医疗纠纷化解率在医院绩效考核体系中的应用

近年，全国各地接连曝出杀医、伤医事件，案件的社会影响极其恶劣，这些恶性案件扭曲了医患关系，扰乱了医疗秩序，激化了医患矛盾。北京市医院管理局自成立以来高度重视医疗纠纷的管理，采取事前、事中和事后的全过程管理模式，协调医院做好医疗纠纷的化解工作，并将医疗纠纷化解率纳入市属医院绩效考核体系，通过发挥绩效考核的引导作用，妥善处理医疗纠纷和重大医疗事故，不断强化对市属医院医疗、药事、护理、医技等服务质量的精细化管理。

泗洪县开出乡村债务化解良方

近年来,全国普遍存在的乡村债务问题,成为困扰农村经济发展、影响社会稳定的顽症。如任其蔓延,不仅会拖垮集体经济组织,加重各级财政和农民负担,而且会扰乱农村经济秩序,影响基层政权的巩固。如何妥善地解决这个问题?各地摸索和创造了一些有效的做法。江苏省泗洪县制定对路的政策,严明操作规程,紧紧依靠群众,公平、公正化解债务的办法,不失为一剂良方,值得各地借鉴。

Construction and photocatalytic properties toward rhodamine B of CdS/Fe_(3)O_(4) heterojunction

A simple two-step hydrothermal method synthesized four different CdS/Fe_(3)O_(4)photocatalysts with varying ratios of mass of CdS to Fe_(3)O_(4).The composition and morphology of the prepared samples were investigated using X-ray diffraction(XRD),Raman spectrum,X-ray photoelectron spectroscopy(XPS),scanning electron microscopy(SEM),and transmission electron microscopy(TEM).Solid UV reflectance spectra testing found that CdS/Fe_(3)O_(4)nanocomposites had good light absorption throughout the spectral range,promoting their photocatalytic properties.Under visible light irradiation,CdS/Fe_(3)O_(4)(2∶5)with a mass ratio of 2∶5 exhibited excellent photocatalytic perfor-mance,with a degradation rate of 98.8%for rhodamine B.Furthermore,after five cycles of photocatalytic degrada-tion reaction,the rhodamine B degradation rate remained at 96.2%,indicating that the photocatalysts have good pho-tocatalytic stability.

Rate Law for Photoelectrochemical Water Splitting Over CuO

Photocatalytic splitting of water over p-type semiconductors is a promising strategy for production of hydrogen.However,the determination of rate law is rarely reported.To this purpose,copper oxide(CuO)is selected as a model photocathode in this study,and the photogenerated surface charge density,interfacial charge transfer rate constant and their relation to the water reduction rate(in terms of photocurrent)were investigated by a combination of(photo)electrochemical techniques.The results showed that the charge transfer rate constant is exponential-dependent on the surface charge density,and that the photocurrent equals to the product of the charge transfer rate constant and surface charge density.The reaction is first-order in terms of surface charge density.Such an unconventional rate law contrasts with the reports in literature.The charge density-dependent rate constant results from the Fermi level pinning(i.e.,Galvani potential is the main driving force for the reaction)due to accumulation of charge in the surface states and/or Frumkin behavior(i.e.,chemical potential is the main driving force).This study,therefore,may be helpful for further investigation on the mechanism of hydrogen evolution over a CuO photocathode and for designing more efficient CuO-based photocatalysts.

Effective adsorption of sulfate ions with poly(m-phenylenediamine) in aqueous solution and its adsorption mechanism

Sulfate adsorption by poly（m-phenylenediamine）s（PmPDs） with various oxidation states synthesized through chemically oxidative polymerization was investigated.Series of sorption experiments were conducted,and the adsorption mechanism and the relationship between oxidation state and adsorption performance were studied with the characterization of Fourier transform infrared spectroscopy（FTIR）,X-ray photoelectron spectroscopy（XPS）,pH tracking and energy calculation.The results show that the adsorption performance in acidic solution is improved with the decrease of oxidation state of poly（m-phenylenediamine）（PmPD）.The rate constant is as high as 425.5 mg/（g·min） in the short equilibrium time of 30 min.The estimated highest adsorptivity of sulfate ions is 95.1%.According to the Langmuir equation,the adsorbance is 108.5 mg/g.The sulfate desorption efficiency is about 95% and the accumulative adsorbance is up to 487.95 mg/g in 5 cycles.

