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I Can Make It!
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作者 Ruth Devlin 《空中英语教室(初级版.大家说英语)》 2025年第1期10-11,50,共3页
When some one makes your day,they do something that makes you happy.When you make the most of something,you get as much good out of it as you can.When you make do,you use what you have.
关键词 SOMETHING MAKE of
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Solution to multiple attribute group decision making problems with two decision makers 被引量:2
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作者 Fangwei Zhang Wei Wang Xuedong Hua 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2015年第2期329-333,共5页
A kind of multiple attribute group decision making (MAGDM) problem is discussed from the perspective of statistic decision-making. Firstly, on the basis of the stability theory, a new idea is proposed to solve this ... A kind of multiple attribute group decision making (MAGDM) problem is discussed from the perspective of statistic decision-making. Firstly, on the basis of the stability theory, a new idea is proposed to solve this kind of problem. Secondly, a con- crete method corresponding to this kind of problem is proposed. The main tool of our research is the technique o~ the jackknife method. The main advantage of the new method is that it can identify and determine the reliability degree of the existed decision making information. Finally, a traffic engineering example is given to show the effectiveness of the new method. 展开更多
关键词 multiple attribute group decision making(MAGDM) stability theory jackknife method credibility degree traffic engineering
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Decision-Makers Weighting in Fuzzy Multiple Attributes Group Decision-Making 被引量:1
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作者 Fatemeh Ghaemi-Nasab Mohsen Rostamy-Malkhalifeh Razieh Mehrjoo 《通讯和计算机(中英文版)》 2011年第4期247-251,共5页
关键词 多属性群决策 决策者 模糊 加权 现实世界 可靠性 决策方法 决策过程
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Method for triangular fuzzy multiple attribute decision making based on two-dimensional density operator method
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作者 LIN Youliang LI Wu +1 位作者 LIU Gang HUANG Dong 《Journal of Systems Engineering and Electronics》 SCIE EI CSCD 2024年第1期178-185,共8页
Aiming at the triangular fuzzy(TF)multi-attribute decision making(MADM)problem with a preference for the distribution density of attribute(DDA),a decision making method with TF number two-dimensional density(TFTD)oper... Aiming at the triangular fuzzy(TF)multi-attribute decision making(MADM)problem with a preference for the distribution density of attribute(DDA),a decision making method with TF number two-dimensional density(TFTD)operator is proposed based on the density operator theory for the decision maker(DM).Firstly,a simple TF vector clustering method is proposed,which considers the feature of TF number and the geometric distance of vectors.Secondly,the least deviation sum of squares method is used in the program model to obtain the density weight vector.Then,two TFTD operators are defined,and the MADM method based on the TFTD operator is proposed.Finally,a numerical example is given to illustrate the superiority of this method,which can not only solve the TF MADM problem with a preference for the DDA but also help the DM make an overall comparison. 展开更多
关键词 fuzzy decision making CLUSTERING density operator multi-attribute decision making(MADM)
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Tjong:A transformer‐based Mahjong AI via hierarchical decision‐making and fan backward
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作者 Xiali Li Bo Liu +2 位作者 Zhi Wei Zhaoqi Wang Licheng Wu 《CAAI Transactions on Intelligence Technology》 SCIE EI 2024年第4期982-995,共14页
Mahjong,a complex game with hidden information and sparse rewards,poses significant challenges.Existing Mahjong AIs require substantial hardware resources and extensive datasets to enhance AI capabilities.The authors ... Mahjong,a complex game with hidden information and sparse rewards,poses significant challenges.Existing Mahjong AIs require substantial hardware resources and extensive datasets to enhance AI capabilities.The authors propose a transformer‐based Mahjong AI(Tjong)via hierarchical decision‐making.By utilising self‐attention mechanisms,Tjong effectively captures tile patterns and game dynamics,and it decouples the decision pro-cess into two distinct stages:action decision and tile decision.This design reduces de-cision complexity considerably.Additionally,a fan backward technique is proposed to address the sparse rewards by allocating reversed rewards for actions based on winning hands.Tjong consists of 15M parameters and is trained using approximately 0.5 M data over 7 days of supervised learning on a single server with 2 GPUs.The action decision achieved an accuracy of 94.63%,while the claim decision attained 98.55%and the discard decision reached 81.51%.In a tournament format,Tjong outperformed AIs(CNN,MLP,RNN,ResNet,VIT),achieving scores up to 230%higher than its opponents.Further-more,after 3 days of reinforcement learning training,it ranked within the top 1%on the leaderboard on the Botzone platform. 展开更多
