At present,the operation and maintenance of photovoltaic power generation systems mainly comprise regular maintenance,breakdown maintenance,and condition-based maintenance,which is very likely to lead to over-or under...At present,the operation and maintenance of photovoltaic power generation systems mainly comprise regular maintenance,breakdown maintenance,and condition-based maintenance,which is very likely to lead to over-or under-repair of equipment.Therefore,a preventive maintenance and replacement strategy for PV power generation systems based on reliability as a constraint is proposed.First,a hybrid failure function with a decreasing service age factor and an increasing failure rate factor is introduced to describe the deterioration of PV power generation equipment,and the equipment is replaced when its reliability drops to the replacement threshold in the last cycle.Then,based on the reliability as a constraint,the average maintenance cost and availability of the equipment are considered,and the non-periodic incomplete maintenance model of the PV power generation system is established to obtain the optimal number of repairs,each maintenance cycle and the replacement cycle of the PV power generation system components.Next,the inverter of a PV power plant is used as a research object.The model in this paper is compared and analyzed with the equal cycle maintenance model without considering reliability and the maintenance model without considering the equipment replacement threshold,Through model comparison,when the optimal maintenance strategy is(0.80,4),the average maintenance cost of this paper’s model are decreased by 20.3%and 5.54%and the availability is increased by 0.2395% and 0.0337%,respectively,compared with the equal-cycle maintenance model without considering the reliability constraint and the maintenance model without considering the equipment replacement threshold.Therefore,this maintenance model can ensure the high reliability of PV plant operation while increasing the equipment availability to improve the system economy.展开更多
BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hosp...BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.展开更多
BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers account...BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability.展开更多
A stochastic optimal control strategy for partially observable nonlinear quasi Hamiltonian systems is proposed. The optimal control forces consist of two parts. The first part is determined by the conditions under whi...A stochastic optimal control strategy for partially observable nonlinear quasi Hamiltonian systems is proposed. The optimal control forces consist of two parts. The first part is determined by the conditions under which the stochastic optimal control problem of a partially observable nonlinear system is converted into that of a completely observable linear system. The second part is determined by solving the dynamical programming equation derived by applying the stochastic averaging method and stochastic dynamical programming principle to the completely observable linear control system. The response of the optimally controlled quasi Hamiltonian system is predicted by solving the averaged Fokker-Planck-Kolmogorov equation associated with the optimally controlled completely observable linear system and solving the Riccati equation for the estimated error of system states. An example is given to illustrate the procedure and effectiveness of the proposed control strategy.展开更多
Numerical simulations of unsteady cavitating flow around a NACA66-mod hydrofoil were performed using the partially-averaged Navier-Stokes method with different values of the resolution control parameters (f k =1.0-0....Numerical simulations of unsteady cavitating flow around a NACA66-mod hydrofoil were performed using the partially-averaged Navier-Stokes method with different values of the resolution control parameters (f k =1.0-0.2,fε =1).With decreasing fk,the predicted cavitating flow becomes unsteady as the time-averaged turbulent viscosity at the rear part of the attached cavity is gradually reduced.For fk =0.9 and 0.8,the cavity becomes unstable and its length dramatically expands and shrinks,but the calculation fails to predict the vapor cloud shedding behavior observed experimentally.With smaller fk less than 0.7,the cloud shedding behavior is simulated numerically and the predicted cavity shedding frequency increases.With fk =0.2,the whole cavitating flow evolution can be reasonably reproduced including the cavity growth/destabilization observed previously.The reentrant flow along the suction surface of the hydrofoil is the main trigger to cause the vapor cloud shedding.The wall pressure along the hydrofoil surface oscillates greatly due to the dynamic cavity shedding.Comparing the simulations and experiments,it is confirmed that for the PANS method,resolution control parameters of fk =0.2and fε =1 are recommended for numerical simulations of unsteady cavitating flows.Thus,the present study shows that the PANS method is an effective approach for predicting unsteady cavitating flow over hydrofoils.展开更多
