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Approach of service recovery decision-making based on Bellman dynamic programming
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作者 何蕾 任江春 王志英 《Journal of Southeast University(English Edition)》 EI CAS 2008年第3期377-380,共4页
Based on service-oriented architecture(SOA),a Bellman-dynamic-programming-based approach of service recovery decision-making is proposed to make valid recovery decisions.Both the attribute and the process of service... Based on service-oriented architecture(SOA),a Bellman-dynamic-programming-based approach of service recovery decision-making is proposed to make valid recovery decisions.Both the attribute and the process of services in the controllable distributed information system are analyzed as the preparatory work.Using the idea of service composition as a reference,the approach translates the recovery decision-making into a planning problem regarding artificial intelligence (AI) through two steps.The first is the self-organization based on a logical view of the network,and the second is the definition of evaluation standards.Applying Bellman dynamic programming to solve the planning problem,the approach offers timely emergency response and optimal recovery source selection,meeting multiple QoS (quality of service)requirements.Experimental results demonstrate the rationality and optimality of the approach,and the theoretical analysis of its computational complexity and the comparison with conventional methods exhibit its high efficiency. 展开更多
关键词 service recovery decision-making Bellman dynamic programming quality of service (QoS) service-oriented architecture(SOA)
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RF-CLASS: A remote-sensing-based flood crop loss assessment cyber-service system for supporting crop statistics and insurance decision-making 被引量:3
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作者 Liping Di Eugene G. Yu +2 位作者 Lingjun Kang Ranjay Shrestha BAI Yu-qi 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2017年第2期408-423,共16页
Floods often cause significant crop loss in the United States. Timely and objective information on flood-related crop loss, such as flooded acreage and degree of crop damage, is very important for crop monitoring and ... Floods often cause significant crop loss in the United States. Timely and objective information on flood-related crop loss, such as flooded acreage and degree of crop damage, is very important for crop monitoring and risk management in ag- ricultural and disaster-related decision-making at many concerned agencies. Currently concerned agencies mostly rely on field surveys to obtain crop loss information and compensate farmers' loss claim. Such methods are expensive, labor intensive, and time consumptive, especially for a large flood that affects a large geographic area. The results from such methods suffer from inaccuracy, subjectiveness, untimeliness, and lack of reproducibility. Recent studies have demonstrated that Earth observation (EO) data could be used in post-flood crop loss assessment for a large geographic area objectively, timely, accurately, and cost effectively. However, there is no operational decision support system, which employs such EO-based data and algorithms for operational flood-related crop decision-making. This paper describes the development of an EO-based flood crop loss assessment cyber-service system, RF-CLASS, for supporting flood-related crop statistics and insurance decision-making. Based on the service-orientated architecture, RF-CLASS has been implemented with open interoperability specifications to facilitate the interoperability with EO data systems, particularly the National Aeronautics and Space Administration (NASA) Earth Observing System Data and Information System (EOSDIS), for automatically fetching the input data from the data systems. Validated EO algorithms have been implemented as web services in the system to operationally produce a set of flood-related products from EO data, such as flood frequency, flooded acreage, and degree of crop damage, for supporting decision-making in flood statistics and flood crop insurance policy. The system leverages recent advances in the remote sensing-based flood monitoring and assessment, the near-real-time availability of EO data, the service-oriented architecture, geospatial interoperability standards, and the standard-based geospatial web service technology. The prototypical system has automatically generated the flood crop loss products and demonstrated the feasibility of using such products to improve the agricultural decision-making. Evaluation of system by the end-user agencies indicates that significant improvement on flood-related crop decision-making has been achieved with the system. 展开更多
