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整合型照护与医疗费用控制——基于“认知友好社区”试点的研究

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财经研究 2024年第6期50卷 64-78页

作者：余央央翟颖张毅上海财经大学公共经济与管理学院

整合型照护有助于提高医疗服务效率,其成为控制医疗费用过快增长的重要途径。文章利用“认知友好社区”试点,考察这一针对慢性病防治的整合型照护模式对医疗服务利用的影响,并进行福利分析。文章使用某典型城市的老年照护统一需求评估... 详细信息

整合型照护有助于提高医疗服务效率,其成为控制医疗费用过快增长的重要途径。文章利用“认知友好社区”试点,考察这一针对慢性病防治的整合型照护模式对医疗服务利用的影响,并进行福利分析。文章使用某典型城市的老年照护统一需求评估、医保账户等数据,采用双重差分的方法,研究发现“认知友好社区”试点会使失能老人住院概率降低3%。进一步结合长期护理保险制度以及相关的异质性分析,研究发现“认知友好社区”试点对男性、城镇职工医疗保险参保人、中重度失能人群住院次数的影响更为明显。文章的影响机制是通过信息效应改善健康行为和跨部门照护资源协作来提高照护质量。最终福利分析发现,“认知友好社区”试点不仅提高失能老人的健康水平,且具有较好的经济效应。文章研究表明,促进以社区为重点的整合型照护模式发展具有推广示范作用,未来应大力推广跨部门协作。文章结论对于解决老龄化问题和医疗服务体系改革具有一定的参考意义。

关键词：整合型照护医疗费用控制认知健康 “认知友好社区”试点

Self-Powered Flexible Multicolor Electrochromic Devices for Information Displays

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Research 2024年第2期2023卷 529-540页

作者： Wenzhao Xue yun zhang Feng Liu Yao Dou Mei Yan Wenshou Wang School of Chemistry and Chemical Engineering University of JinanJinan 250022P.R.China

The development of self-powered flexible multicolor electrochromic(EC)systems that could switch different color without an external power supply has remained extremely ***,a new trilayer film structure for achieving self-powered flexible multicolor EC displays based on self-charging/discharging mechanism is proposed,which is simply assembled by sandwiching an ionic gel film between 2 cathodic nickel hexacyanoferrate(NiHCF)and Prussian blue(PB)nanoparticle films on indium tin oxide *** display exhibits independent self-powered color switching of NiHCF and PB films with fast responsive time and high reversibility by selectively connecting the Al wire as anodes with the 2 EC *** switching is thus achieved through a color overlay effect by superimposing the 2 EC films,including green,blue,yellow,and *** bleaching/coloration process of the displays is driven by the discharging/self-charging mechanism for NiHCF and PB films,respectively,ensuring the self-powered color switching of the displays reversibly without an external power *** is further demonstrated that patterns can be easily created in the self-powered EC displays by the spray-coating method,allowing multicolor changing to convey specific ***,a self-powered ionic writing board is demonstrated based on the self-powered EC displays that can be repeatedly written freehand without the need of an external power *** believe that the design concept may provide new insights into the development of self-powered flexible multicolor EC displays with self-recovered energy for widespread applications.

关键词： connecting repeatedly powered

Hodgkin's lymphoma:2023 update on treatment

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Cancer Biology & Medicine 2024年第4期21卷 269-273页

作者： Sicong zhang Xianming Liu Lanfang Li Lihua Qiu Zhengzi Qian Shiyong Zhou Xianhuo Wang Huilai zhang Department of Lymphoma Tianjin Medical University Cancer Institute&HospitalNational Key Laboratory of Druggability Evaluation and Systematic Translational MedicineNational Clinical Research Center for CancerTianjin's Clinical Research Center for CancerKey Laboratory of Cancer Prevention and TherapyTianjinThe Sino-US Center for Lymphoma and Leukemia ResearchTianjin 300060China

Hodgkin's lymphoma(HL)is a common,malignant hematological tumor of the lymph nodes and lymphatic system,accounting for 10%of all *** comprises 2 main subtypes:classical HL(cHL)and nodular lymphocyte predominant HL.

