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Expenditure and financial burden for the diagnosis and treatment of colorectal cancer in china:a ***,multicenter,cross-sectional survey

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Chinese Journal of Cancer 2017年第8期36卷 352-366页

作者： Hui-Yao Huang Ju-Fang Shi Lan-Wei guo Ya-Na Bai Xian-Zhen Liao guo-iangLiu A-Yan Mao Jian-Song Ren Xiao-Jie Sun Xin-Yu Zhu Le Wang Bing-Bing Song Ling-Bin Du Lin Zhu Ji-Yong Gong Qi Zhou Yu-Qin Liu Rong Cao Ling Mai Li Lan Xiao-Hua Sun ying Ren Jin-Yi Zhou Yuan-Zheng Wang Xiao Qi Pei-An Lou dian Shi Ni Li Kai Zhang Jie He Min Dai Program Office for Cancer Screening in Urban china National Cancer Center/Cancer HospitalChinese Academy of Medical SciencesPeking Union Medical College17 South Panjiayuan LaneChaoyang DistrictBeijing 100021P.R.China Department of Cancer Epidemiology Henan Cancer HospitalAffiliated Cancer Hospital of Zhengzhou UniversityZhengzhouHenan 450008P.R.China Institute of Epidemiology and Health Statistics Lanzhou UniversityLanzhouGansu 730000P.R.China Hunan Office for Cancer Control and Research Hunan Provincial Cancer HospitalChangshaHunan 410006P.R.China Department of Health economics School of Health ManagementHarbin Medical UniversityHarbinHeilongjiang 150081P.R.China Public Health Information Research Office Institute of Medical InformationChinese Academy of Medical SciencesBeijing 100020P.R.China Center for Health management and Policy Key Lab of Health Economics and PolicyShandong UniversityJinanShandong 250012P.R.China Heilongjiang Office for Cancer Control and Research Affiliated Cancer Hospital of Harbin Medical UniversityHarbinHeilongjiang 150081P.R.China Zhejiang Office for Cancer Control and Research Zhejiang Cancer HospitalHangzhouZhejiang 310022P.R.China Teaching and Research Department Affiliated Cancer Hospital of Xinjiang Medical UniversityürümqiXinjiang 830011P.R.China science and Education Department of Public Health division Shandong Tumor HospitalJinanShandong 250117P.R.China Chongqing Office for Cancer Control and Research Chongqing Cancer HospitalChongqing 400030P.R.China Cancer Epidemiology Research Center Gansu Provincial Cancer HospitalLanzhouGansu 730050P.R.China Department of Health Policy and Economic Research Guangdong Provincial Institute of Public HealthGuangzhouGuangdong 511430P.R.China Department of Institute of Tumor Research Henan Cancer HospitalAffiliated Cancer Hospital of Zhengzhou UniversityZhengzhouHenan 450008P.R.China Institute of Chronic disease Prevention and Control Harbin Center for Disease Control and PreventionHarbinHei

Background: The increasing prevalence of colorectal cancer(CRC) in china and the paucity of information about relevant expenditure highlight the necessity of better understanding the financial burden and effect of CRC diagnosis and treatment. We performed a survey to quantify the direct medical and non-medical expenditure as well as the resulting financial burden of CRC patients in ***: We conducted a multicenter, cross-sectional survey in 37 tertiary hospitals in 13 provinces across china between 2012 and 2014. Each enrolled patient was interviewed using a structured questionnaire. All expenditure data were inflated to the 2014 Chinese Yuan(CNY; 1 CNY = 0.163 USD). We quantified the overall expenditure and financial burden and by subgroup(hospital type, age at diagnosis, sex, education, occupation, insurance type, household income, clinical stage, pathologic type, and therapeutic regimen). We then performed generalized linear modeling to determine the factors associated with overall ***: A total of 2356 patients with a mean age of 57.4 years were included, 57.1 % of whom were men; 13.9% of patients had stage I cancer; and the average previous-year household income was 54,525 *** overall average direct expenditure per patient was estimated to be 67,408 CNY, and the expenditures for stage Ⅰ, Ⅱ, Ⅲ, and Ⅳ disease were 56,099 CNY, 59,952 CNY, 67,292 CNY, and 82,729 CNY, respectively. Non-medical expenditure accounted for 8.3%of the overall expenditure. The 1-year out-of-pocket expenditure of a newly diagnosed patient was 32,649 CNY, which accounted for 59.9% of their previous-year household income and caused 75.0% of families to suffer an unmanageable financial burden. Univariate analysis showed that financial burden and overall expenditure differed in almost all subgroups(P diagnosed with adenocarcinoma or diagno

