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A new quantum key distribution resource allocation and routing optimization scheme
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作者 毕琳 袁晓同 +1 位作者 吴炜杰 林升熙 《Chinese Physics B》 SCIE EI CAS CSCD 2024年第3期244-259,共16页
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 env... 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. 展开更多
关键词 quantum key distribution(QKD) resource allocation key storage routing algorithm
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Multi-objective planning model for simultaneous reconfiguration of power distribution network and allocation of renewable energy resources and capacitors with considering uncertainties 被引量:9
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作者 Sajad Najafi Ravadanegh Mohammad Reza Jannati Oskuee Masoumeh Karimi 《Journal of Central South University》 SCIE EI CAS CSCD 2017年第8期1837-1849,共13页
This research develops a comprehensive method to solve a combinatorial problem consisting of distribution system reconfiguration, capacitor allocation, and renewable energy resources sizing and siting simultaneously a... This research develops a comprehensive method to solve a combinatorial problem consisting of distribution system reconfiguration, capacitor allocation, and renewable energy resources sizing and siting simultaneously and to improve power system's accountability and system performance parameters. Due to finding solution which is closer to realistic characteristics, load forecasting, market price errors and the uncertainties related to the variable output power of wind based DG units are put in consideration. This work employs NSGA-II accompanied by the fuzzy set theory to solve the aforementioned multi-objective problem. The proposed scheme finally leads to a solution with a minimum voltage deviation, a maximum voltage stability, lower amount of pollutant and lower cost. The cost includes the installation costs of new equipment, reconfiguration costs, power loss cost, reliability cost, cost of energy purchased from power market, upgrade costs of lines and operation and maintenance costs of DGs. Therefore, the proposed methodology improves power quality, reliability and security in lower costs besides its preserve, with the operational indices of power distribution networks in acceptable level. To validate the proposed methodology's usefulness, it was applied on the IEEE 33-bus distribution system then the outcomes were compared with initial configuration. 展开更多
关键词 optimal reconfiguration renewable energy resources sitting and sizing capacitor allocation electric distribution system uncertainty modeling scenario based-stochastic programming multi-objective genetic algorithm
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Integration of Location-Allocation and Accessibility Models in GIS to Improve Urban Planning for Health Services in Al-Madinah Al-Munawwarah, Saudi Arabia 被引量:2
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作者 Ashraf Abdelkarim 《Journal of Geographic Information System》 2019年第6期633-662,共30页
In this study, accessibility and location-allocation models have been integrated into GIS to improve spatial planning and environmental sustainability of health services in Al-Madinah Al-Munawwarah. This integration p... In this study, accessibility and location-allocation models have been integrated into GIS to improve spatial planning and environmental sustainability of health services in Al-Madinah Al-Munawwarah. This integration provides a planning framework in order to check the efficiency of the spatial allocation of health services and to generate alternatives either by proposing an active service or to improve an existing one. To achieve these objectives, the accessibility to the service area was analyzed within the analysis of health services networks, which are divided into eight types: public hospitals, specialized hospitals, health units, healthcare centers, infirmaries, clinic complexes, the Red Crescent Center, and ambulance facilities, with time intervals of (5 minutes - 10 minutes - 15 minutes) to access coverage ranges, and the location-allocation model was used based on the maximum coverage model within a response time not exceeding 15 minutes, The results of the study revealed the poor distribution of health services Al-Madinah Al-Munawwarah suffers from weak accessibility to health services coverage areas and is unable to meet the needs of its population at present. The current need for health services reached twenty-four locations, including two public hospitals, three specialized hospitals, two health centers, three ambulance facilities, four infirmaries, three clinic complexes, four health units, and three Red Crescent centers. 展开更多
关键词 Urban Planning health Services ACCESSIBILITY Location-allocation MODELS GEOGRAPHIC Information Systems Spatial distribution Efficiency and EQUITY
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Design and implementation of a survey of senior Canadian healthcare decision-makers: Organization-wide resource allocation processes
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作者 Neale Smith Craig Mitton +4 位作者 Alan Davidson Jennifer Gibson Stuart Peacock Stirling Bryan Cam Donaldson 《Health》 2012年第11期1007-1014,共8页
