We study a vacation queueing system with a single server simultaneously dealing with an M/G/1 and an M/D/1 queue. Two classes of units, priority and non-priority, arrive at the system in two independent Poisson stream...We study a vacation queueing system with a single server simultaneously dealing with an M/G/1 and an M/D/1 queue. Two classes of units, priority and non-priority, arrive at the system in two independent Poisson streams. Under a non-preemptive priority rule, the server provides a general service to the priority units and a deterministic service to the non-priority units. We further assume that the server may take a vacation of random length just after serving the last priority unit present in the system. We obtain steady state queue size distribution at a random epoch. Corresponding results for some special cases, including the known results of the M/G/1 and the M/D/1 queues, have been derived.展开更多
Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing ...Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing nations emphasis is placed on childbirth and inability to fulfill this role can be very distressing. There is an unmet need for assisted reproductive technology (ART) in many developing countries and where facilities exist, they are mostly privately owned, expensive and concentrated in urban areas. To bridge this gap, public fertility clinics have been established to provide subsidized care. Evaluating the characteristics and peculiarities of clientele presenting at these public facilities will aid planning and prioritization of care. Methodology: A descriptive retrospective study of 116 infertile patients presenting to the fertility clinic of the University College Hospital, Ibadan, Nigeria from inception on the 14<sup>th</sup> of February 2019 and 31<sup>st</sup> of December 2022.Data was analyzed using the Statical Package for Social Sciences (IBM, SPSS, New York) version 23. Descriptive statistics were used to summarize the results which were presented with the aid of bar charts and frequency tables. Result: The mean age of the patients was 40.70 ± 6.62 years. Post-menopausal patients accounted for about one-fifth of the study population while 80.2% (93 women) were older than 35 years. The mean duration of infertility was 9.39 ± 6.11years and nine patients (7.8%) had a duration greater than 2 decades. Secondary infertility occurred in 67.2% of the women. Twenty-nine women (25%) had undergone myomectomy prior to presentation. Hypertension (11.2%) was the most prevalent comorbidity. Nineteen patients (16.4%) had used contraceptives in the past with the male condom (36.8%)being the most preponderant. Sixty-seven patients had experienced pregnancy losses before 28 weeks of gestation while just 16 patients (13.8%) had undergone ART, and none was successful. Conclusion: Secondary infertility was the prevalent type of infertility and may not be unconnected with the low contraceptive usage and high risk of sexually transmitted infection. Late presentation coupled with a large proportion of post-menopausal clientele suggests delayed health-seeking behavior most probably due to the prohibitive cost of ART. The need to streamline services offered in public fertility clinics is paramount in low-income countries grappling with scarce resources. A pragmatic approach will involve the provision of low-cost ART, while enhancing gamete donation programs through the implementation of gamete sharing policies. This will invariably bridge the unmet need and skewed access to ART in developing countries.展开更多
Geothermal energy is considered a renewable,environmentally friendly,especially carbon-free,sustainable energy source that can solve the problem of climate change.In general,countries with geothermal energy resources ...Geothermal energy is considered a renewable,environmentally friendly,especially carbon-free,sustainable energy source that can solve the problem of climate change.In general,countries with geothermal energy resources are the ones going through the ring of fire.Therefore,not every country is lucky enough to own this resource.As a country with 117 active volcanoes and within the world’s ring of fire,it is a country whose geothermal resources are estimated to be about 40%of the world’s geothermal energy potential.However,the percentage used compared to the geothermal potential is too small.Therefore,this is the main energy source that Indonesia is aiming to exploit and use.However,the deployment and development of this energy source are still facing many obstacles due to many aspects from budget sources due to high capital costs,factory construction location,quality of resources,and conflicts of the local community.In this context,determining the optimal locations for geothermal energy sites(GES)is one of the most important and necessary issues.To strengthen the selection methods,this study applies a two-layer fuzzy multi-criteria decision-making method.Through the layers,the Ordinal Priority Approach(OPA)is proposed to weight the sub-criteria,the main criterion,and the sustainability factors.In layer 2,the Neutrosophic Fuzzy Axiomatic Design(NFAD)is applied to rank and evaluate potential locations for geothermal plant construction.Choosing the right geothermal energy site can bring low-cost efficiency,no greenhouse gas emissions,and quickly become the main energy source providing electricity for Indonesia.The final ranking shows Papua,Kawah Cibuni,and Moluccas as the three most suitable cities to build geothermal energy systems.Kawah Cibuni was identified as the most potential GES in Indonesia,with a score of 0.46.Papua is the second most promising GES with a score of 0.45.Next is the Moluccas,with a score of 0.39.However,the three least potential sites among the 15 studied sites are Lumut Balai,Moluccas and Patuha,with scores of 0.08,0.11 and 0.17,respectively.The conclusion of this study also classifies positions into groups to aid in decision-making.展开更多
