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Wood Gasification in Catastrophes: Electricity Production from Light-Duty Vehicles
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作者 Baxter L.M.Williams Henri Croft +8 位作者 James Hunt Josh Viloria Nathan Sherman James Oliver Brody Green Alexey Turchin Juan B.Garcia Martinez Joshua M.Pearce David Denkenberger 《Energy Engineering》 2025年第4期1265-1285,共21页
Following global catastrophic infrastructure loss(GCIL),traditional electricity networks would be damaged and unavailable for energy supply,necessitating alternative solutions to sustain critical services.These altern... Following global catastrophic infrastructure loss(GCIL),traditional electricity networks would be damaged and unavailable for energy supply,necessitating alternative solutions to sustain critical services.These alternative solutions would need to run without damaged infrastructure and would likely need to be located at the point of use,such as decentralized electricity generation from wood gas.This study explores the feasibility of using modified light duty vehicles to self-sustain electricity generation by producing wood chips for wood gasification.A 2004 Ford Falcon Fairmont was modified to power a woodchipper and an electrical generator.The vehicle successfully produced wood chips suitable for gasification with an energy return on investment(EROI)of 3.7 and sustained a stable output of 20 kW electrical power.Scalability analyses suggest such solutions could provide electricity to the critical water sanitation sector,equivalent to 4%of global electricity demand,if production of woodchippers was increased postcatastrophe.Future research could investigate the long-term durability of modified vehicles and alternative electricity generation,and quantify the scalability of wood gasification in GCIL scenarios.This work provides a foundation for developing resilient,decentralized energy systems to ensure the continuity of critical services during catastrophic events,leveraging existing vehicle infrastructure to enhance disaster preparedness. 展开更多
关键词 Global catastrophic infrastructure loss decentralized energy systems wood gasification energy resilience
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The fundamental reasons for global catastrophes
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作者 Viktor I. Shapovalov Nickolay V. Kazakov 《Natural Science》 2013年第6期673-677,共5页
This paper uses a new statistical method for studying self-organization in order to explain the origins of global catastrophes, namely the exceeding of the critical level of the planet’s organization. This method dif... This paper uses a new statistical method for studying self-organization in order to explain the origins of global catastrophes, namely the exceeding of the critical level of the planet’s organization. This method differs from traditional methods, because it uses specific notions such as the “entrostat” and “critical level of the organization of the open system”. 展开更多
关键词 SELF-ORGANIZATION Entropy Entrostat GLOBAL catastrophes
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Properties of Natural Catastrophes
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作者 Ospanova N.K. 《Journal of Geological Research》 2020年第1期37-42,共6页
A variety of phenomena of a catastrophic order and fear of their consequences served as the reason that until now the properties of disasters remained incomprehensible.We found out the properties of natural catastroph... A variety of phenomena of a catastrophic order and fear of their consequences served as the reason that until now the properties of disasters remained incomprehensible.We found out the properties of natural catastrophes.It is shown that knowledge of these properties is of great importance,because it contributes to the formation of an objective judgment on natural processes and phenomena. 展开更多
关键词 EARTHQUAKE Biotic crises Catastrophism EVOLUTION SPONTANEITY CHANGES
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A brief discussion on geological catastrophes and spiral arms
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作者 Daniel Conellye 《科技风》 2010年第11期261-262,共2页
According to Density wave theory, catastrophes can be related to spiral arms in galaxy. Each time solar system entered into the spiral arms corresponds to impact events, respectively. The spiral arms would impose an i... According to Density wave theory, catastrophes can be related to spiral arms in galaxy. Each time solar system entered into the spiral arms corresponds to impact events, respectively. The spiral arms would impose an influence on Earth and the solar system. 展开更多
关键词 density-wave theory impact event geological catastrophe
