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Traffic Incident Management Performance Measures: Ranking Agencies on Roadway Clearance Time 被引量:1
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作者 Maroa Mumtarin Skylar Knickerbocker +1 位作者 Theresa Litteral Jonathan S. Wood 《Journal of Transportation Technologies》 2023年第3期353-368,共16页
This study develops a procedure to rank agencies based on their incident responses using roadway clearance times for crashes. This analysis is not intended to grade agencies but to assist in identifying agencies requi... This study develops a procedure to rank agencies based on their incident responses using roadway clearance times for crashes. This analysis is not intended to grade agencies but to assist in identifying agencies requiring more training or resources for incident management. Previous NCHRP reports discussed usage of different factors including incident severity, roadway characteristics, number of lanes involved and time of incident separately for estimating the performance. However, it does not tell us how to incorporate all the factors at the same time. Thus, this study aims to account for multiple factors to ensure fair comparisons. This study used 149,174 crashes from Iowa that occurred from 2018 to 2021. A Tobit regression model was used to find the effect of different variables on roadway clearance time. Variables that cannot be controlled directly by agencies such as crash severity, roadway type, weather conditions, lighting conditions, etc., were included in the analysis as it helps to reduce bias in the ranking procedure. Then clearance time of each crash is normalized into a base condition using the regression coefficients. The normalization makes the process more efficient as the effect of uncontrollable factors has already been mitigated. Finally, the agencies were ranked by their average normalized roadway clearance time. This ranking process allows agencies to track their performance of previous crashes, can be used in identifying low performing agencies that could use additional resources and training, and can be used to identify high performing agencies to recognize for their efforts and performance. 展开更多
关键词 Traffic Incident management Roadway Clearance time Performance Measures and Ranking Agency Performance Evaluation Tobit Regression Model
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Internet of Things Enabled Energy Aware Metaheuristic Clustering for Real Time Disaster Management
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作者 Riya Kumarasamy Santhanaraj Surendran Rajendran +1 位作者 Carlos Andres Tavera Romero Sadish Sendil Murugaraj 《Computer Systems Science & Engineering》 SCIE EI 2023年第5期1561-1576,共16页
Wireless Sensor Networks(WSNs)are a major element of Internet of Things(IoT)networks which offer seamless sensing and wireless connectivity.Disaster management in smart cities can be considered as a safety critical ap... Wireless Sensor Networks(WSNs)are a major element of Internet of Things(IoT)networks which offer seamless sensing and wireless connectivity.Disaster management in smart cities can be considered as a safety critical application.Therefore,it becomes essential in ensuring network accessibility by improving the lifetime of IoT assisted WSN.Clustering and multihop routing are considered beneficial solutions to accomplish energy efficiency in IoT networks.This article designs an IoT enabled energy aware metaheuristic clustering with routing protocol for real time disaster management(EAMCR-RTDM).The proposed EAMCR-RTDM technique mainly intends to manage the energy utilization of nodes with the consideration of the features of the disaster region.To achieve this,EAMCR-RTDM technique primarily designs a yellow saddle goatfish based clustering(YSGF-C)technique to elect cluster heads(CHs)and organize clusters.In addition,enhanced cockroach swarm optimization(ECSO)based multihop routing(ECSO-MHR)approach was derived for optimal route selection.The YSGF-C and ECSO-MHR techniques compute fitness functions using different input variables for achieving improved energy efficiency and network lifetime.The design of YSGF-C and ECSO-MHR techniques for disaster management in IoT networks shows the novelty of the work.For examining the improved outcomes of the EAMCR-RTDM system,a wide range of simulations were performed and the extensive results are assessed in terms of different measures.The comparative outcomes highlighted the enhanced outcomes of the EAMCRRTDM algorithm over the existing approaches. 展开更多
