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Evolutionary Decision-Making and Planning for Autonomous Driving Based on Safe and Rational Exploration and Exploitation 被引量:2
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作者 Kang Yuan Yanjun Huang +4 位作者 Shuo Yang Zewei Zhou Yulei Wang Dongpu Cao Hong Chen 《Engineering》 SCIE EI CAS CSCD 2024年第2期108-120,共13页
Decision-making and motion planning are extremely important in autonomous driving to ensure safe driving in a real-world environment.This study proposes an online evolutionary decision-making and motion planning frame... Decision-making and motion planning are extremely important in autonomous driving to ensure safe driving in a real-world environment.This study proposes an online evolutionary decision-making and motion planning framework for autonomous driving based on a hybrid data-and model-driven method.First,a data-driven decision-making module based on deep reinforcement learning(DRL)is developed to pursue a rational driving performance as much as possible.Then,model predictive control(MPC)is employed to execute both longitudinal and lateral motion planning tasks.Multiple constraints are defined according to the vehicle’s physical limit to meet the driving task requirements.Finally,two principles of safety and rationality for the self-evolution of autonomous driving are proposed.A motion envelope is established and embedded into a rational exploration and exploitation scheme,which filters out unreasonable experiences by masking unsafe actions so as to collect high-quality training data for the DRL agent.Experiments with a high-fidelity vehicle model and MATLAB/Simulink co-simulation environment are conducted,and the results show that the proposed online-evolution framework is able to generate safer,more rational,and more efficient driving action in a real-world environment. 展开更多
关键词 Autonomous driving decision-making Motion planning Deep reinforcement learning Model predictive control
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Stroke Risk Assessment Decision-Making Using a Machine Learning Model:Logistic-AdaBoost
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作者 Congjun Rao Mengxi Li +1 位作者 Tingting Huang Feiyu Li 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第4期699-724,共26页
Stroke is a chronic cerebrovascular disease that carries a high risk.Stroke risk assessment is of great significance in preventing,reversing and reducing the spread and the health hazards caused by stroke.Aiming to ob... Stroke is a chronic cerebrovascular disease that carries a high risk.Stroke risk assessment is of great significance in preventing,reversing and reducing the spread and the health hazards caused by stroke.Aiming to objectively predict and identify strokes,this paper proposes a new stroke risk assessment decision-making model named Logistic-AdaBoost(Logistic-AB)based on machine learning.First,the categorical boosting(CatBoost)method is used to perform feature selection for all features of stroke,and 8 main features are selected to form a new index evaluation system to predict the risk of stroke.Second,the borderline synthetic minority oversampling technique(SMOTE)algorithm is applied to transform the unbalanced stroke dataset into a balanced dataset.Finally,the stroke risk assessment decision-makingmodel Logistic-AB is constructed,and the overall prediction performance of this new model is evaluated by comparing it with ten other similar models.The comparison results show that the new model proposed in this paper performs better than the two single algorithms(logistic regression and AdaBoost)on the four indicators of recall,precision,F1 score,and accuracy,and the overall performance of the proposed model is better than that of common machine learning algorithms.The Logistic-AB model presented in this paper can more accurately predict patients’stroke risk. 展开更多
关键词 Stroke risk assessment decision-making CatBoost feature selection borderline SMOTE Logistic-AB
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Toward Trustworthy Decision-Making for Autonomous Vehicles:A Robust Reinforcement Learning Approach with Safety Guarantees
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作者 Xiangkun He Wenhui Huang Chen Lv 《Engineering》 SCIE EI CAS CSCD 2024年第2期77-89,共13页
