The tiered geosynthetic-reinforced soil (GRS) walls have been increasingly applied in the high and steep retaining soil structures. However, very little is known about the design method for the tiered GRS wall in prac...The tiered geosynthetic-reinforced soil (GRS) walls have been increasingly applied in the high and steep retaining soil structures. However, very little is known about the design method for the tiered GRS wall in practice. This study is aimed at proposing an upper-bound stability analysis method of a tiered GRS wall. The proposed method was firstly validated by the existing results from the centrifuge test and the numerical method, and then a parametric study was performed to investigate the effects of the cohesionless backfill friction angle φ1 and the wall geometric parameters including the offset distance, the total wall height, the batter angle δ, the number of tiers n, and wall height ratio of adjacent tiers on the dimensionless equivalent earth pressure coefficient KT. The analysis results demonstrated that as the φ1 increases, the shear strength of backfill is enhanced and thus the KT or the total reinforcement tensile force decreases, and the KT decreases with the increase of the offset distance at the initial stage and then becomes stable when it reaches a certain critical value. For a fixed offset distance, the KT or the total reinforcement tensile force decreases with the increase of the δ. For the two-tiered GRS walls having the offset distance less than the critical value, the wall with the smaller wall height ratio has a larger KT. Further, the variation of the location of the critical failure surfaces of tiered GRS walls was presented in this study with the variation of the φ1 and the wall geometry.展开更多
Based on the Ramsey theory-the foundation for the tiered electricity pricing mechanism, this article analyzes the effects of the tiered electricity pricing system on social justice, eff iciency and commodity prices, a...Based on the Ramsey theory-the foundation for the tiered electricity pricing mechanism, this article analyzes the effects of the tiered electricity pricing system on social justice, eff iciency and commodity prices, and concludes that the system would direct subsidies to flow into low income groups, and promote energy conservation and emissions reduction by restricting over-consumption of high income groups, without enormous effect on commodity prices. The key to designing the tiered system is how to estimate the amount of electricity use for each tier, so as to avoid excluding low income groups from the subsidy or including high income groups in the subsidy.展开更多
Eforts to reform healthcare systems globally have long been driven by the inherent tradeofs between equity and eficiency.Using a patient referral model,we constructed a costbenefit matrix for both hospitals and patien...Eforts to reform healthcare systems globally have long been driven by the inherent tradeofs between equity and eficiency.Using a patient referral model,we constructed a costbenefit matrix for both hospitals and patients.We analyzed the effects of nominal tiered diagnosis and treatment(TDT)using medical institutions'monthly report data from Sichuan province spanning 2012 to 2018.Additionally,we assessed the effects of actual TDT based on inpatient medical records data from Sichuan province spanning 2015 to 2018.We further discussed the potential for the TDT model to achieve Pareto improvements in addressing equity-eficiency trade-ofs in healthcare.Our findings suggest that nominal TDT failed to improve patients'medical behaviors.In contrast,actual TDT improved medical efficiency by enhancing patient outcomes and reducing the relative length of hospital stay,while also promoting medical equity by narrowing disparities in out-of-pocket expenses and health insurance reimbursements.Moreover,the effects of actual TDT on eficiency and equity varied across hospital types,disease categories,and inpatient populations.Actual TDT has the potential to generate Pareto improvements in managing the equity-eficiency trade-ofs within the healthcare system.Strengthening actual referral behaviors proved crucial for fully realizing the benefits of the TDT model.展开更多
China's dual-carbon goals challenges wastewater treatment plants(WWTPs),requiring integrated pollution control and carbon emission reduction.Critical gaps hinder China's strategies for WWTPs,particularly in id...China's dual-carbon goals challenges wastewater treatment plants(WWTPs),requiring integrated pollution control and carbon emission reduction.Critical gaps hinder China's strategies for WWTPs,particularly in identifying upgrade needs,optimizing performance,and assessing the local benchmark plants as references.This study addresses these gaps through greenhouse gas(GHG)emission accounting and impact factor analysis,using monthly data from 2232 WWTPs across China.A tiered assessment methodology was developed to evaluate the synergy between pollution reduction and carbon mitigation,including indicators,methodologies,and assessment criteria.Results indicate that indirect emissions from electricity and chemical consumption accounted for 59.9%of total GHG emissions.Key factors influencing these indirect emissions included plant scale,treatment processes,geographic area,operational load,electricity consumption,and influent quality.Through the tiered assessment,WWTPs were classified into three categories:priority control(861 plants),general control(730 plants),and maintenance(641 plants).Furthermore,222 benchmark plants were identified as exhibiting optimal synergy between pollution control and carbon reduction.For 80%of the benchmark plants,the ranges for carbon emission intensity,influent COD,influent C/N ratio,electricity consumption intensity,and operating load were 0.258–0.482 kg CO2e/t,175–338 mg/L,6.13–10.9,0.149–0.260 kWh per tonne of influent,and 88.0%–110%,respectively.Achieving these benchmark standards across all WWTPs could lead to a 30%reduction in total GHG emissions.Finally,the study proposes targeted policies to enhance the synergy between pollution control and carbon reduction strategies in China's urban wastewater treatment systems.展开更多
In the terraced fields in Honghe Hani and Yi Autonomous Prefecture,southwest China’s Yunnan Province,the morning mist drifts up from the valleys while the tiered ridges spread like the fingerprints of the earth.
