基于LASSO-Logistic方法的乡镇卫生院医防融合服务提供现状影响因素研究

目的:本研究旨在识别影响乡镇卫生院医防融合服务提供现状的关键因素,以期为基层卫生机构医防融合服务存在问题的成因与对策提供参考。方法:采用分层整群抽样法,调查有效问卷4892份,并运用描述性分析、卡方检验、LASSO-Logistic以及常规Logistic方法对数据进行系统分析。结果:最终析出16个非零系数的自变量,发现社会人口学维度的卫生院等级(OR=1.325,P<0.001)、专业(OR=1.285,P=0.026)等;医防融合认知情况维度中医防融合重要性评价(OR=4.414,P<0.001)以及医防融合了解程度(OR=5.230,P<0.001)等;以及临床工作与预防工作模式沟通不畅,医防融合的落脚点不明确(OR=1.534,P<0.001)等变量是关键影响因素。结论:建议统筹规划、分类指导乡镇卫生院,以中心卫生院为主,参考一般乡镇卫生院的实际情况,因地制宜地推动各乡镇卫生院的发展。明晰不同主体的职责范围,激发医务人员对预防保健服务的认知度和重视度,加强医防融合复合型人才队伍建设与培训,以提升乡镇卫生院医防融合服务水平。

Optimization Model of Cold-Chain Logistics Network for Fresh Agricultural Products —Taking Guangdong Province as an Example

Cold-chain demand of fresh agricultural products is increasing in China, while network layout of cold-chain logistics is in disorder and its cost is huge. To address this problem, this paper casts an optimal model of cold-chain logistics network and tackles it with genetic algorithms. This optimal model takes running total cost of logistics network as the objective, and embeds a nonlinear mixed integer programming including two assignment issues. The model determines optimal layout and logistics management for pre-cooling stations and logistics center for fresh agricultural products. Our main contribution is to consider construction cost and operation cost of cold chain logistics simultaneously. Case study illustrates the effectiveness of the model.

Stackelberg Game-Based Resource Allocation with Blockchain for Cold-Chain Logistics System

Cold-chain logistics system(CCLS)plays the role of collecting and managing the logistics data of frozen food.However,there always exist problems of information loss,data tampering,and privacy leakage in traditional centralized systems,which influence frozen food security and people’s health.The centralized management form impedes the development of the cold-chain logistics industry and weakens logistics data availability.This paper first introduces a distributed CCLS based on blockchain technology to solve the centralized management problem.This system aggregates the production base,storage,transport,detection,processing,and consumer to form a cold-chain logistics union.The blockchain ledger guarantees that the logistics data cannot be tampered with and establishes a traceability mechanism for food safety incidents.Meanwhile,to improve the value of logistics data,a Stackelberg game-based resource allocation model has been proposed between the logistics data resource provider and the consumer.The competition between resource price and volume balances the resource supplement and consumption.This model can help to achieve an optimal resource price when the Stackelberg game obtains Nash equilibrium.The two participants also can maximize their revenues with the optimal resource price and volume by utilizing the backward induction method.Then,the performance evaluations of transaction throughput and latency show that the proposed distributed CCLS is more secure and stable.The simulations about the variation trend of data price and amount,optimal benefits,and total benefits comparison of different forms show that the resource allocation model is more efficient and practical.Moreover,the blockchain-based CCLS and Stackelberg game-based resource allocation model also can promote the value of logistic data and improve social benefits.

Application of Robust Strategies in Location Selection of Logistics Distribution Center for Fresh Agricultural Products

In view of the uncertainty in the location selection of logistics distribution center for the fresh agricultural products,the present study established a robust model based on the maximization of principal component score taking budget cost parameters as an example.In the process of model solving,the interval form of the uncertain set was used to clarify the constraint conditions,to transform into a certain 0-1 integer linear programming model,so as to solve with the aid of LINGO software.Finally,through studying the location selection of logistics distribution center for fresh agricultural products in the Beijing-Tianjin-Hebei region,it analyzed the application of the robust model and tested the validity of the model.

