Research on the Joint Reformation for Public Health Services, Medical Insurance and Medical Production Circulation from the Perspective of System Science

Objective To study the linkage points in the reform of public health services,medical insurance and medical production circulation and provide countermeasures for optimizing the reform.Methods The theory of system science was used to analyze the new emergent property of key linkage points in the main reform departments.Results and Conclusion The research found that four linkage points were not active,and all departments of the reform should strengthen their linkage in the following aspects.The departmental linkage in the decision-making mechanism should be strengthened,which requires to revise the assessment indicators of essential drugs in time,and carry out relevant policies.Besides,the linkage of various departments to supervise the use of medical insurance fund should be strengthened.Therefore,the National Health Commission(NHC)and National Medical Products Administration(NMPA)should play their supervisory roles.Lastly,the construction of adverse reaction data sharing platform should be improved.

Expanding telemedicine to reduce the burden on the healthcare systems and poverty in Africa for a post-coronavirus disease 2019 (COVID-19) pandemic reformation

The coronavirus disease 2019(COVID-19)global public health emergency,has exposed the fragility of health systems.Access to healthcare became a scarce commodity as healthcare providers and resource-poor popula­tions became victims of the novel corona virus.Therefore,this study focuses on Africa’s readiness to integrate telemedicine into the weak health systems and its adoption may help alleviate poor healthcare and poverty after COVID-19.We conducted a narrative review through different search strategies in Scopus on January 20,2021,to identify available literature reporting implementation of various telemedicine modes in Africa from January 1,2011 to December 31,2020.We summarized 54 studies according to geographies,field,and implementation methods.The results show a willingness to adopt telemedicine in the resource-poor settings and hard-to-reach populations,which will bring relief to the inadequate healthcare systems and alleviate poverty of those who feel the burden of healthcare cost the most.With adequate government financing,telemedicine promises to enhance the treating of communicable and non-communicable diseases as well as support health infrastructure.It can also alleviate poverty among vulnerable groups and hard-to-reach communities in Africa with adequate government financing.However,given the lack of funding in Africa,the challenges in implementing telemedicine require global and national strategies before it can yield promising results.This is especially true in regards to alleviating the multidimensionality of poverty in post-COVID-19 Africa.

Researches on an expert decision-making system of technology reformation schemes of a colliery

In this paper, an expert decision-making system of technology reformation schemes of a colliery (for short EDSTRC) is researched by comprehensively using ES and DSS principles and computer technique. The functional and logical structures of EDSTRC as well as its sub-systems are mainly designed, and its development and application environment are simply introduced. EDSTRC is consisted of eight main parts, i.e. data base (DB), knowledge base (KB), model base (MB), approach base (AB), graph base (GB), result base (RB), man-compute system (MCS), and problem-solved system (PSS). Through application of practical examples, it is proved that the EDSTRC’s prototype design is correct, its man-computer interface is amicable, and its applicable prospect is wider.

Cost-Utility Analysis of Liraglutide in Type 2 Diabetes Patients in China after Chinese Reformation of Medical Care System

Objectives: The cost-utility analysis of Liraglutide is aimed at evaluating whether Liraglutide is cost-effective or not after Chinese reformation on medical insurance. The analysis is based on the results of clinical trial conducted in Asia. Methods: We applied a Markov model to estimate the quality-adjusted life years, medical cost and incidence of diabetes-related complications for patients receiving the Liraglutide as an add-on to the metformin treatment. Baseline characteristics were taken from a China’s study while the treatment effect is from an Asian study. The related medical cost and utility score were obtained from a local study in China. Having set 30 years’ simulations, the incremental cost-effectiveness ratio was calculated comparing with glimepiride treatment. The ratio would be compared with the willingness to pay for a quality-adjusted-life-year (QALY) which is three times of the GDP per capita in Beijing. Sensitivity analysis was also performed. Result: During a period of 30 years, the base-case analysis which takes discount rate at 3% shows that Liraglutide 1.8 mg results in an average incremental cost of CNY 82,671.49, an improvement in 0.12 QALYs and a reduction of incidence of diabetes-related complications comparing to glimepiride. The associated incremental cost-effectiveness ratio is CNY 688,929.08. Conclusion: Long-term project shows that taking Liraglutide as an add-on to the metformin treatment will lead to increasing quality-adjusted life years and reduction of incidence of diabetes-related complications. When the price of Liraglutide is reduced by 43 percent in China’s yuan, Liraglutide will be cost-effective in China from the healthcare system perspective taking three times of GDP per capita as our WTP threshold.

