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解决医、患、药、保四方问题,打破公立医院改革僵局,实现医改突破的政策建议 被引量:7
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作者 郝模 《中国卫生资源》 2012年第4期287-292,共6页
依据多年研究结果,分析和论证3个观点:一是我国医改亟需突破,以一揽子解决医、患、药、保四方问题,打破公立医院改革僵局。这是医改的初衷,也是检验医改成败标准,然而,鉴于医改方案、理论和操作等层面的原因,目前显现出被忽略倾向。二... 依据多年研究结果,分析和论证3个观点:一是我国医改亟需突破,以一揽子解决医、患、药、保四方问题,打破公立医院改革僵局。这是医改的初衷,也是检验医改成败标准,然而,鉴于医改方案、理论和操作等层面的原因,目前显现出被忽略倾向。二是我国医改能够突破,因为四方问题有着明确尤其是共同的根源和机制,也即有着明确有效的治本策略——只要在"总额预算基础上,直接变按项目付费为按服务单元付费"即可,变医疗机构的"多开点药、多开贵药"、"多做检查、多做高精尖新检查"为"少开点药、少开贵药","少做检查、少做高精尖新检查"。策略的操作十分简单,任何一省、一市、一县都可以试点。神木和府谷基础很好,如果在已有方案中加入上述思路调整,在机制和方法方面是全国可复制的。三是医改突破效果巨大,一年即可看到(1)消除"看病贵"感觉,百姓得到实惠;(2)理顺医疗机构补偿机制,彻底解决"以药养医"等弊端;(3)消除药品产、销、购、用四方问题;(4)确保医疗费用与社会经济发展同步;(5)为医保收支平衡提供稳定的环境;(6)政府便于监管,易于操作。可以在短期内实现温总理提出的"让老百姓得到实惠,让医务人员受到鼓舞,让监管人员易于掌握"。潜在的新问题,相对成效微不足道,且容易解决。 展开更多
关键词 医改 公立医院改革 四方问题
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文化基因算法在第四方物流路径规划中的应用 被引量:7
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作者 林艳 全渝娟 +2 位作者 王磊 吴祖剑 韦炜 《计算机应用研究》 CSCD 北大核心 2016年第3期783-787,共5页
第四方物流路径问题是复杂的组合优化问题。基本遗传算法在第四方物流路径问题上存在随着问题规模扩大,算法的成功率和准确率不断下降等缺点。针对基本遗传算法存在的这个问题,结合实验分析,提出了一种以遗传算法为全局搜索策略的文化... 第四方物流路径问题是复杂的组合优化问题。基本遗传算法在第四方物流路径问题上存在随着问题规模扩大,算法的成功率和准确率不断下降等缺点。针对基本遗传算法存在的这个问题,结合实验分析,提出了一种以遗传算法为全局搜索策略的文化基因算法,并针对第四方物流的问题特点设计了相应的局部搜索策略。实验结果表明,与基本遗传算法相比,该混合算法不仅在求解质量上有了较大的改进,并且在大规模第四方物流问题上也能获得质量较好的解,算法的成功率和准确率明显高于基本遗传算法。因此,基于遗传算法的文化基因算法是解决大规模第四方物流路径问题的一种有效方法。 展开更多
关键词 文化基因算法 遗传算法 局部搜索 四方物流路径问题
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Symmetry Reductions of Cauchy Problems for Fourth-Order Quasi-Linear Parabolic Equations 被引量:2
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作者 李吉娜 张顺利 苏敬蕊 《Communications in Theoretical Physics》 SCIE CAS CSCD 2010年第1期28-36,共9页
This paper is devoted to studying symmetry reduction of Cauchy problems for the fourth-order quasi-linear parabolic equations that admit certain generalized conditional symmetries (GCSs). Complete group classificati... This paper is devoted to studying symmetry reduction of Cauchy problems for the fourth-order quasi-linear parabolic equations that admit certain generalized conditional symmetries (GCSs). Complete group classification results are presented, and some examples are given to show the main reduction procedure. 展开更多
关键词 fourth-order quasi-linear parabolic equation symmetry reduction Cauchy problem
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Attractor for a Fourth-order Equation in the Whole Line
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作者 ZHAO Cai-di LI Yong-sheng 《Chinese Quarterly Journal of Mathematics》 CSCD 北大核心 2006年第2期229-235,共7页
This paper studies the long time behavior of the following Cauchy problem δu/δt+σδ^4u/δx^4+ru+uδu/δx=f,x∈R,t〉0,The authors prove the existence of global attractor by showing the corresponding operator semi... This paper studies the long time behavior of the following Cauchy problem δu/δt+σδ^4u/δx^4+ru+uδu/δx=f,x∈R,t〉0,The authors prove the existence of global attractor by showing the corresponding operator semigroup is asymptotically compact. 展开更多
关键词 global attractor fourth-order equations whole line
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A Fourth-Order Modified Method for the Cauchy Problem of the Modified Helmholtz Equation 被引量:3
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作者 R. Shi T. Wei H. H. Qin 《Numerical Mathematics(Theory,Methods and Applications)》 SCIE 2009年第3期326-340,共15页
