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“互联网+”医疗服务纳入医疗保险支付的政策建议 被引量:12
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作者 崔文彬 张焜琨 +4 位作者 顾松涛 樊信武 寸待丽 胥婷 于广军 《中国卫生资源》 北大核心 2020年第2期102-105,147,共5页
分析介绍"互联网+"医疗服务的优势作用、发展历程、国际借鉴及纳入医疗保险支付的国内进展情况,并从项目清单、价格制定、支付方式、风险管控、配套措施五方面提出"互联网+"医疗服务纳入医疗保险支付的政策建议,为... 分析介绍"互联网+"医疗服务的优势作用、发展历程、国际借鉴及纳入医疗保险支付的国内进展情况,并从项目清单、价格制定、支付方式、风险管控、配套措施五方面提出"互联网+"医疗服务纳入医疗保险支付的政策建议,为卫生健康和医疗保障相关部门加快推进"互联网+"医疗服务发展提供决策支持。 展开更多
关键词 “互联网+”医疗服务 医疗保险 价格制定 风险管控 支付方式
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Green manuring relocates microbiomes in driving the soil functionality of nitrogen cycling to obtain preferable grain yields in thirty years 被引量:2
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作者 Guopeng Zhou kunkun fan +8 位作者 Songjuan Gao Danna Chang Guilong Li Ting Liang Hai Liang Shun Li Jiudong Zhang Zongxian Che Weidong Cao 《Science China(Life Sciences)》 SCIE CAS CSCD 2024年第3期596-610,共15页
Fertilizers are widely used to produce more food, inevitably altering the diversity and composition of soil organisms. The role of soil biodiversity in controlling multiple ecosystem services remains unclear, especial... Fertilizers are widely used to produce more food, inevitably altering the diversity and composition of soil organisms. The role of soil biodiversity in controlling multiple ecosystem services remains unclear, especially after decades of fertilization. Here, we assess the contribution of the soil functionalities of carbon(C), nitrogen(N), and phosphorus(P) cycling to crop production and explore how soil organisms control these functionalities in a 33-year field fertilization experiment. The long-term application of green manure or cow manure produced wheat yields equivalent to those obtained with chemical N, with the former providing higher soil functions and allowing the functionality of N cycling(especially soil N mineralization and biological N fixation) to control wheat production. The keystone phylotypes within the global network rather than the overall microbial community dominated the soil multifunctionality and functionality of C,N, and P cycling across the soil profile(0–100 cm). We further confirmed that these keystone phylotypes consisted of many metabolic pathways of nutrient cycling and essential microbes involved in organic C mineralization, N_(2)O release, and biological N fixation. The chemical N, green manure, and cow manure resulted in the highest abundances of amoB, nifH, and GH48 genes and Nitrosomonadaceae,Azospirillaceae, and Sphingomonadaceae within the keystone phylotypes, and these microbes were significantly and positively correlated with N_(2)O release, N fixation, and organic C mineralization, respectively. Moreover, our results demonstrated that organic fertilization increased the effects of the network size and keystone phylotypes on the subsoil functions by facilitating the migration of soil microorganisms across the soil profiles and green manure with the highest migration rates. This study highlights the importance of the functionality of N cycling in controlling crop production and keystone phylotypes in regulating soil functions, and provides selectable fertilization strategies 展开更多
关键词 soil biodiversity soil multifunctionality element cycling keystone phylotypes
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Fine mapping of a major QTL on chromosome A05 conferring pod size in peanut
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作者 kunkun Zhao Xufa Du +15 位作者 Jingjing Zhang Yi fan Qian Ma Yaoyao Li Zenghui Cao Di Cao Sasa Hu Ding Qiu Kai Zhao fangping Gong Zhongfeng Li Rui Ren Lin Zhang Xingli Ma Xingguo Zhang Dongmei Yin 《The Crop Journal》 SCIE CSCD 2024年第6期1745-1753,共9页
