An Extensive Study and Review of Privacy Preservation Models for the Multi-Institutional Data

The deep learning models hold considerable potential for clinical applications, but there are many challenges to successfully training deep learning models. Large-scale data collection is required, which is frequently only possible through multi-institutional cooperation. Building large central repositories is one strategy for multi-institution studies. However, this is hampered by issues regarding data sharing, including patient privacy, data de-identification, regulation, intellectual property, and data storage. These difficulties have lessened the impracticality of central data storage. In this survey, we will look at 24 research publications that concentrate on machine learning approaches linked to privacy preservation techniques for multi-institutional data, highlighting the multiple shortcomings of the existing methodologies. Researching different approaches will be made simpler in this case based on a number of factors, such as performance measures, year of publication and journals, achievements of the strategies in numerical assessments, and other factors. A technique analysis that considers the benefits and drawbacks of the strategies is additionally provided. The article also looks at some potential areas for future research as well as the challenges associated with increasing the accuracy of privacy protection techniques. The comparative evaluation of the approaches offers a thorough justification for the research’s purpose.

A Study on Assessment Model of Colleges' R&D Institution of Hebei Province

This paper,in view of colleges’ R&D institUtion assessment of Hebeiprovince,builds DEA assessment model,and compares this model with the general evaluation method.

GWAM—An Institutional Model to Address Watershed Impacts from Urbanization: Field Validation

With the realization of the limitations to top-down and bottom-up watershed management approaches in addressing issues associated with urbanization, a conceptual framework for a hybrid approach that tries to effectively integrate the advantages of the two approaches while overcoming their respective limitations, grass root watershed management model (GWAM), was proposed and presented. This paper presents the details of implementation and validation of GWAM at Shawsheen River watershed in Massachusetts, USA. An investigation on the major components of GWAM, a common platform to conduct the management, a partnership of two major stakeholder groups from government and non-governmental organizations, and a facilitation mechanisms were carried out in detail to gain the needed understanding on structure, process and function of a successful GWAM. Also the decision making process in addressing three major urban watershed issues;flooding, habitat and aquatic life impairment, and bacterial impairment, were examined through a set of cyclic steps. Based on the lessons learned, GWAM was enhanced as a general hybrid model. The most important challenge in sustaining GWAM was to keep differently motivated stakeholders together. As revealed in the Shawsheen watershed, science should play a key role in keeping differently motivated stakeholders together by providing needed facts, understandings, data, and knowledge. When scientifically sound solutions are vetted through a process of public involvement that supports appropriate regulatory actions, the most effective environmental decisions can be made.

GWAM—An Institutional Model to Address Watershed Impacts from Urbanization: Conceptual Framework

The urbanization process exerts negative multidisciplinary impacts on the integrity of natural watershed conditions. These impacts are best analyzed and addressed with local inputs, as many of these are site specific and require consistent local monitoring along with appropriate policies and regulations from conventional governance in an interdisciplinary platform. With the realization of the limitations to top-down and bottom-up watershed management approaches in addressing issues associated with urbanization, a conceptual framework for a hybrid approach that tries to effectively integrate the advantages of the two approaches while overcoming their respective limitations, the Grass root Watershed Management model (GWAM), is presented in this paper. The model is to establish a self-sustaining and effective institutional forum that can be used in watersheds across geographical and political boundaries while accommodating the urbanization process. GWAM consists of three crucial components: a common platform, a partnership among major groups of stakeholders, and a facilitation mechanism to conduct the watershed management at local lever or grass-root level. With effective integration of the governmental agencies and institutes at the top with the local residents and non-governmental organizations at the bottom, the concept is that the hybrid approach can serve as a self-sustaining model in achieving effective management of urbanization impacts.