关键词： Colorectal neoplasms direct expenditure Financial burden china

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management of regional citrate anticoagulation for continuous renal replacement therapy:guideline recommendations from Chinese emergency medical doctor consensus

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Military Medical Research 2023年第6期10卷 733-750页

作者： Shu-Yuan Liu Sheng-Yong Xu Lu Yin Ting Yang Kui Jin Qiu-Bin Zhang Feng Sun ding-Yu Tan Tian-Yu Xin Yu-guo Chen Xiao-Dong Zhao Xue-Zhong Yu Jun Xu Emergency Medical Doctor Branch of the Chinese Medical Doctor Association Emergency Department The Sixth Medical CenterChinese PLA General HospitalBeijing 100048China State Key Laboratory of Complex Severe and Rare diseases Emergency DepartmentPeking Union Medical College HospitalChinese Academy of Medical Science and Peking Union Medical CollegeBeijing 100730China Emergency Department Peking University Shenzhen HospitalShenzhen 518000China Emergency Department The First Affiliated Hospital of Kunming Medical UniversityKunming 650000China Emergency Department The First Affiliated Hospital of University of Science and Technology of ChinaHefei 230001China Emergency Department The Second Affiliated Hospital of Hainan Medical CollegeHaikou 570100China Emergency Department The First Affiliated Hospital of Nanjing Medical UniversityNanjing 210029China Emergency Depart‑ment Northern Jiangsu People’s HospitalClinical Medical College of Yang‑zhou UniversityYangzhou 225001China Emergency Department and Chest Pain Center Qilu Hospital of Shandong UniversityJinan 100005China shandong Provincial Clinical Research Center for Emergency and Critical Care Medicine Jinan 100005China Key Laboratory of Emergency and Critical Care Medicine of shandong Province Qilu Hospital of Shandong UniversityJinan 100005China Emergency Department The Fourth Medical CenterChinese PLA General HospitalBeijing 100048China Jiangxi Provincial People’s Hospital Nanchang330046China The Second Affiliated Hospital of Shenzhen university ShenzhenGuangdong 518035China The First Hos‑pital of Tsinghua university Beijing100016China The Affiliated Hospital and Medical School of Nantong university NantongJiangsu 226001China The First People’s Hospital of Lianyungang LianyungangJiangsu 222000China Shaanxi People’s Hospital Xi’an 710068China Renmin Hospital of Wuhan university Wuhan 430060China Shenzhen Hospital of South‑ern Medical university ShenzhenGuangdong 518000China The Second People’s Hospital of Huai’an Huai’anJiangsu 223002China The Affiliated Suqian Hospital of Xuzhou Medical Univers

Continuous renal replacement therapy(CRRT)is widely used for treating critically-ill patients in the emergency department in *** therapy is needed to prevent clotting in the extracorporeal circulation during *** citrate anticoagulation(RCA)has been shown to potentially be safer and more effective,and is now recommended as the preferred anticoagulant method for ***,there is still a lack of unified standards for RCA management in the world,and there are many problems in using this method in clinical *** Emergency Medical Doctor Branch of the Chinese Medical Doctor Association(CMDA)organized a panel of domestic emergency medicine experts and international experts of CRRT to discuss RCA-related issues,including the advantages and disadvantages of RCA in CRRT anticoagulation,the principle of RCA,parameter settings for RCA,monitoring of RCA(mainly metabolic acid-base disorders),and special issues during *** on the latest available research evidence as well as the paneled experts'clinical experience,considering the generalizability,suitability,and potential resource utilization,while also balancing clinical advantages and disadvantages,a total of 16 guideline recommendations were formed from the experts'consensus.

