基于SHA 2011的天津基层医疗卫生机构基本公共卫生服务开展情况分析

[目的]强化经常性卫生费用核算数据政策分析,为基本公共卫生服务项目后续开展提供依据。[方法]以天津市2016-2019年基层医疗卫生机构预防服务费用核算结果为基础,分析基层医疗卫生机构基本公共卫生服务项目开展情况和存在问题。[结果]2016-2019年,天津市基层医疗卫生机构预防服务费用呈逐年增长趋势,由2016年的14.25亿元增加至2019年的18.04亿元。预防服务费用主要流向预防接种项目、慢性病管理和老年人健康管理项目;预防服务费用筹资来源仍以政府筹资方案为主,但家庭卫生支出占比呈快速增长趋势,主要是由于二类疫苗接种费用的快速增长所致。[结论]天津市基层医疗卫生机构预防服务费用流向与其基本公共卫生工作重点一致,但基层医疗卫生机构传染病防控投入程度与其职能不匹配。基层医疗卫生机构二类疫苗接种服务家庭卫生支出负担过重。

2011年全球发现的新矿物种

在系统梳理2011年度全球发现并经国际矿物学协会(IMA)新矿物与矿物分类命名专业委员会(CNMNC)批准的122个新矿物种资料的基础上,从矿物名称、晶体化学式、晶系和空间群、晶胞参数、主要粉晶数据、物理性质、光学性质、产地与产状、与其他矿物种的关系、矿物名称来源、化学反应和光谱学特征等方面归纳总结了这些新矿物的重要矿物学特征。并按照中国新矿物及矿物命名专业委员会颁布的《矿物种汉名审订条例》,对122个新矿物种的中文名称进行了审订。通过适时公布国际新矿物工作的新进展和新成果,并逐步完善和规范矿物种中文译名体系,为我国新矿物的发现和研究提供有科学价值的参考和借鉴,不断推动矿物种中文译名规范化与标准化的进程。

优化职业教育类型定位,走好通往专业高职之路——基于ISCED2011及《前往专业行当的通道》评核报告的新视角

国际教育标准化分组2011通过职业专业与普通学术两种取向的划分,为国际层面更好地收集、比较和分析各国教育系统数据打开了一扇方便之门,很大程度上弥补了该分组1997版本在概念准确性和实践适切性方面的缺失。但囿于其对专业取向具体定义的悬而未决,仍让国际间数据收集、比较和分析工作无所适从,留下了进一步研究解读和实践探索的空间。OECD最新发布的职业教育与培训评核报告《前往专业行当的通道:理解高等职业与专业第三级教育系统》较好地回应了这一问题,找到了务实可行的进一步定义方案,是ISCED2011修订版发布以来的一项重大进展。该报告以相关国家系统数据及调查数据为基础,分析了专业教育计划的实际现状,阐释了技术变革时代经济社会对理想技能的新要求,在继承和发展ISCED2011的专业取向构念基础上,提出了专业第三级教育计划分组的架构与思考。该报告提出的关于聚焦专业取向教育计划的政策辩论意见、“三向度”高教分组中的“二向度”专业教育计划分组方案以及专业取向教育的独特性、增值性和高等性等理念,对于我国把握终生学习背景下的职教类型定位、专业第三级教育计划分组下的贯通衔接以及技能型社会的技能需求和专业技能系统的治理等有诸多新的启示。正确理解和积极吸收相关有益经验,有利于我们优化职业教育类型定位,走好通往中国式现代化的专业高职之路。

Future changes in precipitation and water availability over the Tibetan Plateau projected by CMIP6 models constrained by climate sensitivity

