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Study on the Construction of Whole-course Nursing Objective Management System for Patients with Type 2 Diabetes
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作者 Lei Wu 《Journal of Clinical and Nursing Research》 2025年第1期203-208,共6页
Objective: To explore the effect of a whole-course nursing objective management system on disease control and quality of life in patients with type 2 diabetes, and to propose strategies for constructing such a system ... Objective: To explore the effect of a whole-course nursing objective management system on disease control and quality of life in patients with type 2 diabetes, and to propose strategies for constructing such a system for these patients. Methods: Ninety patients with type 2 diabetes admitted to the Department of Endocrinology of the hospital from January 2024 to June 2024 were selected. The control group (n = 45) received routine nursing care, while the observation group (n = 45) received whole-course nursing. Indicators such as glucose metabolism and compliance behavior were measured before and after care, and the health and quality of life of patients in both groups were evaluated. Results: A comparison of blood glucose levels and compliance behavior showed that the observation group had lower blood glucose levels than the control group (P < 0.05). Additionally, the compliance behavior score of the observation group was higher than that of the control group (P < 0.05). Conclusion: The holistic nursing model demonstrates significant nursing effects for patients with type 2 diabetes. This approach not only assists in blood sugar control, prevents disease progression, and reduces complications, but also enhances patients’ knowledge of health management, aiding in their recovery. 展开更多
关键词 Patients with type 2 diabetes Whole nursing Management system by objectives Construction path
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Objective System and Coordination Mechanism Design for “Multi-Planning System Integration” 被引量:1
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作者 Xu Jingquan Shen Chi Li Caige 《China City Planning Review》 CSCD 2015年第4期41-47,共7页
One of the hot issues to realize the multi-planning system integration is to explore the inter-planning coordination mechanism breaking current technical and system restrictions. The essence of planning disintegration... One of the hot issues to realize the multi-planning system integration is to explore the inter-planning coordination mechanism breaking current technical and system restrictions. The essence of planning disintegration is the disconnection of their objective system, indicator system, and spatial coordinate system. Few studies have been conducted on this issue. This paper analyzes the manifestations and causes of the "three-system dissociation," and proposes to establish a new objective system. In addition, it proposes to strengthen the connection design, aiming to explore effective ways to realize inter-planning connection and coordination. 展开更多
关键词 multi-planning system integration objective system connection design three-system connection connection and coordination mechanism
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Distributed Parallelization of a Global Atmospheric Data Objective Analysis System 被引量:2
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作者 赵军 宋君强 李振军 《Advances in Atmospheric Sciences》 SCIE CAS CSCD 2003年第1期159-163,共5页
It is difficult to parallelize a subsistent sequential algorithm. Through analyzing the sequential algorithm of a Global Atmospheric Data Objective Analysis System, this article puts forward a distributed parallel alg... It is difficult to parallelize a subsistent sequential algorithm. Through analyzing the sequential algorithm of a Global Atmospheric Data Objective Analysis System, this article puts forward a distributed parallel algorithm that statically distributes data on a massively parallel processing (MPP) computer. The algorithm realizes distributed parailelization by extracting the analysis boxes and model grid point Iatitude rows with leaped steps, and by distributing the data to different processors. The parallel algorithm achieves good load balancing, high parallel efficiency, and low parallel cost. Performance experiments on a MPP computer arc also presented. 展开更多
关键词 distributed parailelization analysis box data distribution objective analysis
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Hierarchical Algorithms of Large-Scale Systems with Nonseparable Multiobjective
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作者 解三名 吴沧浦 《Journal of Beijing Institute of Technology》 EI CAS 1995年第1期79+73-79,共8页
A class of large-scale hierarchical control systems is considered, the overall objective function is a nonlinear and nonseparable function of multiple quadratic performance indices.The separation strategy of the multi... A class of large-scale hierarchical control systems is considered, the overall objective function is a nonlinear and nonseparable function of multiple quadratic performance indices.The separation strategy of the multiobjective optimization technique and the three-level objective coordination method are applied to the large -sacle systems, and a four-level hierarchical algorithms of optimization control is obtained. 展开更多
关键词 hierarchical system/objective coordination multiobjective optimization
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Subtle skills: Using objective structured clinical examinations to assess gastroenterology fellow performance in system based practice milestones 被引量:1
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作者 Marianna Papademetriou Gabriel Perrault +4 位作者 Max Pitman Colleen Gillespie Sondra Zabar Elizabeth Weinshel Renee Williams 《World Journal of Gastroenterology》 SCIE CAS 2020年第11期1221-1230,共10页
BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficu... BACKGROUND System based practice(SBP) milestones require trainees to effectively navigate the larger health care system for optimal patient care. In gastroenterology training programs, the assessment of SBP is difficult due to high volume, high acuity inpatient care, as well as inconsistent direct supervision. Nevertheless,structured assessment is required for training programs. We hypothesized that objective structured clinical examination(OSCE) would be an effective tool for assessment of SBP.AIM To develop a novel method for SBP milestone assessment of gastroenterology fellows using the OSCE.METHODS For this observational study, we created 4 OSCE stations: Counseling an impaired colleague, handoff after overnight call, a feeding tube placement discussion, and giving feedback to a medical student on a progress note. Twentysix first year fellows from 7 programs participated. All fellows encountered identical case presentations. Checklists were completed by trained standardized patients who interacted with each fellow participant. A report with individual and composite scores was generated and forwarded to program directors to utilize in formative assessment. Fellows also received immediate feedback from a faculty observer and completed a post-session program evaluation survey.RESULTS Survey response rate was 100%. The average composite score across SBP milestones for all cases were 6.22(SBP1), 4.34(SBP2), 3.35(SBP3), and 6.42(SBP4)out of 9. The lowest composite score was in SBP 3, which asks fellows to advocate for cost effective care. This highest score was in patient care 2, which asks fellows to develop comprehensive management plans. Discrepancies were identified between the fellows’ perceived performance in their self-assessments and Standardized Patient checklist evaluations for each case. Eighty-seven percent of fellows agreed that OSCEs are an important component of their clinical training,and 83% stated that the cases were similar to actual clinical encounters. All participating fellows stated that the immediate feedback was "very useful." One hundred percent of the fellows stated they would incorporate OSCE learning into their clinical practice.CONCLUSION OSCEs may be used for standardized evaluation of SBP milestones. Trainees scored lower on SBP milestones than other more concrete milestones. Training programs should consider OSCEs for assessment of SBP. 展开更多
关键词 objective structured clinical exams MEDICAL education MEDICAL error system BASED PRACTICE MILESTONES GASTROENTEROLOGY
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SELECTION OF OBJECTIVE FUNCTIONS AND APPLICATION OF GENETIC ALGORITHMS IN DAMPING DESIGN OF PIPE SYSTEM 被引量:1
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作者 ChenYanqiu FanQinsban ZhuZigen 《Acta Mechanica Solida Sinica》 SCIE EI 2003年第2期171-178,共8页
The vibration failure of pipe system of aeroengine seriously influences the safety of aircraft.Its damping design is determined by the selection of the design target,method and their feasibility.Five objective functio... The vibration failure of pipe system of aeroengine seriously influences the safety of aircraft.Its damping design is determined by the selection of the design target,method and their feasibility.Five objective functions for the vibration design of a pipeline or pipe system are introduced,namely,the frequency,amplitude,transfer ratio,curvature and deformation energy as options for the optimization process.The genetic algorithms(GA)are adopted as the opti- mization method,in which the selection of the adaptive genetic operators and the method of implementation of the GA process are crucial.The optimization procedure for all the above ob- jective functions is carried out using GA on the basis of finite element software-MSC/NASTRAN. The optimal solutions of these functions and the stress distribution on the structure are calculated and compared through an example,and their characteristics are analyzed.Finally we put forward two new objective functions,curvature and deformation energy for pipe system optimization.The calculations show that using the curvature as the objective function can reflect the case of minimal stress,and the optimization results using the deformation energy represent lesser and more uni- form stress distribution.The calculation results and process showed that the genetic algorithms can effectively implement damping design of engine pipelines and satisfy the efficient engineering design requirement. 展开更多
关键词 objective function genetic algorithms OPTIMIZATION pipe system
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Accounting Objectives and Reporting System Construction of Managerial Accounting in China 被引量:1
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作者 Xianzhi Zhang 《财会月刊(中)》 北大核心 2015年第4Z期3-8,共6页
The purpose of this paper is to propose an innovation system of managerial accounting reports, which is actually on the basis of accounting objectives. On the one hand, as managerial accounting is one important branch... The purpose of this paper is to propose an innovation system of managerial accounting reports, which is actually on the basis of accounting objectives. On the one hand, as managerial accounting is one important branch of accounting(the other important branch is financial accounting), some of its characters should be closely connected with accounting. On the other hand, managers need managerial accounting information for enterprise operation(especially for internal management control) decisions, so, managerial accounting should also be in accordance with the enterprise's operation and its management control. Therefore, combined with the existed research of accounting(especially financial accounting research) and for the development requirement of Chinese enterprises, this paper will mainly discuss the relation between accounting objectives and managerial accounting's system and put forward an idea of constructing an applicable reporting system of managerial accounting based on the operation mode in Chinese modern enterprises. This study will develop the accounting reports research(including external reports and internal reports) both in the field of theory and that of practice. 展开更多
关键词 ACCOUNTING objective ACCOUNTING RELEVANCE ACCOUNTING REPORT system managerial ACCOUNTING REPORT
