China Multimodal Transport Waits to ＂Speed Up＂

Seamless transportation of goods seems to be the inevitable trend for the modern logistics industry.Logistics is currently making a transition to multimodal transport from the single-mode.Generally,multimodal transport indicates the transportation of goods by two or more transport modes with a seamlessly transition,and this can be divided into domestic and international multimodal transport based on whether the transport route crosses borders.Sea-rail,road-railway,air-rail,

Regional variation in routes to diagnosis of cholangiocarcinoma in England from 2006 to 2017

BACKGROUND Incidence of cholangiocarcinoma(CCA)is rising,with overall prognosis remaining very poor.Reasons for the high mortality of CCA include its late presentation in most patients,when curative options are no longer feasible,and poor response to systemic therapies for advanced disease.Late presentation presents a large barrier to improving outcomes and is often associated with diagnosis via mergency presentation(EP).Earlier diagnoses may be made by Two Week Wait(TWW)referrals through General practitioner(GP).We hypothesise that TWW referrals and EP routes to diagnosis differ across regions in England.AIM To investigate routes to diagnosis of CCA over time,regional variation and influencing factors.METHODS We linked patient records from the National Cancer Registration Dataset to Hospital Episode Statistics,Cancer Waiting Times and Cancer Screening Programme datasets to define routes to diagnosis and certain patient characteristics for patients diagnosed 2006-2017 in England.We used linear probability models to investigate geographic variation by assessing the proportions of patients diagnosed via TWW referral or EP across Cancer Alliances in England,adjusting for potential confounders.Correlation between the proportion of people diagnosed by TWW referral and EP was investigated with Spearman’s correlation coefficient.RESULTS Of 23632 patients diagnosed between 2006-2017 in England,the most common route to diagnosis was EP(49.6%).Non-TWW GP referrals accounted for 20.5%of diagnosis routes,13.8%were diagnosed by TWW referral,and the remainder 16.2%were diagnosed via an‘other’or Unknown route.The proportion diagnosed via a TWW referral doubled between 2006-2017 rising from 9.9%to 19.8%,conversely EP diagnosis route declined,falling from 51.3%to 46.0%.Statistically significant variation in both the TWW referral and EP proportions was found across Cancer Alliances.Age,presence of comorbidity and underlying liver disease were independently associated with both a lower proportion of patients diagnosed via TWW referral,and a higher proportion diagnosed by EP after adjusting for other potential confounders.CONCLUSION There is significant geographic and socio-demographic variation in routes to diagnosis of CCA in England.Knowledge sharing of best practice may improve diagnostic pathways and reduce unwarranted variation.

LSTM Based Spectrum Prediction for Real-Time Spectrum Access for IoT Applications

In the Internet of Things(IoT)scenario,many devices will communi-cate in the presence of the cellular network;the chances of availability of spec-trum will be very scary given the presence of large numbers of mobile users and large amounts of applications.Spectrum prediction is very encouraging for high traffic next-generation wireless networks,where devices/machines which are part of the Cognitive Radio Network(CRN)can predict the spectrum state prior to transmission to save their limited energy by avoiding unnecessarily sen-sing radio spectrum.Long short-term memory(LSTM)is employed to simulta-neously predict the Radio Spectrum State(RSS)for two-time slots,thereby allowing the secondary node to use the prediction result to transmit its information to achieve lower waiting time hence,enhanced performance capacity.A frame-work of spectral transmission based on the LSTM prediction is formulated,named as positive prediction and sensing-based spectrum access.The proposed scheme provides an average maximum waiting time gain of 2.88 ms.The proposed scheme provides 0.096 bps more capacity than a conventional energy detector.

Probability Distributions Arising in Connection with the Inspection Paradox for the Poisson Process

The Inspection Paradox refers to the fact that in a Renewal Process, the length of the interarrival period which contains a fixed time is stochastically larger than the length of a typical interarrival period. To provide a more complete understanding of this phenomenon, conditioning arguments are used to obtain the distributions and moments of the lengths of the interarrival periods other than the one containing this fixed time for the case of the time-homogeneous Poisson Process. Distributions of the waiting times for events that occur both before and after this fixed time are derived. This provides a fairly complete probabilistic analysis of the Inspection Paradox.

Probability Distributions Arising in Connection with the Inspection Paradox for Bernoulli Trials

In renewal theory, the Inspection Paradox refers to the fact that an interarrival period in a renewal process which contains a fixed inspection time tends to be longer than one for the corresponding uninspected process. We focus on the paradox for Bernoulli trials. Probability distributions and moments for the lengths of the interarrival periods are derived for the inspected process, and we compare them to those for the uninspected case.

