深化改革、不断调整 创建高效精干地调院

保留一支素质较高、精干的地质勘查队伍,满足国家及区域经济发展对地质勘查工作的需要,包括地质勘查的公益性事业和经营性活动,是贯彻落实国办发[1999]37号文件的一项重要改革内容.文章介绍了江苏省地调院深化改革、不断调整、创建高效精干地调院,实现公益性地质事业与经营性地勘活动统分结合,稳定、发展地质事业,形成高效精干地质队伍的经验和体会.     

两宋时期儒学在贵州的传播

两宋时期,今贵州经制州、羁縻州和藩国并存,纳入了宋王朝大一统治理之下。贵州土著民族首领延纳儒士,兴办教育,奖掖书院。＂蛮荒子弟多读书攻文字＂,儒学进一步传播,科举中式乃至中进士者不乏其人。儒学的传播,增进了各民族之间的了解和认同,推动了地域文化、经济、社会的进步。     

跨越“中等收入陷阱”与构建消费主导型经济发展模式——中国特色社会主义消费理论的探究

社会主义市场经济条件下,居民个人消费与社会主义公有制相联系,体现了社会主义市场经济的性质。其一,消费是最大限度满足人们不断增长的物质、精神以及生态的需要。这也是推进改革和现代化建设的出发点和落脚点。其二,消费以实现共同富裕为目标。采取一部分人和一部分地区先富起来的政策;实行按劳分配为主、按生产要素分配相结合的方式,逐步实现共同富裕。其三,社会主义发展生产力是为了提高人民生活水平和质量,因此,消费水平和质量的提高是以发展生产为根本条件的。公平分配和统一市场是提高消费水平和质量的基本及重要条件。     

厂房屋面防水设计与施工中的一些问题

文章从厂房屋面的基层、找平层、保温层和防水层以及檐口泛水等厂房屋面的几个施工工序方面,从设计到施工到材料选用上提出了一些常见的质量问题以及处理这些问题的相应对策,为提高工业厂房屋面防水质量提供一些参考意见。     

大宗农产品供应链协调问题分析

大宗农产品供应链管理是实现我国农业现代化、产业化的有效途径。以大宗农产品供应链为研究对象,阐述了大宗农产品供应链失调的后果,通过对现阶段我国大宗农产品供应链管理失调的主要原因进行分析,提出促进我国大宗农产品供应链协调的可行性建议。     

增值税改革对企业劳动份额的作用机制——基于面板三重差分模型的实证研究

以中国工业企业数据为样本,从微观层面运用面板三重差分模型（DDD）对增值税转型的效果进行了测算,发现增值税转型显著降低了劳动份额,并且显著降低了政府份额。为了探索其内在机制,基于收入分配的视角,进一步分析发现增值税转型对劳动份额存在两方面的效果,一是增值税转型降低政府份额,政府份额下降有利于增加劳动份额。二是增值税转型加剧资本对劳动的替代。实证研究发现第二种效果大于第一种效果,最终降低了劳动报酬。研究补充了增值税改革的经验,为2015年营业税改增值税的政策评价提供了参考。     

论市场化运作条件下土地一级开发的价值取晦

土地一级开发的市场化运作应兼顾公平与效率。在招标选择一级开发企业时,应将土地取得与市政设施建设两项不同性质的内容区别开来,采取不同评价标准和管理模式,进而使一级开发实现公平与效率的结合。     

Effectiveness and safety of betrixaban extended prophylaxis for venous thromboembolism compared with standard-duration prophylaxis intervention in acute medically ill patients: a systematic literature review and network meta-analysis

Abstract

Aims: To determine the clinical effectiveness and safety of venous thromboembolism (VTE) prophylaxis using US- and Europe-approved anticoagulants relative to extended-duration VTE prophylaxis with betrixaban. Low molecular weight heparins (LMWHs), unfractionated heparin (UFH), fondaparinux sodium and placebo were each compared to betrixaban, as standard-duration VTE prophylaxis for hospitalized, non-surgical patients with acute medical illness at risk of VTE.

Materials and methods: A systematic literature review was conducted up to June 2019 to identify randomized controlled trials (RCTs) of VTE prophylaxis in hospitalized, non-surgical patients with acute medical illness at risk of VTE. Studies that reported the occurrence of VTE events (including death) and, where possible, major bleeding, from treatment initiation to 20–50?days thereafter were retrieved and extracted. A Bayesian fixed effect network meta-analysis was used to estimate efficacy and safety of betrixaban compared with standard-duration VTE prophylaxis.

Results: Seven RCTs were analyzed which compared betrixaban, LMWHs, UFH, fondaparinux sodium, or placebo. There were significantly higher odds (median odds [95% credible interval]) of VTE with LMWHs (1.38 [1.12–1.70]), UFH (1.60 [1.05–2.46]), and placebo (2.37 [1.55–3.66]) compared with betrixaban. There were significantly higher odds of VTE-related death with placebo (7.76 [2.14–34.40]) compared with betrixaban. No significant differences were observed for the odds of major bleeding with all comparators, VTE-related death with any active standard-duration VTE prophylaxis, or of VTE with fondaparinux sodium, compared with betrixaban.

Limitations and conclusions: In this indirect comparison, betrixaban was shown to be an effective regimen with relative benefits compared with LMWHs and UFH. This indicates that betrixaban could reduce the burden of VTE in at-risk hospitalized patients with acute medical illness who need extended prophylaxis, though without direct comparative evidence, stronger conclusions cannot be drawn.     

Health IT adoption,productivity and quality in primary care

Within the last decade, there has been a growing push towards the use of electronic medical records and health information technology (IT) within primary care physician practices. Despite financial subsidies, smaller practices remain reluctant to adopt these information systems. Using a nationally representative survey of physicians, this study explores the relationship between physician, practice and area attributes and the adoption of health IT systems. Controlling for these attributes, the analysis subsequently studies the relationship between health IT, physician productivity and perceived quality of care. It finds that smaller practices and physicians with lower incomes are less likely to adopt health IT systems and that adoption varies with the type of medical conditions the practice typically treats. With regards to productivity, health IT adopters are more likely to see fewer patients and spend a larger amount of time on each visit with marginal increases in time on administrative tasks and no differences in perceived ability to deliver quality health care.     

企业职工基本养老保险分级平衡省级统筹体制存在问题研究

在省级统筹、分级平衡体制下,市县级政府基本养老保险基金支付出现赤字时,解决的步骤是先由当地历年结存基金部分支付,不足的剩余由当地财政和省级调剂金按照相同比例进行弥补。但这一规定使那些基本养老金存量较大、上缴调剂金数量较多的市县级政府在遇到支付缺口时,动用结存养老金,但在弥补所剩赤字时,不能得到更多的省级调剂金。因而容易引发市县级政府在基本养老保险金征管中＂逆向选择＂,影响基本养老保险金的征管,此问题应得到关注解决。