Study on Location of Wuhan Steel Logistics Distribution Center

This paper studies the location of Wuhan steel logistics distribution center. First of all, according to Wuhan Iron and Steel Plant sales in Hunan Province and the relative position of the city, the transport costs are calculated from Wuhan Iron and Steel Plant to the demand point. We further analyze the necessity of establishing steel logistics distribution center, using the precise center of gravity to determine the actual location of the distribution center. After the establishment of distribution center, the total freight is reduced by 15.46 million yuan from Wuhan Iron and Steel Plant to each city in Hunan province via distribution center each year. The results of this paper can provide theoretical basis for the logistics node planning of related enterprises.

Operating Analysis of the Closed Supply Chain of Green Agricultural Products Based on Logistics Center

This thesis gives the overview of concept and constitution of the closed supply chain of green agricultural products based on logistics center,and the necessity of regarding logistics center as core enterprise.Meanwhile,it analyzes the function of logistics center of agricultural products,namely functions of exchange,collection,distribution,storage and transportation.It also poses the prerequisites of logistics center.The logistics center of agricultural products must have stable profit expectancy,prominent scale,strong appealing power,capacity of bearing market risk and basic thoughts of supply chain management.The functional design of the closed supply chain of green agricultural products has been discussed in 5 aspects,namely logistics center,production base,providers of means of production,retailer and consumer.The operating thoughts of the closed supply chain of green agricultural products based on logistics center are put forward on the basis of the research of operating objective and service target of supply chain as follows:first,based on local principal agricultural products,the logistics center mainly distributes the massed agricultural products;second,it is necessary to choose appropriate strategic cooperative partners to sign contract;third,the operating procedure of supply chain entails bringing in professional managerial talents of supply chain;finally,the relationships of supply chain should be maintained.

Quantum Secure Undeniable Signature for Blockchain-Enabled Cold-Chain Logistics System

Data security and user privacy are two main security concerns in the cold-chain logistics system(CCLS).Many security issues exist in traditional CCLS,destroying data security and user privacy.The digital signature can provide data verification and identity authentication based on the mathematical difficulty problem for logistics data sharing in CCLS.This paper first established a blockchain-enabled cold-chain logistics system(BCCLS)based on union blockchain technology,which can provide secure data sharing among different logistics nodes and guarantee logistics data security with the untampered blockchain ledger.Meanwhile,a lattice-based undeniable signature scheme is designed to strengthen the security of logistics data and user privacy against quantum attacks.This scheme is based on the lattice assumption,which can provide anti-quantum security for BCCLS in the future quantum computer age.It also establishes the undeniable mechanism that guarantees that the actual signer cannot deny a valid signature.Then,security proof shows that this undeniable signature scheme is correct and safe,and an efficiency comparison shows that it is more efficient than other schemes in similar literature.The performance evaluations of transaction throughput and latency show that the proposed BCCLS is efficient and practical.This work can improve the security and efficiency of logistics data management and promote the reform and development of the logistics industry.

The Construction of Cold-Chain Logistics Park of Agricultural Products in Sanshui from Two-stage Perspective

This paper firstly analyzed the operation model,market positioning,market demand forecast as well as market competition and challenges,park site selection,and transportation conditions for construction of the Cold-Chain Logistics Park of Agricultural Products in Sanshui.Then,it presented the overall planning scheme for construction of the Cold-Chain Logistics Park of Agricultural Products from a progressive two-stage perspective of overall planning and stage-by-stage implementation.The first stage mainly performs the function as a transaction platform of agricultural products and meanwhile provides customers with agricultural products storage and inspection services.The second stage adds value-added services such as distribution processing,modified atmosphere storage,freezing and refrigeration,market price information distribution,E-commerce of agricultural products and personalized services.It is expected to provide references and suggestions for the construction of the Cold-Chain Logistics Park of Agricultural Products.

An Uncertain Programming Model for Competitive Logistics Distribution Center Location Problem

We employ uncertain programming to investigate the competitive logistics distribution center location problem in uncertain environment, in which the demands of customers and the setup costs of new distribution centers are uncertain variables. This research was studied with the assumption that customers patronize the nearest distribution center to satisfy their full demands. Within the framework of uncertainty theory, we construct the expected value model to maximize the expected profit of the new distribution center. In order to seek for the optimal solution, this model can be transformed into its deterministic form by taking advantage of the operational law of uncertain variables. Then we can use mathematical software to obtain the optimal location. In addition, a numerical example is presented to illustrate the effectiveness of the presented model.

