Development of a Web-Based Decision Support System for Cell Formation Problems Considering Alternative Process Routings and Machine Sequences

In this study, we use the respective advantages of the tabu search (TS) and the Web-based technologies to develop a Web-based decision support system (DSS) for cell formation (CF) problems considering alternative process routings and machine sequences simultaneously. With the assistance of our developed Web-based system, the CF practitioners in the production departments can interact with the systems without knowing the details of algorithms and can get the best machine cells and part families with minimize the total intercellular movement wherever and whenever they may need it. To further verify the feasibility and effectiveness of the system developed, an example taken from the literature is ado- pted for illustrational purpose. Moreover, a set of test problems with various sizes drawn from the literature is used to test the performance of the proposed system. Corresponding results are compared to several well-known algorithms previously published. The results indicate that the proposed system improves the best results found in the literature for 67% of the test problems. These show that the proposed system should thus be useful to both practitioners and researchers.

CONNECTIVITY OF CARTESIAN PRODUCT DIGRAPHS AND FAULT-TOLERANT ROUTINGS OF GENERALIZED HYPERCUBE

Abstract In this paper, the problem of fault tolerant routings in fault tolerant networks is considered. A routing in a network assigns to each ordered pair of nodes a fixed path. All communication among nodes must go on this routing. When either a node or a link in a fault tolerant network fails, the communication from one node to another using this faulty element must be sent via one or more intermediate nodes along a sequence of paths determined by this routing. An important and practical problem is how to choose a routing in the network such that intermediate nodes to ensure communication are small for any fault set. Let C d be a directed cycle of order d . In this paper. The author first discusses connectivity of Cartesian product digraphs, then proves that the Cartesian product digraph C d 1 ×C d 2 ×...×C d n (d i≥2,1≤i≤n) has a routing such that at most one intermediate node is needed to ensure transmission of messages among all non faulty nodes so long as the number of faults is less than n . This is a generalization of Dolev et al's result for the n dimensional cube.

Efficient Route Planning for Real-Time Demand-Responsive Transit

Demand Responsive Transit (DRT) responds to the dynamic users’ requests without any fixed routes and timetablesand determines the stop and the start according to the demands. This study explores the optimization of dynamicvehicle scheduling and real-time route planning in urban public transportation systems, with a focus on busservices. It addresses the limitations of current shared mobility routing algorithms, which are primarily designedfor simpler, single origin/destination scenarios, and do not meet the complex demands of bus transit systems. Theresearch introduces an route planning algorithm designed to dynamically accommodate passenger travel needsand enable real-time route modifications. Unlike traditional methods, this algorithm leverages a queue-based,multi-objective heuristic A∗ approach, offering a solution to the inflexibility and limited coverage of suburbanbus routes. Also, this study conducts a comparative analysis of the proposed algorithm with solutions based onGenetic Algorithm (GA) and Ant Colony Optimization Algorithm (ACO), focusing on calculation time, routelength, passenger waiting time, boarding time, and detour rate. The findings demonstrate that the proposedalgorithmsignificantly enhances route planning speed, achieving an 80–100-fold increase in efficiency over existingmodels, thereby supporting the real-time demands of Demand-Responsive Transportation (DRT) systems. Thestudy concludes that this algorithm not only optimizes route planning in bus transit but also presents a scalablesolution for improving urban mobility.

MTCR-CR Routing Strategy for Connection-Oriented Routing over Satellite Networks

The high-speed movement of satellites makes it not feasible to directly apply the mature routing scheme on the ground to the satellite network.DT-DVTR in the snapshot-based connectionoriented routing strategy is one of the representative solutions,but it still has room for improvement in terms of routing stability.In this paper,we propose an improved scheme for connection-oriented routing strategy named the Minimal Topology Change Routing based on Collaborative Rules(MTCR-CR).The MTCR-CR uses continuous time static topology snapshots based on satellite status to search for intersatellite link(ISL)construction solutions that meet the minimum number of topology changes to avoid route oscillations.The simulation results in Beidou-3 show that compared with DT-DVTR,MTCR-CR reduces the number of routing changes by about 92%,the number of path changes caused by routing changes is about38%,and the rerouting time is reduced by approximately 47%.At the same time,in order to show our algorithm more comprehensively,the same experimental index test was also carried out on the Globalstar satellite constellation.