French photographer Yann Layma first captured a moment at the Honghe Hani Rice Terraces in 1993.The tiered fields climbed like stairways into the sky.Glints of water appeared and disappeared through drifting clouds.Ha...French photographer Yann Layma first captured a moment at the Honghe Hani Rice Terraces in 1993.The tiered fields climbed like stairways into the sky.Glints of water appeared and disappeared through drifting clouds.Hani farmers could be seen quietly tending the land.Deeply moved,Layma spent six months producing Mountain Sculptors-a collection that included a film,a photo album,a travel diary,and nearly 10,000 photographs.展开更多
Invasive alien species(IAS)significantly threaten global biodiversity and ecosystem stability.Despite increasing management efforts,a critical knowledge gap existed in understanding commonalities and disparities among...Invasive alien species(IAS)significantly threaten global biodiversity and ecosystem stability.Despite increasing management efforts,a critical knowledge gap existed in understanding commonalities and disparities among national strategies.We analyzed several IAS management lists from 23 countries and the European Union,focusing specifically on vascular plant species within these lists.List composition,characteristics,and associated management measures were analyzed.Key patterns in species prioritization across national lists and intercontinental exchange of invasive alien plants(IAPs)were identified.Pistia stratiotes,Pontederia crassipes,Salvinia molesta,Cabomba caroliniana,Ulex europaeus were identified as globally recognized threats,being listed by at least 33.3%of analyzed countries and invading five or more continents.Aquatic plants were found to be more frequently included in management lists.A significant directional invasion pattern between the Eastern and Western Hemispheres was identified.Species native to Asia were observed to dominate as significant donors of IAPs across continents.The analysis of list management strategies highlighted substantial gaps in achieving Target 6 of the Kunming-Montreal Global Biodiversity Framework,particularly in species prioritization and inclusion of potential IAPs.In response to these challenges,a tiered classification system for invasive alien species list was proposed,encompassing High-Priority,Watchlist,Potential,and Priority Site categories,which aimed at enhancing management effectiveness by tailoring strategies to different invasion stages and ecological contexts.This study could contribute to understanding global IAPs management strategies and serve as a reference for policymakers and conservation managers to identify priority IAPs and refine management approaches.展开更多
The park-level integrated energy system(PIES)is essential for achieving carbon neutrality by managing multi-energy supply and demand while enhancing renewable energy integration.However,current carbon trading mechanis...The park-level integrated energy system(PIES)is essential for achieving carbon neutrality by managing multi-energy supply and demand while enhancing renewable energy integration.However,current carbon trading mechanisms lack sufficient incentives for emission reductions,and traditional optimization algorithms often face challenges with convergence and local optima in complex PIES scheduling.To address these issues,this paper introduces a low-carbon dispatch strategy that combines a reward-penalty tiered carbon trading model with P2G-CCS integration,hydrogen utilization,and the Secretary Bird Optimization Algorithm(SBOA).Key innovations include:(1)A dynamic reward-penalty carbon trading mechanism with coefficients(μ=0.2,λ=0.15),which reduces carbon trading costs by 47.2%(from$694.06 to$366.32)compared to traditional tiered models,incentivizing voluntary emission reductions.(2)The integration of P2G-CCS coupling,which lowers natural gas consumption by 41.9%(from$4117.20 to$2389.23)and enhances CO_(2) recycling efficiency,addressing the limitations of standalone P2G or CCS technologies.