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81.
在分析政府监管下医院间医疗信息分享特征的基础上,结合我国当前正在推行的医联体医院间信息分享运作模式,引入梅特卡夫定律并考虑患者评价的影响,分析了监管部门与医院各自的利益组成,建立了监管部门与医院两者之间的演化博弈模型,并采用复制动态方程研究了不同情形下医院间信息分享的演化博弈轨迹。研究表明,政府通过监管并建立激励惩罚机制等引导措施对医院最终达到的演化稳定态具有极大影响;降低医院主体信息分享的风险成本、规范提高医院分享信息的质量、引导患者增强对医院信息分享的关注、制定有吸引力和威慑力的奖惩政策,是促进医院医疗信息分享的关键。研究结果可为政府监管部门预测医院间的信息分享趋势和制定精准化政策以促进分享提供参考。 相似文献
82.
环境温度对燃气轮机功热并供装置及联合循环变工况性能的影响 总被引:14,自引:0,他引:14
采用动力机械变工况性能解析分析方法,研究了大气温度变化对燃气轮机功热并供和联合循环装置性能影响.指出燃气轮机在带有余热利用的条件下,大气温度的影响明显减弱,并对不同燃气轮机设计参数和蒸汽设计参数影响做了分析比较。 相似文献
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A classical treatment of the interaction between an ion and a conducting surface during an ion desorption process is presented. Analytical expressions have been obtained for the trajectories of desorbing ions as well as for the trajectories of ions trapped by the image potential. The distortion by the image potential of the energy and angular distribution of desorbing ions is estimated. Our objective has been to provide a guide for experimentalists to the surprisingly large changes in such distributions caused by the image forces. 相似文献
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现在诱惑态已被证明是一种可以大大提高量子密钥分发安全性能的现实可行的方法.由于考虑到现实应用中激光器在调制过程中的消光比不能做到100%,以及激光器固有的自发辐射因而使得制备真空态并不是一件容易的事情. 因此本文将对理想情况下准单光子光源量子密钥分发系统应用中的诱惑态结论作了补充和扩展,提出了两个弱光强态的诱惑态方案和一个弱光强诱惑态方案.最后,将“双探测器”的理论应用在准单光子源(HSPS)光源系统中,使系统的安全传输距离可达到2215km,比使用普通探测器的系统增加了约50km. 相似文献
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Sonodynamic therapy (SDT) is a novel tumor therapy method. We investigated membrane fluidity, activity of the enzymes and membrane morphology in vitro post hematoporphyrin-SDT treatment. Furthermore, the potential mechanisms behind the changes in membrane fluidity and enzymic activity were discussed. Tumor cells were exposed to ultrasound at 1.75 MHz for up to 3 min in the presence and absence of hematoporphyrin. Fluorescence polarization, contents of Malonaldehyde, and levels of free fatty acid were assessed. Activity of enzymes was checked by the plumbic nitrate detection method. For the morphologic study, a scanning electron microscope was used to observe the cellular surface. Ultrasonically induced cell damage increased in the presence of HPD (from 15% to 24%). Compared with ultrasound treatment alone, the fluidity decreased from 5.037 to 3.908, malonaldehyde content and free fatty acid level increased from 0.743 nmol/mL to 0.979 nmol/mL and from 237.180 μmol/L to 730.769 μmol/L, respectively, post ultrasound combined with HPD treatment. Inactivity of adenylate cyclase and guanylate cyclase and significant deformation of the cellular surface were also observed post SDT treatment. Our results suggested that alterations in membrane modality and lipid composition played important roles in SDT-mediated inhibition of tumor growth, even inducing tumor cell death, which might be attributed to a sono-chemical activation mechanism. 相似文献
90.
An instantaneous time series distance is defined through the equal time correlation coefficient. The idea is applied to the Gross Domestic Product (GDP) yearly increments of 21 rich countries between 1950 and 2005 in order to test the process of economic globalisation. Some data discussion is first presented to decide what (EKS, GK, or derived) GDP series should be studied. Distances are then calculated from the correlation coefficient values between pairs of series. The role of time averaging of the distances over finite size windows is discussed. Three network structures are next constructed based on the hierarchy of distances. It is shown that the mean distance between the most developed countries on several networks actually decreases in time, —which we consider as a proof of globalization. An empirical law is found for the evolution after 1990, similar to that found in flux creep. The optimal observation time window size is found ?15 years. 相似文献