On August 20,2024,General Secretary of the Communist Party of Vietnam(CPV)Central Committee and Vietnamese President To Lam concluded his state visit to China.China was the destination for Lam's first overseas vis...On August 20,2024,General Secretary of the Communist Party of Vietnam(CPV)Central Committee and Vietnamese President To Lam concluded his state visit to China.China was the destination for Lam's first overseas visit after taking office as general secretary of the CPV Central Committee,which clearly demonstrates that the heads of both countries attach importance to developing the bilateral relations and that Vietnam regards China as the strategic choice and top priority for its foreign policy.展开更多
Shape irregularity,a sub-factor of parcel fragmentation is a problem that hinders sustainable agriculture and is solved using land consolidation projects.Determination of the parcel shape degree contributes significan...Shape irregularity,a sub-factor of parcel fragmentation is a problem that hinders sustainable agriculture and is solved using land consolidation projects.Determination of the parcel shape degree contributes significantly to spatial prioritization where there is also a high probability of achieving positive effects of consolidation projects.This study aims to determine the shape degree of the agricultural parcels both at singular and rural county scales in Tekirdag Province,Turkey in 2020 by combining the parcel shape index(PSI) with the minimum bounding geometry index(MBG) to improve parcel scores.Hot-spot zones of the highly irregular and near optimum parcels were also determined using Getis-Ord G_(i)^(*) statistic.The parcel degrees were classified into four categories,namely highly irregular,irregular,regular and near optimum.The obtained unweighted scores of the parameters exhibit deviations from the expected values.After weighting by pairwise comparison,the values approached ideal scores.Among 346 740 parcels,53% were highly irregular and irregular and 47% were regular and near optimum shapes after weighting whereas these were 70% and 30%,respectively before weighting.The average parcel degree of 63 rural counties was regular while the average parcel degree of the remaining 264 rural counties was irregular.The combined use of PSI and MBG index improved the correctness of the parcel shape score.It could be suggested to use as a tool in land consolidation prioritization.展开更多
This paper deals with the supervisory control problem of discrete event systems modeled by labeled Petri nets. The system is originally unbounded. First, the solvability of the problem is confirmed. A necessary condit...This paper deals with the supervisory control problem of discrete event systems modeled by labeled Petri nets. The system is originally unbounded. First, the solvability of the problem is confirmed. A necessary condition is given and proven for the existence of a feasible priority-based controller based on the notions of liveness and transition invariants. Next, a cyclic behavior graph is constructed, which shows the reachable markings that guarantee the maximum liveness of the system within a given bound vector. Finally, an on-line control strategy is proposed to enforce boundedness and liveness to the given system by appending priority relations to transitions. The dynamic priority relation changes flexibly according to the current state of the system and enforces the system evolving in a bounded and live manner. In addition, numerical examples are studied to verify the validity of the proposed approach that remains the structure of the plant net and is efficient for on-line control.展开更多
Objective:Cancer has one of the highest disease mortality rates.Families are very important in the treatment of people with cancer.By using a phenomenological design,this study aimed to explore the experience of famil...Objective:Cancer has one of the highest disease mortality rates.Families are very important in the treatment of people with cancer.By using a phenomenological design,this study aimed to explore the experience of families in caring for a person with cancer and to identify the needs of these families.Methods:First,eight interviews were under taken with family members selected through a purposive sampling method.Then,another three interviews were conducted for data validation.The collected data were analyzed using the framework method of analysis.Results:The core theme,“Prioritizing the efforts:Being aware of the best we could do for our family,”reflected family’s experiences of caring for a person with cancer and was underpinned by five themes:“Decisions to make,”“Keeping up the good support,”“Acknowledging the others’contributions,”“Assisting my family to alleviate the disease,”and“Adapting to the current situation.”Conclusions:The results suggest that building mutual trust and communication between family and healthcare professionals is vital in decision-making for people with cancer.Family may also work with the person in fulfilling their needs,without disregarding the needs of the family.When suppor ting the needs of people with diabetes,the family requires appropriate information,and thus,healthcare professionals wisely select which information can help the family make a decision regarding the treatment.After administering the treatment and providing information for people with cancer and their family,asking for feedback is required for evaluation.展开更多
