Consider the real, simply-connected, connected, s-step nilpotent Lie group G endowed with a left-invariant, integrable almost complex structure J, which is nilpotent. Consider the simply-connected, connected nilpotent...Consider the real, simply-connected, connected, s-step nilpotent Lie group G endowed with a left-invariant, integrable almost complex structure J, which is nilpotent. Consider the simply-connected, connected nilpotent Lie group Gk, defined by the nilpotent Lie algebra g/ak, where g is the Lie algebra of G, and ak is an ideal of g. Then, J gives rise to an almost complex structure Jk on Gk. The main conclusion obtained is as follows: if the almost complex structure J of a nilpotent Lie group G is nilpotent, then J can give rise to a left-invariant integrable almost complex structure Jk on the nilpotent Lie group Gk, and Jk is also nilpotent.展开更多
Conical origami structures are characterized by their substantial out-of-plane stiffness and energy-absorptioncapacity.Previous investigations have commonly focused on the static characteristics of these lightweight s...Conical origami structures are characterized by their substantial out-of-plane stiffness and energy-absorptioncapacity.Previous investigations have commonly focused on the static characteristics of these lightweight struc-tures.However,the efficient analysis of the natural vibrations of these structures is pivotal for designing conicalorigami structures with programmable stiffness and mass.In this paper,we propose a novel method to analyzethe natural vibrations of such structures by combining a symmetric substructuring method(SSM)and a gener-alized eigenvalue analysis.SSM exploits the inherent symmetry of the structure to decompose it into a finiteset of repetitive substructures.In doing so,we reduce the dimensions of matrices and improve computationalefficiency by adopting the stiffness and mass matrices of the substructures in the generalized eigenvalue analysis.Finite element simulations of pin-jointed models are used to validate the computational results of the proposedapproach.Moreover,the parametric analysis of the structures demonstrates the influences of the number of seg-ments along the circumference and the radius of the cone on the structural mass and natural frequencies of thestructures.Furthermore,we present a comparison between six-fold and four-fold conical origami structures anddiscuss the influence of various geometric parameters on their natural frequencies.This study provides a strategyfor efficiently analyzing the natural vibration of symmetric origami structures and has the potential to contributeto the efficient design and customization of origami metastructures with programmable stiffness.展开更多
BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hosp...BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.展开更多
BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers account...BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability.展开更多
Group activities are commonly used in second language classroom in recent years mostly because they encourage students to work together,helping each other.However,it is of great importance for teachers to notice the g...Group activities are commonly used in second language classroom in recent years mostly because they encourage students to work together,helping each other.However,it is of great importance for teachers to notice the group structures so that this class activity could play its important role in the classroom.展开更多
Based on the long period digital surface wave data recorded by 11 CDSN stations and 11 IRIS stations, the dispersion curves of the group velocities of fundamental mode Rayleigh waves along 647 paths, with the periods ...Based on the long period digital surface wave data recorded by 11 CDSN stations and 11 IRIS stations, the dispersion curves of the group velocities of fundamental mode Rayleigh waves along 647 paths, with the periods from 10 s to 92 s, were measured by multi-filter. Their distribution at 25 central periods within the region of 18~54N, 70~140E was inverted by Dimtar-Yanovskaya method. Within the period from 10 s to 15.9 s, the group velocity distribution is laterally inhomogeneous and is closely related to geotectonic units, with two low velocity zones located in the Tarim basin and the East China Sea and its north regions, respectively. From 21 s to 33 s, the framework of tectonic blocks is revealed. From 36.6 s to 40 s, the lithospheric subdivision of the Chinese mainland is obviously uncovered, with distinct boundaries among the South-North seismic belt, the Tibetan plateau, the North China, the South China and the Northeast China. Four cross-sections of group velocity distribution with period along 30N, 38N, 90E and 120E, are discussed, respectively, which display the basic features of the crust and upper mantle of the Chinese mainland and its neighboring regions. There are distinguished velocity differences among the different tectonic blocks. There are low-velocity-zones (LVZ) in the middle crust of the eastern Tibetan plateau, high velocity featured as stable platform in the Tarim basin and the Yangtze platform, shallow and thick low-velocity-zone in the upper mantle of the North China. The upper mantle LVZ in the East China Sea and the Japan Sea is related to the frictional heat from the subduction of the Philippine slab and the strong extension since the Himalayan orogenic period.展开更多