Model of Healthcare-Associated Infection Control in Primary Health Care Institutions:A Structural Equation Modeling

The purpose of this study was to construct the model of organization system,managemcnt,training and surveillance in healthcare-associated infection prevention and control(IC)of primary health care institutions and identify its efleet on patient safety and decreasing economic burden by standardizing IC.A cross-sectional survey was conducted with questionnaires.Data were collected from 268 primary health care institutions in Hubei province,China.Hypotheses on the model of IC were analyzed by means of confirmatory factor analysis and structural equation modeling.The results showed that the fit indices of the hypothesized model of IC satisfied recommended levels:root mean square error of approximation(RMSEA)=0.071;comparative fit index(CFI)=0.965;tucker lewis index(TLI)=0.956:weighted root mean square residual(WRMR)=1.014.The model showed that organization system had a direct effect on management(β=0.311.P<0.01),and training(β=0.365,P<0.01).Management and training played an intermediary role that partially promoted organization system impact on surveillance.Results also showed that institutional factors such as the number of physicians、the ninnber of nurses,the designated capacity of beds,the actual number of open beds and surgery trips had positive impacts on management(β=0.050,P<0.01;β=0.181,P<0.01;β-0.111.P<0.01;β=0.064,P<0.01;β=0.084,P=0.04);nd training(β=0.21,P=0.03;β=0.050,P=0.02;β=0.586.P=0.01;0=0.995,P=0.02;β=0.223.P=0.03).In conclusion.the model of organization system,managemcnt,training and surveillancc in IC of primary health care institutions is valuable tor guiding IC practice.

Exploration on the Implementation of the Integration of Medical and Preventive Model in China’s Primary Health Care Institutions

Objective To explore the different modes and approaches of medical and preventive integration in current primary health care institutions in China.Methods Through literature analysis,field research,telephone interviews,and other methods the implementation status was evaluated to systematically study the main experience and effect of implementing medical and preventive integration services in pilot areas.Results and Conclusion At present,there are three implementation modes of medical-prevention integration,namely,vertical mode based on the medical community,internal mode with optimized service process,and internal mode with great service capabilities.The three medical-prevention integration modes have their respective focuses,but they need to be further improved in terms of policy support,technical staffing,information system construction,and drug use.

Research on applying the interests distribution method of enterprise-university-research institute cooperation based on nash model

In order to get an acceptable interests-distribution scheme for each partner of enterprise-university-research institute cooperation in advance,based on Nash model,the paper designs the interest distribution method of enterprise-university-research institute cooperation and provides the basis for determining the weight of each partner in accordance with the interest distribution principles and subjected relations between major factors in enterprise-university-research institute cooperation.Also,in combination with one example,an applicable method is provided to distribute interest in enterprise-university-research institute cooperation.The study gives some references for interests-distribution of enterprise-university-research institute cooperation.

Development Model and Quantitative Prediction of Igneous Rock in S Oilfield, the Bohai Sea Area

The structure of S Oilfield of Bohai sea area in China is located in the low uplift slope zone of the Dongwa Laibei area in the Huanghekou depression. The target interval of the oilfield belongs to the Paleogene layered structural oil reservoir under the influence of igneous rocks. Due to the widespread development of igneous rocks, and the diversity of igneous rock types, the structure is complex, and the lateral changes are intense. The differences in volcanic eruption intensity and volcanic materials made the igneous rock masses overlap each other, with rapid changes in lithofacies, and complex seismic reflection structures. Therefore, it was difficult to carry out fine characterization of igneous rocks. Based on the lithofacies model, lithofacies combination types, and seismic response characteristics of volcanic mechanisms, this paper summarized three types of development models of volcanic mechanisms in the study area. At the same time, through technical means such as stratigraphic slicing, seismic attribute extraction, and attribute optimization analysis, the spatial distribution characteristics of various facies zones of igneous rocks at different stages were described in detail, achieving precise prediction of igneous rocks in Bozhong S Oilfield. During the development process of the oilfield, the technical research results guided the optimization of well locations and provided technical support for the efficient development of the oilfield.