Precipitation projections over the Tibetan Plateau(TP)show diversity among existing studies,partly due to model uncertainty.How to develop a reliable projection remains inconclusive.Here,based on the IPCC AR6–assessed likely range of equilibrium climate sensitivity(ECS)and the climatological precipitation performance,the authors constrain the CMIP6(phase 6 of the Coupled Model Intercomparison Project)model projection of summer precipitation and water availability over the TP.The best estimates of precipitation changes are 0.24,0.25,and 0.45 mm d^(−1)(5.9%,6.1%,and 11.2%)under the Shared Socioeconomic Pathway(SSP)scenarios of SSP1–2.6,SSP2–4.5,and SSP5–8.5 from 2050–2099 relative to 1965–2014,respectively.The corresponding constrained projections of water availability measured by precipitation minus evaporation(P–E)are 0.10,0.09,and 0.22 mm d^(−1)(5.7%,4.9%,and 13.2%),respectively.The increase of precipitation and P–E projected by the high-ECS models,whose ECS values are higher than the upper limit of the likely range,are about 1.7 times larger than those estimated by constrained projections.Spatially,there is a larger increase in precipitation and P–E over the eastern TP,while the western part shows a relatively weak difference in precipitation and a drier trend in P–E.The wetter TP projected by the high-ECS models resulted from both an approximately 1.2–1.4 times stronger hydrological sensitivity and additional warming of 0.6℃–1.2℃ under all three scenarios during 2050–2099.This study emphasizes that selecting climate models with climate sensitivity within the likely range is crucial to reducing the uncertainty in the projection of TP precipitation and water availability changes.

基于“SHA2011”的某省综合医院治疗费用分布维度分析

[目的]分析某省综合医院治疗费用分布维度,为相关政策的完善调整提供参考。[方法]以某省2018年综合医院数据为基础,应用卫生费用核算体系2011核算方法,对该省综合医院治疗费用在不同维度的分布以及分布维度、筹资方案的矩阵分析结果进行描述性分析。[结果]该省综合医院治疗费用依次来源于社会医疗保险、家庭个人卫生支出、自愿筹资。从疾病流向看,33.5%流向循环系统疾病和消化系统疾病;从年龄流向看,45.43%流向60岁及以上人群;从性别流向看,53%流向男性群体;从医疗机构级别流向看,73.8%流向省市级医疗机构。[结论]居民疾病经济负担较重,重点疾病、重点人群、高级别医院占用的治疗费用较高。

Projecting Spring Consecutive Rainfall Events in the Three Gorges Reservoir Based on Triple-Nested Dynamical Downscaling

Spring consecutive rainfall events(CREs) are key triggers of geological hazards in the Three Gorges Reservoir area(TGR), China. However, previous projections of CREs based on the direct outputs of global climate models(GCMs) are subject to considerable uncertainties, largely caused by their coarse resolution. This study applies a triple-nested WRF(Weather Research and Forecasting) model dynamical downscaling, driven by a GCM, MIROC6(Model for Interdisciplinary Research on Climate, version 6), to improve the historical simulation and reduce the uncertainties in the future projection of CREs in the TGR. Results indicate that WRF has better performances in reproducing the observed rainfall in terms of the daily probability distribution, monthly evolution and duration of rainfall events, demonstrating the ability of WRF in simulating CREs. Thus, the triple-nested WRF is applied to project the future changes of CREs under the middle-of-the-road and fossil-fueled development scenarios. It is indicated that light and moderate rainfall and the duration of continuous rainfall spells will decrease in the TGR, leading to a decrease in the frequency of CREs. Meanwhile, the duration, rainfall amount, and intensity of CREs is projected to regional increase in the central-west TGR. These results are inconsistent with the raw projection of MIROC6. Observational diagnosis implies that CREs are mainly contributed by the vertical moisture advection. Such a synoptic contribution is captured well by WRF, which is not the case in MIROC6,indicating larger uncertainties in the CREs projected by MIROC6.

