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广州公立医院参与社区卫生服务下沉机制分析 被引量:5
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作者 邓利方 《岭南学刊》 2010年第4期115-119,共5页
改革开放以来我国医疗卫生发展逐步由伦理经济转向市场经济,取得了很多成就,但也突出存在着"看病难、看病贵、医患关系紧张"等问题。社区卫生发展有效地缓解了看病难,但由于人才瓶颈、信息、双向转诊等因素的制约,社区卫生遭... 改革开放以来我国医疗卫生发展逐步由伦理经济转向市场经济,取得了很多成就,但也突出存在着"看病难、看病贵、医患关系紧张"等问题。社区卫生发展有效地缓解了看病难,但由于人才瓶颈、信息、双向转诊等因素的制约,社区卫生遭遇到群众的信任危机。与此同时公立大医院却面临着人才、设备等资源不同程度的浪费。医疗服务需求有效下沉机制研究以新医改方案为指导,寻求如何将大医院和社区医院完美结合,从而使闲置的医疗资源得到最大程度的利用,更好地满足人民群众的基本医疗卫生需求。 展开更多
关键词 社区卫生 大医院 医疗服务需求 有效下沉机制
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减轻企业员工健康脆弱性——社区卫生服务下沉机制新探 被引量:1
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作者 邓利方 《广东社会科学》 CSSCI 北大核心 2011年第4期101-107,共7页
在经济发展转型期,我国企业员工健康的脆弱性日益呈现出来。发达国家的健康管理模式不太适合中国的国情,社区卫生服务下沉是适合中国国情的、能较好地实现"健康连续线"的一种创新机制。社区卫生服务机构通过对企业员工进行基... 在经济发展转型期,我国企业员工健康的脆弱性日益呈现出来。发达国家的健康管理模式不太适合中国的国情,社区卫生服务下沉是适合中国国情的、能较好地实现"健康连续线"的一种创新机制。社区卫生服务机构通过对企业员工进行基本预防保健、健康教育、分类管理等系统的健康管理措施,来预防与控制企业员工的生理疾病、舒缓心理压力,减轻其健康的脆弱性,进而提高企业的综合效益。 展开更多
关键词 社区卫生服务 下沉机制 企业员工 健康 脆弱性
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关于乡村振兴背景下高校人才下沉机制的探究
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作者 刘宇豪 王思怡 寻晶晶 《中文科技期刊数据库(全文版)经济管理》 2023年第3期44-47,共4页
本文着重研究乡村振兴背景下人才下沉机制的发展路径,以高校大学生为研究对象,探究了人才下沉机制的必要性,通过对待业青年返乡就业情况困境的综合分析,结合当前大数据环境背景构建的信息共享平台与高校人才培育组织,为人才和乡村提供... 本文着重研究乡村振兴背景下人才下沉机制的发展路径,以高校大学生为研究对象,探究了人才下沉机制的必要性,通过对待业青年返乡就业情况困境的综合分析,结合当前大数据环境背景构建的信息共享平台与高校人才培育组织,为人才和乡村提供更有力的信息支撑,并采取具体措施,解决人才下沉过程中遇到的信息壁垒问题,大学生内生动力不足问题,最终实现高校人才下沉与乡村互利共惠。 展开更多
关键词 人才下沉机制 乡村振兴 思政教育 大学生返乡就业 信息共享平台
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Research on mechanism of mountain landslide due to underground mining 被引量:11
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作者 TANG Fu-quan 《Journal of Coal Science & Engineering(China)》 2009年第4期351-354,共4页
The basics of mining landslides were first summed up based on the analysis ofactual materials by the application of mining subsidence and landslide theories. Further,the mechanism of along-layer landslide by mining wa... The basics of mining landslides were first summed up based on the analysis ofactual materials by the application of mining subsidence and landslide theories. Further,the mechanism of along-layer landslide by mining was studied with the example of theXiangshan mining landslide at Hancheng, Shaanxi Province. Meanwhile, the state ofstress, and the mechanism of deformation and destruction of the Xiangshan mining slopewere analyzed by the Finite Element Method. 展开更多
关键词 mountain landslide underground mining stability of slope mechanism of landslide weak intercalated bed
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Occurrence conditions of positive cloud-to-ground flashes in severe thunderstorms 被引量:6
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作者 GUO Feng Xia LU Gan Yi +4 位作者 WU Xin WANG Hao Liang LIU Zu Pei BAO Min LI Ya Wen 《Science China Earth Sciences》 SCIE EI CAS CSCD 2016年第7期1401-1413,共13页
The purpose of this study was to understand the reasons why frequent positive cloud-to-ground(+CG) flashes occur in severe thunderstorms. A three-dimensional dynamics-electrification coupled model was used to simulate... The purpose of this study was to understand the reasons why frequent positive cloud-to-ground(+CG) flashes occur in severe thunderstorms. A three-dimensional dynamics-electrification coupled model was used to simulate a severe thunderstorm to permit analysis of the conditions that might easily cause +CG flashes. The results showed that strong updrafts play an important role in the occurrence of intracloud flashes. However, frequent +CG flashes require not only strong updrafts but also strong downdrafts in the lower cloud region, conditions that correspond to the later phase of the mature stage and the period of the heaviest solid precipitation of a thunderstorm. During this stage, strong updrafts elevated each charge area in the updraft region to a higher level, which resulted in an inverted tripole charge structure. A wide mid-level