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三维张力:农村合作医疗费用控制模式比较 被引量:1
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作者 汪国华 张成杨 《探索与争鸣》 CSSCI 北大核心 2017年第8期62-67,共6页
医疗制度和费用控制共同作用于居民健康权利的落实与维护,需要政府和农民主体性参与。政府、农民二维主体参与决定了合作医疗各阶段的不同表现和医疗费用控制的不同模式,据此,医疗费用控制模式可以划分为疏导式、疏通式、无力式、受限... 医疗制度和费用控制共同作用于居民健康权利的落实与维护,需要政府和农民主体性参与。政府、农民二维主体参与决定了合作医疗各阶段的不同表现和医疗费用控制的不同模式,据此,医疗费用控制模式可以划分为疏导式、疏通式、无力式、受限式和围堵式五种。通过模式间比较可以发现,费控模式具有逻辑起点的同一性、政府定位的基础性、模式差异的同源性、费控框架的一致性和费控自主性的依赖性特征,凸显了政府绝对主导的时代特征。然而,忽略市场与社会影响的农村合作医疗,费用控制势必难以在后续发展中形成制度保障。因此,农村医疗费用的控制必须处理好政府、市场与社会、农民三维张力在农村医疗保险制度之间的关系,致力于培育政府的社会公平性与公益性、市场与社会功能的补充性、农民行为选择的自主性等,形成对传统合作医疗政府、农民二维状态的突破,保障农村社会医疗保险制度的可持续发展。 展开更多
关键词 农村合作医疗 政府/农民主体性 费用控制 模式比较 三维张力
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Three-dimensional surface model analysis in the gastrointestinal tract 被引量:1
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作者 Donghua Liao Jens B Frφk r +4 位作者 Jian Yang Jingbo Zhao Asbjφrn M Drewes Odd H Gilja Hans Gregersen 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第18期2870-2875,共6页
The biomechanical changes during functional loading and unloading of the human gastrointestinal (GI) tract are not fully understood. GI function is usually studled by introducing probes in the GI lumen. Computer mod... The biomechanical changes during functional loading and unloading of the human gastrointestinal (GI) tract are not fully understood. GI function is usually studled by introducing probes in the GI lumen. Computer modeling offers a promising alternative approach in this regard, with the additional ability to predict regional stresses and strains in inaccessible locations. The tension and stress distributions in the GI tract are related to distensibility (tension-strain relationship) and smooth muscle tone. lore knowledge on the tension and stress on the GI tract are needed to improve diagnosis of patients with gastrointestinal disorders. A modeling framework that can be used to integrate the physiological, anatomical and medical knowledge of the GI system has recently been developed. The 3-D anatomical model was constructed from digital images using ultrasonography, computer tomography (CT) or magnetic resonance imaging (IRI). Different mathematical algorithms were developed for surface analysis based on thin-walled structure and the finite element method was applied for the mucosa-folded three layered esophageal model analysis. The tools may be useful for studying the geometry and biomechanical properties of these organs in health and disease. These studies will serve to test the structurefunction hypothesis of geometrically complex organs. 展开更多
关键词 GI tract SURFACE Tension STRESS THREE-DIMENSIONAL
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Urban Three-dimensional Expansion and Its Driving Forces——A Case Study of Shanghai,China 被引量:20
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作者 SHI Longyu SHAO Guofan +4 位作者 CUI Shenghui LI Xuanqi LIN Tao YIN Kai ZHAO Jingzhu 《Chinese Geographical Science》 SCIE CSCD 2009年第4期291-298,共8页
Urban expansion is a phenomenon of urban space increase,and an important measuring index of the process of urbanization.Taking Shanghai as an example,the changes of urban average height and built-up area were studied ... Urban expansion is a phenomenon of urban space increase,and an important measuring index of the process of urbanization.Taking Shanghai as an example,the changes of urban average height and built-up area were studied to represent city's vertical and horizontal increases respectively,and statistical methods were used to analyze the driving forces of urban expansion.The research drew following conclusions:1) The urban expansion process of Shanghai from 1985 to 2006 had a clear periodic feature,and could be divided into three stages:vertical expansion in dominance,coordinated vertical and horizontal expansion,and horizontal expansion in dominance.2) The average height and quantity of buildings in core city were significantly bigger than those in suburbs,but the changing speed of the latter was faster.And 3) urbanization process was the major driving force for the city's horizontal expansion,while industrial structure improvement was the key driving factor for the vertical expansion.Those two driving forces were simultaneously affected by city's political factors. 展开更多
