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Analysis on auditing problems in SOEs joint share system reform
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作者 ZHANG Xian-zhi JIANG Mei-hua 《Journal of Modern Accounting and Auditing》 2007年第4期53-59,共7页
关键词 财务审计 政府财政审计 制度改革 股份体制改革
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Understanding the demand predictability of bike share systems:A station-level analysis
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作者 Zhuoli YIN Kendrick HARDAWAY +2 位作者 Yu FENG Zhaoyu KOU Hua CAI 《Frontiers of Engineering Management》 CSCD 2023年第4期551-565,共15页
Predicting demand for bike share systems(BSSs)is critical for both the management of an existing BSS and the planning for a new BSS.While researchers have mainly focused on improving prediction accuracy and analysing ... Predicting demand for bike share systems(BSSs)is critical for both the management of an existing BSS and the planning for a new BSS.While researchers have mainly focused on improving prediction accuracy and analysing demand-influencing factors,there are few studies examining the inherent randomness of stations'observed demands and to what degree the demands at individual stations are predictable.Using Divvy bike-share one-year data from Chicago,USA,we measured demand entropy and quantified the station-level predictability.Additionally,to verify that these predictability measures could represent the performance of prediction models,we implemented two commonly used demand prediction models to compare the empirical prediction accuracy with the calculated entropy and predictability.Furthermore,we explored how city-and system-specific temporallyconstant features would impact entropy and predictability to inform estimating these measures when historical demand data are unavailable.Our results show that entropy and predictability of demands across stations are polarized as some stations exhibit high uncertainty(a low predictability of 0.65)and others have almost no check-out demand uncertainty(a high predictability of around 1.0).We also validated that the entropy and predictability are a priori model-free indicators for prediction error,given a sequence of bike usage demands.Lastly,we identified that key factors contributing to station-level entropy and predictability include per capita income,spatial eccentricity,and the number of parking lots near the station.Findings from this study provide more fundamental understanding of BSS demand prediction,which can help decision makers and system operators anticipate diverse stationlevel prediction errors from their prediction models both for existing stations and for new ones. 展开更多
关键词 bike share systems demand prediction prediction errors machine learning ENTROPY
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安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中的应用
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作者 申青 《黑龙江医学》 2024年第13期1633-1636,共4页
目的:探讨和分析安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中的应用,为临床提供参考。方法:选取2022年1—12月郑州市第三人民医院收治的68例肿瘤患者作为研究对象。对照组(34例)采取传统的照护方法和告知模式,试验组(34... 目的:探讨和分析安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中的应用,为临床提供参考。方法:选取2022年1—12月郑州市第三人民医院收治的68例肿瘤患者作为研究对象。对照组(34例)采取传统的照护方法和告知模式,试验组(34例)采取安心卡引导的尊严照护方法和SHARE告知模式,比较两组患者的自尊水平、死亡态度、焦虑情绪、睡眠质量状况。结果:干预后,两组患者的自尊水平测定分数均增高,试验组的自尊水平测定分数显著高于对照组,差异有统计学意义(t=4.218,P<0.05);干预后,试验组的害怕、回避死亡态度得分显著低于对照组,自然接受、接近接受死亡态度得分显著高于对照组,差异有统计学意义(t=10.119、3.222、17.142、6.278,P<0.05);干预后,两组患者的焦虑情绪得分均降低,试验组焦虑情绪得分显著低于对照组,差异有统计学意义(t=18.739,P<0.05);干预后,两组患者的睡眠质量得分均降低,试验组睡眠质量得分显著低于对照组,差异有统计学意义(t=10.746,P<0.05);干预后,两组患者的疼痛程度得分均降低,干预后试验组疼痛程度得分显著低于对照组,差异有统计学意义(t=9.685,P<0.05)。结论:安心卡引导的尊严照护干预联合SHARE模式在肿瘤患者安宁疗护中,有利于肿瘤患者疾病治疗和身心健康发展,可供临床参考。 展开更多
关键词 安心卡 尊严照护 share模式 癌症告知 安宁疗护
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Adaptive Consistent Management to Prevent System Collapse on Shared Object Manipulation in Mixed Reality
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作者 Jun Lee Hyun Kwon 《Computers, Materials & Continua》 SCIE EI 2023年第4期2025-2042,共18页
A concurrency control mechanism for collaborative work is akey element in a mixed reality environment. However, conventional lockingmechanisms restrict potential tasks or the support of non-owners, thusincreasing the ... A concurrency control mechanism for collaborative work is akey element in a mixed reality environment. However, conventional lockingmechanisms restrict potential tasks or the support of non-owners, thusincreasing the working time because of waiting to avoid conflicts. Herein, wepropose an adaptive concurrency control approach that can reduce conflictsand work time. We classify shared object manipulation in mixed reality intodetailed goals and tasks. Then, we model the relationships among goal,task, and ownership. As the collaborative work progresses, the proposedsystem adapts the different concurrency control mechanisms of shared objectmanipulation according to the modeling of goal–task–ownership. With theproposed concurrency control scheme, users can hold shared objects andmove and rotate together in a mixed reality environment similar to realindustrial sites. Additionally, this system provides MS Hololens and Myosensors to recognize inputs from a user and provides results in a mixed realityenvironment. The proposed method is applied to install an air conditioneras a case study. Experimental results and user studies show that, comparedwith the conventional approach, the proposed method reduced the number ofconflicts, waiting time, and total working time. 展开更多