Pod size is a key agronomic trait that influences peanut yield greatly.However,our understanding of the mechanisms underlying pod size is limited.In this study,we employed a segregating population derived from a cross... Pod size is a key agronomic trait that influences peanut yield greatly.However,our understanding of the mechanisms underlying pod size is limited.In this study,we employed a segregating population derived from a cross between the small-pod line ND_S and the large-pod line ND_L to map quantitative trait loci(QTL)associated with pod size.Initial mapping performed using bulk segregant analysis revealed a candidate interval on chromosome A05 referred to as qPSW05.We refined this interval to a 256.9 kb genomic region using newly developed molecular markers.Through sequence and expression analyses,we identified the candidate gene AhXE45GC,which encodes an AN1 zinc finger protein.We discovered a 33-bp insertion in the intron of AhXE45GC in ND_S.Accessions that lack this insertion,such as ND_L,had significantly larger pods than those with the insertion,including ND_S.To facilitate marker-assisted selection for peanut pod size,we developed a molecular marker associated with this polymorphism.This marker could provide a valuable genetic resource for breeding high-yielding peanut varieties. 展开更多
关键词 PEANUT Pod size BSA-seq Zinc finger protein
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Highly strengthening and toughening biomimetic ceramic structures fabricated via a novel coaxially printing
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作者 kunkun Song Shengda Yang +6 位作者 Ningqi Shao Yantang Zhao Peng He Yongfeng Wei Hengzhong fan Yongsheng Zhang Qiangqiang Zhang 《Journal of Advanced Ceramics》 SCIE EI CAS CSCD 2024年第4期403-412,共10页
Additive manufacturing technology,by manipulating and emulating inherent multiscale,multi-material,and multifunctional structures found in nature,has created new opportunities for constructing heterogeneous structures... Additive manufacturing technology,by manipulating and emulating inherent multiscale,multi-material,and multifunctional structures found in nature,has created new opportunities for constructing heterogeneous structures associated with special properties and achieving ultra-high mechanical performance and reliability in ceramic composite materials.In this study,we have developed an innovative fabrication method designated as coaxial 3D printing for the synchronous construction of two constituents into ceramic composites with a tooth enamel biomimetic microstructure.Herein,the stiff silicate and flexible epoxy served as a strengthening bridge and toughening layer,respectively.The method differed from the traditional approach of randomly dispersing reinforcing components within a ceramic matrix.It allowed for the direct creation of an internally effective three-dimensional reinforcement network structure in ceramic composites.This process facilitated synergistic deformation and simultaneous enhancement of multiple materials and hierarchical structures.Owing to the uniform distribution of internal stress and effective block of microcrack propagation,the biomimetically structured silicate/epoxy ceramic composite has demonstrated much significant enhancement in mechanical properties,includingcompressive strength(48.8±3.12MPa),flexuralstrength(10.39±1.23MPa),andflexuraltoughness(218.7±54.6kJ/m^(3)),which was 0.5,2.1,and 47.5 times as high as those of the intrinsic brittle silicate ceramics,respectively.In-situ characterization and multiscale finite element simulation of microstructural evolution during three-point bending deformation further validated multiple-step features of the fracture process(silicate bridge fracture,interface detachment,epoxy extraction,and rupture),which benefited from interpenetrating structural features achieved by coaxial printing to accomplish with the complex propagating routines of the crack deflection in silicate ceramic composites.This coaxial 3D printing method paves the way for tailor 展开更多
关键词 coaxial 3D printing silicate ceramic composites enamel biomimetic microstructure strengthening bridge tougheninglayer crackdeflection
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5种黄檀族珍贵树种碳、氮、磷化学计量 被引量:2
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作者 赵坤坤 许涵 +3 位作者 施国政 张晓凤 杨繁 陈仁利 《林业与环境科学》 2022年第3期119-127,共9页