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Cost-Effectiveness of Interventions for Alternate Food to Address Agricultural Catastrophes Globally
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作者 David C.Denkenberger Joshua M.Pearce 《International Journal of Disaster Risk Science》 SCIE CSCD 2016年第3期205-215,共11页
The literature suggests there is about a 1 % risk per year of a 10 % global agricultural shortfall due to catastrophes such as a large volcanic eruption, a medium asteroid or comet impact, regional nuclear war, abrupt... The literature suggests there is about a 1 % risk per year of a 10 % global agricultural shortfall due to catastrophes such as a large volcanic eruption, a medium asteroid or comet impact, regional nuclear war, abrupt climate change, and extreme weather causing multiple breadbasket failures. This shortfall has an expected mortality of about 500 million people. To prevent such mass starvation, alternate foods can be deployed that utilize stored biomass. This study developed a model with literature values for variables and, where no values existed,used large error bounds to recognize uncertainty. Then Monte Carlo analysis was performed on three interventions: planning, research, and development. The results show that even the upper bound of USD 400 per life saved by these interventions is far lower than what is typically paid to save a life in a less-developed country. Furthermore, every day of delay on the implementation of these interventions costs 100–40,000 expected lives(number of lives saved multiplied by the probability that alternate foods would be required). These interventions plus training would save 1–300 million expected lives. In general, these solutions would reduce the possibility of civilization collapse, could assist in providing food outside of catastrophic situations, and would result in billions of dollars per year of return. 展开更多
关键词 Agricultural catastrophe Alternate food Global catastrophic risk Intervention cost-effectiveness
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M^x/M/c Queue with catastrophes and state-dependent control at idle time
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作者 Junping LI Lina ZHANG 《Frontiers of Mathematics in China》 SCIE CSCD 2017年第6期1427-1439,共13页
We consider an MX/M/c queue with catastrophes and state- dependent control at idle time. Properties of the queues which terminate when the servers become idle are first studied. Recurrence, equilibrium distribution, a... We consider an MX/M/c queue with catastrophes and state- dependent control at idle time. Properties of the queues which terminate when the servers become idle are first studied. Recurrence, equilibrium distribution, and equilibrium queue-size structure are studied for the case of resurrection and no catastrophes. All of these properties and the first effective catastrophe occurrence time are then investigated for the case of resurrection and catastrophes. In particular, we obtain the Laplace transform of the transition probability for the absorbing MX/M/c queue. 展开更多
关键词 Markovian bulk-arriving queues equilibrium distribution queue size recurrence effective catastrophe
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Mediating Effect of Medical Coping Styles in Patients with Chronic Pain between Pain Degree and Pain Catastrophe
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作者 Hui Qiang Yan Hua 《Journal of Clinical and Nursing Research》 2025年第11期409-419,共11页
Objective:To explore the relationship between pain degree and pain catastrophe and medical coping mode in patients with chronic pain.Methods:A visual analogue score scale,medical coping style questionnaire and pain ca... Objective:To explore the relationship between pain degree and pain catastrophe and medical coping mode in patients with chronic pain.Methods:A visual analogue score scale,medical coping style questionnaire and pain catastrophe scale were used to survey 200 patients in the pain department.Results:The average scores of pain degree of patients with chronic pain were(5.97±2.29),the average score of the total score of the Pain Catastrophe Scale was(21.21±11.56),and the average scores of facing,avoidance and surrender in the Medical Response Style Questionnaire were(17.93±3.4),(16.82±2.4),and(8.87±2.83),respectively.Pain degree was positively correlated with the yield dimension in pain catastrophe and medical coping(p<0.05).The yield dimension of medical coping was positively correlated with pain catastrophe(p<0.05).Medical coping methods played a partial mediating role between pain degree and pain catastrophe,and the mediating effect accounted for 21.59%of the total effect.Conclusion:The pain level of chronic pain patients can affect the level of pain catastrophe through medical coping,and clinical medical staff should guide patients to adopt positive coping methods to promote their healthy recovery. 展开更多