When developing and integrating a new environmental legal system under the Environmental Code,the joint regulation of ecology and environment,natural resources and an energy beyond the sphere of mere environmental con...When developing and integrating a new environmental legal system under the Environmental Code,the joint regulation of ecology and environment,natural resources and an energy beyond the sphere of mere environmental concerns can be achieved;the semantic expression of environmental regulation can be expounded.Additionally,through the codification of environmental law,a revolutionary path for the structure of authority can be found.Environmental codification dictates a method for clarification of the boundaries and relations of environmental management authority.Under the theory of Holistic Governance and in the codification process,the reform of environmental regulation authority should be concluded from both vertical and horizontal dimensions,through organizing,integrating,separating,classifying and finally,by establishing a synergy between the central and local governments and their departments.This can break down structural barriers to communication and cooperation of the ecological regulation and resource management authority and help establish uniformity of environmental regulation.展开更多
Purpose: The evolution of the socio-cognitive structure of the field of knowledge management(KM) during the period 1986–2015 is described. Design/methodology/approach: Records retrieved from Web of Science were submi...Purpose: The evolution of the socio-cognitive structure of the field of knowledge management(KM) during the period 1986–2015 is described. Design/methodology/approach: Records retrieved from Web of Science were submitted to author co-citation analysis(ACA) following a longitudinal perspective as of the following time slices: 1986–1996, 1997–2006, and 2007–2015. The top 10% of most cited first authors by sub-periods were mapped in bibliometric networks in order to interpret the communities formed and their relationships.Findings: KM is a homogeneous field as indicated by networks results. Nine classical authors are identified since they are highly co-cited in each sub-period, highlighting Ikujiro Nonaka as the most influential authors in the field. The most significant communities in KM are devoted to strategic management, KM foundations, organisational learning and behaviour, and organisational theories. Major trends in the evolution of the intellectual structure of KM evidence a technological influence in 1986–1996, a strategic influence in 1997–2006, and finally a sociological influence in 2007–2015.Research limitations: Describing a field from a single database can offer biases in terms of output coverage. Likewise, the conference proceedings and books were not used and the analysis was only based on first authors. However, the results obtained can be very useful to understand the evolution of KM research.Practical implications: These results might be useful for managers and academicians to understand the evolution of KM field and to(re)define research activities and organisational projects.Originality/value: The novelty of this paper lies in considering ACA as a bibliometric technique to study KM research. In addition, our investigation has a wider time coverage than earlier articles.展开更多
A subgroup H of a group G is said to be primitive if it is a proper subgroup of the intersection of all subgroups of G containing H as its proper subgroup. The purpose of this note is to go further into the influence ...A subgroup H of a group G is said to be primitive if it is a proper subgroup of the intersection of all subgroups of G containing H as its proper subgroup. The purpose of this note is to go further into the influence of primitive subgroups on the structure of finite groups. Some new results are obtained.展开更多
As a novel type of foundation in beach and shallow sea, the bucket structure is especially suitable for complex conditions such as soft clay ground and the worse types of sea environments. In this paper, the bearing c...As a novel type of foundation in beach and shallow sea, the bucket structure is especially suitable for complex conditions such as soft clay ground and the worse types of sea environments. In this paper, the bearing capacity of a multi-bucket structure is studied by experiments with a single bucket and four-bucket foundation in a saturated sand layer. Based on the experimental data and numerical analysis results, the bearing capacity behavior and the bucket group effect are compared and analyzed. Furthermore, some influential factors, such as the soil type, the ratio of length to diameter L/D, the ratio of the bucket spacing to the bucket diameter S/D, and the bucket number are introduced and their effects on the multi-bucket structural capacity are investigated. The vertical static capacity adjustment factor is introduced to evaluate the bucket group effects of the multi-bucket foundation.展开更多
In this paper, the finite symmetry transformation group of the (2+1)-dimensional coupled Burgers equation is studied by the modified direct method, and with the help of the truncated Painleve′ expansion approach, ...In this paper, the finite symmetry transformation group of the (2+1)-dimensional coupled Burgers equation is studied by the modified direct method, and with the help of the truncated Painleve′ expansion approach, some special localized structures for the (2+1)-dimensional coupled Burgers equation are obtained, in particular, the dromion-like and solitoff-like structures.展开更多