幽默小故事

(一)Diner:Waiter,the portions seem to have got a lot smaller lately.Waiter:Sir,the restaurant has been enlarged,so they look smaller.That's all.食客:服务员,最近份量好像少了很多。服务员:先生,餐厅已经扩建了,所以看起来份量更小了。仅此而已。

马耳他的“豆包姐姐”

Jenise Spiteri,a snowboarder repre⁃senting Malta,has become the darling of Chinese social media for her love of red bean buns and Chinese food.The 29⁃year⁃old athlete put half of a red bean bun into her mouth while waiting for her score in the women􀆳s half pipe qualifiers.She placed 21st and missed out on a spot in the final,but she won the hearts of millions of people after the scene was broadcast live.

基于相对等待时间的代价敏感决策树

首先引入相对等待时间代价,将它与测试代价一起称为有形代价,利用单位有形代价中无形代价(即误分类代价)降低最多的原则选择分裂属性;然后结合序列测试策略和批量测试策略建立相对等待时间代价敏感决策树。实验结果显示,该方法无论在误分类代价的减少量上还是所需有形代价的数量上都优于存在的算法,并且实验地分析了建立代价敏感决策树考虑相对等待时间是必要的。

基于高效缓存管理机制的可靠消息传输机会网络路由算法

针对基于社区的机会网络路由算法存在的消息无序发送和过期消息管理效率不高等难题,提出一种基于高效缓存管理机制的可靠消息传输机会网络路由算法RMTEB(Reliable Message Transmission Routing Algorithm for Opportunistic Networks Based on Efficient Buffer Management Mechanism)。引入Spray and Wait机制,设计消息传输策略,对消息发送顺序、缓存清除机制以及消息转发机制进行优化,以确保携带消息节点在有限通信时间内向邻居节点转发更多的消息,节点相遇后,判断缓存中过期消息的目标节点是否为当前邻居节点,是则将消息发送给对方,否则删除;通过调整发送给目标节点为邻居节点的消息顺序,优先发送生存期剩余时间小的消息,显著提高消息传输效率,降低传输时延。仿真结果表明,RMTEB算法在传输成功率、平均端到端时延、路由开销比率和平均存储时间等方面均优于经典的Prophet routing算法及其改进算法Social Groups Based Routing(SGBR)。

Using Poisson Modeling and Queuing Theory to Optimize Staffing and Decrease Patient Wait Time in the Emergency Department

Introduction: Studies have shown Emergency Department (ED) crowding contributes to reduced quality of patient care, delays in starting treatments, and increased number of patients leaving without being seen. This analysis shows how to theoretically and optimally align staffing to demand. Methods: The ED value stream was identified and mapped. Patients were stratified into three resource-driven care flow cells based on the severity indices. Time observations were conducted for each of the key care team members and the manual cycle times and service rate were calculated and stratified by severity indices. Using X32 Healthcare’s Online Staffing Optimization (OSO) tool, staffing inefficiencies were identified and an optimal schedule was created for each provider group. Results: Lower Severity Indices (higher acuity patient) led to longer times for providers, nurses, patient care assistants, and clerks. The patient length of stay varied from under one hour to over five hours. The flow of patients varied considerably over the 24 hours’ period but was similar by day of the week. Using flow data, we showed that we needed more nurses, more care team members during peak times of patient flow. Eight hour shifts would allow better flexibility. We showed that the additional salary hours added to the budget would be made up for by increased revenue recognized by decreasing the number of patients who leave without being seen. Conclusion: If implemented, these changes will improve ED flow by using lean tools and principles, ultimately leading to timeliness of care, reduced waits, and improved patient experience.

移动Agent系统的一种分布式死锁检测方案

传统的分布式死锁解决方案不适合于实体在网络中自由移动的MAS系统.本文描述了一种移动Agent系统的分布式死锁算法,使用专职Agent从事死锁检测和解决.该方案的特点是地点参考、拓扑独立、容错、异步操作.文中建立了StochasticPetri Net模型,并使用仿真试验给出它和Diffusion Computation算法的性能比较.

A Day's Wait会话中的“it”误解的关联解读

关联理论认为人的交际模式应为明示-推理交际。如果交际双方之间存在着认知环境的差异势必会导致交际的失败。本文试图利用关联理论的三个关联观,即语境关联,个体关联和认知关联来解读海明威的短篇小说A Day's Wait会话中的“it”误解,认为小说中父子之间交流的失败和误解是他们关联性不同制造成的,对“it”误解的关联解读,可以更好地理解作者如何通过两个主人公父与子之间会话中“it”误解的巧妙设计,推进故事情节的发展,揭示出作者在刻画他的“准则英雄”形象时对死亡和勇敢的深刻理解,从而显示作者匠心独具的艺术家本色,体现出不凡的艺术成就。

阅读理解练与析

Shoppers,crowding into the West End of Londonyesterday for the start of sales,answered demands fromthe police to use public transportation rather than theircars.They also decided not to invite danger,after thebursting of a bomb in the West End on Christmasevening,by not waiting in line outside the shops.“Iwould have been very worried of what they had.”saidMr Harry Weblin,manager of Liberty’s.Last night the police,which operated a big actionincluding special searches outside the main shops,spoke highly of the common sense of the