While autonomous vehicles are vital components of intelligent transportation systems,ensuring the trustworthiness of decision-making remains a substantial challenge in realizing autonomous driving.Therefore,we present... While autonomous vehicles are vital components of intelligent transportation systems,ensuring the trustworthiness of decision-making remains a substantial challenge in realizing autonomous driving.Therefore,we present a novel robust reinforcement learning approach with safety guarantees to attain trustworthy decision-making for autonomous vehicles.The proposed technique ensures decision trustworthiness in terms of policy robustness and collision safety.Specifically,an adversary model is learned online to simulate the worst-case uncertainty by approximating the optimal adversarial perturbations on the observed states and environmental dynamics.In addition,an adversarial robust actor-critic algorithm is developed to enable the agent to learn robust policies against perturbations in observations and dynamics.Moreover,we devise a safety mask to guarantee the collision safety of the autonomous driving agent during both the training and testing processes using an interpretable knowledge model known as the Responsibility-Sensitive Safety Model.Finally,the proposed approach is evaluated through both simulations and experiments.These results indicate that the autonomous driving agent can make trustworthy decisions and drastically reduce the number of collisions through robust safety policies. 展开更多
关键词 Autonomous vehicle decision-making Reinforcement learning Adversarial attack Safety guarantee
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Orientation and Decision-Making for Soccer Based on Sports Analytics and AI:A Systematic Review
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作者 Zhiqiang Pu Yi Pan +4 位作者 Shijie Wang Boyin Liu Min Chen Hao Ma Yixiong Cui 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2024年第1期37-57,共21页
Due to ever-growing soccer data collection approaches and progressing artificial intelligence(AI) methods, soccer analysis, evaluation, and decision-making have received increasing interest from not only the professio... Due to ever-growing soccer data collection approaches and progressing artificial intelligence(AI) methods, soccer analysis, evaluation, and decision-making have received increasing interest from not only the professional sports analytics realm but also the academic AI research community. AI brings gamechanging approaches for soccer analytics where soccer has been a typical benchmark for AI research. The combination has been an emerging topic. In this paper, soccer match analytics are taken as a complete observation-orientation-decision-action(OODA) loop.In addition, as in AI frameworks such as that for reinforcement learning, interacting with a virtual environment enables an evolving model. Therefore, both soccer analytics in the real world and virtual domains are discussed. With the intersection of the OODA loop and the real-virtual domains, available soccer data, including event and tracking data, and diverse orientation and decisionmaking models for both real-world and virtual soccer matches are comprehensively reviewed. Finally, some promising directions in this interdisciplinary area are pointed out. It is claimed that paradigms for both professional sports analytics and AI research could be combined. Moreover, it is quite promising to bridge the gap between the real and virtual domains for soccer match analysis and decision-making. 展开更多
关键词 Artificial intelligence(AI) decision-making FOOTBALL review SOCCER sports analytics
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Ethical Decision-Making Framework Based on Incremental ILP Considering Conflicts
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作者 Xuemin Wang Qiaochen Li Xuguang Bao 《Computers, Materials & Continua》 SCIE EI 2024年第3期3619-3643,共25页
Humans are experiencing the inclusion of artificial agents in their lives,such as unmanned vehicles,service robots,voice assistants,and intelligent medical care.If the artificial agents cannot align with social values... Humans are experiencing the inclusion of artificial agents in their lives,such as unmanned vehicles,service robots,voice assistants,and intelligent medical care.If the artificial agents cannot align with social values or make ethical decisions,they may not meet the expectations of humans.Traditionally,an ethical decision-making framework is constructed by rule-based or statistical approaches.In this paper,we propose an ethical decision-making framework based on incremental ILP(Inductive Logic Programming),which can overcome the brittleness of rule-based approaches and little interpretability of statistical approaches.As the current incremental ILP makes it difficult to solve conflicts,we propose a novel ethical decision-making framework considering conflicts in this paper,which adopts our proposed incremental ILP system.The framework consists of two processes:the learning process and the deduction process.The first process records bottom clauses with their score functions and learns rules guided by the entailment and the score function.The second process obtains an ethical decision based on the rules.In an ethical scenario about chatbots for teenagers’mental health,we verify that our framework can learn ethical rules and make ethical decisions.Besides,we extract incremental ILP from the framework and compare it with the state-of-the-art ILP systems based on ASP(Answer Set Programming)focusing on conflict resolution.The results of comparisons show that our proposed system can generate better-quality rules than most other systems. 展开更多