Since the great 1303 Hongtong, Shanxi, earthquake of magnitude 8, 700 years have elapsed. To analyze the long-term seismic potential, this paper divides the Taiyuan-Linfen portion of the Shanxi graben system into 5 se...Since the great 1303 Hongtong, Shanxi, earthquake of magnitude 8, 700 years have elapsed. To analyze the long-term seismic potential, this paper divides the Taiyuan-Linfen portion of the Shanxi graben system into 5 seismogenic segments. Based on data of historical earthquakes and GPS observation, the authors estimate mean seismic-moment rates and average recurrence intervals of strong earthquakes for the individual segments, and fur-ther analyze relative levels of current stress cumulation on the segments based on mapping b-values along the gra-ben system by using the network seismic data for the recent over 30 years. The main result shows that the Linfen basin segment has an estimated mean seismic-moment rate of 2.211016 Nm/a to 3.031016 Nm/a, and its average recurrence interval for M=7.5 earthquake is estimated to be between 1 560 and 2 140 years. For the Ling-shi-Hongtong segment, the estimated average recurrence interval for M=8 earthquakes is between 4 300 and 5 100 years, equivalent to having a mean moment-rate of 2.581016 Nm/a to 3.101016 Nm/a. The contour map of b-values shows that the two segments of Lingshi-Hongtong and Linfen basin have been being at low or relatively low stress levels, reflecting that since the 1303 M=8 and the 1695 M=7.5 earthquake ruptures, the fault-planes strengths of the both segments have not been resumed yet. And the other two segments, the Houma and the Jiexiu-Fenyang, have relatively high stress levels, and have been already identified as potential risky segments for the coming earthquakes from the analysis combining with the estimated average recurrence intervals of earth-quakes on the both segments.展开更多
For the low utilization rate of photovoltaic power generation,taking a new energy power system constisting of concentrating solar power(CSP),photovoltaic power(PP)and battery energy storage system as an example,a mult...For the low utilization rate of photovoltaic power generation,taking a new energy power system constisting of concentrating solar power(CSP),photovoltaic power(PP)and battery energy storage system as an example,a multi-objective optimization scheduling strategy considering energy storage participation is proposed.Firstly,the new energy power system model is established,and the PP scenario generation and reduction frame based on the autoregressive moving average model and Kantorovich-distance is proposed.Then,based on the optimization goal of the system operation cost minimization and the PP output power consumption maximization,the multi-objective optimization scheduling model is established.Finally,the simulation results show that introducing energy storage into the system can effectively reduce the system operation cost and improve the utilization efficiency of PP.展开更多
The first-passage statistics of Duffing-Rayleigh- Mathieu system under wide-band colored noise excitations is studied by using stochastic averaging method. The motion equation of the original system is transformed int...The first-passage statistics of Duffing-Rayleigh- Mathieu system under wide-band colored noise excitations is studied by using stochastic averaging method. The motion equation of the original system is transformed into two time homogeneous diffusion Markovian processes of amplitude and phase after stochastic averaging. The diffusion process method for first-passage problem is used and the corresponding backward Kolmogorov equation and Pontryagin equation are constructed and solved to yield the conditional reliability function and mean first-passage time with suitable initial and boundary conditions. The analytical results are confirmed by Monte Carlo simulation.展开更多
The propagation of vortex beam in atmospheric turbulence is of significant importance in theoretical study and practical applications. Based on extended Huygens-Fresnel integral and the Rytov approximation, the averag...The propagation of vortex beam in atmospheric turbulence is of significant importance in theoretical study and practical applications. Based on extended Huygens-Fresnel integral and the Rytov approximation, the average capacity of orbital angular momentum(OAM)-multiplexed Laguerre-Gaussian(LG) beam propagating through non-Kolmogorov turbulence is presented, and the analytical expression of spiral spectrum of LG beam has been deduced. The average capacity of FSO system is numerically calculated and the influence of exponent parameter, transmission height, structure constant, wavelength, outer scale and inner scale on average capacity are also analyzed in detail. Outcomes show that smaller structure constant, outer scale, higher transmission height and larger wavelength, inner scale are conducive to improve average capacity in different extent. Results acquires in this paper have potential application value in optical communication within non-Kolmogorov turbulence.展开更多
By virtue of alternating direction method of multipliers(ADMM), Newton-Raphson method, ratio consensus approach and running sum method, two distributed iterative strategies are presented in this paper to address the e...By virtue of alternating direction method of multipliers(ADMM), Newton-Raphson method, ratio consensus approach and running sum method, two distributed iterative strategies are presented in this paper to address the economic dispatch problem(EDP) in power systems. Different from most of the existing distributed ED approaches which neglect the effects of packet drops or/and time delays, this paper takes into account both packet drops and time delays which frequently occur in communication networks. Moreover, directed and possibly unbalanced graphs are considered in our algorithms, over which many distributed approaches fail to converge. Furthermore, the proposed schemes can address the EDP with local constraints of generators and nonquadratic convex cost functions, not just quadratic ones required in some existing ED approaches. Both theoretical analyses and simulation studies are provided to demonstrate the effectiveness of the proposed schemes.展开更多
