As the healthcare system advances and expands in its services,the challenges of remaining efficient become more important.Emergency medical services(EMS)are vital cornerstones of communities.In many countries,EMS is a...As the healthcare system advances and expands in its services,the challenges of remaining efficient become more important.Emergency medical services(EMS)are vital cornerstones of communities.In many countries,EMS is available for every individual,regardless of their social or insurance status,via a toll-free telephone number.Understanding the risk factors for busy days in EMSs might be helpful for improving the allocation of resources,which is the key to better care for all patients in the prehospital setting.[1]An important factor influencing ambulance call volume could be the interplay of public behavior and weather.展开更多
Background International students contribute to the academic and economic vitality of US higher education while facing exacerbated mental health challenges.Little is known about national trends in anxiety,depression,s...Background International students contribute to the academic and economic vitality of US higher education while facing exacerbated mental health challenges.Little is known about national trends in anxiety,depression,suicidal ideation and mental health service utilisation in this population.Aims This study examined national trends in the prevalence of clinically significant anxiety,depression,suicidal ideation and service utilisation among international students in US higher education from 2015 to 2024.Methods This repeated cross-sectional study analysed annual data from the Healthy Minds Study,a national survey of collegiate mental health,including 44560 international students.Weighted prevalence estimates were calculated,and multivariable logistic regression models were used to examine temporal trends,controlling for demographic characteristics.Results The weighted annual prevalence of anxiety increased by 78.25%(from 20.46%in 2015-2016 to 36.47%in 2023-2024),depression increased by 73.04%(from 20.44%to 35.37%),suicidal ideation increased by 92.52%(from 5.35%to 10.30%)and service utilisation increased by 45.82%(from 5.26%to 7.67%).In logistic models controlling for demographic characteristics,the increasing trends in anxiety(adjusted odds ratio(aOR)2.21;95%CI 2.07 to 2.36;p<0.001),depression(aOR 1.93;95%CI 1.80 to 2.06;p<0.001),suicidal ideation(aOR 1.57;95%CI 1.41 to 1.74;p<0.001)and service utilisation(aOR 2.01;95%CI 1.79 to 2.26;p<0.001)remained statistically significant over time.Conclusions The prevalence of anxiety,depression and suicidal ideation nearly doubled among international students from 2015 to 2024,while counselling service utilisation increased at a slower rate,indicating persistent gaps in mental healthcare.These findings suggest the need for proactive interventions,culturally competent services and expanded outreach efforts to bridge the mental health service gap for international students.展开更多
Satellite remote sensing is essential for solar energy meteorology.The 14-channel Advanced Geostationary Radiation Imager of the Fengyun-4 series of satellites performs a full-disc scan over greater China every 15 min...Satellite remote sensing is essential for solar energy meteorology.The 14-channel Advanced Geostationary Radiation Imager of the Fengyun-4 series of satellites performs a full-disc scan over greater China every 15 min,providing highgranularity information that allows the retrieval of cloud properties,aerosol optical depth,and precipitable water vapor content,which can facilitate the acquisition of surface solar irradiance components through physical methods.Machinelearning methods have also shown potential in providing accurate end-to-end surface solar radiation retrievals.Albeit the physical principles of irradiance retrieval and machine-learning algorithms are fairly well known,the public service concerning disseminating the irradiance product to the energy and power industry still lacks robustness and consistency.In this perspective article,the status quo of Fengyun-4 irradiance products is first reviewed.Then,from the perspective of solar resource assessment and forecasting,three fundamental characteristics of the kind of irradiance products that are most serviceable to the solar energy sector are identified,namely,coverage,timeliness,and accessibility.Finally,an outlook on the new-generation Fengyun radiation service is put forward,and the prospective scientific and practical challenges are elaborated.展开更多
In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the ...In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the potential to positively influence mental health by providing monitoring,insights,and inter-ventions.However,they also come with challenges that need to be addressed.Understanding the primary purpose for which individuals use these smart tech-nologies is essential to tailoring them to specific mental health needs and prefe-rences.展开更多
Ecosystem services in urban agglomerations are the environmental conditions under which human survival and development are sustained.Quantitative assessment of ecosystem services and complex interactions can contribut...Ecosystem services in urban agglomerations are the environmental conditions under which human survival and development are sustained.Quantitative assessment of ecosystem services and complex interactions can contribute positively to the achievement of the Sustainable Development Goals(SDGs)for urban agglomerations.However,studies on the future contribution of multi-scenario ecosystem services to the SDGS are lacking.We pronovel integrated modeling framework that integrates the CLUES,InVEST,SOM,and GWR approaches to address the complex relationship between ecosystem services over a long“past-present-future”time series.We construct a novel ecosystem service bundle-based approach for measuring urban agglomerations progress towards achieving ecologically relevant sustainable development goals at multiple scales.In the future scenario,the water yield(WY),habitat quality(HQ),and soil conservation(SC)show similar spatial patterns,with comparable spatial grids,while carbon stock(CS)remains predominantly unchanged and the ecological protection scenario(EPS)improves more significantly.The high-synergy regions are mainly distributed in bundle 4,and most of the trade-off regions appear in bundles 1 and 2.Over the last 30 years,all but the water-related SDGs are declining in bundle 1 of the two urban agglomerations,which are 15%higher in the Guangxi Beibu Gulf(GBG)than in the Guangdong-Hong Kong-Macao Greater Bay Area(GBA).From 2020 to 2035,the three scenarios demonstrate that the optimization of the SDGs progresses most effectively under the future ecological protection scenario(EPS).In particular,bundles 3 and 4 are significantly improved.This critical new knowledge can be used in sustainable ecosystem management and decision-making in urban agglomerations.展开更多