关键词 Ethical decision-making inductive logic programming incremental learning conflicts
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Research on Maneuver Decision-Making of Multi-Agent Adversarial Game in a Random Interference Environment
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作者 Shiguang Hu Le Ru +4 位作者 Bo Lu Zhenhua Wang Xiaolin Zhao Wenfei Wang Hailong Xi 《Computers, Materials & Continua》 SCIE EI 2024年第10期1879-1903,共25页
The strategy evolution process of game players is highly uncertain due to random emergent situations and other external disturbances.This paper investigates the issue of strategy interaction and behavioral decision-ma... The strategy evolution process of game players is highly uncertain due to random emergent situations and other external disturbances.This paper investigates the issue of strategy interaction and behavioral decision-making among game players in simulated confrontation scenarios within a random interference environment.It considers the possible risks that random disturbances may pose to the autonomous decision-making of game players,as well as the impact of participants’manipulative behaviors on the state changes of the players.A nonlinear mathematical model is established to describe the strategy decision-making process of the participants in this scenario.Subsequently,the strategy selection interaction relationship,strategy evolution stability,and dynamic decision-making process of the game players are investigated and verified by simulation experiments.The results show that maneuver-related parameters and random environmental interference factors have different effects on the selection and evolutionary speed of the agent’s strategies.Especially in a highly uncertain environment,even small information asymmetry or miscalculation may have a significant impact on decision-making.This also confirms the feasibility and effectiveness of the method proposed in the paper,which can better explain the behavioral decision-making process of the agent in the interaction process.This study provides feasibility analysis ideas and theoretical references for improving multi-agent interactive decision-making and the interpretability of the game system model. 展开更多
关键词 Behavior decision-making stochastic evolutionary game nonlinear mathematical modeling MULTI-AGENT MANEUVER
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The Spherical q-Linear Diophantine Fuzzy Multiple-Criteria Group Decision-Making Based on Differential Measure
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作者 Huzaira Razzaque Shahzaib Ashraf +1 位作者 Muhammad Naeem Yu-Ming Chu 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第2期1925-1950,共26页
Spherical q-linearDiophantine fuzzy sets(Sq-LDFSs)provedmore effective for handling uncertainty and vagueness in multi-criteria decision-making(MADM).It does not only cover the data in two variable parameters but is a... Spherical q-linearDiophantine fuzzy sets(Sq-LDFSs)provedmore effective for handling uncertainty and vagueness in multi-criteria decision-making(MADM).It does not only cover the data in two variable parameters but is also beneficial for three parametric data.By Pythagorean fuzzy sets,the difference is calculated only between two parameters(membership and non-membership).According to human thoughts,fuzzy data can be found in three parameters(membership uncertainty,and non-membership).So,to make a compromise decision,comparing Sq-LDFSs is essential.Existing measures of different fuzzy sets do,however,can have several flaws that can lead to counterintuitive results.For instance,they treat any increase or decrease in the membership degree as the same as the non-membership degree because the uncertainty does not change,even though each parameter has a different implication.In the Sq-LDFSs comparison,this research develops the differentialmeasure(DFM).Themain goal of the DFM is to cover the unfair arguments that come from treating different types of FSs opposing criteria equally.Due to their relative positions in the attribute space and the similarity of their membership and non-membership degrees,two Sq-LDFSs formthis preference connectionwhen the uncertainty remains same in both sets.According to the degree of superiority or inferiority,two Sq-LDFSs are shown as identical,equivalent,superior,or inferior over one another.The suggested DFM’s fundamental characteristics are provided.Based on the newly developed DFM,a unique approach tomultiple criterion group decision-making is offered.Our suggestedmethod verifies the novel way of calculating the expert weights for Sq-LDFSS as in PFSs.Our proposed technique in three parameters is applied to evaluate solid-state drives and choose the optimum photovoltaic cell in two applications by taking uncertainty parameter zero.The method’s applicability and validity shown by the findings are contrasted with those obtained using various other existing approaches.To assess its stability and usefulness,a sensitivity analysis is done. 展开更多