关键词 Mixed reality upper body motion recognition shared object manipulation adaptive task concurrency control
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Mutual Information Maximization via Joint Power Allocation in Integrated Sensing and Communications System
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作者 Jia Zhu Junsheng Mu +1 位作者 Yuanhao Cui Xiaojun Jing 《China Communications》 SCIE CSCD 2024年第2期129-142,共14页
In this paper, we focus on the power allocation of Integrated Sensing and Communication(ISAC) with orthogonal frequency division multiplexing(OFDM) waveform. In order to improve the spectrum utilization efficiency in ... In this paper, we focus on the power allocation of Integrated Sensing and Communication(ISAC) with orthogonal frequency division multiplexing(OFDM) waveform. In order to improve the spectrum utilization efficiency in ISAC, we propose a design scheme based on spectrum sharing, that is,to maximize the mutual information(MI) of radar sensing while ensuring certain communication rate and transmission power constraints. In the proposed scheme, three cases are considered for the scattering off the target due to the communication signals,as negligible signal, beneficial signal, and interference signal to radar sensing, respectively, thus requiring three power allocation schemes. However,the corresponding power allocation schemes are nonconvex and their closed-form solutions are unavailable as a consequence. Motivated by this, alternating optimization(AO), sequence convex programming(SCP) and Lagrange multiplier are individually combined for three suboptimal solutions corresponding with three power allocation schemes. By combining the three algorithms, we transform the non-convex problem which is difficult to deal with into a convex problem which is easy to solve and obtain the suboptimal solution of the corresponding optimization problem. Numerical results show that, compared with the allocation results of the existing algorithms, the proposed joint design algorithm significantly improves the radar performance. 展开更多
关键词 COEXISTENCE COMMUNICATIONS multicarrier radar mutual information spectrum sharing
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Transparent and Accountable Training Data Sharing in Decentralized Machine Learning Systems
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作者 Siwan Noh Kyung-Hyune Rhee 《Computers, Materials & Continua》 SCIE EI 2024年第6期3805-3826,共22页
In Decentralized Machine Learning(DML)systems,system participants contribute their resources to assist others in developing machine learning solutions.Identifying malicious contributions in DML systems is challenging,... In Decentralized Machine Learning(DML)systems,system participants contribute their resources to assist others in developing machine learning solutions.Identifying malicious contributions in DML systems is challenging,which has led to the exploration of blockchain technology.Blockchain leverages its transparency and immutability to record the provenance and reliability of training data.However,storing massive datasets or implementing model evaluation processes on smart contracts incurs high computational costs.Additionally,current research on preventing malicious contributions in DML systems primarily focuses on protecting models from being exploited by workers who contribute incorrect or misleading data.However,less attention has been paid to the scenario where malicious requesters intentionally manipulate test data during evaluation to gain an unfair advantage.This paper proposes a transparent and accountable training data sharing method that securely shares data among potentially malicious system participants.First,we introduce a blockchain-based DML system architecture that supports secure training data sharing through the IPFS network.Second,we design a blockchain smart contract to transparently split training datasets into training and test datasets,respectively,without involving system participants.Under the system,transparent and accountable training data sharing can be achieved with attribute-based proxy re-encryption.We demonstrate the security analysis for the system,and conduct experiments on the Ethereum and IPFS platforms to show the feasibility and practicality of the system. 展开更多