长期护理政策的国际经验与中国探索

随着老龄化程度加深和家庭功能弱化,完善长期护理政策是未来社保体制和养老服务体系优化的重要一环。本文分类总结了世界主要国家和地区长期护理政策的特征以及制度选择的可能成因,并基于我国目前长期护理政策发展情况以及我国目前大力推进长期护理保险发展的背景,提出未来完善长期护理保险的政策思考。本文认为,首先应当确立我国未来长期护理保险的底层逻辑和基础,明确政策目标、政策定位及运行模式,整体设计应与国家战略及未来趋势相协调;其次完善筹资、评估和待遇方案,推进制度衔接和资源优化配置,提升长护险运行效率;然后在公共服务均等化的基础上平衡区域和人群受益水平,促进长护险制度公平发展;最后完善长护险配套资源建设,实现长期护理保险持续稳步发展的目标。

我国医疗机构药学会诊工作模式分析:一项范围综述

目的系统总结我国药学会诊的工作模式,为药学会诊的流程标准化、内容规范化与服务同质化提供参考。方法系统检索中英文文献数据库,纳入我国医疗机构发表的药学会诊工作模式文献,由2名研究者筛选与提取关键信息,最终进行定性总结与描述性分析。结果基于纳入的11篇文献,我国临床药师探索的药学会诊工作模式中,会诊内容主要涉及抗感染、肠外营养、癌性疼痛等。药学会诊的总体思路应参考已构建的流程图,具体的会诊问题可参考路径、思维导图或决策树等框架性指导开展工作,最后可根据会诊系统或专科会诊模板撰写会诊意见,采用新型的工作模式(如药师主动会诊)也可促进药学会诊数量和接受率的提升。结论我国医疗机构已初步探索出一系列药学会诊的工作模式,但尚未完善,缺乏统一的质控与评价体系,未来的研究与实践应重点予以关注。

中国奶酪市场引力效应与伙伴国贸易前景——以中欧为例

在世界未有之大变局下,奶酪贸易不确定性加剧,严重威胁中国奶酪供需平衡。本文在构建随机前沿引力模型与显性竞争优势指数的基础上,预测中欧奶酪贸易前景。研究结果表明,中欧奶酪贸易效率分布不均,不同国家贸易前景存在较大差异。随机前沿引力模型结果显示:双方人口规模、人均GDP促进中欧奶酪贸易,但双方之间的距离阻碍中欧奶酪贸易;贸易伙伴国政府支出、商业自由度、投资自由度等促进贸易效率,但贸易伙伴国政府诚信、税收负担、贸易自由度和生产者价格对贸易效率有阻碍作用。为了提高中欧奶酪贸易效率,中国应对不同“贸易前景”性质的国家采取异质性进口策略,构筑通达、互联互通的贸易环境、打造自由的营商制度环境,促进中欧奶酪贸易效率,保障中国奶酪贸易安全。

“双减”背景下我国校外培训机构治理政策何以遭遇执行阻滞——基于史密斯政策执行过程模型的分析

探讨校外培训机构治理政策的执行过程和实效,对于促进校外教育回归公益性和重塑校外教育生态,实现“双减”目标意义重大。基于“史密斯政策执行过程模型”,分析“双减”背景下校外培训机构治理政策的执行情况,发现校外培训机构治理政策执行过程中存在政策本身局限、执行机构能力欠缺、目标群体认知偏差、政策环境支持不足等四方面的制约因素。为突破校外培训机构治理政策执行过程中的瓶颈,须做到重视政策本身设计,增强政策执行效果;提升执行机构能力,健全政策执行机制;调整目标群体认知,降低政策执行阻力;改善政策执行环境,夯实政策执行基础。

机构养老模式的医疗费用和健康结果评估研究——基于价值医疗视角

随着老龄化程度的加深和家庭养老能力的降低,机构养老的需求量不断攀升。本文基于价值医疗视角,采用中国老年健康影响因素跟踪调查(CLHLS)数据,运用固定效应模型对机构养老模式的医疗费用和健康结果进行评估。研究发现:机构养老模式有利于降低医疗费用;机构养老模式通过减少问诊就医和住院治疗进而降低老年人的医疗费用,通过规范老年人生活方式、提高医疗效率进而提升老年人健康水平,但机构养老模式缺乏对心理健康的关注,不利于提升老年人健康水平。机构养老模式的医疗控费效果在轻度失能和中度失能老年人中更为明显,且机构养老模式明显降低了失智老年人的健康水平。本文的研究对于实现价值医疗目标的同时提升机构养老服务质量具有一定的参考价值。