关键词 Multi-criteria group decision-making spherical q-linear Diophantine fuzzy sets differencemeasures photovoltaic cells medical diagnosis
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A NovelMethod for Determining Tourism Carrying Capacity in a Decision-Making Context Using q−Rung Orthopair Fuzzy Hypersoft Environment
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作者 Salma Khan Muhammad Gulistan +2 位作者 NasreenKausar Seifedine Kadry Jungeun Kim 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第2期1951-1979,共29页
Tourism is a popular activity that allows individuals to escape their daily routines and explore new destinations for various reasons,including leisure,pleasure,or business.A recent study has proposed a unique mathema... Tourism is a popular activity that allows individuals to escape their daily routines and explore new destinations for various reasons,including leisure,pleasure,or business.A recent study has proposed a unique mathematical concept called a q−Rung orthopair fuzzy hypersoft set(q−ROFHS)to enhance the formal representation of human thought processes and evaluate tourism carrying capacity.This approach can capture the imprecision and ambiguity often present in human perception.With the advanced mathematical tools in this field,the study has also incorporated the Einstein aggregation operator and score function into the q−ROFHS values to supportmultiattribute decision-making algorithms.By implementing this technique,effective plans can be developed for social and economic development while avoiding detrimental effects such as overcrowding or environmental damage caused by tourism.A case study of selected tourism carrying capacity will demonstrate the proposed methodology. 展开更多
关键词 q−Rung orthopair fuzzy hypersoft set decision-making tourism carrying capacity aggregation operator
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UAV maneuvering decision-making algorithm based on deep reinforcement learning under the guidance of expert experience
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作者 ZHAN Guang ZHANG Kun +1 位作者 LI Ke PIAO Haiyin 《Journal of Systems Engineering and Electronics》 SCIE CSCD 2024年第3期644-665,共22页
Autonomous umanned aerial vehicle(UAV) manipulation is necessary for the defense department to execute tactical missions given by commanders in the future unmanned battlefield. A large amount of research has been devo... Autonomous umanned aerial vehicle(UAV) manipulation is necessary for the defense department to execute tactical missions given by commanders in the future unmanned battlefield. A large amount of research has been devoted to improving the autonomous decision-making ability of UAV in an interactive environment, where finding the optimal maneuvering decisionmaking policy became one of the key issues for enabling the intelligence of UAV. In this paper, we propose a maneuvering decision-making algorithm for autonomous air-delivery based on deep reinforcement learning under the guidance of expert experience. Specifically, we refine the guidance towards area and guidance towards specific point tasks for the air-delivery process based on the traditional air-to-surface fire control methods.Moreover, we construct the UAV maneuvering decision-making model based on Markov decision processes(MDPs). Specifically, we present a reward shaping method for the guidance towards area and guidance towards specific point tasks using potential-based function and expert-guided advice. The proposed algorithm could accelerate the convergence of the maneuvering decision-making policy and increase the stability of the policy in terms of the output during the later stage of training process. The effectiveness of the proposed maneuvering decision-making policy is illustrated by the curves of training parameters and extensive experimental results for testing the trained policy. 展开更多
关键词 unmanned aerial vehicle(UAV) maneuvering decision-making autonomous air-delivery deep reinforcement learning reward shaping expert experience
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Influence of social media on maternal decision-making and breastfeeding practices
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作者 Gowda Parameshwara Prashanth 《World Journal of Clinical Pediatrics》 2024年第4期109-111,共3页