INTRODUCTION Group transfer polymerization (GTP) is a method for controlling the structure of acrylic polymers in which reactive chain ends are covalentiy bound to a trimethylsilyl group. In the presence of a catalyst...INTRODUCTION Group transfer polymerization (GTP) is a method for controlling the structure of acrylic polymers in which reactive chain ends are covalentiy bound to a trimethylsilyl group. In the presence of a catalyst, monomer inserts into these chain ends between the silyl group and the last monomer unit. The process is illustrated by equation (1) for methyl methacrylate. GTP is a living polymerization, i. e., there is little or no chain termination and no chain transfer. A significant advantage of GTP is that it展开更多
Coal gasification fine slag(FS)is a typical solid waste generated in coal gasification.Its current disposal methods of stockpil-ing and landfilling have caused serious soil and ecological hazards.Separation recovery a...Coal gasification fine slag(FS)is a typical solid waste generated in coal gasification.Its current disposal methods of stockpil-ing and landfilling have caused serious soil and ecological hazards.Separation recovery and the high-value utilization of residual carbon(RC)in FS are the keys to realizing the win-win situation of the coal chemical industry in terms of economic and environmental benefits.The structural properties,such as pore,surface functional group,and microcrystalline structures,of RC in FS(FS-RC)not only affect the flotation recovery efficiency of FS-RC but also form the basis for the high-value utilization of FS-RC.In this paper,the characteristics of FS-RC in terms of pore structure,surface functional groups,and microcrystalline structure are sorted out in accordance with gasification type and FS particle size.The reasons for the formation of the special structural properties of FS-RC are analyzed,and their influence on the flotation separation and high-value utilization of FS-RC is summarized.Separation methods based on the pore structural characterist-ics of FS-RC,such as ultrasonic pretreatment-pore-blocking flotation and pore breaking-flocculation flotation,are proposed to be the key development technologies for improving FS-RC recovery in the future.The design of low-cost,low-dose collectors containing polar bonds based on the surface and microcrystalline structures of FS-RC is proposed to be an important breakthrough point for strengthening the flotation efficiency of FS-RC in the future.The high-value utilization of FS should be based on the physicochemical structural proper-ties of FS-RC and should focus on the environmental impact of hazardous elements and the recyclability of chemical waste liquid to es-tablish an environmentally friendly utilization method.This review is of great theoretical importance for the comprehensive understand-ing of the unique structural properties of FS-RC,the breakthrough of the technological bottleneck in the efficient flotation separation of FS,and the expansion of the field of the high value-added utilization of FS-RC.展开更多
To understand the effect of plasma treatment on the Konjac glucomannan film, the nitrogen plasma was injected into the film by ion beam injection machine in this study. The structures and properties of Konjac glucoman...To understand the effect of plasma treatment on the Konjac glucomannan film, the nitrogen plasma was injected into the film by ion beam injection machine in this study. The structures and properties of Konjac glucomannan film after plasma treatment were analyzed by Infrared spectroscopy, Raman spectrum, X-ray, ect. The result showed that nitrogen groups appeared in the KGM molecular chain and part of this chain fractured, and the number of hydrogen bonds increased after the treatment of plasma. The form of KGM molecule remained amorphous non-crystalline state, but the crystalline region was increased and became more ordered. The mechanical property of tensile strength and breaking elongation was improved, while the WVP was decreased. The nitrogen groups were grafted on the KGM molecular chain after plasma treatment, which led to the improvement of the properties of KGM film.展开更多
Two new isostructural multi-metal beryllium borates, m^3 Li Na4Be4B10O24F(M = Sr(1), Cd(2)), have been synthesized by spontaneous crystallization. The structures were verified by single-crystal X-ray crystallogr...Two new isostructural multi-metal beryllium borates, m^3 Li Na4Be4B10O24F(M = Sr(1), Cd(2)), have been synthesized by spontaneous crystallization. The structures were verified by single-crystal X-ray crystallography. The compounds crystallize in the trigonal space group R 3, with a = b = 9.4645(1) A, c = 38.842(8) A, V = 3013.2(6) A3, Z = 6, F(000) = 2568, Dc = 3.005 g/cm^3, Mr = 908.9, R = 0.0327, w R = 0.0678, μ = 8.160 mm-1 for Sr3 Li Na4Be4B10O24F and a = b = 9.3019(8) A, c = 37.782(7) A, V = 2831.12(9) A3, Z = 6, F(000) = 2748, Dc = 3.459 g/cm^3, Mr = 983.24, R = 0.0158, w R = 0.0455, μ = 3.586 mm-1 for Cd3 Li Na4Be4B10O24F. The structures are characterized by an infinite two-dimensional [Be8B16O40F2]∞ double layer bridged by [B12O24] groups like a sandwich structure, while the cations reside in tunnels along different directions. UV-vis-IR diffuse reflectance spectroscopy demonstrates that their cut-off edges are below 200 nm. Thermal analysis shows that they melt incongruently and their melting points are around 740-770 ℃.展开更多