CoopAI-Route: DRL Empowered Multi-Agent Cooperative System for Efficient QoS-Aware Routing for Network Slicing in Multi-Domain SDN

The emergence of beyond 5G networks has the potential for seamless and intelligent connectivity on a global scale.Network slicing is crucial in delivering services for different,demanding vertical applications in this context.Next-generation applications have time-sensitive requirements and depend on the most efficient routing path to ensure packets reach their intended destinations.However,the existing IP(Internet Protocol)over a multi-domain network faces challenges in enforcing network slicing due to minimal collaboration and information sharing among network operators.Conventional inter-domain routing methods,like Border Gateway Protocol(BGP),cannot make routing decisions based on performance,which frequently results in traffic flowing across congested paths that are never optimal.To address these issues,we propose CoopAI-Route,a multi-agent cooperative deep reinforcement learning(DRL)system utilizing hierarchical software-defined networks(SDN).This framework enforces network slicing in multi-domain networks and cooperative communication with various administrators to find performance-based routes in intra-and inter-domain.CoopAI-Route employs the Distributed Global Topology(DGT)algorithm to define inter-domain Quality of Service(QoS)paths.CoopAI-Route uses a DRL agent with a message-passing multi-agent Twin-Delayed Deep Deterministic Policy Gradient method to ensure optimal end-to-end routes adapted to the specific requirements of network slicing applications.Our evaluation demonstrates CoopAI-Route’s commendable performance in scalability,link failure handling,and adaptability to evolving topologies compared to state-of-the-art methods.

Detection and analysis of landslide geomorphology based on UAV vertical photogrammetry

High-resolution landslide images are required for detailed geomorphological analysis in complex topographic environment with steep and vertical landslide distribution.This study proposed a vertical route planning method for unmanned aerial vehicles(UAVs),which could achieve rapid image collection based on strictly calculated route parameters.The effectiveness of this method was verified using a DJI Mavic 2 Pro,obtaining high-resolution landslide images within the Dongchuan debris flow gully,in the Xiaojiang River Basin,Dongchuan District,Yunnan,China.A three-dimensional(3D)model was constructed by the structure-from-motion and multi-view stereo(SfM-MVS).Micro-geomorphic features were analyzed through visual interpretation,geographic information system(GIS),spatial analysis,and mathematical statistics methods.The results demonstrated that the proposed method could obtain comprehensive vertical information on landslides while improving measurement accuracy.The 3D model was constructed using the vertically oriented flight route to achieve centimeter-level accuracy(horizontal accuracy better than 6 cm,elevation accuracy better than 3 cm,and relative accuracy better than 3.5 cm).The UAV technology could further help understand the micro internal spatial and structural characteristics of landslides,facilitating intuitive acquisition of surface details.The slope of landslide clusters ranged from 36°to 72°,with the majority of the slope facing east and southeast.Upper elevation levels were relatively consistent while middle to lower elevation levels gradually decreased from left to right with significant variations in lower elevation levels.During the rainy season,surface runoff was abundant,and steep topography exacerbated changes in surface features.This route method is suitable for unmanned aerial vehicle(UAV)landslide surveys in complex mountainous environments.The geomorphological analysis methods used will provide references for identifying and describing topographic features.

Digital twin driven and intelligence enabled content delivery in end-edge-cloud collaborative 5G networks

The rapid development of 5G/6G and AI enables an environment of Internet of Everything(IoE)which can support millions of connected mobile devices and applications to operate smoothly at high speed and low delay.However,these massive devices will lead to explosive traffic growth,which in turn cause great burden for the data transmission and content delivery.This challenge can be eased by sinking some critical content from cloud to edge.In this case,how to determine the critical content,where to sink and how to access the content correctly and efficiently become new challenges.This work focuses on establishing a highly efficient content delivery framework in the IoE environment.In particular,the IoE environment is re-constructed as an end-edge-cloud collaborative system,in which the concept of digital twin is applied to promote the collaboration.Based on the digital asset obtained by digital twin from end users,a content popularity prediction scheme is firstly proposed to decide the critical content by using the Temporal Pattern Attention(TPA)enabled Long Short-Term Memory(LSTM)model.Then,the prediction results are input for the proposed caching scheme to decide where to sink the critical content by using the Reinforce Learning(RL)technology.Finally,a collaborative routing scheme is proposed to determine the way to access the content with the objective of minimizing overhead.The experimental results indicate that the proposed schemes outperform the state-of-the-art benchmarks in terms of the caching hit rate,the average throughput,the successful content delivery rate and the average routing overhead.