关键词 decision making deep learning deep neural networks
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Novelty of Different Distance Approach for Multi-Criteria Decision-Making Challenges Using q-Rung Vague Sets
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作者 Murugan Palanikumar Nasreen Kausar +3 位作者 Dragan Pamucar Seifedine Kadry Chomyong Kim Yunyoung Nam 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第6期3353-3385,共33页
In this article,multiple attribute decision-making problems are solved using the vague normal set(VNS).It is possible to generalize the vague set(VS)and q-rung fuzzy set(FS)into the q-rung vague set(VS).A log q-rung n... In this article,multiple attribute decision-making problems are solved using the vague normal set(VNS).It is possible to generalize the vague set(VS)and q-rung fuzzy set(FS)into the q-rung vague set(VS).A log q-rung normal vague weighted averaging(log q-rung NVWA),a log q-rung normal vague weighted geometric(log q-rung NVWG),a log generalized q-rung normal vague weighted averaging(log Gq-rung NVWA),and a log generalized q-rungnormal vagueweightedgeometric(logGq-rungNVWG)operator are discussed in this article.Adescription is provided of the scoring function,accuracy function and operational laws of the log q-rung VS.The algorithms underlying these functions are also described.A numerical example is provided to extend the Euclidean distance and the Humming distance.Additionally,idempotency,boundedness,commutativity,and monotonicity of the log q-rung VS are examined as they facilitate recognizing the optimal alternative more quickly and help clarify conceptualization.We chose five anemia patients with four types of symptoms including seizures,emotional shock or hysteria,brain cause,and high fever,who had either retrograde amnesia,anterograde amnesia,transient global amnesia,post-traumatic amnesia,or infantile amnesia.Natural numbers q are used to express the results of the models.To demonstrate the effectiveness and accuracy of the models we are investigating,we compare several existing models with those that have been developed. 展开更多
关键词 Vague set aggregating operators euclidean distance hamming distance decision making
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Two-Stage IoT Computational Task Offloading Decision-Making in MEC with Request Holding and Dynamic Eviction
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作者 Dayong Wang Kamalrulnizam Bin Abu Bakar Babangida Isyaku 《Computers, Materials & Continua》 SCIE EI 2024年第8期2065-2080,共16页
The rapid development of Internet of Things(IoT)technology has led to a significant increase in the computational task load of Terminal Devices(TDs).TDs reduce response latency and energy consumption with the support ... The rapid development of Internet of Things(IoT)technology has led to a significant increase in the computational task load of Terminal Devices(TDs).TDs reduce response latency and energy consumption with the support of task-offloading in Multi-access Edge Computing(MEC).However,existing task-offloading optimization methods typically assume that MEC’s computing resources are unlimited,and there is a lack of research on the optimization of task-offloading when MEC resources are exhausted.In addition,existing solutions only decide whether to accept the offloaded task request based on the single decision result of the current time slot,but lack support for multiple retry in subsequent time slots.It is resulting in TD missing potential offloading opportunities in the future.To fill this gap,we propose a Two-Stage Offloading Decision-making Framework(TSODF)with request holding and dynamic eviction.Long Short-Term Memory(LSTM)-based task-offloading request prediction and MEC resource release estimation are integrated to infer the probability of a request being accepted in the subsequent time slot.The framework learns optimized decision-making experiences continuously to increase the success rate of task offloading based on deep learning technology.Simulation results show that TSODF reduces total TD’s energy consumption and delay for task execution and improves task offloading rate and system resource utilization compared to the benchmark method. 展开更多
关键词 Decision making internet of things load prediction task offloading multi-access edge computing
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A Large-Scale Group Decision Making Model Based on Trust Relationship and Social Network Updating