关键词 Chronic pain Degree of pain Medical responses Catastrophic pain Mediating effects
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A Novel Approach to Enhanced Cancelable Multi-Biometrics Personal Identification Based on Incremental Deep Learning
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作者 Ali Batouche Souham Meshoul +1 位作者 Hadil Shaiba Mohamed Batouche 《Computers, Materials & Continua》 2025年第5期1727-1752,共26页
The field of biometric identification has seen significant advancements over the years,with research focusing on enhancing the accuracy and security of these systems.One of the key developments is the integration of d... The field of biometric identification has seen significant advancements over the years,with research focusing on enhancing the accuracy and security of these systems.One of the key developments is the integration of deep learning techniques in biometric systems.However,despite these advancements,certain challenges persist.One of the most significant challenges is scalability over growing complexity.Traditional methods either require maintaining and securing a growing database,introducing serious security challenges,or relying on retraining the entiremodelwhen new data is introduced-a process that can be computationally expensive and complex.This challenge underscores the need for more efficient methods to scale securely.To this end,we introduce a novel approach that addresses these challenges by integrating multimodal biometrics,cancelable biometrics,and incremental learning techniques.This work is among the first attempts to seamlessly incorporate deep cancelable biometrics with dynamic architectural updates,applied incrementally to the deep learning model as new users are enrolled,achieving high performance with minimal catastrophic forgetting.By leveraging a One-Dimensional Convolutional Neural Network(1D-CNN)architecture combined with a hybrid incremental learning approach,our system achieves high recognition accuracy,averaging 98.98% over incrementing datasets,while ensuring user privacy through cancelable templates generated via a pre-trained CNN model and random projection.The approach demonstrates remarkable adaptability,utilizing the least intrusive biometric traits like facial features and fingerprints,ensuring not only robust performance but also long-term serviceability. 展开更多
关键词 Incremental learning personal identification cancelablemulti-biometrics pattern recognition security deep learning cyber-attacks transfer learning random projection catastrophic forgetting
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Multi-source information response characteristics of surrounding rock catastrophic instability in deep roadways with four-dimensional support
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作者 Pengfei Yan Zhanguo Ma +5 位作者 Hongbo Li Peng Gong Haihui Zhao Chuanchuan Cai Mingshuo Xu Tianqi She 《Journal of Rock Mechanics and Geotechnical Engineering》 2025年第11期7183-7207,共25页
As coal mining progresses to greater depths,controlling the stability of surrounding rock in deep roadways has become an increasingly complex challenge.Although four-dimensional(4D)support theoretically offers unique ... As coal mining progresses to greater depths,controlling the stability of surrounding rock in deep roadways has become an increasingly complex challenge.Although four-dimensional(4D)support theoretically offers unique advantages in maintaining the stability of rock mass,the disaster evolution processes and multi-source information response characteristics in deep roadways with 4D support remain unclear.Consequently,a large-scale physical model testing system and self-designed 4D support components were employed to conduct similarity model tests on the surrounding rock failure process under unsupported(U-1),traditional bolt-mesh-cable support(T-2),and 4D support(4D-R-3)conditions.Combined with multi-source monitoring techniques,including stress–strain,digital image correlation(DIC),acoustic emission(AE),microseismic(MS),parallel electric(PE),and electromagnetic radiation(EMR),the mechanical behavior and multi-source information responses were comprehensively analyzed.The results show that the peak stress and displacement of the models are positively correlated with the support strength.The multi-source information exhibits distinct response characteristics under different supports.The response frequency,energy,and fluctuationsof AE,MS,and EMR signals,along with the apparent resistivity(AR)high-resistivity zone,follow the trend U-1>T-2>4D-R-3.Furthermore,multi-source information exhibits significantdifferences in sensitivity across different phases.The AE,MS,and EMR signals exhibit active responses to rock mass activity at each phase.However,AR signals are only sensitive to the fracture propagation during the plastic yield and failure phases.In summary,the 4D support significantlyenhances the bearing capacity and plastic deformation of the models,while substantially reducing the frequency,energy,and fluctuationsof multi-source signals. 展开更多
