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排序方式: 共有356条查询结果,搜索用时 31 毫秒
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Roberto D. Galvão Luis Gonzalo Acosta Espejo Brian Boffey 《Annals of Operations Research》2006,143(1):31-44
A study has been carried out aimed at reducing perinatal mortality in the municipality of Rio de Janeiro through a better
distribution of health care facilities. The algorithmic aspects are detailed elsewhere and here the emphasis is on practical
issues and difficulties encountered.
A 3-level hierarchical model was developed. Both uncapacitated and capacitated versions are briefly described together with
some results based on actual data. The project brought to light many contradictions between OR theory and practice in developing
countries and, unfortunately, the models developed were not implemented by the municipality health authorities. Possible reasons
for this outcome are analysed. 相似文献
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本详细描述了移动IP的工作过程,并介绍了移动IP的隧道技术和IPSec,最后对移动IP技术中存在几个热点问题进行了讨论。 相似文献
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远红外织物的保健性能 总被引:5,自引:2,他引:3
远红外织物是80年代中期研究开发出的一种通过高效吸收和发射远红外线而具有改善微循环、促进血液循环等功能的新型纺织品。本文通过研究实例综述了国内外近年来对远红外织物保健性能的研究成果。 相似文献
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Robert G. Behrens 《Journal of organometallic chemistry》1976,121(3):C63-C65
The results of low temperature heat capacity studies on Mn2(CO)10(s) and Re2(CO)10(s) are compared with literature reports. It is shown that the values of vaporization enthalpies and entropies correspond with those of the low temperature stable phase. 相似文献
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考虑政府补贴、市场化程度、养老机构服务成本、老年人偏好等因素,构建了完全国有化、公私并存的半市场化和完全市场化三种情形下公办和民办养老机构之间的两阶段博弈模型,比较分析了市场化程度对养老机构服务价格制定和服务水平选择的影响,实证讨论了各参数变化对养老机构收益及社会福利的影响。研究表明:完全市场化机制会降低养老机构服务质量,完全国有化机制会陷入社会福利陷阱,探索公私并存的最佳市场化水平才能更好地提高社会福利;适度推进市场化改革,提高养老机构服务水平,降低民办养老机构服务成本,适度提高对民办养老机构的补贴,将有效缓解公办和民办养老机构的不公平竞争;提高老年人支付能力,推进养老机构供给侧结构性改革,将保障机构养老服务的有效供给,促进养老服务业的健康有序发展。 相似文献
8.
René Grouls Wim van de Laar Henk M. J. Goldschmidt Frits G. van Merode 《Accreditation and quality assurance》2004,10(1-2):41-46
Many medical professionals are involved in patient care processes. For pharmaceutical care this results in many information transfer moments. To provide optimal care, communication and information the transfer should be conducted in a timely manner, fully transparent, complete and relevant. The TRANSFORM project is directed towards the development of a reference information model of the pharmaceutical care chain with the aim to improve the availability (time, place, completeness) and access of pharmaceutical information regarding patients, thereby resulting in continuity and quality of pharmaceutical care, reduction in medical errors and improvement in patient safety through the design of a safer healthcare system. TRANSFORM leads to improved insight into the processes and data transfer points in the pharmaceutical chain of care. Focussed on laboratory medicine and pharmacy, the implementation of the integration of laboratory test and pharmacy information may result in major improvements in drug therapy monitoring and guidance (i.e. drug impact monitoring). Because of the overwhelming amount of data generated by this integration of drugs, drug effects and laboratory test results, an online decision support system is warranted.Presented at the 9th Conference on Quality in the Spotlight, 18–19 March 2004, Antwerp, Belgium.The following paper may appear at first sight not to be specifically within the realm of ACQUAL. It has been accepted for publication anyway as it is about reliable handling of data, incl. measurement results, which lead to important decisions (in this case related to a patient). The reliability of handling (a large amount of) measurement results towards a basis for important decisions, is a very important feature of the use of such results.Paul De Bièvre, Editor in Chief 相似文献
9.
Roger M. Bialy Dr. Monsur M. Ali Prof. Dr. Yingfu Li Prof. Dr. John D. Brennan 《Chemistry (Weinheim an der Bergstrasse, Germany)》2020,26(22):5085-5092
We report a method to detect proteins via suppression of rolling circle amplification (RCA) by using an appropriate aptamer as the linear primer (denoted as an aptaprimer) to initiate RCA. In the absence of a protein target, the aptaprimer is free to initiate RCA, which can produce long DNA products that are detected via binding of a fluorescent intercalating dye. Introduction of a target causes the primer region within the aptamer to become unavailable for binding to the circular template, inhibiting RCA. Using SYBR Gold or QuantiFluor dyes as fluorescent probes to bind to the RCA reaction product, it is possible to produce a generic protein-modulated RCA assay system that does not require fluorophore- or biotin-modified DNA species, substantially reducing complexity and cost of reagents. Based on this modulation of RCA, we demonstrate the ability to produce both solution and paper-based assays for rapid and quantitative detection of proteins including platelet derived growth factor and thrombin. 相似文献
10.
The time spent in dependence and the type of care an elderly receives are the two main cost drivers of long-term care (LTC). We aim to provide a better understanding of the duration of care by using a comprehensive social insurance dataset covering the LTC needs in Switzerland over a 20-years-period and including 230 000 observations on dependent elderly. First, using the framework of survival analysis, we calculate Kaplan–Meier estimates for the care duration and derive the main explaining factors through econometric models when care is received at home and in an institution. Retaining only significant covariates, the final accelerated failure time models allow us to predict the duration for different profiles of elderly along their age, gender, region of residence, type of household composition, acuity level and pre-retirement income. Second, we study the interaction of care durations when care is provided at home and in an institution. While our data supports that for short at-home care durations the time spent in institutional care is reduced, we find that both types of care are non-substitutes when the time spent at home has been longer. Under the latter regime, the time spent in institutional care remains at a constant level. Finally, given the longevity improvements over the period of observation, we analyze the impact of living longer on the time spent in dependence. Our results show that while the mean age at entry in dependence grows, the overall care duration does not significantly change. Given the expected increasing number of elderly in most developed countries, our study is relevant for government planning, budgeting social insurance schemes, estimating personal savings needs and calculating private insurance premiums. 相似文献