The abattoir is one of the important sectors in the food industry, therefore the need for close monitoring of everything concerning it to minimize microbial contamination. The aim of the study is to identify bacteria ...The abattoir is one of the important sectors in the food industry, therefore the need for close monitoring of everything concerning it to minimize microbial contamination. The aim of the study is to identify bacteria listed as WHO priority organisms associated with meat from Kwata abattoir in Awka, Anambra state. The study was carried out over a three (3) months period from September to December 2022. Thirteen samples were collected from the floor, table, water, meat, knife and soil in the abattoir. The samples were cultured using streak and spread plate methods on MacConkey and Cetrimide agar. The isolates were identified with the following biochemical tests: catalase, oxidase, citrate and indole tests. Ampiclox levofloxacin, gentamicin, ofloxacin impenem ceftraixone, cefixime, cefuroxime and nitrofurantoin were used for sensitivity test following Kirby Bauer disc diffusion method and biofilm formation was determined using the tube method. The 75 isolates obtained were identified as follows;29.3% E. coli, 26.7% Klebsiella spp., 16% Proteus spp., and 28% Pseudomonas spp. The result of antibiotics sensitivity test interpreted using the European Committee on Antimicrobial Susceptibility Testing (EUCAST) breakpoints showed that (98%) of the isolates were resistant to the antibiotics used. Test for biofilm formation with 52 isolates showed 31 strong, 12 moderate and 9 weak biofilm formers. The result of this study confirms the presence of bacteria contaminants within the WHO priority list in the abattoir, as such there is need for improved handling of animals. Slaughtering, cleaning and distribution of meat should be done using aseptic procedures. .展开更多
Emerging telemedicine trends,such as the Internet of Medical Things(IoMT),facilitate regular and efficient interactions between medical devices and computing devices.The importance of IoMT comes from the need to conti...Emerging telemedicine trends,such as the Internet of Medical Things(IoMT),facilitate regular and efficient interactions between medical devices and computing devices.The importance of IoMT comes from the need to continuously monitor patients’health conditions in real-time during normal daily activities,which is realized with the help of various wearable devices and sensors.One major health problem is workplace stress,which can lead to cardiovascular disease or psychiatric disorders.Therefore,real-time monitoring of employees’stress in the workplace is essential.Stress levels and the source of stress could be detected early in the fog layer so that the negative consequences can be mitigated sooner.However,overwhelming the fog layer with extensive data will increase the load on fog nodes,leading to computational challenges.This study aims to reduce fog computation by proposing machine learning(ML)models with two phases.The first phase of theMLmodel assesses the priority of the situation based on the stress level.In the second phase,a classifier determines the cause of stress,which was either interruptions or time pressure while completing a task.This approach reduced the computation cost for the fog node,as only high-priority records were transferred to the fog.Low-priority records were forwarded to the cloud.Four MLapproaches were compared in terms of accuracy and prediction speed:Knearest neighbors(KNN),a support vector machine(SVM),a bagged tree(BT),and an artificial neural network(ANN).In our experiments,ANN performed best in both phases because it scored an F1 score of 99.97% and had the highest prediction speed compared with KNN,SVM,and BT.展开更多
Health Priority is increasingly becoming a human need and an international consensus.In addition to the basic value judgment and direction-leading function,Health Priority also has a clear,practical meaning and distin...Health Priority is increasingly becoming a human need and an international consensus.In addition to the basic value judgment and direction-leading function,Health Priority also has a clear,practical meaning and distinct tool attributes.The text adheres to the organic unity of regularity and purpose,follows the modern medical model and the philosophy of system theory,combines the characteristic facts,and discusses the value rationality and tool rationality of Health Priority based on the whole process management,and tries to refine the Health Priority governance model with Chinese characteristics,so as to provide a reference for global health governance.展开更多
文摘We study a vacation queueing system with a single server simultaneously dealing with an M/G/1 and an M/D/1 queue. Two classes of units, priority and non-priority, arrive at the system in two independent Poisson streams. Under a non-preemptive priority rule, the server provides a general service to the priority units and a deterministic service to the non-priority units. We further assume that the server may take a vacation of random length just after serving the last priority unit present in the system. We obtain steady state queue size distribution at a random epoch. Corresponding results for some special cases, including the known results of the M/G/1 and the M/D/1 queues, have been derived.