This paper is concerned with the Cauchy problem for the modified Helmholtz equation in an infinite strip domain 0<x≤1,y∈R.The Cauchy data at x = 0 is given and the solution is then sought for the interval 0<x... This paper is concerned with the Cauchy problem for the modified Helmholtz equation in an infinite strip domain 0<x≤1,y∈R.The Cauchy data at x = 0 is given and the solution is then sought for the interval 0<x≤1.This problem is highly ill-posed and the solution(if it exists) does not depend continuously on the given data. In this paper,we propose a fourth-order modified method to solve the Cauchy problem. Convergence estimates are presented under the suitable choices of regularization parameters and the a priori assumption on the bounds of the exact solution.Numerical implementation is considered and the numerical examples show that our proposed method is effective and stable. 展开更多
关键词 Cauchy problem for the modified Helmholtz equation ill-posed problem fourth-ordermodified method.
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The Riemann Hilbert Problem for General Elliptic Complex Equations of Fourth Order
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作者 闻国椿 黄沙 《Chinese Quarterly Journal of Mathematics》 CSCD 1999年第1期35-42, ,共8页
This paper deals with the existence theorem and Riemann Hilbert boundary value problem for general nonlinear elliptic complex equations of fourth order. Firstly we give the representation and existence theorem of solu... This paper deals with the existence theorem and Riemann Hilbert boundary value problem for general nonlinear elliptic complex equations of fourth order. Firstly we give the representation and existence theorem of solutions for the complex equations. Moreover,we propose the Riemann Hilbert problem and its well posedness,and then we give the representation of solutions for the modified boundary value problem and prove its solvsbility,and finally derive solvability conditions of the original Riemann Hilbert problem. 展开更多
关键词 Riemann Hilbert problem elliptic complex equations
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Neural Network Inversion for Multilayer Quaternion Neural Networks 被引量:1
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作者 Takehiko Ogawa 《Computer Technology and Application》 2016年第2期73-82,共10页
Recently, solutions to inverse problems have been required in various engineering fields. The neural network inversion method has been studied as one of the neural network-based solutions. On the other hand, the exten... Recently, solutions to inverse problems have been required in various engineering fields. The neural network inversion method has been studied as one of the neural network-based solutions. On the other hand, the extension of the neural network to a higher-dimensional domain, e.g., complex-value or quaternion, has been proposed, and a number of higher-dimensional neural network models have been proposed. Using the quatemion, we have the advantage of expressing 3D (three-dimensional) object attitudes easily. In the quaternion domain, we can define inverse problems where the cause and the result are expressed by the quaternion. In this paper, we extend the neural network inversion method to the quatemion domain. Further, we provide the results of the computer experiments to demonstrate the process and effectiveness of our method. 展开更多
关键词 Inverse problems neural network inversion quatemion inverse mapping inverse kinematics.