Influencing factors analysis of hard limestone reformation and strength weakening under acidic effect

Roof disaster has always been an important factor restricting coal mine safety production.Acidic effect can reform the rock mass structure to weaken the macroscopic strength characteristics,which is an effective way to control the hard limestone roof.In this study,the effects of various factors on the reaction characteristics and mechanical properties of limestone were analyzed.The results show that the acid with stronger hydrogen production capacity after ionization(pK_(a)<0)has more prominent damage to the mineral grains of limestone.When pKa increases from−8.00 to 15.70,uniaxial compressive strength and elastic modulus of limestone increase by 117.22%and 75.98%.The influence of acid concentration is manifested in the dissolution behavior of mineral crystals,the crystal defects caused by large-scale acid action will lead to the deterioration of limestone strength,and the strength after 15%concentration reformation can be reduced by 59.42%.The effect of acidification time on limestone has stages and is the most obvious in the initial metathesis reaction stage(within 60 min).The key to the strength damage of acidified limestone is the participation of hydrogen ions in the reaction system.Based on the analytic hierarchy process method,the influence weights of acid type,acid concentration and acidification time on strength are 24.30%,59.54% and 16.16%,respectively.The research results provide theoretical support for the acidification control of hard limestone roofs in coal mines.

Research on the Reform of the Process-Tracking Ideological and Political Assessment System in Applied Universities:Taking the Personal Finance Course as an Example

Using the Xi’an Mingde Institute of Technology students as the teaching object and the Personal Finance course as an example,we explore the reform of the ideological and political assessment system of process-tracking courses in applied universities.The article analyzes the feasibility of applying the curriculum ideological and political assessment system in college courses and compares the traditional assessment system.It also proposes that applying curriculum ideological and political assessment to the college curriculum assessment system will help improve students’understanding of the“value guidance”in curriculum ideological and political education and enhance the teaching effect.

Exploring the 2023 Reformation of Financial Systems in Higher Education Institutions and Examining the Practical Aspects of its Execution

As China’s economy has experienced rapid growth,the economic landscape for higher education institutions’financial systems has become increasingly intricate.Consequently,there has been a heightened demand for enhanced financial management in these institutions.Notably,in 2012,the country’s Ministry of Finance and Ministry of Education introduced a new financial system for higher education institutions,and in 2022,the Ministry of Finance publicly revised this system to further standardize financial practices within higher education institutions,align with financial management requirements,and foster the development of these institutions.This paper offers an extensive examination of the updated financial system for higher education institutions compared to the previous version,delving into aspects such as the financial management framework,professionalization criteria for financial directors,enhancements in managing the proceeds from technology and research achievements,and the incorporation of management accounting reports.Additionally,it provides a comprehensive analysis of the challenges faced by financial management in higher education institutions and outlines strategies for addressing these issues.

A Preliminary Study on the Rural Land System Reform in the Context of Rural Revitalization

With the deepening of reform and opening up,the rural land system has experienced the evolution from contracting to transfer to the current rural revitalization strategy,and has always been closely linked to the well-being of farmers and the vigorous development of the rural economy.The reform of this system is not only a key driving force for rural economic development,but also an important cornerstone for realizing the rural revitalization strategy.Through in-depth analysis of the connotation of rural revitalization and rural land system reform,this study discusses in detail the internal dynamic mechanism of rural land system reform driving rural revitalization,and comprehensively analyzes the current implementation of rural land system reform.On this basis,this study puts forward the strategic concept of promoting the rural land system reform in the context of rural revitalization.Studies have shown that the rural land system reform has mainly played a positive role in the following four aspects in promoting rural revitalization:providing a solid material foundation for rural revitalization,optimizing the allocation of rural resources,promoting the transformation and upgrading of rural industrial structure,and promoting rural social harmony and stability.In the context of the current rural revitalization,the rural land system reform is undoubtedly one of the core issues of China s rural development.In order to further improve this system,we need to continue to optimize and innovate the rural land transfer system,the homestead reform system,and the rural collective construction land market entry system.