为了解珍贵树种在环境适应中的资源获取与生长策略,对巴里黄檀Dalbergia bariensis、交趾黄檀Dalbergia cochinchinensis、降香黄檀Dalbergia odorifera、大果紫檀Pterocarpus macrocarpus、檀香紫檀Pterocarpus santalinus叶、茎、根中... 为了解珍贵树种在环境适应中的资源获取与生长策略,对巴里黄檀Dalbergia bariensis、交趾黄檀Dalbergia cochinchinensis、降香黄檀Dalbergia odorifera、大果紫檀Pterocarpus macrocarpus、檀香紫檀Pterocarpus santalinus叶、茎、根中C、N、P化学计量特征进行分析。结果显示,(1)5种黄檀族树种叶片有机物含量在中国地区处于平均水平,叶片具有高N低P的养分特征,其中交趾黄檀可能是一种潜在的高碳汇树种;(2)黄檀族树种的C元素主要储藏在茎中,N、P元素的分配则趋向叶片;(3)黄檀族树种具有较低养分利用效率和较高生长速率,生长过程主要受土壤P元素限制;(4)生态化学计量比变异分析中,C元素的变异系数最小。 展开更多
关键词 黄檀族 5种珍贵树种 化学计量
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保留左结肠动脉在腹腔镜直肠癌根治术中的临床疗效观察
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作者 单昆昆 叶智斌 +3 位作者 李照岚 赵赛 樊海涛 蔡建辉 《长治医学院学报》 2023年第2期102-105,共4页
目的:探讨保留左结肠动脉(LCA)在腹腔镜直肠癌根治术中的临床效果。方法:回顾性分析接受腹腔镜直肠癌根治术的中低位直肠癌患者98例,根据术中LCA保留与否分为保留组(45例)和不保留组(53例),比较2组患者术中情况(手术时间、出血量、标本... 目的:探讨保留左结肠动脉(LCA)在腹腔镜直肠癌根治术中的临床效果。方法:回顾性分析接受腹腔镜直肠癌根治术的中低位直肠癌患者98例,根据术中LCA保留与否分为保留组(45例)和不保留组(53例),比较2组患者术中情况(手术时间、出血量、标本切除长度)、术后病理及术后恢复情况(术后排气时间、术后排便时间、住院时间)和并发症等临床指标。结果:2组手术时间、术中出血量比较,差异无统计学意义(P>0.05);2组淋巴结清扫总数[(16.67±4.45)vs(18.02±6.84)枚]、253组淋巴结清扫总数[(2.87±1.77)vs(3.13±1.43)枚]比较差异均无统计学意义(P>0.05);保留组术后排气时间[(2.02±0.72)vs(2.79±0.77)d]及排便时间[(3.04±1.87)vs(3.92±1.16)d]均优于不保留组,差异有统计学意义(P<0.05);保留组术后并发症总发生率(13.33%)低于不保留组(22.64%),但差异无统计学意义(P>0.05)。结论:腹腔镜直肠癌根治术中保留LCA,不影响淋巴结清扫,可改善患者术后胃肠道功能,手术方式安全可行。 展开更多
关键词 直肠肿瘤 肠系膜下动脉 左结肠动脉 低位结扎 吻合口漏
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Numerical modeling of contaminant advection impact on hydrodynamic diffusion in a deformable medium
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作者 Chunguang Wang Shuqing Liu +5 位作者 Xingkai Shi Guanglei Cui Hongxu Wang Xing Jin kunkun fan Songtao Hu 《Journal of Rock Mechanics and Geotechnical Engineering》 SCIE CSCD 2022年第3期994-1004,共11页
The self-weight of solid waste or machine-rolled compaction can induce or trigger contaminant migration in the landfill.Although the consolidation-induced hydraulic gradient driving solution transport has been extensi... The self-weight of solid waste or machine-rolled compaction can induce or trigger contaminant migration in the landfill.Although the consolidation-induced hydraulic gradient driving solution transport has been extensively investigated,little attention has been paid to ion migration caused by its concentration gradient variation.It is necessary to more precisely predict the multi-stage contaminant transports in deforming porous material.Based on the modified Cam-clay model,the proposed fluid-solid coupled model can simulate the elastoplastic deformation behavior of layered kaolinite and KBr solution transport/sorption,and its modeling results were validated by published laboratory data.The solid-fluid interactions were analyzed by comparing various transport manners of K^(+)and Br^(−)from excess pore pressure generation to dissipation.Results reveal that the consolidation process can accelerate KBr solute advection from the contaminated layer into the uncontaminated layer,and then affects the subsequent diffusion,mechanical dispersion and sorption for K^(+)and Br^(−).The simulations also indicate that consolidation-induced solute transport is time-dependent,and therefore the ion diffusion and mechanical dispersion should receive more attention. 展开更多
关键词 CONSOLIDATION Advection DIFFUSION SORPTION
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基于动态双窗口的机器人视觉导航与特征识别方法 被引量:11
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作者 崔坤坤 樊绍胜 《计算机工程》 CAS CSCD 北大核心 2020年第9期313-320,共8页
针对变电站巡检机器人导航精度低与巡检点识别鲁棒性差的问题,提出一种采用动态双窗口的视觉导航与路径特征识别方法。根据导航图像匹配结果和相机位姿偏差动态设置导航窗口,将图像由传统的红绿蓝颜色空间转换为色调、饱和度和亮度颜色... 针对变电站巡检机器人导航精度低与巡检点识别鲁棒性差的问题,提出一种采用动态双窗口的视觉导航与路径特征识别方法。根据导航图像匹配结果和相机位姿偏差动态设置导航窗口,将图像由传统的红绿蓝颜色空间转换为色调、饱和度和亮度颜色空间进行灰度图重构,利用分区自适应阈值分割算法提取导航路径并将其简化为直线模型,使用最小二乘法拟合计算出机器人与导航路径的距离偏差,同时将全视野范围作为特征识别窗口,根据路径长宽比改进基于区域建议的Faster R-CNN算法,最终完成对5种路径特征的识别。实验结果表明,在强光照和弱光照条件下,该方法所得巡检机器人的直线跟踪与曲线跟踪偏差分别小于5 mm和25 mm,对5类路径特征的平均识别准确率达到98.6%,与传统HOG+SVM目标检测方法相比,有效提高了导航精度和路径特征识别鲁棒性。 展开更多
关键词 巡检机器人 视觉导航 动态双窗口 灰度图重构 Faster R-CNN算法
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