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广州市痴呆共病患者疾病直接经济负担及影响因素分析
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作者 鲁正盈 白雨鑫 +4 位作者 高婧 李春 周尚成 李旻茜 黄婷 《阿尔茨海默病及相关病杂志》 2024年第4期260-267,共8页
目的:分析广州市痴呆共病患者直接经济负担及其影响因素,为痴呆共病患者的经济成本测算与家庭照护负担评估提供参考依据。方法:采用自编问卷,收集广州市痴呆共病患者社会人口学特征、治疗情况、疾病直接经济负担等情况;使用Charlson查... 目的:分析广州市痴呆共病患者直接经济负担及其影响因素,为痴呆共病患者的经济成本测算与家庭照护负担评估提供参考依据。方法:采用自编问卷,收集广州市痴呆共病患者社会人口学特征、治疗情况、疾病直接经济负担等情况;使用Charlson查尔森合并症指数(charlson comorbidity index,CCI)评估共病负担;使用直接法估算直接经济负担费用,经正态性检验服从偏态分布,对数转换使其呈近似正态化后应用于多元线性回归模型。结果:广州市痴呆共病患者过去1年产生的人均直接经济负担费用为7180.00(3600.00,15568.67)元,其中人均直接医疗费用为6150.00(3185.00,12590.00)元,人均直接非医疗费用为0.00(0.00,2082.50);CCI共病负担指数为5.00(5.00,6.00),共病负担与直接经济负担均较重。多元线性回归结果显示疾病直接经济负担的主要影响因素为患者所在区域、就诊地点、合并慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)或老年慢性支气管炎、合并心脏病及服用痴呆药物种类。结论:广州市痴呆共病患者直接经济负担较重,影响因素具有多维度与复杂性的特征,需要政府、社会和医疗机构等多方面共同努力与探索。 展开更多
关键词 痴呆共病 影响因素 直接经济负担 广州市
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Ultrashort-time liquid phase sintering of high-performance fine-grain tungsten heavy alloys by laser additive manufacturing 被引量:1
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作者 shangcheng zhou Yao-Jian Liang +3 位作者 Yichao Zhu Benpeng Wang Lu Wang Yunfei Xue 《Journal of Materials Science & Technology》 SCIE EI CAS CSCD 2021年第31期30-36,共7页
Liquid phase sintering(LPS)is a proven technique for preparing large-size tungsten heavy alloys(WHAs).However,for densification,this processing requires that the matrix of WHAs keeps melting for a long time,which simu... Liquid phase sintering(LPS)is a proven technique for preparing large-size tungsten heavy alloys(WHAs).However,for densification,this processing requires that the matrix of WHAs keeps melting for a long time,which simultaneously causes W grain coarsening that degenerates the performance.This work develops a novel ultrashort-time LPS method to form bulk high-performance fine-grain WHAs based on the principle of laser additive manufacturing(LAM).During LAM,the high-entropy alloy matrix(Al_(0.5)Cr_(0.9)FeNi_(2.5)V_(0.2))and W powders were fed simultaneously but only the matrix was melted by laser and most W particles remained solid,and the melted matrix rapidly solidified with laser moving away,producing an ultrashort-time LPS processing in the melt pool,i.e.,laser ultrashort-time liquid phase sintering(LULPS).The extreme short dwell time in liquid(-1/10,000 of conventional LPS)can effectively suppress W grain growth,obtaining a small size of 1/3 of the size in LPS WHAs.Meanwhile,strong convection in the melt pool of LULPS enables a nearly full densification in such a short sintering time.Compared with LPS WHAs,the LULPS fine-grain WHAs present a 42%higher yield strength,as well as an enhanced susceptibility to adiabatic shear banding(ASB)that is important for strong armor-piercing capability,indicating that LULPS can be a promising pathway for forming high-performance WHAs that surpass those prepared by conventional LPS. 展开更多
关键词 Tungsten heavy alloy Laser additive manufacturing Liquid phase sintering
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