In many cases, river discharge is indirectly estimated from water level or streamflow velocity near the water surface. However, these methods have limited applicability. In this study, an innovative system, the fluvia...In many cases, river discharge is indirectly estimated from water level or streamflow velocity near the water surface. However, these methods have limited applicability. In this study, an innovative system, the fluvial acoustic tomography system (FATS), was used for continuous discharge measurement. Transducers with a central frequency of 30 kHz were installed diagonally across the river. The system's significant functions include accurate measurement of the travel time of the transmission signal using a GPS clock and the attainment of a high signal-to-noise ratio as a result of modulation of the signal by the 10th order M-sequence. In addition, FATS is small and lightweight, and its power consumption is low. Operating in unsteady streamflow, FATS successfully measured the cross-sectional average velocity. The agreement between FATS and acoustic Doppler current profilers (ADCPs) on water discharge was satisfactory. Moreover, the temporal variation of the cross-sectional average temperature deduced from the sound speed of FATS was similar to that measured by a temperature sensor near the bank.展开更多
The exponential stability is investigated for a class of continuous time linear systems with a finite state Markov chain form process and the impulsive jump at switching moments. The conditions, based on the average d...The exponential stability is investigated for a class of continuous time linear systems with a finite state Markov chain form process and the impulsive jump at switching moments. The conditions, based on the average dwell time and the ratio of expectation of the total time running on all unstable subsystems to the expectation of the total time running on all stable subsystems,assure the exponential stability with a desired stability degree of the system irrespective of the impact of impulsive jump. The uniformly bounded result is realized for the case in which switched system is subjected to the impulsive effect of the excitation signal at some switching moments.展开更多
Grey sequence generation can draw out and develop implied rules of the original data. Different kinds of generation methods were summarized and classified into two types: partial generation and whole generation. The a...Grey sequence generation can draw out and develop implied rules of the original data. Different kinds of generation methods were summarized and classified into two types: partial generation and whole generation. The average generation and stepwise ratio generation is disussed , the preference generation is regard as a special case of proportional division based on analysis geometric theory, propose an idea of using concave and convex status of discrete data to determine the generation coefficient. Based on the stepwise and smooth ratio generation, a tendency average generation is proposed and have a comparison using the data provided in papers listed in the references. The comparison proves that the new generation is better than the other two generations and errors are obviously reduced.展开更多
In this paper,we design a spatial modulation based orthogonal time frequency space(SMOTFS)system to achieve improved transmission reliability and meet the high transmission rate and highspeed demands of future mobile ...In this paper,we design a spatial modulation based orthogonal time frequency space(SMOTFS)system to achieve improved transmission reliability and meet the high transmission rate and highspeed demands of future mobile communications,which fully utilizes the characteristics of spatial modulation(SM)and orthogonal time frequency space(OTFS)transmission.The detailed system design and signal processing of the SM-OTFS system have been presented.The closed-form expressions of the average symbol error rate(ASER)and average bit error rate(ABER)of the SM-OTFS system have been derived over the delay-Doppler channel with the help of the union bounding technique and moment-generating function(MGF).Meanwhile,the system complexity has been evaluated.Numerical results verify the correctness of the theoretical ASER and ABER analysis of the SM-OTFS system in the high signal-to-noise ratio(SNR)regions and also show that the SM-OTFS system outperforms the traditional SM based orthogonal frequency division multiplexing(SM-OFDM)system with limited complexity increase under mobile conditions,especially in high mobility scenarios.展开更多
A bounded optimal control strategy for strongly non-linear systems under non-white wide-band random excitation with actuator saturation is proposed. First, the stochastic averaging method is introduced for controlled ...A bounded optimal control strategy for strongly non-linear systems under non-white wide-band random excitation with actuator saturation is proposed. First, the stochastic averaging method is introduced for controlled strongly non-linear systems under wide-band random excitation using generalized harmonic functions. Then, the dynamical programming equation for the saturated control problem is formulated from the partially averaged Itō equation based on the dynamical programming principle. The optimal control consisting of the unbounded optimal control and the bounded bang-bang control is determined by solving the dynamical programming equation. Finally, the response of the optimally controlled system is predicted by solving the reduced Fokker-Planck-Kolmogorov (FPK) equation associated with the completed averaged Itō equation. An example is given to illustrate the proposed control strategy. Numerical results show that the proposed control strategy has high control effectiveness and efficiency and the chattering is reduced significantly comparing with the bang-bang control strategy.展开更多
