The contingency of medicare physician spending on population densities and sizes     

Yunjie Song  Xun Shi 《GeoJournal》2017,82(3):597-608

The exploration of the spatial association between Medicare physician spending and population densities and sizes could possibly facilitate the investigation of the causal mechanisms beneath the variation in medical care. We acquired the U.S. Medicare physician expenditures and regional demographic and geographic data in 2006 from the Dartmouth Atlas of Health Care. Six geographic units—states, counties, Hospital Referral Regions, Hospital Service Areas, Metropolitan Statistical Areas, and state non-Metropolitan Statistical Areas—were used as units of study. Pearson correlation analysis, multivariable regression, and partial correlation analysis were employed. Among six geographic units, Pearson correlation coefficients between Medicare physician expenditures and logarithmic population densities ranged from 0.42 to 0.63 (p < 0.05 for all), and between the expenditures and logarithmic population sizes from 0.31 to 0.65 (p < 0.05 for all). When population health, differential demand, market structure, and data reporting bias were controlled, population densities and sizes were positively associated with Medicare physician expenditures in most models. Population densities and sizes could explain considerable amounts of regional variation in Medicare physician spending. We concluded that Medicare physician spending was contingent on population densities and sizes. Because population densities and sizes are produced by more fundamental qualities such as natural environments and resources and thus are not easily manipulated, they are suggestive in health policy studies. Further research might investigate population distribution associated properties such as geographic distribution of health care resources, spatial dynamics of medical technology distribution, and cultural and psychological factors.  相似文献   

Transient bifurcation condition of partially saturated porous media at finite strain   总被引：1，自引：0，他引：1       下载免费PDF全文

Xiaoyu Song 《国际地质力学数值与分析法杂志》2017,41(1):135-156

Bifurcation of unsaturated soils into a localized shear band is a ubiquitous failure mode of partially saturated soils. The density and degree of saturation have major impacts on the inception of localized deformations in unsaturated soils. Unsaturated fluid flow may dramatically change the density and degree of fluid saturation of unsaturated soils. Therefore, the unsaturated fluid flow is a potential trigger for shear banding in such materials. In this paper, we derive a simplified bifurcation condition of localized deformation in unsaturated soils under the local transient condition at finite strain. This transient bifurcation condition is implemented into a nonlinear finite element code to study the inception of localized deformation in unsaturated soil specimens. Numerical simulations are conducted to study the impact of soil fabrics of density, a ‘bonding’ variable, and intrinsic permeability on the inception of localized failures via the transient bifurcation criterion. Mesh sensitivity analysis is performed to demonstrate the viscosity effect of unsaturated fluid flow on the localized deformation. Numerical simulations demonstrate that the transient bifurcation condition can detect the localized deformation triggered by the internal unsaturated fluid flow process in unsaturated soils. Copyright © 2016 John Wiley & Sons, Ltd.  相似文献   

Erratum to the ‘polygonal grain‐based distinct element modeling for mechanical behavior of brittle rock’          下载免费PDF全文

J.‐W. Park  C. Park  J.‐W. Song  E.‐S. Park  J.‐J. Song 《国际地质力学数值与分析法杂志》2017,41(13):1474-1474

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The integrated impacts of human activities and rising sea level on the saltwater intrusion in the east coast of the Yucatan Peninsula,Mexico     

Deng  Yujun  Young  Caitlin  Fu  Xinyu  Song  Jie  Peng  Zhong-Ren 《Natural Hazards》2017,85(2):1063-1088

Natural Hazards - Saltwater intrusion is a major hazard to coastal communities as it causes degradation of fresh water resources. The impact of rising sea level on the saltwater intrusion into...  相似文献   

Temporal–spatial variability of atmospheric and hydrological natural disasters during recent 500 years in Inner Mongolia,China     

Peng  Yu  Song  Jingyi  Cui  Tiantian  Cheng  Xiang 《Natural Hazards》2017,89(1):441-456

Natural Hazards - Inner Mongolia, located in the northern China, is a natural disaster-prone region. This study is dedicated to making a comprehensive and quantitative analysis of the...  相似文献   

Effects of river damming on biogenic silica turnover: implications for biogeochemical carbon and nutrient cycles     