BACKGROUND:Oxygen supply is a common procedure performed by emergency medical services(EMS);however,whether prehospital oxygen or fraction of inspired oxygen(FiO2)therapy predict mortality has not been studied to date...BACKGROUND:Oxygen supply is a common procedure performed by emergency medical services(EMS);however,whether prehospital oxygen or fraction of inspired oxygen(FiO2)therapy predict mortality has not been studied to date.This study aims to determine mortality associated with oxygen therapy in unselected patients with acute disease who underwent prehospital care.METHODS:This was a prospective,observational,cohort,multicenter,EMS-delivery,ambulance-based study.Adults with unselected acute disease who were managed by EMS and evacuated with high priority to the emergency department of four hospitals in three Spanish provinces.Epidemiological variables,on-scene vital signs,and prehospital blood analysis data were collected.The primary outcome was short-(2-,7-,and 30-day),medium-(90-and 180-day),and long-term(365-day)all-cause cumulative mortality.The samples were a priori split according to thresholds of their received FiO2(FiO2=0.21,that is without oxygen therapy;FiO2 between 0.22 and 0.49;and FiO2≥0.5).The categorical variables FiO2,epidemiological variables,vital signs,prehospital point-of-care testing(POCT)and patient outcomes were fitted with a logistic regression model.Additionally,a propensity score matching and a survival analysis were used.RESULTS:The final sample included 7,494 patients,70.3%of whom did not receive oxygen therapy,15%with a FiO2 between 0.22 and 0.49,and 14.7%with a FiO2≥0.5.The 2-day mortality was 0.4%,5.3%,and 22.9%respectively(P<0.001).The 365-day mortality was 9.9%,33.1%,and 50.5%respectively(P<0.001).Finally,the FiO2 predictive capacities 2-,30-,and 365-day mortality were AUC=0.870(95%CI:0.840-0.899),0.810(95%CI:0.784-0.837),0.704(95%CI:0.679-0.728),respectively.CONCLUSION:Prehospital oxygen therapy by thresholds of FiO2 was linked to death and allowed mortality prediction.This finding could provide an aid for EMS providers,allowing to assess more individualized patient risk.展开更多
As Internet ofThings(IoT)technologies continue to evolve at an unprecedented pace,intelligent big data control and information systems have become critical enablers for organizational digital transformation,facilitati...As Internet ofThings(IoT)technologies continue to evolve at an unprecedented pace,intelligent big data control and information systems have become critical enablers for organizational digital transformation,facilitating data-driven decision making,fostering innovation ecosystems,and maintaining operational stability.In this study,we propose an advanced deployment algorithm for Service Function Chaining(SFC)that leverages an enhanced Practical Byzantine Fault Tolerance(PBFT)mechanism.The main goal is to tackle the issues of security and resource efficiency in SFC implementation across diverse network settings.By integrating blockchain technology and Deep Reinforcement Learning(DRL),our algorithm not only optimizes resource utilization and quality of service but also ensures robust security during SFC deployment.Specifically,the enhanced PBFT consensus mechanism(VRPBFT)significantly reduces consensus latency and improves Byzantine node detection through the introduction of a Verifiable Random Function(VRF)and a node reputation grading model.Experimental results demonstrate that compared to traditional PBFT,the proposed VRPBFT algorithm reduces consensus latency by approximately 30%and decreases the proportion of Byzantine nodes by 40%after 100 rounds of consensus.Furthermore,the DRL-based SFC deployment algorithm(SDRL)exhibits rapid convergence during training,with improvements in long-term average revenue,request acceptance rate,and revenue/cost ratio of 17%,14.49%,and 20.35%,respectively,over existing algorithms.Additionally,the CPU resource utilization of the SDRL algorithmreaches up to 42%,which is 27.96%higher than other algorithms.These findings indicate that the proposed algorithm substantially enhances resource utilization efficiency,service quality,and security in SFC deployment.展开更多
Quick Web Services Lookup (Q-WSL) is a new model to registration and lookup of complex services in the Internet. The model is designed to quickly find complex Web services by using hierarchical registration method. Th...Quick Web Services Lookup (Q-WSL) is a new model to registration and lookup of complex services in the Internet. The model is designed to quickly find complex Web services by using hierarchical registration method. The basic concepts of Web services system are introduced and presented, and then the method of hierarchical registration of services is described. In particular, service query document description and service lookup procedure are concentrated, and it addresses how to lookup these services which are registered in the Web services system. Furthermore, an example design and an evaluation of its performance are presented.Specifically, it shows that the using of attributionbased service query document design and contentbased hierarchical registration in Q-WSL allows service requesters to discover needed services more flexibly and rapidly. It is confirmed that Q-WSL is very suitable for Web services system.展开更多
This paper addresses the consensus problem of nonlinear multi-agent systems subject to external disturbances and uncertainties under denial-ofservice(DoS)attacks.Firstly,an observer-based state feedback control method...This paper addresses the consensus problem of nonlinear multi-agent systems subject to external disturbances and uncertainties under denial-ofservice(DoS)attacks.Firstly,an observer-based state feedback control method is employed to achieve secure control by estimating the system's state in real time.Secondly,by combining a memory-based adaptive eventtriggered mechanism with neural networks,the paper aims to approximate the nonlinear terms in the networked system and efficiently conserve system resources.Finally,based on a two-degree-of-freedom model of a vehicle affected by crosswinds,this paper constructs a multi-unmanned ground vehicle(Multi-UGV)system to validate the effectiveness of the proposed method.Simulation results show that the proposed control strategy can effectively handle external disturbances such as crosswinds in practical applications,ensuring the stability and reliable operation of the Multi-UGV system.展开更多
CT:As the first ITMA ASIA+CITME exhibition held in Singapore,what are the highlights of this show?Are there any activities planned for the exhibition?Charles Beauduin:The first combined exhibition in Singapore will fe...CT:As the first ITMA ASIA+CITME exhibition held in Singapore,what are the highlights of this show?Are there any activities planned for the exhibition?Charles Beauduin:The first combined exhibition in Singapore will feature the unique selling proposition of an ITMA exhibition,such as live machinery demonstrations,and exhibits clustered in product sectors.As it is only a four-day exhibition,our exhibitors would like to concentrate on business and to present their technologies and solutions to the region’s buyers who don’t visit our Europe or China exhibitions.There is a highlight which will add value to our participants’experience-The ITMA Sustainability Forum which is presented by CEMATEX on the third day of the exhibition.展开更多