In order to deal with the disadvantages of excessive grinding and non-uniformity in finished particle under high-pressure grinding rolls (HPGR) finished grinding system, four aspects were investigated, including eva...In order to deal with the disadvantages of excessive grinding and non-uniformity in finished particle under high-pressure grinding rolls (HPGR) finished grinding system, four aspects were investigated, including evaluating indicators, effects of operating factors, effect of particle uniformity on the flotation and formation mechanism of particle uniformity. Experiment of HPGR finished grinding system, cationic reverse flotation experiment and simulation test of particle bed comminution under the condition of quasi-static were carried out. Theoretical analyses indicated that both of uniformity coefficient and average particle size should be included in the uniformity analysis of the mineral particles. The results show that the effect of circulation fan impeller speed on particle uniformity is the most evident, HPGR working pressure and roll gap are second and HPGR roller speed is the last. Average particle size has a more obvious effect on the grade of flotation concentrate while uniformity coefficient has a more obvious effect on the flotation recovery. Considering the two aspects of grade and recovery, the optimal uniformity coefficient for flotation is 1.1-1.2 and the optimal average particle size for flotation is 50-55 μm. The operating factors which promote the shielding effect and compact effect in the HPGR finished grinding system should be strengthened based on the uniformity of particles.展开更多
A stochastic optimal control method for nonlinear hysteretic systems under externally and/or parametrically random excitations is presented and illustrated with an example of hysteretic column system. A hysteretic sys...A stochastic optimal control method for nonlinear hysteretic systems under externally and/or parametrically random excitations is presented and illustrated with an example of hysteretic column system. A hysteretic system subject to random excitation is first replaced by a nonlinear non-hysteretic stochastic system. An It$\hat {\rm o}$ stochastic differential equation for the total energy of the system as a one-dimensional controlled diffusion process is derived by using the stochastic averaging method of energy envelope. A dynamical programming equation is then established based on the stochastic dynamical programming principle and solved to yield the optimal control force. Finally, the responses of uncontrolled and controlled systems are evaluated to determine the control efficacy. It is shown by numerical results that the proposed stochastic optimal control method is more effective and efficient than other optimal control methods.展开更多
A novel group decision-making (GDM) method based on intuitionistic fuzzy sets (IFSs) is developed to evaluate the ergonomics of aircraft cockpit display and control system (ACDCS). The GDM process with four step...A novel group decision-making (GDM) method based on intuitionistic fuzzy sets (IFSs) is developed to evaluate the ergonomics of aircraft cockpit display and control system (ACDCS). The GDM process with four steps is discussed. Firstly, approaches are proposed to transform four types of common judgement representations into a unified expression by the form of the IFS, and the features of unifications are analyzed. Then, the aggregation operator called the IFSs weighted averaging (IFSWA) operator is taken to synthesize decision-makers’ (DMs’) preferences by the form of the IFS. In this operator, the DM’s reliability weights factors are determined based on the distance measure between their preferences. Finally, an improved score function is used to rank alternatives and to get the best one. An illustrative example proves the proposed method is effective to valuate the ergonomics of the ACDCS.展开更多
In this paper two different control strategies designed to alleviate the response of quasi partially integrable Hamiltonian systems subjected to stochastic excitation are proposed. First, by using the stochastic avera...In this paper two different control strategies designed to alleviate the response of quasi partially integrable Hamiltonian systems subjected to stochastic excitation are proposed. First, by using the stochastic averaging method for quasi partially integrable Hamiltonian systems, an n-DOF controlled quasi partially integrable Hamiltonian system with stochastic excitation is converted into a set of partially averaged It^↑o stochastic differential equations. Then, the dynamical programming equation associated with the partially averaged It^↑o equations is formulated by applying the stochastic dynamical programming principle. In the first control strategy, the optimal control law is derived from the dynamical programming equation and the control constraints without solving the dynamical programming equation. In the second control strategy, the optimal control law is obtained by solving the dynamical programming equation. Finally, both the responses of controlled and uncontrolled systems are predicted through solving the Fokker-Plank-Kolmogorov equation associated with fully averaged It^↑o equations. An example is worked out to illustrate the application and effectiveness of the two proposed control strategies.展开更多
A high order energy preserving scheme for a strongly coupled nonlinear Schrōdinger system is roposed by using the average vector field method. The high order energy preserving scheme is applied to simulate the solito...A high order energy preserving scheme for a strongly coupled nonlinear Schrōdinger system is roposed by using the average vector field method. The high order energy preserving scheme is applied to simulate the soliton evolution of the strongly coupled Schrōdinger system. Numerical results show that the high order energy preserving scheme can well simulate the soliton evolution, moreover, it preserves the discrete energy of the strongly coupled nonlinear Schrōdinger system exactly.展开更多
基金This researchwas supported by the National Natural Science Foundation of China(Nos.51767017 and 51867015)the Basic Research and Innovation Group Project of Gansu(No.18JR3RA133)the Natural Science Foundation of Gansu(No.21JR7RA258).