人工智能背景下Materials Project数据库在计算材料学课程教学中的应用

该文探讨了在人工智能背景下,Materials Project数据库在计算材料学课程教学中的应用和影响。Materials Project数据库是一个集成了AI和大数据技术的开放获取的材料库,能为学生提供海量的材料晶体结构和物性数据,使教学内容更为丰富,让学生能通过亲自操作获取和分析数据,深入理解微观结构与物性之间的关系。这一新兴的教学模式不仅提升了学生的科研能力和创新思维能力,还有助于培养具备计算材料专业知识和多学科交叉的复合型人才。总体来说,人工智能时代下,大数据的引入为计算材料学课程带来新的活力,并对未来教育改革和实践产生了积极影响。

Transcriptional regulation in the development and dysfunction of neocortical projection neurons

Glutamatergic projection neurons generate sophisticated excitatory circuits to integrate and transmit information among different cortical areas,and between the neocortex and other regions of the brain and spinal cord.Appropriate development of cortical projection neurons is regulated by certain essential events such as neural fate determination,proliferation,specification,differentiation,migration,survival,axonogenesis,and synaptogenesis.These processes are precisely regulated in a tempo-spatial manner by intrinsic factors,extrinsic signals,and neural activities.The generation of correct subtypes and precise connections of projection neurons is imperative not only to support the basic cortical functions(such as sensory information integration,motor coordination,and cognition)but also to prevent the onset and progression of neurodevelopmental disorders(such as intellectual disability,autism spectrum disorders,anxiety,and depression).This review mainly focuses on the recent progress of transcriptional regulations on the development and diversity of neocortical projection neurons and the clinical relevance of the failure of transcriptional modulations.

Cascading multi-segment rupture process of the 2023 Turkish earthquake doublet on a complex fault system revealed by teleseismic P wave back projection method

In this study,the vertical components of broadband teleseismic P wave data recorded by China Earthquake Network are used to image the rupture processes of the February 6th,2023 Turkish earthquake doublet via back projection analysis.Data in two frequency bands(0.5-2 Hz and 1-3 Hz)are used in the imaging processes.The results show that the rupture of the first event extends about 200 km to the northeast and about 150 km to the southwest,lasting~90 s in total.The southwestern rupture is triggered by the northeastern rupture,demonstrating a sequential bidirectional unilateral rupture pattern.The rupture of the second event extends approximately 80 km in both northeast and west directions,lasting~35 s in total and demonstrates a typical bilateral rupture feature.The cascading ruptures on both sides also reflect the occurrence of selective rupture behaviors on bifurcated faults.In addition,we observe super-shear ruptures on certain fault sections with relatively straight fault structures and sparse aftershocks.

日本“3·11”震灾后文学中的“反核”书写——以《神明2011》《晚年样式集》为例

东日本大地震和由其引发的福岛核泄漏事故催生了以“3·11”大地震、核泄漏危机为主题的震灾后文学。本文基于川上弘美《神明2011》、大江健三郎《晚年样式集》这两部作品的分析,指出这两部作品在主题阐发上,分别通过新旧“神明观”的转变、过去侵入现在的历史书写,表达共同的反核主题,揭示了核危机下现代人共同的悲剧命运。

Recent Ventures in Interdisciplinary Arctic Research:The ARCPATH Project

This paper celebrates Professor Yongqi GAO's significant achievement in the field of interdisciplinary studies within the context of his final research project Arctic Climate Predictions: Pathways to Resilient Sustainable Societies-ARCPATH(https://www.svs.is/en/projects/finished-projects/arcpath). The disciplines represented in the project are related to climatology, anthropology, marine biology, economics, and the broad spectrum of social-ecological studies. Team members were drawn from the Nordic countries, Russia, China, the United States, and Canada. The project was transdisciplinary as well as interdisciplinary as it included collaboration with local knowledge holders. ARCPATH made significant contributions to Arctic research through an improved understanding of the mechanisms that drive climate variability in the Arctic. In tandem with this research, a combination of historical investigations and social, economic, and marine biological fieldwork was carried out for the project study areas of Iceland, Greenland, Norway, and the surrounding seas, with a focus on the joint use of ocean and sea-ice data as well as social-ecological drivers. ARCPATH was able to provide an improved framework for predicting the near-term variation of Arctic climate on spatial scales relevant to society, as well as evaluating possible related changes in socioeconomic realms. In summary, through the integration of information from several different disciplines and research approaches, ARCPATH served to create new and valuable knowledge on crucial issues, thus providing new pathways to action for Arctic communities.