Current efficiency of recycling aluminum from aluminum scraps by electrolysis

Extracting aluminum from aluminum alloys in AlCl3-NaCl molten salts was investigated. Al coating was deposited on the copper cathode by the method of direct current deposition using aluminum alloys as anode. The purity of the deposited aluminum is about 99.7% with the energy consumption of 3-9 kW＆#183;h per kg Al, and the current efficiency is 44%-64% when the deposition process is carried out under 100 mA/cm2 for 4 h at 170 ＆#176;C. The effects of experimental parameters, such as molar ratio of AlCl3 to NaCl, cathodic current density and electrolysis time, on the current efficiency were studied. The molar ratio of AlCl3 to NaCl has little effect on the current efficiency, and the increase of deposition temperature is beneficial to the increase of current efficiency. However, the increase of current density or electrolysis time results in the decrease of current efficiency. The decrease of current efficiency is mainly related to the formation of dendritic or powder deposit of aluminum which is easy to fall into the electrolyte.

Research progress of magnesium anodes and their applications in chemical power sources

Magnesium is a promising metal used as anodes for chemical power sources. This metal could theoretically provide negative discharge potential and exhibit large capacity during the discharge process. However, when the magnesium anode is adopted for practical applications, several issues, such as the discharge products adhered to the electrode surface, the self-discharge occurring on the anode material, and the detachment of metallic particles, adversely affect its inherently good discharge performance. In this work, the types of chemical power sources using magnesium as anodes were elaborated, and the approaches to enhance its anode performance were analyzed.

Effect of oxide and fluoride addition on electrolytic preparation of Mg-La alloy in chloride molten salt

Mg-La alloys were prepared by constant voltage electrolysis in the molten salt system of MgC12-LaC13-KC1 at 750℃, with a graphite crucible as the anode and a tungsten rod as the cathode. The effect of oxide and fluoride addition on the electrolysis was investigated comprehensively. X-ray diffraction （XRD） was used to characterize some of the Mg-La alloy products and the sludges. As the content of MgO or La203 in the electrolyte increased, both the current efficiency and the mass of alloy product decreased, indicating that both MgO and La203 may take part in the reactions in the electrolyte. When the same mass of the oxide was added, compared with La203, MgO had a more pronounced effect on both the current efficiency and the mass of alloy product. XRD studies confirmed the formation of LaOC1 when MgO or LazO3 was added into the electrolyte. The formation of LaOCl sludge would be the main reason for the negative effect of the oxide addition on both the current efficiency and the mass of alloy. In the electrolytic system, the addition of CaF2 was not helpful to suppress the negative effect of MgO on the electrolysis, probably due to the complex reactions of the La compounds in the electrolyte.

A Novel Analytical Model for Surface Electrical Field Distribution and Optimization of TFSOI RESURF Devices

A novel analytical model for the thin film silicon on insulator (TFSOI) reduced surface field (RESURF) devices has been proposed.Based on the 2-D Poisson equation solution,the analytical expressions for the surface potential and field distributions are derived.From this analysis,the optimum design condition for the maximum breakdown voltage is obtained.The dependence of the maximum breakdown voltage on the drift region length is examined and the relationship between the critical doping concentration and the front- and back- interface oxide layer thickness is discussed.The numerical simulation performed by the advanced semiconductor simulation tool,DESSIS-ISE,has been shown to support the analytical results.