关键词 crop condition FLOODING crop damage time series MODIS web service remote sensing decision-making
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Discussion on Improving Decision-making Meteorological Service Level of County-level Meteorological Station 被引量:1
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作者 Zhu Hexiang Wang Chufeng +1 位作者 Fu Zhaoguang Lv Xiaohua 《Meteorological and Environmental Research》 CAS 2019年第2期41-43,共3页
Based on experience of meteorological service at county-level meteorological station in recent 20 years,status quo of decision-making meteorological service,main influence factors of decision-making meteorological ser... Based on experience of meteorological service at county-level meteorological station in recent 20 years,status quo of decision-making meteorological service,main influence factors of decision-making meteorological service and writing of decision-making meteorological service materials are analyzed,and measures and suggestions of improving decision-making meteorological service level are proposed. The research aims to improve public meteorological service level at grass-roots level,provide scientific decision-making basis for government departments preventing and reducing disaster,and reduce loss of life and property of the country and people caused by meteorological disasters to the maximum extent. 展开更多
关键词 METEOROLOGICAL station decision-making service DISASTER prevention and mitigation service LEVEL
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Analysis and Related Suggestions on the Whole Process Engineering Consulting Service Mode at Home and Abroad 被引量:1
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作者 Xianbao Meng Yuehua Xiong 《Frontiers Research of Architecture and Engineering》 2021年第1期17-21,共5页
This paper first introduces the basic connotation of China’s whole-process engineering consulting.Immediately,analyze the organization model,service procurement model and charging standards of foreign whole-process e... This paper first introduces the basic connotation of China’s whole-process engineering consulting.Immediately,analyze the organization model,service procurement model and charging standards of foreign whole-process engineering consulting(international terminology full-life cycle engineering consultant).Second,discuss the government’s role in the development of engineering consulting from two aspects:service management and market access.Finally,combined with the above analysis,the specific problems faced in the implementation process of the whole process engineering consulting are compared.Provide relevant suggestions on how companies and individuals respond to industry development trends. 展开更多
关键词 Whole process engineering consulting service mode Organization model service procurement model Charging standards Development trends and suggestions
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Decision-Making Model of Public Service Facility Configuration in Multi-agent Communities and Its Application
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作者 WU Tian-yan YAN Wei ZHAN Jian-jun 《Journal of Donghua University(English Edition)》 EI CAS 2016年第6期866-870,共5页
The decision.making process of the public service facility configuration in multi.agent community is usually simplistic and static. In order to reflect dynamic changes and interactions of all behavior subjects indudin... The decision.making process of the public service facility configuration in multi.agent community is usually simplistic and static. In order to reflect dynamic changes and interactions of all behavior subjects induding of residents, real estate developers and the government, a decision-making model of public service facility configuration according to the multi-agent theory was made to improve the efficiency of the public service facility configuration in community and the living quality of residents. Taking a community to the cast of Jinhui Port in Fengxian District in Shanghai for example, the model analyzed the decision-makers' adaptive behaviors and simulated the decision.making criteria. The results indicate that the decision-making model and criteria can be well of satisfying the purpose of improving validity and rationality of public service facility configuration in large community. 展开更多
关键词 public service facility MULTI-AGENT decision-making criteria configuration model
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Cultivating global health professionals: evaluation of a training course to develop international consulting service competence in China
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作者 Pan Gao Li Guan +7 位作者 Yisi Liu Feifei Liu Wenyuan Yu Xiangyu Li Suyang Liu Yuanan Lu Hao Li Hao Xiang 《Global Health Journal》 2020年第2期51-56,共6页