Balancing Academic and Artistic Merit:Equity Concerns for Dance Students in China’s College Entrance System

This study explores the effects of recent changes in China’s dance college admissions,which now equally weigh academic and professional performance.While the policy aims to create fairer admissions,it presents challenges for students from specialized dance programs(keban),who may struggle with academic demands.In contrast,academically strong students with limited dance training may gain an advantage.The research highlights the policy’s mixed impact and proposes flexible admissions strategies,such as conditional offers and ongoing academic support,to better accommodate students with diverse abilities.The study underscores the importance of refining these policies to ensure greater equity and cultural diversity in dance education.

Reform and Practice of the Course“Introduction to Computer Science”in Universities Based on the Cultivation of Computational Thinking and Systematic Abilities

Introduction to Computer Science,as one of the fundamental courses in computer-related majors,plays an important role in the cultivation of computer professionals.However,traditional teaching models and content can no longer fully meet the needs of modern information technology development.In response to these issues,this article introduces the concept of computational creative thinking,optimizes course content,adopts exploratory teaching methods,and innovates course assessment methods,aiming to comprehensively enhance students’computational thinking and innovative abilities.By continuously improving and promoting this teaching model,it will undoubtedly promote computer education in universities to a new level.

Reform of Practical Teaching of “Linux Operating System Fundamentals” Under the Background of Emerging Engineering Education

With the advancement of the construction of emerging engineering education,the reform of practical teaching has become an important task of higher engineering education.This article takes the course“Linux Operating System Fundamentals”as an example to explore practical teaching reform in the context of emerging engineering education.By analyzing the current situation and problems in course practical teaching,we proposed practical teaching reforms such as online experiments,practical content updates,project-based engineering practices,and diversified evaluation models,and designed corresponding implementation plans.Practice has proved that this reform can improve students’learning interest and engineering practical skills,and cultivate outstanding engineers with innovative spirit and practical skills.

Teaching Reform and Practice of Embedded System Design Based on Outcome-Based Education

Embedded system design is the core course of the telecommunication major in engineering universities,which combines software and hardware through embedded development boards.Aiming at the problems existing in traditional teaching,this paper proposes curriculum teaching reform based on the outcome-based education(OBE)concept,including determining course objectives,reforming teaching modes and methods,and improving the curriculum assessment and evaluation system.After two semesters of practice,this method not only enhances students’learning initiative but also improves teaching quality.

Performance of a Combined Energy System Consisting of Solar Collector, Biogas Dry Reforming and Solid Oxide Fuel Cell: An Indian Case Study

An energy production system consisting of a solar collector, biogas dry reforming reactor and solid oxide fuel cell (SOFC) was assumed to be installed in Kolkata, India. This study aims to understand the impact of climate conditions on the performance of solar collectors with different lengths of parabolic trough solar collector (dx) and mass flow rate of heat transfer fluid (m). In addition, this study has evaluated the amount of H2 produced by biogas dry reforming (GH2), the amount of power generated by SOFC (PSOFC) and the maximum number of possible households (N) whose electricity demand could be met by the energy system proposed, considering the performance of solar collector with the different dx and m. As a result, the optimum dx was found to be 4 m. This study revealed that the temperature of heat transfer fluid (Tfb) decreased with the increase in m. Tfb in March, April and May was higher than that in other months, while Tfb from June to December was the lowest. GH2, PSOFC and N in March, April and May were higher than those in other months, irrespective of m. The optimum m was 0.030 kg/s.