Breastfeeding practices are influenced by multifactorial determinants including individual characteristics,external support systems,and media influences.This commentary emphasizes such complex factors influencing brea... Breastfeeding practices are influenced by multifactorial determinants including individual characteristics,external support systems,and media influences.This commentary emphasizes such complex factors influencing breastfeeding practices.Potential methodological limitations and the need for diverse sampling in studying breastfeeding practices are highlighted.Further research must explore the interplay between social influences,cultural norms,government policies,and individual factors in shaping maternal breastfeeding decisions. 展开更多
关键词 Exclusive breastfeeding Breastfeeding promotion Mass communication Maternal decision-making Social media
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Decision-Making and Management of Self-Care in Persons with Traumatic Spinal Cord Injuries: A Preliminary Study
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作者 Paul E. Plonski Jasmin Vassileva +5 位作者 Ryan Shahidi Paul B. Perrin William Carter Lance L. Goetz Amber Brochetti James M. Bjork 《Journal of Behavioral and Brain Science》 2024年第2期47-63,共17页
Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobeha... Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary;more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions. 展开更多
关键词 Spinal Cord Injury SELF-CARE decision-making PARAPLEGIA Impulsive Behavior Health Care
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Research on Public Engineering Emergency Decision-Making Based on Multi-Granularity Language Information
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作者 Huajun Liu Zengqiang Wang 《Journal of Architectural Research and Development》 2024年第1期32-37,共6页
To effectively deal with fuzzy and uncertain information in public engineering emergencies,an emergency decision-making method based on multi-granularity language information is proposed.Firstly,decision makers select... To effectively deal with fuzzy and uncertain information in public engineering emergencies,an emergency decision-making method based on multi-granularity language information is proposed.Firstly,decision makers select the appropriate language phrase set according to their own situation,give the preference information of the weight of each key indicator,and then transform the multi-granularity language information through consistency.On this basis,the sequential optimization technology of the approximately ideal scheme is introduced to obtain the weight coefficient of each key indicator.Subsequently,the weighted average operator is used to aggregate the preference information of each alternative scheme with the relative importance of decision-makers and the weight of key indicators in sequence,and the comprehensive evaluation value of each scheme is obtained to determine the optimal scheme.Lastly,the effectiveness and practicability of the method are verified by taking the earthwork collapse accident in the construction of a reservoir as an example. 展开更多
关键词 Public engineering EMERGENCY Multi-granularity language decision-making
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A Blind Spot in the Reframing of a Universe of Possibles: Towards a Suitable Model for Decision-Making Theory and A.I.
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作者 Gilbert Giacomoni 《Journal of Applied Mathematics and Physics》 2024年第6期2172-2189,共18页
Bayesian inference model is an optimal processing of incomplete information that, more than other models, better captures the way in which any decision-maker learns and updates his degree of rational beliefs about pos... Bayesian inference model is an optimal processing of incomplete information that, more than other models, better captures the way in which any decision-maker learns and updates his degree of rational beliefs about possible states of nature, in order to make a better judgment while taking new evidence into account. Such a scientific model proposed for the general theory of decision-making, like all others in general, whether in statistics, economics, operations research, A.I., data science or applied mathematics, regardless of whether they are time-dependent, have in common a theoretical basis that is axiomatized by relying on related concepts of a universe of possibles, especially the so-called universe (or the world), the state of nature (or the state of the world), when formulated explicitly. The issue of where to stand as an observer or a decision-maker to reframe such a universe of possibles together with a partition structure of knowledge (i.e. semantic formalisms), including a copy of itself as it was initially while generalizing it, is not addressed. Memory being the substratum, whether human or artificial, wherein everything stands, to date, even the theoretical possibility of such an operation of self-inclusion is prohibited by pure mathematics. We make this blind spot come to light through a counter-example (namely Archimedes’ Eureka experiment) and explore novel theoretical foundations, fitting better with a quantum form than with fuzzy modeling, to deal with more than a reference universe of possibles. This could open up a new path of investigation for the general theory of decision-making, as well as for Artificial Intelligence, often considered as the science of the imitation of human abilities, while being also the science of knowledge representation and the science of concept formation and reasoning. 展开更多