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Objective Reduction Solutions to Higher-Order Boussinesq System in (2+1)-Dimensions
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作者 HU Ya-Hong ZHENG Chun-Long 《Communications in Theoretical Physics》 SCIE CAS CSCD 2009年第1期47-52,共6页
With the help of an objective reduction approach (ORA), abundant exact solutions of (2+1)-dimensional higher-order Boussinesq system (including some hyperboloid function solutions, trigonometric function solutio... With the help of an objective reduction approach (ORA), abundant exact solutions of (2+1)-dimensional higher-order Boussinesq system (including some hyperboloid function solutions, trigonometric function solutions, and a rational function solution) are obtained. It is shown that some novel soliton structures, like single linearity soliton structure, breath soliton structure, single linearity y-periodic solitary wave structure, libration dromion structure, and kink-like multisoliton structure with actual physical meaning exist in the (2+1)-dimensional higher-order Boussinesq system. 展开更多
关键词 objective reduction approach higher-order Boussinesq exact solution localized excitation
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ON THE OBJECTIVE STRESS RATE IN CO-MOVING COORDINATE SYSTEM
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作者 尚勇 陈至达 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI 1989年第2期103-112,共10页
The objective stress rate is a rather important problem in mechanics of finite deformation. In this paper, the objective stress rate in co-moving coordinate is derived by applying nonlinear geometric field theory of d... The objective stress rate is a rather important problem in mechanics of finite deformation. In this paper, the objective stress rate in co-moving coordinate is derived by applying nonlinear geometric field theory of deformation. Problems, such ax targe extension coupled with rotation, and large shear deformation, are exemplified by using the new formula. Comparing with Jaumann 's stress rate and other formulae presented in current literature, the new result appears to be the reasonable one in co-moving coordinate system. 展开更多
关键词 ON THE objective STRESS RATE IN CO-MOVING COORDINATE system RATE
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Efficient Spam Filtering System Based on Smart Cooperative Subjective and Objective Methods
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作者 Samir A. Elsagheer Mohamed 《International Journal of Communications, Network and System Sciences》 2013年第2期88-99,共12页
Most of the spam filtering techniques are based on objective methods such as the content filtering and DNS/reverse DNS checks. Recently, some cooperative subjective spam filtering techniques are proposed. Objective me... Most of the spam filtering techniques are based on objective methods such as the content filtering and DNS/reverse DNS checks. Recently, some cooperative subjective spam filtering techniques are proposed. Objective methods suffer from the false positive and false negative classification. Objective methods based on the content filtering are time consuming and resource demanding. They are inaccurate and require continuous update to cope with newly invented spammer’s tricks. On the other side, the existing subjective proposals have some drawbacks like the attacks from malicious users that make them unreliable and the privacy. In this paper, we propose an efficient spam filtering system that is based on a smart cooperative subjective technique for content filtering in addition to the fastest and the most reliable non-content-based objective methods. The system combines several applications. The first is a web-based system that we have developed based on the proposed technique. A server application having extra features suitable for the enterprises and closed work groups is a second part of the system. Another part is a set of standard web services that allow any existing email server or email client to interact with the system. It allows the email servers to query the system for email filtering. They can also allow the users via the mail user agents to participate in the subjective spam filtering problem. 展开更多
关键词 ANTI-SPAM system objective SPAM FILTERING Cooperative SUBJECTIVE SPAM FILTERING WEB Application WEB Services
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Study on complexity of Sutong Bridge's objectives system and its meta-synthesis management
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作者 Fa Yueping Li Zhen 《Engineering Sciences》 EI 2009年第1期93-100,F0003,共9页
Objectives define the boundaries of complex engineering system.It is a hard work to identify the specific objectives of a complex engineering system.The objectives system development needs a complicated process,from n... Objectives define the boundaries of complex engineering system.It is a hard work to identify the specific objectives of a complex engineering system.The objectives system development needs a complicated process,from nix to prototype,and to final definition.The total process will cover the following course:from chaos to well-ordered;from qualitativeness to combination of quantitativeness and qualitativenss,then from qualitativeness to quantitativeness(a recurrent process),expert experience and theoretical science,rationality and sensibility,synthesis analysis and meta-synthesis,routinization and non-routinization.Such process is explicit in phase development yet overlapped;mutually confined yet mutually independent;permeated conflicts yet pregnant in harmony.This article explores the complexity of Sutong Bridge's objectives development and the process of meta-synthesis in the Sutong Bridge engineering. 展开更多
关键词 objectives system COMPLEXITY META-SYNTHESIS Sutong Bridge
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Study on Quality Objective Evaluation System of Research Institutes
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作者 宋志 《China Standardization》 2013年第2期87-89,共3页
Based on the experience of quality objective evaluation procedures of The Institute of Electrical Engineering, the Chinese Academy of Sciences, the methods and processes are summarized in this paper.