文摘At present,the operation and maintenance of photovoltaic power generation systems mainly comprise regular maintenance,breakdown maintenance,and condition-based maintenance,which is very likely to lead to over-or under-repair of equipment.Therefore,a preventive maintenance and replacement strategy for PV power generation systems based on reliability as a constraint is proposed.First,a hybrid failure function with a decreasing service age factor and an increasing failure rate factor is introduced to describe the deterioration of PV power generation equipment,and the equipment is replaced when its reliability drops to the replacement threshold in the last cycle.Then,based on the reliability as a constraint,the average maintenance cost and availability of the equipment are considered,and the non-periodic incomplete maintenance model of the PV power generation system is established to obtain the optimal number of repairs,each maintenance cycle and the replacement cycle of the PV power generation system components.Next,the inverter of a PV power plant is used as a research object.The model in this paper is compared and analyzed with the equal cycle maintenance model without considering reliability and the maintenance model without considering the equipment replacement threshold,Through model comparison,when the optimal maintenance strategy is(0.80,4),the average maintenance cost of this paper’s model are decreased by 20.3%and 5.54%and the availability is increased by 0.2395% and 0.0337%,respectively,compared with the equal-cycle maintenance model without considering the reliability constraint and the maintenance model without considering the equipment replacement threshold.Therefore,this maintenance model can ensure the high reliability of PV plant operation while increasing the equipment availability to improve the system economy.
基金Research Center for Capital Health Management and Policy,No.2024JD09.
文摘BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.
基金Research Center for Capital Health Management and Policy,No.2024JD09.
文摘BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability.
基金Project supported by the National Natural Science Foundation ofChina (No. 10332030), the Special Fund for Doctor Programs inInstitutions of Higher Learning of China (No. 20020335092), andthe Zhejiang Provincial Natural Science Foundation (No. 101046),China
文摘A stochastic optimal control strategy for partially observable nonlinear quasi Hamiltonian systems is proposed. The optimal control forces consist of two parts. The first part is determined by the conditions under which the stochastic optimal control problem of a partially observable nonlinear system is converted into that of a completely observable linear system. The second part is determined by solving the dynamical programming equation derived by applying the stochastic averaging method and stochastic dynamical programming principle to the completely observable linear control system. The response of the optimally controlled quasi Hamiltonian system is predicted by solving the averaged Fokker-Planck-Kolmogorov equation associated with the optimally controlled completely observable linear system and solving the Riccati equation for the estimated error of system states. An example is given to illustrate the procedure and effectiveness of the proposed control strategy.
基金Supported by the National Natural Science Fund of China under Grant Nos 51179091 and 50976061, the Major NationalScientific Instrument and Equipment Development Project (No 2011YQ07004901), and the China Postdoctoral Science Foundation(No 2011M500314).
文摘Numerical simulations of unsteady cavitating flow around a NACA66-mod hydrofoil were performed using the partially-averaged Navier-Stokes method with different values of the resolution control parameters (f k =1.0-0.2,fε =1).With decreasing fk,the predicted cavitating flow becomes unsteady as the time-averaged turbulent viscosity at the rear part of the attached cavity is gradually reduced.For fk =0.9 and 0.8,the cavity becomes unstable and its length dramatically expands and shrinks,but the calculation fails to predict the vapor cloud shedding behavior observed experimentally.With smaller fk less than 0.7,the cloud shedding behavior is simulated numerically and the predicted cavity shedding frequency increases.With fk =0.2,the whole cavitating flow evolution can be reasonably reproduced including the cavity growth/destabilization observed previously.The reentrant flow along the suction surface of the hydrofoil is the main trigger to cause the vapor cloud shedding.The wall pressure along the hydrofoil surface oscillates greatly due to the dynamic cavity shedding.Comparing the simulations and experiments,it is confirmed that for the PANS method,resolution control parameters of fk =0.2and fε =1 are recommended for numerical simulations of unsteady cavitating flows.Thus,the present study shows that the PANS method is an effective approach for predicting unsteady cavitating flow over hydrofoils.