A three-year research project based in British Columbia, Canada, is attempting to develop a framework and tools to assist healthcare system decision-makers achieve “high performance” in resource allocation. In pursu... A three-year research project based in British Columbia, Canada, is attempting to develop a framework and tools to assist healthcare system decision-makers achieve “high performance” in resource allocation. In pursuit of this objective, a literature search was conducted and two phases of primary data collection are being undertaken: an online survey of senior healthcare decision-makers, and in-depth case studies of potential “high performing” organizations. This paper addresses the survey phase;our aim is to provide a practical example of the mechanics of survey design, of benefit to those who want to better understand our forthcoming results, but also as an aid to other researchers grappling with the hard choices and trade-offs involved in the survey development process. Survey content is described in light of the existing literature, with discussion of the choices made by the research team to decide what questions and items would be included and excluded. The target population for the survey was senior managers in Canadian regional health authorities (or the closest equivalent organizations) in each of the 10 provinces and 3 territories. The paper dis- cusses how this sample was obtained, and describes the survey implementation process. 展开更多
关键词 health Policy Resource allocation RATIONING CANADA
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A Trusted Multi-Task Distribution Mechanism for Internet of Vehicles Based on Smart Contract
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作者 Xujie Li Yuan Xu +3 位作者 Jing Tang Ying Sun Shaoshuai Fan Fei Shen 《China Communications》 SCIE CSCD 2023年第4期212-226,共15页
In this paper,a trusted multi-task distribution mechanism for Internet of Vehicles based on smart contract is proposed to improve the security and efficiency for the task distribution in Internet of Vehicles.Firstly,a... In this paper,a trusted multi-task distribution mechanism for Internet of Vehicles based on smart contract is proposed to improve the security and efficiency for the task distribution in Internet of Vehicles.Firstly,a three-tier trusted multi-task distribution framework is presented based on smart contract.The smart contract will be triggered by the task request.As the important part of the smart contract,the task distribution algorithm is stored on the blockchain and run automatically.In the process of the task distribution,the cost of the task distribution and the system stability play a critical role.Therefore,the task distribution problem is formulated to minimize the cost of the task distribution whilst maintaining the stability of the system based on Lyapunov theorem.Unfortunately,this problem is a mixed integer nonlinear programming problem with NP-hard characteristics.To tackle this,the optimization problem is decomposed into two sub problems of computing resource allocation and task distribution decision,and an effective task distribution algorithm is proposed.Simulation results show that the proposed algorithm can effectively improves system performance. 展开更多
关键词 task distribution resource allocation Lyapunov optimization smart contract
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A Method for Assessing the Fairness of Health Resource Allocation Based on Geographical Grid 被引量:2
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作者 Jin Han Wenhao Jiang +3 位作者 Jin Shi Sun Xin Jin Peng Haibo Liu 《Computers, Materials & Continua》 SCIE EI 2020年第8期1171-1184,共14页
The assessment of the fairness of health resource allocation is an important part of the study for the fairness of social development.The data used in most of the existing assessment methods comes from statistical yea... The assessment of the fairness of health resource allocation is an important part of the study for the fairness of social development.The data used in most of the existing assessment methods comes from statistical yearbooks or field survey sampling.These statistics are generally based on administrative areas and are difficult to support a fine-grained evaluation model.In response to these problems,the evaluation method proposed in this paper is based on the query statistics of the geographic grid of the target area,which are more accurate and efficient.Based on the query statistics of hot words in the geographic grids,this paper adopts the maximum likelihood estimation method to estimate the population in the grid region.Then,according to the statistical yearbook data of Hunan province,the estimated number and actual number of hospitals in each grid are analyzed and compared to measure the fairness of health resource allocation in the target region.Experiments show that the geographical grid population assessment based on hot words is more accurate and close to the actual value.The estimated average error is only about 17.8 percent.This method can assess the fairness of health resource allocation in any scale,and is innovative in data acquisition and evaluation methods. 展开更多
关键词 health resource allocation fairness assessment geographical grid hot words
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Dynamic access task scheduling of LEO constellation based on space-based distributed computing
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作者 LIU Wei JIN Yifeng +2 位作者 ZHANG Lei GAO Zihe TAO Ying 《Journal of Systems Engineering and Electronics》 SCIE CSCD 2024年第4期842-854,共13页