(3)TheSBOA algorithm,which outperforms traditionalmethods(e.g.,PSO,GWO)in convergence speed and global search capability,avoiding local optima and achieving 24.39%faster convergence on CEC2005 benchmark functions.(4)A four-energy PIES framework incorporating electricity,heat,gas,and hydrogen,where hydrogen fuel cells and CHP systems improve demand response flexibility,reducing gas-related emissions by 42.1%and generating$13.14 in demand response revenue.Case studies across five scenarios demonstrate the strategy’s effectiveness:total operational costs decrease by 14.7%(from$7354.64 to$6272.59),carbon emissions drop by 49.9%(from 5294.94 to 2653.39kg),andrenewable energyutilizationincreases by24.39%(from4.82%to8.17%).These results affirmthemodel’s ability to reconcile economic and environmental goals,providing a scalable approach for low-carbon transitions in industrial parks.展开更多
If you look into the EU AI Act,you will find that the requirements are specified at a very high level.This is because the details are defined elsewhere.That is what standardization is doing.If we look at the world of ...If you look into the EU AI Act,you will find that the requirements are specified at a very high level.This is because the details are defined elsewhere.That is what standardization is doing.If we look at the world of AI standardization,there are three tiers-the international tier,the European tier and the national tier.There are also AI standardization committees at all three levels.展开更多
Objective:To assess comprehensive abortion care(CAC)services uptake and barriers to it in selected representative units of the three tier health care in the district of Malda in West Bengal,India.Methods:We conducted ...Objective:To assess comprehensive abortion care(CAC)services uptake and barriers to it in selected representative units of the three tier health care in the district of Malda in West Bengal,India.Methods:We conducted community-based,concurrent,parallel mixed methods study.Quantitative assessment of knowledge of primary health care workers on CAC and appropriate infrastructure assessment was done.Qualitative methods were used to identify themes affecting uptake of quality care among stakeholders.Results:A total of 48 staff nurses and 133 auxiliary nurses and midwives were included in the study.About half of nurses(of total 48)who were second tier health care provider and two thirds(of total 133)of first tier health care provider had incorrect knowledge about legality of abortion.Only 40%mothers seeking abortion were accompanied to subcentre by primary health care worker.At the third tier health care site,physicians insisted on necessity of refresher training.Suboptimal uptake of available CAC services was due to lack of enabling environment.Lack of updated training across health care workers was observed.Conclusions:Health care providers at the community level were unaware of facilities available for mothers seeking abortion.Higher level health care providers were unsure of specific knowledge about legal permissibility and sterilization of apparatus for abortion.At the highest level,more training on medical methods of abortion was required.The problems identified are amenable to correction,and some administrative and service-related provision on appropriate measures may lead to immediate success.展开更多
Dear Editor,This letter focuses on the distributed cooperative regulation problem for a class of networked re-entrant manufacturing systems(RMSs).The networked system is structured with a three-tier architecture:the p...Dear Editor,This letter focuses on the distributed cooperative regulation problem for a class of networked re-entrant manufacturing systems(RMSs).The networked system is structured with a three-tier architecture:the production line,the manufacturing layer and the workshop layer.The dynamics of re-entrant production lines are governed by hyperbolic partial differential equations(PDEs)based on the law of mass conservation.展开更多
