按疾病诊断相关分组(diagnosis related groups,DRG)付费是国际公认较为先进和科学的支付方式之一。实践证明,DRG的引入能够增强医疗服务的可比性,提高医疗服务效率、降低医疗服务成本[1~4]。近年来,国家医保局加快推进医保支付方式改...按疾病诊断相关分组(diagnosis related groups,DRG)付费是国际公认较为先进和科学的支付方式之一。实践证明,DRG的引入能够增强医疗服务的可比性,提高医疗服务效率、降低医疗服务成本[1~4]。近年来,国家医保局加快推进医保支付方式改革。北京市作为国家医疗保障疾病诊断相关分组(China health-care security DRG,CHS-DRG)国家试点城市于2022年3月15日启动66家试点医院的实际付费。展开更多
In Wireless Sensor Networks(WSNs),Clustering process is widely utilized for increasing the lifespan with sustained energy stability during data transmission.Several clustering protocols were devised for extending netw...In Wireless Sensor Networks(WSNs),Clustering process is widely utilized for increasing the lifespan with sustained energy stability during data transmission.Several clustering protocols were devised for extending network lifetime,but most of them failed in handling the problem of fixed clustering,static rounds,and inadequate Cluster Head(CH)selection criteria which consumes more energy.In this paper,Stochastic Ranking Improved Teaching-Learning and Adaptive Grasshopper Optimization Algorithm(SRITL-AGOA)-based Clustering Scheme for energy stabilization and extending network lifespan.This SRITL-AGOA selected CH depending on the weightage of factors such as node mobility degree,neighbour's density distance to sink,single-hop or multihop communication and Residual Energy(RE)that directly influences the energy consumption of sensor nodes.In specific,Grasshopper Optimization Algorithm(GOA)is improved through tangent-based nonlinear strategy for enhancing the ability of global optimization.On the other hand,stochastic ranking and violation constraint handling strategies are embedded into Teaching-Learning-based Optimization Algorithm(TLOA)for improving its exploitation tendencies.Then,SR and VCH improved TLOA is embedded into the exploitation phase of AGOA for selecting better CH by maintaining better balance amid exploration and exploitation.Simulation results confirmed that the proposed SRITL-AGOA improved throughput by 21.86%,network stability by 18.94%,load balancing by 16.14%with minimized energy depletion by19.21%,compared to the competitive CH selection approaches.展开更多
文摘In Wireless Sensor Networks(WSNs),Clustering process is widely utilized for increasing the lifespan with sustained energy stability during data transmission.Several clustering protocols were devised for extending network lifetime,but most of them failed in handling the problem of fixed clustering,static rounds,and inadequate Cluster Head(CH)selection criteria which consumes more energy.In this paper,Stochastic Ranking Improved Teaching-Learning and Adaptive Grasshopper Optimization Algorithm(SRITL-AGOA)-based Clustering Scheme for energy stabilization and extending network lifespan.This SRITL-AGOA selected CH depending on the weightage of factors such as node mobility degree,neighbour's density distance to sink,single-hop or multihop communication and Residual Energy(RE)that directly influences the energy consumption of sensor nodes.In specific,Grasshopper Optimization Algorithm(GOA)is improved through tangent-based nonlinear strategy for enhancing the ability of global optimization.On the other hand,stochastic ranking and violation constraint handling strategies are embedded into Teaching-Learning-based Optimization Algorithm(TLOA)for improving its exploitation tendencies.Then,SR and VCH improved TLOA is embedded into the exploitation phase of AGOA for selecting better CH by maintaining better balance amid exploration and exploitation.Simulation results confirmed that the proposed SRITL-AGOA improved throughput by 21.86%,network stability by 18.94%,load balancing by 16.14%with minimized energy depletion by19.21%,compared to the competitive CH selection approaches.