Nan Ma  Zhaoliang Song  Baoli Wang  Fushun Wang  Xiaomin Yang  Xiaodong Zhang  Qian Hao  Yuntao Wu 《中国地球化学学报》2017,36(4):626-637

Rivers link terrestrial ecosystems and marine ecosystems, and they transport large amounts of substances into oceans each year, including several forms of silicon (Si), carbon (C), and other nutrients. However, river damming affects the water flow and biogeochemical cycles of Si, C, and other nutrients through biogeochemical interacting processes. In this review, we first summarize the current understanding of the effects of river damming on the processes of biogeochemical Si cycle, especially the source, composition, and recycling process of biogenic silica (BSi). Then, we introduce dam impacts on the cycles of C and some other nutrients. Dissolved silicon in rivers is mainly released from phytolith dissolution and silicate weathering. BSi in suspended matter or sediments in most rivers mainly consists of phytoliths and mainly originates from soil erosion. However, diatom growth and deposition in many reservoirs formed by river interception may significantly increase the contribution of diatom Si to total BSi, and thus significantly influence the biogeochemical Si, C, and nutrient cycles. Yet the turnover of phytoliths and diatoms in different rivers formed by river damming is still poorly quantified. Thus, they should be further investigated to enhance our understanding about the effects of river damming on global biogeochemical Si, C and nutrient cycles.  相似文献   

南海中西部地貌单元划分及其特征和成因分析   总被引：1，自引：0，他引：1  

祝嵩  姚永坚  罗伟东  徐子英  鞠东  刘胜旋 《地球学报》2017,38(6):897-909

南海中西部处于南海北部和南部的过渡带,夹持于印支地块和南海海底扩张中心之间,其特殊的地貌对于研究整个南海地质地貌有重要意义。本文基于广州海洋地质调查局在南海中西部海洋地质调查项目获取的水深、底质调查及地震剖面数据,结合该海域以往研究成果,提取了有关地貌的信息,编制了南海中西部地貌图。把研究区划分出陆架、陆坡和深海盆地三个二级地貌单元,以及水下岸坡、水下浅滩、海岭、峡谷、麻坑、阶地、盆地、海台、海山、深海扇、深海平原等众多次级地貌单元。文章详细描述了该海域各地貌单元的特征,提出了断层、火山、构造隆起和浊流等地质作用是本区地貌形成的主要因素。  相似文献   

浅层地震反射在郧西盆地断层探测中的应用与研究     

林松  罗登贵  李媛  周欣 《大地测量与地球动力学》2017,37(2):146-148

在前期详细地质调查的基础上,对郧西盆地进行针对性的浅层地震反射勘探,并利用地震发射结果来确定断层位置及构造特征。该研究对南水北调中线核心水源区地震安全系统的建设有一定意义。  相似文献   

台湾美浓M_W6.4地震InSAR形变场初步分析     

董景龙  沈强  汪汉胜  江利明  毛松 《大地测量与地球动力学》2017,37(9):893-897

利用欧洲航天局最新发射的宽刈幅、高分辨率Sentinel-1A卫星,第一时间获取2016-02-06台湾美浓MW6.4地震干涉像对,使用D-InSAR技术获取美浓地区的同震形变场。利用震中附近39个同震GPS观测进行对比验证后显示,InSAR获取的同震形变场精度优于1 cm（3σ）。形变发生在宏观震中30 km×30 km范围内,主要表现为沿雷达视线向抬升,最大抬升约12 cm。从形变场空间分布特征可以看出,空间连续性较好,说明宏观震中附近地表未发生明显破裂。宏观震中并不与震中位置重合,而是位于震中西部约15 km处。  相似文献   

利用SLR数据检核GLONASS卫星最终轨道     

杨红雷  加松  徐天河 《大地测量与地球动力学》2017,37(9):956-960

采用由EDC提供的2015-01-01～2015-12-31的SLR标准点观测数据进行GLONASS卫星最终轨道（CODE提供）检核,分别按照卫星PRN号和不同测站对检核结果进行统计分析。结果表明,不同卫星的检核效果参差不齐,跟卫星的服役年限有关,较新的卫星检核结果较好,第一轨道面的卫星检核结果最好;检核结果中存在一定的系统误差,且大部分的激光测距比最终轨道反算的站星距要短;利用SLR检核2015年全年GLONASS轨道精度总体优于3.3 cm,激光观测精度总体优于1.2 cm。  相似文献