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A Double-Timescale Reinforcement Learning Based Cloud-Edge Collaborative Framework for Decomposable Intelligent Services in Industrial Internet of Things
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作者 Zhang Qiuyang Wang Ying Wang Xue 《China Communications》 SCIE CSCD 2024年第10期181-199,共19页
With the proportion of intelligent services in the industrial internet of things(IIoT)rising rapidly,its data dependency and decomposability increase the difficulty of scheduling computing resources.In this paper,we p... With the proportion of intelligent services in the industrial internet of things(IIoT)rising rapidly,its data dependency and decomposability increase the difficulty of scheduling computing resources.In this paper,we propose an intelligent service computing framework.In the framework,we take the long-term rewards of its important participants,edge service providers,as the optimization goal,which is related to service delay and computing cost.Considering the different update frequencies of data deployment and service offloading,double-timescale reinforcement learning is utilized in the framework.In the small-scale strategy,the frequent concurrency of services and the difference in service time lead to the fuzzy relationship between reward and action.To solve the fuzzy reward problem,a reward mapping-based reinforcement learning(RMRL)algorithm is proposed,which enables the agent to learn the relationship between reward and action more clearly.The large time scale strategy adopts the improved Monte Carlo tree search(MCTS)algorithm to improve the learning speed.The simulation results show that the strategy is superior to popular reinforcement learning algorithms such as double Q-learning(DDQN)and dueling Q-learning(dueling-DQN)in learning speed,and the reward is also increased by 14%. 展开更多
关键词 computing service edge intelligence industrial internet of things(IIoT) reinforcement learning(RL)
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The Digitization of Public Services and Its Contribution to the Quality of Service in Relation to User Satisfaction
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作者 Bernabé Fochie Tuebou 《Open Journal of Applied Sciences》 2024年第9期2697-2716,共20页
In recent years, some governments have been working on solutions to transform public administrations and provide high-quality services to users. The United Nations has recommended integrating digital technology into v... In recent years, some governments have been working on solutions to transform public administrations and provide high-quality services to users. The United Nations has recommended integrating digital technology into various aspects of life, including public services. The objective is to offer real-time, high-quality digital services, improve the delivery of public services, enhance their effectiveness and efficiency, while achieving objectives such as transparency, interoperability and citizen satisfaction. However, most governments in developing countries are unable to keep up with this trend. As a result, they often create digital public services that fall short of users’ expectations. This study aims to identify the fundamental factors influencing the quality of service in relation to user satisfaction and to explore the relevance of digital technology in implementing this quality within Cameroon public administrations. To achieve this, we used a qualimetric research method, which included non-directive interviews, questionnaires, and structured observations. The results showed that the public services offered in our study environment did not meet users’ expectations. However, the study identified the fundamental aspects to be considered in providing quality public services connected to user satisfaction, as well as the strengths of digitization in achieving this quality. 展开更多
关键词 Digital Transformation public services Quality of service User Satisfaction
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Innovative Practice of Science and Technology Supported Western Village Public Cultural Services in China
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作者 于开锋 金颖若 《Agricultural Science & Technology》 CAS 2017年第12期2628-2632,共5页
The shortage and inefficiency of public cultural services are common problems in China, especially in the western regions. Baiyun District has made use- ful exploration to the construction of rural public cultural ser... The shortage and inefficiency of public cultural services are common problems in China, especially in the western regions. Baiyun District has made use- ful exploration to the construction of rural public cultural service system, network system, resource system, management system and service system. 展开更多
关键词 public cultural service Western villages Science and technology Baiyun District
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用Web Services实现LAN和Internet数据库访问的一致性
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作者 康鲲鹏 郑晓月 《长春师范学院学报(自然科学版)》 2006年第4期59-62,共4页