Introduction:Despite the well-documented benefits of exercise for adolescents’physical and mental health,exercise remains an underutilized strategy for improving the health of trans adolescents.This is notable becaus...Introduction:Despite the well-documented benefits of exercise for adolescents’physical and mental health,exercise remains an underutilized strategy for improving the health of trans adolescents.This is notable because,compared to their cisgender peers,trans adolescents experience greater health challenges and systemic barriers to being physically active.To date,no research has evaluated an evidence-based exercise service within specialist paediatric gender services in Australia.Methods:The study is a non-randomised type 2 effectivenessimplementation hybrid trial for adolescents engaged with Child and Adolescent Health Service Gender Diversity Service at Perth Children’s Hospital,Western Australia.The participant group will receive the intervention alongside standard care.The design of the program has incorporated input from the GENder idenTity Longitudinal Experience(GENTLE)Cohort Consumer Advisory group;trans young people,families,and health professionals;guidelines for commonmedical presentations within paediatric gender services and international physical activity guidelines for adolescents.Program implementation and feasibility(i.e.,participant engagement,perceptions and experiences of the intervention),as well as preliminary effectiveness of the targeted exercise programon health outcomes(i.e.,quality of life,wellbeing and markers of physical health),will be evaluated as part of a pilot trial.Discussion:This project addresses a significant gap in research and healthcare and aims to enhance service delivery by integrating exercise into standard care for specialist paediatric gender services in Australia.Anticipated impacts include shaping current and future practices by defining safe,effective exercise for trans adolescents while laying the groundwork for larger scale implementation and research on long-term health benefits.展开更多
To address the current situation where many small enterprises lack efficient management of customer data, this paper proposes a design and implementation plan of a customer relationship management (CRM) system based o...To address the current situation where many small enterprises lack efficient management of customer data, this paper proposes a design and implementation plan of a customer relationship management (CRM) system based on email service. It aims to solve the problems of data dispersion, untimely update and information redundancy in customer management of small and medium-sized enterprises. The system includes four core functional modules: historical email analysis, lead pool management, customer management and email archiving. Through email mining and web crawler technology, the system can extract potential customer information from historical emails and enrich lead data;the lead pool management module supports lead information maintenance, status tracking and conversion of high-value leads;the customer management module realizes the maintenance and dynamic tracking of customer information;the email management module provides the archiving of emails and attachments and the structured storage of basic email information. The system provides automated and intelligent customer information management, improves the work efficiency of sales staff, and provides an efficient customer relationship management solution for enterprises.展开更多
As emerging services continue to be explored,indoor communications geared towards different user requirements will face severe challenges such as larger penetration losses and more critical multipath issues,leading to...As emerging services continue to be explored,indoor communications geared towards different user requirements will face severe challenges such as larger penetration losses and more critical multipath issues,leading to difficulties in achieving flexible coverage.In this paper,we introduce transmissive reconfigurable intelligent surfaces(RISs)as intelligent passive auxiliary devices into indoor scenes,replacing conventional ultra-dense small cell and relay forwarding approaches to address these issues at low deployment and operation costs.Specifically,we study the optimization design of active and passive beamforming for the transmissive RISs-aided indoor multiuser downlink communication systems.This involves considering more realistic indoor congestion modeling and near-field propagation characteristics.The goal of our optimization is to minimize the total transmit power at the access point(AP)for different user service requirements,including quality-of-service(QoS)and wireless power transfer(WPT).Due to the nonconvex nature of the optimization problem,adaptive penalty coefficients are imported to solve it alternatively with closed-form solutions for both active and passive beamforming.Simulation results demonstrate that the use of transmissive RISs is indeed an efficient way to achieve flexible coverage in indoor scenarios.Furthermore,the proposed optimization algorithm has been proven to be effective and robust in achieving energy-saving transmission.展开更多
Objectives:People living with severe mental illness have a reduced life expectancy when compared to the general population largely due to physical health comorbidities.Exercise is a valuable,evidence-based component o...Objectives:People living with severe mental illness have a reduced life expectancy when compared to the general population largely due to physical health comorbidities.Exercise is a valuable,evidence-based component of mental healthcare,with positive effects on physical health,mental health,and quality of life.However,to date,there is limited evidence regarding the implementation of varied styles of supported exercise therapy within outpatient,transdiagnostic mental health services.This protocol paper outlines the methods for a hybrid effectiveness-implementation trial implementing two styles of supported exercise within an outpatient mental health hospital.Methods:Participants will be allocated to either in-person supervised exercise sessions,or independent,remotely supported exercise programs.Both intervention arms will have the target of 150 minutes of moderate intensity exercise per week across the 12-week intervention period,along with a 12-week maintenance period following the intervention periods.Assessments will be conducted at intake,intervention midpoint(i.e.,week 6–7),intervention conclusion(i.e.,week 13),and at follow-up(i.e.,week 25).Results:The evaluation of the exercise interventions will consist of implementation and effectiveness outcomes during the intervention and at follow-up.Conclusions:The outcomes from this trial will add to the ever-increasing evidence for the incorporation of exercise within care for severe mental illness.This trial will report on the implementation and effectiveness of varied levels of support in exercise therapy for consumers with severe mental illness,which may in turn guide the future implementation and improve provision of exercise therapy in hospital mental health services.展开更多
