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Investigating the effect of online and offline reputation on the provision of online counseling services

《工程管理前沿（英文）》页码 563-576 doi: 10.1007/s42524-022-0198-0

摘要： The sustainable development of Internet hospitals and e-health platforms relies on the participation of patients and physicians, especially on the provision of health counseling services by physicians. The objective of our study is to explore the factors motivating Chinese physicians to provide online health counseling services from the perspectives of their online and offline reputation. We collect the data of 141029 physicians from 6173 offline hospitals located in 350 cities in China. Based on the reputation theory and previous studies, we incorporate patients’ feedback as physicians’ online reputation and incorporate physicians’ offline professional status as physicians’ offline reputation. Results show that physicians’ online reputation significantly and positively influence their online counseling behaviors, whereas physicians’ offline reputation significantly and negatively influence their online counseling behaviors. We conclude that physician’s online and offline reputations show a competitive and substitute relationship rather than a complementary relationship in influencing physicians to provide online counseling services in Internet hospitals. One possible explanation for the substitute relationship could be the constraints of limited time and effort of physicians.

关键词： Internet hospitals physicians’ online counseling online reputation offline reputation

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Changes in public trust in physicians: empirical evidence from China

Dahai Zhao, Zhiruo Zhang

《医学前沿（英文）》 2019年第13卷第4期页码 504-510 doi: 10.1007/s11684-018-0666-4

摘要： Studies examining the trends in public trust in physicians have provided a considerable amount of valuable policy implications for policymakers compared with cross-sectional studies on this topic in many countries. This study investigated changes in public trust in physicians in China based on two cross-sectional national surveys conducted in 2011 and 2016 and identified the determinants of these changes. The results indicated 83.4% of respondents in 2011 reported trust or strong trust in physicians in China, which decreased to 64.2% by 2016. The results of ordinal logistic regression demonstrated that public trust in physicians in China had decreased significantly from 2011 to 2016 ( <0.001) after adjusting for other independent variables. Self-reported health status, self-rated happiness, and self-identified social class were all associated positively with public trust in physicians in China. The results also confirmed that decreasing public satisfaction with the most recent treatment experience was the major determinant of decreasing public trust in physicians in China. The findings of this study suggest that decreasing public trust in physicians deserves considerable attention from national policymakers and that improving satisfaction with treatment experiences would be the most effective strategy for enhancing public trust in physicians in China.

关键词： trust in physicians public trust physician-patient relationship health system performance

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Attitude toward preventive counseling and healthy practices among medical students at a Colombian university

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《医学前沿（英文）》 2015年第9卷第2期页码 251-259 doi: 10.1007/s11684-015-0393-z

摘要：

Unhealthy behaviors of medical students influence their attitudes toward preventive counseling. The burden of chronic diseases is continually growing in developing countries, emphasizing the need for the increased role of general practitioners in preventive counseling. The objective of this study was to describe the effect of medical training on the risk profiles and attitudes of medical students toward preventive counseling in a Colombian university. Students in their first and fifth years of training were surveyed using the “Healthy Doctor= Healthy Patient” questionnaire to assess counseling attitudes; personal practices, such as risky drinking, smoking, inadequate nutrition, and non-compliance with physical activity recommendations; and the university environment. The association among these components was estimated, as well as the effect of the university environment. Risky drinking and smoking decreased from first to fifth year (59.3% vs. 37.1%, P = 0.021 and 31.5% vs. 25.9%, P = 0.51, respectively), whereas inadequate nutrition and non-compliance with physical activity recommendations increased. Physical activity (PA) was associated with positive counseling attitude (ORs: nutrition 7.6; alcohol 5.2; PA 10.6). Areas governed by institutional policies that are emphasized in the curriculum positively affected student practices. PA promoted preventive counseling and healthy lifestyles most effectively. Universities should therefore strengthen their preventive medicine curricula and modify social determinants.