关键词 quality management system quality objective evaluation system
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Multi-objective optimization of grinding process parameters for improving gear machining precision 被引量:1
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作者 YOU Tong-fei HAN Jiang +4 位作者 TIAN Xiao-qing TANG Jian-ping LU Yi-guo LI Guang-hui XIA Lian 《Journal of Central South University》 2025年第2期538-551,共14页
The gears of new energy vehicles are required to withstand higher rotational speeds and greater loads,which puts forward higher precision essentials for gear manufacturing.However,machining process parameters can caus... The gears of new energy vehicles are required to withstand higher rotational speeds and greater loads,which puts forward higher precision essentials for gear manufacturing.However,machining process parameters can cause changes in cutting force/heat,resulting in affecting gear machining precision.Therefore,this paper studies the effect of different process parameters on gear machining precision.A multi-objective optimization model is established for the relationship between process parameters and tooth surface deviations,tooth profile deviations,and tooth lead deviations through the cutting speed,feed rate,and cutting depth of the worm wheel gear grinding machine.The response surface method(RSM)is used for experimental design,and the corresponding experimental results and optimal process parameters are obtained.Subsequently,gray relational analysis-principal component analysis(GRA-PCA),particle swarm optimization(PSO),and genetic algorithm-particle swarm optimization(GA-PSO)methods are used to analyze the experimental results and obtain different optimal process parameters.The results show that optimal process parameters obtained by the GRA-PCA,PSO,and GA-PSO methods improve the gear machining precision.Moreover,the gear machining precision obtained by GA-PSO is superior to other methods. 展开更多
关键词 worm wheel gear grinding machine gear machining precision machining process parameters multi objective optimization
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A Systematic Review of Deep Learning-Based Object Detection in Agriculture: Methods, Challenges, and Future Directions 被引量:1
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作者 Mukesh Dalal Payal Mittal 《Computers, Materials & Continua》 2025年第7期57-91,共35页
Deep learning-based object detection has revolutionized various fields,including agriculture.This paper presents a systematic review based on the PRISMA 2020 approach for object detection techniques in agriculture by ... Deep learning-based object detection has revolutionized various fields,including agriculture.This paper presents a systematic review based on the PRISMA 2020 approach for object detection techniques in agriculture by exploring the evolution of different methods and applications over the past three years,highlighting the shift from conventional computer vision to deep learning-based methodologies owing to their enhanced efficacy in real time.The review emphasizes the integration of advanced models,such as You Only Look Once(YOLO)v9,v10,EfficientDet,Transformer-based models,and hybrid frameworks that improve the precision,accuracy,and scalability for crop monitoring and disease detection.The review also highlights benchmark datasets and evaluation metrics.It addresses limitations,like domain adaptation challenges,dataset heterogeneity,and occlusion,while offering insights into prospective research avenues,such as multimodal learning,explainable AI,and federated learning.Furthermore,the main aim of this paper is to serve as a thorough resource guide for scientists,researchers,and stakeholders for implementing deep learning-based object detection methods for the development of intelligent,robust,and sustainable agricultural systems. 展开更多
关键词 Artificial intelligence object detection computer vision AGRICULTURE deep learning
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A Novel Reliable and Trust Objective Function for RPL-Based IoT Routing Protocol
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作者 Mariam A.Alotaibi Sami S.Alwakeel Aasem N.Alyahya 《Computers, Materials & Continua》 2025年第2期3467-3497,共31页
The Internet of Things (IoT) integrates diverse devices into the Internet infrastructure, including sensors, meters, and wearable devices. Designing efficient IoT networks with these heterogeneous devices requires the... The Internet of Things (IoT) integrates diverse devices into the Internet infrastructure, including sensors, meters, and wearable devices. Designing efficient IoT networks with these heterogeneous devices requires the selection of appropriate routing protocols, which is crucial for maintaining high Quality of Service (QoS). The Internet Engineering Task Force’s Routing Over Low Power and Lossy Networks (IETF ROLL) working group developed the IPv6 Routing Protocol for Low Power and Lossy Networks (RPL) to meet these needs. While the initial RPL standard focused on