A dynamic multi-beam resource allocation algorithm for large low Earth orbit(LEO)constellation based on on-board distributed computing is proposed in this paper.The allocation is a combinatorial optimization process u... A dynamic multi-beam resource allocation algorithm for large low Earth orbit(LEO)constellation based on on-board distributed computing is proposed in this paper.The allocation is a combinatorial optimization process under a series of complex constraints,which is important for enhancing the matching between resources and requirements.A complex algorithm is not available because that the LEO on-board resources is limi-ted.The proposed genetic algorithm(GA)based on two-dimen-sional individual model and uncorrelated single paternal inheri-tance method is designed to support distributed computation to enhance the feasibility of on-board application.A distributed system composed of eight embedded devices is built to verify the algorithm.A typical scenario is built in the system to evalu-ate the resource allocation process,algorithm mathematical model,trigger strategy,and distributed computation architec-ture.According to the simulation and measurement results,the proposed algorithm can provide an allocation result for more than 1500 tasks in 14 s and the success rate is more than 91%in a typical scene.The response time is decreased by 40%com-pared with the conditional GA. 展开更多
关键词 beam resource allocation distributed computing low Earth obbit(LEO)constellation spacecraft access task scheduling
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The impacts of organizational culture and neoliberal ideology on the continued existence of incivility and bullying in healthcare institutions:A discussion paper
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作者 Michael LaGuardia Nelly D.Oelke 《International Journal of Nursing Sciences》 CSCD 2021年第3期361-366,I0009,共7页
Countless research studies have demonstrated the detrimental effects of incivility and bullying in healthcare.Despite the abundance of proposed solutions to this issue,many healthcare leaders continue to fail in mitig... Countless research studies have demonstrated the detrimental effects of incivility and bullying in healthcare.Despite the abundance of proposed solutions to this issue,many healthcare leaders continue to fail in mitigating the existence of such negative behaviors in the workplace.Personality attributes of perpetrators and victims have received attention,but much less research has examined the organizational and neoliberal causations of incivility and bullying in healthcare.Being the largest occupational group in the health sector,nursing professionals have the greatest influence and are crucial in ending these behaviors.This discussion paper outlines the effects of incivility and bullying in healthcare and provides a critical analysis on how organizational culture and neoliberal ideology influence the pervasiveness and persistence of these negative behaviors.The analysis reveals that organizational cultures that misuse power,disregard equality,and facilitate oppression,foster the existence of incivility and bullying in the workplace.Such cultures permit perpetrators to misuse their authority to control resource allocation,ignorance to social inequalities,and the silence of victims.Furthermore,the neoliberal concept of deregulation,austerity,and individualism further these behaviors.The neoliberal reforms have led to underfunding of anti-bullying programs and policies,use of bullying behaviours as management strategies,and victim-blaming for profit maximization.Financial cutbacks have resulted in denial and acceptance of uncivil and bullying behaviours in healthcare institutions,which endangers the rights of healthcare providers to a safe workplace environment.To curtail these negative behaviors,robust anti-bullying policies and programs must be strictly enforced and sustained in practice.Further exploration on the association of organizational culture and neoliberal principles to incivility and bullying in healthcare is greatly warranted. 展开更多
关键词 AUSTERITY BULLYING health personnel INCIVILITY Neoliberalism Organizational culture Resource allocation
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Resources Allocation and Failures in Step Topology under Distributed Computing System
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作者 Taskeen Zaidi Vipin Saxena 《Journal of Software Engineering and Applications》 2013年第1期14-19,共6页
In the past years, distributed computing is gaining the popularity due to reduction in execution time and low cost involvement. On the basis of this, Mobile Adhoc Network (MANET) is also increasing worldwide with majo... In the past years, distributed computing is gaining the popularity due to reduction in execution time and low cost involvement. On the basis of this, Mobile Adhoc Network (MANET) is also increasing worldwide with major advantage that it has no involvement of wire and transfer of data can be done by the virtual paths if the existing path is congested. In the present work, MANET is considered in the form of step topology which consists of heterogeneous collection of the devices. The work demonstrates the resources allocation for execution of tasks and it consists of selection of right path if the link failures and by pass link failures. It also consists of the resource management over the new proposed step topology. Entire work is modeled with the help of well known modeling language known as Unified Modeling Language (UML) and model demonstrates the resources allocation for execution of the tasks. 展开更多
关键词 Distributed System Link Failure STEP TOPOLOGY RESOURCE allocation UML Model