关键词： lifestyle medical students preventive medicine counseling universities schools medical

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The CatMath: an online predictive platform for thermal + electrocatalysis

《化学科学与工程前沿（英文）》 2023年第17卷第12期页码 2156-2160 doi: 10.1007/s11705-023-2371-3

摘要： The catalytic volcano activity models are the quantified and visualized tools of the Sabatier principle for heterogeneous catalysis, which can depict the intrinsic activity optima and trends of a catalytic reaction as a function of the reaction descriptors, i.e., the bonding strengths of key reaction species. These models can be derived by microkinetic modeling and/or free energy changes in combination with the scaling relations among the reaction intermediates. Herein, we introduce the CatMath—an online platform for generating a variety of common and industrially important thermal + electrocatalysis. With the CatMath, users can request the volcano models for available reactions and analyze their materials of interests as potential catalysts. Besides, the CatMath provides the function of the online generation of Surface Pourbaix Diagram for surface state analysis under electrocatalytic conditions, which is an essential step before analyzing the activity of an electrocatalytic surface. All the model generation and analysis processes are realized by cloud computing via a user-friendly interface.

关键词： CatMath catalysis volcano activity plots Surface Pourbaix Diagrams online platform

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Clinical decision-making by the emergency department resident physicians for critically ill patients

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《医学前沿（英文）》 2012年第6卷第1期页码 89-93 doi: 10.1007/s11684-012-0183-9

摘要：

The application of main methodologies for clinical decision-making by residents in emergency medical practice was assessed, and issues in this area were investigated. The treatments provided to 2 611 critical patients by the Peking Union Medical College Hospital of were analyzed by independent investigators who evaluated the main clinical decision-making processes applied by the hospital residents. The application of decision-making strategies by PG1 and PG3 groups, which means the residents in first year and the third year, were compared. The patients were treated according to pattern recognition (43.0%), hypothetico-deductive reasoning (23.4%), event-driven models (19.3%), and rule-using algorithms (5.9%). A significant difference was found between PG1 and PG3 groups (χ²=498.01, P<0.001). Pattern recognition and hypothetic-deductive methods were the most common techniques applied by emergency physicians in evaluating critically ill patients. The decision-making processes applied by junior and senior residents were significantly different, although neither group adequately applied rule-using algorithms. Inclusion of clinical decision-making in medical curricula is needed to improve decision-making in critical care.

关键词： clinical decision-making emergency medicine critically ill patient resident methodology

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Effectively cultivate the next generation of competent Chinese physicians: a perspective from a physician

Zongyu John CHEN,

《医学前沿（英文）》 2010年第4卷第4期页码 473-476 doi: 10.1007/s11684-010-0290-4

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Split-order consolidation optimization for online supermarkets: Process analysis and optimization models

《工程管理前沿（英文）》页码 499-516 doi: 10.1007/s42524-022-0221-5

摘要： The large-scale online supermarket is a newly emerging online retailing mode which brings great convenience to people. Online supermarkets are characterized by having large amounts of daily orders with potentially multiple items, diverse delivery times, and a high order-split rate. Multiple shipments for one order caused by order splitting result in high cost and disturbance and a large number of discarded consumable packages at online retailers and customers, causing severe damage to the environment. Accordingly, research on split-order consolidation fulfilment is critical for the advancement of the practice and theory in the context of highly complex online retailing. This paper first analyzes the characteristics and the challenges associated with the split-order consolidation problem that online supermarket is confronting and summarizes the new operational process of split-order consolidation fulfilment. Then, a time–space network optimization model is built, and its corresponding solution algorithm is presented to solve the questions of where and when to consolidate the split orders. Finally, the computation results of the numerical experiments are provided to verify the effectiveness of the algorithm, and a sensitivity analysis of the relevant parameters is performed. This work highlights the effect of order consolidation processes and fulfilment methods on the order fulfilment decision-making for online supermarkets. The purpose of this article is to help pave the way for more effective online supermarket management and order implementation.

关键词： online supermarkets split-order consolidation time–space network genetic algorithm

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Screening responsive or resistant biomarkers of immune checkpoint inhibitors based on online databases

Zhen Xiang, Yingyan Yu

《医学前沿（英文）》 2019年第13卷第1期页码 24-31 doi: 10.1007/s11684-019-0679-7

摘要： Immune checkpoint inhibitors are a promising strategy in the treatment of cancer, especially advanced types. However, not all patients are responsive to immune checkpoint inhibitors. The response rate depends on the immune microenvironment, tumor mutational burden (TMB), expression level of immune checkpoint proteins, and molecular subtypes of cancers. Along with the Cancer Genome Project, various open access databases, including The Cancer Genome Atlas and Gene Expression Omnibus, provide large volumes of data, which allow researchers to explore responsive or resistant biomarkers of immune checkpoint inhibitors. In this review, we introduced some methodologies on database selection, biomarker screening, current progress of immune checkpoint blockade in solid tumor treatment, possible mechanisms of drug resistance, strategies of overcoming resistance, and indications for immune checkpoint inhibitor therapy.

