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.     

皮带运输机皮带跑偏成因及解决办法

为保障皮带运输机的安全运作,避免跑偏状况出现,本文针对皮带运输机的结构和工作原理进行分析,详细研究了可能引起皮带跑偏的一些原因,并针对原因提出了相应解决办法.     

LT码新型度分布及其在电力线通信中的应用

Luby变换(Luby Transform,LT)码作为信道编码应用于电力线通信(Power Line Communication,PLC)，可实现电信号的可靠传输。度分布对LT码编译码性能的影响至关重要。为了得到更优的度分布，首先调整二进制指数分布(Binary Exponential Distribution,BED)中的度数比例，获得一种译码性能更优的改进的二进制指数分布(Improved BED,IBED)。然后，根据IBED在冗余度较小时译码成功率高，而冗余度增大后鲁棒孤子分布(Robust Soliton Distribution,RSD)的译码性能表现更佳的特点，通过求和归一化的方式将IBED与RSD两种度分布的优势进行有机结合，提出一种新型二进制鲁棒孤子分布(Binary RSD,BRSD)。仿真结果表明，与其他方法及传统的RSD相比，采用新度分布进行LT编码，可明显降低译码开销，并节约编译码耗时。将新型度分布应用于基于LT码的PLC系统中，能有效地抑制PLC信道中各种噪声对电信号的干扰，并提高通信效率。     

基于社会服务的示范性高职院校师资队伍建设——以广东农工商职业技术学院为例

服务是高职院校的第一宗旨,而社会服务能力的高低关键在于示范院校师资队伍建设。该文从广东农工商职业技术学院社会服务能力的实际情况出发,分析了该院师资队伍建设存在的问题,认为,首先应通过体制创新,提高教师社会服务意识;其次通过不同途径打造"双师型"教师团队,从而提升教师社会服务能力。     

钢铁工业与现代服务业融合发展的案例分析

简要叙述了钢铁工业与现代服务业开展“两业融合”的重要意义,分别以宝钢、河钢为代表的国内钢铁企业和以浦项、蒂森克虏伯为代表的国外钢铁企业为例,对钢铁企业开展两业融合的做法进行了分析,最后针对两业融合发展提出了几点建议。     

C++对象布局分析

分析了目前最为流行的面向对象的开发工具C 的对象布局，并进一步分析了其形成原因。     

工商管理学科实验教学体系研究

在追溯工商管理学科实验方法发展历史进程的基础上,分析了工商管理学科4种实验教学模式的特点,系统研究了我国高校工商管理学科实验教学的具体构架。     

决定企业成败因素的新认识

通过剖析细节主义、战略主义的理论欠缺,文章提出了决定企业成败因素的四大特点：综合性、差异性、阶段性和复杂性.     

模糊语言与"合作原则"

模糊语言是任何一个在使用中可能会导致两种或两种以上理解的语言。它包括指称模糊语言、概括性模糊语言和故意模糊语言等，模糊语言可能体现在单词或者词组层面上，也可能体现在句子和语篇上。     

高校政治思想工作的创新思考

新时期高校思想政治工作要与教育教学相统一，要做到人性化，强化人本意识，坚持以学生为本，增强历史责任感和使命感，切实把大学生思想政治教育工作提高到一个新的水平。