single-metric route selection, ongoing research explores enhancing RPL by incorporating multiple routing metrics and developing new Objective Functions (OFs). This paper introduces a novel Objective Function (OF), the Reliable and Secure Objective Function (RSOF), designed to enhance the reliability and trustworthiness of parent selection at both the node and link levels within IoT and RPL routing protocols. The RSOF employs an adaptive parent node selection mechanism that incorporates multiple metrics, including Residual Energy (RE), Expected Transmission Count (ETX), Extended RPL Node Trustworthiness (ERNT), and a novel metric that measures node failure rate (NFR). In this mechanism, nodes with a high NFR are excluded from the parent selection process to improve network reliability and stability. The proposed RSOF was evaluated using random and grid topologies in the Cooja Simulator, with tests conducted across small, medium, and large-scale networks to examine the impact of varying node densities. The simulation results indicate a significant improvement in network performance, particularly in terms of average latency, packet acknowledgment ratio (PAR), packet delivery ratio (PDR), and Control Message Overhead (CMO), compared to the standard Minimum Rank with Hysteresis Objective Function (MRHOF). 展开更多
关键词 IOT LLNs RPL objective function OF MRHOF OF0 routing metrics RELIABILITY trustworthiness
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An Objective Method for Temperature and Wind Forecast at the Venues of the 14 th National Winter Games
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作者 Xuefeng YANG Sitong LIU 《Meteorological and Environmental Research》 2025年第2期59-61,共3页
According to the demand for weather forecast at the venues of the 14 th National Winter Games,based on the data of the fine grid model of the European Centre(EC)and RMAPS model,as well as the real-time observation dat... According to the demand for weather forecast at the venues of the 14 th National Winter Games,based on the data of the fine grid model of the European Centre(EC)and RMAPS model,as well as the real-time observation data of the competition fields,a dynamic optimal correction method was proposed to improve the accuracy rate of temperature and wind speed prediction.Through techniques such as deviation correction and univariate linear regression,mathematical models applicable to different competition regions were constructed,and the effective correction of objective forecast products within 0-120 h were realized.The results show that this method significantly improved the accuracy rate of the prediction of temperature,wind speed and extreme wind speed,and the effect was more obvious especially when the model performance was unstable.Meanwhile,terrain and climate background had a significant impact on the correction effect.This study provides new technical support for mountain meteorological forecast. 展开更多
关键词 Temperature forecast Wind speed forecast objective correction Dynamic optimum Mountain meteorology
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Space cannot substitute for time in the study of the ecosystem services-human wellbeing relationship
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作者 Lumeng Liu Jianguo Wu 《Geography and Sustainability》 2025年第2期57-68,共12页
The relationship between ecosystem services(ES)and human well-being(HWB)is fundamental to the science and practice of sustainability.However,studies have shown conflicting results,which has been attributed to the infl... The relationship between ecosystem services(ES)and human well-being(HWB)is fundamental to the science and practice of sustainability.However,studies have shown conflicting results,which has been attributed to the influences of indicators,contexts,and scales.Yet,another potential factor,which has been overlooked,may be the mixed use of spatial and temporal approaches.Using twelve ES and seven well-being indicators and multiple statistical methods,we quantified and compared the spatial and temporal ES–HWB relationships for Inner Mongolia,China.The spatial and temporal relationships differed in both correlation direction and strength.Most relationships of economic and employment-related indicators with food provisioning and supporting services were temporally positive but spatially nonsignificant or negative.Some relationships of economic and employmentrelated indicators with water retention,sandstorm prevention,and wind erosion were temporally negative but spatially complex.However,the spatial and temporal ES–HWB relationships could also be similar in some cases.We conclude that although both the spatial and temporal approaches have merits,space generally cannot substitute for time in the study of ES–HWB relationship.Our study helps reconcile the seemingly conflicting findings in the literature,and suggests that future studies should explicitly distinguish between the spatial and temporal ES–HWB relationships. 展开更多
