冠状动脉硬化性心脏病的心身医学机理与防治

从心身医学的角度，阐述冠状动脉硬化性心脏病的病因学，心理生物学机制及防治；对现代社区医疗卫生工作中的老年疾病的康复保健具有一定的指导意义。     

Comprehensive assessment of patients with irritable bowel syndrome with constipation and chronic idiopathic constipation using deterministically linked administrative claims and patient-reported data: the Chronic Constipation and IBS-C Treatment and Outcomes Real-World Research Platform (CONTOR)

Abstract

Aims

To characterize a US population of patients with irritable bowel syndrome with constipation (IBS-C) or chronic idiopathic constipation (CIC) using CONTOR, a real-world longitudinal research platform that deterministically linked administrative claims data with patient-reported outcomes data among patients with these conditions.     

黄连温胆汤的临床研究进展

综述了近10年来黄连温胆汤的临床研究进展,如治疗精神疾病、消化系统疾病、代谢疾病、慢性肾功能衰竭、心血管疾病、五官科疾病等,为黄连温胆汤的深入研究和合理应用提供依据。     

Foot‐and‐mouth disease and the Mexican cattle industry

The objective of this article is to analyze the domestic and international effects of a hypothetical foot‐and‐mouth disease (FMD) outbreak in the Mexican cattle industry. A discrete time dynamic optimization model of the Mexican cattle sector is specified, and linked to domestic and international markets. Economic consequences of FMD outbreaks are simulated over time and under different scenarios. Specific findings and general policy recommendations are provided. The study reports a range of outbreaks from localized to large scale and suggests that changes in economic surplus due to FMD range from a positive net gain of $0.89 to $1.6 billion to a net loss of about $67 billion, depending on the specific mitigation strategy and outbreak scenario.     

The effects of Mongolia's booming mining industry on its agricultural sector: A test for Dutch disease

Dutch disease occurs when currency strengthening associated with a booming sector of an economy crowds out a lagging trade‐dependent sector. In this study, a Keynesian‐style model is specified to deduce hypotheses about how increased foreign direct investment (FDI) aimed at Mongolia's mining sector affects its agricultural sector. A key finding is that while econometric results suggest the increased FDI strengthened Mongolia's currency, its adverse effect on Mongolia's trade‐sensitive agricultural sector is not sufficiently strong to cause the sector to decline. Although Dutch disease was not detected, the posited mechanism clearly is important. Specifically, when currency strengthening is ignored the reduced‐form elasticity of agricultural value‐added with respect to FDI is 2.7 times larger than when currency strengthening is taken into account (0.103 vs. 0.038). Also, FDI‐induced currency strengthening causes the Keynesian multiplier to drop from 2.40 to 2.00 and the FDI multiplier to drop from 3.05 to 1.89.     

Chronic Diseases, Labor Supply and Medical Expenditure at Older Age: Evidence from China

China has undergone a rapid epidemiological transition from infectious diseases to chronic diseases. Using data from the China Health and Retirement Longitudinal Study (CHARLS), this paper documents the profile of chronic diseases among older Chinese people, estimates the impact of the onset of chronic diseases on the labor supply, and examines the correlation between the prevalence of chronic diseases, a household’s medical expenditure and the role of health insurance in reducing medical costs. Empirical results show that the prevalence of chronic diseases is extremely high among older Chinese people and increases sharply with age. We find significant negative effects from the onset of chronic diseases on an individual’s livelihood at work. The estimation results by age and education suggest that the labor supply of the older and more highly educated people is more sensitive to the onset of chronic diseases. We also show that there can be a substantial indirect loss of individual and household income due to the onset of chronic diseases by limiting the labor supply. We find that the prevalence of chronic diseases is significantly associated with higher out-of-pocket medical expenditure. The reduced-form estimation results suggest that people with insurance have lower medical expenditure caused by minor chronic diseases, but this is only the case for women and urban residents. However, health insurance contributes little in reducing medical expenditure caused by major chronic diseases.     

甲状腺功能亢进症合并免疫性血小板减少性紫癜的5例病例临床分析

探讨甲状腺功能亢进症合并免疫性血小板减少性紫癜的患者服用丙基硫氧嘧啶(PTU)后对血小板的影响。停用丙基硫氧嘧啶,用地塞米松冲击治疗后,检测血小板计数。结果为所有患者的血小板均恢复正常。甲状腺功能亢进症患者体内抗体和自身免疫性血小板减少性紫癜的抗体具有部分同源性,抗甲状腺药物(PTU)对血小板也有破坏作用,因此,同时患有这2种疾病的患者,需选用对血小板影响小的药物,或者选用I131及手术治疗甲亢。     

Classical Swine Fever Changes the Way Farmers Value Pigs in South Africa

Although there is growing demand for animal products in Africa, production is stagnating. Appropriate management of livestock diversity could help reinvigorate production, contribute to food security and improve farmers’ livelihoods, particularly in subsistence‐oriented systems. We assess differences in farmers’ preferences and economic values for pig traits across different production systems and across areas that have been affected and unaffected by classical swine fever (CSF). Not surprisingly, market‐oriented farmers derived higher values from the productive traits such as heavy slaughter weight and large litter size found in exotic pig genotypes. Subsistence‐oriented farmers, particularly in swine fever affected areas, placed high value on tolerance to disease. We found that CSF changed farmers’ preferences for adaptive traits, and less so for productive traits. Therefore, indigenous breeds become more valuable for subsistence farmers and crossbreeds for market‐oriented farmers if CSF is a risk. Our results can have implications for breeding and conservation strategies and for compensation strategies after culling, and will become increasingly relevant if, as predicted, heat waves and disease outbreaks become more frequent in pig production systems in South Africa with climate change.     

Optimal surveillance against foot‐and‐mouth disease: the case of bulk milk testing in Australia

Previous foot‐and‐mouth disease (FMD) outbreaks and simulation‐based analyses suggest substantial payoffs from detecting an incursion early. However, no economic measures for early detection have been analysed in an optimising framework. We investigate the use of bulk milk testing (BMT) for active surveillance against an FMD incursion in Australia. We find that BMT can be justified, but only when the FMD entry probability is sufficiently high or the cost of BMT is low. However, BMT is well suited for post‐outbreak surveillance, to shorten the length of time and size of an epidemic and to facilitate an earlier return to market.     

Remittances and the Dutch Disease: Evidence from Panel Data for 18 Developing Countries

In this paper, using the GMM technique we attempt to empirically investigate the Dutch disease effect of remittances. The analyses are based on an annual balanced panel data set for 18 developing countries, which have remittances to GDP ratio of 5 percent and above, over the years 1999–2015. It is found that an inflow of remittances has a positive effect on economic growth, whereas it leads to a depreciation of the real effective exchange rate.