基于SERVQUAL模型的民办养老机构服务质量提升研究--以长沙市雨花区为例

机构养老是有效承担我国老龄化重担的重要载体,是未来纾解我国养老压力的发展主体与主要趋势。民办养老机构服务质量的高低关系到亿万老年群体的幸福生活,关系到“十四五”国家老龄事业发展和养老体系建设。文章采用线下和线上调研相结合的方式从老年人、养老机构、养老护理人员3个层面采集长沙市雨花区12家民营养老机构养老服务期望与感知数据,运用SERVQUAL模型,从有形性、可靠性、响应性、保证性和移情性5个维度分析养老服务质量期望与感知差异,进而提出民办养老机构服务质量提升的有效对策。

高职院校数学与数学建模课程的教学实践与思考

随着科学技术的快速发展和产业升级的不断深入,数学素养与数学建模能力已成为提升高职学生综合素质的重要助力.本文聚焦于高职院校数学与数学建模课程的教学实践与思考,主要讨论了数学教育和数学建模对高职高专人才培养的意义和价值,分析了制约数学教学与数学建模活动的因素,分享了山东商业职业技术学院的实践思路和具体做法,旨在探讨如何在高等职业教育环境中有效融合数学知识与数学建模技能的培养,以适应新时代对高素质技术技能人才的需求.

我国养老机构服务效率测度及提升路径研究——基于三阶段DEA和Malmquist指数的实证分析

科学评估养老机构服务效率是优化养老资源配置和完善养老服务体系建设的基础。以我国29个省(区、市)为研究对象,基于2018—2022年《中国民政统计年鉴》和《中国统计年鉴》的数据,运用三阶段DEA模型和Malmquist指数模型,对养老机构服务的静态与动态效率测度进行分析。研究表明,养老机构服务效率逐年提升,但仍有改善空间。综合技术效率均值由0.794下降到0.726,受到外部环境因素的影响;技术进步是制约养老机构服务效率的主要原因。因此,要调整投入生产规模,重视环境因素影响,实施差异化的效率提升策略,以技术进步为发展重心,进而提高养老机构服务效率。

基于SFIC模型的养老事业与养老产业协同发展路径研究

养老事业与养老产业同属于养老服务体系的组成部分,充分发挥其作用重在二者协同发展,即二者相互协作实现养老服务的充分供给且达到二者共同发展的双赢效果。通过创新性地将SFIC模型用于养老服务体系发展分析,构建养老事业与养老产业协同发展分析框架,从星光老年之家、公建民营养老机构、政府购买养老服务、长期护理保险制度试点四个案例比较剖析养老事业与养老产业协同的起始条件、助成性领导、制度设计、合作程序,提出改善养老事业与养老产业协同发展的起始条件、发挥助成性领导对养老事业与养老产业协同发展的创造性作用、优化养老事业与养老产业协同发展的制度设计、在养老事业与养老产业协同发展中实现良性合作四个养老事业与养老产业协同发展的路径。

多元主体协同共建现代产业学院的模式创设与推进路径

现代产业学院作为当前校企合作、产教融合及科教融汇的一种办学综合体,其生成与发展具有特殊的时代特征与价值意蕴。文章就现代产业学院概念内涵、多元功能、发展现状等问题作了分析梳理。分析了现实困境及共性个性问题;从模式创设、建立机构、共建专业、共育师资、课程建设、开发项目、文化培育七个方面阐释了建设内容和方法;提出了“1+1+N”组建模式、“三个提升”“1+1>2”“1+1+N>2+N”协同效应、“7+X”功能拓展等观点。

基于VOSviewer的测评机构市场竞争特征分析模型的构建

网络安全等级保护在网络安全保障、网络强国建设方面发挥着至关重要的作用。随着资质管理从审核推荐模式向服务认证模式的转变,网络安全等级保护测评机构的资质管理得到网络安全界越来越多的关注。在分析网络安全等级保护测评机构投标项目信息的基础上,应用VOSviewer知识图谱软件构建一种市场竞争特征分析模型,为等级测评行业的高质量发展提供参考借鉴。首先对采集数据进行清洗以及基于相似度去重;然后采用机器学习算法对项目信息进行“关键词”(项目类型、项目所属行业)的抽取和标注;最后将项目信息进行RefWorks格式转换并导入VOSviewer,可视化呈现测评机构的竞争关系和市场特征。