关键词 Internet of things disaster management wireless sensor networks real time applications ROUTING CLUSTERING
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PhishGuard: Integrating Fine-Tuned Large Language Models (LLMs) into Password Management
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作者 Smith Patel Vijay K. Madisetti 《Journal of Information Security》 2024年第4期474-493,共20页
In the digital age, phishing attacks have been a persistent security threat leveraged by traditional password management systems that are not able to verify the authenticity of websites. This paper presents an approac... In the digital age, phishing attacks have been a persistent security threat leveraged by traditional password management systems that are not able to verify the authenticity of websites. This paper presents an approach to embedding sophisticated phishing detection within a password manager’s framework, called PhishGuard. PhishGuard uses a Large Language Model (LLM), specifically a fine-tuned BERT algorithm that works in real time, where URLs fed by the user in the credentials are analyzed and authenticated. This approach enhances user security with its provision of real-time protection from phishing attempts. Through rigorous testing, this paper illustrates how PhishGuard has scored well in tests that measure accuracy, precision, recall, and false positive rates. 展开更多
关键词 Phishing Attacks Password management Phishing Detection AI BERT Algorithm Real-time Protection CYBERSECURITY URL Authentication
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Formal management-specifying approach for model-based safety assessment
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作者 XU Changyi DUAN Yiman ZHANG Chao 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2023年第6期1589-1601,共13页
In the field of model-based system assessment,mathematical models are used to interpret the system behaviors.However,the industrial systems in this intelligent era will be more manageable.Various management operations... In the field of model-based system assessment,mathematical models are used to interpret the system behaviors.However,the industrial systems in this intelligent era will be more manageable.Various management operations will be dynamically set,and the system will be no longer static as it is initially designed.Thus,the static model generated by the traditional model-based safety assessment(MBSA)approach cannot be used to accurately assess the dependability.There mainly exists three problems.Complex:huge and complex behaviors make the modeling to be trivial manual;Dynamic:though there are thousands of states and transitions,the previous model must be resubmitted to assess whenever new management arrives;Unreusable:as for different systems,the model must be resubmitted by reconsidering both the management and the system itself at the same time though the management is the same.Motivated by solving the above problems,this research studies a formal management specifying approach with the advantages of agility modeling,dynamic modeling,and specification design that can be re-suable.Finally,three typical managements are specified in a series-parallel system as a demonstration to show the potential. 展开更多
关键词 model-based safety assessment(MBSA) management AVAILABILITY RELIABILITY MAINTAINABILITY continuous time Markov chain.
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Delivery Service Management System Using Google Maps for SMEs in Emerging Countries
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作者 Sophea Horng Pisal Yenradee 《Computers, Materials & Continua》 SCIE EI 2023年第6期6119-6143,共25页
This paper proposes a Delivery Service Management(DSM)system for Small and Medium Enterprises(SMEs)that own a delivery fleet of pickup trucks to manage Business-to-Business(B2B)delivery services.The proposed DSM syste... This paper proposes a Delivery Service Management(DSM)system for Small and Medium Enterprises(SMEs)that own a delivery fleet of pickup trucks to manage Business-to-Business(B2B)delivery services.The proposed DSM system integrates four systems:Delivery Location Positioning(DLP),Delivery Route Planning(DRP),Arrival Time Prediction(ATP),and Communication and Data Sharing(CDS)systems.These systems are used to pinpoint the delivery locations of customers,plan the delivery route of each truck,predict arrival time(with an interval)at each delivery location,and communicate and share information among stakeholders,respectively.The DSM system deploys Google applications,a GPS tracking