A novel layered method was proposed to solve the problem of Web services composition.In this method,services composition problem was formally transformed into the optimal matching problem of every layer,then optimal m...A novel layered method was proposed to solve the problem of Web services composition.In this method,services composition problem was formally transformed into the optimal matching problem of every layer,then optimal matching problem was modeled based on the hypergraph theory,and solved by computing the minimal transversals of the hypergraph.Meanwhile,two optimization algorithms were designed to discard some useless states at the intermediary steps of the composition algorithm.The effectiveness of the composition method was tested by a set of experiments,in addition,an example regarding the travel services composition was also given.The experimental results show that this method not only can automatically generate composition tree whose leaf nodes correspond to services composition solutions,but also has better performance on execution time and solution quality by adopting two proposed optimization algorithms.展开更多
As the demand for customer service continues to increase,more companies are attempting to apply artificial intelligence technology in the field of customer service,enabling intelligent customer service,reducing custom...As the demand for customer service continues to increase,more companies are attempting to apply artificial intelligence technology in the field of customer service,enabling intelligent customer service,reducing customer service pressure,and reducing operating costs.Currently,the existing intelligent customer service has a limited degree of intelligence and can only answer simple user questions,and complex user expressions are difficult to understand.To solve the problem of low accuracy of multi-round dialogue semantic understanding,this paper proposes a semantic understanding model based on the fusion of a convolutional neural network(CNN)and attention.The model builds an“intention-slot”joint model based on the“encoding–decoding”framework and uses hidden semantic information that combines intent recognition and slot filling,avoiding the problem of information loss in traditional isolated tasks,and achieving end-to-end semantic understanding.Additionally,an improved attention mechanism based on CNNs is introduced in the decoding process to reduce the interference of redundant information in the original text,thereby increasing the accuracy of semantic understanding.Finally,by applying the model to electric power intelligent customer service,we verified through an experimental comparison that the proposed fusion model improves the performance of intent recognition and slot filling and can improve the user experience of electric power intelligent customer services.展开更多
China Volunteer Service Federation is a nationalfederated social organization composed ofvoluntary service organizations and volunteers.Since its founding in more than two years ago,by strengthening cooperation with d...China Volunteer Service Federation is a nationalfederated social organization composed ofvoluntary service organizations and volunteers.Since its founding in more than two years ago,by strengthening cooperation with diversifiedvoluntary service organizations at all levels,promoting the working methods innovationof voluntary service in all sectors and regions,展开更多
The rapid development and continuous updating of the mega satellite constellation(MSC)have brought new visions for the future 6G coverage extension, where the global seamless signal coverage can realize ubiquitous ser...The rapid development and continuous updating of the mega satellite constellation(MSC)have brought new visions for the future 6G coverage extension, where the global seamless signal coverage can realize ubiquitous services for user terminals. However, global traffic demands present nonuniform characteristics. Therefore, how to ensure the on-demand service coverage for the specific traffic demand, i.e., the ratio of traffic density to service requirement per unit area, is the core issue of 6G wireless coverage extension exploiting the MSC. To this regard, this paper first discusses the open challenges to reveal the future direction of 6G wireless coverage extension from the perspective of key factors affecting service coverage performance, i.e., the network access capacity, space segment capacity and their matchingrelationship. Furthermore, we elaborate on the key factors affecting effective matchings of the aforementioned aspects, thereby improving service coverage capability.展开更多
The information transmission path optimization(ITPO) can often a ect the e ciency and accuracy of remanufactur?ing service. However, there is a greater degree of uncertainty and complexity in information transmission ...The information transmission path optimization(ITPO) can often a ect the e ciency and accuracy of remanufactur?ing service. However, there is a greater degree of uncertainty and complexity in information transmission of remanu?facturing service system, which leads to a critical need for designing planning models to deal with this added uncer?tainty and complexity. In this paper, a three?dimensional(3D) model of remanufacturing service information network for information transmission is developed, which combines the physic coordinate and the transmitted properties of all the devices in the remanufacturing service system. In order to solve the basic ITPO in the 3D model, an improved 3D ant colony algorithm(Improved AC) was put forward. Moreover, to further improve the operation e ciency of the algorithm, an improved ant colony?genetic algorithm(AC?GA) that combines the improved AC and genetic algorithm was developed. In addition, by taking the transmission of remanufacturing service demand information of certain roller as example, the e ectiveness of AC?GA algorithm was analyzed and compared with that of improved AC, and the results demonstrated that AC?GA algorithm was superior to AC algorithm in aspects of information transmission delay, information transmission cost, and rate of information loss.展开更多
文摘As the healthcare system advances and expands in its services,the challenges of remaining efficient become more important.Emergency medical services(EMS)are vital cornerstones of communities.In many countries,EMS is available for every individual,regardless of their social or insurance status,via a toll-free telephone number.Understanding the risk factors for busy days in EMSs might be helpful for improving the allocation of resources,which is the key to better care for all patients in the prehospital setting.[1]An important factor influencing ambulance call volume could be the interplay of public behavior and weather.