Frequency-tunable single-photon router based on a microresonator containing a driven three-level emitter

We propose a frequency-tunable router of single photons with high routing efficiency, which is constructed by two waveguides mediately linked by a single-mode whispering gallery resonator with a driven three-level emitter. Quantum routing probability in the output port is obtained via the real-space Hamiltonian. By adjusting the resonator–emitter coupling and the drive, the desired continuous central frequencies for the resonance peaks of routing photons can be manipulated nearly linearly, with the assistance of Rabi splitting effect and optical Stark shift. The proposed routing system may provide potential applications in designing other frequency-modulation quantum optical devices, such as multiplexers,filters, and so on.

An SDN-Based Algorithm for Caching,Routing,and Load Balancing in ICN

One of the challenges of Informationcentric Networking(ICN)is finding the optimal location for caching content and processing users’requests.In this paper,we address this challenge by leveraging Software-defined Networking(SDN)for efficient ICN management.To achieve this,we formulate the problem as a mixed-integer nonlinear programming(MINLP)model,incorporating caching,routing,and load balancing decisions.We explore two distinct scenarios to tackle the problem.Firstly,we solve the problem in an offline mode using the GAMS environment,assuming a stable network state to demonstrate the superior performance of the cacheenabled network compared to non-cache networks.Subsequently,we investigate the problem in an online mode where the network state dynamically changes over time.Given the computational complexity associated with MINLP,we propose the software-defined caching,routing,and load balancing(SDCRL)algorithm as an efficient and scalable solution.Our evaluation demonstrates that the SDCRL algorithm significantly reduces computational time while maintaining results that closely resemble those achieved by GAMS.

Mitigating Blackhole and Greyhole Routing Attacks in Vehicular Ad Hoc Networks Using Blockchain Based Smart Contracts

The rapid increase in vehicle traffic volume in modern societies has raised the need to develop innovative solutions to reduce traffic congestion and enhance traffic management efficiency.Revolutionary advanced technology,such as Intelligent Transportation Systems(ITS),enables improved traffic management,helps eliminate congestion,and supports a safer environment.ITS provides real-time information on vehicle traffic and transportation systems that can improve decision-making for road users.However,ITS suffers from routing issues at the network layer when utilising Vehicular Ad Hoc Networks(VANETs).This is because each vehicle plays the role of a router in this network,which leads to a complex vehicle communication network,causing issues such as repeated link breakages between vehicles resulting from the mobility of the network and rapid topological variation.This may lead to loss or delay in packet transmissions;this weakness can be exploited in routing attacks,such as black-hole and gray-hole attacks,that threaten the availability of ITS services.In this paper,a Blockchain-based smart contracts model is proposed to offer convenient and comprehensive security mechanisms,enhancing the trustworthiness between vehicles.Self-Classification Blockchain-Based Contracts(SCBC)and Voting-Classification Blockchain-Based Contracts(VCBC)are utilised in the proposed protocol.The results show that VCBC succeeds in attaining better results in PDR and TP performance even in the presence of Blackhole and Grayhole attacks.

Enhancing Network Design through Statistical Evaluation of MANET Routing Protocols

This paper contributes a sophisticated statistical method for the assessment of performance in routing protocols salient Mobile Ad Hoc Network(MANET)routing protocols:Destination Sequenced Distance Vector(DSDV),Ad hoc On-Demand Distance Vector(AODV),Dynamic Source Routing(DSR),and Zone Routing Protocol(ZRP).In this paper,the evaluation will be carried out using complete sets of statistical tests such as Kruskal-Wallis,Mann-Whitney,and Friedman.It articulates a systematic evaluation of how the performance of the previous protocols varies with the number of nodes and the mobility patterns.The study is premised upon the Quality of Service(QoS)metrics of throughput,packet delivery ratio,and end-to-end delay to gain an adequate understanding of the operational efficiency of each protocol under different network scenarios.The findings explained significant differences in the performance of different routing protocols;as a result,decisions for the selection and optimization of routing protocols can be taken effectively according to different network requirements.This paper is a step forward in the general understanding of the routing dynamics of MANETs and contributes significantly to the strategic deployment of robust and efficient network infrastructures.