关键词 decision-making INNOVATION Universe of Possibles A.I. Quantum Form Fuzzy Modeling
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Crossing the Achilles Heel of Algorithms:Identifying the Developmental Dilemma of Artificial Intelligence-Assisted Judicial Decision-Making
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作者 Kexin Chen 《Journal of Electronic Research and Application》 2024年第1期69-72,共4页
In the developmental dilemma of artificial intelligence(AI)-assisted judicial decision-making,the technical architecture of AI determines its inherent lack of transparency and interpretability,which is challenging to ... In the developmental dilemma of artificial intelligence(AI)-assisted judicial decision-making,the technical architecture of AI determines its inherent lack of transparency and interpretability,which is challenging to fundamentally improve.This can be considered a true challenge in the realm of AI-assisted judicial decision-making.By examining the court’s acceptance,integration,and trade-offs of AI technology embedded in the judicial field,the exploration of potential conflicts,interactions,and even mutual shaping between the two will not only reshape their conceptual connotations and intellectual boundaries but also strengthen the cognition and re-interpretation of the basic principles and core values of the judicial trial system. 展开更多
关键词 Artificial intelligence Automated decision-making Algorithmic law system Due process Algorithmic justice
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Non-Cooperative Behavior Management in Large-Scale Group Decision-Making Considering the Altruistic Behaviors of Experts and Its Application in Emergency Alternative Selection
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作者 Mingjun Jiang 《Computer Modeling in Engineering & Sciences》 SCIE EI 2023年第7期487-515,共29页
Emergency decision-making problems usually involve many experts with different professional backgrounds and concerns,leading to non-cooperative behaviors during the consensus-reaching process.Many studies on noncooper... Emergency decision-making problems usually involve many experts with different professional backgrounds and concerns,leading to non-cooperative behaviors during the consensus-reaching process.Many studies on noncooperative behavior management assumed that the maximumdegree of cooperation of experts is to totally accept the revisions suggested by the moderator,which restricted individuals with altruistic behaviors to make more contributions in the agreement-reaching process.In addition,when grouping a large group into subgroups by clustering methods,existing studies were based on the similarity of evaluation values or trust relationships among experts separately but did not consider them simultaneously.In this study,we introduce a clustering method considering the similarity of evaluation values and the trust relations of experts and then develop a consensusmodel taking into account the altruistic behaviors of experts.First,we cluster experts into subgroups by a constrained Kmeans clustering algorithm according to the opinion similarity and trust relationship of experts.Then,we calculate the weights of experts and clusters based on the centrality degrees of experts.Next,to enhance the quality of consensus reaching,we identify three kinds of non-cooperative behaviors and propose corresponding feedback mechanisms relying on the altruistic behaviors of experts.A numerical example is given to show the effectiveness and practicality of the proposed method in emergency decision-making.The study finds that integrating altruistic behavior analysis in group decision-making can safeguard the interests of experts and ensure the integrity of decision-making information. 展开更多
关键词 Large-scale group decision making altruistic behavior non-cooperative behaviors consensus reaching emergency alternative selection
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Strategic Renewable Energy Resource Selection Using a Fuzzy Decision-Making Method
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作者 Anas Quteishat M.A.A.Younis 《Intelligent Automation & Soft Computing》 SCIE 2023年第2期2117-2134,共18页