关键词： immune checkpoint blockade sensitivity resistance data mining

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Online gasoline blending with EPA Complex Model for predicting emissions

Stefan JANAQI, Mériam CHÈBRE, Guillaume PITOLLAT

《工程管理前沿（英文）》 2018年第5卷第2期页码 214-226 doi: 10.15302/J-FEM-2017022

摘要： The empirical Complex Model developed by the US Environmental Protection Agency (EPA) is used by refiners to predict the toxic emissions of reformulated gasoline with respect to gasoline properties. The difficulty in implementing this model in the blending process stems from the implicit definition of Complex Model through a series of disjunctions assembled by the EPA in the form of spreadsheets. A major breakthrough in the refinery-based Complex Model implementation occurred in 2008 and 2010 through the use of generalized disjunctive and mixed-integer nonlinear programming (MINLP). Nevertheless, the execution time of these MINLP models remains prohibitively long to control emissions with our online gasoline blender. The first objective of this study is to present a new model that decreases the execution time of our online controller. The second objective is to consider toxic thresholds as hard constraints to be verified and search for blends that verify them. Our approach introduces a new way to write the Complex Model without any binary or integer variables. Sigmoid functions are used herein to approximate step functions until the measurement precision for each blend property is reached. By knowing this level of precision, we are able to propose an extremely good and differentiable approximation of the Complex Model. Next, a differentiable objective function is introduced to penalize emission values higher than the threshold emissions. Our optimization module has been implemented and tested with real data. The execution time never exceeded 1 s, which allows the online regulation of emissions the same way as other traditional properties of blended gasoline.

关键词： emissions reformulated gasoline online control global optimization

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Online recognition of drainage type based on UV-vis spectra and derivative neural network algorithm

《环境科学与工程前沿（英文）》 2021年第15卷第6期 doi: 10.1007/s11783-021-1430-6

摘要：

• UV-vis absorption analyzer was applied in drainage type online recognition.

关键词： Drainage online recognition UV-vis spectra Derivative spectrum Convolutional neural network

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Quality and readability of online information resources on insomnia

null

《医学前沿（英文）》 2017年第11卷第3期页码 423-431 doi: 10.1007/s11684-017-0524-9

摘要：

The internet is a major source for health information. An increasing number of people, including patients with insomnia, search for remedies online; however, little is known about the quality of such information. This study aimed to evaluate the quality and readability of insomnia-related online information. Google was used as the search engine, and the top websites on insomnia that met the inclusion criteria were evaluated for quality and readability. The analyzed websites belonged to nonprofit, commercial, or academic organizations and institutions such as hospitals and universities. Insomnia-related websites typically included definitions (85%), causes and risk factors (100%), symptoms (95%), and treatment options (90%). Cognitive behavioral therapy for insomnia (CBT-I) was the most commonly recommended approach for insomnia treatment, and sleep drugs are frequently mentioned. The overall quality of the websites on insomnia is moderate, but all the content exceeded the recommended reading ease levels. Concerns that must be addressed to increase the quality and trustworthiness of online health information include sharing metadata, such as authorship, time of creation and last update, and conflicts of interest; providing evidence for reliability; and increasing the readability for a layman audience.