Dynamic Routing of Multiple QoS-Required Flows in Cloud-Edge Autonomous Multi-Domain Data Center Networks

The 6th generation mobile networks(6G)network is a kind of multi-network interconnection and multi-scenario coexistence network,where multiple network domains break the original fixed boundaries to form connections and convergence.In this paper,with the optimization objective of maximizing network utility while ensuring flows performance-centric weighted fairness,this paper designs a reinforcement learning-based cloud-edge autonomous multi-domain data center network architecture that achieves single-domain autonomy and multi-domain collaboration.Due to the conflict between the utility of different flows,the bandwidth fairness allocation problem for various types of flows is formulated by considering different defined reward functions.Regarding the tradeoff between fairness and utility,this paper deals with the corresponding reward functions for the cases where the flows undergo abrupt changes and smooth changes in the flows.In addition,to accommodate the Quality of Service(QoS)requirements for multiple types of flows,this paper proposes a multi-domain autonomous routing algorithm called LSTM+MADDPG.Introducing a Long Short-Term Memory(LSTM)layer in the actor and critic networks,more information about temporal continuity is added,further enhancing the adaptive ability changes in the dynamic network environment.The LSTM+MADDPG algorithm is compared with the latest reinforcement learning algorithm by conducting experiments on real network topology and traffic traces,and the experimental results show that LSTM+MADDPG improves the delay convergence speed by 14.6%and delays the start moment of packet loss by 18.2%compared with other algorithms.

Falcon Optimization Algorithm-Based Energy Efficient Communication Protocol for Cluster-Based Vehicular Networks

Rapid development in Information Technology(IT)has allowed several novel application regions like large outdoor vehicular networks for Vehicle-to-Vehicle(V2V)transmission.Vehicular networks give a safe and more effective driving experience by presenting time-sensitive and location-aware data.The communication occurs directly between V2V and Base Station(BS)units such as the Road Side Unit(RSU),named as a Vehicle to Infrastructure(V2I).However,the frequent topology alterations in VANETs generate several problems with data transmission as the vehicle velocity differs with time.Therefore,the scheme of an effectual routing protocol for reliable and stable communications is significant.Current research demonstrates that clustering is an intelligent method for effectual routing in a mobile environment.Therefore,this article presents a Falcon Optimization Algorithm-based Energy Efficient Communication Protocol for Cluster-based Routing(FOA-EECPCR)technique in VANETS.The FOA-EECPCR technique intends to group the vehicles and determine the shortest route in the VANET.To accomplish this,the FOA-EECPCR technique initially clusters the vehicles using FOA with fitness functions comprising energy,distance,and trust level.For the routing process,the Sparrow Search Algorithm(SSA)is derived with a fitness function that encompasses two variables,namely,energy and distance.A series of experiments have been conducted to exhibit the enhanced performance of the FOA-EECPCR method.The experimental outcomes demonstrate the enhanced performance of the FOA-EECPCR approach over other current methods.

Detour for the inexperienced? Migration count data suggest mostly juvenile Greater Spotted Eagles appear in coastal peninsulas in China

Soaring bird migration often relies on suitable terrain and airflow;therefore,route selection is vital for successful migration.While age and experience have been identified as key factor influencing migration route selection among soaring raptors in the African-Eurasian Flyway,how they shape the migration route of soaring raptors in East Asia is still largely unknown.In this study,we investigated potential variations in the routes and timing in autumn migration of juvenile and older soaring birds,using count data of Greater Spotted Eagles(Clanga clanga)from two coastal sites and two inland sites in China.From 2020 to 2023,we recorded a total of 340 individuals,with the highest site averaging over 90 individuals per autumn,making it one of the world’s top single-season counts and thus a globally important site for this species.We found that 82% and 61% records from coastal sites were juveniles,significantly higher than inland sites(15% and 24%).Juveniles at all four sites exhibited markedly earlier median passage time than non-juveniles,with brief overlapping in their main migration periods.Both coastal sites are located on the tip of peninsulas stretching southwest,requiring long overwater flights if crossing the Bohai Bay or Beibu Gulf,which would be energetically demanding and increase mortality risk.Experienced individuals may have learned to avoid such terrain and subsequent detour,while juveniles are more prone to enter these peninsulas due to lack of experience and opportunities for social learning,or following other raptor species that are more capable of powered flight.Our findings highlight the importance of age and experience in migration route selection of large soaring birds.