关键词 Physical model Deep roadway Four-dimensional(4D)support Multi-source monitoring information Catastrophic instability process
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A Real-Time Deep Learning Approach for Electrocardiogram-Based Cardiovascular Disease Prediction with Adaptive Drift Detection and Generative Feature Replay
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作者 Soumia Zertal Asma Saighi +2 位作者 Sofia Kouah Souham Meshoul Zakaria Laboudi 《Computer Modeling in Engineering & Sciences》 2025年第9期3737-3782,共46页
Cardiovascular diseases(CVDs)continue to present a leading cause ofmortalityworldwide,emphasizing the importance of early and accurate prediction.Electrocardiogram(ECG)signals,central to cardiac monitoring,have increa... Cardiovascular diseases(CVDs)continue to present a leading cause ofmortalityworldwide,emphasizing the importance of early and accurate prediction.Electrocardiogram(ECG)signals,central to cardiac monitoring,have increasingly been integratedwithDeep Learning(DL)for real-time prediction of CVDs.However,DL models are prone to performance degradation due to concept drift and to catastrophic forgetting.To address this issue,we propose a realtime CVDs prediction approach,referred to as ADWIN-GFR that combines Convolutional Neural Network(CNN)layers,for spatial feature extraction,with Gated Recurrent Units(GRU),for temporal modeling,alongside adaptive drift detection and mitigation mechanisms.The proposed approach integratesAdaptiveWindowing(ADWIN)for realtime concept drift detection,a fine-tuning strategy based on Generative Features Replay(GFR)to preserve previously acquired knowledge,and a dynamic replay buffer ensuring variance,diversity,and data distribution coverage.Extensive experiments conducted on the MIT-BIH arrhythmia dataset demonstrate that ADWIN-GFR outperforms standard fine-tuning techniques,achieving an average post-drift accuracy of 95.4%,amacro F1-score of 93.9%,and a remarkably low forgetting score of 0.9%.It also exhibits an average drift detection delay of 12 steps and achieves an adaptation gain of 17.2%.These findings underscore the potential of ADWIN-GFR for deployment in real-world cardiac monitoring systems,including wearable ECG devices and hospital-based patient monitoring platforms. 展开更多
关键词 Real-time cardiovascular disease prediction concept drift detection catastrophic forgetting fine-tuning electrocardiogram convolutional neural networks gated recurrent units adaptive windowing generative feature replay
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Damage failure of cemented backfill and its reasonable match with rock mass 被引量:34
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作者 刘志祥 兰明 +1 位作者 肖思友 郭虎强 《Transactions of Nonferrous Metals Society of China》 SCIE EI CAS CSCD 2015年第3期954-959,共6页
In order to study the failure mechanism of backfill and the reasonable matches between backfill and rock mass, and to achieve the object of safe and efficient mining in metal mine, four types of backfills were tested ... In order to study the failure mechanism of backfill and the reasonable matches between backfill and rock mass, and to achieve the object of safe and efficient mining in metal mine, four types of backfills were tested under uniaxial compression loading, with cement?tailing ratios of 0.250:1, 0.125:1, 0.100:1 and 0.083:1, respectively. With the help of the stress?strain curves, the deformation and failure characteristics of different backfills with differing cement?tailing ratios were analyzed. Based on the experimental results, the damage constitutive equations of cemented backfills with four cement?tailing ratios were proposed on the basis of damage mechanics. Moreover, comparative analysis of constitutive model and experimental results were made to verify the reliability of the damage model. In addition, an energy model using catastrophe theory to obtain the instability criteria of system was established to study the interaction between backfill and rock mass, and then the system instability criterion was deduced. The results show that there are different damage characteristics for different backfills, backfills with lower cement?tailing ratio tend to have a lower damage value when stress reaches peak value, and damage more rapidly and more obviously in failure process after peak value of stress; the stiffness and elastic modulus of rock mass with lower strength are more likely to lead to system instability. The results of this work provide a scientific basis for the rational strength design of backfill mine. 展开更多