英语自学日语考试指导(12)

上期的第二个话题“跳槽”是目前普遍存在的现象,对此人们看法不一。有些人认为这在国外并非什么新鲜事,中国人也开始这样做说明人们的思想解放了.打破了过去那种在一个单位干一辈子的传统观念.这是社会的进步。也有人把“跳槽”看做是人的私欲膨胀,是对金钱和物质利益的过分追求,不利于一个企业或部门的发展,不应提倡。考生如同意后一种观点就可以说:“I don’t think it is reasonable for aperson to change his(her)job frequently.A

汉译英训练(39) 钥匙

小女孩手中拿着一串钥匙,定定地站在门前的过道上。我下班回家时,小女孩站在过道上迎住了我。她仰着小脸蛋,定定地望着我,用童稚的声音问：＂叔叔,这钥匙是你和阿姨丢失的吗？我是在你家门前的过道上拾到的。＂小女孩的目光一片天真无邪。我仔细地看了那串钥匙,不错,这串钥匙平日是妻掌管的。妻不小心把它遗失在过道上,幸亏是楼上的小女孩拾到了,要是万一落入了＊窃贼1的手中,后果真不堪设想。

An Investigation of Teacher Questioning Strategies Usage in College English Course——A Case Study on Honghe University

Teacher questioning strategy is one of popular teaching method in teaching practice.The teachers and students of college English course II was taken as investigate objects in this study.This study will focus on the problems of questioning frequency,questioning types,questioning strategies,waiting time and students’response to deeply study this situation.Through the data collection and analysis,the researcher hopes the study will deeply reveal the real situation of teacher questioning usage in Honghe University.Some referential suggestions will be offered to the college English teachers for their future teaching.

An Analysis of Language in "Waiting for Godot"

As an important representative of the Theatre of Absurd, in his masterpiece Waiting for Godot, Beckett deserted the traditional dramatic form and adopted a new one that shows us the fragmentary characters and the absurdity of the modern society. This paper demonstrates his artful creation of the language form from the following three aspects: The use of repetition, use of silence and pause and short sentences.

土壤水平分层条件下的闪电电磁场计算

研究了土壤水平分层条件下雷电电磁场的传播和衰减,分别利用Wait算法和Cooray算法对上下层土壤电导率存在差异的不同情况进行了计算,并利用FDTD精确算法对二者的计算结果进行了检验。结果表明:当下层土壤电导率小于上层土壤电导率时,Wait算法和Cooray算法的计算结果基本一致,均与FDTD精确算法结果较为吻合。而当下层土壤电导率大于上层时,相应的,其土壤复折射指数亦大于上层土壤,由于干涉效应的影响致使部分较高频段雷电电磁波发生选择性增大,衰减因子的幅值大于1,从而出现振荡现象。对比表明,Wait算法较好地反应了该现象,而Cooray算法则出现一定误差。

基于网络通信协议的随机Petri网建模

随着计算机网络协议的广泛度和复杂度的增加,协议的形式化工作显得越来越重要。Petri网与其他形式化建模技术相比,具有特别的优越性,更加适用于通信协议的仿真与性能分析。基于两个基本通信协议:stop-wait协议和CS-MA/CD协议,用Petri网对他们进行建模与仿真,对于协议开发与验证有重大意义。

Bridging and downstaging treatments for hepatocellular carcinoma in patients on the waiting list for liver transplantation

Several therapeutic procedures have been proposed as bridging treatments for patients with hepatocellular carcinoma(HCC)awaiting liver transplantation(LT).The most used treatments include transarterial chemoembolization and radiofrequency ablation.Surgical resection has also been successfully used as a bridging procedure,and LT should be considered a rescue treatment in patients with previous HCC resection who experience tumor recurrence or post-treatment severe decompensation of liver function.The aims of bridging treatments include decreasing the waiting list dropout rate before transplantation,reducing HCC recurrence after transplantation,and improving post-transplant overall survival.To date,no data from prospective randomized studies are available;however,for HCC patients listed for LT within the Milan criteria,prolonging the waiting time over 6-12 mo is a risk factor for tumor spread.Bridging treatments are useful in containing tumor progression and decreasing dropout.Furthermore,the response to pre-LT treatments may represent a surrogate marker of tumor biological aggressiveness and could therefore be evaluated to prioritize HCC candidates for LT.Lastly,although a definitive conclusion can not be reached,the experiences reported to date suggest a positive impact of these treatments on both tumor recurrence and post-transplant patient survival.Advanced HCC may be downstaged to achieve and maintain the current conventional criteria for inclusion in the waiting list for LT.Recent studies have demonstrated that successfully downstaged patients can achieve a 5-year survival rate comparable to that of patients meeting the conventional criteria without requiring downstaging.