关键词： lymphoma treatment predominant

BDSec:Security Authentication Protocol for BeiDou-Ⅱ Civil Navigation Message

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China Communications 2024年第6期21卷 206-218页

作者： Wu Zhijun zhang yuan Yang Yiming Wang Peng yue Meng School of Safety Science and Engineering Civil Aviation University of ChinaTianjin 300300China School of Electronic Information and Automation Civil Aviation University of ChinaTianjin 300300China

Due to the lack of authentication mechanism in BeiDou navigation satellite system(BDS),BD-Ⅱ civil navigation message(BDⅡ-CNAV) are vulnerable to spoofing attack and replay *** solve this problem,we present a security authentication protocol,called as BDSec,which is designed by using China’s cryptography Shangyong Mima(SM) series algorithms,such as SM2/4/9 and Zu Chongzhi(ZUC)*** BDSec protocol,both of BDⅡ-CNAV and signature information are encrypted using the SM4 algorithm(Symmetric encryption mechanism).The encrypted result is used as the subject authentication *** protocol applies SM9 algorithm(Identity-based cryptography mechanism) to protect the integrity of the BDⅡ-CNAV,adopts the SM2 algorithm(Public key cryptosystem) to guarantee the confidentiality of the important session information,and uses the ZUC algorithm(Encryption and integrity algorithm) to verify the integrity of the message authentication serial number and initial information and the information in authentication initialization sub-protocol *** results of the SVO logic reasoning and performance analysis show that BDSec protocol meets security requirements for the dual user identity authentication in BDS and can realize the security authentication of BDⅡ-CNAV.

关键词： BDII civil navigation messages(BDIICNAV) BeiDou navigation satellite system(BDS) identity-based cryptography mechanism navigation message authentication protocol(BDSec)

Modified Sadowski formula-based model for the slope shape amplification effect under multistage slope blasting vibration

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International Journal of Mining Science and Technology 2024年第5期34卷 631-641页

作者： Xiaogang Wu Mingyang Wang Hao Lu Yongjun zhang Wen Nie State Key Laboratory of Disaster Prevention&Mitigation of Explosion&Impact Army Engineering University of PLANanjing 210007China State Key Laboratory of Metal Mine Safety and Health Ma’anshan 243000China School of Civil Engineering Qingdao University of TechnologyQingdao 266520China

Blasting operations,which are crucial to open-pit mine production due to their simplicity and efficiency,require precise control through accurate vibration velocity *** conventional Sadowski formula mainly focuses on blast center distance but neglects the amplification effect of blasting vibration waves by terraced terrain,from which the calculated blasting vibration velocities are smaller than the actual values,affecting the safety of the *** address this issue,our model introduces the influences of slope and time into Sadowski formula to measure safety through blast vibration *** the northern section of the open-pit quartz mine in Jinchang City,Gansu Province,China,the data of a continuous blasting slope project are referred *** findings reveal a noticeable vibration amplification effect during blasting when a multi-stage slope platform undergoes a sudden cross-sectional change near the upper overhanging *** amplification vibration coefficient increases with height,while vibration waves within rocks decrease from bottom to ***,platforms without distinct crosssectional changes exhibit no pronounced amplification during *** addition,the vibration intensity decreases with distance as the rock height difference change *** results obtained by the proposed blast vibration displacement equation incorporating slope shape influence closely agree with real-world *** to Pearson correlation coefficient(PPMCC)analysis,the average accuracy rate of our model is 88.84%,which exceeds the conventional Sadowski formula(46.92%).