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作者 Rongrong Ren Luyang Su +2 位作者 Xinyu Meng Jianfang Wang Meng Zhao 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第1期429-458,共30页
With the development of big data and social computing,large-scale group decisionmaking(LGDM)is nowmerging with social networks.Using social network analysis(SNA),this study proposes an LGDM consensus model that consid... With the development of big data and social computing,large-scale group decisionmaking(LGDM)is nowmerging with social networks.Using social network analysis(SNA),this study proposes an LGDM consensus model that considers the trust relationship among decisionmakers(DMs).In the process of consensusmeasurement:the social network is constructed according to the social relationship among DMs,and the Louvain method is introduced to classify social networks to form subgroups.In this study,the weights of each decision maker and each subgroup are computed by comprehensive network weights and trust weights.In the process of consensus improvement:A feedback mechanism with four identification and two direction rules is designed to guide the consensus of the improvement process.Based on the trust relationship among DMs,the preferences are modified,and the corresponding social network is updated to accelerate the consensus.Compared with the previous research,the proposedmodel not only allows the subgroups to be reconstructed and updated during the adjustment process,but also improves the accuracy of the adjustment by the feedbackmechanism.Finally,an example analysis is conducted to verify the effectiveness and flexibility of the proposed method.Moreover,compared with previous studies,the superiority of the proposed method in solving the LGDM problem is highlighted. 展开更多
关键词 Large-scale group decision making social network updating trust relationship group consensus feedback mechanism
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Shared decision making in rural general practices:a qualitative exploration of older rural South Australians'perceived involvement in clinical consultations with doctors
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作者 Mohammad Hamiduzzaman Noore Siddiquee +4 位作者 Harry James Gaffney Frances Barraclough Aziz Rahman Jennene Greenhill Vicki Flood 《Global Health Journal》 2024年第3期140-146,共7页
Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a quali... Background:Shared decision-making(SDM)implementation is a priority for Australian health systems,including general practices but it remains complex for specific groups like older rural Australians.We initiated a qualitative study with older rural Australians to explore barriers to and facilitators of SDM in local general practices.Methods:We conducted a patient-oriented research,partnering with older rural Australians,families,and health service providers in research design.Participants who visited general practices were purposively sampled from five small rural towns in South Australia.A semi-structured interview guide was used for interviews and reflexive thematic coding was conducted.Results:Telephone interviews were held with 27 participants.Four themes were identified around older rural adults’involvement in SDM:(1)Understanding of"patient involvement";(2)Positive and negative outcomes;(3)Barriers to SDM;and(4)Facilitators to SDM.Understanding of patient involvement in SDM considerably varied among participants,with some reporting their involvement was contingent on the“opportunity to ask questions”and the“treatment choices”offered to them.Alongside the opportunity for involvement,barriers such as avoidance of cultural care and a lack of continuity of care are new findings.Challenges encountered in SDM implementation also included resource constraints and time limitations in general practices.Rural knowledge of general practitioners and technology integration in consultations were viewed as potential enablers..Conclusion:Adequate resources and well-defined guidelines about the process should accompany the implementation of SDM in rural general practices of South Australia.Innovative strategies by general practitioners promoting health literacy and culturally-tailored communication approaches could increase older rural Australians'involvement in general. 展开更多
关键词 General practices Shared decision making Olderrural Australians Patient involvement South Australia
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Performance of the walking trail making test in older adults with white matter hyperintensities
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作者 Hong-Yi Zhao Zhi-Qiang Zhang +2 位作者 Yong-Hua Huang Hong Li Fang-Yuan Wei 《World Journal of Psychiatry》 SCIE 2024年第1期102-110,共9页