Web Services是近年来出现的最重要的技术之一。它可以解决跨平台、分布式计算等问题,代表了下一代网络计算和企业应用的必然趋势。但是Web Services并不是只能解决“大”问题,本文中将利用其来实现通过LAN和Internet两种方式访问数据... Web Services是近年来出现的最重要的技术之一。它可以解决跨平台、分布式计算等问题,代表了下一代网络计算和企业应用的必然趋势。但是Web Services并不是只能解决“大”问题,本文中将利用其来实现通过LAN和Internet两种方式访问数据库的统一操作登录界面。 展开更多
关键词 Web services C# LAN Intermet
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The coordinated evolution of ecological environment,public service,and tourism economy along the Silk Road Economic Belt,using the Dual-Carbon Targets 被引量:1
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作者 Shuo Yang Wei Guo +1 位作者 Tianjun Xu Tongtong Liu 《Chinese Journal of Population,Resources and Environment》 2024年第1期34-47,共14页
Carbon peak and carbon neutrality(dual-carbon)are important targets for the international response to climate change.The Silk Road Economic Belt is a strategic resource region and is important for future ecological en... Carbon peak and carbon neutrality(dual-carbon)are important targets for the international response to climate change.The Silk Road Economic Belt is a strategic resource region and is important for future ecological environment and tourism development.Based on the“dual-carbon”targets,the Single index quantification,Multiple index synthesis,and Poly-criteria integration evaluation model were used in this study to measure the coordinated development index of the ecological environment,public service,and tourism economy along the Silk Road Economic Belt and to analyze its spatial and temporal evolution.Further,it explores the dynamic evolution and development trend of the three systems using the Kernel Density and Grey Markov Prediction Model.The results show that the coordinated development index along this region needs to be improved during the study period.Furthermore,the coordinated development index of the Southwest region is relatively higher than that of the Northwest region.From the development trend of the three systems,all of them develop in a stable manner;however,the tourism economy system is easily affected by external disturbances.The coordinated development index of the three systems changes dynamically and tends to be in a good state of coordination.There is a certain spatial and temporal heterogeneity.The gravity center of the coordinated development index has been in the Southwest region.During the forecast period,the coordinated development index along this region will improve significantly,while insufficient and unbalanced development will continue. 展开更多
关键词 Dual-carbon Ecological environment public services Tourist economy Silk Road Economic Belt
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SOA-based RFID public services infrastructure:architecture and its core services 被引量:5
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作者 Zeng Junfang Li Ran Luo Jin Liu Yu 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2009年第3期577-582,共6页
Radio frequency identification (RFID) has prominent advantages compared with other autoidentification technologies. Combining RFID with network technology, physical object tracking and information sharing can possib... Radio frequency identification (RFID) has prominent advantages compared with other autoidentification technologies. Combining RFID with network technology, physical object tracking and information sharing can possibly be carried out in an innovative way. Regarding open-loop RFID applications, RFID public services infrastructure (PSI) is presented, PSI architecture is designed, and service modules are implemented, and a demonstrative application system, blood management and traceability system, is studied to verify PSI. Experimental results show the feasibility of the proposed architecture and the usability of PSI framework software. 展开更多
关键词 radio frequency identification public services service oriented architecture ARCHITECTURE
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GIS-Based Public Services Analysis Based on Municipal Election Areas: A Methodological Approach for the City of Makkah, Saudi Arabia 被引量:7
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作者 Gomaa M. Dawod Meraj N. Mirza +1 位作者 Ramze A. Elzahrany Khalid A. Al-Ghamdi 《Journal of Geographic Information System》 2013年第4期378-395,共18页
The spatial fairness of public services is a major aspect in offering a healthy and cheerful living environment in a city. The Geographic Information System (GIS) technology has been applied to investigate the spatial... The spatial fairness of public services is a major aspect in offering a healthy and cheerful living environment in a city. The Geographic Information System (GIS) technology has been applied to investigate the spatial distribution of some selected public services over the municipal election areas within Makkah city, Saudi Arabia. These services include education, health, security, religious, commercial, and sports services. The attained results show that except for religious services, other public services are not quantitatively proportional with the population variations in Makkah. It has been found that the third election area posses almost one third of five public services and two thirds of the