Renewable energy is created by renewable natural resources such as geothermal heat,sunlight,tides,rain,and wind.Energy resources are vital for all countries in terms of their economies and politics.As a result,selecti... Renewable energy is created by renewable natural resources such as geothermal heat,sunlight,tides,rain,and wind.Energy resources are vital for all countries in terms of their economies and politics.As a result,selecting the optimal option for any country is critical in terms of energy investments.Every country is nowadays planning to increase the share of renewable energy in their universal energy sources as a result of global warming.In the present work,the authors suggest fuzzy multi-characteristic decision-making approaches for renew-able energy source selection,and fuzzy set theory is a valuable methodology for dealing with uncertainty in the presence of incomplete or ambiguous data.This study employed a hybrid method for order of preference by resemblance to an ideal solution based on fuzzy analytical network process-technique,which agrees with professional assessment scores to be linguistic phrases,fuzzy numbers,or crisp numbers.The hybrid methodology is based on fuzzy set ideologies,which calculate alternatives in accordance with professional functional requirements using objective or subjective characteristics.The best-suited renewable energy alternative is discovered using the approach presented. 展开更多
关键词 Multi characteristic decision making framework fuzzy sets fuzzy theory renewable energy energy resource selection
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基于SELECT理念腹腔镜下保留脾脏的胰体尾切除
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作者 李爽 张标 +5 位作者 刘航宇 祁冰 Thomas Juby 张桂信 张庆凯 尚东 《临床外科杂志》 2024年第7期776-779,共4页
腹腔镜下胰体尾切除术目前已经成为治疗胰腺体尾部肿瘤的标准术式。而腹腔镜下保留脾脏的胰体尾切除术由于可保留脾脏功能,减少脾切除术后并发症,越来越受到重视。然而,胰腺肿瘤发病隐匿、解剖位置复杂,这些对其诊断和保留脾脏的胰体尾... 腹腔镜下胰体尾切除术目前已经成为治疗胰腺体尾部肿瘤的标准术式。而腹腔镜下保留脾脏的胰体尾切除术由于可保留脾脏功能,减少脾切除术后并发症,越来越受到重视。然而,胰腺肿瘤发病隐匿、解剖位置复杂,这些对其诊断和保留脾脏的胰体尾切除术带来了挑战。近年来,我们团队积累了丰富的胰腺肿瘤诊疗经验,创新提出“SELECT”(S-Single-Operator Cholangiopancreatoscopy,E-ERCP,L-Laparoscopy,E-Endoscopic ultrasound,C-Choledochoscopy/Confocal laser endomicroscopy,T-Traditional Chinese medicine)多镜组合中西医微创诊治理念。根据胰腺肿瘤的类型及特点,应用多种内镜和腹腔镜技术,多种不同微创诊疗方法的优选组合,围手术期采用中医药,进行中西医结合加速康复。将SELECT理念充分应用于腹腔镜下保留脾脏的胰体尾切除术,有利于术前精准诊断、术中精准切除、术后并发症预判和治疗,一站式诊治胰腺肿瘤,使病人利益最大化。 展开更多
关键词 select理念 多镜联合 胰腺肿瘤 保留脾脏 胰体尾切除术
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Artificial intelligence promotes shared decision-making through recommending tests to febrile pediatric outpatients 被引量:2
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作者 Wei-hua Li Bin Dong +9 位作者 Han-song Wang Jia-jun Yuan Han Qian Ling-ling Zheng Xu-lin Lin Zhao Wang Shi-jian Liu Bo-tao Ning Dan Tian Lie-bin Zhao 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2023年第2期106-111,共6页
BACKGROUND:To promote the shared decision-making(SDM)between patients and doctors in pediatric outpatient departments,this study was designed to validate artificial intelligence(AI)-initiated medical tests for childre... BACKGROUND:To promote the shared decision-making(SDM)between patients and doctors in pediatric outpatient departments,this study was designed to validate artificial intelligence(AI)-initiated medical tests for children with fever.METHODS:We designed an AI model,named Xiaoyi,to suggest necessary tests for a febrile child before visiting a pediatric outpatient clinic.We calculated the sensitivity,specificity,and F1 score to evaluate the efficacy of Xiaoyi’s recommendations.The patients were divided into the rejection and acceptance groups.Then we analyzed the rejected examination items in order to obtain the corresponding reasons.RESULTS:We recruited a total of 11,867 children with fever who had used Xiaoyi in outpatient clinics.The recommended examinations given by Xiaoyi for 10,636(89.6%)patients were qualified.The average F1 score reached 0.94.A total of 58.4%of the patients accepted Xiaoyi’s suggestions(acceptance group),and 41.6%refused(rejection group).Imaging examinations were rejected by most patients(46.7%).The tests being time-consuming were rejected by 2,133 patients(43.2%),including rejecting pathogen studies in 1,347 patients(68.5%)and image studies in 732 patients(31.8%).The difficulty of sampling was the main reason for rejecting routine tests(41.9%).CONCLUSION:Our model has high accuracy and acceptability in recommending medical tests to febrile pediatric patients,and is worth promoting in facilitating SDM. 展开更多
关键词 Artificial intelligence Pediatric outpatient Medical examinations Shared decision-making
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A multi-enterprise quality function deployment paradigm with unstructured decision-making in linguistic contexts 被引量:1