BACKGROUND Several studies have reported that the walking trail making test(WTMT)completion time is significantly higher in patients with developmental coordination disorders and mild cognitive impairments.We hypothes... BACKGROUND Several studies have reported that the walking trail making test(WTMT)completion time is significantly higher in patients with developmental coordination disorders and mild cognitive impairments.We hypothesized that WTMT performance would be altered in older adults with white matter hyperintensities(WMH).AIM To explore the performance in the WTMT in older people with WMH.METHODS In this single-center,observational study,25 elderly WMH patients admitted to our hospital from June 2019 to June 2020 served as the WMH group and 20 participants matched for age,gender,and educational level who were undergoing physical examination in our hospital during the same period served as the control group.The participants completed the WTMT-A and WTMT-B to obtain their gait parameters,including WTMT-A completion time,WTMT-B completion time,speed,step length,cadence,and stance phase percent.White matter lesions were scored according to the Fazekas scale.Multiple neuropsychological assessments were carried out to assess cognitive function.The relationships between WTMT performance and cognition and motion in elderly patients with WMH were analyzed by partial Pearson correlation analysis.RESULTS Patients with WMH performed significantly worse on the choice reaction test(CRT)(0.51±0.09 s vs 0.44±0.06 s,P=0.007),verbal fluency test(VFT,14.2±2.75 vs 16.65±3.54,P=0.012),and digit symbol substitution test(16.00±2.75 vs 18.40±3.27,P=0.010)than participants in the control group.The WMH group also required significantly more time to complete the WTMT-A(93.00±10.76 s vs 70.55±11.28 s,P<0.001)and WTMT-B(109.72±12.26 s vs 82.85±7.90 s,P<0.001).WTMT-A completion time was positively correlated with CRT time(r=0.460,P=0.001),while WTMT-B completion time was negatively correlated with VFT(r=-0.391,P=0.008).On the WTMT-A,only speed was found to statistically differ between the WMH and control groups(0.803±0.096 vs 0.975±0.050 m/s,P<0.001),whereas on the WTMT-B,the WMH group exhibited a significantly lower speed(0.778±0.111 vs 0.970±0.053 m/s,P<0.001)and cadence(82.600±4.140 vs 85.500±5.020 steps/m,P=0.039),as well as a higher stance phase percentage(65.061±1.813%vs 63.513±2.465%,P=0.019)relative to controls.CONCLUSION Older adults with WMH showed obviously poorer WTMT performance.WTMT could be a potential indicator for cognitive and motor deficits in patients with WMH. 展开更多
关键词 White matter hyperintensities Cognitive dysfunction Motor deficits Gait analysis Trail making test Small vessel disease
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An Effective Prediction Method for Supporting Decision Making in Real Estate Area Selection
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作者 Haoying Jin Song Yang Mingzhi Zhao 《Journal of Computer and Communications》 2024年第7期105-119,共15页
Real estate has been a dominant industry in many countries. One problem for real estate companies is determining the most valuable area before starting a new project. Previous studies on this issue mainly focused on m... Real estate has been a dominant industry in many countries. One problem for real estate companies is determining the most valuable area before starting a new project. Previous studies on this issue mainly focused on market needs and economic prospects, ignoring the impact of natural disasters. We observe that natural disasters are important for real estate area selection because they will introduce considerable losses to real estate enterprises. Following this observation, we first develop a self-defined new indicator named Average Loss Ratio to predict the losses caused by natural disasters in an area. Then, we adopt the existing ARIMA model to predict the Average Loss Ratio of an area. After that, we propose to integrate the TOPSIS model and the Grey Prediction Model to rank the recommendation levels for candidate areas, thereby assisting real estate companies in their decision-making process. We conduct experiments on real datasets to validate our proposal, and the results suggest the effectiveness of the proposed method. 展开更多
关键词 Real Estate Natural Disaster Decision making Prediction Model
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Clustering Analysis of Black-start Decision-making with a Large Group of Decision-makers
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作者 Liu, Weijia Lin, Zhenzhi +4 位作者 Wen, Fushuan Xue, Yusheng Dai, Yan Sun, Weizhen Wang, Chao 《电力系统自动化》 EI CSCD 北大核心 2012年第8期154-160,共7页
