BACKGROUND Elective cholecystectomy(CCY)is recommended for patients with gallstone-related acute cholangitis(AC)following endoscopic decompression to prevent recurrent biliary events.However,the optimal timing and imp...BACKGROUND Elective cholecystectomy(CCY)is recommended for patients with gallstone-related acute cholangitis(AC)following endoscopic decompression to prevent recurrent biliary events.However,the optimal timing and implications of CCY remain unclear.AIM To examine the impact of same-admission CCY compared to interval CCY on patients with gallstone-related AC using the National Readmission Database(NRD).METHODS We queried the NRD to identify all gallstone-related AC hospitalizations in adult patients with and without the same admission CCY between 2016 and 2020.Our primary outcome was all-cause 30-d readmission rates,and secondary outcomes included in-hospital mortality,length of stay(LOS),and hospitalization cost.RESULTS Among the 124964 gallstone-related AC hospitalizations,only 14.67%underwent the same admission CCY.The all-cause 30-d readmissions in the same admission CCY group were almost half that of the non-CCY group(5.56%vs 11.50%).Patients in the same admission CCY group had a longer mean LOS and higher hospitalization costs attrib-utable to surgery.Although the most common reason for readmission was sepsis in both groups,the second most common reason was AC in the interval CCY group.CONCLUSION Our study suggests that patients with gallstone-related AC who do not undergo the same admission CCY have twice the risk of readmission compared to those who undergo CCY during the same admission.These readmis-sions can potentially be prevented by performing same-admission CCY in appropriate patients,which may reduce subsequent hospitalization costs secondary to readmissions.展开更多
Early drinking is considered to result in making tolerant of alcohol consumption and a higher prevalence of alcohol related disorders in the later. We focused generational impacts on drinking rate among high school st...Early drinking is considered to result in making tolerant of alcohol consumption and a higher prevalence of alcohol related disorders in the later. We focused generational impacts on drinking rate among high school students based on multiple nationwide data. The surveys were nationwide, cross-sectional random sampling surveys given every 4 years from the Japanese Youth Tobacco and Alcohol Surveys, 1996 to 2008. Participants were male 53,925 high school students from 7th grade to 11th grade. We divided to the three follow-up groups every 4 years from 1996 to 2004 for male junior high school students in 7th grades and the end periods were 4 years later in 11th grades. Outcome measures in this study were life time drinking, current drinking within 30 days and weekly drinking. All drinking rates decreased each at 7th and at 11th grade. The increments in these drinking rates from 7th grade to 11th grade in males decreased gradually in recent follow-up groups. Generational impacts should be considered by using follow-up groups to study drinking behaviors among students.展开更多
Cash flow statements suggest that China’s rising labor remuneration has had a major impact on its national savings rate since 2008.Accordingly,this paper proposes labor remuneration hypotheses to explain the evolving...Cash flow statements suggest that China’s rising labor remuneration has had a major impact on its national savings rate since 2008.Accordingly,this paper proposes labor remuneration hypotheses to explain the evolving trend of China’s national savings rate.We hypothesize that:(1)The certainty and predictability of household labor remuneration have led to excess sensitivity to consumption,with a corresponding decrease in the household savings rate;(2)rising household labor remuneration means a greater share of labor remuneration is paid by firms,resulting in a smaller corporate savings rate;(3)the increase in the payment of labor remuneration by firms as a share of national disposable income has resulted in the government spending more on social welfare and public services resulting in the government having a declining share of disposable income,less propensity to save,and a falling government savings rate.Using China’s provincial panel data of 2008-2016,we performed an empirical test with the minimum wage standard as the instrumental variable to verify the above hypothesis.To cope with economic growth pressures,China needs to shift from an investment-driven to a consumption-driven growth model and prioritize investment efficiency over quantity.展开更多
文摘BACKGROUND Elective cholecystectomy(CCY)is recommended for patients with gallstone-related acute cholangitis(AC)following endoscopic decompression to prevent recurrent biliary events.However,the optimal timing and implications of CCY remain unclear.AIM To examine the impact of same-admission CCY compared to interval CCY on patients with gallstone-related AC using the National Readmission Database(NRD).METHODS We queried the NRD to identify all gallstone-related AC hospitalizations in adult patients with and without the same admission CCY between 2016 and 2020.Our primary outcome was all-cause 30-d readmission rates,and secondary outcomes included in-hospital mortality,length of stay(LOS),and hospitalization cost.RESULTS Among the 124964 gallstone-related AC hospitalizations,only 14.67%underwent the same admission CCY.The all-cause 30-d readmissions in the same admission CCY group were almost half that of the non-CCY group(5.56%vs 11.50%).Patients in the same admission CCY group had a longer mean LOS and higher hospitalization costs attrib-utable to surgery.Although the most common reason for readmission was sepsis in both groups,the second most common reason was AC in the interval CCY group.CONCLUSION Our study suggests that patients with gallstone-related AC who do not undergo the same admission CCY have twice the risk of readmission compared to those who undergo CCY during the same admission.These readmis-sions can potentially be prevented by performing same-admission CCY in appropriate patients,which may reduce subsequent hospitalization costs secondary to readmissions.
文摘Early drinking is considered to result in making tolerant of alcohol consumption and a higher prevalence of alcohol related disorders in the later. We focused generational impacts on drinking rate among high school students based on multiple nationwide data. The surveys were nationwide, cross-sectional random sampling surveys given every 4 years from the Japanese Youth Tobacco and Alcohol Surveys, 1996 to 2008. Participants were male 53,925 high school students from 7th grade to 11th grade. We divided to the three follow-up groups every 4 years from 1996 to 2004 for male junior high school students in 7th grades and the end periods were 4 years later in 11th grades. Outcome measures in this study were life time drinking, current drinking within 30 days and weekly drinking. All drinking rates decreased each at 7th and at 11th grade. The increments in these drinking rates from 7th grade to 11th grade in males decreased gradually in recent follow-up groups. Generational impacts should be considered by using follow-up groups to study drinking behaviors among students.
基金sponsored by the Major Project of the Key Research Base of the Ministry of Education(Grant No.13JJD790036).
文摘Cash flow statements suggest that China’s rising labor remuneration has had a major impact on its national savings rate since 2008.Accordingly,this paper proposes labor remuneration hypotheses to explain the evolving trend of China’s national savings rate.We hypothesize that:(1)The certainty and predictability of household labor remuneration have led to excess sensitivity to consumption,with a corresponding decrease in the household savings rate;(2)rising household labor remuneration means a greater share of labor remuneration is paid by firms,resulting in a smaller corporate savings rate;(3)the increase in the payment of labor remuneration by firms as a share of national disposable income has resulted in the government spending more on social welfare and public services resulting in the government having a declining share of disposable income,less propensity to save,and a falling government savings rate.Using China’s provincial panel data of 2008-2016,we performed an empirical test with the minimum wage standard as the instrumental variable to verify the above hypothesis.To cope with economic growth pressures,China needs to shift from an investment-driven to a consumption-driven growth model and prioritize investment efficiency over quantity.
