guangdong Medical Science and Technology Research Fund,Research on the Construction of a Clinical Path Discrimination Model for Stroke Patients Based on the XGBoost Integrated Learning Algorithm and Its Application in MOP under the DIP Payment Model,(Project No.:B2023177)Guangdong Health Economics Association,Research on the Prediction of Hospitalization Costs of Stroke Patients under the DRG/DIP Reform Based on Machine Learning Algorithms,(Project No.:2022-WJMF-13)。
文摘Objective:Aiming at the problems of clinical pathway optimization and medical cost control for stroke patients,this study proposes a clinical pathway discrimination model based on the XGBoost integrated learning algorithm.Combined with the multi-objective programming(MOP)method,this study explores its application value under the Diagnosis-Intervention Packet(DIP)payment model.Methods:The data of stroke patients(ICD codes I60-I63)from 2018 to 2024 were obtained through the medical record statistical management system of medical institutions in Guangdong Province.Efficiency indicators(average length of hospital stay),health economics indicators(total cost),effectiveness indicators(mortality rate),and specific indicators(NIHSS score)were extracted.The XGBoost algorithm was used to construct the clinical pathway discrimination model,and the hyperparameters were optimized through grid search.Based on the DIP payment rules,the prediction results of the model were used as inputs to establish a dynamic programming model,aiming to minimize costs and maximize curative effects to obtain the optimal clinical pathway plan.Results:The goodness-of-fit(R 2)of the XGBoost model on the test set reached 0.768,which was significantly better than that of the random forest(0.691)and the BP neural network(0.343).The total cost of the clinical pathway optimized by the dynamic programming model decreased by 12.7%(95%CI:10.2-15.1%),the average length of hospital stay was shortened by 1.8 days,and the NIHSS improvement rate increased by 8.3%.Conclusion:The integrated model proposed in this study has high accuracy and robustness in clinical pathway discrimination.Combined with the MOP method,it can provide a scientific basis for the optimization of medical resources under the DIP model,helping medical institutions achieve the dual goals of precise cost control and curative effect improvement.
基金supported by the Chongqing Outstanding Young Scientist Fund(Grant No.CSTB2023NSCQJQX0016)the National Natural Science Foundation of China(Grant No.52322504)。
文摘The accessory gearbox is a crucial component of the power transmission system of an aero-engine.The current design of the accessory gearbox case heavily relies on engineering experience,resulting in a bulky and heavy structure.This makes it increasingly challenging to meet the design requirements of high-power density.This work proposes a multi-objective topology optimization method based on the compromise programming method for the aero-engine accessory gearbox case.By locally thinning the gearbox case wall thickness,the case weight is reduced by 12.7%,and the maximum Mises stress is also reduced by 19.7%compared to the initial design scheme.Furthermore,the maximum vibration acceleration amplitude is reduced by 23.9%.These results provide a new solution for the lightweight design of the aero-engine accessory gearbox case.