By using solvothermal method, two new main group metal coordination polymers based on 2,5-furandicarboxylic acid (H2FDA) ligand, [Sr2(FDA)E(H2O)5]n (1) and [Ba4(FDA)4(H2O)10]n (2), were produced and char...By using solvothermal method, two new main group metal coordination polymers based on 2,5-furandicarboxylic acid (H2FDA) ligand, [Sr2(FDA)E(H2O)5]n (1) and [Ba4(FDA)4(H2O)10]n (2), were produced and characterized by single-crystal X-ray diffraction analyses, elemental analyses, IR, and powder X-ray diffraction. Compound 1 crystallizes in monoclinic, space group C2/c with a = 13.454(3), b = 13.426(3), c = 20.166(4) A, β = 107.06(3)°, V = 3482.4(13)A^3, Dc = 2.188 g/cm^3, CIEH14Sr2O15, Mr = 573.47, F(000) = 2256,μ(MoKα)= 6.21 mm^-1, Z = 8, R = 0.0522 and wR = 0.1229 for 2493 observed reflections (I〉 2σ(I)), and R = 0.0689 and wR = 0.1324 for all data. Compound 2 crystallizes in triclinic, space group el with α = 6.8382(14), b = 10.932(2), c = 25.571(5) A,α = 94.64(3), β= 95.41(3), γ = 107.83(3)°, V= 1799.4(6) A3, Dc = 2.484 g/cm^3, C24H28Ba4O30, Mr = 1345.82, F(000) = 1272,μ(MoKa) = 4.43 mm^-1, Z = 2, R = 0.0485 and wR = 0.0906 for 5020 observed reflections (I〉 2σ(I)), and R = 0.0706 and wR = 0.0991 for all data. In 1, the trinuclear clusters Sr3 are connected with adjacent four clusters by a carboxylate group to produce a two-dimensional (2D) sheet, which is extended by a FDA-based pillar into a 3D framework. In 2, neighbouring trinuclear clusters Ba3 are linked through two -O-C-O- of FDA^2- ligands to form one-dimensional (1D) chains, which are connected by a FDA-based pillar to construct a 2D framework. The thermal stabilities of 1 and 2 are also investigated.展开更多
Two new cage compounds,4-trinitroethyl-10-nitro-2,6,8,12-tetraacetylhexaazaisowurtzitane(3) and 4-trinitroethyl- 2,6,8,10,12-pentanitrohexaazaisowurtzitane(4),containing trinitromethyl group were synthesized by a ...Two new cage compounds,4-trinitroethyl-10-nitro-2,6,8,12-tetraacetylhexaazaisowurtzitane(3) and 4-trinitroethyl- 2,6,8,10,12-pentanitrohexaazaisowurtzitane(4),containing trinitromethyl group were synthesized by a novel method,and their structures were confirmed by IR,;H NMR,MS and single crystal X-ray.DSC result shows that compound 4 has surprising thermal stability and could be a potential energetic compound.展开更多
The effects of phenyl content and group distribution on the refractive index of phenyl silicone oil were investigated by synthesis and characterization of silicone oils of different molecular structures.A group contri...The effects of phenyl content and group distribution on the refractive index of phenyl silicone oil were investigated by synthesis and characterization of silicone oils of different molecular structures.A group contribution function model was established to predict the refractive index. The results showed that refractive index of phenyl silicone oil increased as its phenyl content increased. A linear equation had been established to describe the quantitative relationship between the refractive index and phenyl content.Refractive index values from the group contribution function model showed good consistency with experimental results.展开更多
The Deep Seismic Sounding( DSS) projects carried out from the 1970 s in the lower Yangtze region and its neighboring area were reviewed in this paper,then the basic wave group features of those wide angle reflection /...The Deep Seismic Sounding( DSS) projects carried out from the 1970 s in the lower Yangtze region and its neighboring area were reviewed in this paper,then the basic wave group features of those wide angle reflection / refraction record sections,and of the crustal structure are summarized. It shows that there were in total five clear wave groups on the record sections,which include the first arrival Pg,the reflection P1 from the bottom interface of the upper crust,the reflection P3 from the bottom interface of the middle crust,the strong reflection Pm from the Moho boundary,and the refraction Pn from uppermost mantle. In general,these phases are easily consistently traced and compared,despite some first arrivals being delayed or arriving earlier than normal due to the shallow sedimentary cover or bedrocks. In particular,in the Dabie Mountain region the seismic events of a few gathered shots always have weak reflection energy,are twisted,or exhibit disorganized waveforms, which could be attributed to the disruption variations of reflection depth,the broken Moho,and the discontinuity of the reflection boundary within crust. The regional crustal structures are composed of the upper,middle and lower crust,of which the middle and lower layers can be divided into two weak reflection ones. The crustal thickness of the North China and Yangtze platform are 30km- 36 km,and the Moho exhibits a flat geometry despite some local uplifts. The average pressure velocity in lower crust beneath this two tectonic area is 6. 7 ± 0. 3km / s. Nevertheless,beneath the Dabieshan area the crustal thickness is 32km- 41 km,the Moho bends down sharply andtakes an abrupt 4km- 7km dislocation in the vertical direction. The average pressure velocity in the lower crust beneath the Dabieshan area is 6. 8 ± 0. 2km / s.展开更多
文摘Consider the real, simply-connected, connected, s-step nilpotent Lie group G endowed with a left-invariant, integrable almost complex structure J, which is nilpotent. Consider the simply-connected, connected nilpotent Lie group Gk, defined by the nilpotent Lie algebra g/ak, where g is the Lie algebra of G, and ak is an ideal of g. Then, J gives rise to an almost complex structure Jk on Gk. The main conclusion obtained is as follows: if the almost complex structure J of a nilpotent Lie group G is nilpotent, then J can give rise to a left-invariant integrable almost complex structure Jk on the nilpotent Lie group Gk, and Jk is also nilpotent.