The optimization of black-start decision-making plays an important role in the rapid restoration of a power system after a major failure/outage.With the introduction of the concept of smart grids and the development o... The optimization of black-start decision-making plays an important role in the rapid restoration of a power system after a major failure/outage.With the introduction of the concept of smart grids and the development of real-time communication networks,the black-start decision-makers are no longer limited to only one or a few power system experts such as dispatchers,but rather a large group of professional people in practice.The overall behaviors of a large decision-making group of decision-makers/experts are more complicated and unpredictable.However,the existing methods for black-start decision-making cannot handle the situations with a large group of decision-makers.Given this background,a clustering algorithm is presented to optimize the black-start decision-making problem with a large group of decision-makers.Group decision-making preferences are obtained by clustering analysis,and the final black-start decision-making results are achieved by combining the weights of black-start indexes and the preferences of the decision-making group.The effectiveness of the proposed method is validated by a practical case.This work extends the black-start decision-making problem to situations with a large group of decision-makers. 展开更多
关键词 决策者 聚类分析 黑启动 大集 实时通信网络 决策问题 电力系统 电源系统
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A Comparative Study of 3D Virtual Pattern and Traditional Pattern Making
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作者 Md. Ahshan Habib Md. Shamsul Alam 《Journal of Textile Science and Technology》 2024年第1期1-24,共24页
Pattern making plays a key role in the aspect of fashion design and garment production, as it serves as the transformative process that turns a simple drawing into a consistent accumulation of garments. The process of... Pattern making plays a key role in the aspect of fashion design and garment production, as it serves as the transformative process that turns a simple drawing into a consistent accumulation of garments. The process of creating conventional or manual patterns requires a significant amount of time and a specialized skill set in various areas such as grading, marker planning, and fabric utilization. This study examines the potential of 3D technology and virtual fashion designing software in optimizing the efficiency and cost-effectiveness of pattern production processes. The proposed methodology is characterized by a higher level of comprehensiveness and reliability, resulting in time efficiency and providing a diverse range of design options. The user is not expected to possess comprehensive knowledge of traditional pattern creation procedures prior to engaging in the task. The software offers a range of capabilities including draping, 3D-to-2D and 2D-to-3D unfolding, fabric drivability analysis, ease allowance calculation, add-fullness manipulation, style development, grading, and virtual garment try-on. The strategy will cause a shift in the viewpoints and methodologies of business professionals when it comes to the use of 3D fashion design software. Upon recognizing the potential time, financial, and resource-saving benefits associated with the integration of 3D technology into their design development process, individuals will be motivated to select for its utilization over conventional pattern making methods. Individuals will possess the capacity to transfer their cognitive processes and engage in introspection regarding their professional endeavors and current activities through the utilization of 3D virtual pattern-making and fashion design technologies. To enhance the efficacy and ecological sustainability of designs, designers have the potential to integrate 3D technology with virtual fashion software, thereby compliant advantages for both commercial enterprises and the environment. 展开更多
关键词 Pattern-making 3D Pattern making Virtual Fashion 3D-to-2D Unfolding Sustainable Designs
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Use of Research Evidence in Policy and Decision-Making: Views, Attitudes and Practices of Health Policy Makers in Lusaka Province of Zambia
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作者 Patricia Katowa-Mukwato Lonia Mwape +2 位作者 Mwaba Chileshe Siwale Emmanuel Mwila Musenge Margaret Maimbolwa 《Health》 2018年第4期502-515,共14页
Background: The integration of relevant high-quality research evidence into the health decision and policy formulation process is a key strategy for improving health systems especially in developing countries such as ... Background: The integration of relevant high-quality research evidence into the health decision and policy formulation process is a key strategy for improving health systems especially in developing countries such as Zambia. However, the lack of capacity to understand and value research evidence by policy and decision makers makes it difficult for them to find and use research evidence in a timely manner even when motivated to do so. This study aimed to establish the views, attitudes and practices of policy makers on the use of research evidence in policy and