中国健康服务业发展战略研究

为落实健康中国发展战略,推进中国健康服务业的发展,中国工程院于2015年启动"中国健康服务业发展战略研究"重大咨询项目。课题自启动以来,组织了28位院士和150余位专家,对京上广深等一至三线共12个城市进行了广泛的社会调查。本文在大量社会调查的基础上,从健康服务业的概念、内涵、发展特点入手,深入分析了国内健康服务业的发展现状;以全方位、全覆盖、全过程建立健康服务保障体系为目标,对健康服务业的定位、发展思路,城乡理想模式等进行了深入探讨;并针对健康管理体系建设、养生养老、医养结合、健康保险、社会办医、金融保障等重点问题,提出了为顺应中国健康服务业发展战略顺畅实施的保障措施和相关建议。     

Mechanical behaviour analysis of buried pressure pipeline crossing ground settlement zone

Numerical simulation model of buried pipeline crossing ground settlement zone was established considering pipeline–soil interaction. Mechanical behaviour of the buried pipeline was investigated, and effects of ground settlement, pipeline parameters and surrounding soil parameters on mechanical behaviour of the buried pipeline were discussed. These results show that there are two high stress areas on both sides of the dividing plane. High stress areas are oval on the top and bottom of the pipeline. Z-shape bending deformation appears under the action of ground settlement. In ground settlement zone, axial strain on the top of the pipeline is compression strain, and axial strain on the bottom of the pipeline is tension strain. On the contrary, they are tension strain and compression strain respectively in no settlement zone. Bending deformation, axial strain and plastic strain of the buried pipeline increase with the increase in ground settlement. Von Mises stress, high stress area, axial strain and plastic strain of the buried pipeline increase with the increasing diameter-thick ratio and internal pressure, but they decrease with the increase in buried depth. Diameter-thick ratio and internal pressure have a small effect on the bending deformation of the buried pipeline. Bending deformation decreases with the increase in buried depth in ground settlement zone. Von Mises stress and high stress area increase with the increasing surrounding soil’s elasticity modulus and cohesion, but they increase first and then decrease with the increase in Poisson’s ratio. Bending deformation of the pipeline in no settlement zone increases with the increase in elasticity modulus and Poisson’s ratio, but it is affected little by the cohesion. Axial strain and plastic strain have a bigger relationship with the elasticity modulus and Poisson’s ratio. Axial strain and plastic strain of the buried pipeline increase with the increase in cohesion, and the change rates increase with the increase in ground settlement.     

Finite element implementation of a thermo-damage-viscoelastic constitutive model for hydroxyl-terminated polybutadiene composite propellant

A thermo-damage-viscoelastic model for hydroxyl-terminated polybutadiene (HTPB) composite propellant with consideration for the effect of temperature was implemented in ABAQUS. The damage evolution law of the model has the same form as the crack growth equation for viscoelastic materials, and only a single damage variable \(S\) is considered. The HTPB propellant was considered as an isotropic material, and the deviatoric and volumetric strain-stress relations are decoupled and described by the bulk and shear relaxation moduli, respectively. The stress update equations were expressed by the principal stresses \(\sigma_{ii}^{R}\) and the rotation tensor \(M\), the Jacobian matrix in the global coordinate system \(J_{ijkl}\) was obtained according to the fourth-order tensor transformation rules. Two models having complex stress states were used to verify the accuracy of the constitutive model. The test results showed good agreement with the strain responses of characteristic points measured by a contactless optical deformation test system, which illustrates that the thermo-damage-viscoelastic model perform well at describing the mechanical properties of an HTPB propellant.     

An elastic–plastic asperity contact model and its application for micro-contact analysis of gear tooth profiles

This paper presents a continuous elastic–plastic asperity contact model with or without the consideration of friction to investigate the micro-contact properties of gear tooth profiles. The model for normal or side contact analysis is established according to Hertz contact theory and the asperity morphology feature, which yields to similar results as obtained from the model proposed by Chang W.R., Etsion I., and Bogy D.B. (CEB model) and the model proposed by Kogut L. and Etsion I. (KE model). More importantly, this model avoids the constant average contact stress as predicted by the CEB model, and the noncontinuous contact stress and deformation within the ultimate strength as given by the KE model. As a application of the present theoretical model in micro-contact analysis of rough tooth profiles, a finite element model (FE model) for elastic–plastic asperity in normal or side contact is established according to the measured surface parameters of a spur gear pair. It is shown that the extreme point of Von Mise stress of the asperities along the normal vector is ascertained by FE model, and that the extreme point is relative to the initial occurrence of the asperities plastic deformation. Compared with the present theoretical model, the similar normal contact stress along the contact radius is attained by FE model. Though the contact stress isogram in the specific plane in normal or side contact of the asperities is a circle or ellipse respectively when the plastic deformation is expanded from the inside of the asperities to their surfaces, it is in line with the distribution of elastic and plastic region of the theoretical model. Compared with CEB model, KE model, and FE model, the consistent results are attained by the present theoretical model in elastic–plastic asperity contact analysis. The results indicate that the theoretical model is applicable to the elastic–plastic asperity contact analysis on the rough surface of a spur gear drive.     

