The economic burden of depression among adults with rheumatoid arthritis in the United States

Aims: Depression is the most frequent comorbidity reported among patients with rheumatoid arthritis (RA). Comorbid depression negatively impacts RA patients’ health-related quality-of-life, physical function, mental function, mortality, and experience of pain and symptom severity. The objective of this study was to assess healthcare utilization, expenditures, and work productivity among patients with RA with or without depression.

Materials and methods: Data from adult patients who had at least two visits each related to RA and depression over a 1-year period were extracted from the Truven Health MarketScan research databases. Outcomes comprised healthcare resource utilization, work productivity loss, and direct healthcare costs comparing patients with RA with depression (n?=?3,478) vs patients with RA without depression (n?=?43,222).

Results: Patients with RA and depression had a significantly greater relative risk of hospitalization and number of all-cause and RA-related hospitalizations, utilization of emergency services, days spent in the hospital, physician visits, and RA-related surgeries compared with RA patients without depression. Patients with RA and depression had a higher risk of and experienced more events and days of short-term disability compared with patients without depression. The incremental adjusted annual all-cause and RA-related direct costs were $8,488 (95% CI = $6,793–$10,223) and $578 (95% CI = –$98–$1,243), respectively, when comparing patients with RA and depression vs RA only.

Limitations: The current analysis is subject to the known limitations of retrospective studies based on administrative claims data.

Conclusions: This study suggested increased healthcare utilization, work productivity loss, and economic burden among RA patients due to comorbid depression. These findings emphasize the importance of managing depression and including depression as a factor when devising treatment algorithms for patients with RA.     

基于文献计量学的洪涝灾害研究现状及发展趋势分析

以美国科学情报机构科学引文索引数据库(SCI-E)为数据源,通过文献计量学的方法从文献数量、学者数量、文献发表期刊分布、发文国家/地区、科研机构及关键词等方面对数据库中1988—2015年洪涝灾害的相关文献进行分析,以评估洪涝灾害的研究趋势。结果显示:1988—2015年洪涝灾害在其领域内发展迅速,无论是文献总量、参与研究的作者数量还是研究内容上都随时间呈上涨趋势;洪涝灾害相关论文主要覆盖的学科类别是"水资源",Natural Hazards为发表相关论文最多的学术期刊;美国是洪涝灾害领域发文量最多的国家,中国紧随其后位列第二;学术力量方面,洪涝灾害相关研究力量以高等院校为主,其中中国科学院为该领域研究发文量最高的科研机构;通过对关键词的分析可知,与洪涝灾害相关的科学问题研究中,"洪水管理""气候变化"和"模型"是未来研究热点,将高新技术广泛使用于洪涝灾害的研究领域,控制洪涝灾害对国民经济造成的损失,有利于经济的持续、稳定和健康发展。     

Investor behaviour and reaching for yield: Evidence from the sterling corporate bond market

We provide evidence on how corporate bond investors react to a change in yields, and how this behaviour differs in times of market‐wide stress. We also investigate ‘reaching for yield’ across investor types, as well as providing insights into the structure of the corporate bond market. Using proprietary sterling corporate bond transaction data, we show that insurance companies, hedge funds and asset managers are typically net buyers when corporate bond yields rise. Dealer banks clear the market by being net sellers. However, we find evidence for this behaviour reversing in times of stress for some investors. During the 2013 ‘taper tantrum’, asset managers were net sellers of corporate bonds in response to a sharp rise in yields, potentially amplifying price changes. At the same time, dealer banks were net buyers. Finally, we provide evidence that insurers, hedge funds and asset managers tilt their portfolios towards higher risk bonds, consistent with ‘reaching for yield’ behaviour.     

Why will Trump lose the trade war?

ABSTRACT

The escalating U.S.–China trade conflicts have increasingly shadowed the outlook of the world economy. The Trump administration aims to achieve its strategic goals including reducing current account deficits, promoting the U.S. manufacturing sector, and curbing Chinese high-tech industries by waging the trade war against China. This paper argues that the current account deficits and the declining manufacturing sector in the U.S. are mainly driven by its internal structural factors, such as low saving rates, high labor costs, and rising service sector, rather than by the import competition from China. Moreover, the trade war further deteriorates the U.S. current account deficits and erode its comparative advantage, and it forces China to invest more in technological innovation and human capital, and thus promote its progress in high-tech industries. Thus, the U.S. will not be able to achieve its strategical goals and eventually lose the trade war.     

我国粮食产后损失情况概述

本文系统分析了粮食产后各环节损失的原因及损失量,针对相关粮食损失原因及状况,提出了减少粮食产后损失的措施及建议,以期为我国实现节粮减损提供支持。     

On the Current Situation and Problems of High Education Institutes Digital Libraries Development

The paper discusses the necessity and objective of digital library system, and analyzes the current situation of the high education institute digital libraries in China as well as some potential problems. Development plan is proposed for the digital library system for universities.     

事业单位固定资产管理必须加强

加强事业单位资产管理，管好用好国有资产，保证资产的安全、完整，对促进事业单位发展意义重大。为此，必须从建立资产管理机构、建立全面预算控制制度，完善基础管理工作等入手，强化事业单位固定资产管理。     

农民养老问题亟待解决

农村现行的家庭养老、土地养老、集体养老正在弱化,巩固家庭养老的基础地位,强化土地保障功能,辅之以社区扶持,推行多层次养老保险,符合中国国情和农村生产力发展水平,是解决农村养老问题的必然选择.     

简析加强非国有企业档案管理的重要性

阐述了中国“入世”后，档案工作在非国有企业的生存发展中所起的基础性作用和保护企业知识产权的重要性，提出了非国有企业档案工作改革的新思路。     

浅析事业单位固定资产的核算

固定资产是事业单位开展业务活动必不可少的基本物质条件，也是事业单位赖以生存和发展的重要资源之一。但是事业单位一般不从事物质资料的生产，其固定资产主要是由财政拨款购置的，使用的目的也并不是为了赢利，因而对其核算相对也比较简单，在使用过程中不计成本，不提折旧。随着我国社会主义市场经济体制的逐步建立和完善以及我国事业单位改革的进行，目前对事业单位固定资产的会计核算越来越不适应新形势发展需要，也不符合我国社会主义市场经济建设的需要。因此如何全面、完整、准确地对事业单位的固定资产进行核算，确保其安全和完整，充分发挥其效能，实现保值增值，以充分发挥事业单位固定资产在我国社会主义经济建设中的作用，无疑是十分重要的。