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The Development Opportunities and Dilemmas of Telemedicine - Base on the Perspective of Medical Resource Distribution
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作者 Liu Liang Wang Shuling +1 位作者 Zhi Yuanyuan An Lianyu 《Asian Journal of Social Pharmacy》 2022年第1期76-87,共12页
Objective To discuss issues related to telemedicine in the context of the“Internet plus”and the prevention of novel coronavirus in early 2020,so as to provide some reference for the rapid development of Internet plu... Objective To discuss issues related to telemedicine in the context of the“Internet plus”and the prevention of novel coronavirus in early 2020,so as to provide some reference for the rapid development of Internet plus telemedicine.Methods Literature analysis method was used to summarize the current status of telemedicine at home and abroad.Descriptive statistical analysis and comparative analysis were also conducted to analyze the data of population and health in the“China Health Statistical Yearbook”and“China Statistical Yearbook”from 2009 to 2018.Results and Conclusion The distribution of medical demand and medical resources is uneven in 31 provinces,municipalities and autonomous regions,such problems are more serious between urban and rural areas in different regions.The population’s demand for medical care and the allocation of medical resources have the characteristics of positive correlation,large urban-rural differences and regional imbalance.Confronted with the situation that the uneven distribution of medical resources provides potential development opportunities for telemedicine and the difficulties in the further development of telemedicine,the government should formulate policies to improve the publicity of telemedicine,setting up a full coverage of telemedicine service system.Besides,hospitals should ensure the information security monitoring. 展开更多
关键词 TELEMEDICINE “Internet plus”telemedicine medical resource allocation population distribution
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Communication Resources Allocation for Time Delay Reduction of Frequency Regulation Service in High Renewable Penetrated Power System
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作者 Hongjie He Ning Zhang +3 位作者 Chongqing Kang Song Ci Fei Teng Goran Strbac 《CSEE Journal of Power and Energy Systems》 SCIE EI CSCD 2024年第2期468-480,共13页
The high renewable penetrated power system has severe frequency regulation problems.Distributed resources can provide frequency regulation services but are limited by com-munication time delay.This paper proposes a co... The high renewable penetrated power system has severe frequency regulation problems.Distributed resources can provide frequency regulation services but are limited by com-munication time delay.This paper proposes a communication resources allocation model to reduce communication time delay in frequency regulation service.Communication device resources and wireless spectrum resources are allocated to distributed resources when they participate in frequency regulation.We reveal impact of communication resources allocation on time delay reduction and frequency regulation performance.Besides,we study communication resources allocation solution in high renewable energy penetrated power systems.We provide a case study based on the HRP-38 system.Results show communication time delay decreases distributed resources'ability to provide frequency regulation service.On the other hand,allocating more communication resources to distributed resources'communica-tion services improves their frequency regulation performance.For power systems with renewable energy penetration above 70%,required communications resources are about five times as many as 30%renewable energy penetrated power systems to keep frequency performance the same.Index Terms-Communication resources allocation,commun-ication time delay,distributed resource,frequency regulation,high renewable energy penetrated power system. 展开更多
关键词 Communication resources allocation communication time delay distributed resource frequency regulation high renewable energy penetrated power system
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Collaborative Multiple Access And Energy-Efficient Resource Allocation in Distributed Maritime Wireless Networks 被引量:3
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作者 Xueyan Cao Hongming Zhang Mugen Peng 《China Communications》 SCIE CSCD 2022年第4期137-153,共17页
With the rapid increasing of maritime activities, maritime wireless networks(MWNs) with high reliability, high energy efficiency, and low delay are required. However, the centralized networking with fixed resource sch... With the rapid increasing of maritime activities, maritime wireless networks(MWNs) with high reliability, high energy efficiency, and low delay are required. However, the centralized networking with fixed resource scheduling is not suitable for MWNs due to the special environment. In this paper,we introduce the collaborative relay communication in distributed MWNs to improve the link reliability, and propose an orthogonal time-frequency resource block reservation based multiple access(RRMA) scheme for both one-hop direct link and two-hop collaborative relay link to reduce the interference. To further improve the network performance, we formulate an energy efficiency(EE) maximization resource allocation problem and solve it by an iterative algorithm based on the Dinkelbach method. Finally, numerical results are provided to investigate the proposed RRMA scheme and resource allocation algorithm, showing that the low outage probability and transmission delay can be attained by the proposed RRMA scheme. Moreover,the proposed resource allocation algorithm is capable of achieving high EE in distributed MWNs. 展开更多