文摘Background International students contribute to the academic and economic vitality of US higher education while facing exacerbated mental health challenges.Little is known about national trends in anxiety,depression,suicidal ideation and mental health service utilisation in this population.Aims This study examined national trends in the prevalence of clinically significant anxiety,depression,suicidal ideation and service utilisation among international students in US higher education from 2015 to 2024.Methods This repeated cross-sectional study analysed annual data from the Healthy Minds Study,a national survey of collegiate mental health,including 44560 international students.Weighted prevalence estimates were calculated,and multivariable logistic regression models were used to examine temporal trends,controlling for demographic characteristics.Results The weighted annual prevalence of anxiety increased by 78.25%(from 20.46%in 2015-2016 to 36.47%in 2023-2024),depression increased by 73.04%(from 20.44%to 35.37%),suicidal ideation increased by 92.52%(from 5.35%to 10.30%)and service utilisation increased by 45.82%(from 5.26%to 7.67%).In logistic models controlling for demographic characteristics,the increasing trends in anxiety(adjusted odds ratio(aOR)2.21;95%CI 2.07 to 2.36;p<0.001),depression(aOR 1.93;95%CI 1.80 to 2.06;p<0.001),suicidal ideation(aOR 1.57;95%CI 1.41 to 1.74;p<0.001)and service utilisation(aOR 2.01;95%CI 1.79 to 2.26;p<0.001)remained statistically significant over time.Conclusions The prevalence of anxiety,depression and suicidal ideation nearly doubled among international students from 2015 to 2024,while counselling service utilisation increased at a slower rate,indicating persistent gaps in mental healthcare.These findings suggest the need for proactive interventions,culturally competent services and expanded outreach efforts to bridge the mental health service gap for international students.
基金supported by the National Natural Science Foundation of China(project no.42375192)。
文摘Satellite remote sensing is essential for solar energy meteorology.The 14-channel Advanced Geostationary Radiation Imager of the Fengyun-4 series of satellites performs a full-disc scan over greater China every 15 min,providing highgranularity information that allows the retrieval of cloud properties,aerosol optical depth,and precipitable water vapor content,which can facilitate the acquisition of surface solar irradiance components through physical methods.Machinelearning methods have also shown potential in providing accurate end-to-end surface solar radiation retrievals.Albeit the physical principles of irradiance retrieval and machine-learning algorithms are fairly well known,the public service concerning disseminating the irradiance product to the energy and power industry still lacks robustness and consistency.In this perspective article,the status quo of Fengyun-4 irradiance products is first reviewed.Then,from the perspective of solar resource assessment and forecasting,three fundamental characteristics of the kind of irradiance products that are most serviceable to the solar energy sector are identified,namely,coverage,timeliness,and accessibility.Finally,an outlook on the new-generation Fengyun radiation service is put forward,and the prospective scientific and practical challenges are elaborated.
文摘In this editorial,I comment on the article by Zhang et al.To emphasize the importance of the topic,I discuss the relationship between the use of smart medical devices and mental health.Smart medical services have the potential to positively influence mental health by providing monitoring,insights,and inter-ventions.However,they also come with challenges that need to be addressed.Understanding the primary purpose for which individuals use these smart tech-nologies is essential to tailoring them to specific mental health needs and prefe-rences.
基金National Natural Science Foundation of China,No.U21A2022,No.U1901219,No.42071393,No.42101369。
文摘Ecosystem services in urban agglomerations are the environmental conditions under which human survival and development are sustained.Quantitative assessment of ecosystem services and complex interactions can contribute positively to the achievement of the Sustainable Development Goals(SDGs)for urban agglomerations.However,studies on the future contribution of multi-scenario ecosystem services to the SDGS are lacking.We pronovel integrated modeling framework that integrates the CLUES,InVEST,SOM,and GWR approaches to address the complex relationship between ecosystem services over a long“past-present-future”time series.We construct a novel ecosystem service bundle-based approach for measuring urban agglomerations progress towards achieving ecologically relevant sustainable development goals at multiple scales.In the future scenario,the water yield(WY),habitat quality(HQ),and soil conservation(SC)show similar spatial patterns,with comparable spatial grids,while carbon stock(CS)remains predominantly unchanged and the ecological protection scenario(EPS)improves more significantly.The high-synergy regions are mainly distributed in bundle 4,and most of the trade-off regions appear in bundles 1 and 2.Over the last 30 years,all but the water-related SDGs are declining in bundle 1 of the two urban agglomerations,which are 15%higher in the Guangxi Beibu Gulf(GBG)than in the Guangdong-Hong Kong-Macao Greater Bay Area(GBA).From 2020 to 2035,the three scenarios demonstrate that the optimization of the SDGs progresses most effectively under the future ecological protection scenario(EPS).In particular,bundles 3 and 4 are significantly improved.This critical new knowledge can be used in sustainable ecosystem management and decision-making in urban agglomerations.