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作者 PENG Jian’gang XIA Guang +1 位作者 SUN Baoqun WANG Shaojie 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2023年第4期966-980,共15页
This paper presents an operational framework of unstructured decision-making approach involving quality function deployment(QFD)in an uncertain linguistic context.Firstly,QFD is extended to the multi-enterprise paradi... This paper presents an operational framework of unstructured decision-making approach involving quality function deployment(QFD)in an uncertain linguistic context.Firstly,QFD is extended to the multi-enterprise paradigm in a real-world manufacturing environment.Secondly,hesitant fuzzy linguistic term sets(HFLTSs),which facilitate the management and handling of information equivocality,are designed to construct a house of quality(HoQ)in the product planning process.The technique of computing with words is applied to bridge the gap between mechanisms of the human brain and machine processes with fuzzy linguistic term sets.Thirdly,a multi-enterprise QFD pattern is formulated as an unstructured decision-making problem for alternative infrastructure project selection in a manufacturing organization.The inter-relationships of cooperative partners are directly matched with a back propagation neural network(BPNN)to construct the multi-enterprise manufacturing network.The resilience of the manufacturing organization is considered by formulating an outranking method on the basis of HFLTSs to decide on infrastructure project alternatives.Finally,a real-world example,namely,the prototype manufacturing of an automatic transmission for a vehicle,is provided to illustrate the effectiveness of the proposed decision-making approach. 展开更多
关键词 decision-making quality function deployment(QFD) UNCERTAINTY fuzzy set
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Compounding effects of human activities and climatic changes on coexistence of oasis-desert ecosystems:Prioritizing resilient decision-making for a riskier world 被引量:1
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作者 XinWei Yin Wei Liu +11 位作者 Meng Zhu JuTao Zhang Qi Feng HaiYang Xi LinShan Yang Tuo Han WenJu Cheng YingQing Su BaiTing Zhang YuanYuan Xue ZeXia Chen LingGe Wang 《Research in Cold and Arid Regions》 CSCD 2023年第5期219-229,共11页
Water-salt balance is critical for the stable coexistence of salt-affected and groundwater-fed oasis-desert ecosystems. Yet, a comprehensive investigation of how soil salinization and groundwater degradation threaten ... Water-salt balance is critical for the stable coexistence of salt-affected and groundwater-fed oasis-desert ecosystems. Yet, a comprehensive investigation of how soil salinization and groundwater degradation threaten the coexistence of oasis-desert ecosystems is still scarce, especially under the compounding effects of human activities and climatic changes. Here, we assessed the impacts of irrigated agriculture on hydrological regimes in oasisdesert systems, investigated the spatio-temporal variations of soil salinization in irrigated cropland, and evaluated the implications of the interplays of soil salinization and groundwater degradation on the coexistence of oasis-desert ecosystems in northwestern China, based on meaningful modelling approaches and comprehensive measurements over 1995–2020. The results showed that the irrigation return flow coefficient decreased sharply from 0.21 ± 0.09 in the traditional irrigation period to 0.09 ± 0.01 in the water-saving irrigation period. The continuous drop in groundwater tables and significant degradation of groundwater quality are occurring throughout this watershed. The eco-environmental flows are reaching to their limit with watershed closures(i.e.,the drainage from the oasis region into the desert region is being weakened or even eliminated), although these progressions were largely hidden by regional precipitation and streamflow variability. The process of salt migration and accumulation across different landscapes in oasis-desert system is being reshaped, and soil salinization in water-saving agricultural irrigated lands is accelerating with a regional average annual growth rate of18%. The vegetation in this watershed is degrading, and anthropogenic disturbance accelerates this trend. Our results highlight that environmental stress adaptation strategies must account for resilience maintenance to avoid accelerating catastrophic transitions in oasis-desert ecosystems. Determining the optimal oasis scales and formulating the best irrigation management plans are effective and resilient decision-making ways to maintain the coexistence relationship of oasis-desert ecosystem in drylands. 展开更多
关键词 Oasis-desert ecosystems Hydrological regimes Soil salinization Vegetation dynamics Resilient decision-making
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