基金supported by the National Natural Science Foundation of China(Grants Nos.51978150 and 52050410334)the Postgraduate Research&Practice Innovation Program of Jiangsu Province(Grants No.SJCX23_0069)the Fundamental Research Funds for the Central Universities.
文摘Conical origami structures are characterized by their substantial out-of-plane stiffness and energy-absorptioncapacity.Previous investigations have commonly focused on the static characteristics of these lightweight struc-tures.However,the efficient analysis of the natural vibrations of these structures is pivotal for designing conicalorigami structures with programmable stiffness and mass.In this paper,we propose a novel method to analyzethe natural vibrations of such structures by combining a symmetric substructuring method(SSM)and a gener-alized eigenvalue analysis.SSM exploits the inherent symmetry of the structure to decompose it into a finiteset of repetitive substructures.In doing so,we reduce the dimensions of matrices and improve computationalefficiency by adopting the stiffness and mass matrices of the substructures in the generalized eigenvalue analysis.Finite element simulations of pin-jointed models are used to validate the computational results of the proposedapproach.Moreover,the parametric analysis of the structures demonstrates the influences of the number of seg-ments along the circumference and the radius of the cone on the structural mass and natural frequencies of thestructures.Furthermore,we present a comparison between six-fold and four-fold conical origami structures anddiscuss the influence of various geometric parameters on their natural frequencies.This study provides a strategyfor efficiently analyzing the natural vibration of symmetric origami structures and has the potential to contributeto the efficient design and customization of origami metastructures with programmable stiffness.
基金Research Center for Capital Health Management and Policy,No.2024JD09.
文摘BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.
基金Research Center for Capital Health Management and Policy,No.2024JD09.
文摘BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability.
文摘Group activities are commonly used in second language classroom in recent years mostly because they encourage students to work together,helping each other.However,it is of great importance for teachers to notice the group structures so that this class activity could play its important role in the classroom.
基金Climb Project Continental Dynamics of East Asia and Joint Seismological Science Foundation of China (9507413).
文摘Based on the long period digital surface wave data recorded by 11 CDSN stations and 11 IRIS stations, the dispersion curves of the group velocities of fundamental mode Rayleigh waves along 647 paths, with the periods from 10 s to 92 s, were measured by multi-filter. Their distribution at 25 central periods within the region of 18~54N, 70~140E was inverted by Dimtar-Yanovskaya method. Within the period from 10 s to 15.9 s, the group velocity distribution is laterally inhomogeneous and is closely related to geotectonic units, with two low velocity zones located in the Tarim basin and the East China Sea and its north regions, respectively. From 21 s to 33 s, the framework of tectonic blocks is revealed. From 36.6 s to 40 s, the lithospheric subdivision of the Chinese mainland is obviously uncovered, with distinct boundaries among the South-North seismic belt, the Tibetan plateau, the North China, the South China and the Northeast China. Four cross-sections of group velocity distribution with period along 30N, 38N, 90E and 120E, are discussed, respectively, which display the basic features of the crust and upper mantle of the Chinese mainland and its neighboring regions. There are distinguished velocity differences among the different tectonic blocks. There are low-velocity-zones (LVZ) in the middle crust of the eastern Tibetan plateau, high velocity featured as stable platform in the Tarim basin and the Yangtze platform, shallow and thick low-velocity-zone in the upper mantle of the North China. The upper mantle LVZ in the East China Sea and the Japan Sea is related to the frictional heat from the subduction of the Philippine slab and the strong extension since the Himalayan orogenic period.