关键词 cemented tailings backfill rock mass damage constitutive equation catastrophe theory MATCH instability criterion
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Mitotic Catastrophe的研究进展 被引量:2
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作者 张博 周平坤 《细胞生物学杂志》 CSCD 2007年第6期849-852,共4页
细胞死亡是多细胞生物生命过程中重要的生理或病理现象,可分为坏死和程序性细胞死亡,而后者根据死亡细胞的形态学和发生机制的不同又可分为凋亡、自吞噬和mitotic catastrophe,其中mitotic catastrophe是近年来才被揭示报道,是指细胞在... 细胞死亡是多细胞生物生命过程中重要的生理或病理现象,可分为坏死和程序性细胞死亡,而后者根据死亡细胞的形态学和发生机制的不同又可分为凋亡、自吞噬和mitotic catastrophe,其中mitotic catastrophe是近年来才被揭示报道,是指细胞在有丝分裂过程中死亡的现象,是一种发生在细胞有丝分裂期由于异常的细胞分裂而导致的细胞死亡,它常常伴随着细胞有丝分裂检查点的异常和基因或纺锤体结构的损伤而发生。现对mitotic catastrophe及相关的调控机制进行综述。 展开更多
关键词 MITOTIC CATASTROPHE DNA损伤 细胞周期检查点 纺锤体
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突发事件与应急管理的相关概念辨析 被引量:3
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作者 龚鹏飞 《城市与减灾》 2015年第4期26-29,共4页
自美国"9·11"事件后,应对突发事件的应急管理逐渐成为各国政府全面履行社会管理和公共服务职能的重要内容。与此同时,在理论研究方面,各国研究者对突发事件与应急管理也开展了不同角度的深入研究。虽然国内关于突发事件及应急管... 自美国"9·11"事件后,应对突发事件的应急管理逐渐成为各国政府全面履行社会管理和公共服务职能的重要内容。与此同时,在理论研究方面,各国研究者对突发事件与应急管理也开展了不同角度的深入研究。虽然国内关于突发事件及应急管理的相关研究起步较晚,但自SARS疫情、2008年冰雪灾害、汶川大地震等重大突发事件发生后,国内各界对突发事件的应急管理越来越重视,相关的研究也进入一个高潮期。在突发事件及应急管理的研究初期,相关的概念、 展开更多
关键词 冰雪灾害 高潮期 汶川大地震 概念辨析 严重社会危害 社会管理 服务职能 disaster CATASTROPHIC 公共管理领域
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Evaluation of Urban Village Renovation System in Xi’an City of China Based on Brittleness Analysis
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作者 冯璐 张佩 《Journal of Landscape Research》 2012年第4期40-42,46,共4页
Renovation system of urban villages in Xi'an City was evaluated. Influence factors of urban village renovation were analyzed on the basis of brittleness theory, and an evaluation index system established through m... Renovation system of urban villages in Xi'an City was evaluated. Influence factors of urban village renovation were analyzed on the basis of brittleness theory, and an evaluation index system established through multi-level inconsistency decomposing. By incorporating the catastrophe theory with fuzzy mathematical theory, the mathematic model was created, and catastrophe membership function was obtained as well as evaluation results. Policies for the renovation of urban villages and new direction of the renovation were interpreted. The application case proved that catastrophe progression method was objective and effective and it could provide new concepts for the evaluation and adjustment of urban village renovation. Moreover, application of brittleness theory in the research on urban village renovation is of great instruction and reference value for the present urban construction. 展开更多
关键词 Urban VILLAGE RENOVATION CATASTROPHE Progression Method BRITTLENESS EVALUATION Xi’an City
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Cusp Model for Risk Analysis
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作者 钱新明 乔士平 《Journal of Beijing Institute of Technology》 EI CAS 1999年第2期108-113,共6页
Aim To assess simultaneously various risk states of a system. Methods\ Using the catastrophe and fuzzy theory, the energy and uncertainty in a system are set as two control variables and the function of the system is... Aim To assess simultaneously various risk states of a system. Methods\ Using the catastrophe and fuzzy theory, the energy and uncertainty in a system are set as two control variables and the function of the system is used as the state variable for analysis. Results and Conclusion\ A risk analysis model named the cusp model is presented. Various states regarding the safety of the system such as the accident state, no accident state and miss state can be represented at will on the cusp model. 展开更多
关键词 cusp catastrophe risk analysis CATASTROPHE fuzzy theory
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Assessing forest cover changes and fragmentation in the Himalayan temperate region: implications for forest conservation and management
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作者 Kaleem Mehmood Shoaib Ahmad Anees +6 位作者 Akhtar Rehman Aqil Tariq Qijing Liu Sultan Muhammad Fazli Rabbi Shao’an Pan Wesam Atef Hatamleh 《Journal of Forestry Research》 SCIE EI CAS CSCD 2024年第4期128-141,共14页