Chemical dissolution resistance of anodic oxide layers formed on aluminum

Chemically resistant anodic oxide layers were formed on pure aluminum substrates in oxalic acid-sulphuric acid bath.Acid dissolution tests of the obtained anodic layers were achieved in accordance with the ASTM B 680-80 specifications：35mL/L 85% H3PO4＋20g/L CrO3 at 38℃.Influence of oxalic acid concentration,bath temperature and anodic current density on dissolution rate and coating ratio was examined,when the sulphuric acid concentration was maintained at 160g/L.It was found that chemically resistant and compact oxide layers were produced under low operational temperature （5℃） and high current densities （3A/dm^2）.A beneficial effect was observed concerning the addition of oxalic acid （18g/L）.The morphology and the composition of the anodic oxide layer were examined by scanning electron microscopy （SEM）,atomic force microscopy （AFM） and glow-discharge optical emission spectroscopy （GDOES）.

Promotive Effects of Alginate-Derived Oligosaccharides on the Inducing Drought Resistance of Tomato

In order to determine the role of alginate-derived oligosaccharides (ADO) in drought stress resistance of tomato (Ly-copersicon esculentum Miller) seedlings, the leaves were exposed to different concentrations of ADO (0.05%, 0.10%, 0.20%, 0.30% and 0.50%) after drought stress was simulated by exposing the roots to 0.6 molL-1 PEG-6000 solution for 6 h. Changes in biomass, electrolyte leakage and malondialdehyde (MDA), free proline, total soluble sugars (TSS) and abscisic acid (ABA), the enzyme activities of catalase (CAT), superoxide dismutase (SOD), peroxidase (POD) and phenylalanine ammonia-lyase (PAL) were measured to investigate the effects of ADO treatment. The results showed that the treatment with an ADO concentration of 0.20% exhibited the highest performance of drought stress resistance in the tomato seedlings by decreasing the electrolyte leakage and the concentration of MDA, increasing the contents of free proline, TSS and ABA, and increasing the activities of CAT, SOD, POD and PAL after treatment with ADO. It is suggested that changes in electrolyte leakage, MDA, osmotic solutes, ABA, anti-oxidative enzyme and PAL activities were responsible for the increased drought stress resistance in tomato seedlings. To our best knowledge, this is the first report of the effect of ADO treatment on enhancing the drought stress resistance of tomato seedlings.

Effects of electrical parameters and their interactions on plasma electrolytic oxidation coatings on aluminum substrates

Based on orthogonal experiments,the effects of voltage,frequency,duty ratio and their interactions on the thickness and corrosion resistance of coatings prepared by plasma electrolytic oxidation(PEO)on aluminum in an alkaline silicate-containing electrolyte were investigated.The thicknesses of these coatings were obtained by measuring their cross-section using Image J software.Their corrosion resistances were evaluated in HCl and NaCl media through spot test and electrochemical test.The results show that the experimental design of this study is the key to investigate the interactions among these electrical parameters.Additionally,not only each independent factor,but also their interactions exhibit a remarkable influence on the coatings.The combination of high voltage,low frequency and large duty ratio significantly increases the coating thickness and content of the corrosion resistance phase,and thus improves the corrosion resistance of the coating in HNO3 medium.Conversely,the coating possessing the densest microstructure and best corrosion resistance in NaCl medium is obtained when low voltage and high frequency match with a small duty ratio.

Supercritical Carbon Dioxide Extraction of Andrographolide from Andrographis paniculata： Effect of the Solvent Flow Rate, Pressure, and Temperature

Andrographis paniculata Nees has been extensively used for traditional medicine and help against fever dysentery, diarrhoea, inflammation, and sore throat. In this study, andrographolide, the main component of this plant was extracted from the leaves of A. paniculata using supercritical carbon dioxide. The operating pressures were varied from 7.50 to 20MPa, the temperatures were varied from 30℃ to 60℃, and the flow rates were varied from 0.5 to 4ml.min^-1. The best extraction condition occurred at 10MPa, 40℃, and a flow rate of 2ml.min^-1 for a 3g sample of A. paniculata ground-dried leaves. The measured extraction rate was found to be about 0.0174g of andrographolide per gram of andrographolide present in the leaves per hour of operation. The future studies must focus on the interaction between the various operating parameters such as temperature, pressure, and flow rate of supercritical carbon dioxide.