文摘Since the great 1303 Hongtong, Shanxi, earthquake of magnitude 8, 700 years have elapsed. To analyze the long-term seismic potential, this paper divides the Taiyuan-Linfen portion of the Shanxi graben system into 5 seismogenic segments. Based on data of historical earthquakes and GPS observation, the authors estimate mean seismic-moment rates and average recurrence intervals of strong earthquakes for the individual segments, and fur-ther analyze relative levels of current stress cumulation on the segments based on mapping b-values along the gra-ben system by using the network seismic data for the recent over 30 years. The main result shows that the Linfen basin segment has an estimated mean seismic-moment rate of 2.211016 Nm/a to 3.031016 Nm/a, and its average recurrence interval for M=7.5 earthquake is estimated to be between 1 560 and 2 140 years. For the Ling-shi-Hongtong segment, the estimated average recurrence interval for M=8 earthquakes is between 4 300 and 5 100 years, equivalent to having a mean moment-rate of 2.581016 Nm/a to 3.101016 Nm/a. The contour map of b-values shows that the two segments of Lingshi-Hongtong and Linfen basin have been being at low or relatively low stress levels, reflecting that since the 1303 M=8 and the 1695 M=7.5 earthquake ruptures, the fault-planes strengths of the both segments have not been resumed yet. And the other two segments, the Houma and the Jiexiu-Fenyang, have relatively high stress levels, and have been already identified as potential risky segments for the coming earthquakes from the analysis combining with the estimated average recurrence intervals of earth-quakes on the both segments.
基金Science and Technology Project of State Grid Corporation of China(No.SGGSKY00FJJS1800140)。
文摘For the low utilization rate of photovoltaic power generation,taking a new energy power system constisting of concentrating solar power(CSP),photovoltaic power(PP)and battery energy storage system as an example,a multi-objective optimization scheduling strategy considering energy storage participation is proposed.Firstly,the new energy power system model is established,and the PP scenario generation and reduction frame based on the autoregressive moving average model and Kantorovich-distance is proposed.Then,based on the optimization goal of the system operation cost minimization and the PP output power consumption maximization,the multi-objective optimization scheduling model is established.Finally,the simulation results show that introducing energy storage into the system can effectively reduce the system operation cost and improve the utilization efficiency of PP.
基金the Foundation of ECUST(East China University of Science and Technology)for Outstanding Young Teachers(YH0157105)
文摘The first-passage statistics of Duffing-Rayleigh- Mathieu system under wide-band colored noise excitations is studied by using stochastic averaging method. The motion equation of the original system is transformed into two time homogeneous diffusion Markovian processes of amplitude and phase after stochastic averaging. The diffusion process method for first-passage problem is used and the corresponding backward Kolmogorov equation and Pontryagin equation are constructed and solved to yield the conditional reliability function and mean first-passage time with suitable initial and boundary conditions. The analytical results are confirmed by Monte Carlo simulation.
基金supported by the National Science Fund for Distinguished Young Scholars of China (Grant No. 61225003)National Natural Science Foundation of China (Grant No. 61101005 and No. 61471051)Beijing Higher Education Young Elite Teacher Project
文摘The propagation of vortex beam in atmospheric turbulence is of significant importance in theoretical study and practical applications. Based on extended Huygens-Fresnel integral and the Rytov approximation, the average capacity of orbital angular momentum(OAM)-multiplexed Laguerre-Gaussian(LG) beam propagating through non-Kolmogorov turbulence is presented, and the analytical expression of spiral spectrum of LG beam has been deduced. The average capacity of FSO system is numerically calculated and the influence of exponent parameter, transmission height, structure constant, wavelength, outer scale and inner scale on average capacity are also analyzed in detail. Outcomes show that smaller structure constant, outer scale, higher transmission height and larger wavelength, inner scale are conducive to improve average capacity in different extent. Results acquires in this paper have potential application value in optical communication within non-Kolmogorov turbulence.
基金supported by the National Natural Science Foundation of China(61673077)。
文摘By virtue of alternating direction method of multipliers(ADMM), Newton-Raphson method, ratio consensus approach and running sum method, two distributed iterative strategies are presented in this paper to address the economic dispatch problem(EDP) in power systems. Different from most of the existing distributed ED approaches which neglect the effects of packet drops or/and time delays, this paper takes into account both packet drops and time delays which frequently occur in communication networks. Moreover, directed and possibly unbalanced graphs are considered in our algorithms, over which many distributed approaches fail to converge. Furthermore, the proposed schemes can address the EDP with local constraints of generators and nonquadratic convex cost functions, not just quadratic ones required in some existing ED approaches. Both theoretical analyses and simulation studies are provided to demonstrate the effectiveness of the proposed schemes.