Research on the Challenges of Cold-chain Logistics and the Combination Ways with Logistics O2O Operation

In this paper, we conduct research on challenges of cold-chain logistics and combination ways with logistics O2O operation. Because of the cold chain logistics to the high requirement of the equipment, technology as caused the high cost of cold chain logistics. In the overall cost of China’s logistics is on the high side, under the condition of low profi t, many enterprises to enter and don’t have much interest in the field of cold chain logistics. So-called cold chain logistics is frozen food in the production, storage, transportation, sales, remain the regulations to the consumption of each link in the cold chain environment, to ensure the food quality, reduce loss of food and system engineering. Under this basis, we propose the O2O based logistics pattern that will solve the issues well.

Research on the Construction of Synergetic innovation Model of the R＆D Center of Modem Logistics Based on College-enterprise Double Subject

Synergetic innovation of college-enterprise in China has initial development, but difficult to demonstrate the operation and performance. College-enterprise double subject deepen integration between colleges and enterprises, colleges and enterprises to effectively integrate community resources and improve the effectiveness and efficiency of college-enterprise cooperation. Starting from the practice of college-enterprise double subject, the article builds a synergetic innovation model of the R＆D Center of Modern Logistics, and put forward countermeasures and suggestions of its operations and security.

The manufacturing and logistics center of Europe-Hungary

'The Belt and Road' Initiative has received extensive attention and caused intensive resonance in the worldwide scope. However, in 'The Belt and Road' Initiative, Central and Eastern Europe has an important status.In September, China Textile Go Global Union and CCPIT TEX organized China textile and

Logistic回归、CMH检验与Meta分析在多中心临床试验中应用探讨

目的探讨临床随机对照试验多中心效应比较的统计方法。方法以一项多中心临床随机对照试验数据为例,运用χ2检验、CMH检验、Meta分析及logistic回归分析。结果CMH检验显示各中心间效应值的一致性检验差异有统计学意义(P<0.05),扣除中心效应后,组间比较差异有统计学意义(P<0.05);Meta分析异质性检验差异无统计学意义(P>0.05),采用固定效应模型,合并后效应值组间差异有统计学意义(P<0.05),logistic回归分析,各中心效应值差异无统计学意义(P>0.05),组间效应差异有统计学意义(P<0.05),且存在可能影响效应的协变量。结论多中心临床随机对照试验研究中,如果存在分中心组间疗效差异趋势不一致时,可选择Meta分析及logistic回归分析,然后对三种分析方法的结果作出客观的评价。如果logistic回归分析存在影响效应的协变量,建议对这些协变量进行再分析。

基于logistic回归分析的疾病预防控制机构应急演练满意度影响因素分析

目的:调查分析影响黑龙江省疾病预防控制机构突发公共卫生事件应急演练满意度的因素。方法:采用分层整群随机抽样方法,选取44个疾病预防控制中心(CDC),对650名CDC职工进行问卷调查。结果:对满意度的影响大小依次为对应急演练的重视程度、演练前培训质量、对应急演练的需求程度、年龄、演练的类型规模和CDC级别。结论:提高对应急演练工作的重视,以需求为导向,合理选择应急演练的类型与规模,做好应急培训准备工作。

Temporal-spatial Distribution Model of Cold Chain Logistics for Vegetables

[Objective] The aim was to study on temporal-spatial distribution model of cold chain logistics for vegetables. [Method] Broccoli was taken as an example. Detailedly, time-space distribution model of cold chain logistics for broccoli was proposed from standpoints of costs and benefits based on changes of time and space, and a comprehensive evaluation was made on timeliness, efficiency, risks, added- value of products and satisfaction of information in cold-chain logistics. [Result] The efficiency of cold chain logistics for vegetable can be greatly improved by temporal- spatial distribution model of cold chain logistics. [Conclusion] Costs and benefits of vegetables in temporal-apstial distribution could be evaluated by the model.