Towards Blockchain-Based Secure BGP Routing,Challenges and Future Research Directions

Border Gateway Protocol(BGP)is a standard inter-domain routing protocol for the Internet that conveys network layer reachability information and establishes routes to different destinations.The BGP protocol exhibits security design defects,such as an unconditional trust mechanism and the default acceptance of BGP route announcements from peers by BGP neighboring nodes,easily triggering prefix hijacking,path forgery,route leakage,and other BGP security threats.Meanwhile,the traditional BGP security mechanism,relying on a public key infrastructure,faces issues like a single point of failure and a single point of trust.The decentralization,anti-tampering,and traceability advantages of blockchain offer new solution ideas for constructing secure and trusted inter-domain routing mechanisms.In this paper,we summarize the characteristics of BGP protocol in detail,sort out the BGP security threats and their causes.Additionally,we analyze the shortcomings of the traditional BGP security mechanism and comprehensively evaluate existing blockchain-based solutions to address the above problems and validate the reliability and effectiveness of blockchain-based BGP security methods in mitigating BGP security threats.Finally,we discuss the challenges posed by BGP security problems and outline prospects for future research.

Numerical Simulation of Turbulent Diffusion Flames of a Biogas Enriched with Hydrogen

Any biogas produced by the anaerobic fermentation of organic materials has the advantage of being an environmentally friendly biofuel.Nevertheless,the relatively low calorific value of such gases makes their effective utilization in practical applications relatively difficult.The present study considers the addition of hydrogen as a potential solution to mitigate this issue.In particular,the properties of turbulent diffusion jet flames and the related pollutant emissions are investigated numerically for different operating pressures.The related numerical simulations are conducted by solving the RANS equations in the frame of the Reynolds Stress Model in combination with the flamelet approach.Radiation effects are also taken into account and the combustion kinetics are described via the GRI-Mech 3.0 reaction model.The considered hydrogen fuel enrichment spans the range from 0%to 50%in terms of volume.Pressure varies between 1 and 10 atm.The results show that both hydrogen addition and pressure increase lead to an improvement in terms of mixing quality and have a significant effect on flame temperature and height.They also reduce CO_(2) emissions but increase NOx production.Prompt NO is shown to be the predominant NO formation mechanism.

QoS Routing Optimization Based on Deep Reinforcement Learning in SDN

To enhance the efficiency and expediency of issuing e-licenses within the power sector, we must confront thechallenge of managing the surging demand for data traffic. Within this realm, the network imposes stringentQuality of Service (QoS) requirements, revealing the inadequacies of traditional routing allocation mechanismsin accommodating such extensive data flows. In response to the imperative of handling a substantial influx of datarequests promptly and alleviating the constraints of existing technologies and network congestion, we present anarchitecture forQoS routing optimizationwith in SoftwareDefinedNetwork (SDN), leveraging deep reinforcementlearning. This innovative approach entails the separation of SDN control and transmission functionalities, centralizingcontrol over data forwardingwhile integrating deep reinforcement learning for informed routing decisions. Byfactoring in considerations such as delay, bandwidth, jitter rate, and packet loss rate, we design a reward function toguide theDeepDeterministic PolicyGradient (DDPG) algorithmin learning the optimal routing strategy to furnishsuperior QoS provision. In our empirical investigations, we juxtapose the performance of Deep ReinforcementLearning (DRL) against that of Shortest Path (SP) algorithms in terms of data packet transmission delay. Theexperimental simulation results show that our proposed algorithm has significant efficacy in reducing networkdelay and improving the overall transmission efficiency, which is superior to the traditional methods.

Improving Network Availability through Optimized Multipath Routing and Incremental Deployment Strategies