system,Google Map APIs,ATP algorithms(embedded in Excel Macros),Line,and Telegram as supporting tools.To improve the accuracy of the ATP system,three tech-niques are applied considering driver behaviors.The proposed DSM system has been implemented in a Thai SME.From the process perspective,the DSM system is a systematic procedure for end-to-end delivery services.It allows the interactions between planner-driver decisions and supporting tools.The supporting tools are simple,can be easily used with little training,and require low capital expenditure.The statistical analysis shows that the ATP algorithm with the three techniques provides high accuracy.Thus,the proposed DSM system is beneficial for practitioners to manage delivery services,especially for SMEs in emerging countries. 展开更多
关键词 Logistics and supply chain management small and medium enterprise(SME) delivery service management(DSM) arrival time prediction(ATP) Google Maps GPS tracking system driver behaviors
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Vehicle Operating, Accident and User Time Costs in Pavement Management Systems: Approach for Portuguese Conditions 被引量:1
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作者 Bertha Maria Batista dos Santos Luis Guilherme de Picado Santos Victor Manuel Pissarra Cavaleiro 《Journal of Civil Engineering and Architecture》 2011年第8期723-731,共9页
This paper presents a description and analysis of the most important models to predict each of the Road User Costs components (Vehicle Operating Costs, Accident Costs and Value of Time) and proposes a model for esti... This paper presents a description and analysis of the most important models to predict each of the Road User Costs components (Vehicle Operating Costs, Accident Costs and Value of Time) and proposes a model for estimating RUC components suitable for the Portuguese road network. These results are part of a research which aimed to obtain a Road User Cost Model to be used as a tool in road management systems. This model is different from other models by the fact that it includes a simple formulation that allows calibration and calculation of cost parameters, for any year, in a simple and fast way, providing trustworthy results. The required data is already available in Portuguese institutions, allowing periodic revision of cost parameters to insure accuracy. 展开更多
关键词 COSTS pavement management systems time traffic accidents vehicle operations.
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Time Management of the Clinical Nurses at Public Hospital in Bangladesh
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作者 Nibadita Barua Meherun Nesa +1 位作者 Md. Abdul Latif Shariful Islam 《Open Journal of Nursing》 2019年第10期1041-1053,共13页
Nursing is a very intense and focused career, so picking the right time and its proper management can help to relieve personal stress, manage tasks properly and achieve patients and organizational outcome. Objective: ... Nursing is a very intense and focused career, so picking the right time and its proper management can help to relieve personal stress, manage tasks properly and achieve patients and organizational outcome. Objective: This study aimed to explore perceived time management skill of the clinical nurses. Methods: This was a descriptive correlational study design using simple random sampling. A total of 77 clinical nurses working in Mugda Medical College Hospital, Dhaka, Bangladesh were selected as study participants. The data were collected through structure questionnaire which consisted of demographic questionnaire and five dimensions of Time Management Skill Questionnaire (TMSQ). Results: The overall mean score of time management skill was 2.63 (SD = 0.28) reflecting a medium level of nurses perceived time management skill. The results also revealed that nurses age (r = 0.39, p = 0.000), monthly income (r = 0.294, p = 0.017) and service experience (r = 0.248, p = 0.030) were statistically significant correlated with nurses’ perceived time management skill. Conclusion: The outcome of this research would add to develop a strategy for nurse administrators to take an initiative for how nurses could improve the time management and utilize their limited time effectively. It specifies that proper time management can influence to provide quality care and achieving organizational goal. 展开更多
关键词 time management Effective time management CLINICAL NURSE HOSPITAL
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Forestry under Climate Change. Is Time a Tool for Sustainable Forest Management?