基金supported by the Construction Technology Research and Development Program of the Ministry of Land,Infrastructure,Transport and Tourism of Japan (No.31)the River Fund (N0.19-1212-005,21-1212-009)
文摘In many cases, river discharge is indirectly estimated from water level or streamflow velocity near the water surface. However, these methods have limited applicability. In this study, an innovative system, the fluvial acoustic tomography system (FATS), was used for continuous discharge measurement. Transducers with a central frequency of 30 kHz were installed diagonally across the river. The system's significant functions include accurate measurement of the travel time of the transmission signal using a GPS clock and the attainment of a high signal-to-noise ratio as a result of modulation of the signal by the 10th order M-sequence. In addition, FATS is small and lightweight, and its power consumption is low. Operating in unsteady streamflow, FATS successfully measured the cross-sectional average velocity. The agreement between FATS and acoustic Doppler current profilers (ADCPs) on water discharge was satisfactory. Moreover, the temporal variation of the cross-sectional average temperature deduced from the sound speed of FATS was similar to that measured by a temperature sensor near the bank.
基金the National Natural Science Foundation of China (60674027, 60574007)Doctoral Foundation of Education Ministry of China (20050446001).
文摘The exponential stability is investigated for a class of continuous time linear systems with a finite state Markov chain form process and the impulsive jump at switching moments. The conditions, based on the average dwell time and the ratio of expectation of the total time running on all unstable subsystems to the expectation of the total time running on all stable subsystems,assure the exponential stability with a desired stability degree of the system irrespective of the impact of impulsive jump. The uniformly bounded result is realized for the case in which switched system is subjected to the impulsive effect of the excitation signal at some switching moments.
文摘Grey sequence generation can draw out and develop implied rules of the original data. Different kinds of generation methods were summarized and classified into two types: partial generation and whole generation. The average generation and stepwise ratio generation is disussed , the preference generation is regard as a special case of proportional division based on analysis geometric theory, propose an idea of using concave and convex status of discrete data to determine the generation coefficient. Based on the stepwise and smooth ratio generation, a tendency average generation is proposed and have a comparison using the data provided in papers listed in the references. The comparison proves that the new generation is better than the other two generations and errors are obviously reduced.
基金in part by the National Natural Science Foundation of China under Grant 61771291,Grant 61671278in part by the Key Research and Development Project of Shandong Province under Grant 2018GGX101009,Grant 2019TSLH0202,Grant 2020CXGC010109+1 种基金in part by the National Nature Science Foundation of China for Excellent Young Scholars under Grant 61622111in part by the Project of International Cooperation and Exchanges NSFC under Grant 61860206005.
文摘In this paper,we design a spatial modulation based orthogonal time frequency space(SMOTFS)system to achieve improved transmission reliability and meet the high transmission rate and highspeed demands of future mobile communications,which fully utilizes the characteristics of spatial modulation(SM)and orthogonal time frequency space(OTFS)transmission.The detailed system design and signal processing of the SM-OTFS system have been presented.The closed-form expressions of the average symbol error rate(ASER)and average bit error rate(ABER)of the SM-OTFS system have been derived over the delay-Doppler channel with the help of the union bounding technique and moment-generating function(MGF).Meanwhile,the system complexity has been evaluated.Numerical results verify the correctness of the theoretical ASER and ABER analysis of the SM-OTFS system in the high signal-to-noise ratio(SNR)regions and also show that the SM-OTFS system outperforms the traditional SM based orthogonal frequency division multiplexing(SM-OFDM)system with limited complexity increase under mobile conditions,especially in high mobility scenarios.
基金the National Natural Science Foundation of China(Nos.10332030 and 10772159)Research Fund for Doctoral Program of Higher Education of China(No.20060335125).
文摘A bounded optimal control strategy for strongly non-linear systems under non-white wide-band random excitation with actuator saturation is proposed. First, the stochastic averaging method is introduced for controlled strongly non-linear systems under wide-band random excitation using generalized harmonic functions. Then, the dynamical programming equation for the saturated control problem is formulated from the partially averaged Itō equation based on the dynamical programming principle. The optimal control consisting of the unbounded optimal control and the bounded bang-bang control is determined by solving the dynamical programming equation. Finally, the response of the optimally controlled system is predicted by solving the reduced Fokker-Planck-Kolmogorov (FPK) equation associated with the completed averaged Itō equation. An example is given to illustrate the proposed control strategy. Numerical results show that the proposed control strategy has high control effectiveness and efficiency and the chattering is reduced significantly comparing with the bang-bang control strategy.