基金supported by the Institute of Health Carlos III(Spain)and co-financed by the European Union[grant numbers DTS23/00010]for FM-R。
文摘BACKGROUND:Oxygen supply is a common procedure performed by emergency medical services(EMS);however,whether prehospital oxygen or fraction of inspired oxygen(FiO2)therapy predict mortality has not been studied to date.This study aims to determine mortality associated with oxygen therapy in unselected patients with acute disease who underwent prehospital care.METHODS:This was a prospective,observational,cohort,multicenter,EMS-delivery,ambulance-based study.Adults with unselected acute disease who were managed by EMS and evacuated with high priority to the emergency department of four hospitals in three Spanish provinces.Epidemiological variables,on-scene vital signs,and prehospital blood analysis data were collected.The primary outcome was short-(2-,7-,and 30-day),medium-(90-and 180-day),and long-term(365-day)all-cause cumulative mortality.The samples were a priori split according to thresholds of their received FiO2(FiO2=0.21,that is without oxygen therapy;FiO2 between 0.22 and 0.49;and FiO2≥0.5).The categorical variables FiO2,epidemiological variables,vital signs,prehospital point-of-care testing(POCT)and patient outcomes were fitted with a logistic regression model.Additionally,a propensity score matching and a survival analysis were used.RESULTS:The final sample included 7,494 patients,70.3%of whom did not receive oxygen therapy,15%with a FiO2 between 0.22 and 0.49,and 14.7%with a FiO2≥0.5.The 2-day mortality was 0.4%,5.3%,and 22.9%respectively(P<0.001).The 365-day mortality was 9.9%,33.1%,and 50.5%respectively(P<0.001).Finally,the FiO2 predictive capacities 2-,30-,and 365-day mortality were AUC=0.870(95%CI:0.840-0.899),0.810(95%CI:0.784-0.837),0.704(95%CI:0.679-0.728),respectively.CONCLUSION:Prehospital oxygen therapy by thresholds of FiO2 was linked to death and allowed mortality prediction.This finding could provide an aid for EMS providers,allowing to assess more individualized patient risk.
基金supported by the National Natural Science Foundation of China under Grant 62471493 and 62402257partially supported by the Natural Science Foundation of Shandong Province under Grant ZR2023LZH017,ZR2024MF066 and 2023QF025+2 种基金partially supported by the Open Research Subject of State Key Laboratory of Intelligent Game(No.ZBKF-24-12)partially supported by the Foundation of Key Laboratory of Education Informatization for Nationalities(Yunnan Normal University),the Ministry of Education(No.EIN2024C006)partially supported by the Key Laboratory of Ethnic Language Intelligent Analysis and Security Governance of MOE(No.202306).
文摘As Internet ofThings(IoT)technologies continue to evolve at an unprecedented pace,intelligent big data control and information systems have become critical enablers for organizational digital transformation,facilitating data-driven decision making,fostering innovation ecosystems,and maintaining operational stability.In this study,we propose an advanced deployment algorithm for Service Function Chaining(SFC)that leverages an enhanced Practical Byzantine Fault Tolerance(PBFT)mechanism.The main goal is to tackle the issues of security and resource efficiency in SFC implementation across diverse network settings.By integrating blockchain technology and Deep Reinforcement Learning(DRL),our algorithm not only optimizes resource utilization and quality of service but also ensures robust security during SFC deployment.Specifically,the enhanced PBFT consensus mechanism(VRPBFT)significantly reduces consensus latency and improves Byzantine node detection through the introduction of a Verifiable Random Function(VRF)and a node reputation grading model.Experimental results demonstrate that compared to traditional PBFT,the proposed VRPBFT algorithm reduces consensus latency by approximately 30%and decreases the proportion of Byzantine nodes by 40%after 100 rounds of consensus.Furthermore,the DRL-based SFC deployment algorithm(SDRL)exhibits rapid convergence during training,with improvements in long-term average revenue,request acceptance rate,and revenue/cost ratio of 17%,14.49%,and 20.35%,respectively,over existing algorithms.Additionally,the CPU resource utilization of the SDRL algorithmreaches up to 42%,which is 27.96%higher than other algorithms.These findings indicate that the proposed algorithm substantially enhances resource utilization efficiency,service quality,and security in SFC deployment.
基金project of the Ministry of Science and Technology under contract 2000-A31-01-04 National Natural Science Function/NNSF (P. R. C. ) project under contract 60273051.
文摘Quick Web Services Lookup (Q-WSL) is a new model to registration and lookup of complex services in the Internet. The model is designed to quickly find complex Web services by using hierarchical registration method. The basic concepts of Web services system are introduced and presented, and then the method of hierarchical registration of services is described. In particular, service query document description and service lookup procedure are concentrated, and it addresses how to lookup these services which are registered in the Web services system. Furthermore, an example design and an evaluation of its performance are presented.Specifically, it shows that the using of attributionbased service query document design and contentbased hierarchical registration in Q-WSL allows service requesters to discover needed services more flexibly and rapidly. It is confirmed that Q-WSL is very suitable for Web services system.
基金The National Natural Science Foundation of China(W2431048)The Science and Technology Research Program of Chongqing Municipal Education Commission,China(KJZDK202300807)The Chongqing Natural Science Foundation,China(CSTB2024NSCQQCXMX0052).
文摘This paper addresses the consensus problem of nonlinear multi-agent systems subject to external disturbances and uncertainties under denial-ofservice(DoS)attacks.Firstly,an observer-based state feedback control method is employed to achieve secure control by estimating the system's state in real time.Secondly,by combining a memory-based adaptive eventtriggered mechanism with neural networks,the paper aims to approximate the nonlinear terms in the networked system and efficiently conserve system resources.Finally,based on a two-degree-of-freedom model of a vehicle affected by crosswinds,this paper constructs a multi-unmanned ground vehicle(Multi-UGV)system to validate the effectiveness of the proposed method.Simulation results show that the proposed control strategy can effectively handle external disturbances such as crosswinds in practical applications,ensuring the stability and reliable operation of the Multi-UGV system.