文摘Introduction: Infertilityaffects one in six couples, and it is an important public health issue largely due to thepervasive effects on the emotional and psychological wellbeing of affected couples. In many developing nations emphasis is placed on childbirth and inability to fulfill this role can be very distressing. There is an unmet need for assisted reproductive technology (ART) in many developing countries and where facilities exist, they are mostly privately owned, expensive and concentrated in urban areas. To bridge this gap, public fertility clinics have been established to provide subsidized care. Evaluating the characteristics and peculiarities of clientele presenting at these public facilities will aid planning and prioritization of care. Methodology: A descriptive retrospective study of 116 infertile patients presenting to the fertility clinic of the University College Hospital, Ibadan, Nigeria from inception on the 14<sup>th</sup> of February 2019 and 31<sup>st</sup> of December 2022.Data was analyzed using the Statical Package for Social Sciences (IBM, SPSS, New York) version 23. Descriptive statistics were used to summarize the results which were presented with the aid of bar charts and frequency tables. Result: The mean age of the patients was 40.70 ± 6.62 years. Post-menopausal patients accounted for about one-fifth of the study population while 80.2% (93 women) were older than 35 years. The mean duration of infertility was 9.39 ± 6.11years and nine patients (7.8%) had a duration greater than 2 decades. Secondary infertility occurred in 67.2% of the women. Twenty-nine women (25%) had undergone myomectomy prior to presentation. Hypertension (11.2%) was the most prevalent comorbidity. Nineteen patients (16.4%) had used contraceptives in the past with the male condom (36.8%)being the most preponderant. Sixty-seven patients had experienced pregnancy losses before 28 weeks of gestation while just 16 patients (13.8%) had undergone ART, and none was successful. Conclusion: Secondary infertility was the prevalent type of infertility and may not be unconnected with the low contraceptive usage and high risk of sexually transmitted infection. Late presentation coupled with a large proportion of post-menopausal clientele suggests delayed health-seeking behavior most probably due to the prohibitive cost of ART. The need to streamline services offered in public fertility clinics is paramount in low-income countries grappling with scarce resources. A pragmatic approach will involve the provision of low-cost ART, while enhancing gamete donation programs through the implementation of gamete sharing policies. This will invariably bridge the unmet need and skewed access to ART in developing countries.