关键词： Continuous renal replacement therapy Emergency Anticoagulation Citrate Guideline Expert consensus

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Clinical practice guideline for transurethral plasmakinetic resection of prostate for benign prostatic hyperplasia(2021 Edition)

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Military Medical Research 2022年第5期9卷 515-533页

作者： Xian-Tao Zeng ying-Hui Jin Tong-Zu Liu Fang-Ming Chen De-Gang ding Meng Fu Xin-Quan Gu Bang-Min Han Xing Huang Zhi Hou Wan-Li Hu Xin-Li Kang Gong-Hui Li Jian-Xing Li Pei-Jun Li Chao-Zhao Liang Xiu-Heng Liu Zhi-Yu Liu Chun-Xiao Liu Jiu-Min Liu Guang-Heng Luo Yi Luo Wei-Jun Qin Jian-Hong Qiu Jian-Xin Qiu Xue-Jun Shang Ben-Kang Shi Fa Sun guo-Xiang Tian Ye Tian Feng Wang Feng Wang Yin-Huai Wang Yu-Jie Wang Zhi-Ping Wang Zhong Wang Qiang Wei Min-Hui Xiao Wan-Hai Xu Fa-Xian Yi Chao-Yang Zhu Qian-Yuan Zhuang Li-Qun Zhou Xiao-Feng Zou Nian-Zeng Xing Da-Lin He Xing-Huan Wang 无 Department of Urology Institute of UrologyZhongnan Hospital of Wuhan UniversityWuhan430071China Center for Evidence-Based and Translational Medicine Zhongnan Hospital of Wuhan UniversityWuhan430071China Department of Urology Tianjin Third Central Hospital Affiliated To Nankai UniversityTianjin300170China Department of Urology Henan Provincial People’s HospitalZhengzhou University People’s HospitalZhengzhou450003China Department of Urology Beijing Tsinghua Changgung HospitalSchool of Clinical MedicineTsinghua UniversityBeijing102218China Department of Urology China-Japan Union Hospital of Jilin UniversityChangchun130033China Department of Urology Shanghai General HospitalShanghai Jiao Tong University School of MedicineShanghai200080China Department of Urology Qinghai University Affiliated HospitalXi’ning810012China Department of Urology People’s Hospital of Hainan ProvinceHainan Affiliated Hospital of Hainan Medical University HaikouHaikou570311China Department of Urology Sir Run Run Shaw HospitalZhejiang University School of MedicineHangzhou310016China Department of Urology General Hospital of Ningxia Medical UniversityYinchuan750003China Department of Urology The First Affiliated Hospital of Anhui Medical UniversityHefei230022China Department of Urology Renmin Hospital of Wuhan UniversityWuhan430060China Department of Urology The Second Hospital of Dalian Medical UniversityDalian116023LiaoningChina Department of Urology Zhujiang Hospital of Southern Medical UniversityGuangzhou510282China Department of Urology Guangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhou510080China Department of Urology Surgery Guizhou Province People’s HospitalGuiyang550002China Department of Urology Xijing Hospital of Air Force Military Medical UniversityXi’an710032China Department of Urology The 980St Hospital of the PLA Joint Logistics Support Force(Bethune International Peace Hospital of PLA)Shijiazhuang050082China Department of Urology

Benign prostatic hyperplasia (BPH) is highly prevalent among older men, impacting on their quality of life, sexual function, and genitourinary health, and has become an important global burden of disease. Transurethral plasmakinetic resection of prostate (TUPKP) is one of the foremost surgical procedures for the treatment of BPH. It has become well established in clinical practice with good efficacy and safety. In 2018, we issued the guideline “2018 Standard Edition”. However much new direct evidence has now emerged and this may change some of previous recommendations. The time is ripe to develop new evidence-based guidelines, so we formed a working group of clinical experts and methodologists. The steering group members posed 31 questions relevant to the management of TUPKP for BPH covering the following areas: questions relevant to the perioperative period (preoperative, intraoperative, and postoperative) of TUPKP in the treatment of BPH, postoperative complications and the level of surgeons’ surgical skill. We searched the literature for direct evidence on the management of TUPKP for BPH, and assessed its certainty generated recommendations using the grade criteria by the European Association of Urology. Recommendations were either strong or weak, or in the form of an ungraded consensus-based statement. Finally, we issued 36 statements. Among them, 23 carried strong recommendations, and 13 carried weak recommendations for the stated procedure. They covered questions relevant to the aforementioned three areas. The preoperative period for TUPKP in the treatment of BPH included indications and contraindications for TUPKP, precautions for preoperative preparation in patients with renal impairment and urinary tract infection due to urinary retention, and preoperative prophylactic use of antibiotics. Questions relevant to the intraoperative period incorporated surgical operation techniques and prevention and management of bladder explosion. The application to different