关键词 Decentralized machine learning data accountability dataset sharing
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An Exploration of the Three Dimensions and Epochal Strengths of Building a Human Community With a Shared Future
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作者 Jiang Ruibing Liu Zongling 《Contemporary Social Sciences》 2024年第3期120-138,共19页
The idea of a human community with a shared future was proposed by the Communist Party of China(CPC)Central Committee with Comrade Xi Jinping at its core for the future development of human beings to face up to the mo... The idea of a human community with a shared future was proposed by the Communist Party of China(CPC)Central Committee with Comrade Xi Jinping at its core for the future development of human beings to face up to the most important question in today's world:“What is happening to the world and what should we do?”It profoundly answers the question of the world,history,and the times.The theory of a human community with a shared future is an innovative theory with a multidimensional formation logic that guides humanity toward continually seeking common interests and values.This paper dives into the profound motivations behind building a human community with a shared future from historical,cultural,and practical dimensions and analyzes its epochal value from both domestic and international perspectives.This not only helps exert China's role in the international community,contributing Chinese strength to the construction of a peaceful,stable,and prosperous human society,but also enhances the influence of the idea of a human community with a shared future in the international community,accelerating the building of a human community with a shared future that considers the legitimate concerns of all countries,and aiding in solving the crises facing the world. 展开更多
关键词 a human community with a shared future historical dimension cultural dimension practical dimension epochal strength
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A study on the influencing factors of rural tourism promoting households'shared prosperity in Yinan County of Shandong Province
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作者 YU Feng XIE Ai-liang 《Ecological Economy》 2024年第1期72-84,共13页
This study examines the influencing factors of rural tourism in promoting shared prosperity among households,using the case study of Yinan County in Shandong province,China.The research aims to provide insights into t... This study examines the influencing factors of rural tourism in promoting shared prosperity among households,using the case study of Yinan County in Shandong province,China.The research aims to provide insights into the economic benefits experienced by low-income households in the context of rural tourism development.Based on field research conducted from April 8,2023,to May 17,2023,including interviews and site visits,the study constructs an evaluation index system to assess the influencing factors.Through expert scoring and the application of a weighted set-valued mathematical statistical model,the importance and quantification of each factor are determined.The results indicate that the current stage of promoting shared prosperity through rural tourism in Yinan County is primarily influenced by the scale of tourist consumption of external visitors.This factor outweighs others such as the participation capacity and willingness of low-income households,the capacity of investment enterprises,and the policies and financial allocation of the local government.The findings emphasize the significance of external visitor spending and highlight the need to address the obstacles faced by low-income households in accessing economic benefits.The evaluation index system and measurement model presented in this study offer a scientific basis for assessing and improving the income situation of low-income households in rural tourism development initiatives.However,it is crucial to note that the importance of these influencing factors may evolve with the lifecycle of the tourism destination.Future research should include long-term tracking and consider a broader range of indicators to deepen our understanding of their mechanisms and significance.Furthermore,alternative approaches and theories may provide valuable perspectives for further exploration in this field. 展开更多
关键词 rural tourism households shared prosperity influencing factors economic benefits
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Youth Exchange“Harmony for Shared Prosperity”
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《Contemporary World》 2024年第3期F0003-F0003,共1页
Contemporary World Magazine,which is affiliated to the International Department of the CPC Central Committee(IDCPC),held an exchange act ivi ty themed on“Harmony for Shared Prosperity”in Beijing on May 7,2024.