Background:China’s accelerating development and increasingly important role in global health engagement create a great demand for global health professionals including international consulting experts.This study repo... Background:China’s accelerating development and increasingly important role in global health engagement create a great demand for global health professionals including international consulting experts.This study reported the detailed development and evaluation of an international consulting training for global health workforce.Methods:Based on Kirkpatrick’s model,a mixed-methods approach was used to evaluate the effectiveness of the training.Quantitative and qualitative data on participants’reaction,learning,and application of the learned knowledge and skills were collected by a training evaluation survey at the ending of training and a follow-up interview in three months after the training.Results:Thirty-six participants attended the training and 34 of them completed quantitative investigation.The training satisfaction evaluations were positive,for which participants rated the training program highly and over 90%of them agreed with the usefulness of the training.About knowledge and skills change,participants showed improved consulting knowledge and skills from pre-to post-training(P<0.001).A total of 23 participants accepted follow-up interview,and most participants applied knowledge and skills learned from the training in their daily work or study.However,only 30.4%of participants applied their learning in the consulting program.The largest barrier of application was the lack of consulting opportunities.In addition,almost all the participants reported that they would be glad to attend more training courses in the future.Conclusion:The international consulting training program was well-received,and was feasible to improve the consulting service competence of global health professionals.According to participants’feedback,it is essential to develop and expand consulting training in the field of global health. 展开更多
关键词 Training evaluation SATISFACTION Kirkpatrick’s model Global health International consulting service
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Intelligent Mobile Platform for Patent Consulting Service
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作者 Lidan Ma 《Modern Electronic Technology》 2017年第1期16-18,共3页
Intelligent patent consulting service platform is an integrated service platform based on Android and IOS operating system. It can achieve the customized service at the mobile end and can provide intelligent search se... Intelligent patent consulting service platform is an integrated service platform based on Android and IOS operating system. It can achieve the customized service at the mobile end and can provide intelligent search service, intelligent service delivery, interactive learning and collaborative consulting and other multi-dimensional services, to meet the needs of a large number of users. This paper provides a mobile platform for the applicant side of the functional modules of the design. 展开更多
关键词 INTELLIGENT consulting PATENT MOBILE service
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Physicians’Perception of Palliative Care Consultation Service in a Major General Hospital in China 被引量:9
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作者 Xuan Qu Nan Jiang +1 位作者 Nan Ge Xiaohong Ning 《Chinese Medical Sciences Journal》 CAS CSCD 2018年第4期228-233,共6页
Objectives The in-hosptial palliative care consultation(PCC) is emerging as a routine service in some medical center in China. The current study evaluated how physicians in primary care team and consultation team perc... Objectives The in-hosptial palliative care consultation(PCC) is emerging as a routine service in some medical center in China. The current study evaluated how physicians in primary care team and consultation team perceive the PCC service for the purpose of investigating the effectiveness of this consultation model in a general hospital.Methods In-hosptial palliative care consultations have been carried out at Peking Union Medical College Hosptial by a dedicated consultation team, and 37 consultations were completed in 2016. A questionnaire was designed for physicians in terms of its benefits to patients,their family as well as the primary care team. Physicians who applied for consultation in 2016 formally(requested from the department other than the Geriatrics) and informally(by rotating residents and unemployed visiting doctors in geriatric department) were invited to participate in the survey by scanning a two dimentional code on social networking platform.Results There were 103 physicians participated in the survey, including primary care physicians from the department of Internal Medicine(n=8), Gynaecology(n=16) and Surgery(n=13), rotating residents(n=30), visiting doctors(n=16) in Geriatric department, and PCC team members(n=20). 