region of strong positive charge caused largely by positively charged graupel, presented in the middle of the updraft region because of a non-inductive ice-ice collisional charging mechanism. The charge structure in the downdraft region was consistently more complex and revealed several vertically stacked charge regions, alternating in polarity. Much of the graupel/hail outside the updrafts was lowered to cloud-base by strong downdrafts. In this area, the graupel/hail was charged negatively because of the transportation of negatively charged graupel/hail from higher regions of negative charge in the updrafts, and via the inductive charging mechanism of collisions between graupel/hail and cloud droplets at the bottom of the cloud. Consequently, a large region of negative charge formed near the ground. This meant that +CG flashes were initiated more easily in the lower inverted dipole, i.e., the middle region of positive charge and lower region of negative charge. Frequent +CG flashes began almost synchronously with dramatic increases in the storm updrafts, hail volume, and total flash rate. Therefore, the occurrence of +CG flashes appears a good indicator of storm intensification and it could have some use as a predictor of severe weather in the form of hail. 展开更多
关键词 Severe thunderstorm +CG flash Updraft Downdraft Graupel Hail Charge structure
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Mechanisms of suspended sediment restoration and bed level compensation in downstream reaches of the Three Gorges Projects(TGP) 被引量:6
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作者 张为 杨云平 +5 位作者 张明进 李义天 朱玲玲 由星莹 王冬 徐俊锋 《Journal of Geographical Sciences》 SCIE CSCD 2017年第4期463-480,共18页
River basin reservoir construction affects water and sediment transport processes in downstream reaches. The downstream impact of the Three Gorges Projects (TGP) has started to become apparent: (1) reduction in f... River basin reservoir construction affects water and sediment transport processes in downstream reaches. The downstream impact of the Three Gorges Projects (TGP) has started to become apparent: (1) reduction in flood duration and discharge, and significant reduction in sediment load. Although there was some restoration in downstream sediment load, the total amount did not exceed the pre-impoundment annual average; (2) in 2003-2014 the d 〉 0.125 mm (coarse sand) load was restored to some degree, and to a maximum at Jianli Station, which was mainly at the pre-impoundment average. After restoration, erosion and deposition characteristics of the sediment was identical to that before impoundment. The degree of restoration during 2008-2014 was less than during 2003-2007; (3) after TGP im- poundment, there was some restoration in d 〈 0.125 mm (fine sand) sediment load, however, it was {ower than the pre-impoundment average; (4) due to riverbed compensation, the d 〉 0.125 mm sediment load recovered to a certain degree after impoundment, however, the total did not exceed 4400x104 t/y. This was mainly limited by flood duration and the average flow rate, and was less affected by upstream main stream, tributaries, or lakes. Restoration of d 〈 0.125 mm suspended sediment was largely controlled by upstream main stream, tributaries, and lakes, as well as by riverbed compensation. Due to bed armoring, riverbed fine suspended sediment compensation capability was weakened; (5) during 2003-2007 and 2008-2014, Yichang to Zhicheng and upper Jingjiang experienced coarse and fine erosion,lower Jingjiang experienced coarse deposition and fine erosion, Hankou to Datong had coarse deposition and fine erosion, and Chenglingji and Hankou was characterized by coarse deposition and fine sand erosion in 2003-2007, and coarse and fine erosion in 2008-2014. This difference was controlled by flood duration and number at Luoshan Station. 展开更多
关键词 sediment restoration riverbed compensation TGP middle and lower reaches of the Yangtze River
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