关键词 Prosper HARMONY shareD
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Joint Management of Shared Resources, Issues and Conflicts of the Nso and Oku Tribes in the Ngongbaa Montane Forest Area, NWR of Cameroon
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作者 Jean-Louis Tatah Elvis Kah 《Natural Resources》 2024年第6期149-172,共24页
Wherever people live together in or near homelands that harbour joint natural resources such as forest, water, minerals, oil etc., they must collaborate, co-exist and share these resources irrespective of their geneti... Wherever people live together in or near homelands that harbour joint natural resources such as forest, water, minerals, oil etc., they must collaborate, co-exist and share these resources irrespective of their genetic, social, cultural, and political peculiarities. This is not always the case when self-interest, ethnic divisions, elitist politics, economic interest and power tussle set in. The Nso and Oku people who reside in the Ngongbaa Forest area constitute an example of joint management of resources where at one period, their relationship over the management of the Oku Mountain Forest was cordial and at another, the relationship became conflictive. This study was designed to study the influence of the KIFP forest management policies on the Nso indigenous forest Management system in Ngongbaa Forest, and its implications. The data collected for the study was secured through the administration of a questionnaire to residents of 10 villages adjacent to the Ngongbaa Forest, and forest users who carried out livelihood activities there between 1963 and 2015. These forest user groups include beekeepers, rat trappers, grazers, mushroom gatherers, ground honey/tree honey harvesters, carvers, etc. The investigation also extended to the traditional leaders of Nso and Oku who are in charge of the land tenure systems. The findings show that the Oku Mountain Forest is jointly owned by the Nso and Oku people. The Nso own the eastern half of the forest known as Ngongbaa Forest while the Oku own the western half, known as the Kilum Forest. The cordial relationship that existed between these people ensured the conservation of the forest. But the conflicts that later set in, especially due to the creation of the Kilum Mountain Forest Project in 1987 later changed to the Kilum Ijim Forest Project (KIFP) in 1992 sidelined the local communities which was contrary to the dispositions of the new Cameroon forest law enacted in 1994. Thus, the indigenous conservation practices became ignored which the local population never digested well. This seriously jeopardized the wellbeing of the forest in general. 展开更多
关键词 CONFLICT Joint Management shared Resources Ngongbaa Kilum CONSERVATION
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The Research on Open Sharing of Higher Education Park Based on Intelligent Security System
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作者 Yan Dong 《Journal of Computer and Communications》 2024年第3期101-106,共6页
The intelligent security system is a series of systems that use modern information technology means such as artificial intelligence, cloud computing, big data, face recognition to carry out comprehensive monitoring, e... The intelligent security system is a series of systems that use modern information technology means such as artificial intelligence, cloud computing, big data, face recognition to carry out comprehensive monitoring, early warning, prevention and control, disposal, etc, for security protection. It is the development trend of security system in the future, and it is also the basis for open sharing between higher education parks and universities. By using content analysis, unstructured interviews and other research methods, this paper deeply studies the feasibility and basic ideas of the construction of intelligent security system in Shahe Higher Education Park, and forms basic experience and typical practices through the project construction, which further promotes the more intelligent, standardized and scientific safety management in colleges and universities. It really provides an important theoretical basis and practical guidance for the opening and sharing between higher education parks and universities. 展开更多