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作者 Fabrizio D’Aprile Nigel Tapper Marco Marchetti 《Open Journal of Forestry》 2015年第4期329-336,共8页
Changing climate conditions are known to influence forest tree growth response and the CO2 cycle. Dendroclimatological research has shown that the climate signal, species composition, and growth trends have changed in... Changing climate conditions are known to influence forest tree growth response and the CO2 cycle. Dendroclimatological research has shown that the climate signal, species composition, and growth trends have changed in different types of forest ecosystems during the last century. Under current and demonstrated changes in climate variability at the geographic, regional, and local levels tree growth shows also variability and trends that can be non-stationary during time even at relatively short distance between sites. In forest planning and management, yield tables, site quality indices, age class, rate of growth, and spatial distribution are some of the most used tools and parameters. However, these methods do not involve climate variability during time although climate is the main driver in trends of forest and tree growth. Previous research warns about the risk that forest management under changing climatic conditions could amplify their negative effects. For example, changing climate conditions may impact on temperature and/or precipitation thresholds critical to forest tree growth. Forest biomass, resilience, and CO2 storage may be damaged unless forest planning and management implement the relationships between climate variability and trends of tree growth. A positive aspect is that, periods of favorable climate conditions may allow harvesting higher amount of wood mass and storing more CO2 than traditional planning methods. And, the average length of both favorable and adverse periods appears to occur within the validity period of a forest management plan. Here, we show a conceptual development to implement climate variability in forest management in the view of continuing the research. 展开更多
关键词 CLIMATE Change FORESTRY SUSTAINABILITY time FACTOR management
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Developing time-management skills in the foreign language classroom
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作者 YANG Xiao-hua 《Sino-US English Teaching》 2007年第6期1-3,36,共4页
The practical problems all students may face at some point in their college life are procrastination and time management. A recent survey shows that most of the first-year college students with language learning disab... The practical problems all students may face at some point in their college life are procrastination and time management. A recent survey shows that most of the first-year college students with language learning disabilities lack time-management skills. In order to help the students solve these problems, a language teacher should not only help students to develop their language skills, but also help them to learn some techniques of time-management. To ensure that, teachers need to help the students with the setting of clear goals and ways of planning and scheduling time for a balanced lifestyle. 展开更多
关键词 PROCRASTINATION time management goal setting SCHEDULE
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The Research on Left-Behind Adolescents’Time Management Disposition
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作者 ZUO Lihua XIAHOU Tengfei 《Psychology Research》 2022年第3期129-137,共9页
Objective:To explore the time management tendency of left-behind adolescents,compare the differences of time management of left-behind.Methods:The questionnaire studies the adolescents students of major labor.Results:... Objective:To explore the time management tendency of left-behind adolescents,compare the differences of time management of left-behind.Methods:The questionnaire studies the adolescents students of major labor.Results:Left-behind adolescents are tend to form bad time management tendency(t<2.55,p<0.01)and among these left-behind adolescents there are great individual differences(F>4.24,p>0.05);16-year-old time is a critical period of forming social value of time management(F>4.24,p>0.05),the grade(F_((2,331))=3.74,p=0.03),and whether the only child(t=2.26,p=0.03)has priority to the impact of time management;the children’s age when their parents left.The left period of their parents,the parents who go out,and the visit interval all these factors affect the adolescents’time management tendency(R^(2)>0.21,p<0.001). 展开更多
关键词 LEFT-BEHIND adolescents time management Disposition(tmD) left-behind situation remain
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Correlation between time management disposition and ability confidence of chinese nursing students: a meta-analysis
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作者 Meng-Jie Lei Ya-Qian Liu +3 位作者 Ting-Ting Liu Ming Sang Si-Qi Xiong Chang-De Ji 《TMR Integrative Nursing》 2018年第3期123-131,共9页