Preparation and photocatalytic performance of ZnO/ZnGa_2O_4 composite microspheres

ZnO/ZnGa_2O_4 composite microspheres with heterojunction were successfully synthesized by one-pot hydrothermal method.These samples were characterized by TG/DTA,XRD,TEM,HRTEM,UV-vis DRS,FL and BET techniques.The results indicated the as-prepared samples showed better degree of crystalline and large specific surface area.The photocatalytic activity was evaluated by degradation of methyl orange with the concentration of 50 mg/L under the irradiation of simulated sunlight.The effects of molar ratio of Zn to Ga and calcination temperature on the photocatalytic activity were investigated in detail.The results showed that the highest photocatalytic degradation efficiency was observed at the molar ratio of Zn to Ga of 1:0.5 in the starting materials and the calcination temperature of 400 °C.The maximum photocatalytic degradation rate of MO was 97.1% within 60 min under the simulated sunlight irradiation,which is greatly higher than that of ZnO and ZnGa_2O_4.

Photocatalytic Degradation of Methylene Blue with Side-glowing Optical Fiber Deliverying Visible Light

The side-glowing optical fibers (SOFs) were chosen as the conducting medium of endogenous light; and 20 mg·L-1 methylene blue was chosen as the target to be degraded. The SOF is made up of quartz core with a silicon cladding, which can emit light through side surface more uniformly and transmit light for longer distance to avoid attenuation of light by liquid medium. The filament lamp was chosen as visible light source. Different reaction conditions, such as the presence of optical fiber or not, the quantity of SOF, light irradiation intensity were tested by measuring the methylene blue degradation of methylene blue. The results show that suitable reaction conditions were 1.167 g·L-1 Ag + /TiO 2 with 7% (by mass) of Ag + doped in TiO 2 , and 500 roots of SOF (30 cm length in solution). The photocatalytic degradation efficiency under 300W lamp irradiation for 8h was about 97%. And the photocatalytic degradation efficiency of methylene blue degradation was proportional to SOF quantity, light irradiation intensity and catalytic dosage within a certain range. Compared with general UV and visible light SOFs could save a huge amount of energy and cost, in the potential applications in dealing with organic pollutants on a large scale.

Kinetics of nickel leaching from roasting-dissolving residue of spent catalyst with sulfuric acid

Sulfuric acid leaching process was applied to extract nickel from roasting-dissolving residue of a spent catalyst, the effect of different parameters on nickel extraction was investigated by leaching experiments, and the leaching kinetics of nickel was analyzed. The experimental results indicate that the effects of particle size and sulfuric acid concentration on the nickel extraction are remarkable; the effect of reaction temperature is mild; while the effect of stirring speed in the range of 400-1 200 r/min is negligible. Decreasing particle size or increasing sulfuric acid concentration and reaction temperature, the nickel extraction efficiency is improved. 93.5% of nickel in residue is extracted under suitable leaching conditions, including particle size （0.074-0.100） mm, sulfuric acid concentration 30% （mass fraction）, temperature 80 ~C, reaction time 180 min, mass ratio of liquid to solid 10 and stirring speed 800 r/min. The leaching kinetics analyses shows that the reaction rate of leaching process is controlled by diffusion through the product layer, and the calculated activation energy of 15.8 kJ/mol is characteristic for a diffusion controlled process.

