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.     

军民融合协同创新驱动产业园区高质量发展研究

军民融合产业园区高质量发展对于推进军民深度融合、在全国形成可复制可推广经验具有重要意义。军民融合协同创新通过促进新知识涌现、推进新产业集聚发展，最终汇聚经济发展新动能，驱动园区高质量发展。在提出军民融合协同创新驱动园区高质量发展的机理与组织框架基础上，将发展模式归纳为以分享经济为背景的资源共享模式、以新型研发机构为核心的第三方模式、以产业联盟为核心的产业链拓展模式和以交易平台为核心的“PPP”模式，最后提出相关对策建议。     

Research on Crop Irrigation Schedules Under Deficit Irrigation—A Meta-analysis

Water Resources Management - Increasing water consumption in agriculture due to global climate change has posed considerable challenges to food security, thus improving the efficiency of water...     

An Enhanced Beetle Antennae Search Algorithm Based Comprehensive Water Quality Index for Urban River Water Quality Assessment

Water Resources Management - Urban river not only has the important function in urban hydrological environment, but also is an area for entertainment. Water quality assessment is the core technique...     

管理层权力制衡强度、债务约束与企业创新投资

企业创新是国家经济可持续增长的关键，受到管理层意愿的影响，因而需要对内部经营者的权力进行制衡。以2010-2018年我国A股上市公司为研究样本，实证检验管理层权力制衡强度对企业创新投资的影响，以及不同债务约束情境下高商业信用配置、高负债水平的调节效应，此外，还考察了产权性质的差异化影响。研究表明，管理层权力制衡强度越大，企业创新投资水平越高；高商业信用强化了该促进作用，而高负债水平弱化了该促进作用。进一步研究发现，管理层权力制衡强度与企业创新投资的关系在民企中更显著；国企能够更好地获得和运用商业信用，使其高商业信用对该关系的强化效应更显著；民企具有更强的债务约束，其高负债水平对该关系的弱化效应更明显。     

浅谈大型水电站继电保护信息管理系统设计及运用

某大型水电站继电保护信息管理系统结构与网络配置设计,成功解决了保护及安全自动装置与故障录波设施种类繁多、装置的通讯方式和通讯规约不尽相同、上送的数据量大等难题,不但可以将子站所有继电保护及安全自动装置、故障录波装置采集的信息上送主站,还可以通过Web服务在办公网络发布,并形成数据库和报表,实现数据统一管理,电厂信息化和智能化管理,非常适用于人员配置少、设备布置分散、自动化设备众多的大型水电站。     

农村公路建设工程质量安全监督与管理探究

农村公路建设工程是保证农民日常出行的基础,也是促进农村经济发展的有效途径.因此,在农村公路建设中,应该重视落实质量监督与管理,从而不断有效提高工程质量,充分满足农村发展需求.但是,在农村公路建设中往往由于质量与安全监督管理工作的缺失,导致工程开展过程中受到阻碍影响.为此,文章采用文献资料法等,根据分析农村公路建设工程中所存在的问题,提出农村公路建设工程质量安全监督与管理完善措施,旨为促进农村公路建设工程质量的提升.