文摘Geothermal energy is considered a renewable,environmentally friendly,especially carbon-free,sustainable energy source that can solve the problem of climate change.In general,countries with geothermal energy resources are the ones going through the ring of fire.Therefore,not every country is lucky enough to own this resource.As a country with 117 active volcanoes and within the world’s ring of fire,it is a country whose geothermal resources are estimated to be about 40%of the world’s geothermal energy potential.However,the percentage used compared to the geothermal potential is too small.Therefore,this is the main energy source that Indonesia is aiming to exploit and use.However,the deployment and development of this energy source are still facing many obstacles due to many aspects from budget sources due to high capital costs,factory construction location,quality of resources,and conflicts of the local community.In this context,determining the optimal locations for geothermal energy sites(GES)is one of the most important and necessary issues.To strengthen the selection methods,this study applies a two-layer fuzzy multi-criteria decision-making method.Through the layers,the Ordinal Priority Approach(OPA)is proposed to weight the sub-criteria,the main criterion,and the sustainability factors.In layer 2,the Neutrosophic Fuzzy Axiomatic Design(NFAD)is applied to rank and evaluate potential locations for geothermal plant construction.Choosing the right geothermal energy site can bring low-cost efficiency,no greenhouse gas emissions,and quickly become the main energy source providing electricity for Indonesia.The final ranking shows Papua,Kawah Cibuni,and Moluccas as the three most suitable cities to build geothermal energy systems.Kawah Cibuni was identified as the most potential GES in Indonesia,with a score of 0.46.Papua is the second most promising GES with a score of 0.45.Next is the Moluccas,with a score of 0.39.However,the three least potential sites among the 15 studied sites are Lumut Balai,Moluccas and Patuha,with scores of 0.08,0.11 and 0.17,respectively.The conclusion of this study also classifies positions into groups to aid in decision-making.
文摘On August 20,2024,General Secretary of the Communist Party of Vietnam(CPV)Central Committee and Vietnamese President To Lam concluded his state visit to China.China was the destination for Lam's first overseas visit after taking office as general secretary of the CPV Central Committee,which clearly demonstrates that the heads of both countries attach importance to developing the bilateral relations and that Vietnam regards China as the strategic choice and top priority for its foreign policy.
文摘Shape irregularity,a sub-factor of parcel fragmentation is a problem that hinders sustainable agriculture and is solved using land consolidation projects.Determination of the parcel shape degree contributes significantly to spatial prioritization where there is also a high probability of achieving positive effects of consolidation projects.This study aims to determine the shape degree of the agricultural parcels both at singular and rural county scales in Tekirdag Province,Turkey in 2020 by combining the parcel shape index(PSI) with the minimum bounding geometry index(MBG) to improve parcel scores.Hot-spot zones of the highly irregular and near optimum parcels were also determined using Getis-Ord G_(i)^(*) statistic.The parcel degrees were classified into four categories,namely highly irregular,irregular,regular and near optimum.The obtained unweighted scores of the parameters exhibit deviations from the expected values.After weighting by pairwise comparison,the values approached ideal scores.Among 346 740 parcels,53% were highly irregular and irregular and 47% were regular and near optimum shapes after weighting whereas these were 70% and 30%,respectively before weighting.The average parcel degree of 63 rural counties was regular while the average parcel degree of the remaining 264 rural counties was irregular.The combined use of PSI and MBG index improved the correctness of the parcel shape score.It could be suggested to use as a tool in land consolidation prioritization.
基金the Project of Industrial Internet and Integration of Industrialization and Industrialization of Guangxi,China under Grant No.Guigong2021-37.
文摘This paper deals with the supervisory control problem of discrete event systems modeled by labeled Petri nets. The system is originally unbounded. First, the solvability of the problem is confirmed. A necessary condition is given and proven for the existence of a feasible priority-based controller based on the notions of liveness and transition invariants. Next, a cyclic behavior graph is constructed, which shows the reachable markings that guarantee the maximum liveness of the system within a given bound vector. Finally, an on-line control strategy is proposed to enforce boundedness and liveness to the given system by appending priority relations to transitions. The dynamic priority relation changes flexibly according to the current state of the system and enforces the system evolving in a bounded and live manner. In addition, numerical examples are studied to verify the validity of the proposed approach that remains the structure of the plant net and is efficient for on-line control.
基金supported by Universitas Tanjungpura(No.3387/UN22.9/PG/2021)。
文摘Objective:Cancer has one of the highest disease mortality rates.Families are very important in the treatment of people with cancer.By using a phenomenological design,this study aimed to explore the experience of families in caring for a person with cancer and to identify the needs of these families.Methods:First,eight interviews were under taken with family members selected through a purposive sampling method.Then,another three interviews were conducted for data validation.The collected data were analyzed using the framework method of analysis.Results:The core theme,“Prioritizing the efforts:Being aware of the best we could do for our family,”reflected family’s experiences of caring for a person with cancer and was underpinned by five themes:“Decisions to make,”“Keeping up the good support,”“Acknowledging the others’contributions,”“Assisting my family to alleviate the disease,”and“Adapting to the current situation.”Conclusions:The results suggest that building mutual trust and communication between family and healthcare professionals is vital in decision-making for people with cancer.Family may also work with the person in fulfilling their needs,without disregarding the needs of the family.When suppor ting the needs of people with diabetes,the family requires appropriate information,and thus,healthcare professionals wisely select which information can help the family make a decision regarding the treatment.After administering the treatment and providing information for people with cancer and their family,asking for feedback is required for evaluation.