This study comprehensively assessed long-term vegetation changes and forest fragmentation dynamics in the Himalayan temperate region of Pakistan from 1989 to 2019.Four satellite images,including Landsat-5 TM and Lands... This study comprehensively assessed long-term vegetation changes and forest fragmentation dynamics in the Himalayan temperate region of Pakistan from 1989 to 2019.Four satellite images,including Landsat-5 TM and Landsat-8 Operational Land Imager(OLI),were chosen for subsequent assessments in October 1989,2001,2011 and 2019.The classified maps of 1989,2001,2011 and 2019 were created using the maximum likelihood classifier.Post-classification comparison showed an overall accuracy of 82.5%and a Kappa coefficient of 0.79 for the 2019 map.Results revealed a drastic decrease in closed-canopy and open-canopy forests by 117.4 and 271.6 km^(2),respectively,and an increase in agriculture/farm cultivation by 1512.8 km^(2).The two-way ANOVA test showed statistically significant differences in the area of various cover classes.Forest fragmentation was evaluated using the Landscape Fragmentation Tool(LFT v2.0)between 1989 and 2019.The large forest core(>2.00 km^(2))decreased from 149.4 to 296.7 km^(2),and a similar pattern was observed in medium forest core(1.00-2.00 km^(2))forests.On the contrary,the small core(<1.00 km^(2))forest increased from 124.8 to 145.3 km^(2) in 2019.The perforation area increased by 296.9 km^(2),and the edge effect decreased from 458.9 to 431.7 km^(2).The frequency of patches also increased by 119.1 km^(2).The closed and open canopy classes showed a decreasing trend with an annual rate of 0.58%and 1.35%,respectively.The broad implications of these findings can be seen in the studied region as well as other global ecological areas.They serve as an imperative baseline for afforestation and reforestation operations,highlighting the urgent need for efficient management,conservation,and restoration efforts.Based on these findings,sustainable land-use policies may be put into place that support local livelihoods,protect ecosystem services,and conserve biodiversity. 展开更多
关键词 Natural catastrophes Landsat Change detection Forest fragmentation Landscape fragmentation tool(LFT) AFFORESTATION REFORESTATION
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Nuclear Energy and Its History: Past Consequences, Present Inadequacies and a Perspective for Success
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作者 Romney B. Duffey Francesco D’Auria 《Energy and Power Engineering》 2020年第6期193-236,共44页
An attempt is made to locate nuclear technology within a logical context considering history, risks, societal catastrophes and perspectives: the need is identified for a new direction in the exploitation in order to r... An attempt is made to locate nuclear technology within a logical context considering history, risks, societal catastrophes and perspectives: the need is identified for a new direction in the exploitation in order to restore the role in energy production. We depict the situation coming from a marvelous history of discoveries started at the beginning of the XX century;heroes are recalled who made possible something that is inconceivable today: design, construction and production of electricity in a few years;that history was tainted by intentional nuclear explosions, </span><i><span style="font-size:12px;font-family:Verdana;">i.e.</span></i><span style="font-size:12px;font-family:Verdana;"> the original sin that we are now paying. Then, we attempt to show that the societal risk is an inherent part of the civilization. Restoring the public trust (towards nuclear fission technology) by matching nuclear safety with the current technological status and advancers in risk assessment is the key objective. The </span></span><span style="font-family:Verdana;font-size:12px;">“</span><span style="font-family:Verdana;font-size:12px;">independent assessment</span><span style="font-family:Verdana;font-size:12px;">”</span><span style="font-family:Verdana;font-size:12px;">, or a principle for the exploitation of nuclear energy already stated in the 50’s of the previous century, shall then re-appear. This is used to erect the signpost for a </span><span style="font-family:Verdana;font-size:12px;">“</span><span style="font-family:Verdana;font-size:12px;">dynamic barricade</span><span style="font-family:Verdana;font-size:12px;">”</span><span style="font-family:Verdana;font-size:12px;"> to further reduce the risk of operation of nuclear reactors and to match the design with current technological capabilities and with the frontiers of the research. 展开更多
关键词 Societal Risk Risk and Probability catastrophes Nuclear Fission Nuclear Reactor Technology Dynamic Barricade Cost of Safety
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上海市耐多药结核病患者经济负担研究 被引量:6
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作者 刘方珉 吴春峰 +5 位作者 吴国柱 沈鑫 吴哲渊 陈静 宁晨曦 陈勇 《中国卫生资源》 CSCD 北大核心 2023年第1期42-49,共8页