The National Development and Reform Commission of China （NDRC） came up with a draft for tiered pricing of household electric- it）＇ in March. After nationwide hearings, the new pricing policy will be carried out fr...The National Development and Reform Commission of China （NDRC） came up with a draft for tiered pricing of household electric- it）＇ in March. After nationwide hearings, the new pricing policy will be carried out from June. It also sparks heated debate on whether tiered pricing of household electricity is ap- propriate in China currently. The following are excerpts of some opinions on media.展开更多
依据政府间气候变化委员会(IPCC)2006年公布的反刍家畜胃肠道CH4排放系数(奶牛61 kg CH4头-1a-1,肉役牛47 kg CH4头-1a-1,绵羊和山羊均为5 kg CH4头-1a-1)和IPCC Tier 1计算方法,结合《中国统计年鉴》和《中国畜牧业统计年鉴》,估算了...依据政府间气候变化委员会(IPCC)2006年公布的反刍家畜胃肠道CH4排放系数(奶牛61 kg CH4头-1a-1,肉役牛47 kg CH4头-1a-1,绵羊和山羊均为5 kg CH4头-1a-1)和IPCC Tier 1计算方法,结合《中国统计年鉴》和《中国畜牧业统计年鉴》,估算了中国以及各个省份1990—2010年CH4的排放总量,绘制出中国反刍家畜胃肠道CH4排放格局及历史变化图。研究结果表明:11990—2010年期间,中国反刍家畜胃肠道CH4排放量(5.90—7.65 Tg)总体呈现先上升(1995年最高)后下降的趋势,其中肉役牛(主要是黄牛和水牛)胃肠道CH4排放量(>4.33 Tg)及其所占比例(>65%)最大。奶牛胃肠道CH4排放量及其比例呈现逐年增加的趋势,2006年(0.83 Tg,12.7%)超过山羊和绵羊胃肠道CH4排放量及其比例,成为中国反刍家畜胃肠道CH4排放第二大源。但是,奶牛单位产奶量所排放的CH4量逐年降低,表明中国奶牛饲养技术与生产性能不断提高。2中国反刍家畜胃肠道CH4排放格局呈现区域集中特点,主要集中在中西部和北部的各个省份,其中四川、内蒙古、新疆、河南、西藏、山东、河北、黑龙江、云南和甘肃等10个省份的排放量占中国排放总量的50%以上。总之,1990—2010年间,中国反刍家畜胃肠道CH4排放总量为(6.77±0.46)Tg(肉役牛为主要排放源),随时间推移呈现先上升后下降的趋势;中国反刍家畜胃肠道CH4排放的格局呈区域集中分布,中西部和北部的各个省份占60%以上。展开更多
With the deepening of China’s health-care reform,an integrated delivery system has gradually emerged with the function of improving the efficiency of the health-care delivery system.For China’s integrated delivery s...With the deepening of China’s health-care reform,an integrated delivery system has gradually emerged with the function of improving the efficiency of the health-care delivery system.For China’s integrated delivery system,a medical consortium plays an important role in integrating public hospitals and primary care facilities.The first medical consortium policy issued after the COVID-19 pandemic apparently placed hope on accelerating the implementation of a medical consortium and tiered health-care delivery system.This paper illustrates the possible future pathway of China’s medical consortium through retrospection of the 10-year process,changes of the series of policies,and characteristics of the policy issued in 2020.We considered that a fully integrated medical consortium would be a major phenomenon in China's medical industry,which would lead to the formation of a dualistic care pattern in China.展开更多
基金financially supported by the National Natural Science Foundation of China(Grants Nos.41877255,and 52078182).
文摘The tiered geosynthetic-reinforced soil (GRS) walls have been increasingly applied in the high and steep retaining soil structures. However, very little is known about the design method for the tiered GRS wall in practice. This study is aimed at proposing an upper-bound stability analysis method of a tiered GRS wall. The proposed method was firstly validated by the existing results from the centrifuge test and the numerical method, and then a parametric study was performed to investigate the effects of the cohesionless backfill friction angle φ1 and the wall geometric parameters including the offset distance, the total wall height, the batter angle δ, the number of tiers n, and wall height ratio of adjacent tiers on the dimensionless equivalent earth pressure coefficient KT. The analysis results demonstrated that as the φ1 increases, the shear strength of backfill is enhanced and thus the KT or the total reinforcement tensile force decreases, and the KT decreases with the increase of the offset distance at the initial stage and then becomes stable when it reaches a certain critical value. For a fixed offset distance, the KT or the total reinforcement tensile force decreases with the increase of the δ. For the two-tiered GRS walls having the offset distance less than the critical value, the wall with the smaller wall height ratio has a larger KT. Further, the variation of the location of the critical failure surfaces of tiered GRS walls was presented in this study with the variation of the φ1 and the wall geometry.
