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过度医疗的几种表现形式及影响分析——基于医保审核视角 被引量:3
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作者 李冉 《现代医院管理》 2021年第5期69-71,共3页
目的通过医保病历审核,分析过度医疗的表现形式及造成的不良影响,提出解决建议。方法回顾性分析2018年1月1日至2020年6月30日某二甲医院所有住院医保审核问题进行汇总统计,并对此期间该医院大型仪器设备阳性率及肿瘤标志物阳性率进行统... 目的通过医保病历审核,分析过度医疗的表现形式及造成的不良影响,提出解决建议。方法回顾性分析2018年1月1日至2020年6月30日某二甲医院所有住院医保审核问题进行汇总统计,并对此期间该医院大型仪器设备阳性率及肿瘤标志物阳性率进行统计,利用Excel表对数据进行整理归纳。结果过度医疗主要表现在过度检查、过度化验、过度用药几个方面。结论过度医疗现象仍存在于现今公立医院,后续还需要医保、医药、医疗等多部门举措,加快医改及DRGs付费方式改革的推进,减轻国家医保支付负担,避免医疗资源浪费,真正惠利于民。 展开更多
关键词 过度医疗 过度化验 过度检查 过度用药 医保审核
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Investigation of non-isothermal and isothermal gasification process of coal char using different kinetic model 被引量:6
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作者 Wang Guangwei Zhang Jianliang +2 位作者 Shao Jiugang Li Kejiang Zuo Haibin 《International Journal of Mining Science and Technology》 SCIE EI CSCD 2015年第1期15-21,共7页
Isothermal and non-isothermal gasification kinetics of coal char were investigated by using thermogravimetric analysis(TGA) in CO2 atmosphere, and the experimental data were interpreted with the aids of random pore mo... Isothermal and non-isothermal gasification kinetics of coal char were investigated by using thermogravimetric analysis(TGA) in CO2 atmosphere, and the experimental data were interpreted with the aids of random pore model(RPM), unreacted shrinking core model(URCM) and volume model(VM). With the increase of heating rate, gasification curve moves into high temperature zone and peak rate of gasification increases; with the increase of gasification temperature, gasification rate increases and the total time of gasification is shortened. The increase of both heating rate and gasification temperature could improve gasification process of coal char. Kinetics analysis indicates that experimental data agree better with the RPM than with the other two models. The apparent activation energy of non-isothermal and isothermal gasification of coal char using RPM is 193.9 k J/mol and 212.6 k J/mol respectively, which are in accordance with reported data. Gasification process of coal char under different heating rates and different temperatures are predicted by the RPM derived in this study, and it is found that the RPM predicts the reaction process satisfactorily. 展开更多
关键词 Coal charGasificationThermogravimetric analysisKinetics model
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Experimental study on the variation law of coal temperature during excavation in coal mines
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作者 Yi-Shan PAN Lian-Man XU Zhong-Hua LI Guo-Zhen LI 《Journal of Coal Science & Engineering(China)》 2013年第2期133-135,共3页
By testing the temperature of the coal and the stress of the working surface, we got the variation law of coal temperature and coal stress during the excavation. The result shows that the activities of mining affect t... By testing the temperature of the coal and the stress of the working surface, we got the variation law of coal temperature and coal stress during the excavation. The result shows that the activities of mining affect the coal temperature, the fluctuation of coal temperature and the coal stress is synchronous. During the smooth change of crustal stress, the coal temperature basically keeps unchanged, when the dynamic phenomenon appears, the coal temperature changes, as well the coal stress. Therefore, we can use the online coal temperature monitoring system to test the coal temperature of the working surface continuously, and it can provide basic information for forecasting coal mine power disaster before it happens. 展开更多
关键词 coal temperature coal stress coal fracturing gas desorption
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Assessment model for tribological property of ceramic/stainless steel rubbing pairs in H_2O_2 solution
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作者 DONG CongLin YUAN ChengQing +1 位作者 LI Jian YAN XinPing 《Science China(Technological Sciences)》 SCIE EI CAS 2013年第12期3017-3023,共7页
The tribological properties of ZrO2 ceramic and 1Cr18Ni9Ti stainless steel rubbing pairs were investigated using a special tribo-tester under different concentrations of hydrogen peroxide (H2O2) solution.The compariso... The tribological properties of ZrO2 ceramic and 1Cr18Ni9Ti stainless steel rubbing pairs were investigated using a special tribo-tester under different concentrations of hydrogen peroxide (H2O2) solution.The comparison analyses of the friction coefficients,worn volume rates,worn particles and surface roughness were conducted under the tested conditions.There were significant differences of the tribological properties of the rubbing pairs in the different concentrations H2O2 solution because of oxidation and corrosion.This research has revealed that the main wear mechanisms between the rubbing pairs are severe adhesive wear,abrasive wear and corrosive wear in the H2O2 solution with different concentrations.A model has been established to assess the most suitable concentration of the H2O2 solution for the tribological properties of the rubbing pairs.The result shows that 50% concentration of the H2O2 solution is the most suitable.The assessment result is consistent with the experimental result.It is believed that the knowledge gained in this study is useful for the optimization of the friction pairs in the extreme condition. 展开更多
关键词 ZrO2 ceramic 1Cr18Ni9Ti stainless steel hydrogen peroxide
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