The contingency of medicare physician spending on population densities and sizes

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.     

沙漠/黄土过渡带杨桥畔全新世地层微量元素特征及其所揭示的古气候变化

通过对沙漠-黄土过渡带杨桥畔全新世地层中20种微量元素的地球化学特征分析,结合年代学资料,探讨了该地区13.0ka B.P.以来的气候环境变化过程。研究表明,微量元素地层分布规律明显,化学成分具有很高地一致性,Cr、Cs、Co、Cu、Mn与I可作为衡量东亚夏季风强度的古气候替代性指标。根据主要微量元素演替所揭示的古气候变化特征,将该地区气候变化可划分为5个阶段:13.0~11.7ka B.P.气候干燥寒冷;11.7~10.0ka B.P.气候略温偏干;10.0~6.4ka B.P.气候温暖湿润;6.4~1.60ka B.P.偏冷干气候恶化期;1.6ka B.P.以来气候继续朝冷干方向发展,并且冷暖干湿交替频繁。通过与黄土、石笋等记录变化对比,发现杨桥畔地区全新世气候演化过程与全球气候环境的变化基本一致。     

甘肃龙首山岩带西井镁铁质岩体成因及其构造意义

西井岩体位于北祁连造山带以北,阿拉善地块西南缘的龙首山隆起带。以往的研究多以沿龙首山断裂分布的镁铁-超镁铁质岩带作为和金川岩体相关的岩浆事件进行,而本次选择西井镁铁质岩体进行了精确的地质年代学和地球化学研究,确定了西井岩体岩性主要为橄榄辉石岩和辉长岩,成岩时代为 (421.0±9.0) Ma,可以和北祁连高压变质带榴辉岩年龄相对应;ε_Nd(t)为4.06~5.52,(⁸⁷Sr/⁸⁶Sr)_i为0.704 548~0.707 575,具有地幔岩石圈特征;微量元素及其同位素计算表明西井岩体经历了约10%的下地壳物质混染。据此得出西井岩体及其龙首山岩带早志留世镁铁质侵入岩体成因模式为:祁连洋壳连续俯冲过程中洋壳与陆壳分离,热的软流圈物质持续冲击地幔岩石圈的底部;由于热传导效应,大地热流沿着地幔岩石圈上升,使得80 km深度的湿的橄榄岩层发生熔融,产生玄武质岩浆作用,玄武质岩浆上升过程中与下地壳物质发生约10%混染,形成西井岩体及其龙首山镁铁超镁铁质岩带。     

湖陆风效应为主导的地面弱风预报方法

对博斯腾湖东南陆地风场数据进行计算,结合湖陆风效应初步建立夏半年各月风场日变化模型,得出风场日变化的4个典型时段。结果表明,区域测站一致性系数和风场有较好的对应关系,一致性系数小于50说明风向不稳定且风速较小,一致性系数大于80说明风向趋于稳定且风速一般较大,弱风时段主要出现在日出日落前后,且具有2h左右的持续时间。该方法为该地区弱风时段预报提供了思路,在稳定的高压脊形势下效果尤为明显。     

Zoning Evaluation of Hourly Precipitation in High-resolution Regional Numerical Models over Hainan Island

This study assesses the performance of three high-resolution regional numerical models in predicting hourly rainfall over Hainan Island from April to October for the years from 2020 to 2022. The rainfall amount, frequency,intensity, duration, and diurnal cycle are examined through zoning evaluation. The results show that the China Meteorological Administration Guangdong Rapid Update Assimilation Numerical Forecast System(CMA-GD) tends to forecast a higher occurrence of light precipitation. It un...     