94.0% of the non-PCC physicians agreed that PCC relieved the suffering of patients; 89.2% thought PCC improved the quality of patients' life; there were 91.6%, 95.2%, 90.4% physicians who felt it relieved the anxiety of patients, of family members and of care providers, respectively. There were 96.4% physicians who felt it could ease the tension in physician-patient relationship; 97.6% felt it lower the risk for medical negligence, and 96.4% of doctors who applied for PPC felt satisfied with PCC service in terms of process and achieving objectives of consultation. More primary-team physician agree "PCC service helps the physicians better understand palliative care" than PCC members(97.6% vs. 80%, P<0.05), while both were interested in learning more on palliative medicine(100% vs. 96.4%, P>0.05).Conclusion Palliative care consultation service in a general hospital is efficacious and acclaimed.The primary care physicians and the PCC members hold positive attitudes to the benefits that the PCC services bring to patients, family members, and physicians themselves. PCC for terminal patients in a general hospital may serve as a good modle for promotion of palliative care in China. 展开更多
关键词 PALLIATIVE CARE consultATION MEDICAL service
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Patient Participation in Communication about Treatment Decision-Making for Localized Prostate Cancer during Consultation Visits 被引量:3
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作者 Lixin Song Mark P. Toles +4 位作者 Jinbing Bai Matthew E. Nielsen Donald E. Bailey Betsy Sleath Barbara Mark 《Health》 2015年第11期1419-1429,共11页
Objectives: To describe the communication behaviors of patients and physicians and patient par-ticipation in communication about treatment decision-making during consultation visits for local-ized prostate cancer (LPC... Objectives: To describe the communication behaviors of patients and physicians and patient par-ticipation in communication about treatment decision-making during consultation visits for local-ized prostate cancer (LPCa). Methods: This is a secondary analysis of data from 52 men enrolled in the usual care control group of a randomized trial that focused on decision-making for newly diagnosed men with LPCa. We analyzed the patient-physician communication using the transcribed audio-recordings of real-time treatment consultations and a researcher-developed coding tool, including codes for communication behaviors (information giving, seeking, and clarifying/ verifying) and contents of clinical consultations (health histories, survival/mortality, treatment options, treatment impact, and treatment preferences). After qualitative content analysis, we categorized patient participation in communication about treatment-related clinical content, including “none” (content not discussed);“low” (patient listening only);“moderate” (patient providing information or asking questions);and “high” (patient providing information and asking questions). Results: Physicians mainly provided information during treatment decision consultations and patients frequently were not active participants in communication. The participation of patients with low and moderate cancer risk typically was: 1) “moderate and high” in discussing health histories;2) “low” in discussing survival/mortality;3) “low and moderate” in discussing treatment options;4) “none and low” in discussing treatment impacts;and 5) “low” in discussing treatment preferences. Conclusions: Findings suggest opportunities for increasing patient participation in communication about treatment decision-making for LPCa during clinical consultations. 展开更多
关键词 Localized PROSTATE Cancer (LPCa) decision-making Patient-Provider COMMUNICATION PATIENT Participation Audio-Recording consultATION
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Impact of Tools and Techniques for Securing Consultancy Services 被引量:1
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作者 Wael Alosaimi Abdullah Alharbi +4 位作者 Hashem Alyami Masood Ahmad Abhishek Kumar Pandey Rajeev Kumar Raees Ahmad Khan 《Computer Systems Science & Engineering》 SCIE EI 2021年第6期347-360,共14页