文摘When developing and integrating a new environmental legal system under the Environmental Code,the joint regulation of ecology and environment,natural resources and an energy beyond the sphere of mere environmental concerns can be achieved;the semantic expression of environmental regulation can be expounded.Additionally,through the codification of environmental law,a revolutionary path for the structure of authority can be found.Environmental codification dictates a method for clarification of the boundaries and relations of environmental management authority.Under the theory of Holistic Governance and in the codification process,the reform of environmental regulation authority should be concluded from both vertical and horizontal dimensions,through organizing,integrating,separating,classifying and finally,by establishing a synergy between the central and local governments and their departments.This can break down structural barriers to communication and cooperation of the ecological regulation and resource management authority and help establish uniformity of environmental regulation.
文摘Purpose: The evolution of the socio-cognitive structure of the field of knowledge management(KM) during the period 1986–2015 is described. Design/methodology/approach: Records retrieved from Web of Science were submitted to author co-citation analysis(ACA) following a longitudinal perspective as of the following time slices: 1986–1996, 1997–2006, and 2007–2015. The top 10% of most cited first authors by sub-periods were mapped in bibliometric networks in order to interpret the communities formed and their relationships.Findings: KM is a homogeneous field as indicated by networks results. Nine classical authors are identified since they are highly co-cited in each sub-period, highlighting Ikujiro Nonaka as the most influential authors in the field. The most significant communities in KM are devoted to strategic management, KM foundations, organisational learning and behaviour, and organisational theories. Major trends in the evolution of the intellectual structure of KM evidence a technological influence in 1986–1996, a strategic influence in 1997–2006, and finally a sociological influence in 2007–2015.Research limitations: Describing a field from a single database can offer biases in terms of output coverage. Likewise, the conference proceedings and books were not used and the analysis was only based on first authors. However, the results obtained can be very useful to understand the evolution of KM research.Practical implications: These results might be useful for managers and academicians to understand the evolution of KM field and to(re)define research activities and organisational projects.Originality/value: The novelty of this paper lies in considering ACA as a bibliometric technique to study KM research. In addition, our investigation has a wider time coverage than earlier articles.
文摘A subgroup H of a group G is said to be primitive if it is a proper subgroup of the intersection of all subgroups of G containing H as its proper subgroup. The purpose of this note is to go further into the influence of primitive subgroups on the structure of finite groups. Some new results are obtained.
文摘As a novel type of foundation in beach and shallow sea, the bucket structure is especially suitable for complex conditions such as soft clay ground and the worse types of sea environments. In this paper, the bearing capacity of a multi-bucket structure is studied by experiments with a single bucket and four-bucket foundation in a saturated sand layer. Based on the experimental data and numerical analysis results, the bearing capacity behavior and the bucket group effect are compared and analyzed. Furthermore, some influential factors, such as the soil type, the ratio of length to diameter L/D, the ratio of the bucket spacing to the bucket diameter S/D, and the bucket number are introduced and their effects on the multi-bucket structural capacity are investigated. The vertical static capacity adjustment factor is introduced to evaluate the bucket group effects of the multi-bucket foundation.
基金Project supported by the National Natural Science Foundation of China (Grant No. 11175092)the Scientific Research Fund of Education Department of Zhejiang Province of China (Grant No. Y201017148)K. C. Wong Magna Fund in Ningbo University
文摘In this paper, the finite symmetry transformation group of the (2+1)-dimensional coupled Burgers equation is studied by the modified direct method, and with the help of the truncated Painleve′ expansion approach, some special localized structures for the (2+1)-dimensional coupled Burgers equation are obtained, in particular, the dromion-like and solitoff-like structures.
文摘INTRODUCTION Group transfer polymerization (GTP) is a method for controlling the structure of acrylic polymers in which reactive chain ends are covalentiy bound to a trimethylsilyl group. In the presence of a catalyst, monomer inserts into these chain ends between the silyl group and the last monomer unit. The process is illustrated by equation (1) for methyl methacrylate. GTP is a living polymerization, i. e., there is little or no chain termination and no chain transfer. A significant advantage of GTP is that it
基金the National Natural Science Foundation of China(No.52374279)the Natural Science Foundation of Shaanxi Province(No.2023-YBGY-055).