2011—2022年我国妇幼保健机构申请和获得国家自然科学基金项目资助情况分析

目的 分析2011—2022年我国妇幼保健机构申请和获得国家自然科学基金(National Natural Science Foundation of China,NSFC)项目资助情况,为妇幼保健机构科研能力建设提供参考。方法 运用NSFC大数据知识管理服务平台和全国妇幼保健机构监测数据,分析NSFC项目申请、获资助、负责人等基本情况,比较获资助和未获资助机构在人力资源和承担科研课题项目上的差异性。结果 2011—2022年我国35家妇幼保健机构作为NSFC依托单位共申请项目861项,获资助率为10.57%;青年科学基金、面上项目、地区科学基金为主要申请和获资助类型,获资助率分别为7.27%、5.34%和15.21%,存在类别间和地区间差异。55.8%的项目负责人在首次获资助前参与过NSFC项目,且78.13%为高等院校牵头项目;项目负责人中,高级职称占58.25%、博士研究生学历占62.64%;获资助机构承担或独立承担科研课题项目数多于未获资助机构,差异有统计学意义(P <0.05)。结论 我国妇幼保健机构科研能力仍相对薄弱,人才储备和科研基础是项目申请成功的有利因素,妇幼保健机构应加强科研人才的引进与培养,以需求为牵引,关注政策导向,聚焦学术前沿,注重学科交叉,增强合作,推动科研创新能力提升,助力妇幼保健机构可持续、高质量地发展。

Diagnosis of indirectly driven double shell targets with point-projection hard x-ray radiography

We present an application of short-pulse laser-generated hard x rays for the diagnosis of indirectly driven double shell targets. Coneinserted double shell targets were imploded through an indirect drive approach on the upgraded SG-II laser facility. Then, based on thepoint-projection hard x-ray radiography technique, time-resolved radiography of the double shell targets, including that of their near-peakcompression, were obtained. The backlighter source was created by the interactions of a high-intensity short pulsed laser with a metalmicrowire target. Images of the target near peak compression were obtained with an Au microwire. In addition, radiation hydrodynamicsimulations were performed, and the target evolution obtained agrees well with the experimental results. Using the radiographic images, arealdensities of the targets were evaluated.

Accelerated Primal-Dual Projection Neurodynamic Approach With Time Scaling for Linear and Set Constrained Convex Optimization Problems

The Nesterov accelerated dynamical approach serves as an essential tool for addressing convex optimization problems with accelerated convergence rates.Most previous studies in this field have primarily concentrated on unconstrained smooth con-vex optimization problems.In this paper,on the basis of primal-dual dynamical approach,Nesterov accelerated dynamical approach,projection operator and directional gradient,we present two accelerated primal-dual projection neurodynamic approaches with time scaling to address convex optimization problems with smooth and nonsmooth objective functions subject to linear and set constraints,which consist of a second-order ODE(ordinary differential equation)or differential conclusion system for the primal variables and a first-order ODE for the dual vari-ables.By satisfying specific conditions for time scaling,we demonstrate that the proposed approaches have a faster conver-gence rate.This only requires assuming convexity of the objective function.We validate the effectiveness of our proposed two accel-erated primal-dual projection neurodynamic approaches through numerical experiments.

Quantum block coherence with respect to projective measurements

Quantum coherence serves as a defining characteristic of quantum mechanics,finding extensive applications in quantum computing and quantum communication processing.This study explores quantum block coherence in the context of projective measurements,focusing on the quantification of such coherence.Firstly,we define the correlation function between the two general projective measurements P and Q,and analyze the connection between sets of block incoherent states related to two compatible projective measurements P and Q.Secondly,we discuss the measure of quantum block coherence with respect to projective measurements.Based on a given measure of quantum block coherence,we characterize the existence of maximal block coherent states through projective measurements.This research integrates the compatibility of projective measurements with the framework of quantum block coherence,contributing to the advancement of block coherence measurement theory.