关键词： Transurethral plasmakinetic resection of prostate Benign prostatic hyperplasia Recommendation Treatment Guideline

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加工工艺对枇杷叶茶品质的影响

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西北林学院学报 2023年第3期38卷 101-107页

作者：史新田祥涛邵雅坤赵小娜郭颖树黄荏岚鲁周民西北农林科技大学林学院陕西杨陵712100 西北农林科技大学生命科学学院陕西杨陵712100 西北农林科技大学经济管理学院陕西杨陵712100

研究不同加工工艺流程及参数条件对枇杷叶茶品质的影响,为提高枇杷叶茶品质提供技术参考。以新发芽的夏梢枇杷幼叶为材料,杀青后分别采用先揉后炒、先炒后揉再炒和先揉后炒再揉再炒3种工艺流程及不同参数加工枇杷叶茶,对叶茶主要功能成... 详细信息

研究不同加工工艺流程及参数条件对枇杷叶茶品质的影响,为提高枇杷叶茶品质提供技术参考。以新发芽的夏梢枇杷幼叶为材料,杀青后分别采用先揉后炒、先炒后揉再炒和先揉后炒再揉再炒3种工艺流程及不同参数加工枇杷叶茶,对叶茶主要功能成分和冲泡性状指标进行检测,并运用主成分分析和聚类分析法进行综合评价。结果表明,不同工艺流程对枇杷叶茶的品质有较大影响,先揉后炒工艺所制叶茶的总黄酮、茶多酚及总三萜酸的平均含量显著高于先炒后揉再炒工艺,而先炒后揉再炒工艺的可溶性总糖和游离氨基酸含量显著高于先揉后炒工艺,3种工艺下所制枇杷叶茶均具有较强的抗氧化活性。工艺流程、揉捻时间相同条件下,随着炒制时间的延长,茶中总黄酮、茶多酚及总三萜酸含量呈先上升后下降趋势,而游离氨基酸含量大多呈下降趋势。综合主成分分析及感官品质评价,以枇杷新梢幼叶为原料加工叶茶,采用蒸汽杀青75 s、揉捻5 min后再炒制25 min加工的叶茶品质较好。

关键词：枇杷幼叶制茶工艺条件品质

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基于UTAUT模型的学术虚拟社区知识共享行为研究——感知知识优势的调节作用

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现代情报 2019年第6期39卷 48-58页

作者：吴士健刘国欣权英山东科技大学经济管理学院山东青岛266590 山东科技大学文法学院山东青岛266590

[目的/意义]从用户感知视角,探究学术虚拟社区知识共享的关键影响因素,有助于推动虚拟环境下的知识分享行为。[方法/过程]基于UTAUT模型,构建了一个包含绩效期望、努力期望、社会影响、便利条件和感知知识优势的综合效应模型,基于352份... 详细信息

[目的/意义]从用户感知视角,探究学术虚拟社区知识共享的关键影响因素,有助于推动虚拟环境下的知识分享行为。[方法/过程]基于UTAUT模型,构建了一个包含绩效期望、努力期望、社会影响、便利条件和感知知识优势的综合效应模型,基于352份有效问卷,运用结构方程模型和回归分析进行了实证检验。[结果/结论]绩效期望、努力期望、社会影响正向影响知识共享意愿,并进而影响共享行为;便利条件正向影响知识共享行为;除自我身份与共享意愿之间的调节作用不显著外,感知知识优势调节各变量与知识共享意愿、共享行为之间的关系。提升知识分享的绩效预期和努力期望,增强社区成员的归属感、自我身份认同和自我效能感以及保持成员间适度的知识势差有助于提升虚拟社区知识共享行为。

关键词： UTAUT模型学术虚拟社区知识共享行为感知知识优势

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差序式领导、创造力自我效能感对员工创造力的影响:中庸思维的调节作用