Enhancing Effect of Fe^(2+) on the Formaldehyde Production from Trimethylamine N-oxide Decomposition Catalyzed by the Extract of Harpadon nehereus Kidney

The effects of Fe2+ on the trimethylamine N-oxide (TMAO) demethylating activity of the Harpadon nehereus kidney extract were studied in this research.The activity of the kidney extract was presumably inhibited by ethylene diamine tetra-acetic acid (EDTA),which indicates that the kidney extract contains an enzyme or enzyme system with metal cations as activator.Activity of the kidney extract was enhanced significantly when Fe2+ was added into the model system in vitro.As the concentration of Fe2+ increased,the decomposing rate of TMAO increased rapidly until TMAO decomposed completely.The activity of the kidney extract was also enhanced by reductant such as ascorbic acid.Inductively Coupled Plasma-Atomic Emission Spectrometry (ICP-AES) was employed to determine the content of total iron in a number of fishery products.Significant positive correlation between the contents of total iron and endogenous formaldehyde (FA) was found,especially in marine products.

Non-isothermal decomposition kinetics of hydrogarnet in sodium carbonate solution

Carbonation decomposition of hydrogarnet is a significant reaction of the calcification-carbonation new method for alumina production by using low-grade bauxite.In this work,non-isothermal decomposition kinetics of hydrogarnet in sodium carbonate solution was studied by high-pressure differential scanning calorimetry(HPDSC) at different heating rates of 2,5,8,10,15 and 20 K·min^(-1),respectively.The activation energy(E_α) was calculated with the help of isoconversional method(model-free),and the reaction mechanism was determined by the differential equation method.The calculated activation energy of this reaction was 115.66 kJ·mol^(-1).Furthermore,the mechanism for decomposition reaction is Avrami-Erofeev(n=1.5),and the decomposition process is diffusion-controlled.

Preparation and characterization of new sealing glasses based on Li_(2)O-NiO-P_(2)O_(5) system

A series of glass are synthesized via a melt quenching technique based on the Li_(2)O-Ni O-P_(2)O_(5) system.The concentration of nickel oxide varies from 5%to 15%in molar fraction.XRD pattern verifies the amorphous nature of prepared glass samples with 5%,and 10%nickel oxide in molar fraction.While Li_(3)P and Ni_(2)P_(4)O_(12)phases are precipitated with a high nickel content up to 15%in molar fraction.As nickel is substituted for lithium,a systematic increase in glass transition temperature(T_(g))and glass softening temperatures(T_(s))is observed.This is greatly related to the increased structure,coherence in the glass network.Structural investigation showed that Ni_(2+) spectra are present in both octahedral and tetrahedral sites.Physical properties such as glass density((2.38±0.1)-(2.46±0.1)g/cm^(3)),and molar volume((42.28±0.1)-(39.15±0.1)cm^(3)/mol)are examined.The NiO/Li_(2)O replacements led to a decrease in the dissolution rate of the resultant amorphous materials from 1.53×10^(-5)to 3.20×10^(-6)g/(cm^(2)·min).Thermal expansion coefficients CTE of the glasses are diverse from 157×10^(-7) to 96×10^(-7)℃^(-1) over the temperature range of 25-250℃.The prepared glasses are expected to be useful as a low-temperature sealing material.

Effect of Mg and Si on intermetallic formation and fracture behavior of pure aluminum-galvanized carbon-steel joints made by weld-brazing

Commercial pure aluminum and galvanized carbon steel were lap-welded using the weld-brazing(WB)technique.Three types of aluminum filler materials(4043,4047,and 5356) were used for WB.The joint strength and intermetallic compounds at the interface of three series of samples were analyzed and compared.Depending on the Si content,a variety of ternary Al-Fe-Si intermetallic compounds(IMCs) such as Fe_(4)(Al,Si)_(13),Fe_(2) Al_(8) Si(τ_(5)),and Fe_(2) Al_(9) Si_(2)(τ_(6)) were formed at the interface.Mg element in 5356 filler material cannot contribute to the formation of Al-Fe intermetallic phases due to the positive mixing enthalpy of Mg-Fe.The presence of Mg enhances the hot cracking phenomenon near the Al-Fe intermetallic compound at the interface.Zn coating does not participate in intermetallic formation due to its evaporation during WB.It was concluded that the softening of the base metal in the heat-affected zone rather than the IMCs determines the joint efficiency.