关键词： Multistage slope Slope shape influence factor Continuous blasting Sadowski formula Amplification effect

Insight into the Role and Evidence of Oxygen Vacancies in Porous Single-Crystalline Oxide to Enhance Catalytic Activity and Durability

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Research 2024年第2期2023卷 675-683页

作者： Lingting Ye Jiaming Ma Jie zhang Wen Yin yuanguang Xia Kui Xie Key Laboratory of Optoelectronic Materials Chemistry and Physics Fujan Institute of Research on the Structure of MatterChinese Academy of SciencesFuzhouFujian 350002China Fujian Science&Technology Innovation Laboratory for Optoelectronic Information of China FuzhouFujian 350108China Advanced Energy Science and Technology Guangdong Laboratory 29 Sanxin North RoadHuizhouGuangdong 116023China Spallation Neutron Source Science Center DongguanGuangdong 523803China

Introducing and stabilizing oxygen vacancies in oxide catalysts is considered to be a promising strategy for improving catalytic activity and ***,we quantitatively create oxygen vacancies in the lattice of porous single-crystallineβ-Ga_(2)O_(3)monoliths by reduction treatments and stabilize them through the long-range ordering of crystal lattice to enhance catalytic activity and *** combination analysis of time-of-flight neutron powder diffraction and extended x-ray absorption fine structure discloses that the preferential generation of oxygen vacancy tends to occur at the site of tetrahedral coordination oxygen ions(O_(Ⅲ)sites),which contributes to the formation of unsaturated Ga-O coordination in the monoclinic *** oxygen vacancies are randomly distributed in lattice even though some of them are present in the form of domain defect in the PSC Ga_(2)O_(3)monoliths after the reduction *** number of oxygen vacancies in the reduced monoliths gives 2.32×10^(13),2.87×10^(13),and 3.45×10^(13)mg^(-1)for the Ga_(2)O_(2.952),Ga_(2)O_(2.895),and Ga_(2)O_(2.880),*** therefore demonstrate the exceptionally high C_(2)H_(4)selectivity of~100%at the C_(2)H_(6)conversion of~37%for nonoxidative dehydrogenation of C_(2)H_(6)to C_(2)H_(4).We further demonstrate the excellent durability even at 620℃for 240 h of continuous operation.

关键词： durability coordination Oxygen

S-scheme regulated Ni_(2)P-NiS/twinned Mn_(0.5)Cd_(0.5)S hetero-homojunctions for efficient photocatalytic H_(2)evolution

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Journal of Materials Science & Technology 2024年第2期169卷 148-157页

作者： Qiqi zhang Zhen Wang yuhang Song Jun Fan Tao Sun Enzhou Liu School of Chemical Engineering/Xi’an Key Laboratory of Special Energy Materials Northwest UniversityXi’an 710069China

Effective bulk phase and surface charge separation is critical for charge utilization during the photo-catalytic energy conversion *** this work,the ternary Ni_(2)P-NiS/twinned Mn_(0.5)Cd_(0.5)S(T-MCS)nanohybrids were successfully constructed via combining Ni_(2)P-NiS with T-MCS solid solution for visible light photocatalytic H_(2)evolution.T-MCS is composed of zinc blende Mn_(0.5)Cd_(0.5)S(ZB-MCS)and wurtzite Mn_(0.5)Cd_(0.5)S(WZ-MCS)and those two alternatively arranged crystal phases endow T-MCS with excellent bulk phase charge separation performance for the slight energy level difference between ZB-MCS and WZ-MCS.S-scheme carriers transfer route between NiS and T-MCS can accelerate the interfacial charge separation and retain the active electrons and holes,meanwhile,co-catalyst Ni_(2)P as electron receiver and proton reduction center can further optimize the H_(2)evolution reaction kinetics based on the surface Schottky barrier *** above-formed homo-heterojunctions can establish multiple charge transfer channels in the bulk phase of T-MCS and interface of T-MCS and Ni_(2)*** the synergistic effect of twinned homojunction,S-scheme heterojunction,and Schottky barrier,the ternary Ni_(2)P-NiS/T-MCS com-posite manifested an H_(2)production rate of 122.5 mmol h^(-1)g^(-1),which was 1.33,1.24,and 2.58 times higher than those of the NiS/T-MCS(92.4 mmol h^(-1)g^(-1)),Ni_(2)P/T-MCS(98.4 mmol h^(-1)g^(-1)),and T-MCS(47.5 mmol h^(-1)g^(-1)),*** work demonstrates a promising strategy to develop efficient sul-fides photocatalyst toward targeted solar-driven H_(2)evolution through homo-heterojunction engineering.