sport services. That might be attributed to the fact that the third election area possesses almost a quarter of the city population. But, although the first election area has a closer percentage of the total population, it does not include a comparable percentage of public services. On a spatial basis, results of GIS spatial analysis (particularly the Euclidian distance, the mean distance band to a neighbor, the standard distance, the directional distribution ellipse, and the average nearest neighbor ratio tools) have concluded that there is inequity in the services distribution over municipal election areas in Makkah city. Consequently, it is recommended that local planners and decision makers should take the obtained results into consideration to achieve fair and better distribution of public services in the city. 展开更多
关键词 public services Spatial ANALYSIS GIS SAUDI ARABIA
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GraphSTGAN:Situation understanding network of slow-fast high maneuvering targets for maritime monitor services of IoT data
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作者 Guanlin Wu Haipeng Wang +1 位作者 Yu Liu You He 《Digital Communications and Networks》 SCIE CSCD 2024年第3期620-630,共11页
With the rapid growth of the maritime Internet of Things(IoT)devices for Maritime Monitor Services(MMS),maritime traffic controllers could not handle a massive amount of data in time.For unmanned MMS,one of the key te... With the rapid growth of the maritime Internet of Things(IoT)devices for Maritime Monitor Services(MMS),maritime traffic controllers could not handle a massive amount of data in time.For unmanned MMS,one of the key technologies is situation understanding.However,the presence of slow-fast high maneuvering targets and track breakages due to radar blind zones make modeling the dynamics of marine multi-agents difficult,and pose significant challenges to maritime situation understanding.In order to comprehend the situation accurately and thus offer unmanned MMS,it is crucial to model the complex dynamics of multi-agents using IoT big data.Nevertheless,previous methods typically rely on complex assumptions,are plagued by unstructured data,and disregard the interactions between multiple agents and the spatial-temporal correlations.A deep learning model,Graph Spatial-Temporal Generative Adversarial Network(GraphSTGAN),is proposed in this paper,which uses graph neural network to model unstructured data and uses STGAN to learn the spatial-temporal dependencies and interactions.Extensive experiments show the effectiveness and robustness of the proposed method. 展开更多
关键词 internet of things MULTI-AGENTS Graph neural network Maritime monitoring services
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The Role of Library and Information Science Education in the Development of Community Health Information Services for People Living with HIV/AIDS: Perspectives of Directors and Managers of Public Libraries 被引量:2
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作者 Bharat Mehra Adrienne Dessel 《World Journal of AIDS》 2011年第3期78-87,共10页
This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are present... This article identifies the role of library and information science (LIS) education in the development of community health information services for people living with HIV/AIDS (PLWHA). Preliminary findings are presented from semi- structured qualitative interviews that were conducted with eleven directors and managers of local branches in the Knox County Public Library (KCPL) System that is located in the East Tennessee region in the United States. Select feedback reported by research participants is summarized in the article about strategies in LIS education that can help local public librarians and others in their efforts to become more responsive information providers to PLWHA. Research findings help better understand the issues and concerns regarding the development of digital and non-digital health information services for PLWHA in local public library institutions. 展开更多
关键词 People LIVING with HIV/AIDS PLWHA public LIBRARY Directors and MANAGERS Community Health Information services
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Residents'Satisfaction with Public Services in Mountainous Areas:An Empirical Study of Southwestern Sichuan Province,China 被引量:4
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作者 SONG Xueqian DENG Wei +2 位作者 LIU Ying ZHAO Chen WAN Jiangjun 《Chinese Geographical Science》 SCIE CSCD 2017年第2期311-324,共14页