Accumulation and Reformation of Silurian Reservoir in the Northern Tarim Basin

Silurian sandstone in Tarim Basin has good reservoir properties and active oil and gas shows, especially thick widely-distributed bituminous sandstone. Currently, the Silurian was found containing both bitumen and conventional reservoirs, with petroleum originating from terrestrial and marine source rocks. The diversity of their distribution was the result of ＂three sources, three stages＂ accumulation and adjustment processes. ＂Three sources＂ refers to two sets of marine rocks in Cambrian and Middle-Upper Ordovician, and a set of terrestrial rock formed in Triassic in the Kuqa depression. ＂Three stages＂ represents three stages of accumulation, adjustment and reformation occurring in Late Caledonian, Late Hercynian and Late Himalayan, respectively. The study suggests that the Silurian bitumen is remnants of oil generated from Cambrian and Ordovician source rocks and accumulated in the sandstone reservoir during Late Caledonian-Early Hercynian and Late Hercynian stages, and then damaged by the subsequent two stages of tectonic uplift movements in Early Hercynian and Pre-Triassic. The authors presumed that the primary paleo-reservoirs formed during these two stages might he preserved in the Silurian in the southern deep part of the Tabei area. Except for the Yingmaili area where the Triassic terrestrial oil was from the Kuqa Depression during Late Himalayan Stage, all movable oil reservoirs originated from marine sources. They were secondary accumulations from underlying Ordovician after structure reverse during the Yanshan- Himalayan stage. Oil/gas shows mixed-source characteristics, and was mainly from Middle-Upper Ordovician. The complexity and diversity of the Silurian marine primary properties were just defined by these three stages of oil-gas charging and tectonic movements in the Tabei area.

Experimental investigation on the reformation and strength weakening of hard limestone by acidizing

Several derivative disasters such as ground pressure disasters and methane explosions can be caused by the hard roof in coal mines.For limestone roofs with fine integrity and extreme hardness,collapse is difficult and the effect of conventional roof control methods is limited.Acidizing reformation is an effective way to weaken the strength of roof strata based on acid-rock reaction.In this study,the rock strength damage law and acid reaction characteristics were tested by the limestone acidification experiment.Besides,the strength degradation mechanism of limestone under the acidity effect was analyzed.The results show that the acid corrosion characteristics of limestone are obvious,as numerous mineral grains generate voids under the effects of acid corrosion,and more defects are formed inside.The acid-rock reaction is the most intense at the early stage and then gradually reaches dynamic equilibrium,and the acid corrosion rate of limestone is 4.24%(10%HCl,360 min).The hard limestone is damaged after acidification.Furthermore,the internal cracks can be induced to rapid initiation and unstable propagation under load,which reduces the strain required for rock failure by 33.33%.The failure morphology is more complicated,and the uniaxial compressive strength and elastic modulus decrease by 52.42%and 34.44%respectively.The strength weakening of hard roof after acidification is due to the defects such as intergranular cracking caused by the corrosion of rock crystals under acidity effect,which accelerate the initiation and propagation of internal cracks with external force.Macroscopically,acidification induced the deterioration of rock mechanical properties by reforming the roof structure.The feasibility of acidizing reformation method to control hard roof is confirmed in this study.

Survey on the Peasants' Will of Forest Land Transfer in the Reform of Collective Forest Right System——On the Case of 180 Peasant Households in Lishui City of Zhejiang Province

Taking sample survey in the eighteen villages of Yunhe, Longquan and Qingyuan County of Lishui City of Zhejiang Province, the results show that the forest land transfer of sample peasants is mainly transfer-out, the private treaty of forest land transfer is the main pattern of most peasant households, forest right trading market hasn't got wide approval in peasants, peasants' dependence on land is reducing, and so on. Through analysis, the reasons of influent transfer of forest land include peasant's subjective will, less type of transfer objects, dull information communication, big difference of expected price and imperfect development of intermediary organization. In order to promote a healthy development of forest land transfer, the paper puts forward proposals of strengthening policy publicity, improving system, identifying property right, pushing variety of transfer types, developing forest land market, cultivating subject of market and so on.

Research on effectiveness of coal mine safety supervision system reform on three types of collieries in China

Coal mine safety supervision system plays an important role in the coal mine safety management in China.However,the current supervision system is established on the basis of learning the advanced experience from other developed countries.It needs to be further improved according to national conditions.Therefore,the effectiveness of coal mine safety supervision system reform on three types of collieries are assessed by using time series analysis method based on comparative analysis of the supervision system before and after the reform in this paper.The regression results show that the structural reform is not conductive to the improvement of coal mine safety situation in the short term,but conductive significantly in the long term.Specifically,the effects in township coal mines are more significant than stateowned key coal mines in the long run,but negative effects also exist in the short term.The negative effects in state-owned key coal mines are non-significant compared with township coal mines.Moreover,the regression results are analyzed from the aspects of the closure policy of illegal small township coal mines at the end of 1998 and shortage of the new supervision system.Finally,the suggestions on improving the new supervision system are put forward based on the above analysis.