关键词 maritime wireless networks distributed multiple access resource allocation energy efficiency maximization
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Resource Allocation based on Shared Criterion in OFDMA Distributed Radio Access Network 被引量:1
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作者 Yang Bo Tang Youxi 《China Communications》 SCIE CSCD 2010年第1期16-22,共7页
Distributed radio access network (DRAN) is a novel wireless access architecture and can solve the problem of the available spectrum scarcity in wireless communications. In this paper, we investigate resource allocatio... Distributed radio access network (DRAN) is a novel wireless access architecture and can solve the problem of the available spectrum scarcity in wireless communications. In this paper, we investigate resource allocation for the downlink of OFDMA DRAN. Unlike previous exclusive criterion based algorithms that allocate each subcarrier to only one user in the system, the proposed algorithms are based on shared criterion that allow each subcarrier to be allocated to multiple users through different antennas and to only one user through same antenna. First, an adaptive resource allocation algorithm based on shared criterion is proposed to maximize total system rate under each user's minimal rate and each antenna's maximal power constraints. Then we improve the above algorithm by considering the influence of the resource allocation scheme on single user. The simulation results show that the shared criterion based algorithm provide much higher total system rate than that of the exclusive criterion based algorithm at the expense of the outage performance and the fairness, while the improved algorithm based on shared criterion can achieve a good tradeoff performance. 展开更多
关键词 resource allocation distributed radio ACCESS network (DRAN) ORTHOGONAL frequency DIVISION multiple ACCESS (ofDMA) SHARED criterion
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A Distributed User Association and Resource Allocation Method in Cache-Enabled Small Cell Networks 被引量:2
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作者 Gongye Ren Hua Qu +2 位作者 Jihong Zhao Shuyuan Zhao Zhirong Luan 《China Communications》 SCIE CSCD 2017年第10期95-107,共13页
Cache-enabled small cell networks have been regarded as a promising approach for network operators to cope with the explosive data traffic growth in future 5 G networks. However, the user association and resource allo... Cache-enabled small cell networks have been regarded as a promising approach for network operators to cope with the explosive data traffic growth in future 5 G networks. However, the user association and resource allocation mechanism has not been thoroughly studied under given content placement situation. In this paper, we formulate the joint optimization problem of user association and resource allocation as a mixed integer nonlinear programming(MINLP) problem aiming at deriving a balance between the total utility of data rates and the total data rates retrieved from caches. To solve this problem, we propose a distributed relaxing-rounding method. Simulation results demonstrate that the distributed relaxing-rounding method outperforms traditional max-SINR method and range-expansion method in terms of both total utility of data rates and total data rates retrieved from caches in practical scenarios. In addition, effects of storage and backhaul capacities on the performance are also studied. 展开更多
关键词 proactive caching user association resource allocation distributed algorithm dual decomposition small cell networks
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An Optimal Resources Configuration Scheme for Caching-Based Content Distribution in BackhaulLimited Small Cell Networks 被引量:1
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作者 Jingfeng Cai Ronghui Hou Yinghong Ma 《China Communications》 SCIE CSCD 2018年第1期12-22,共11页
In this paper, we study the problem of resource allocation in small cell networks with distributed caching, that is, how to divide the spectrum resources for backhaul and access in order to improve network performance... In this paper, we study the problem of resource allocation in small cell networks with distributed caching, that is, how to divide the spectrum resources for backhaul and access in order to improve network performance. We formulate our concerned problem by using multi-dimensional Markov model. Our problem considers that each user may access multiple small cell base stations. We conduct simulation experiments to evaluate the performance of our proposed resource allocation scheme. Our simulation results show that the appropriate spectrum resource allocation is important to improve network performance. 展开更多
关键词 small cell WIRELESS BACKHAUL re-source allocation CONTENT distribution CACHE
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Application of the Two Nonzero Component Lemma in Resource Allocation
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作者 Morteza Seddighin 《Journal of Applied Mathematics and Physics》 2014年第7期653-661,共9页
In this paper we will generalize the author's two nonzero component lemma to general self-reducing functions and utilize it to find closed from answers for some resource allocation problems.