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科技进步与对策 2021年第17期38卷 144-151页

作者：吴士健高文超权英山东科技大学经济管理学院山东科技大学文法学院山东青岛266590

差序式领导是华人企业组织中普遍存在且蕴含独特文化价值的领导风格,对提高员工创造力发挥着重要推动作用。基于347份实证调查数据,构建一个被中介的调节效应模型,检验差序式领导对员工创造力的作用机理和边界条件。研究结果表明:差序... 详细信息

差序式领导是华人企业组织中普遍存在且蕴含独特文化价值的领导风格,对提高员工创造力发挥着重要推动作用。基于347份实证调查数据,构建一个被中介的调节效应模型,检验差序式领导对员工创造力的作用机理和边界条件。研究结果表明:差序式领导有利于员工创造力发挥;员工创造力自我效能感在差序式领导与员工创造力之间起到部分中介作用;中庸思维在差序式领导影响员工创造力过程中发挥正向调节作用,且部分调节作用通过创造力自我效能感进行中介传递。

关键词：差序式领导创造力自我效能感员工创造力中庸思维

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工作压力对员工创造力的影响——调节焦点与创造力自我效能感的多重链式中介效应

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科技进步与对策 2021年第4期38卷 132-140页

作者：吴士健高文超权英山东科技大学经济管理学院山东科技大学文法学院山东青岛266590

应用资源保存理论、调节焦点理论和社会认知理论,基于323份调查问卷数据的结构方程模型分析,探究了挑战性压力和阻碍性压力对员工创造力的影响,检验了调节焦点和创造力自我效能感的多重链式中介效应。研究结果表明:挑战性压力对员工创... 详细信息

应用资源保存理论、调节焦点理论和社会认知理论,基于323份调查问卷数据的结构方程模型分析,探究了挑战性压力和阻碍性压力对员工创造力的影响,检验了调节焦点和创造力自我效能感的多重链式中介效应。研究结果表明:挑战性压力对员工创造力有积极影响,阻碍性压力对员工创造力有消极影响;挑战性压力正向影响促进型调节焦点,负向影响防御型调节焦点,阻碍性压力的作用效果与之相反;促进型调节焦点和防御型调节焦点均能够在两种工作压力与员工创造力之间发挥中介作用;创造力自我效能感在两种工作压力与员工创造力之间发挥中介作用;调节焦点-创造力自我效能感中介链在工作压力与员工创造力之间的中介效应显著。

关键词：工作压力调节焦点创造力自我效能感员工创造力

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疏浚淤泥颗粒分选特性定量评价方法研究

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人民长江 2020年第9期51卷 158-162页

作者：张莹徐桂中邱月南京工业职业技术学院经济管理学院江苏南京210023 盐城工学院土木工程学院江苏盐城221051 山东科技大学矿山灾害预防控制省部共建国家重点实验室培育基地山东青岛266590

疏浚淤泥吹填入堆场后会发生颗粒分选,定量化评价疏浚淤泥的颗粒分选特性,有利于揭示淤泥的颗粒分选规律,预测疏浚淤泥的颗粒分布。通过白马湖淤泥自重沉积试验,对沉积后的淤泥分层取样并进行颗粒粒径分析,研究各含水率下疏浚淤泥自重... 详细信息

疏浚淤泥吹填入堆场后会发生颗粒分选,定量化评价疏浚淤泥的颗粒分选特性,有利于揭示淤泥的颗粒分选规律,预测疏浚淤泥的颗粒分布。通过白马湖淤泥自重沉积试验,对沉积后的淤泥分层取样并进行颗粒粒径分析,研究各含水率下疏浚淤泥自重沉积过程中的颗粒分选规律,并探讨了自重沉积过程中颗粒分选程度的衡量方法。应用沉积学中的粒度参数分析了疏浚淤泥自重沉积后不同深度土样的平均粒径和均匀性,针对粒度参数在研究疏浚淤泥自重沉积规律的过程中存在的问题,提出了新的分选程度定量化评价参数——分选系数。根据分选系数与淤泥初始含水率的关系,可将疏浚泥初始含水率划分为3个阶段:水分禁锢段、水分敏感段和分选最大化段。