关键词： insomnia internet readability information quality health literacy cognitive behavioral therapy treatment

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流产后避孕咨询与教育对人工流产后妇女避孕行为的影响初探

袁钦钦,许良智,宿宓,聂颖

《中国工程科学》 2014年第16卷第5期页码 34-38

摘要：

探讨对人工流产术后女性加强流产后避孕咨询与教育对其避孕行为的影响。选择2011年8月1 日—2011 年9 月30 日在四川大学华西第二医院妇产科门诊自愿行人工流产术的女性200 人，进行术后常规处理（常规处理组）。选择2011 年10 月25 日—2012 年4 月10 日在四川大学华西第二医院妇产科门诊自愿行人工流产术的女性200 人，流产后常规处理并加强避孕咨询与教育（加强干预组），两组均于术后1 个月、3 个月、6 个月进行随访调查。常规处理组和加强干预组半年后随访率分别为46 %，71.5 %（P<0.01）。常规处理组和加强干预组流产后4 周内性生活的恢复率分别为10.8 %，3.5 %（P<0.05）；半年内加强干预组避孕行为的正确率高于常规处理组(P<0.01)，而且其避孕套、复方口服避孕药（COC）和节育环等现代避孕措施的使用率高于常规处理组(P<0.01)，安全期和体外排精等传统避孕方法使用率低于常规处理组（P<0.01）；常规处理组和加强干预组非意愿妊娠率分别为7.0 %，1.5 %（P>0.05）。研究表明，及时通过加强流产后避孕咨询与教育，能提高人工流产后女性的避孕意识，增加避孕知识，提高正确避孕措施的使用率，更好地促进了女性的生殖健康。

关键词：人工流产流产后咨询与教育避孕行为

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Research and development of a high-quality thermal-stress online monitoring model for the 600 MW turbine

ZHANG Hengliang, XIE Danmei, XIONG Yangheng, SUN Kunfeng

《能源前沿（英文）》 2007年第1卷第3期页码 322-326 doi: 10.1007/s11708-007-0047-1

摘要： To monitor and control its thermal state, a rotor s temperature and thermal stress fields must be calculated in real time. After some reasonable assumptions and simplification, iterative models of the rotor s temperature and thermal stresses were obtained with an integral transform based on a two-dimensional axis-symmetry thermal conduction differential equation. The models can deal with some nonlinear factors such as material and boundary condition. An example is given to compare results computed by the finite element method (FEM) and one-dimensional models. The result shows that the analytical model gained has high quality and the computing course is very short. The iterative formulas could be used not only to analyze the rotor’s thermal states of turbine, but to monitor and control them online. The method adopted can be used to analyze the thermal state of other axis-symmetry objects having similar boundary conditions.

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高速主轴动平衡及其在线控制技术

章云,梅雪松

《中国工程科学》 2013年第15卷第1期页码 87-92

摘要：

针对机床主轴在线自动平衡控制问题，阐述了高速主轴不平衡识别方法和在线自动平衡技术国内外现状，分析了喷液式在线自动平衡装置原理，设计了喷液式平衡系统，并通过高速主轴实验对该系统的有效性进行了验证。研究结果表明，主轴经过平衡后，不平衡量振动值由1.60 mm/s降至0.34 mm/s，主轴失衡振动得到了有效抑制。

关键词：高速主轴在线动平衡振动控制

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一种对工业过程复杂液体进行非接触原态在线实时监测方法 Article

段宁, 降林华, 徐夫元, 张歌

《工程（英文）》 2018年第4卷第3期页码 392-397 doi: 10.1016/j.eng.2018.05.005

摘要：

无法对工业过程大量存在的复杂液体在线实时监测导致资源消耗和污染产生过多的现象十分普遍。本文介绍一种对高强包裹性和高盐多组分液体中目标物质进行非接触原态在线实时监测的方法，该方法的原理是建立液体中目标物质浓度（C）、不同浓度目标物质色空间坐标(L*, a*, b*) 和最大吸收波长（λmax）三者之间的关系，利用最佳波长λT下高精度扫描式检测系统表达的液体光强信息直接测定流动液体中目标物质的瞬时浓度。与传统分析方法和现有在线分析方法不同，这种方法无需对样品进行任何预处理（过滤、稀释、定容、氧化/还原、添加显色剂等），可实现测试样品的原态化在线实时监测。将一家大型电解锰企业陈化液（Fe3+浓度0.5~18 mg•L-1，锰离子35~39 g•L-1，硫酸铵90~110 g•L-1）胶体化过程中三价铁离子浓度的实测结果与离线实验室测试结果相比，二者相对误差小于2%。

关键词：复杂液体原态监测在线实时非接触识别