decision-making process in Zambia. Methodology: This descriptive cross-sectional study was conducted in Lusaka, Zambia among selected public health decision and policy making institutions. A purposive sample of 21 consenting policy makers who were working in different positions in the Ministry of Health Headquarters, Provincial and District Health Offices, Health Professions Regulatory Bodies, United Nations Agencies, International Non-Governmental Organizations and University Deans from the University of Zambia participated in the study. A self-administered questionnaire was used to collect data. The IBM? SPSS? Statistics for Windows Version 20.0 was used for data analysis. Results: The concept of Evidence Informed Health Policy was not well understood such that only less than half (47.5%) of the participants reported having heard specifically about Evidence Informed Health Policy meanwhile almost two thirds (61.9%) reported that they used research evidence in decision making and policy formulation. Similar discrepancy was expressed in the understanding of and use of rapid response mechanisms such that although (47.6%) of the participants reported having heard about it, (57%) had never used rapid response mechanisms for deci-sion-making. With regard to the sources of information, about half (52.3) of the participants reported scholarly articles as their main source of evidence. Con-clusion and Recommendations: There is need for more sensitization and ca-pacity building among the decision and policy makers on the importance of using research evidence in decision and policy making process as incorporation of relevant high-quality research evidence into the health policy making pro-cess is a key strategy for improving health systems. 展开更多
关键词 Evidence-Informed HEALTH POLICY Rapid Response Mechanisms DECISION-making
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英语新教材的阅读启蒙第一课--三年级上册Unit 1 Making friends Part B Start to read教学实录
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作者 夏恩力 《教学月刊(小学版)(综合)》 2024年第9期25-29,共5页
一、教材分析,本课内容选自《义务教育教科书英语(PEP)》三年级上册Unit 1 Making friends。本单元以问题“How do we make friends?”为线索,围绕Part A中的子问题“How do we greet friends?”和Part B中的子问题“How can we be a go... 一、教材分析,本课内容选自《义务教育教科书英语(PEP)》三年级上册Unit 1 Making friends。本单元以问题“How do we make friends?”为线索,围绕Part A中的子问题“How do we greet friends?”和Part B中的子问题“How can we be a good friend?”展开。本课为该单元的第6课时,是一节读写启蒙课。教学内容主要为Part B Start to read,包含一张与交友有关的海报。 展开更多
关键词 第一课 教材分析 教学实录 MAKE 教学内容 PART 英语新教材
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Is International Experience of Risk-Based Decision Making for Road Tunnel Safety Applicable in the Unique US-American Regulatory Environment?
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作者 Bernhard Kohl Arnold Dix Oliver Heger 《Journal of Civil Engineering and Architecture》 2024年第12期581-590,共10页
In the USA,risk-based decision making has not been a common approach to tunnel safety in the past,but this is changing,as concepts such as“equivalency”in the NFPA 502 framework gain acceptance in the USA and elsewhe... In the USA,risk-based decision making has not been a common approach to tunnel safety in the past,but this is changing,as concepts such as“equivalency”in the NFPA 502 framework gain acceptance in the USA and elsewhere.In other regions,in particular in Europe,risk assessment techniques have been used for nearly two decades in many jurisdictions as an additional tool to complement the application of prescriptive guidelines and support decisions related to tunnel safety.After some initial difficulties these methods are meanwhile a well-established element of tunnel safety management.There are several tools available which have been practically applied and further developed over years,such as the Austrian tunnel risk model TuRisMo,or the PIARC owned DG-QRAM model.Whereas TuRisMo is a holistic,system-based model,which is best suited to quantify and assess fire risk and associated mitigation measures,DG-QRAM focusses on the risks related to the transport of hazardous materials.Depending on the objectives and the scope of the investigation and the regulatory environment,tunnel risk assessment tools are in use for different purposes,mainly to demonstrate a sufficient level of safety and to decide on and select(additional)risk mitigation measures.The international experience substantiates that the general approach is flexible and that the methods and tools are mature and can be applied for different problems in different environments.First case studies like the risk study on conditions and permissibility of the transport of hazardous materials through the Eisenhower-Johnson-Memorial Tunnel in Colorado demonstrate the applicability of a risk-based concept for decision making in the US-American environment. 展开更多
关键词 Road tunnel safety quantitative risk assessment risk-based decision making tunnel risk model.