文摘CT:As the first ITMA ASIA+CITME exhibition held in Singapore,what are the highlights of this show?Are there any activities planned for the exhibition?Charles Beauduin:The first combined exhibition in Singapore will feature the unique selling proposition of an ITMA exhibition,such as live machinery demonstrations,and exhibits clustered in product sectors.As it is only a four-day exhibition,our exhibitors would like to concentrate on business and to present their technologies and solutions to the region’s buyers who don’t visit our Europe or China exhibitions.There is a highlight which will add value to our participants’experience-The ITMA Sustainability Forum which is presented by CEMATEX on the third day of the exhibition.
基金funded by a NHMRC Investigator Grant(#2010063)the MRFF-funded Australian Research Consortium for Trans Youth and Children(ARCTYC,MRF2032119).
文摘Introduction:Despite the well-documented benefits of exercise for adolescents’physical and mental health,exercise remains an underutilized strategy for improving the health of trans adolescents.This is notable because,compared to their cisgender peers,trans adolescents experience greater health challenges and systemic barriers to being physically active.To date,no research has evaluated an evidence-based exercise service within specialist paediatric gender services in Australia.Methods:The study is a non-randomised type 2 effectivenessimplementation hybrid trial for adolescents engaged with Child and Adolescent Health Service Gender Diversity Service at Perth Children’s Hospital,Western Australia.The participant group will receive the intervention alongside standard care.The design of the program has incorporated input from the GENder idenTity Longitudinal Experience(GENTLE)Cohort Consumer Advisory group;trans young people,families,and health professionals;guidelines for commonmedical presentations within paediatric gender services and international physical activity guidelines for adolescents.Program implementation and feasibility(i.e.,participant engagement,perceptions and experiences of the intervention),as well as preliminary effectiveness of the targeted exercise programon health outcomes(i.e.,quality of life,wellbeing and markers of physical health),will be evaluated as part of a pilot trial.Discussion:This project addresses a significant gap in research and healthcare and aims to enhance service delivery by integrating exercise into standard care for specialist paediatric gender services in Australia.Anticipated impacts include shaping current and future practices by defining safe,effective exercise for trans adolescents while laying the groundwork for larger scale implementation and research on long-term health benefits.
文摘To address the current situation where many small enterprises lack efficient management of customer data, this paper proposes a design and implementation plan of a customer relationship management (CRM) system based on email service. It aims to solve the problems of data dispersion, untimely update and information redundancy in customer management of small and medium-sized enterprises. The system includes four core functional modules: historical email analysis, lead pool management, customer management and email archiving. Through email mining and web crawler technology, the system can extract potential customer information from historical emails and enrich lead data;the lead pool management module supports lead information maintenance, status tracking and conversion of high-value leads;the customer management module realizes the maintenance and dynamic tracking of customer information;the email management module provides the archiving of emails and attachments and the structured storage of basic email information. The system provides automated and intelligent customer information management, improves the work efficiency of sales staff, and provides an efficient customer relationship management solution for enterprises.
基金supported in part by the Natural Science Basic Research Plan in Shaanxi Province under Grant 2024JC-ZDXM-36in part by the Key Research and Development Program of Shaanxi Province under Grant 2023-YBGY-255+2 种基金in part by the Excellent Youth Science Foundation of Xi’an University of Science and Technology under Grant 2019YQ3-13in part by the Xi’an Key Laboratory of Network Convergence Communications under Grant 2022NCC-K102in part by the Fundamental Research Funds for the Central Universities under Grant QTZX23029。
文摘As emerging services continue to be explored,indoor communications geared towards different user requirements will face severe challenges such as larger penetration losses and more critical multipath issues,leading to difficulties in achieving flexible coverage.In this paper,we introduce transmissive reconfigurable intelligent surfaces(RISs)as intelligent passive auxiliary devices into indoor scenes,replacing conventional ultra-dense small cell and relay forwarding approaches to address these issues at low deployment and operation costs.Specifically,we study the optimization design of active and passive beamforming for the transmissive RISs-aided indoor multiuser downlink communication systems.This involves considering more realistic indoor congestion modeling and near-field propagation characteristics.The goal of our optimization is to minimize the total transmit power at the access point(AP)for different user service requirements,including quality-of-service(QoS)and wireless power transfer(WPT).Due to the nonconvex nature of the optimization problem,adaptive penalty coefficients are imported to solve it alternatively with closed-form solutions for both active and passive beamforming.Simulation results demonstrate that the use of transmissive RISs is indeed an efficient way to achieve flexible coverage in indoor scenarios.Furthermore,the proposed optimization algorithm has been proven to be effective and robust in achieving energy-saving transmission.
基金sponsored by the University of Western Australia with first author CM completing this protocol paper and the associated research while receiving an Australian Commonwealth Government Research Training Program stipendwith research support and funding received from the University of Western Australia.
文摘Objectives:People living with severe mental illness have a reduced life expectancy when compared to the general population largely due to physical health comorbidities.Exercise is a valuable,evidence-based component of mental healthcare,with positive effects on physical health,mental health,and quality of life.However,to date,there is limited evidence regarding the implementation of varied styles of supported exercise therapy within outpatient,transdiagnostic mental health services.This protocol paper outlines the methods for a hybrid effectiveness-implementation trial implementing two styles of supported exercise within an outpatient mental health hospital.Methods:Participants will be allocated to either in-person supervised exercise sessions,or independent,remotely supported exercise programs.Both intervention arms will have the target of 150 minutes of moderate intensity exercise per week across the 12-week intervention period,along with a 12-week maintenance period following the intervention periods.Assessments will be conducted at intake,intervention midpoint(i.e.,week 6–7),intervention conclusion(i.e.,week 13),and at follow-up(i.e.,week 25).Results:The evaluation of the exercise interventions will consist of implementation and effectiveness outcomes during the intervention and at follow-up.Conclusions:The outcomes from this trial will add to the ever-increasing evidence for the incorporation of exercise within care for severe mental illness.This trial will report on the implementation and effectiveness of varied levels of support in exercise therapy for consumers with severe mental illness,which may in turn guide the future implementation and improve provision of exercise therapy in hospital mental health services.