关键词 urban expansion three-dimensional space URBANIZATION urban vertical expansion urban horizontal ex-pansion SHANGHAI China
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三维网片无张力疝修补术治疗腹股沟疝230例经验分析 被引量:1
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作者 罗俊生 《中国药物经济学》 2014年第2期93-94,共2页
目的研究分析三维网片无张力疝修补术(PHS手术)治疗腹股沟疝的治疗效果。方法选取我院在2012年4月~2013年3月收治的230例腹股沟疝患者的临床资料进行研究分析,并按患者住院尾号分为治疗组(115例)和对照组(115例),对照组采用传统疝修补... 目的研究分析三维网片无张力疝修补术(PHS手术)治疗腹股沟疝的治疗效果。方法选取我院在2012年4月~2013年3月收治的230例腹股沟疝患者的临床资料进行研究分析,并按患者住院尾号分为治疗组(115例)和对照组(115例),对照组采用传统疝修补术治疗,治疗组采用三维网片无张力疝修补术治疗,对比两组患者治疗效果。结果对比两组患者治疗效果,治疗组患者治疗效果显著优于对照组,有统计学意义(P<0.05)。结论三维网片无张力疝修补术在临床上治疗腹股沟疝疾病效果显著,值得推广应用。 展开更多
关键词 三维网片无张力疝修补术 腹股沟疝 治疗效果
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Capillary shrinkage of graphene oxide hydrogels 被引量:6
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作者 Changsheng Qi Chong Luo +7 位作者 Ying Tao Wei Lv Chen Zhang Yaqian Deng Huan Li Junwei Han Guowei Ling Quan-Hong Yang 《Science China Materials》 SCIE EI CSCD 2020年第10期1870-1877,共8页
Conventional carbon materials cannot combine high density and high porosity,which are required in many applications,typically for energy storage under a limited space.A novel highly dense yet porous carbon has previou... Conventional carbon materials cannot combine high density and high porosity,which are required in many applications,typically for energy storage under a limited space.A novel highly dense yet porous carbon has previously been produced from a three-dimensional(3D)reduced graphene oxide(r-GO)hydrogel by evaporation-induced drying.Here the mechanism of such a network shrinkage in r-GO hydrogel is specifically illustrated by the use of water and 1,4-dioxane,which have a sole difference in surface tension.As a result,the surface tension of the evaporating solvent determines the capillary forces in the nanochannels,which causes shrinkage of the r-GO network.More promisingly,the selection of a solvent with a known surface tension can precisely tune the microstructure associated with the density and porosity of the resulting porous carbon,rendering the porous carbon materials great potential in practical devices with high volumetric performance. 展开更多
关键词 graphene oxides porous carbons HYDROGELS capillary force network shrinkage
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Regularity analysis of wrinkles under the action of capillary force in an annular thin film
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作者 ZHANG BingFeng LI Kai ZHAO Jian 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS 2014年第8期1574-1580,共7页
The wrinkling law of annular sheet which is induced by capillary force with inner liquid film is analyzed in this paper.The results show that the inner liquid film can wrinkle the annular sheet when the surface tensio... The wrinkling law of annular sheet which is induced by capillary force with inner liquid film is analyzed in this paper.The results show that the inner liquid film can wrinkle the annular sheet when the surface tension of the liquid film reaches a critical value,and the critical value can be dramatically altered by changing the geometry and properties of the annular sheet.The results obtained in this article may hold potential applications in generating three-dimensional structures through capillary effects. 展开更多
关键词 WRINKLING capillary force multi-field coupling annular sheet liquid film
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