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英语新教材“对话教学”实践--三年级上册Unit 1 Making friends Part A Let’s talk教学实录
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作者 袁彩种 《教学月刊(小学版)(综合)》 2024年第9期21-24,共4页
一、教材分析,本课教学内容选自《义务教育教科书英语(PEP)》三年级上册Unit 1 Making friends。本单元以“How do we make friends?”为线索,围绕Part A中的子问题“How do we greet friends?”和Part B中的子问题“How can we be a go... 一、教材分析,本课教学内容选自《义务教育教科书英语(PEP)》三年级上册Unit 1 Making friends。本单元以“How do we make friends?”为线索,围绕Part A中的子问题“How do we greet friends?”和Part B中的子问题“How can we be a good friend?”展开。本课是一节对话课,是本单元的第1课时,教学内容主要是Mike和Wu Binbin互相认识时的对话。 展开更多
关键词 对话教学 对话课 教材分析 教学内容 义务教育 MAKE 英语新教材 三年级上册
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Ten misconceptions regarding decision-making in critical care
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作者 Tara Ramaswamy Jamie L Sparling +1 位作者 Marvin G Chang Edward A Bittner 《World Journal of Critical Care Medicine》 2024年第2期72-82,共11页
Diagnostic errors are prevalent in critical care practice and are associated with patient harm and costs for providers and the healthcare system.Patient complexity,illness severity,and the urgency in initiating proper... Diagnostic errors are prevalent in critical care practice and are associated with patient harm and costs for providers and the healthcare system.Patient complexity,illness severity,and the urgency in initiating proper treatment all contribute to decision-making errors.Clinician-related factors such as fatigue,cognitive overload,and inexperience further interfere with effective decision-making.Cognitive science has provided insight into the clinical decision-making process that can be used to reduce error.This evidence-based review discusses ten common misconceptions regarding critical care decision-making.By understanding how practitioners make clinical decisions and examining how errors occur,strategies may be developed and implemented to decrease errors in Decision-making and improve patient outcomes. 展开更多
关键词 Clinical reasoning Cognitive bias Critical care Debiasing strategies decision making Diagnostic reasoning Diagnostic error HEURISTICS Medical knowledge Patient safety
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Decision-Making and Management of Self-Care in Persons with Traumatic Spinal Cord Injuries: A Preliminary Study
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作者 Paul E. Plonski Jasmin Vassileva +5 位作者 Ryan Shahidi Paul B. Perrin William Carter Lance L. Goetz Amber Brochetti James M. Bjork 《Journal of Behavioral and Brain Science》 2024年第2期47-63,共17页
Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobeha... Patients and physicians understand the importance of self-care following spinal cord injury (SCI), yet many individuals with SCI do not adhere to recommended self-care activities despite logistical supports. Neurobehavioral determinants of SCI self-care behavior, such as impulsivity, are not widely studied, yet understanding them could inform efforts to improve SCI self-care. We explored associations between impulsivity and self-care in an observational study of 35 US adults age 18 - 50 who had traumatic SCI with paraplegia at least six months before assessment. The primary outcome measure was self-reported self-care. In LASSO regression models that included all neurobehavioral measures and demographics as predictors of self-care, dispositional measures of greater impulsivity (negative urgency, lack of premeditation, lack of perseverance), and reduced mindfulness were associated with reduced self-care. Outcome (magnitude) sensitivity, a latent decision-making parameter derived from computationally modeling successive choices in a gambling task, was also associated with self-care behavior. These results are preliminary;more research is needed to demonstrate the utility of these findings in clinical settings. Information about associations between impulsivity and poor self-care in people with SCI could guide the development of interventions to improve SCI self-care and help patients with elevated risks related to self-care and secondary health conditions. 展开更多
关键词 Spinal Cord Injury SELF-CARE DECISION-making PARAPLEGIA Impulsive Behavior Health Care
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高精度tDCS对网络成瘾者非理性决策行为的干预效果研究
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作者 王钰 郑海双 +2 位作者 陈锦昊 王海燕 魏高峡 《四川师范大学学报(自然科学版)》 CAS 2025年第1期41-49,共9页
研究发现网络成瘾者存在严重的“忽视长期利益、追求短期利益”的非理性决策行为.采用高精度tDCS技术干预网瘾被试和对照组,对比两组在最后通牒任务中的拒绝率和相应的反应时,发现单次20 min的右背外侧前额叶阳性刺激可以显著降低网瘾... 研究发现网络成瘾者存在严重的“忽视长期利益、追求短期利益”的非理性决策行为.采用高精度tDCS技术干预网瘾被试和对照组,对比两组在最后通牒任务中的拒绝率和相应的反应时,发现单次20 min的右背外侧前额叶阳性刺激可以显著降低网瘾被试的拒绝率,并缩短其反应时间.研究结果说明,不仅单次高精度tDCS可促进网瘾者非理性决策行为的改善,而且通过干预关键脑区,即使是神经环路复杂的决策这一高级社会认知,高精度tDCS也可以实现对于决策整体加工的促进作用.因此,从其短时高效的作用效果出发,高精度tDCS未来可以考虑作为网瘾甚至更多其他病症的有效干预方法之一. 展开更多
关键词 高精度tDCS 网络成瘾 决策加工 背外侧前额叶
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