Abstract: Enhancing the efficiency of public services is essential to residents in mountainous areas. It is also important to promote sus- tainable development of these regions. Analysing residents' satisfaction wit... Abstract: Enhancing the efficiency of public services is essential to residents in mountainous areas. It is also important to promote sus- tainable development of these regions. Analysing residents' satisfaction with public services in mountainous areas can help in evaluating outcomes of fiscal investment and identifying potential coping approaches for improving public service efficiencies. The residents' satisfaction with public services and the factors that influence such satisfaction were examined in this study. A study of 12 towns located in the southwestern Sichuan Province was performed using an entropy-weighted analytic hierarchy process (EWAHP), the technique for order preference by similarity to ideal solution (TOPSIS) and Tobit regression methods. The results indicate that: 1) the spatial distribu- tion of satisfaction with public services is non-uniform, and the spatial distribution structure varies for different types of public services. 2) Residents' satisfaction with public services is influenced by both objective and subjective factors. Population density, economic dis- tance, social and cultural divisions and elevation are the major objective factors, whereas bounded rationality, the hierarchy of needs and service expectations are the main subjective factors. The most effective strategies for enhancing residents' satisfaction with public ser- vices are likely to be clustering the population, choosing supply centres with different public services, regulating the cultural division in ethnic minority towns, selecting supply priorities in accordance with residents' needs, implementing targeted intervention policies and establishing 'bottom-up' and 'top-down' integrated decision-making mechanisms. Keywords: mountainous areas; public services; residents' satisfaction; entropy-weighted analytic hierarchy process (EWAHP); technique for order preference by similarity to ideal solution (TOPSIS); Tobit regression; southwestern Sichuan Province 展开更多
关键词 mountainous areas public services residents' satisfaction entropy-weighted analytic hierarchy process (EWAHP) technique for order preference by similarity to ideal solution (TOPSIS) Tobit regression southwestern Sichuan Province
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Accessibility and Fairness of Public Service Facilities from the Perspective of Supply and Demand Coordination: A Case Study of Old Urban Area of Guangzhou City
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作者 CHEN Xu LI Xin 《Journal of Landscape Research》 2024年第3期21-26,共6页
The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facili... The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facilities is an inevitable requirement for promoting the construction of people centered cities.This paper takes the old urban area of Guangzhou as the research area,measures the accessibility of multiple types of public service facilities based on an improved two-step floating catchment method,and combines Palma Ratio and location quotient methods to explore the fairness of urban public service facilities from two dimensions:social equity and spatial equity,with supply and demand relationship analysis as the main line.Research has shown that:①there is a significant spatial difference in the accessibility of public service facilities in the old urban areas of Guangzhou,and the comprehensive accessibility is generally higher in the central and southeastern regions of the old urban areas with fewer residential populations;②from the perspective of social equity,the resource allocation of public service facilities in the old urban areas of Guangzhou is in a seriously unfair state(with a fairness index of 2.99),and there are also varying degrees of unfairness within the streets;③from the perspective of spatial equity,the location quotient of public service facilities in the old urban areas of Guangzhou shows a pattern of multil center circles decreasing,indicating a significant spatial mismatch between the accessibility supply side of public service facilities and the demand side of the residential population.The research conclusion will provide scientific basis for optimizing the allocation of urban public service facilities and ensuring the equalization of public services. 展开更多
关键词 public service facilities ACCESSIBILITY Social equity Space equity Guangzhou City
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Allocation of Public Service Facilities in Villages and Towns from the Perspective of Smart Contraction: A Case Study of Zixi County, Jiangxi Province
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作者 ZHANG Xiaoli 《Journal of Landscape Research》 2024年第5期56-58,共3页
The limitation of traditional layout system and the continuous contraction of villages and towns have brought challenges to the layout of public service facilities.It is an imperative task against this background to i... The limitation of traditional layout system and the continuous contraction of villages and towns have brought challenges to the layout of public service facilities.It is an imperative task against this background to integrate space resources and allocate public service facilities scientifically and reasonably.This paper took the system and method of rural public service facility allocation from the perspective of smart contraction as the theoretic support,and Zixi County in Jiangxi Province for example,built the four-level life circle of“county-fundamental-basic-routine”based on the influence factors of facility allocation,village and town contraction strength,rural comprehensive assessment results,residents’trip willingness and demands on public service facilities,finally proposed the suggestions for optimizing the allocation of village and town public service facilities. 展开更多