Objective: To evaluate the correlation between time management disposition and ability confidence of Nursing Students in China through the Pearson correlation coefficient. Methods: Electronic databases including the... Objective: To evaluate the correlation between time management disposition and ability confidence of Nursing Students in China through the Pearson correlation coefficient. Methods: Electronic databases including the Cochrane library, PubMed, EMBASE, the Web of Science, CBM, Wanfang, VIP and CNKI were searched from inception to October 2017 to collect literature on the correlation between time manage-ment disposition and ability confidence of Chinese nursing students. The studies were examined according to the inclusion and exclusion criteria. After extracting data and evaluating the quality of the included studies. Meta-analysis was carried out using Stata 12.0 software. Results: A total of 7 articles with 1632 nursing students were included, and the quality of the literature was at medium level. Meta-analysis shown the total score of time management disposition of Chinese nursing students and its three dimensions were related to ability confidence. The summary correlation coefficient between time management disposition and ability confidence was 0.52 (0.43 to 0.59) ; There is a weak correlation between time value and ability confidence (r, 0.33; 95% CI, 0.25 to 0.39); There was a moderate level of correlation between time control and ability confidence (r, 0.49; 95% CI, 0.43 to 0.54); There was a moderate level of correlation between time efficacy and ability confidence (0.47, 0.41, 0.53).And the relevance of nursing time management disposition and behavioral confidence varies with the nursing student's area, nursing student's diploma, measurement tools and sample size. Conclusion: The time man- agement disposition of Chinese nursing students is moderately related to ability confidence. When there are different in nursing students in the area, nursing diploma, measurement tools and sample size, the relevance is very different. The time management disposition of Chinese nursing students and their ability confidence are mutually reinforcing, and the time management disposition and their ability confidence should be further strengthened in the future. 展开更多
关键词 NURSING time management Ability confidence META-ANALYSIS
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A Study on Time Management of College English Class
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作者 ttUANG Liping 《International English Education Research》 2016年第6期92-97,共6页
Teaching is a complicated system, involving the knowledge, ability, skills, quahty and other aspects, eacla ot wmcn presents a multidimensional structure. During the limited teaching time, it can't guarantee to finis... Teaching is a complicated system, involving the knowledge, ability, skills, quahty and other aspects, eacla ot wmcn presents a multidimensional structure. During the limited teaching time, it can't guarantee to finish and cover so many teaching contents and tasks without careful time management. Even if there is enough time, it can't result in high teaching efficiency naturally. The phenomenon of time-consuming but inefficiency often appears. How to optimize time management to improve teaching efficiency is worthy of our constant research. Take college English class as an example, this paper attempts to construct a general and high-efficiency time management mode of college English class based on some second language acquisition theories, combined with some teaching practice, improve the effect of the current college English teaching, and as a reference for other subjects. 展开更多
关键词 time management College English Class teaching efficiency
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Design of a Prognostics and Health Management System for Electromechanical Equipment Through Time Stress Analysis
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作者 LU Ke-hong QIU Jing LIU Guan-jun 《International Journal of Plant Engineering and Management》 2008年第1期20-25,共6页
Time stress includes all kinds of environment and operating stress such as shock, vibration, temperature and electric current that the electromechanical system suffers in the manufacture, transport and operating proce... Time stress includes all kinds of environment and operating stress such as shock, vibration, temperature and electric current that the electromechanical system suffers in the manufacture, transport and operating process. In this paper, the conception of time stress and prognostics and health management ( PHM) system are introduced. Then, in order to improve the false alarm recognition and fault prediction capabilities of the electromechanical equipment, a novel PHM architecture for electromechanical equipment is put forward based on a built-in test (BIT) system design technology and time stress analysis method. Finally, the structure, the design and implementing method and the functions of each module of this PHM system are described in detail. 展开更多
关键词 fault prediction health management time stress electromechanical equipment
