Multimorbidity and Persistent Depression among Veterans with Diabetes, Heart Disease, and Hypertension
In: Health & social work: a journal of the National Association of Social Workers, Band 36, Heft 2, S. 109-119
ISSN: 1545-6854
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In: Health & social work: a journal of the National Association of Social Workers, Band 36, Heft 2, S. 109-119
ISSN: 1545-6854
In: Minimally invasive neurosurgery, Band 47, Heft 3, S. 181-185
ISSN: 1439-2291
In: Journal of common market studies: JCMS, Band 35, Heft 1, S. 159
ISSN: 0021-9886
With the deepening of health insurance reform in China, the integration of social health insurance schemes was put on the agenda. This paper aims to illustrate the achievements and the gaps in integration by demonstrating the trends in benefits available from the three social health insurance schemes, as well as the influencing factors. Data were drawn from the three waves of the China Health and Nutrition Survey (2009, 2011, 2015) undertaken since health reforms commenced. χ2, Kruskal–Wallis test, and the Two-Part model were employed in the analysis. The overall reimbursement rate of the Urban Employee Basic Medical Insurance (UEBMI) is higher than that of Urban Resident Basic Medical Insurance (URBMI) or the New Rural Cooperative Medical Scheme (NRCMS) (p < 0.001), but the gap has narrowed since health reform began in 2009. Both the outpa-tient and inpatient reimbursement amounts have increased through the URBMI and NRCMS. Illness severity, higher institutional level, and inpatient service were associated with significant in-creases in the amount of reimbursement received across the three survey waves. The health reform improved benefits covered by the URBMI and NRCMS, but gaps with the UEBMI still exist. The government should consider more the release of health benefits and how to lead toward healthcare equity.
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In: Minimally invasive neurosurgery, Band 49, Heft 5, S. 257-262
ISSN: 1439-2291
In: Minimally invasive neurosurgery, Band 49, Heft 5, S. 305-308
ISSN: 1439-2291
Monumental tombs within ancient civilizations worldwide hold precious clues for deciphering the architectural skill, acumen, and industry of prehistoric cultures. Most tombs were constructed from abiotic materials—stone, soil, and/or clay, predominately—and were built to permanently inter royalty or high-status individuals. On the island of Kosrae in the central Pacific, monumental tombs were constructed with scleractinian coral and were confined to the prehistoric island capital of Leluh, where they served as temporary mortuary processing points. Like other prehistoric tombs, the Leluh tombs were dated by association—from the remnants of the temporarily interred. We present new dates for three sacred tombs using high-precision U-Th dates from 24 corals collected directly from the structural materials. The results suggest that the tombs were built about 700 years ago during the 14th century, about three centuries earlier than previously reported. The new dates redefine the peak occupation of Leluh and place its ruling paramountcy at the leading edge of the developing trans-oceanic political hierarchies, as well as the social and economic systems that dominated the civilizations in this part of the world.
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International audience ; Background: The Chinese government proposed the "XIAO BING BU CHU CUN, DA BING BU CHU XIAN" initiative in 2016, which states the rate of health care service provided by county hospitals should reach 90% of overall health care service provision. The prerequisite for achieving this goal is that citizens should be able to access county hospitals' services conveniently and impartially. However, little research has been done on the actual levels of the spatial accessibility of citizens to county hospitals in Western China. Therefore, we aimed to measure the spatial accessibility to county hospitals for county residents and to identify any regional disparities in Shaanxi Province in Western China.Methods: We implemented a novel method – involving utilizing navigation data from the AutoNavi web mapping system (knows as Gaode map in Chinese) – to assess the time and distance from villages and neighborhoods to the county hospitals. The navigation data were collected by request through an application-programming-interface using a web crawler (web data extraction tool) in Python. The shortest driving time and distance were extracted from the navigation data. The travel impedance to the nearest provider (TINP) indicator was used to measure spatial accessibility.Results: The results show that county residents in Western China's Shaanxi Province have poor spatial accessibility to county hospitals. Only 68.8% of villages and neighborhoods are within 60 min travel time (based on driving mode) to a county hospital, while 13.4% of such villages and neighborhoods are beyond 90 min travel time. Moreover, a significant within-province disparity exists, with residents in the central area enjoying the best accessibility to county hospitals, while the northern and southern areas still need improvements in accessibility.Conclusions: Focused health resource planning is required to improve the spatial accessibility to county hospitals and to eliminate regional disparities. Further studies are called for to ...