基金Project(2013EG132088)supported by Special Program for Research Institutes of the Ministry of Science and Technology,ChinaProject(12010402c187)supported by Key Science and Technology Program of Anhui Province,China
文摘In order to deal with the disadvantages of excessive grinding and non-uniformity in finished particle under high-pressure grinding rolls (HPGR) finished grinding system, four aspects were investigated, including evaluating indicators, effects of operating factors, effect of particle uniformity on the flotation and formation mechanism of particle uniformity. Experiment of HPGR finished grinding system, cationic reverse flotation experiment and simulation test of particle bed comminution under the condition of quasi-static were carried out. Theoretical analyses indicated that both of uniformity coefficient and average particle size should be included in the uniformity analysis of the mineral particles. The results show that the effect of circulation fan impeller speed on particle uniformity is the most evident, HPGR working pressure and roll gap are second and HPGR roller speed is the last. Average particle size has a more obvious effect on the grade of flotation concentrate while uniformity coefficient has a more obvious effect on the flotation recovery. Considering the two aspects of grade and recovery, the optimal uniformity coefficient for flotation is 1.1-1.2 and the optimal average particle size for flotation is 50-55 μm. The operating factors which promote the shielding effect and compact effect in the HPGR finished grinding system should be strengthened based on the uniformity of particles.
基金Project supported by the National Natural Science Foundation of China(No.19972059)Zhejiang Provincial Natural Science Foundation(No.101046)
文摘A stochastic optimal control method for nonlinear hysteretic systems under externally and/or parametrically random excitations is presented and illustrated with an example of hysteretic column system. A hysteretic system subject to random excitation is first replaced by a nonlinear non-hysteretic stochastic system. An It$\hat {\rm o}$ stochastic differential equation for the total energy of the system as a one-dimensional controlled diffusion process is derived by using the stochastic averaging method of energy envelope. A dynamical programming equation is then established based on the stochastic dynamical programming principle and solved to yield the optimal control force. Finally, the responses of uncontrolled and controlled systems are evaluated to determine the control efficacy. It is shown by numerical results that the proposed stochastic optimal control method is more effective and efficient than other optimal control methods.
基金supported by the National Basic Research Program of China (973 Program) (2010CB734104)
文摘A novel group decision-making (GDM) method based on intuitionistic fuzzy sets (IFSs) is developed to evaluate the ergonomics of aircraft cockpit display and control system (ACDCS). The GDM process with four steps is discussed. Firstly, approaches are proposed to transform four types of common judgement representations into a unified expression by the form of the IFS, and the features of unifications are analyzed. Then, the aggregation operator called the IFSs weighted averaging (IFSWA) operator is taken to synthesize decision-makers’ (DMs’) preferences by the form of the IFS. In this operator, the DM’s reliability weights factors are determined based on the distance measure between their preferences. Finally, an improved score function is used to rank alternatives and to get the best one. An illustrative example proves the proposed method is effective to valuate the ergonomics of the ACDCS.
基金The project supported by the National Natural Science Foundation of China (10332030)Research Fund for Doctoral Program of Higher Education of China(20060335125)
文摘In this paper two different control strategies designed to alleviate the response of quasi partially integrable Hamiltonian systems subjected to stochastic excitation are proposed. First, by using the stochastic averaging method for quasi partially integrable Hamiltonian systems, an n-DOF controlled quasi partially integrable Hamiltonian system with stochastic excitation is converted into a set of partially averaged It^↑o stochastic differential equations. Then, the dynamical programming equation associated with the partially averaged It^↑o equations is formulated by applying the stochastic dynamical programming principle. In the first control strategy, the optimal control law is derived from the dynamical programming equation and the control constraints without solving the dynamical programming equation. In the second control strategy, the optimal control law is obtained by solving the dynamical programming equation. Finally, both the responses of controlled and uncontrolled systems are predicted through solving the Fokker-Plank-Kolmogorov equation associated with fully averaged It^↑o equations. An example is worked out to illustrate the application and effectiveness of the two proposed control strategies.
基金Project supported by the National Natural Science Foundation of China(Grant No.11161017)the National Science Foundation of Hainan Province,China(Grant No.113001)
文摘A high order energy preserving scheme for a strongly coupled nonlinear Schrōdinger system is roposed by using the average vector field method. The high order energy preserving scheme is applied to simulate the soliton evolution of the strongly coupled Schrōdinger system. Numerical results show that the high order energy preserving scheme can well simulate the soliton evolution, moreover, it preserves the discrete energy of the strongly coupled nonlinear Schrōdinger system exactly.