关键词 Smart contraction Village and town public service facility Allocation research Zixi County
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Strategic Thinking of the Internet of Things and M2M Services 被引量:6
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作者 Qi Qingzhong 《ZTE Communications》 2010年第1期4-7,共4页
Editor's Desk:The Internet of Things is an important part of the emerging high-tech industry and has been recognized as one of the important technologies for addressing global financial crisis and revitalizing the e... Editor's Desk:The Internet of Things is an important part of the emerging high-tech industry and has been recognized as one of the important technologies for addressing global financial crisis and revitalizing the economy. Therefore, at the beginning of the new year, we are honored to have invited Mr. Samuel Qi (Qi Qingzhong), a famous Chinese communication technology expert and GM of Shanghai Symphony Telecommunications Co., Ltd., to give his views on the development strategy of the Internet of Things and Machine to Machine (M2M) Communications. 展开更多
关键词 In Strategic Thinking of the internet of Things and M2M services
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Multimodal Discourse Analysis of Public Service Posters on Low-Carbon Life
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作者 LIU Meng-yao LI Ju-yuan 《Journal of Literature and Art Studies》 2024年第10期847-853,共7页
Low-carbon living represents both a new lifestyle and an environmental responsibility vital for sustainable development,positioning it as a central theme in environmental public service advertisements(PSAs).This resea... Low-carbon living represents both a new lifestyle and an environmental responsibility vital for sustainable development,positioning it as a central theme in environmental public service advertisements(PSAs).This research employs a multimodal discourse analysis approach to examining eight public service posters advocating low-carbon living from Xinhua News Agency,primarily utilizing the visual grammar framework established by Kress and Van Leeuwen.The study explores these posters through three key perspectives:representational meaning,interactive meaning,and compositional meaning.By analyzing the interplay between visual and linguistic modalities,this research contributes to the overall understanding of public service posters and supports the promotion of China’s low-carbon development initiatives. 展开更多
关键词 multimodal discourse analysis visual grammar framework public service posters
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Public library services to older adults in China:An empirical study based on content analysis 被引量:2
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作者 Xue XIAO 《Chinese Journal of Library and Information Science》 2013年第3期44-58,共15页
Purpose:The research is undertaken to help the Chinese public libraries answer the growing needs for library services to the elderly.Based on an investigation of the current situation of the services to older adults i... Purpose:The research is undertaken to help the Chinese public libraries answer the growing needs for library services to the elderly.Based on an investigation of the current situation of the services to older adults in China and a comparative analysis of the services in the U.S.,we attempt to explore what improvements the Chinese public libraries can make to better serve the needs of older adults.Design/methodology/approach:We empirically analyzed the older adults services of 271public libraries in China from 2002 to 2011 via content analysis of both the print materials such as the regulations and policies released by these libraries and the related information on the libraries' websites and the Internet Web pages.Findings:Great strides have been made in the Chinese public libraries' services to older adults in constructing service systems,providing facilities and equipment,exploring cooperative programming,and planning diversified and regularly scheduled activities.Compared with American counterparts,however,the Chinese public libraries need to catch up in understanding the elderly people as library users,planning customized services,formulating service guidelines and evaluation systems,and working with other local agencies for cooperative programming for seniors in communities.Research limitations:It is hard to collect more data covering more geographical areas and longer periods of time.The content analysis of libraries' policies and regulations is a very rough approximation of the libraries' 'real' services.The study should be extended to visits to public libraries in the future.Practical implications:This study provides useful information for the Chinese library policymakers to formulate regulations and policies to provide services to older adults.Originality/value:To the best of our knowledge,the comprehensive survey reported in this paper is the first in-depth investigation of the current situation of public library services to older adults in China,providing the analysis framework for more in-depth surveys in the future. 展开更多