关键词 TWO Nonzero COMPONENT LEMMA Resource allocation The distribution of the Search EFFORT
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An Integrated Image Task Planning in Satellite Networks:From Instruction Release and Observation Perspective
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作者 Di Zhou Yixin Wang +2 位作者 Min Sheng Chengyuan Tang Jiandong Li 《China Communications》 SCIE CSCD 2023年第5期288-301,共14页
The unreasonable observation arrangements in the satellite operation control center(SOCC)may result in the observation data cannot be downloaded as scheduled.Meanwhile,if the operation instructions released by the sat... The unreasonable observation arrangements in the satellite operation control center(SOCC)may result in the observation data cannot be downloaded as scheduled.Meanwhile,if the operation instructions released by the satellite telemetry tracking center(STTC)for the on-board payloads are not injected on the specific satellites in time,the corresponding satellites cannot perform the observation operations as planned.Therefore,there is an urgent need to design an integrated instruction release,and observation task planning(I-IRO-TP)scheme by efficiently collaborating the SOCC and STTC.Motivated by this fact,we design an interaction mechanism between the SOCC and the STTC,where we first formulate the I-IRO-TP problem as a constraint satisfaction problem aiming at maximizing the number of completed tasks.Furthermore,we propose an interactive imaging task planning algorithm based on the analysis of resource distribution in the STTC during the previous planning periods to preferentially select the observation arcs that not only satisfy the requirements in the observation resource allocation phase but also facilitate the arrangement of measurement and control instruction release.We conduct extensive simulations to demonstrate the effectiveness of the proposed algorithm in terms of the number of completed tasks. 展开更多
关键词 satellite networks integrated instruction release and observation task planning resource allocation resource distribution prediction
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基于fsQCA组态视角的我国医疗资源配置效率提升路径分析 被引量:4
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作者 李丽清 杨苏乐 +1 位作者 万里晗 卢祖洵 《中国全科医学》 北大核心 2024年第4期413-419,共7页