关键词 Intelligent Security system Higher Education Park Open Sharing
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Shared and Service-oriented CNC Machining System for Intelligent Manufacturing Process 被引量:7
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作者 LI Yao LIU Qiang +1 位作者 TONG Ronglei CUI Xiaohong 《Chinese Journal of Mechanical Engineering》 SCIE EI CAS CSCD 2015年第6期1100-1108,共9页
To improve efficiency, reduce cost, ensure quality effectively, researchers on CNC machining have focused on virtual machine tool, cloud manufacturing, wireless manufacturing. However, low level of information shared ... To improve efficiency, reduce cost, ensure quality effectively, researchers on CNC machining have focused on virtual machine tool, cloud manufacturing, wireless manufacturing. However, low level of information shared among different systems is a common disadvantage. In this paper, a machining database with data evaluation module is set up to ensure integrity and update. An online monitoring system based on internet of things and multi-sensors "feel" a variety of signal features to "percept" the state in CNC machining process. A high efficiency and green machining parameters optimization system "execute" service-oriented manufacturing, intelligent manufacturing and green manufacturing. The intelligent CNC machining system is applied in production. CNC machining database effectively shares and manages process data among different systems. The prediction accuracy of online monitoring system is up to 98.8% by acquiring acceleration and noise in real time. High efficiency and green machining parameters optimization system optimizes the original processing parameters, and the calculation indicates that optimized processing parameters not only improve production efficiency, but also reduce carbon emissions. The application proves that the shared and service-oriented CNC machining system is reliable and effective. This research presents a shared and service-oriented CNC machining system for intelligent manufacturing process. 展开更多
关键词 INTELLIGENT SERVICE-ORIENTED shareD DATABASE MONITOR OPTIMIZATION evaluation
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Shared Control of Highly Automated Vehicles Using Steer-By-Wire Systems 被引量:10
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作者 Chao Huang Fazel Naghdy +1 位作者 Haiping Du Hailong Huang 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2019年第2期410-423,共14页
A shared control of highly automated Steer-by-Wire system is proposed for cooperative driving between the driver and vehicle in the face of driver's abnormal driving. A fault detection scheme is designed to detect... A shared control of highly automated Steer-by-Wire system is proposed for cooperative driving between the driver and vehicle in the face of driver's abnormal driving. A fault detection scheme is designed to detect the abnormal driving behaviour and transfer the control of the car to the automatic system designed based on a fault tolerant model predictive control(MPC) controller driving the vehicle along an optimal safe path.The proposed concept and control algorithm are tested in a number of scenarios representing intersection, lane change and different types of driver's abnormal behaviour. The simulation results show the feasibility and effectiveness of the proposed method. 展开更多
关键词 Driver behaviour highly automation shared control steer-by-wire system
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Evaluation index system of shared energy storage market towards renewable energy accommodation scenario:A China’s Qinghai province context 被引量:9
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作者 Baomin Fang Weiqiang Qiu +3 位作者 Maochun Wang Wei Zhou Zhenzhi Lin Fushuan Wen 《Global Energy Interconnection》 EI CAS CSCD 2022年第1期77-95,共19页