文摘Based on the Ramsey theory-the foundation for the tiered electricity pricing mechanism, this article analyzes the effects of the tiered electricity pricing system on social justice, eff iciency and commodity prices, and concludes that the system would direct subsidies to flow into low income groups, and promote energy conservation and emissions reduction by restricting over-consumption of high income groups, without enormous effect on commodity prices. The key to designing the tiered system is how to estimate the amount of electricity use for each tier, so as to avoid excluding low income groups from the subsidy or including high income groups in the subsidy.
基金support from the National Social Science Fund of China(No.22BJY082).
文摘Eforts to reform healthcare systems globally have long been driven by the inherent tradeofs between equity and eficiency.Using a patient referral model,we constructed a costbenefit matrix for both hospitals and patients.We analyzed the effects of nominal tiered diagnosis and treatment(TDT)using medical institutions'monthly report data from Sichuan province spanning 2012 to 2018.Additionally,we assessed the effects of actual TDT based on inpatient medical records data from Sichuan province spanning 2015 to 2018.We further discussed the potential for the TDT model to achieve Pareto improvements in addressing equity-eficiency trade-ofs in healthcare.Our findings suggest that nominal TDT failed to improve patients'medical behaviors.In contrast,actual TDT improved medical efficiency by enhancing patient outcomes and reducing the relative length of hospital stay,while also promoting medical equity by narrowing disparities in out-of-pocket expenses and health insurance reimbursements.Moreover,the effects of actual TDT on eficiency and equity varied across hospital types,disease categories,and inpatient populations.Actual TDT has the potential to generate Pareto improvements in managing the equity-eficiency trade-ofs within the healthcare system.Strengthening actual referral behaviors proved crucial for fully realizing the benefits of the TDT model.
基金supported by the National Natural Science Foundation of China(72140003,52470195)Tsinghua-Toyota Joint Research Fund.
文摘China's dual-carbon goals challenges wastewater treatment plants(WWTPs),requiring integrated pollution control and carbon emission reduction.Critical gaps hinder China's strategies for WWTPs,particularly in identifying upgrade needs,optimizing performance,and assessing the local benchmark plants as references.This study addresses these gaps through greenhouse gas(GHG)emission accounting and impact factor analysis,using monthly data from 2232 WWTPs across China.A tiered assessment methodology was developed to evaluate the synergy between pollution reduction and carbon mitigation,including indicators,methodologies,and assessment criteria.Results indicate that indirect emissions from electricity and chemical consumption accounted for 59.9%of total GHG emissions.Key factors influencing these indirect emissions included plant scale,treatment processes,geographic area,operational load,electricity consumption,and influent quality.Through the tiered assessment,WWTPs were classified into three categories:priority control(861 plants),general control(730 plants),and maintenance(641 plants).Furthermore,222 benchmark plants were identified as exhibiting optimal synergy between pollution control and carbon reduction.For 80%of the benchmark plants,the ranges for carbon emission intensity,influent COD,influent C/N ratio,electricity consumption intensity,and operating load were 0.258–0.482 kg CO2e/t,175–338 mg/L,6.13–10.9,0.149–0.260 kWh per tonne of influent,and 88.0%–110%,respectively.Achieving these benchmark standards across all WWTPs could lead to a 30%reduction in total GHG emissions.Finally,the study proposes targeted policies to enhance the synergy between pollution control and carbon reduction strategies in China's urban wastewater treatment systems.
文摘In the terraced fields in Honghe Hani and Yi Autonomous Prefecture,southwest China’s Yunnan Province,the morning mist drifts up from the valleys while the tiered ridges spread like the fingerprints of the earth.
文摘French photographer Yann Layma first captured a moment at the Honghe Hani Rice Terraces in 1993.The tiered fields climbed like stairways into the sky.Glints of water appeared and disappeared through drifting clouds.Hani farmers could be seen quietly tending the land.Deeply moved,Layma spent six months producing Mountain Sculptors-a collection that included a film,a photo album,a travel diary,and nearly 10,000 photographs.
基金the Fundamental Research Funds of CAF(CAFYBB2022SY020)the National Natural Science Foundation of China(31872645).