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International audience ; Background: The Chinese government proposed the "XIAO BING BU CHU CUN, DA BING BU CHU XIAN" initiative in 2016, which states the rate of health care service provided by county hospitals should reach 90% of overall health care service provision. The prerequisite for achieving this goal is that citizens should be able to access county hospitals' services conveniently and impartially. However, little research has been done on the actual levels of the spatial accessibility of citizens to county hospitals in Western China. Therefore, we aimed to measure the spatial accessibility to county hospitals for county residents and to identify any regional disparities in Shaanxi Province in Western China.Methods: We implemented a novel method – involving utilizing navigation data from the AutoNavi web mapping system (knows as Gaode map in Chinese) – to assess the time and distance from villages and neighborhoods to the county hospitals. The navigation data were collected by request through an application-programming-interface using a web crawler (web data extraction tool) in Python. The shortest driving time and distance were extracted from the navigation data. The travel impedance to the nearest provider (TINP) indicator was used to measure spatial accessibility.Results: The results show that county residents in Western China's Shaanxi Province have poor spatial accessibility to county hospitals. Only 68.8% of villages and neighborhoods are within 60 min travel time (based on driving mode) to a county hospital, while 13.4% of such villages and neighborhoods are beyond 90 min travel time. Moreover, a significant within-province disparity exists, with residents in the central area enjoying the best accessibility to county hospitals, while the northern and southern areas still need improvements in accessibility.Conclusions: Focused health resource planning is required to improve the spatial accessibility to county hospitals and to eliminate regional disparities. Further studies are called for to ...
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We present the achievements of the last years of the experimental and theoretical groups working on hadronic cross section measurements at the low-energy e (+) e (-) colliders in Beijing, Frascati, Ithaca, Novosibirsk, Stanford and Tsukuba and on tau decays. We sketch the prospects in these fields for the years to come. We emphasise the status and the precision of the Monte Carlo generators used to analyse the hadronic cross section measurements obtained as well with energy scans as with radiative return, to determine luminosities and tau decays. The radiative corrections fully or approximately implemented in the various codes and the contribution of the vacuum polarisation are discussed. ; This work was supported in part by: – European Union Marie-Curie Research Training Networks MRTN-CT-2006-035482 "FLAVIAnet" andMRTN-CT-2006- 035505 "HEPTOOLS"; – European Union Research Programmes at LNF, FP7, Transnational Access to Research Infrastructure (TARI), Hadron Physics2-Integrating Activity, Contract No. 227431; – Generalitat Valenciana under Grant No. PROMETEO/2008/069; – German Federal Ministry of Education and Research (BMBF) grants 05HT4VKA/3, 06-KA-202 and 06-MZ-9171I; – German Research Foundation (DFG): 'Emmy Noether Programme', contracts DE839/1-4, 'Heisenberg Programme' and Sonderforschungsbereich/Transregio SFB/TRR 9; – Initiative and Networking Fund of the Helmholtz Association, contract HA-101 ("Physics at the Terascale"); – INTAS project Nr 05-1000008-8328 "Higher-order effects in e+e− annihilation and muon anomalous magnetic moment"; – Ministerio de Ciencia e Innovación under Grant No. FPA2007- 60323, and CPAN (Grant No. CSD2007-00042); – National Natural Science Foundation of China under Contracts Nos. 10775142, 10825524 and 10935008; – Polish Government grant N202 06434 (2008-2010); – PST.CLG.980342 – Research Fellowship of the Japan Society for the Promotion of Science for Young Scientists; – RFBR grants 03-02-16477, 04-02-16217, 04-02-1623, 04-02- 16443, 04-02-16181-a, 04-02-16184-a, 05-02-16250-a, 06-02- 16192-a, 07-02-00816-a, 08-02-13516, 08-02-91969 and 09- 02-01143; – Theory-LHC-France initiative of CNRS/IN2P3; – US DOE contract DE-FG02-09ER41600. We thank J. Libby for useful correspondence about the luminosity measurement at CLEO-c, and A. Pich, J. Portolés, D. Gómez-Dumm, M. Jamin and Z.H. Guo for fruitful collaborations and useful suggestions related to the Tau Physics section. S. Eidelman and V. Cherepanov are grateful to the Cracow Institute of Nuclear Physics where part of this work has been performed. M. Gunia acknowledges a scholarship from the UPGOW project co-financed by the European Social Fund. F. Jegerlehner acknowledges support by the Foundation for Polish Science. ; Peer reviewed