With the ever-increased installed capacity of renewable energy generation units in a power system,the so-called shared energy storage(SES),a novel business model under the umbrella of the shared economy principle,has ... With the ever-increased installed capacity of renewable energy generation units in a power system,the so-called shared energy storage(SES),a novel business model under the umbrella of the shared economy principle,has the potential to play an essential role in the accommodation of renewable energy generation.However,unified evaluation standards and methods,which can help decision-makers analyze the performance of the SES market,are still not available.In this paper,an evaluation index system of the SES market is designed based on the trading rules of China’s Qinghai province and the structure-conduct-performance(SCP)analytical model.Moreover,the definition and characteristics of the indices,which can show the performance of the SES market from different perspectives,are given.Furthermore,the ideal cases are presented as the evaluation benchmark based on the development expectation of the SES market,and the analytic hierarchy process(AHP)and the technique for order preference by similarity to an ideal solution(TOPSIS)are applied to evaluate the SES market comprehensively.Finally,a case study based on actual data of the SES trading pilot project in Qinghai shows that the evaluation index system can reflect the operation status,existing problems and influencing factors of the SES market. 展开更多
关键词 shared energy storage(SES) Renewable energy accommodation scenario Evaluation index system Ancillary service market
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Cyber-Physical-Social System Between a Humanoid Robot and a Virtual Human Through a Shared Platform for Adaptive Agent Ecology 被引量:3
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作者 S. M. Mizanoor Rahman 《IEEE/CAA Journal of Automatica Sinica》 SCIE EI CSCD 2018年第1期190-203,共14页
Two artificial agents(a humanoid robot and a virtual human) are enriched with various similar intelligence,autonomy, functionalities and interaction modalities. The agents are integrated in the form of a cyber-physica... Two artificial agents(a humanoid robot and a virtual human) are enriched with various similar intelligence,autonomy, functionalities and interaction modalities. The agents are integrated in the form of a cyber-physical-social system(CPSS) through a shared communication platform to create a social ecology. In the ecology, the agents collaborate(assist each other) to perform a real-world task(search for a hidden object)for the benefits of humans. A robot-virtual human bilateral trust model is derived and a real-time trust measurement method is developed. The role of taking initiative in the collaboration is switched between the agents following a finite state machine model triggered by bilateral trust, which results in a mixedinitiative collaboration. A scheme is developed to evaluate the performance of the agents in the ecology through the CPSS.The results show that the robot and the virtual human perform satisfactorily in the collaboration through the CPSS. The results thus prove the effectiveness of the real-world ecology between artificial agents of heterogeneous realities through a shared platform based on trust-triggered mixed-initiatives. The results can help develop adaptive social ecology comprising intelligent agents of heterogeneous realities to assist humans in various tasks through collaboration between the agents in the form of a CPSS. 展开更多
关键词 Adaptive agent ecology assisted living cyberphysical-social system(CPSS) humanoid robot(HR) smart homes social interaction virtual human(VH) shared platform trust
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Older Patients’ Involvement in Shared Decision-Making—A Systematic Review 被引量:2
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作者 Anne Lise Holm Astrid Karin Berland Elisabeth Severinsson 《Open Journal of Nursing》 2016年第3期170-185,共16页