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A New Web-Based Project and Employee Time Tracking System for Project Management
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作者 Somaya Al-Maadeed Asma Abdulrahman 《通讯和计算机(中英文版)》 2011年第5期366-372,共7页
关键词 跟踪系统 WEB应用 工作时间 项目管理 员工 卡塔尔石油公司 公共交通 性能测试
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REAL-TIME LICENSING MANAGEMENT OF SECURE MULTIMEDIA CONTENT DELIVE RY
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作者 马兆丰 冯博琴 《Journal of Pharmaceutical Analysis》 SCIE CAS 2004年第2期110-113,118,共5页
Media Commerce is now becoming a new trend which results fr om faster development of network bandwidth and high availability of multimedia t echnologies, how to protect media content from being used in a right-violat... Media Commerce is now becoming a new trend which results fr om faster development of network bandwidth and high availability of multimedia t echnologies, how to protect media content from being used in a right-violated w ay is one of most important issues to take into account. In this paper, a novel and efficient authorization and authentication Digital Rights Management (DRM) s chema is proposed firstly for secure multimedia delivery, then based on the sche ma, a real-time digital signature algorithm built on Elliptic Curve Cryptograph y (ECC) is adopted for fast authentication and verification of licensing managem ent, thus secure multimedia delivery via TCP/RTP can efficiently work with real -time transaction response and high Quality of Service (QoS) . Performance eval uations manifest the proposed schema is secure, available for real-time media s tream authentication and authorization without much effected of QoS. The propose d schema is not only available for Client/Server media service but can be easily extended to P2P and broadcasting network for trusted rights management. 展开更多
关键词 digital rights management multimedia delivery real-time licensing management elliptic curve cryptography
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Congestion Management Strategies of Real-Time Market
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作者 Qi Wang Chunyu Zhang Yi Ding 《Journal of Power and Energy Engineering》 2014年第4期227-232,共6页
The high penetration of distributed energy resources (DERs) will significantly challenge the power system operation and control due to their stochastic, intermittent, and fluctuation characteristics. This enhances the... The high penetration of distributed energy resources (DERs) will significantly challenge the power system operation and control due to their stochastic, intermittent, and fluctuation characteristics. This enhances the difficulty of congestion management of power systems in cross-border electricity market among different regions. For handling this, the Real-Time Market is proposed for balancing capacity trading against congestions. Several strategies for Real-Time Market dealing with congestions are proposed. The strategy of two-stage crossborder markets in Day-ahead, Intra-day and Real Time Market are introduced with the congestion constraints complied. Pre-Contingency strategy is proposed as the advance preparation for the future congestion, and In-Day redispatch is used for regulation. Accordingly, the requirements on facilities considering telemetry and remote control in a fast manner are discussed at last. 展开更多
关键词 CONGESTION management ELECTRICITY MARKET REAL-time MARKET DISTRIBUTED Energy Resources(DERs)
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Quantity-based shipment consolidation and stock replenishment policy with lead time in vendor-managed inventory system
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作者 王正国 李文锋 王红卫 《Journal of Southeast University(English Edition)》 EI CAS 2007年第S1期40-45,共6页
In order to let the supplier make more reasonable supply decisions,an integrated continuous replenishment policy for the vendor-managed inventory system is presented,which considers the quantity-based shipment consoli... In order to let the supplier make more reasonable supply decisions,an integrated continuous replenishment policy for the vendor-managed inventory system is presented,which considers the quantity-based shipment consolidation and stock replenishment with lead time.Then the system cost is analyzed and a mathematical model is built.Since the model is rather complex,the bounds of the optimal policy are first attained,then the problem is solved by a heuristic algorithm.Through experiments the relationship between the order lead time and the corresponding integrated policy is discussed,and the influence on the system cost is also analyzed.The results reveal that the lead time's influence on the system is more serious with the increase of the order lead time,the integrated policy with the order lead time is more reasonable and the optimal policy can minimize the total system cost.Finally,the parameter sensitivity of the model is analyzed. 展开更多
关键词 vendor managed inventory lead time shipment consolidation stock replenishment