文摘Invasive alien species(IAS)significantly threaten global biodiversity and ecosystem stability.Despite increasing management efforts,a critical knowledge gap existed in understanding commonalities and disparities among national strategies.We analyzed several IAS management lists from 23 countries and the European Union,focusing specifically on vascular plant species within these lists.List composition,characteristics,and associated management measures were analyzed.Key patterns in species prioritization across national lists and intercontinental exchange of invasive alien plants(IAPs)were identified.Pistia stratiotes,Pontederia crassipes,Salvinia molesta,Cabomba caroliniana,Ulex europaeus were identified as globally recognized threats,being listed by at least 33.3%of analyzed countries and invading five or more continents.Aquatic plants were found to be more frequently included in management lists.A significant directional invasion pattern between the Eastern and Western Hemispheres was identified.Species native to Asia were observed to dominate as significant donors of IAPs across continents.The analysis of list management strategies highlighted substantial gaps in achieving Target 6 of the Kunming-Montreal Global Biodiversity Framework,particularly in species prioritization and inclusion of potential IAPs.In response to these challenges,a tiered classification system for invasive alien species list was proposed,encompassing High-Priority,Watchlist,Potential,and Priority Site categories,which aimed at enhancing management effectiveness by tailoring strategies to different invasion stages and ecological contexts.This study could contribute to understanding global IAPs management strategies and serve as a reference for policymakers and conservation managers to identify priority IAPs and refine management approaches.
基金funded by State Grid Beijing Electric Power Company Technology Project,grant number 520210230004.
文摘The park-level integrated energy system(PIES)is essential for achieving carbon neutrality by managing multi-energy supply and demand while enhancing renewable energy integration.However,current carbon trading mechanisms lack sufficient incentives for emission reductions,and traditional optimization algorithms often face challenges with convergence and local optima in complex PIES scheduling.To address these issues,this paper introduces a low-carbon dispatch strategy that combines a reward-penalty tiered carbon trading model with P2G-CCS integration,hydrogen utilization,and the Secretary Bird Optimization Algorithm(SBOA).Key innovations include:(1)A dynamic reward-penalty carbon trading mechanism with coefficients(μ=0.2,λ=0.15),which reduces carbon trading costs by 47.2%(from$694.06 to$366.32)compared to traditional tiered models,incentivizing voluntary emission reductions.(2)The integration of P2G-CCS coupling,which lowers natural gas consumption by 41.9%(from$4117.20 to$2389.23)and enhances CO_(2) recycling efficiency,addressing the limitations of standalone P2G or CCS technologies.(3)TheSBOA algorithm,which outperforms traditionalmethods(e.g.,PSO,GWO)in convergence speed and global search capability,avoiding local optima and achieving 24.39%faster convergence on CEC2005 benchmark functions.(4)A four-energy PIES framework incorporating electricity,heat,gas,and hydrogen,where hydrogen fuel cells and CHP systems improve demand response flexibility,reducing gas-related emissions by 42.1%and generating$13.14 in demand response revenue.Case studies across five scenarios demonstrate the strategy’s effectiveness:total operational costs decrease by 14.7%(from$7354.64 to$6272.59),carbon emissions drop by 49.9%(from 5294.94 to 2653.39kg),andrenewable energyutilizationincreases by24.39%(from4.82%to8.17%).These results affirmthemodel’s ability to reconcile economic and environmental goals,providing a scalable approach for low-carbon transitions in industrial parks.
文摘If you look into the EU AI Act,you will find that the requirements are specified at a very high level.This is because the details are defined elsewhere.That is what standardization is doing.If we look at the world of AI standardization,there are three tiers-the international tier,the European tier and the national tier.There are also AI standardization committees at all three levels.
基金funded by National Health Mission,Government of West Bengal[HFW-35099/37/2018-SFWB SEC(DHS)(HFW)/4441,dated 23 August 2018].