Currently,distributed routing protocols are constrained by offering a single path between any pair of nodes,thereby limiting the potential throughput and overall network performance.This approach not only restricts the flow of data but also makes the network susceptible to failures in case the primary path is disrupted.In contrast,routing protocols that leverage multiple paths within the network offer a more resilient and efficient solution.Multipath routing,as a fundamental concept,surpasses the limitations of traditional shortest path first protocols.It not only redirects traffic to unused resources,effectively mitigating network congestion,but also ensures load balancing across the network.This optimization significantly improves network utilization and boosts the overall performance,making it a widely recognized efficient method for enhancing network reliability.To further strengthen network resilience against failures,we introduce a routing scheme known as Multiple Nodes with at least Two Choices(MNTC).This innovative approach aims to significantly enhance network availability by providing each node with at least two routing choices.By doing so,it not only reduces the dependency on a single path but also creates redundant paths that can be utilized in case of failures,thereby enhancing the overall resilience of the network.To ensure the optimal placement of nodes,we propose three incremental deployment algorithms.These algorithms carefully select the most suitable set of nodes for deployment,taking into account various factors such as node connectivity,traffic patterns,and network topology.By deployingMNTCon a carefully chosen set of nodes,we can significantly enhance network reliability without the need for a complete overhaul of the existing infrastructure.We have conducted extensive evaluations of MNTC in diverse topological spaces,demonstrating its effectiveness in maintaining high network availability with minimal path stretch.The results are impressive,showing that even when implemented on just 60%of nodes,our incremental deployment method significantly boosts network availability.This underscores the potential of MNTC in enhancing network resilience and performance,making it a viable solution for modern networks facing increasing demands and complexities.The algorithms OSPF,TBFH,DC and LFC perform fast rerouting based on strict conditions,while MNTC is not restricted by these conditions.In five real network topologies,the average network availability ofMNTCis improved by 14.68%,6.28%,4.76%and 2.84%,respectively,compared with OSPF,TBFH,DC and LFC.

A new quantum key distribution resource allocation and routing optimization scheme

Quantum key distribution(QKD)is a technology that can resist the threat of quantum computers to existing conventional cryptographic protocols.However,due to the stringent requirements of the quantum key generation environment,the generated quantum keys are considered valuable,and the slow key generation rate conflicts with the high-speed data transmission in traditional optical networks.In this paper,for the QKD network with a trusted relay,which is mainly based on point-to-point quantum keys and has complex changes in network resources,we aim to allocate resources reasonably for data packet distribution.Firstly,we formulate a linear programming constraint model for the key resource allocation(KRA)problem based on the time-slot scheduling.Secondly,we propose a new scheduling scheme based on the graded key security requirements(GKSR)and a new micro-log key storage algorithm for effective storage and management of key resources.Finally,we propose a key resource consumption(KRC)routing optimization algorithm to properly allocate time slots,routes,and key resources.Simulation results show that the proposed scheme significantly improves the key distribution success rate and key resource utilization rate,among others.

Stage at diagnosis of colorectal cancer through diagnostic route:Who should be screened?

BACKGROUND Colorectal cancer(CRC)is a global health concern,with advanced-stage diagnoses contributing to poor prognoses.The efficacy of CRC screening has been well-established;nevertheless,a significant proportion of patients remain unscreened,with>70%of cases diagnosed outside screening.Although identifying specific subgroups for whom CRC screening should be particularly recommended is crucial owing to limited resources,the association between the diagnostic routes and identification of these subgroups has been less appreciated.In the Japanese cancer registry,the diagnostic routes for groups discovered outside of screening are primarily categorized into those with comorbidities found during hospital visits and those with CRC-related symptoms.AIM To clarify the stage at CRC diagnosis based on diagnostic routes.METHODS We conducted a retrospective observational study using a cancer registry of patients with CRC between January 2016 and December 2019 at two hospitals.The diagnostic routes were primarily classified into three groups:Cancer screening,follow-up,and symptomatic.The early-stage was defined as Stages 0 or I.Multivariate and univariate logistic regressions were exploited to determine the odds of early-stage diagnosis in the symptomatic and cancer screening groups,referencing the follow-up group.The adjusted covariates were age,sex,and tumor location.RESULTS Of the 2083 patients,715(34.4%),1064(51.1%),and 304(14.6%)belonged to the follow-up,symptomatic,and cancer screening groups,respectively.Among the 2083 patients,CRCs diagnosed at an early stage were 57.3%(410 of 715),23.9%(254 of 1064),and 59.5%(181 of 304)in the follow-up,symptomatic,and cancer screening groups,respectively.The symptomatic group exhibited a lower likelihood of early-stage diagnosis than the follow-up group[P<0.001,adjusted odds ratio(aOR),0.23;95%confidence interval(95%CI):0.19-0.29].The likelihood of diagnosis at an early stage was similar between the follow-up and cancer screening groups(P=0.493,aOR for early-stage diagnosis in the cancer screening group vs follow-up group=1.11;95%CI=0.82-1.49).CONCLUSION CRCs detected during hospital visits for comorbidities were diagnosed earlier,similar to cancer screening.CRC screening should be recommended,particularly for patients without periodical hospital visits for comorbidities.