关键词 service to older adults public library China Content analysis
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Research on Sports Public Service Supply in the Chengdu-Chongqing Twin-City Economic Circle under the Background of Regional Economic Development
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作者 Yiming Yang Yun Liu Yu Huang 《Proceedings of Business and Economic Studies》 2024年第2期106-113,共8页
Using literature,questionnaires,interviews,and mathematical statistics to investigate the current situation of sports public services in the Chengdu-Chongqing Twin-city Economic Circle.The results show that there are ... Using literature,questionnaires,interviews,and mathematical statistics to investigate the current situation of sports public services in the Chengdu-Chongqing Twin-city Economic Circle.The results show that there are some problems in Chengdu-Chongqing sports public services,such as big difference in the development level of supply between urban and rural areas,low supply level,low efficiency,supply mechanism defect,lack of social sports instructors,an outstanding contradiction between the quality of sports public service and residents’demand.To address the problems,government departments should accelerate the transformation of government functions,improve the relevant regulations and systems,increase the investment in sports public services,improve the quality of supply,cultivate the backbone team,integrate resources,and combine the national characteristics with regional characteristics,take into account the personalized needs of the residents,combine the sports public services with intelligence,and build the service system of“Internet+Fitness.” 展开更多
关键词 Regional economy Chengdu-Chongqing Twin-city Economic Circle Sports demand Sports public service Current supply situation
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Core competencies and perceived training needs of nurses in the background of Internet plus nursing service:a qualitative descriptive study
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作者 Qiang-Hui-Zi Zhang Wei-Wei Liu Zhen-Zhen Cheng 《Frontiers of Nursing》 2024年第2期181-190,共10页
Background:The Internet plus nursing service program is being piloted in China,which has become a new home nursing service model led by nurses.To enable safe and effective homecare service delivery,nurses working in t... Background:The Internet plus nursing service program is being piloted in China,which has become a new home nursing service model led by nurses.To enable safe and effective homecare service delivery,nurses working in the program need a high level of competency.However,the content of these core competencies and the training needs of nurses for Internet plus nursing services are still unknown.Aim:To describe nurses’perceptions of core competencies and training needs to work in the Internet plus nursing service program,thereby providing a reference for the development of training programs.Methods:A qualitative descriptive study using semi-structured interviews was conducted on 15 nurses with experience of working in the Internet plus nursing service program.Interviews were audio-recorded and transcribed verbatim,and the data were analyzed using thematic analysis.Results:Core competencies involved comprehensive assessment competence,direct care practice competence,health education and consulting competence,risk estimation and response competence,and communication competence.Training needs involved complex operational items,knowledge of chronic disease management,professional communication,risk identification and response,nursing standards,norms,and procedures,and utilization of information technology.Conclusions:The training system may be developed based on nurses’core competencies and their training needs to promote professional development of the Internet plus nursing service. 展开更多
关键词 core competence internet plus nursing service NURSING qualitative study training needs
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Analysis of the Current Situation of“Internet Plus Nursing Service”
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作者 Xuemei Zeng 《Journal of Clinical and Nursing Research》 2024年第7期49-53,共5页