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Using the data sets taken at center-of-mass energies above 4 GeV by the BESIII detector at the BEPCII storage ring, we search for the reaction e(+)e(-) -> gamma(ISR) X(3872) -> gamma(ISR)pi(+)pi(-) J/psi via the Initial State Radiation technique. The production of a resonance with quantum numbers J(PC) = 1(++) such as the X(3872) via single photon e(+)e(-) annihilation is forbidden, but is allowed by a next-to-leading order box diagram. We do not observe a significant signal of X(3872), and therefore give an upper limit for the electronic width times the branching fraction Gamma B-X(3872)(ee)(X(3872) -> pi(+)pi(-) J/psi) < 0.13 eVat the 90% confidence level. This measurement improves upon existing limits by a factor of 46. Using the same final state, we also measure the electronic width of the psi(3686) to be Gamma(psi)(ee)(3686) ee = 2213 +/- 18(stat) +/- 99(sys) eV. ; Funding: The BESIII collaboration thanks the staff of BEPCII and the IHEP computing center for their strong support. This work is supported in part by the National Key Basic Research Program of China under Contract No. 2015CB856700; National Natural Science Foundation of China (NSFC) under Contract Nos. 11125525, 11235011, 11322544, 11335008, 11425524; the Chinese Academy of Sciences (CAS) Large-Scale Scientific Facility Program; Joint Large-Scale Scientific Facility Funds of the NSFC and CAS under Contract Nos. 11179007, U1232201, U1332201; CAS under Contract Nos. KJCX2-YW-N29, KJCX2-YW-N45; 100 Talents Program of CAS; INPAC and Shanghai Key Laboratory for Particle Physics and Cosmology; German Research Foundation DFG under Contract No. CRC-1044; Seventh Framework Programme of the European Union under Marie Curie International Incoming Fellowship Grant Agreement No. 627240; Istituto Nazionale di Fisica Nucleare, Italy; Ministry of Development of Turkey under Contract No. DPT2006K-120470; Russian Foundation for Basic Research under Contract No. 14-07-91152; U.S. Department of Energy under Contract Nos. DE-FG02-04ER41291, DE-FG02-05ER41374, DE-FG02-94ER40823, DESC0010118; U.S. National Science Foundation; University of Groningen (RuG) and the Helmholtzzentrum fur Schwerionenforschung (GSI), Darmstadt; WCU Program of National Research Foundation of Korea under Contract No. R32-2008-000-10155-0.
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Background: The COVID-19 pandemic has disrupted routine hospital services globally. This study estimated the total number of adult elective operations that would be cancelled worldwide during the 12 weeks of peak disruption due to COVID-19. Methods: A global expert response study was conducted to elicit projections for the proportion of elective surgery that would be cancelled or postponed during the 12 weeks of peak disruption. A Bayesian β-regression model was used to estimate 12-week cancellation rates for 190 countries. Elective surgical case-mix data, stratified by specialty and indication (surgery for cancer versus benign disease), were determined. This case mix was applied to country-level surgical volumes. The 12-week cancellation rates were then applied to these figures to calculate the total number of cancelled operations. Results: The best estimate was that 28 404 603 operations would be cancelled or postponed during the peak 12 weeks of disruption due to COVID-19 (2 367 050 operations per week). Most would be operations for benign disease (90·2 per cent, 25 638 922 of 28 404 603). The overall 12-week cancellation rate would be 72·3 per cent. Globally, 81·7 per cent of operations for benign conditions (25 638 922 of 31 378 062), 37·7 per cent of cancer operations (2 324 070 of 6 162 311) and 25·4 per cent of elective caesarean sections (441 611 of 1 735 483) would be cancelled or postponed. If countries increased their normal surgical volume by 20 per cent after the pandemic, it would take a median of 45 weeks to clear the backlog of operations resulting from COVID-19 disruption. Conclusion: A very large number of operations will be cancelled or postponed owing to disruption caused by COVID-19. Governments should mitigate against this major burden on patients by developing recovery plans and implementing strategies to restore surgical activity safely.
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