关键词： Photocatalytic H_(2)evolution Twinned Mn_(0.5)Cd_(0.5)S Homojunction S-scheme heterojunction Schottky barrier

Kelp Fucoidans Facilitate Vascular Recanalization via Inhibiting Excessive Activation of Platelet in Deep Venous Thrombosis Model of Mouse

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Journal of Ocean University of China 2024年第2期23卷 550-556页

作者： SUN Taohua LIU Jie YAN Taishan CHEN Anjin zhang Fang Department of Clinical Drug Trials Qingdao Municipal HospitalQingdao 266100China Department of Pharmacy Qingdao Municipal HospitalQingdao 266100China

This study was carried out explore the mechanism underlying the inhibition of platelet activation by kelp fucoidans in deep venous thrombosis(DVT)*** the control and sham mice,the walls of deep vein were regular and smooth with intact intima,myometrium and *** blood vessel was wrapped with the tissue and there was no thrombosis in the *** the DVT model,the wall was uneven with thicken intima,myometrium and *** treated with fucoidans LF1 and LF2,the thrombus was dissolved and the blood vessel was *** with the control group,the ROS content,ET-1 and VWF content and the expression of PKC-βand NF-κB in the model were significantly higher(P<0.05);these levels were significantly reduced following treatments with LF2 and *** with H_(2)O_(2)treated-HUVECs,combined LF1 and LF2 treatment resulted in significant decrease in the expression of PKC-β,NF-κB,VWF and TM protein(P<0.05).It is clear that LF1 and LF2 reduces DVT-induced ET-1,VWF and TM expressions and production of ROS,thus inhibiting the activation of PKC-β/NF-κB signal pathway and the activation of coagulation system and ultimately reducing the formation of venous thrombus.

关键词： kelp fucoidans LF1 LF2 deep vein thrombosis platelet

Design Strategy of Diagonal Compressors in Compressed Air Energy Storage System

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Journal of Thermal Science 2024年第3期33卷 872-887页

作者： zhang yuxin ZUO Zhitao GUO Wenbin LIANG Qi CHEN Haisheng Institute of Engineering Thermophysics Chinese Academy of SciencesBeijing100190China University of Chinese Academy of Sciences Beijing100049China National Energy Large Scale Physical Energy Storage Technologies R&D Center of Bijie Bijie551700China Nanjing Institute of Future Energy System IETCASNanjing211135China

As a kind of large-scale physical energy storage,compressed air energy storage(CAES)plays an important role in the construction of more efficient energy system based on renewable energy in the *** with traditional industrial compressors,the compressor of CAES has higher off-design performance *** the perspective of design,it needs to pay attention not only to the performance of the design point,but also to the performance of all the stable working ***,from the previous literature,no diagonal compressor was used in CAES which can meet the requirements,which also reflects the design program can be further ***,this paper studies the design strategy of high efficient diagonal compressor for large-scale CAES,and gives the complete strategy algorithms used for different program *** pressure ratio,isentropic efficiency and stable working range are comprehensively *** the design process,the criteria for the key parameters of the diagonal flow angle of the diagonal compressor are given for the first *** results show that the isentropic efficiency at the design point is 92.7%,the total pressure ratio is1.97,and the stable working range exceeds 20%,which meets the design requirements of the compressor for CAES and exceeds the overall performance of the previous compressors in the entire working range.

关键词： compressed air energy storage design strategy diagonal compressor optimal selection design procedure