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Cyber Resilience through Real-Time Threat Analysis in Information Security
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作者 Aparna Gadhi Ragha Madhavi Gondu +1 位作者 Hitendra Chaudhary Olatunde Abiona 《International Journal of Communications, Network and System Sciences》 2024年第4期51-67,共17页
This paper examines how cybersecurity is developing and how it relates to more conventional information security. Although information security and cyber security are sometimes used synonymously, this study contends t... This paper examines how cybersecurity is developing and how it relates to more conventional information security. Although information security and cyber security are sometimes used synonymously, this study contends that they are not the same. The concept of cyber security is explored, which goes beyond protecting information resources to include a wider variety of assets, including people [1]. Protecting information assets is the main goal of traditional information security, with consideration to the human element and how people fit into the security process. On the other hand, cyber security adds a new level of complexity, as people might unintentionally contribute to or become targets of cyberattacks. This aspect presents moral questions since it is becoming more widely accepted that society has a duty to protect weaker members of society, including children [1]. The study emphasizes how important cyber security is on a larger scale, with many countries creating plans and laws to counteract cyberattacks. Nevertheless, a lot of these sources frequently neglect to define the differences or the relationship between information security and cyber security [1]. The paper focus on differentiating between cybersecurity and information security on a larger scale. The study also highlights other areas of cybersecurity which includes defending people, social norms, and vital infrastructure from threats that arise from online in addition to information and technology protection. It contends that ethical issues and the human factor are becoming more and more important in protecting assets in the digital age, and that cyber security is a paradigm shift in this regard [1]. 展开更多
关键词 Cybersecurity Information Security Network Security Cyber Resilience Real-time Threat Analysis Cyber Threats Cyberattacks Threat Intelligence Machine Learning Artificial Intelligence Threat Detection Threat Mitigation Risk Assessment Vulnerability management Incident Response Security Orchestration Automation Threat Landscape Cyber-Physical Systems Critical Infrastructure Data Protection Privacy Compliance Regulations Policy Ethics CYBERCRIME Threat Actors Threat Modeling Security Architecture
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Times管理方案在心内科护士多参数心电监护仪警报疲劳中的应用 被引量:2
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作者 张雪梅 王新霞 +2 位作者 张芳 竟爱萍 崔亚丽 《卫生职业教育》 2023年第8期152-154,共3页
探讨Times管理方案在心内科护士多参数心电监护仪警报疲劳中的应用效果,以提高护士临床警报知识水平,改善警报管理态度和行为,减轻护士的警报疲劳,降低心电监护仪错误警报发生率。
关键词 times管理方案 多参数心电监护仪 心内科护士 警报疲劳
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Effectiveness of surgical management of malignant glaucoma in phakic eyes 被引量:2
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作者 Qi-Wei WangCheng-Guo Zuo Jing Li +5 位作者 Xiao-Shan Lin Wan Chen Qiao-Lin Zhu Feng-Qi Zhou Hao-Tian Lin Wei-Rong Chen 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2022年第1期65-70,共6页
AIM:To assess the effectiveness of core vitrectomyphacoemulsification-intraocular lens(IOL)implantationcapsulo-hyaloidotomy in treating phakic eye at least 1 mo after the onset of malignant glaucoma.METHODS:A retrospe... AIM:To assess the effectiveness of core vitrectomyphacoemulsification-intraocular lens(IOL)implantationcapsulo-hyaloidotomy in treating phakic eye at least 1 mo after the onset of malignant glaucoma.METHODS:A retrospective analysis were performed on malignant glaucoma patients treated in Zhongshan Ophthalmic Center between 2016 and 2018.Demographic and clinical data were described.The preoperative and postoperative visual acuity(VA),intraocular pressure(IOP),number of IOP-lowering medications used,and anterior chamber depth(ACD)of the case series were compared by Wilcoxon signed-rank test.RESULTS:Thirteen phakic eyes with long time intervals between onset and surgery were identified in this case series.Core vitrectomy-phacoemulsification-IOL implantation-capsulohyaloidotomy reduced the IOP(P=0.046)and the number of IOP-lowering medications used(P=0.004),deepened the ACD(P=0.005).Complete success was achieved in 38.5%of the eyes,and anatomical success was achieved in 100%of the eyes without any recurrence.The only postoperative complication observed is corneal endothelial decompensation.It occurred in two cases.CONCLUSION:Core vitrectomy-phacoemulsification-IOL implantation-capsulo-hyaloidotomy is safe and effective for treatment of long onset phakic malignant glaucoma. 展开更多
关键词 PHAKIC malignant glaucoma surgical management long time interval
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