文摘Coal gasification fine slag(FS)is a typical solid waste generated in coal gasification.Its current disposal methods of stockpil-ing and landfilling have caused serious soil and ecological hazards.Separation recovery and the high-value utilization of residual carbon(RC)in FS are the keys to realizing the win-win situation of the coal chemical industry in terms of economic and environmental benefits.The structural properties,such as pore,surface functional group,and microcrystalline structures,of RC in FS(FS-RC)not only affect the flotation recovery efficiency of FS-RC but also form the basis for the high-value utilization of FS-RC.In this paper,the characteristics of FS-RC in terms of pore structure,surface functional groups,and microcrystalline structure are sorted out in accordance with gasification type and FS particle size.The reasons for the formation of the special structural properties of FS-RC are analyzed,and their influence on the flotation separation and high-value utilization of FS-RC is summarized.Separation methods based on the pore structural characterist-ics of FS-RC,such as ultrasonic pretreatment-pore-blocking flotation and pore breaking-flocculation flotation,are proposed to be the key development technologies for improving FS-RC recovery in the future.The design of low-cost,low-dose collectors containing polar bonds based on the surface and microcrystalline structures of FS-RC is proposed to be an important breakthrough point for strengthening the flotation efficiency of FS-RC in the future.The high-value utilization of FS should be based on the physicochemical structural proper-ties of FS-RC and should focus on the environmental impact of hazardous elements and the recyclability of chemical waste liquid to es-tablish an environmentally friendly utilization method.This review is of great theoretical importance for the comprehensive understand-ing of the unique structural properties of FS-RC,the breakthrough of the technological bottleneck in the efficient flotation separation of FS,and the expansion of the field of the high value-added utilization of FS-RC.
基金sponsored by the National Natural Science Foundation of China(No.30901004,31071518 and 31271837)the Fuzhou Science and Technology Plan(No.2011-N-44)+1 种基金the Guangdong Province Science and Technology Plan(No.2010B080701079)Guangzhou Yangcheng Scholar Scientific Project in Universities(No.10B005D)
文摘To understand the effect of plasma treatment on the Konjac glucomannan film, the nitrogen plasma was injected into the film by ion beam injection machine in this study. The structures and properties of Konjac glucomannan film after plasma treatment were analyzed by Infrared spectroscopy, Raman spectrum, X-ray, ect. The result showed that nitrogen groups appeared in the KGM molecular chain and part of this chain fractured, and the number of hydrogen bonds increased after the treatment of plasma. The form of KGM molecule remained amorphous non-crystalline state, but the crystalline region was increased and became more ordered. The mechanical property of tensile strength and breaking elongation was improved, while the WVP was decreased. The nitrogen groups were grafted on the KGM molecular chain after plasma treatment, which led to the improvement of the properties of KGM film.
基金supported by the National Natural Science Foundation of China(No.50972149,61138004,51402316)the National Instrumentation Program(No.2012YQ120048)
文摘Two new isostructural multi-metal beryllium borates, m^3 Li Na4Be4B10O24F(M = Sr(1), Cd(2)), have been synthesized by spontaneous crystallization. The structures were verified by single-crystal X-ray crystallography. The compounds crystallize in the trigonal space group R 3, with a = b = 9.4645(1) A, c = 38.842(8) A, V = 3013.2(6) A3, Z = 6, F(000) = 2568, Dc = 3.005 g/cm^3, Mr = 908.9, R = 0.0327, w R = 0.0678, μ = 8.160 mm-1 for Sr3 Li Na4Be4B10O24F and a = b = 9.3019(8) A, c = 37.782(7) A, V = 2831.12(9) A3, Z = 6, F(000) = 2748, Dc = 3.459 g/cm^3, Mr = 983.24, R = 0.0158, w R = 0.0455, μ = 3.586 mm-1 for Cd3 Li Na4Be4B10O24F. The structures are characterized by an infinite two-dimensional [Be8B16O40F2]∞ double layer bridged by [B12O24] groups like a sandwich structure, while the cations reside in tunnels along different directions. UV-vis-IR diffuse reflectance spectroscopy demonstrates that their cut-off edges are below 200 nm. Thermal analysis shows that they melt incongruently and their melting points are around 740-770 ℃.