Shared decision-making has been described as allowing patients to gain more control over their life situation and feel less helpless. The aim of this systematic review was to describe the involvement of older patients... Shared decision-making has been described as allowing patients to gain more control over their life situation and feel less helpless. The aim of this systematic review was to describe the involvement of older patients in shared decision-making in community settings. In accordance with the systematic review method, a total of 2468 abstracts were read, after which nine quantitative studies were included. A qualitative thematic analysis was performed and two themes emerged;increased understanding of self-management and a desire to strengthen one’s position in relationship with professionals, both of which were essential for empowering older patients to participate in shared decision-making. Older patients’ shared decision-making was seen as a struggle to maintain their autonomy in different areas of everyday life. Emotional and psychological problems made their position more difficult. In order to empower them in relationships with healthcare professionals, older patients require more knowledge (self-efficacy) and information about their illness, which could strengthen their position in the decision-making process. They also need a greater awareness of decisional conflicts that may arise. Age, gender and health status influence older patients’ chance of being respected and taken seriously in relationship with professionals. 展开更多
关键词 INVOLVEMENT PATIENT shared Decision-Making systematic Review
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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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SHARE模式在我国癌症患者不幸消息告知中的应用 被引量:3
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作者 王慧琳 白杨 +6 位作者 张永明 覃胜灵 邹宝华 王超 孙瑞 丛明华 杨敏 《中国医刊》 CAS 2023年第2期141-143,共3页
不幸消息告知(breaking bad news,BBN)是医务工作者必备且极具挑战的重要医患沟通技能,应用恰当的沟通模式进行BBN操作,可以有效提高癌症患者对病情的正确认知、治疗依从性和满意度,同时缓解不幸消息对患者情绪的不良影响等。国内外近... 不幸消息告知(breaking bad news,BBN)是医务工作者必备且极具挑战的重要医患沟通技能,应用恰当的沟通模式进行BBN操作,可以有效提高癌症患者对病情的正确认知、治疗依从性和满意度,同时缓解不幸消息对患者情绪的不良影响等。国内外近年来开展了大量BBN相关研究及实践,并形成了多种沟通模式,其中SHARE模式被认为相对更适用于我国医疗环境繁忙及家属参与决策的文化背景。为了更好地适应当前我国知情权和决定权逐渐回归患者自身的趋势,提高我国医务工作者的医患沟通能力,本研究概述了SHARE模式在我国癌症患者BBN中的应用,重点阐述了其在我国的沟通对象,以及BBN对癌症患者心理状态等方面的影响。 展开更多
关键词 不幸消息告知 share模式 癌症患者 医患沟通
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SHARE交接班模型在术后患者转运中的应用及临床获益分析
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作者 丁晓兰 张晨霞 +1 位作者 王金兰 张玉娟 《中国研究型医院》 2023年第5期46-50,共5页
目的建立术后患者SHARE转运交接班模型,并评价其临床应用效果。方法选取2022年10月—2023年3月于我院住院的手术患者200例。随机分为观察组和对照组,每组100例。观察组采用SHARE转运交接班模型,对照组采用传统术后转运交接模型。比较两... 目的建立术后患者SHARE转运交接班模型,并评价其临床应用效果。方法选取2022年10月—2023年3月于我院住院的手术患者200例。随机分为观察组和对照组,每组100例。观察组采用SHARE转运交接班模型,对照组采用传统术后转运交接模型。比较两组患者采取不同的转运交接模型的不良事件发生率、转运时间、转运规范性和满意率。符合正态分布的计量资料以xˉ±s表示,组间比较采用t检验;计数资料以例数(%)表示,采用χ^(2)检验或Fisher确切概率法。结果观察组患者的引流管打折固定不规范、导尿管受压、留置针拔脱的发生率较对照组均明显下降,差异均有统计学意义(χ^(2)分别为4.613、6.157、5.158,P均<0.05)。观察组患者的手术室至复苏室所用时间为(3.48±0.38)min,从复苏室至病房所用时间为(5.94±0.24)min,均显著小于对照组的(3.85±0.39)min、(7.46±0.39)min,差异均有统计学意义(t值分别为-3.29、-16.77,P均<0.05)。观察组转运患者的规范性明显提高(χ^(2)=10.317,P<0.01)。观察组患者、医师及护士对于医疗过程的满意率均明显高于对照组,差异均有统计学意义(χ^(2)分别为12.374、4.500、7.791,P均<0.05)。结论SHARE转运交接班模型有利于降低术后患者不良事件发生率、节约转运时间、提高转运规范性及满意率。 展开更多
关键词 医院 手术后期间 护理管理研究 share交接班模型
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SHARE数据库介绍与数据提取方法
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作者 李静 田国祥 +5 位作者 郭佳钰 陈冲 乔萌萌 程洪涛 吕军 李媛洁 《中国循证心血管医学杂志》 2023年第9期1036-1039,共4页
人口老龄化是人类社会成功的标志之一,同时全球医疗服务体系也面临着老龄化带来的巨大冲击和挑战。SHARE数据库是研究欧洲公民生命历程中健康、社会、经济和环境等因素对老龄化的影响的基础研究数据库,同时也是最大的欧洲社会科学小组研... 人口老龄化是人类社会成功的标志之一,同时全球医疗服务体系也面临着老龄化带来的巨大冲击和挑战。SHARE数据库是研究欧洲公民生命历程中健康、社会、经济和环境等因素对老龄化的影响的基础研究数据库,同时也是最大的欧洲社会科学小组研究,该数据库提供了国际可比的纵向微观数据,使人们能够了解欧洲个人的公共卫生和社会经济生活条件。本文将对SHARE数据库架构进行介绍,指引用户在官网上如何下载提取数据,旨在为医学科研者提供一个高质量的医学公共数据资源平台。 展开更多
关键词 share数据库 数据挖掘 纵向研究 老龄化
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