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On Solvability of an Inverse Boundary Value Problem for a Fourth Order Elliptic Equation
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作者 Ya. T.Mehraliyev 《Journal of Mathematics and System Science》 2013年第11期560-566,共7页
In the paper an inverse boundary value problem for a fourth order elliptic equation with an integral condition of the first kind is investigated. First, the given problem is reduced to an equivalent problem in a certa... In the paper an inverse boundary value problem for a fourth order elliptic equation with an integral condition of the first kind is investigated. First, the given problem is reduced to an equivalent problem in a certain sense. Then, using the Fourier method the equivalent problem is reduced to solving the system of integral equations. The existence and uniqueness of a solution to the system of integral equation is proved by the contraction mapping principle. This solution is also the unique solution to the equivalent problem. Finally, by equivalence, the theorem of existence and uniqueness of a classical solution to the given problem is proved. 展开更多
关键词 Inverse boundary value problem elliptic equation Fourier method classical solution.
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Positive Solutions of Singular Boundary Value Problems of Fourth-Order Differential Equations 被引量:3
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作者 CUI Yu Jun SUN Jing Xian ZOU Yu Mei 《Journal of Mathematical Research and Exposition》 CSCD 2009年第2期376-380,共5页
The singular boundary value problem{φ^(4)(x)-h(x)f(φ(x))=0,0〈x〈1, φ(0)=φ(1)=φ′(0)=φ′(1)=0.is considered under some conditions concerning the first eigenvaiues corresponding to the relevant ... The singular boundary value problem{φ^(4)(x)-h(x)f(φ(x))=0,0〈x〈1, φ(0)=φ(1)=φ′(0)=φ′(1)=0.is considered under some conditions concerning the first eigenvaiues corresponding to the relevant linear operators, where h(x) is allowed to be singular at both x = 0 and x = 1. The existence results of positive solutions are obtained by means of the cone theory and the fixed point index. 展开更多
关键词 singular boundary value problems positive solution CONE fixed point index.
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聚焦“中东和平路线图”
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作者 石国亮 崔晓晖 《思想政治课教学》 北大核心 2003年第7期137-138,76,共3页
关键词 “中东和平线路图” 中东地区 美国 中东问题四方委员会 巴以和平协议
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Singularity of the Extremal Solution for Supercritical Biharmonic Equations with Power-Type Nonlinearity
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作者 Baishun LAI Zhengxiang YAN Yinghui ZHANG 《Chinese Annals of Mathematics,Series B》 SCIE CSCD 2017年第3期815-826,共12页
Let B R^n be the unit ball centered at the origin. The authors consider the following biharmonic equation:{?~2u = λ(1 + u)~p in B,u =?u/?ν= 0 on ?B, where p >n+4/ n-4and ν is the outward unit normal vector. It ... Let B R^n be the unit ball centered at the origin. The authors consider the following biharmonic equation:{?~2u = λ(1 + u)~p in B,u =?u/?ν= 0 on ?B, where p >n+4/ n-4and ν is the outward unit normal vector. It is well-known that there exists a λ*> 0 such that the biharmonic equation has a solution for λ∈ (0, λ*) and has a unique weak solution u*with parameter λ = λ*, called the extremal solution. It is proved that u* is singular when n ≥ 13 for p large enough and satisfies u*≤ r^(-4/ (p-1)) - 1 on the unit ball, which actually solve a part of the open problem left in [D`avila, J., Flores, I., Guerra, I., Multiplicity of solutions for a fourth order equation with power-type nonlinearity, Math. Ann., 348(1), 2009, 143–193] . 展开更多
关键词 Minimal solutions Regularity Stability Fourth order
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