背景当前我国医疗资源配置区域失衡、公平性缺失问题仍然突出。党的“二十大”报告明确提出要“促进优质医疗资源扩容和区域均衡布局”。目的探究提升我国医疗资源配置效率的具体路径,为实现我国医疗资源合理且高效配置、促进基本公共... 背景当前我国医疗资源配置区域失衡、公平性缺失问题仍然突出。党的“二十大”报告明确提出要“促进优质医疗资源扩容和区域均衡布局”。目的探究提升我国医疗资源配置效率的具体路径,为实现我国医疗资源合理且高效配置、促进基本公共服务均等化提供科学参考。方法于2022年9月—2023年2月开展研究,数据源于《2021中国统计年鉴》《2021中国卫生健康统计年鉴》。将医疗卫生机构数、卫生技术人员数、床位数作为投入指标,以诊疗人次和入院人数为产出指标,通过数据包络分析(DEA)方法对我国2020年31个省份医疗资源配置效率进行测度;以医疗资源配置效率为结果变量,以卫生技术人员占比、每千人口床位数、出院者平均住院日、人均国内生产总值(GDP)、居民可支配收入、财政收入分权和医疗卫生财政预算支出占比为条件变量,运用模糊集定性比较分析(fsQCA)方法从组态视角探究内外部要素对医疗资源配置效率的协同影响机制,剖析高或非高水平医疗资源配置效率的条件组态,明确医疗资源高效率和低效率配置的多重路径。结果2020年我国31个省份医疗资源配置效率整体水平较高,均值为0.852,但省际存在较大差异。组态分析结果可知,医疗资源配置效率的提升是多因素共同作用的结果,共存在3种医疗资源高效率配置的路径。路径1:政府主导型驱动路径,以广西壮族自治区为典型案例。路径2:内外协调型驱动路径,以云南省和甘肃省为代表案例。路径3:均衡型驱动路径,代表案例主要有广东省、福建省和湖北省。非高医疗资源配置效率的路径也存在3条。路径1:政府制约型路径。路径2:经济-政府双重制约型路径,代表案例有黑龙江省和吉林省。路径3:内外制约型路径,典型案例有山西省和西藏自治区。结论内外部各要素及要素间的协同在良性互动过程中共同影响着医疗资源配置效率水平,需优化内外部环境,并对关键资源要素进行有效整合,以形成合力,促进区域医疗资源合理配置。 展开更多
关键词 资源配置 卫生保健公平提供 数据包络分析 模糊集定性比较分析 组态路径
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我国康复医院卫生资源配置现状和利用效率分析 被引量:1
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作者 唐立健 王长青 《中国卫生事业管理》 北大核心 2024年第5期535-538,600,共5页
目的:分析我国康复医院卫生资源配置现状和利用效率,探讨存在问题并提出相应对策。方法:应用描述性统计方法分析康复医院卫生资源配置和服务利用情况,应用数据包络分析法评估2011~2021年康复医院投入产出效率,采取TOPSIS法综合评估2011~... 目的:分析我国康复医院卫生资源配置现状和利用效率,探讨存在问题并提出相应对策。方法:应用描述性统计方法分析康复医院卫生资源配置和服务利用情况,应用数据包络分析法评估2011~2021年康复医院投入产出效率,采取TOPSIS法综合评估2011~2021年床位利用效率。结果:2021年康复医院数为810家,2011~2021年平均增长率为10.41%,非公立康复医院占77.53%;2021年平均每家康复医院病床数为124张,病床使用率为66.0%;2011~2021年康复医院卫生人员总量不断增长,2021年床卫技比、床医比和床护比分别为1∶0.70、1∶0.19和1∶0.31;2011~2021年诊疗人次和住院人数年平均增长率分别为9.46%和15.17%。DEA评估结果显示,2019~2021年康复医院投入产出相对有效性为非DEA有效或弱有效。TOPSIS评估结果显示,2019~2021年康复医院病床利用效率显著下降。结论:合理规划康复医疗机构,进一步增加二级及以上康复医院数量。加强康复医学人才培养,缓解人员配置不足局面。拓展康养结合服务内容,提升康复医院卫生资源利用效率。 展开更多
关键词 康复医院 卫生资源 配置 利用 效率
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江苏省卫生资源配置与新型城镇化水平耦合协调及关联性分析 被引量:3
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作者 王莹 方文箐 +2 位作者 秦才欣 陈一丁 徐颖 《卫生软科学》 2024年第3期63-68,共6页
[目的]基于卫生资源配置现状,探究江苏省卫生资源配置与新型城镇化发展进程中的耦合协调及相互作用关系。[方法]构建江苏省卫生资源配置及新型城镇化水平评价指标体系,利用耦合协调度模型及灰色关联分析,对两者间的耦合协调度和关联度... [目的]基于卫生资源配置现状,探究江苏省卫生资源配置与新型城镇化发展进程中的耦合协调及相互作用关系。[方法]构建江苏省卫生资源配置及新型城镇化水平评价指标体系,利用耦合协调度模型及灰色关联分析,对两者间的耦合协调度和关联度进行探究。[结果]2012-2021年,江苏省卫生资源配置水平均值为0.506,新型城镇化水平均值为0.517,卫生资源配置低于城镇化水平。耦合协调度呈现增长趋势,由0.1增长至0.995,均值为0.681。卫生资源配置水平与新型城镇化中外商投资总额关联度最高,其次是医疗保险社会综合覆盖率、人均GDP和城镇居民人均可支配收入;新型城镇化水平与卫生总费用的关联度最高,其次是卫生技术人员和床位数。[结论]江苏省卫生资源配置与新型城镇化的耦合协调度呈现快速增长、波动增长和基本稳定增长的阶段性特征。新型城镇化水平与卫生总费用、卫生人员及床位数密切相关,而卫生资源配置的合理性离不开经济发展和社会保障程度。 展开更多
关键词 卫生资源配置 新型城镇化 耦合协调度 灰色关联分析
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