省级公共医疗卫生供给绩效评估实证研究——基于全面绩效管理的视角

为了研究安徽省公共医疗卫生供给绩效及其影响因素,从公共服务供给压力、状态和响应3个维度筛选了15个相关指标,构建了评估指标体系,利用最新数据和熵值-Tobit模型对安徽省公共医疗卫生供给绩效及其影响因素进行综合评估,认为样本考察期内安徽省公共医疗卫生供给绩效呈现"快速-平稳-快速-平稳"的动态波动趋势,且供给压力依然较大,供给状态不容乐观,但供给响应指数提升明显; Tobit回归显示,安徽省财政医疗支出占比呈现规模报酬递减效应,人口密度与公共医疗卫生供给绩效呈现负相关关系,而人均地区生产总值、城镇化水平和财政自给率与公共医疗卫生供给绩效呈现正相关关系,但财政自给率的影响不显著,据此,提出了促进省级公共医疗卫生供给绩效提升的相关对策建议。     

Viral journeys on the intracellular highways

Viruses are obligate intracellular pathogens that are dependent on cellular machineries for their replication. Recent technological breakthroughs have facilitated reliable identification of host factors required for viral infections and better characterization of the virus–host interplay. While these studies have revealed cellular machineries that are uniquely required by individual viruses, accumulating data also indicate the presence of broadly required mechanisms. Among these overlapping cellular functions are components of intracellular membrane trafficking pathways. Here, we review recent discoveries focused on how viruses exploit intracellular membrane trafficking pathways to promote various stages of their life cycle, with an emphasis on cellular factors that are usurped by a broad range of viruses. We describe broadly required components of the endocytic and secretory pathways, the Endosomal Sorting Complexes Required for Transport pathway, and the autophagy pathway. Identification of such overlapping host functions offers new opportunities to develop broad-spectrum host-targeted antiviral strategies.     

Cost and Service-Level-Based Model for a Seru Production System Formation Problem with Uncertain Demand

With increasing demand diversification and short product lifecycles, industries now encounter challenges of demand uncertainty. The Japanese seru production system has received increased attention owing to its high efficiency and flexibility. In this paper, the problem of seru production system formation under uncertain demand is researched. A multi-objective optimization model for a seru production system formation problem is developed to minimize the cost and maximize the service level of the system. The purpose of this paper is to formulate a robust production system that can respond efficiently to the stochastic demand. Sample average approximation (SAA) is used to approximate the expected objective of the stochastic programming. The non-dominated sorting genetic algorithm II (NSGA-II) is improved to solve the multi-objective optimization model. Numerical experiments are conducted to test the tradeoff between cost and service level, and how the performance of the seru production system varies with the number of product types, mean and deviation of product volume, and skill-level-based cost.     

Products Ranking Through Aspect-Based Sentiment Analysis of Online Heterogeneous Reviews

With the rapid growth of online shopping platforms, more and more customers intend to share their shopping experience and product reviews on the Internet. Both large quantity and various forms of online reviews bring difficulties for potential consumers to summary all the heterogenous reviews for reference. This paper proposes a new ranking method through online reviews based on different aspects of the alternative products, which combines both objective and subjective sentiment values. Firstly, weights of these aspects are determined with LDA topic model to calculate the objective sentiment value of the product. During this process, the realistic meaning of each aspect is also summarized. Then, consumers’ personalized preferences are taken into consideration while calculating total scores of alternative products. Meanwhile, comparative superiority between every two products also contributes to their final scores. Therefore, a directed graph model is constructed and the final score of each product is computed by improved PageRank algorithm. Finally, a case study is given to illustrate the feasibility and effectiveness of the proposed method. The result demonstrates that while considering only objective sentiment values of the product, the ranking result obtained by our proposed method has a strong correlation with the actual sales orders. On the other hand, if consumers express subjective preferences towards a certain aspect, the final ranking is also consistent with the actual performance of alternative products. It provides a new research idea for online customer review mining and personalized recommendation.     

Optimal Multimodel Representation by Laguerre Filters Applied to a Communicating Two Tank System

This paper presents the development of a new nonlinear representation by exploiting the multimodel approach and the new linear representation ARX-Laguerre for each operating region. The resulting multimodel, entitled ARX-Laguerre multimodel, is characterized by the parameter number reduction with a recursive representation. However, a significant reduction of this multimodel is subject to an optimal choice of Laguerre poles characterizing each local linear model ARX-Laguerre. Therefore, the authors propose an optimization algorithm to estimate, from input/output measurements, the optimal values of Laguerre poles. The ARX-Laguerre multimodel as well as the proposed optimization algorithm are tested on a continuous stirred tank reactor system (CSTR). Moreover, the authors take into account a practical validation on an experimental communicating two tank system (CTTS).     

Uncoupled PID Control of Coupled Multi-Agent Nonlinear Uncertain systems

In this paper, PID (proportional-integral-derivative) controllers will be designed to solve the tracking problem for a class of coupled multi-agent systems, where each agent is described by a second-order high-dimensional nonlinear uncertain dynamical system, which only has access to its own tracking error information and does not need to communicate with others. This paper will show that a 3-dimensional manifold can be constructed based on the information about the Lipschitz constants of the system nonlinear dynamics, such that whenever the three parameters of each PID controller are chosen from the manifold, the whole multi-agent system can be stabilized globally and the tracking error of each agent approaches to zero asymptotically. For a class of coupled first-order multi-agent nonlinear uncertain systems, a PI controller will be designed to stabilize the whole system.     

Emergence: A Systems Theory’s Challenge to Ethics

The paper reconstructs Niklas Luhmann’s diagnosis of the dysfunctional character of moral communication in the modern society by emphasizing the emergent character of today’s moral problems. In the systems-theoretic literature, emergence means the irreducibility of the properties of the whole to the characteristics of its parts. Two arguments have been advanced. First, the dysfunctional character of moral communication has been traced back to the emergent character of many moral problems. Moral communication has thus been shown to be not inherently dysfunctional, but rather needful of semantic forms that take account of the emergent properties of the economic and other social systems. Second, these properties highlight the moral aspect of the precariousness of system–environment relations as seen by Luhmann. As a moral problem, this precariousness can be resolved through greater sensitivity of social systems to their environment, social and natural alike. Accordingly, the emergent properties of the economic and other social systems can be captured by recasting the concept of responsibility as the individual-level or organizational-level projection of the environmental sensitivity of these systems.     

Bounding the inefficiency of the C-logit stochastic user equilibrium assignment

Compared with standard logit-based stochastic user equilibrium assignment model, the C-logit model describes route choice behavior in a more realistic way by considering the overlapping effect between routes. This paper investigates the inefficiency upper bounds of this model against the deterministic system optimum and the C-logit stochastic system optimum in terms of the total network travel time. It is found that the commonality factor of overlapping routes significantly affects the inefficiency bound, besides link congestion degree, total demand and the number of feasible routes. If the commonality factor is not considered, the efficiency loss resulting from selfishly stochastic travel behavior will be to large extent underestimated.     

Carbon nanotubes as anti-bacterial agents

Multidrug-resistant bacterial infections that have evolved via natural selection have increased alarmingly at a global level. Thus, there is a strong need for the development of novel antibiotics for the treatment of these infections. Functionalized carbon nanotubes through their unique properties hold great promise in the fight against multidrug-resistant bacterial infections. This new family of nanovectors for therapeutic delivery proved to be innovative and efficient for the transport and cellular translocation of therapeutic molecules. The current review examines the latest progress in the antibacterial activity of carbon nanotubes and their composites.