REFINEMENTS OF THE NORM OF TWO ORTHOGONAL PROJECTIONS

In this paper,some refinements of norm equalities and inequalities of combination of two orthogonal projections are established.We use certain norm inequalities for positive contraction operator to establish norm inequalities for combination of orthogonal projections on a Hilbert space.Furthermore,we give necessary and sufficient conditions under which the norm of the above combination of o`rthogonal projections attains its optimal value.

Fudan multi-purpose active target time projection chamber(fMeta-TPC)for photonuclear reaction experiments

Active target time projection chambers are state-of-the-art tools in the field of low-energy nuclear physics and are particularly suitable for experiments using low-intensity radioactive ion beams or gamma rays.The Fudan multi-purpose active target time projection chamber(fMeta-TPC)with 2048 channels was developed to studyα-clustering nuclei.This study focused on the photonuclear reaction with a laser Compton scattering gamma source,particularly for the decay of the highly excitedαcluster state.The design of fMeta-TPC is described in this paper.A comprehensive evaluation of its offline performance was conducted using an ultraviolet laser and ^(241)Amαsource.The results showed that the intrinsic angular resolution of the detector was within 0.30°,and the detector had an energy resolution of 6.85%for 3.0 MeVαparticles.The gain uniformity of the detector was approximately 10%(RMS/Mean),as tested by the ^(55)Fe X-ray source.

GLOBAL CONVERGENCE OF A CAUTIOUS PROJECTION BFGS ALGORITHM FOR NONCONVEX PROBLEMS WITHOUT GRADIENT LIPSCHITZ CONTINUITY

A cautious projection BFGS method is proposed for solving nonconvex unconstrained optimization problems.The global convergence of this method as well as a stronger general convergence result can be proven without a gradient Lipschitz continuity assumption,which is more in line with the actual problems than the existing modified BFGS methods and the traditional BFGS method.Under some additional conditions,the method presented has a superlinear convergence rate,which can be regarded as an extension and supplement of BFGS-type methods with the projection technique.Finally,the effectiveness and application prospects of the proposed method are verified by numerical experiments.

Progress of Taiji-2 Project

Taiji-2 project is the second step of Taiji program,which is to verify the required technology for Taiji-3 mission.The feasibility study of Taiji-2 is successfully finished,and some of the main progress is introduced here.

Evaluation and projection of marine heatwaves in the South China Sea: insights from CMIP6 multi-model ensemble

This study evaluates the performance of 16 models sourced from the coupled model intercomparison project phase 6(CMIP6)in simulating marine heatwaves(MHWs)in the South China Sea(SCS)during the historical period(1982−2014),and also investigates future changes in SCS MHWs based on simulations from three shared socioeconomic pathway(SSP)scenarios(SSP126,SSP245,and SSP585)using CMIP6 models.Results demonstrate that the CMIP6 models perform well in simulating the spatial-temporal distribution and intensity of SCS MHWs,with their multi-model ensemble(MME)results showing the best performance.The reasonable agreement between the observations and CMIP6 MME reveals that the increasing trends of SCS MHWs are attributed to the warming sea surface temperature trend.Under various SSP scenarios,the year 2040 emerges as pivotal juncture for future shifts in SCS MHWs,marked by distinct variations in changing rate and amplitudes.This is characterized by an accelerated decrease in MHWs frequency and a notably heightened increase in mean intensity,duration,and total days after 2040.Furthermore,the projection results for SCS MHWs suggest that the spatial pattern of MHWs remains consistent across future periods.However,the intensity shows higher consistency only during the near-term period(2021−2050),while notable inconsistencies are observed during the medium-term(2041−2070)and long-term(2071−2100)periods under the three SSP scenarios.During the nearterm period,the SCS MHWs are characterized by moderate and strong events with high frequencies and relatively shorter durations.In contrast,during the medium-term period,MHWs are also characterized by moderate and strong events,but with longer-lasting and more intense events under the SSP245 and SSP585 scenarios.However,in the long-term period,extreme MHWs become the dominant feature under the SSP585 scenario,indicating a substantial intensification of SCS MHWs,effectively establishing a near-permanent state.