基于GIS的Logistic模型在深圳大运中心岩溶空间发育规律评价中的应用

采用Logistic回归模型进行岩溶空间发育规律评价,为深圳大运中心场地岩溶地面塌陷预测提供依据。结合岩溶发育影响因素和场地现有资料,选取地层岩性、地下水埋深、地质构造3个因素作为影响场地岩溶发育的地质因素。根据钻孔揭示的土溶洞埋藏深度频率层次聚类分析结果,将场地岩溶发育划分为<10、10～22、22～30、30～36、≥36m共5个埋深组。将场地在平面上按10m×10m大小划分为6843个评价单元。在GIS技术的支持下,以钻孔揭示的岩溶发育情况为样本空间,分别建立场地5个埋深组的3因素Logistic回归模型。通过5个埋深组的钻孔Logistic回归模型,分别计算各个埋深组情况下场地各评价单元的Logistic回归值PL。以不同埋深组土溶洞发生频率为权重,将同一位置、5个埋深组的单元PL值进行加权累加,得到场地各单元岩溶发育综合评价P值。将P值进行层次聚类分析,把场地划分为岩溶发育区、岩溶发育-不发育过渡区、岩溶不发育区。结果表明模型具有一定的可信度,可为岩溶地面塌陷评价提供依据。

An Analysis of the Cold Chain Logistics concerning Agricultural Products in Chongqing City

Agriculture is the foundation of the national economy. On the one hand,there is increasing demand for fresh and safe refrigerated agricultural products; on the other hand,the current cold chain logistics is relatively underdeveloped and has many problems. This paper does a research on the major large-scale agricultural cold-chain logistics companies in Chongqing,and finds that cold-chain logistics in Chongqing has some problems such as incomplete industrial chain,relatively backward infrastructure,lack of talents,and high logistics costs. Some solutions to these problems are put forward: improving chain logistics infrastructure; strengthening personnel training; building information platform to create a new model of the cold-chain logistics in the Internet era; seeking government's policy and financial support.

Improvements of City Logistics Methods in Thriasio Area, Greece

Urban freight transport is a very important part of the logistics chain. Creating the right conditions for the economic and commercial development of urban transport is extremely important. The purpose of this paper is to explore the concept of city logistics while presenting the situation in Greece, a country lagging in the implementation of good practices, and some suggestions for improving the existing reality of urban transport. In order to achieve the objectives of the present work, a review of the relevant literature and primary research, was conducted through personal interviews for the implementation of urban freight transport. The results, according to the literature, have shown that designing the right way and organizing an appropriate route for the product increases the quantities produced that are shipped for sale, either directly from the producers, through traders, suppliers, or logistics companies, which simply carry the products. Wrong design, on the other hand, leads to a complex system with significant losses, both in cost and quality. Also, according to primary research, businesses now active in the Thriasio area report the importance and positive impact they have had on the wider local community, as well as that urban shopping centers play a very important role, organizing and coordinating freight transport in the city centers. Moreover, the establishment of businesses in the center of Thriasio gives a positive impact on their establishment as their business has evolved and increased.

Research on the key technology of RFID and its application in modem logistics

The paper study communication protocol, the structure of the circuit, antenna design of radio frequency identification technology （RFID）, and puts forward a scheme based on IOT application： RFID logistics tracking system. Finally, the paper study the logistics distribution center information management model from three aspects of the system design objectives, system function analysis and system architecture design based on RFID.

农户选择林权交易中心场内交易的影响因素及层次结构分解--基于Logistic-ISM模型

基于闽浙赣三省的农户调查数据,将Logistic模型和ISM模型有机结合,对影响农户选择林权交易中心场内交易行为的因素及其层级结构进行实证检验。结果表明:农户选择场内交易行为受农户个体及家庭因素、林业经营特征、农户对林权交易中心的认知和外部环境四类因素的影响,各因素既发挥独立作用又相互关联,其中,农户参与态度和林权交易市场活跃程度是表层直接影响因素,农户对林权交易中心性质的了解程度、交易风险防范认知、交易成本认知、林权交易市场信息获取难易程度和政策支持程度是中间层间接影响因素,农户年龄、受教育程度、林业收入占比、流转面积大小是深层影响因素。