Techno-economic assessment of a chemical looping splitting system for H2 and CO Co-generation

The natural gas(NG)reforming is currently one of the low-cost methods for hydrogen production.However,the mixture of H2 and CO_(2) in the produced gas inevitably includes CO_(2) and necessitates the costly CO_(2) separation.In this work,a novel double chemical looping involving both combustion(CLC)and sorption-enhanced reforming(SE-CLR)was proposed towards the co-production of H2 and CO(CLC-SECLRHC)in two separated streams.CLC provides reactant CO_(2) and energy to feed SECLRHC,which generates hydrogen in a higher purity,as well as the calcium cycle to generate CO in a higher purity.Techno-economic assessment of the proposed system was conducted to evaluate its efficiency and economic competitiveness.Studies revealed that the optimal molar ratios of oxygen carrier(OC)/NG and steam/NG for reforming were recommended to be 1.7 and 1.0,respectively.The heat integration within CLC and SECLRHC units can be achieved by circulating hot OCs.The desired temperatures of fuel reactor(FR)and reforming reactor(RR)should be 850
C and 600
C,respectively.The heat coupling between CLC and SECLRHC units can be realized via a jacket-type reactor,and the NG split ratio for reforming and combustion was 0.53:0.47.Under the optimal conditions,the H2 purity,the H2 yield and the CH4 conversion efficiency were 98.76%,2.31 mol mol-1 and 97.96%,respectively.The carbon and hydrogen utilization efficiency respectively were 58.60% and 72.45%in terms of the total hydrogen in both steam and NG.The exergy efficiency of the overall process reached 70.28%.In terms of the conventional plant capacity(75 × 103 t y^(-1))and current raw materials price(2500$t^(-1)),the payback period can be 6.2 years and the IRR would be 11.5,demonstrating an economically feasible and risk resistant capability.

Reforming the natural resource auditing system from the ecological civilization perspective

Perfecting the natural resource system and auditing natural resource assets are requirements in protecting natural resources and developing an ecological civilization in practice.While the natural resource asset audit both confirms and quantifies natural resources,the nature of such resources makes it difficult to identify their ownership.Further,these resources'diversity creates complex measurement standards and activities,all of which require relevant institutional guarantees.However,the existing audit system for natural resource assets includes insufficient stock,incremental difficulties,and poor guidance,which cannot meet the requirements for environmental governance and an ecological civilization.Thus,it is necessary to define natural resource assets’rights and measurement systems and responsibility regulations,among others;construct an auditing participation system,technical regulations,and evaluation criterion for natural resource assets;amend the Audit Law in a timely manner;and enact natural resource asset legislation.Ultimately,such efforts would eliminate the bottleneck in the natural resource asset auditing system and facilitate the construction of a resource-saving,environmentally friendly society.

Study on Technology Clusters for Direct Utilization of CO2-Rich Natural Gas and Construction of Hybrid System for Energy and Chemicals Production

Based on industrial production with an annual capacity of million tons of methanol,ammonia/urea,etc.,a platform technology is developed for direct,green,efficient,and high-value mega-size utilization of the CO2-rich nature gas,which is the technology of CO2-rich natural gas dry reforming and hydrogen reaction.The following technologies are discussed,such as CO2-rich natural gas dry reforming integrated with the Fischer-Tropsch synthesis to olefins(FTO)technology for producing high value-added linear alpha olefins(LAO);CO2-rich natural gas dry reforming integrated with low carbon olefin linear hydroformylation technology to produce higher carbon alcohols;direct methanol production from CO2 and hydrogen;and the new cutting edge technology of photo-catalytic process.In addition,simple techno-economic evaluations of two technologies mentioned above are discussed.The CO2-rich natural gas dry reforming integrated with FTO technology can achieve about 30%of internal rate return(IRR),while the low carbon olefin linear hydroformylation technology could have a static payback period of 2.57 years when the capacity of 2-propylhexanol(2-PH)reaches 100 kt/a.Based on the mega-size green and high-efficient CO2-rich natural gas direct utilization technology,a hybrid energy and chemical production system framework with good prospects is preliminarily designed.A modern industry zone with an annual capacity of more than 10 Mt of CO2 converted to high value-added products is underway.