In a digital world moving at a breakneck speed,consultancy services have emerged as one of the prominent resources for seeking effective,sustainable and economically viable solutions to a given crisis.The present day ... In a digital world moving at a breakneck speed,consultancy services have emerged as one of the prominent resources for seeking effective,sustainable and economically viable solutions to a given crisis.The present day consultancy services are aided by the use of multiple tools and techniques.However,ensuring the security of these tools and techniques is an important concern for the consultants because even a slight malfunction of any tool could alter the results drastically.Consultants usually tackle these functions after establishing the clients’needs and developing the appropriate strategy.Nevertheless,most of the consultants tend to focus more on the intended outcomes only and often ignore the security-specific issues.Our research study is an initiative to recommend the use of a hybrid computational technique based on fuzzy Analytical Hierarchy Process(AHP)and fuzzy Technique for Order Preference by Similarity to Ideal Solutions(TOPSIS)for prioritizing the tools and techniques that are used in consultancy services on the basis of their security features and efficacy.The empirical analysis conducted in this context shows that after implementing the assessment process,the rank of the tools and techniques obtained is:A7>A1>A4>A2>A3>A5>A6>A7,and General Electric McKinsey(GE-McKinsey)Nine-box Matrix(A7)obtained the highest rank.Thus,the outcomes show that this order of selection of the tools and techniques will give the most effective and secure services.The awareness about using the best tools and techniques in consultancy services is as important as selecting the most secure tool for solving a given problem.In this league,the results obtained in this study would be a conclusive and a reliable reference for the consultants. 展开更多
关键词 consultancy services fuzzy AHP fuzzy TOPSIS consultancy tools and techniques security evaluation
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China's Information Consultancy Services
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作者 Zhou Qifeng,Deputy Secretary-Generalof the China Information Association 《China's Foreign Trade》 1996年第4期22-23,共2页
China’s opening,reform and economicdevelopment,as well as the worldinformation technology revolution,hasenhanced China’s information consultancyservice.Before 1978,China’s economy wasa product economy governed by a... China’s opening,reform and economicdevelopment,as well as the worldinformation technology revolution,hasenhanced China’s information consultancyservice.Before 1978,China’s economy wasa product economy governed by a highly-centralized planning system with economicinformation basically based on statisticscollected from lower levels and planningcommands to lower levels.The annual productexchange meetings sponsored by specialeconomic departments became the mainchannels for information exchange,soinformation services basically failed to meetneeds.In 1979,China’s economy began itstransfer from a planned to a market one。 展开更多
关键词 In CO China’s Information consultancy services
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Continuously Performing the Consultation and Social Service Roles of Human Rights Bases
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作者 HAN DAYUAN 《The Journal of Human Rights》 2014年第5期13-14,共2页
The Ministry of Education and the State Council Information Office have named Renmin University of China as one of the human rights national education and training bases. This shows the full affirmation and trust in t... The Ministry of Education and the State Council Information Office have named Renmin University of China as one of the human rights national education and training bases. This shows the full affirmation and trust in the university's education, research and training work and also represents encouragement for its future work. 展开更多
关键词 Office WILL Continuously Performing the consultation and Social service Roles of Human Rights Bases
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EVALUATION OF ECOLOGICAL SERVICES OF JILIN PROVINCE, NORTHEAST CHINA 被引量:2
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作者 YUShu-xia SHANGJin-cheng GUOHuai-cheng 《Chinese Geographical Science》 SCIE CSCD 2004年第3期215-220,共6页
The main purpose of this study is to give evaluation of ecological services of Jilin Province, Northeast China. To take this value into decision-making and GDP accounting system is considered to be one of the economic... The main purpose of this study is to give evaluation of ecological services of Jilin Province, Northeast China. To take this value into decision-making and GDP accounting system is considered to be one of the economic solutions for ecological problems. The evaluation is based on the methods proposed by COSTANZA et al., and some modifications about unit value of forest and cropland system were made according to the real characters of ecosystem, climate, natural conditions etc., in Jilin Province. Total value of ecosystem services is about 554.404x10(9) yuan(RMB)/a, which is about 4.9 times of GDP of the corresponding period. The results of this study could be used as a fundamental work for the construction of ecological province, which was carried out from 2001, and could provide ecological information for decision-making. Furthermore, the necessities for the further studies on the evaluation of ecological services and natural capital were discussed. 展开更多