基金Project(2010CB328101) supported by the National Basic Research Program of ChinaProject(2009AA01Z401) supported by the National High Technology Research and Development Program of China+4 种基金Projects(60803032,90818023) supported by the National Natural Science Foundation of ChinaProjects(09510701300,09JC1414200,09DZ1120403) supported by the Shanghai Science and Technology Commission,China"Shu Guang" Project(10SG23) supported by Shanghai Municipal Education Commission and Shanghai Education Development Foundation,ChinaProject(09QA1405800) supported by Shanghai Science and Technology Commission Rising-Star Program,ChinaProject(NCET-10-0598) supported by Program for New Century Excellent Talents in Chinese University
文摘A novel layered method was proposed to solve the problem of Web services composition.In this method,services composition problem was formally transformed into the optimal matching problem of every layer,then optimal matching problem was modeled based on the hypergraph theory,and solved by computing the minimal transversals of the hypergraph.Meanwhile,two optimization algorithms were designed to discard some useless states at the intermediary steps of the composition algorithm.The effectiveness of the composition method was tested by a set of experiments,in addition,an example regarding the travel services composition was also given.The experimental results show that this method not only can automatically generate composition tree whose leaf nodes correspond to services composition solutions,but also has better performance on execution time and solution quality by adopting two proposed optimization algorithms.
基金supported by National Natural Science Foundation of China(No.2018YFB0905000).
文摘As the demand for customer service continues to increase,more companies are attempting to apply artificial intelligence technology in the field of customer service,enabling intelligent customer service,reducing customer service pressure,and reducing operating costs.Currently,the existing intelligent customer service has a limited degree of intelligence and can only answer simple user questions,and complex user expressions are difficult to understand.To solve the problem of low accuracy of multi-round dialogue semantic understanding,this paper proposes a semantic understanding model based on the fusion of a convolutional neural network(CNN)and attention.The model builds an“intention-slot”joint model based on the“encoding–decoding”framework and uses hidden semantic information that combines intent recognition and slot filling,avoiding the problem of information loss in traditional isolated tasks,and achieving end-to-end semantic understanding.Additionally,an improved attention mechanism based on CNNs is introduced in the decoding process to reduce the interference of redundant information in the original text,thereby increasing the accuracy of semantic understanding.Finally,by applying the model to electric power intelligent customer service,we verified through an experimental comparison that the proposed fusion model improves the performance of intent recognition and slot filling and can improve the user experience of electric power intelligent customer services.
文摘China Volunteer Service Federation is a nationalfederated social organization composed ofvoluntary service organizations and volunteers.Since its founding in more than two years ago,by strengthening cooperation with diversifiedvoluntary service organizations at all levels,promoting the working methods innovationof voluntary service in all sectors and regions,
基金supported in part by the National Key R&D Program of China under Grant 2020YFB1806100in part by the Natural Science Foundation of China under Grants U19B2025, 62121001, 62001347, and 61801361。
文摘The rapid development and continuous updating of the mega satellite constellation(MSC)have brought new visions for the future 6G coverage extension, where the global seamless signal coverage can realize ubiquitous services for user terminals. However, global traffic demands present nonuniform characteristics. Therefore, how to ensure the on-demand service coverage for the specific traffic demand, i.e., the ratio of traffic density to service requirement per unit area, is the core issue of 6G wireless coverage extension exploiting the MSC. To this regard, this paper first discusses the open challenges to reveal the future direction of 6G wireless coverage extension from the perspective of key factors affecting service coverage performance, i.e., the network access capacity, space segment capacity and their matchingrelationship. Furthermore, we elaborate on the key factors affecting effective matchings of the aforementioned aspects, thereby improving service coverage capability.
基金National Natural Science Foundation of China(Grant Nos.51805385,71471143)Hubei Provincial Natural Science Foundation of China(Grant No.2018CFB265)Center for Service Science and Engineering of Wuhan University of Science and Technology(Grant No.CSSE2017KA04)
文摘The information transmission path optimization(ITPO) can often a ect the e ciency and accuracy of remanufactur?ing service. However, there is a greater degree of uncertainty and complexity in information transmission of remanu?facturing service system, which leads to a critical need for designing planning models to deal with this added uncer?tainty and complexity. In this paper, a three?dimensional(3D) model of remanufacturing service information network for information transmission is developed, which combines the physic coordinate and the transmitted properties of all the devices in the remanufacturing service system. In order to solve the basic ITPO in the 3D model, an improved 3D ant colony algorithm(Improved AC) was put forward. Moreover, to further improve the operation e ciency of the algorithm, an improved ant colony?genetic algorithm(AC?GA) that combines the improved AC and genetic algorithm was developed. In addition, by taking the transmission of remanufacturing service demand information of certain roller as example, the e ectiveness of AC?GA algorithm was analyzed and compared with that of improved AC, and the results demonstrated that AC?GA algorithm was superior to AC algorithm in aspects of information transmission delay, information transmission cost, and rate of information loss.