文摘Objective:To assess comprehensive abortion care(CAC)services uptake and barriers to it in selected representative units of the three tier health care in the district of Malda in West Bengal,India.Methods:We conducted community-based,concurrent,parallel mixed methods study.Quantitative assessment of knowledge of primary health care workers on CAC and appropriate infrastructure assessment was done.Qualitative methods were used to identify themes affecting uptake of quality care among stakeholders.Results:A total of 48 staff nurses and 133 auxiliary nurses and midwives were included in the study.About half of nurses(of total 48)who were second tier health care provider and two thirds(of total 133)of first tier health care provider had incorrect knowledge about legality of abortion.Only 40%mothers seeking abortion were accompanied to subcentre by primary health care worker.At the third tier health care site,physicians insisted on necessity of refresher training.Suboptimal uptake of available CAC services was due to lack of enabling environment.Lack of updated training across health care workers was observed.Conclusions:Health care providers at the community level were unaware of facilities available for mothers seeking abortion.Higher level health care providers were unsure of specific knowledge about legal permissibility and sterilization of apparatus for abortion.At the highest level,more training on medical methods of abortion was required.The problems identified are amenable to correction,and some administrative and service-related provision on appropriate measures may lead to immediate success.
文摘Dear Editor,This letter focuses on the distributed cooperative regulation problem for a class of networked re-entrant manufacturing systems(RMSs).The networked system is structured with a three-tier architecture:the production line,the manufacturing layer and the workshop layer.The dynamics of re-entrant production lines are governed by hyperbolic partial differential equations(PDEs)based on the law of mass conservation.
文摘The National Development and Reform Commission of China （NDRC） came up with a draft for tiered pricing of household electric- it）＇ in March. After nationwide hearings, the new pricing policy will be carried out from June. It also sparks heated debate on whether tiered pricing of household electricity is ap- propriate in China currently. The following are excerpts of some opinions on media.
文摘依据政府间气候变化委员会(IPCC)2006年公布的反刍家畜胃肠道CH4排放系数(奶牛61 kg CH4头-1a-1,肉役牛47 kg CH4头-1a-1,绵羊和山羊均为5 kg CH4头-1a-1)和IPCC Tier 1计算方法,结合《中国统计年鉴》和《中国畜牧业统计年鉴》,估算了中国以及各个省份1990—2010年CH4的排放总量,绘制出中国反刍家畜胃肠道CH4排放格局及历史变化图。研究结果表明:11990—2010年期间,中国反刍家畜胃肠道CH4排放量(5.90—7.65 Tg)总体呈现先上升(1995年最高)后下降的趋势,其中肉役牛(主要是黄牛和水牛)胃肠道CH4排放量(>4.33 Tg)及其所占比例(>65%)最大。奶牛胃肠道CH4排放量及其比例呈现逐年增加的趋势,2006年(0.83 Tg,12.7%)超过山羊和绵羊胃肠道CH4排放量及其比例,成为中国反刍家畜胃肠道CH4排放第二大源。但是,奶牛单位产奶量所排放的CH4量逐年降低,表明中国奶牛饲养技术与生产性能不断提高。2中国反刍家畜胃肠道CH4排放格局呈现区域集中特点,主要集中在中西部和北部的各个省份,其中四川、内蒙古、新疆、河南、西藏、山东、河北、黑龙江、云南和甘肃等10个省份的排放量占中国排放总量的50%以上。总之,1990—2010年间,中国反刍家畜胃肠道CH4排放总量为(6.77±0.46)Tg(肉役牛为主要排放源),随时间推移呈现先上升后下降的趋势;中国反刍家畜胃肠道CH4排放的格局呈区域集中分布,中西部和北部的各个省份占60%以上。
基金supported by the National Natural Sciences Foundation of China(No.71874058 and No.72174068).
文摘With the deepening of China’s health-care reform,an integrated delivery system has gradually emerged with the function of improving the efficiency of the health-care delivery system.For China’s integrated delivery system,a medical consortium plays an important role in integrating public hospitals and primary care facilities.The first medical consortium policy issued after the COVID-19 pandemic apparently placed hope on accelerating the implementation of a medical consortium and tiered health-care delivery system.This paper illustrates the possible future pathway of China’s medical consortium through retrospection of the 10-year process,changes of the series of policies,and characteristics of the policy issued in 2020.We considered that a fully integrated medical consortium would be a major phenomenon in China's medical industry,which would lead to the formation of a dualistic care pattern in China.