关键词 ecological services economic evaluation sustainable development strategic decision-making Jilin Province
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The impact of a computerized care records service (CRS) on doctors’ work patterns in urological outpatient clinics 被引量:1
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作者 Stefanos Kachrilas Christian Bach +4 位作者 Pryia Kumar Faruqz Zaman Nicola Dickens Junaid Masood Noor Buchholz 《Health》 2011年第11期703-707,共5页
Objective: Government targets to reduce waiting times are putting enormous pressures on outpatient services. The implementation of an electronic care records service (CRS) at our hospital in 2008 has led to widespread... Objective: Government targets to reduce waiting times are putting enormous pressures on outpatient services. The implementation of an electronic care records service (CRS) at our hospital in 2008 has led to widespread press coverage of ensuing chaos in clinical administration. We wanted to know how this new electronic system impacted on our working patterns in outpatient clinics and – more specifically – on the time actually spent with the patients. Material & methods: This study was performed 4 and 12 months after implementation of CRS to assess its impact on the time distribution in clinic. Senior doctors were monitored with a stop clock during consultations. Timings for pre- and post-consultation administration, and the actual consultation with the patient were recorded. A total of 170 consultations were evaluated in this way. Results: The key findings were that the total time needed to spend on a urological outpatient of 16 minutes remains unchanged from the pre-CRS era, but a majority (57%) of this time is spent in administration on the computer without the patient involved. Conclusion: No more than 15 patients should be seen in a 4 hour outpatient clinic per doctor. This recommendation drawn up by BAUS before CRS remains still valid. Patient administration related to the consultation that has previously been done by administrative aides is now to be done by the doctors on the computer in the same consultation session. Intended to streamline patient pathways, this does reduce the quality interaction-time between doctor and patients significantly. 展开更多
关键词 Working Pattern consultation Time CARE RECORDS service OUTPATIENT Clinic National Health System NHS
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基于WebServices的多代理自动协商系统设计
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作者 张宇坤 《湖南冶金职业技术学院学报》 2008年第2期10-13,共4页
协商系统是人们借助计算机技术和网络技术在internet上实现自动的协商过程。阐述了web services的设计思想、实现框架、功能和特点,并结合具体项目实现了基于web sercics的多代理自动协商系统,从而为企业简化了商品流通环节,提高了交易... 协商系统是人们借助计算机技术和网络技术在internet上实现自动的协商过程。阐述了web services的设计思想、实现框架、功能和特点,并结合具体项目实现了基于web sercics的多代理自动协商系统,从而为企业简化了商品流通环节,提高了交易效率。 展开更多
关键词 电子协商 WEB服务 多代理 协商服务 协商协议
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Analysis of Critical Factors in Manufacturing by Adopting a Cloud Computing Service
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作者 Hsin-Pin Fu Tsung-Sheng Chang +1 位作者 Chien-Hung Liu Li-Chun Liu 《Computer Systems Science & Engineering》 SCIE EI 2022年第7期213-227,共15页
The advantages of a cloud computing service are cost advantages,availability,scalability,flexibility,reduced time to market,and dynamic access to computing resources.Enterprises can improve the successful adoption rate... The advantages of a cloud computing service are cost advantages,availability,scalability,flexibility,reduced time to market,and dynamic access to computing resources.Enterprises can improve the successful adoption rate of cloud computing services if they understand the critical factors.Tofind critical factors,this studyfirst reviewed the literature and established a three-layer hierarch-ical factor table for adopting a cloud computing service based on the Technology-Organization-Environment framework.Then,a hybrid method that combines two multi-criteria decision-making tools—called the Fuzzy Analytic Network Process method and the concept of VlseKriterijumska Optimizacija I Kompromisno Resenje acceptable advantage—was used to objectively identify critical factors for the adop-tion of a cloud computing service,replacing the subjective decision of the authors.The results of this study determinedfive critical factors,namely data access secur-ity,information transmission security,senior management support,fallback cloud management,and employee acceptance.Finally,the paper presents thefindings and implications of the study. 展开更多