关键词：疏浚淤泥颗粒分选分选系数自重沉积白马湖

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我国不同地区蔬菜产业竞争力聚类分析

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中国蔬菜 2019年第8期 21-27页

作者：于丽艳穆月英天津科技大学经济与管理学院天津300222 中国农业大学经济管理学院北京100083

我国蔬菜产业发展迅速,不同地区蔬菜产业发展呈现不同特点。本文基于国家竞争优势理论,结合蔬菜产业发展实际,建立中国蔬菜产业竞争力评价指标体系,利用因子分析法和系统聚类分析方法,对中国各个地区蔬菜产业竞争力进行分析。研究结论为... 详细信息

我国蔬菜产业发展迅速,不同地区蔬菜产业发展呈现不同特点。本文基于国家竞争优势理论,结合蔬菜产业发展实际,建立中国蔬菜产业竞争力评价指标体系,利用因子分析法和系统聚类分析方法,对中国各个地区蔬菜产业竞争力进行分析。研究结论为:①全国各个地区蔬菜产业竞争力整体发展不平衡,不同省份蔬菜产业竞争力差距较大,蔬菜生产大省和农业生产大省整体上竞争力较强,而农业基础较弱和农业生产规模较小的省份蔬菜产业竞争力较弱;②东部地区整体蔬菜产业竞争力较强,西部地区较弱,东部地区蔬菜产业发展基础较好,在市场需求、交通设施等方面具有优势;西部地区蔬菜生产基础比较薄弱,同时,在交通设施约束下,蔬菜产业整体竞争力较弱;③全国蔬菜产业竞争力较强的地区依次为:山东、河南、江苏、湖北、湖南、河北、广东、浙江和四川。

关键词：蔬菜产业竞争力因子分析聚类分析

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不同氮磷钾水平对夏大豆产量与品质的影响

引用

大豆科学 2023年第2期42卷 220-227页

作者：蒋龙刚史建硕郭丽任燕利潘丽佳王丽英河北省农林科学院农业资源环境研究所河北石家庄050051 河北省肥料技术创新中心河北石家庄050051 河北农业大学经济管理学院河北保定071000

为明确河北地区不同氮磷钾水平对夏大豆产量与品质的影响,以大豆品种冀豆17为供试材料,在河北省农林科学院大河试验站设置不同的氮磷钾用量水平田间试验,分析不同氮磷钾水平对夏大豆收获期土壤养分含量、产量及其构成要素和品质的影响... 详细信息

为明确河北地区不同氮磷钾水平对夏大豆产量与品质的影响,以大豆品种冀豆17为供试材料,在河北省农林科学院大河试验站设置不同的氮磷钾用量水平田间试验,分析不同氮磷钾水平对夏大豆收获期土壤养分含量、产量及其构成要素和品质的影响。结果表明:收获期0~20 cm土层速效氮、磷、钾含量分别为7.55~9.62 mg·kg^(-1)、14.0~27.2 mg·kg^(-1)、139~218 mg·kg^(-1);与缺素处理相比,施氮、磷、钾使0~20 cm土层硝态氮、速效磷、速效钾分别增加16.8%~25.2%、34.3%~93.6%、18.7%~62.6%。土壤速效氮含量较低时,施氮使大豆单株有效荚数、单株粒数和产量显著增加,增幅分别为15.6%~43.8%、13.7%~42.8%和12.2%~29.4%,且大豆产量与施氮量(0~195 kg·hm^(-2))显著正相关;施氮使大豆籽粒蛋白质含量增加1.31%~3.39%、脂肪含量降低2.55%~3.40%,大豆籽粒蛋白质含量随着施氮量的增加呈现先增加后降低的趋势。土壤速效磷、钾含量处于中等及以上水平时,施磷和钾使大豆单株有效荚数、单株粒数、产量分别增加7.57%~10.3%、2.70%~6.31%、1.56%~4.34%和1.06%~1.69%、1.83%~7.34%、6.03%~6.81%,大豆产量随着施磷量的增加呈现先增加后降低的趋势;施磷、钾对大豆籽粒蛋白质和脂肪含量无显著影响。

关键词：大豆氮磷钾水平土壤养分产量构成要素产量品质

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