文摘The abattoir is one of the important sectors in the food industry, therefore the need for close monitoring of everything concerning it to minimize microbial contamination. The aim of the study is to identify bacteria listed as WHO priority organisms associated with meat from Kwata abattoir in Awka, Anambra state. The study was carried out over a three (3) months period from September to December 2022. Thirteen samples were collected from the floor, table, water, meat, knife and soil in the abattoir. The samples were cultured using streak and spread plate methods on MacConkey and Cetrimide agar. The isolates were identified with the following biochemical tests: catalase, oxidase, citrate and indole tests. Ampiclox levofloxacin, gentamicin, ofloxacin impenem ceftraixone, cefixime, cefuroxime and nitrofurantoin were used for sensitivity test following Kirby Bauer disc diffusion method and biofilm formation was determined using the tube method. The 75 isolates obtained were identified as follows;29.3% E. coli, 26.7% Klebsiella spp., 16% Proteus spp., and 28% Pseudomonas spp. The result of antibiotics sensitivity test interpreted using the European Committee on Antimicrobial Susceptibility Testing (EUCAST) breakpoints showed that (98%) of the isolates were resistant to the antibiotics used. Test for biofilm formation with 52 isolates showed 31 strong, 12 moderate and 9 weak biofilm formers. The result of this study confirms the presence of bacteria contaminants within the WHO priority list in the abattoir, as such there is need for improved handling of animals. Slaughtering, cleaning and distribution of meat should be done using aseptic procedures. .
基金funded by the Deanship of Scientific Research(DSR)at King Abdulaziz University,Jeddah,under Grant No.IFPIP:1181-611-1443.
文摘Emerging telemedicine trends,such as the Internet of Medical Things(IoMT),facilitate regular and efficient interactions between medical devices and computing devices.The importance of IoMT comes from the need to continuously monitor patients’health conditions in real-time during normal daily activities,which is realized with the help of various wearable devices and sensors.One major health problem is workplace stress,which can lead to cardiovascular disease or psychiatric disorders.Therefore,real-time monitoring of employees’stress in the workplace is essential.Stress levels and the source of stress could be detected early in the fog layer so that the negative consequences can be mitigated sooner.However,overwhelming the fog layer with extensive data will increase the load on fog nodes,leading to computational challenges.This study aims to reduce fog computation by proposing machine learning(ML)models with two phases.The first phase of theMLmodel assesses the priority of the situation based on the stress level.In the second phase,a classifier determines the cause of stress,which was either interruptions or time pressure while completing a task.This approach reduced the computation cost for the fog node,as only high-priority records were transferred to the fog.Low-priority records were forwarded to the cloud.Four MLapproaches were compared in terms of accuracy and prediction speed:Knearest neighbors(KNN),a support vector machine(SVM),a bagged tree(BT),and an artificial neural network(ANN).In our experiments,ANN performed best in both phases because it scored an F1 score of 99.97% and had the highest prediction speed compared with KNN,SVM,and BT.
基金the Natural Science Foundation of Hainan Province“Research on Health Risk factor Evaluation and Governance of Hainan Free Trade Port”(Project No.722RC686).
文摘Health Priority is increasingly becoming a human need and an international consensus.In addition to the basic value judgment and direction-leading function,Health Priority also has a clear,practical meaning and distinct tool attributes.The text adheres to the organic unity of regularity and purpose,follows the modern medical model and the philosophy of system theory,combines the characteristic facts,and discusses the value rationality and tool rationality of Health Priority based on the whole process management,and tries to refine the Health Priority governance model with Chinese characteristics,so as to provide a reference for global health governance.