关键词 Cloud computing service multi-criteria decision-making critical factors fuzzy analytic network process vlseKriterijumska optimizacija i kompromisno resenje technology-organization-environment
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An Integrated Framework for Cloud Service Selection Based on BOM and TOPSIS
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作者 Ahmed M.Mostafa 《Computers, Materials & Continua》 SCIE EI 2022年第8期4125-4142,共18页
Many businesses have experienced difficulties in selecting a cloud service provider(CSP)due to the rapid advancement of cloud computing services and the proliferation of CSPs.Many independent criteria should be consid... Many businesses have experienced difficulties in selecting a cloud service provider(CSP)due to the rapid advancement of cloud computing services and the proliferation of CSPs.Many independent criteria should be considered when evaluating the services provided by different CSPs.It is a case of multi-criteria decision-making(MCDM).This paper presents an integrated MCDM cloud service selection framework for determining the most appropriate service provider based on the best only method(BOM)and technique for order of preference by similarity to ideal solution(TOPSIS).To obtain the weights of criteria and the relative importance of CSPs based on each criterion,BOM performs pairwise comparisons of criteria and also for alternatives on each criterion,and TOPSIS uses these weights to rank cloud alternatives.An evaluation and validation of the proposed framework have been carried out through a use-case model to prove its efficiency and accuracy.Moreover,the developed framework was compared with the analytical hierarchical process(AHP),a popular MCDM approach,based on two perspectives:efficiency and consistency.According to the research results,the proposed framework only requires 25%of the comparisons needed for the AHP approach.Furthermore,the proposed framework has a CR of 0%,whereas AHP has 38%.Thus,the proposed framework performs better than AHPwhen it comes to computation complexity and consistency,implying that it is more efficient and trustworthy. 展开更多
关键词 Cloud computing(CC) multiple-criteria decision-making(MCDM) cloud service providers(CSPs) analytical hierarchical process(AHP) the best only method(BOM) technique for order of preference by similarity to ideal solution(TOPSIS)
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学科采访视域下的大型图书资源建设研究——以北京大学图书馆为例
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作者 王晶晶 蒋秀丽 《大学图书馆学报》 CSSCI 北大核心 2024年第5期88-94,共7页
大型图书作为图书馆文献资源的重要组成部分,因其内容的系统性、结构的完整性等,在学术研究、学科建设等方面发挥着重要作用。受多方面因素影响,大型图书的采访和管理目前面临着诸多挑战,然而大型图书资源建设的研究却相对较少,在实践... 大型图书作为图书馆文献资源的重要组成部分,因其内容的系统性、结构的完整性等,在学术研究、学科建设等方面发挥着重要作用。受多方面因素影响,大型图书的采访和管理目前面临着诸多挑战,然而大型图书资源建设的研究却相对较少,在实践中缺乏参考。文章首先回顾了北京大学图书馆大型图书采访工作实践与演变发展,对其中遇到的困难与问题进行了梳理,并提出了大型图书的采购策略与建议,以期为高校图书馆大型图书资源建设提供参考。 展开更多
关键词 大型图书 采购 专家论证会 用户服务
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全程管理模式对临床药师抗感染会诊效果影响的前后对照单臂观察性研究
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作者 廖音娟 刘金玲 +6 位作者 杨韫饴 唐蜜蜜 杨勇 刘宇俊 甘发平 谭周舟 董梅芳 《安徽医药》 CAS 2024年第4期845-848,共4页
目的 探讨全程管理模式对医院临床药师抗感染会诊的影响效果。方法 对长沙市第四医院临床药师抗感染会诊实施全程管理模式前(2021年2—7月)的592例会诊病例和实施全程管理模式后(2022年2—7月)的688例会诊病例的抗菌药物使用疗程、抗菌... 目的 探讨全程管理模式对医院临床药师抗感染会诊的影响效果。方法 对长沙市第四医院临床药师抗感染会诊实施全程管理模式前(2021年2—7月)的592例会诊病例和实施全程管理模式后(2022年2—7月)的688例会诊病例的抗菌药物使用疗程、抗菌药物使用品种数、抗菌药物使用费用、抗菌药物使用累计DDD(限定日剂量)数、抗菌药物使用强度、病人住院天数、病人住院费用和病人住院药品费用等指标进行对比和分析。结果 实施全程管理模式后,临床药师参与管理的抗感染会诊病例的抗菌药物使用累计DDD数减少3.31(实施前21.16±19.65,实施后17.85±16.09)、抗菌药物使用强度减少6.79(实施前103.22±58.37,实施后96.43±48.80)、病人住院天数减少2.26 d[实施前(20.59±13.13)d,实施后(18.33±11.71)d],抗菌药物使用天数、抗菌药物使用品种数、抗菌药物使用费用、病人住院费用以及病人住院药品费用等指标差异无统计学意义。结论 全程管理模式对临床药师抗感染会诊效果影响显著,对降低临床药师参与抗感染会诊病例的抗菌药物使用强度及减轻病人疾病负担具有重要意义,值得推广应用。 展开更多
关键词 药学服务 药剂学管理 全程管理模式 临床药师 抗感染会诊
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内蒙古自治区社区5类精神障碍患者精神卫生服务利用现状
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作者 白银霞 仝璐 +12 位作者 刘肇瑞 严洁 王瑞琪 张婷婷 丁华 陈丽霞 姚佳慧 高晓娟 吕东升 白志坚 李紫聿 隋晓杰 黄悦勤 《中国心理卫生杂志》 CSCD 北大核心 2024年第5期419-425,共7页
目的:描述内蒙古自治区社区5类精神障碍终生患者精神卫生服务利用现况,为健康教育和制定相关政策提供参考。方法:采用分层多阶段不等概率抽样方法抽取内蒙古自治区18岁及以上常住居民共12 315名,采用复合性国际诊断交谈表调查心境障碍... 目的:描述内蒙古自治区社区5类精神障碍终生患者精神卫生服务利用现况,为健康教育和制定相关政策提供参考。方法:采用分层多阶段不等概率抽样方法抽取内蒙古自治区18岁及以上常住居民共12 315名,采用复合性国际诊断交谈表调查心境障碍、焦虑障碍、物质使用障碍、间歇爆发性障碍、进食障碍等5类精神障碍及精神卫生服务利用现况,以单因素分析方法进行描述性统计。结果:5类精神障碍中,任何一种精神障碍终生患者咨询率为18.7%,治疗率为10.2%,患者接受非医务工作者治疗的比例最高(31.4%),其次是接受精神科或心理科医生治疗;患者中有1.1%的患者接受药物治疗,有2.5%的患者接受心理治疗。结论:内蒙古自治区精神障碍患者精神卫生服务利用率较低,要广泛开展正确求医的健康教育。 展开更多
关键词 精神障碍 卫生服务 咨询率 治疗率 现况调查 复合性国际诊断交谈表
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