目的基于上海市近年结核病诊疗费用减免政策,探索耐多药结核病(multidrug resistant tuberculosis,MDR-TB)患者疾病经济负担及其影响因素,为优化MDR-TB诊疗费用减免政策和综合管理模式提供依据。方法收集上海市2017—2019年确诊MDR-TB... 目的基于上海市近年结核病诊疗费用减免政策,探索耐多药结核病(multidrug resistant tuberculosis,MDR-TB)患者疾病经济负担及其影响因素,为优化MDR-TB诊疗费用减免政策和综合管理模式提供依据。方法收集上海市2017—2019年确诊MDR-TB患者情况和诊疗费用减免情况数据,开展针对疾病经济负担的问卷调查,建立涵盖患者人口和社会经济情况、临床特征、疾病经济负担和诊疗费用减免情况数据库,明确患者疾病经济负担和灾难性卫生支出(catastrophic health expenditure)发生情况。以多元线性回归法分析可能影响患者疾病经济负担的因素,以多因素logistic回归法分析不同比例下灾难性卫生支出发生的影响因素。结果196例纳入研究分析的MDR-TB患者平均年龄为(44±16)岁,男性139例(占70.9%),上海户籍占46.4%,49%的患者为家庭主要劳动力。治疗期间,患者自付诊疗费用中位数为4.0(四分位数区间2.0~6.5)万元。113例患者获得减免诊疗,减免费用中位数为2.6(四分位数区间1.3~4.9)万元。若自付费用占家庭年收入的40%及以上,有47.8%的患者会发生灾难性支出;若不考虑减免政策,有59.8%的患者发生灾难性卫生支出。上海户籍(OR=0.3,95%CI为0.1~1.0)、更低家庭收入水平(P_(trend)=0.002)、医疗保险类型[(农村合作医疗保险/外来人口综合保险(OR=13.3,95%CI为1.0~171.2),无医疗保险(OR=17.5,95%CI为2.7~113.0)]和既往结核病治疗史(OR=3.3,95%CI为1.1~10.0)可能影响灾难性卫生支出的发生。结论上海市MDR-TB患者的自付诊疗费用较高。医疗保障力度较小和家庭经济情况不佳的患者更易发生高额自付费用,导致灾难性卫生支出。上海市MDR-TB诊疗费用减免政策有效降低了患者的经济负担。 展开更多
关键词 耐多药结核病multidrug resistant tuberculosis MDR-TB 疾病经济负担disease financial burden 灾难性卫生支出catastrophic health expenditure 费用减免政策expense subsidy policy 社会保障social protection
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From People as Foundation(Minbon)to Concept of a Republic(Minkuk):Tracing Neo-Confucianism in Korean History
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作者 Yi Tae-jin 《Cultural and Religious Studies》 2023年第3期105-117,共13页
This article is the memoirs of the author’s long-time research on the Neo-Confucian history of the Chosun dynasty Korea.The author recalled his academic achievement of the several stages of the historical changes of ... This article is the memoirs of the author’s long-time research on the Neo-Confucian history of the Chosun dynasty Korea.The author recalled his academic achievement of the several stages of the historical changes of Korean society with the Neo-Confucianism.The time range covered from the late 14th century to the nineteenth century.The research position was adhered to the view of the positive function of Confucianism which aimed to overcome the negative understanding highly influenced by the Japanese colonialism.He examined the socio-economic development accompanied with the Neo-Confucianism at the first stage.In the part of the sixteenth century the formation of Sarim group was interpreted as critical forces and the prevailed factionalism as the principle of politics rather than the chronic political strife.The author introduced his unique achievement that the ideology of the Neo-Confucianism had been strongly intensified with the response to the long term natural catastrophes of the Little Ice Age(c.1490-1760).The republican concept of 18th-century impartial rulers,the most important achievement of Korean Neo-Confucianism,was viewed as the result of effort to overcome the natural disasters.This topic was connected to the concept of republic which shows in a diagram of the Korean national flag. 展开更多
关键词 Chiangnan Agriculture Long Term Natural catastrophes Concept of Republic Korean National Flag
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Collapse analysis of tunnel floor in karst area based on Hoek-Brown rock media 被引量:17
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作者 YANG Xiao-li LI Zheng-wei +1 位作者 LIU Zheng-an XIAO Hai-bo 《Journal of Central South University》 SCIE EI CAS CSCD 2017年第4期957-966,共10页
Collapse shape of tunnel floor in Hoek-Brown rock media is investigated with the functional catastrophe theory. The stability of rock system in tunnel floor, which is determined by thickness, half collapse width, half... Collapse shape of tunnel floor in Hoek-Brown rock media is investigated with the functional catastrophe theory. The stability of rock system in tunnel floor, which is determined by thickness, half collapse width, half length of cave and detaching curve, has great secure and economic significance in practical engineering. To investigate the failure mechanisms and the outline of detaching block, a reliable damage model is presumed by making reference to the limit analysis theory. The analytical solutions of detaching curve, half collapse width on tunnel floor and the critical and maximum values of collapse thickness are derived based on Hoek-Brown criterion and functional catastrophe theory. The result shows that 0.5 is a most probable condition for instability, and the shape of detaching curve is a part of parabola. It is reasonable by comparing with previous theory and analogous experiments. The effects of major factors on thickness and half collapse width are further discussed. Numerical calculations and parametric analysis are carried out to illustrate the effects of different parameters on the mechanism, which is significant to the stability analysis of tunnel floor in rock media. 展开更多
关键词 KARST functional CATASTROPHE theory HOEK-BROWN criterion safety thickness TUNNEL FLOOR upper BOUND
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