Effect of Sintering Temperature on Magnetic and Electrical Properties of GdBaCo<Subscript>2</Subscript><Emphasis Type="Italic">O</Emphasis><Subscript>5 + <Emphasis Type="Italic">δ</Emphasis></Subscript>

In this study, we report the results of an investigation into the sintering temperature dependence of magnetic and transport properties for GdBaCo₂ O _{5 + δ} synthesized through a sol-gel method. The lowering of sintering temperature leads to the increase of oxygen content and the reduction of grain size. The increase of oxygen content results in the enhancement of magnetic interactions and the weakening of Coulomb repulsion effect, while the reduction of grain size improves the magnetoresistance effect. Metal-insulator transition accompanied with spin-state transition is observed in all samples.     

Nanopore Sensing in Aqueous Two‐Phase System: Simultaneous Enhancement of Signal and Translocation Time via Conformal Coating

Nanofluidic resistive pulse sensing (RPS) has been extensively used to measure the size, concentration, and surface charge of nanoparticles in electrically conducting solutions. Although various methods have been explored for improving detection performances, intrinsic problems including the extremely low particle‐to‐pore volume ratio (<0.01%) and fast nanoparticle translocation (10–1000 µs) still induce difficulties in detection, such as low signal magnitudes and short translocation times. Herein, we present an aqueous two‐phase system (ATPS) in a nanofluidic RPS for amplifying translocation signals and decreasing translocation speeds simultaneously. Two immiscible aqueous liquids build a liquid‐liquid interface inside nanopores. As particles translocate from a high‐affinity liquid phase into a lower‐affinity one, the high‐affinity liquid forms a conformal coating on the particles, which increases the effective particle size and amplifies the current‐blockage signal. The translocation time is also increased, as the ATPS interface impedes the particle translocation. For 20 nm particles, 7.92‐fold and 5.82‐fold enhancements of signal magnitude and translocation time can be achieved. To our knowledge, this is the first attempt to improve nanofluidic RPS by treating an interface of solution reservoirs for manipulating target particles rather than nanopores. This direct particle manipulation allows us to solve the two intrinsic problems all at once.     

High‐Performance Piezoelectric Nanogenerators with Imprinted P(VDF‐TrFE)/BaTiO3 Nanocomposite Micropillars for Self‐Powered Flexible Sensors

Piezoelectric nanogenerators with large output, high sensitivity, and good flexibility have attracted extensive interest in wearable electronics and personal healthcare. In this paper, the authors propose a high‐performance flexible piezoelectric nanogenerator based on piezoelectrically enhanced nanocomposite micropillar array of polyvinylidene fluoride‐trifluoroethylene (P(VDF‐TrFE))/barium titanate (BaTiO₃) for energy harvesting and highly sensitive self‐powered sensing. By a reliable and scalable nanoimprinting process, the piezoelectrically enhanced vertically aligned P(VDF‐TrFE)/BaTiO₃ nanocomposite micropillar arrays are fabricated. The piezoelectric device exhibits enhanced voltage of 13.2 V and a current density of 0.33 µA cm^?2, which an enhancement by a factor of 7.3 relatives to the pristine P(VDF‐TrFE) bulk film. The mechanisms of high performance are mainly attributed to the enhanced piezoelectricity of the P(VDF‐TrFE)/BaTiO₃ nanocomposite materials and the improved mechanical flexibility of the micropillar array. Under mechanical impact, stable electricity is stably generated from the nanogenerator and used to drive various electronic devices to work continuously, implying its significance in the field of consumer electronic devices. Furthermore, it can be applied as self‐powered flexible sensor work in a noncontact mode for detecting air pressure and wearable sensors for detecting some human vital signs including different modes of breath and heartbeat pulse, which shows its potential applications in flexible electronics and medical sciences.