BJ-RUC产品在小区供暖供回水温度预报的应用研究

利用气象部门快速更新的BJ-RUC(Beijing-Rapid UpdateCycle)数值预报系统获得的24 h逐时的室外温度预报资料,应用能量平衡原理,建立建筑物热损失方程和供热量方程,从而推导出室外温度和室内温度、供水、回水温度的预报模型。用此模型对2010年3月1—15日期间的供、回水温度进行预报模拟,与北京市海园物业供热单位实况值进行对比分析。检验结果表明,该模型模拟的室内温度与设计要求的室内温度(20℃)之间的均方根误差为0.25℃,海园物业室内温度监测点数值与20℃之间的均方根误差为1.53℃。模拟的供、回水温度与海园物业监测点供水温度的均方根误差分别为3.69℃和3.80℃。     

“珍珠”（0601）异常急翘路径和内核结构变化的诊断分析及数值研究

使用FY2卫星TBB资料、NCEP最终分析资料(1°×1°)和中尺度模式WRF,对0601号强台风"珍珠"的"急翘"异常转向路径和内核结构变化进行诊断分析和数值模拟。结果表明:"珍珠"移向变化与环境引导气流和位涡倾向1波分量正异常有关,"急翘"前12小时,环境引导气流向北偏转,位涡倾向1波分量正异常对应着"珍珠"移动方向变化;内核非对称结构发展与环境风垂直切变演变有关,垂直切变使得涡旋倾斜,涡旋倾斜方向出现较强的上升运动,导致"珍珠"内核偏南象限对流活动较强。     

台风“海棠”(2005)登陆前后非对称螺旋雨带特征分析

利用中尺度数值模式,WRF对2005年7月19—20日台风"海棠"登陆前后具有非对称性结构的螺旋雨带的结构特征进行数值模拟和分析。结果表明,降水中心所处的两条雨带位于台风中心东北象限,其南雨带的移动和强度变化与850 hPa正的涡度带在19日02—18时(世界时,下同)都有较好的对应关系。台风流场的逆时针旋转作用将海上850 hPa正的涡量大值带逐渐与南雨带合并,造成南部雨量中心的雨量增幅。南雨带北移逐渐与北雨带合并,造成北部雨量中心的雨量增幅。另外,分析暴雨的发展与高低层垂直切变风的高层辐散流场有关;最后讨论了雨量中心附近区域低层对流涡度矢量(CVV)垂直分量的发展条件及其与降水的关系。     

相关法雷达反演风场在台风监测和分析中的应用

随着我国沿海雷达网的建设,雷达资料正逐步成为沿海气象台站台风临近登陆时的一个重要监测手段。利用相关法雷达风场反演对2001年登陆台风“百合”和“飞燕”作了环流和强度估测分析。结果表明,通过适当的质量控制,该方法可以有效地反演得到台风强风分布特征,分析精度与业务中常用的卫星估测方法相当。     

Effects of atmospheric dynamics and ocean resolution on bi-stability of the thermohaline circulation examined using the Grid ENabled Integrated Earth system modelling (GENIE) framework

We have used the Grid ENabled Integrated Earth system modelling (GENIE) framework to undertake a systematic search for bi-stability of the ocean thermohaline circulation (THC) for different surface grids and resolutions of 3-D ocean (GOLDSTEIN) under a 3-D dynamical atmosphere model (IGCM). A total of 407,000 years were simulated over a three month period using Grid computing. We find bi-stability of the THC despite significant, quasi-periodic variability in its strength driven by variability in the dynamical atmosphere. The position and width of the hysteresis loop depends on the choice of surface grid (longitude-latitude or equal area), but is less sensitive to changes in ocean resolution. For the same ocean resolution, the region of bi-stability is broader with the IGCM than with a simple energy-moisture balance atmosphere model (EMBM). Feedbacks involving both ocean and atmospheric dynamics are found to promote THC bi-stability. THC switch-off leads to increased import of freshwater at the southern boundary of the Atlantic associated with meridional overturning circulation. This is counteracted by decreased freshwater import associated with gyre and diffusive transports. However, these are localised such that the density gradient between North and South is reduced tending to maintain the THC off state. THC switch-off can also generate net atmospheric freshwater input to the Atlantic that tends to maintain the off state. The ocean feedbacks are present in all resolutions, across most of the bi-stable region, whereas the atmosphere feedback is strongest in the longitude–latitude grid and around the transition where the THC off state is disappearing. Here the net oceanic freshwater import due to the overturning mode weakens, promoting THC switch-on, but the atmosphere counteracts this by increasing net freshwater input. This increases the extent of THC bi-stability in this version of the model. Electronic supplementary material The online version of this article (doi:) contains supplementary material, which is available to authorized users.