In the era of“Internet Plus,”technologies like big data,the Internet of Things,and cloud computing have revitalized nursing services in China,leading to the emergence of the“Internet Plus Nursing Services”model.Th... In the era of“Internet Plus,”technologies like big data,the Internet of Things,and cloud computing have revitalized nursing services in China,leading to the emergence of the“Internet Plus Nursing Services”model.This model facilitates on-site nursing care for discharged patients and special groups with mobility challenges,further advancing the construction of a Healthy China and enabling more people to access high-quality and continuous nursing services.Governments at all levels should actively improve the systems related to“Internet Plus Nursing Services”and simplify the appointment and operation processes.It is also essential to standardize the medical waste disposal process to ensure the quality of on-site nursing services,protect the legitimate rights and interests of both caregivers and patients and safeguard patient privacy and security.Additionally,building a robust“Internet Plus”platform to promote“online appointment of nurses”services,integrate nursing resources,and foster the healthy development of“Internet Plus Nursing Services”is crucial. 展开更多
关键词 internet plus nursing service” Connotation interpretation Development status Development path
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Analysis of Differences between Requirements of Public Meteorological Services from a New Perspective
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作者 Lei Jun Jin Yi Liang Xiaoni 《Meteorological and Environmental Research》 CAS 2016年第5期29-31,35,共4页
Based on the survey data of public meteorological services,differences between users' needs for public meteorological services were analyzed by using Maslow's hierarchy of needs and the principle of informatio... Based on the survey data of public meteorological services,differences between users' needs for public meteorological services were analyzed by using Maslow's hierarchy of needs and the principle of information availability in behavioral economics. The results show that users' needs for meteorological services follow certain laws,and the public's needs for meteorological information are driven by physiological needs firstly and then by safety needs,while they are driven by upper needs finally. Meanwhile,users' needs for meteorological services have particularity.Under special backgrounds,there are certain differences between users' needs and laws of basic needs,and users' needs are inconsistent with the " ideal needs" of meteorological departments. Studying the laws and particularity of differences between users' needs for meteorological services in detail is conducive to a survey of the public's needs for meteorological services and improvement of meteorological service quality. 展开更多
关键词 public METEOROLOGICAL services Users' needs LAWS PARTICULARITY China
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Antibiotics prescribed to febrile under-five children outpatients in urban public health services in Burkina Faso
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作者 Léon G. Blaise Savadogo Bernard Ilboudo +4 位作者 Maurice Kinda Nacro Boubacar Philippe Hennart Michèle Dramaix Philippe Donnen 《Health》 2014年第2期165-170,共6页
Appropriate use of antibiotics remains critical for success in achieving MDG4. The aim of this study was to investigate antibiotics prescribing practices to febrile under-five children outpatients in urban public heal... Appropriate use of antibiotics remains critical for success in achieving MDG4. The aim of this study was to investigate antibiotics prescribing practices to febrile under-five children outpatients in urban public health services in a low income country. Methods: From March to April 2013, a cross-sectional epidemiological study of care facilities visit by under-five age, for febrile illness, was carried out in urban health services in Bobo-Dioulasso, Burkina Faso. Patient demographics, diagnoses and medications were recorded. We calculated for each diagnoses several indicators for antibiotics use. Results: Our study showed an over-prescription of antibiotics at the university teaching hospital (78.08%) and at the first level facilities (57.71%) for under-five outpatients for febrile illness. There was evidence of high antibiotic prescription in children with diarrhea (more than 9 on 10 at university teaching hospital of diarrhea cases and 60% at the first level facilities), in children with Upper respiratory tract infections (respectively 60% and 85.2% of cases at university teaching hospital and at the first level facilities) and in children with malaria (respectively 47.5% and 17.6% of cases at university teaching hospital and at the first level facilities). Overuse, misuse and inappropriately prescribed antibiotic coexisted in our results: at university teaching hospital 90.9% of diarrhea cases, 60% of URTI cases,?47.5% of malaria cases received antibiotic prescription;at first level heath care facilities 85.2% of URTI, 17.6% of malaria cases received an prescribed antibiotic and 11.8% of LRTI did not received a prescribed antibiotic. Developing countries have poor access to newer antibiotics and irrational antibiotics use remains a global problem. Overuse and misuse of antibiotics combat, rigorous infectious diseases diagnosis, antimicrobial resistance consequences education of users and health professional’s prescribers, and improved surveillance of antimicrobial resistance, must be strengthened. 展开更多
关键词 ANTIBIOTICS Children FEBRILE OUTPATIENTS public HEALTH services
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