基金supported by URT program of Beijing Institute of Petrochemical Technology(2015J00058 and 2015J00056)
文摘By using solvothermal method, two new main group metal coordination polymers based on 2,5-furandicarboxylic acid (H2FDA) ligand, [Sr2(FDA)E(H2O)5]n (1) and [Ba4(FDA)4(H2O)10]n (2), were produced and characterized by single-crystal X-ray diffraction analyses, elemental analyses, IR, and powder X-ray diffraction. Compound 1 crystallizes in monoclinic, space group C2/c with a = 13.454(3), b = 13.426(3), c = 20.166(4) A, β = 107.06(3)°, V = 3482.4(13)A^3, Dc = 2.188 g/cm^3, CIEH14Sr2O15, Mr = 573.47, F(000) = 2256,μ(MoKα)= 6.21 mm^-1, Z = 8, R = 0.0522 and wR = 0.1229 for 2493 observed reflections (I〉 2σ(I)), and R = 0.0689 and wR = 0.1324 for all data. Compound 2 crystallizes in triclinic, space group el with α = 6.8382(14), b = 10.932(2), c = 25.571(5) A,α = 94.64(3), β= 95.41(3), γ = 107.83(3)°, V= 1799.4(6) A3, Dc = 2.484 g/cm^3, C24H28Ba4O30, Mr = 1345.82, F(000) = 1272,μ(MoKa) = 4.43 mm^-1, Z = 2, R = 0.0485 and wR = 0.0906 for 5020 observed reflections (I〉 2σ(I)), and R = 0.0706 and wR = 0.0991 for all data. In 1, the trinuclear clusters Sr3 are connected with adjacent four clusters by a carboxylate group to produce a two-dimensional (2D) sheet, which is extended by a FDA-based pillar into a 3D framework. In 2, neighbouring trinuclear clusters Ba3 are linked through two -O-C-O- of FDA^2- ligands to form one-dimensional (1D) chains, which are connected by a FDA-based pillar to construct a 2D framework. The thermal stabilities of 1 and 2 are also investigated.
基金the National Natural Science Foundation of China(No.20772011)the Basic Research Foundation of Beijing Institute of Technology(No.3090050320906) for financial support for this work.
文摘Two new cage compounds,4-trinitroethyl-10-nitro-2,6,8,12-tetraacetylhexaazaisowurtzitane(3) and 4-trinitroethyl- 2,6,8,10,12-pentanitrohexaazaisowurtzitane(4),containing trinitromethyl group were synthesized by a novel method,and their structures were confirmed by IR,;H NMR,MS and single crystal X-ray.DSC result shows that compound 4 has surprising thermal stability and could be a potential energetic compound.
基金National Natural Science Foundation of China(No.11304048)Special Fund Project for Technology Development of Guangdong Province,China(No.2016B070701023)Funds of Applied Science and Technology Research in Guangdong Province,China(Nos.2017A070701024,2017A070702020)
文摘The effects of phenyl content and group distribution on the refractive index of phenyl silicone oil were investigated by synthesis and characterization of silicone oils of different molecular structures.A group contribution function model was established to predict the refractive index. The results showed that refractive index of phenyl silicone oil increased as its phenyl content increased. A linear equation had been established to describe the quantitative relationship between the refractive index and phenyl content.Refractive index values from the group contribution function model showed good consistency with experimental results.
基金funded by the Special Public Welfare Industry Research of China Earthquake Administration(201408023)Academician Chen Yong Workstation Special Funds of Yunnan Province and Natural Science Foundation of China(41374062,41174075)
文摘The Deep Seismic Sounding( DSS) projects carried out from the 1970 s in the lower Yangtze region and its neighboring area were reviewed in this paper,then the basic wave group features of those wide angle reflection / refraction record sections,and of the crustal structure are summarized. It shows that there were in total five clear wave groups on the record sections,which include the first arrival Pg,the reflection P1 from the bottom interface of the upper crust,the reflection P3 from the bottom interface of the middle crust,the strong reflection Pm from the Moho boundary,and the refraction Pn from uppermost mantle. In general,these phases are easily consistently traced and compared,despite some first arrivals being delayed or arriving earlier than normal due to the shallow sedimentary cover or bedrocks. In particular,in the Dabie Mountain region the seismic events of a few gathered shots always have weak reflection energy,are twisted,or exhibit disorganized waveforms, which could be attributed to the disruption variations of reflection depth,the broken Moho,and the discontinuity of the reflection boundary within crust. The regional crustal structures are composed of the upper,middle and lower crust,of which the middle and lower layers can be divided into two weak reflection ones. The crustal thickness of the North China and Yangtze platform are 30km- 36 km,and the Moho exhibits a flat geometry despite some local uplifts. The average pressure velocity in lower crust beneath this two tectonic area is 6. 7 ± 0. 3km / s. Nevertheless,beneath the Dabieshan area the crustal thickness is 32km- 41 km,the Moho bends down sharply andtakes an abrupt 4km- 7km dislocation in the vertical direction. The average pressure velocity in the lower crust beneath the Dabieshan area is 6. 8 ± 0. 2km / s.