关键词 Ecosystem services objective human well-being Space-for-time substitution Spatial relationship Temporal relationship
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Predefined-Time Constrained Optimization of Multi-Agent Systems Under Impulsive Effects
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作者 Zhuyan Jiang Xiaoyang Liu +1 位作者 Xiang Jiang Jinde Cao 《IEEE/CAA Journal of Automatica Sinica》 2025年第1期255-257,共3页
Dear Editor,This letter investigates predefined-time optimization problems(OPs) of multi-agent systems(MASs), where the agent of MASs is subject to inequality constraints, and the team objective function accounts for ... Dear Editor,This letter investigates predefined-time optimization problems(OPs) of multi-agent systems(MASs), where the agent of MASs is subject to inequality constraints, and the team objective function accounts for impulse effects. Firstly, to address the inequality constraints,the penalty method is introduced. Then, a novel optimization strategy is developed, which only requires that the team objective function be strongly convex. 展开更多
关键词 inequality constraints predefined time optimization team objective function multi agent systems penalty method impulse effects agent mass optimization strategy
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Correction Algorithm of Temperature Forecast Based on an Objective Optimal Scheme
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作者 Xuefeng YANG Sitong LIU 《Meteorological and Environmental Research》 2025年第2期56-58,共3页
The forecast results of temperature based on the intelligent grids of the Central Meteorological Observatory and the meteorological bureau of the autonomous region and the numerical forecast model of the European Cent... The forecast results of temperature based on the intelligent grids of the Central Meteorological Observatory and the meteorological bureau of the autonomous region and the numerical forecast model of the European Center(EC model)from February to December in 2022 were used.Based on the data of the national intelligent grid forecast,the intelligent grid forecast of the regional bureau,EC model,etc.,temperature was predicted.According to the research of the grid point forecast synthesis algorithm with the highest accuracy rate in the recent three days,the temperature grid point correction was conducted in two forms of stations and grids.In order to reduce the deviation caused by the seasonal system temperature difference,a temperature prediction model was established by using the rolling forecast errors of 5,10,15,20,25 and 30 d as the basis data.The verification and evaluation of objective correction results show that the accuracy rate of temperature forecast by the intelligent grid of the regional bureau,the national intelligent grid,and EC model could be increased by 10%,8%,and 12%,respectively. 展开更多
关键词 objective correction Optimal extraction Temperature correction Average sliding deviation
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Relationship between objective and subjective refraction measurements in patients with mild keratoconus
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作者 Masoud Khorrami-Nejad Ahmed Kamil Dakhil +3 位作者 Hesam Hashemian Masoud Sadeghi Reza Yousefi Foroozan Narooie-Noori 《International Journal of Ophthalmology(English edition)》 2025年第3期398-403,共6页
AIM:To compare objective dry retinoscopy and subjective refraction measurements in patients with mild keratoconus(KCN)and quantify any differences.METHODS:This cross-sectional study was done on 68 eyes of 68 patients ... AIM:To compare objective dry retinoscopy and subjective refraction measurements in patients with mild keratoconus(KCN)and quantify any differences.METHODS:This cross-sectional study was done on 68 eyes of 68 patients diagnosed with mild KCN.Objective dry retinoscopy using autorefractometer and subjective refraction measurements were performed.Sphere,cylinder,J0,J45,and spherical equivalent values were compared between the two techniques.RESULTS:The mean age of 68 patients with mild KCN was 21.32±5.03y(12–35y).There were 37(54.4%)males.Objective refraction yielded significantly more myopic sphere(-1.44 D vs-0.57 D),higher cylinder magnitude(-2.24 D vs-1.48 D),and more myopic spherical equivalent(-2.56 D vs-1.31 D)compared to subjective refraction(all P<0.05).The mean differences were-0.87 D for sphere,-0.76 D for cylinder,and-1.25 D for spherical equivalent.No significant differences were found for J0 and J45 values,indicating agreement in astigmatism axis(P>0.05).CONCLUSION:In patients with mild KCN,objective dry retinoscopy overestimates the degree of myopia and astigmatism compared to subjective refraction.The irregular cornea in KCN likely impacts objective measurements.Subjective refraction allows compensation for irregularity,providing a more accurate correction.When determining refractive targets,the tendency of objective methods to overcorrect should be considered. 展开更多
关键词 KERATOCONUS objective refraction subjective refraction
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