Intestinal complications in patients with Crohn's disease in the Brazilian public healthcare system between 2011 and 2020

BACKGROUND This is a secondary database study using the Brazilian public healthcare system database.AIM To describe intestinal complications(ICs)of patients in the Brazilian public healthcare system with Crohn’s disease(CD)who initiated and either only received conventional therapy(CVT)or also initiated anti-tumor necrosis factor(anti-TNF)therapy between 2011 and 2020.METHODS This study included patients with CD[international classification of diseases–10th revision(ICD-10):K50.0,K50.1,or K50.8](age:≥18 years)with at least one claim of CVT(sulfasalazine,azathioprine,mesalazine,or methotrexate).IC was defined as a CD-related hospitalization,pre-defined procedure codes(from rectum or intestinal surgery groups),and/or associated disease(pre-defined ICD-10 codes),and overall(one or more type of ICs).RESULTS In the 16809 patients with CD that met the inclusion criteria,the mean follow-up duration was 4.44(2.37)years.In total,14697 claims of ICs were found from 4633 patients.Over the 1-and 5-year of follow-up,8.3%and 8.2%of the patients with CD,respectively,presented at least one IC,of which fistula(31%)and fistulotomy(48%)were the most commonly reported.The overall incidence rate(95%CI)of ICs was 6.8(6.5–7.04)per 100 patient years for patients using only-CVT,and 9.2(8.8–9.6)for patients with evidence of anti-TNF therapy.CONCLUSION The outcomes highlighted an important and constant rate of ICs over time in all the CD populations assessed,especially in patients exposed to anti-TNF therapy.This outcome revealed insights into the real-world treatment and complications relevant to patients with CD and highlights that this disease remains a concern that may require additional treatment strategies in the Brazilian public healthcare system.

Reacting to Epidemics:The Innovative Imperial Public Health System during the Late Northern Song Dynasty

Song China was a period in which China experienced a great increase in its population.Concurrently,the Song dynasty also experienced a rise in the frequency of epidemics and two major wars with the Western Xia and Liao dynasties during the 1000s and 1040s.The consequences of these changes were exacerbated by the increased geographical mobility of certain social groups such as traders and examinees attending civil service examinations.Thus,casualties of wars,epidemics,or disease,especially of people whose families were far away and could not care for them were left without care and“their corpses often lay bare along the roads.”This new social environment created a need for general relief.The Northern Song government(960-1127 CE),especially during the reign of Emperor Huizong,established an innovative public health system to address this issue.The public health system included poorhouses,public hospitals,and pauper’s cemeteries.The first were more of charity organizations,whereas the latter two promoted public health by providing medical services for the poor and burial for those that nobody cared for.In terms of rationale behind these institutions,on the one hand,they constituted an attempt to get the poor and homeless off the streets while providing them relief or burial.On the other hand,it seems that Huizong’s deep concern with medicine propelled him to design and implement a comprehensive public health system oriented to prevent contagion and outbreak of epidemics.This article depicts the background,the organization,and the functions of the system.The article also discusses the conditions and reasons that gave rise to such a unique undertaking by the Northern Song government.

基于B/S架构的计量公共服务平台设计与应用

该平台基于B/S架构,采用ASP.NET技术、C#语言和Oracle数据库,实现了计量器具全生命周期的信息化管理。平台包括计量器具管理、送检业务管理、计量器具统计、计量数据分析、计量信息推送等功能,具有实现计量数据互联互通、提高计量行政管理部门监管效率、提升企业产品质量等应用价值。

基于新浪微博的2022年吉林松原M_(S)4.3地震舆情信息数据分析

基于新浪微博数据,运用网络爬虫技术,获取2022年3月16日吉林松原M_(S)4.3地震舆情信息数据并进行分析,发现舆情传播生命周期通常为震后48小时,震后舆情传播信息广度通常呈双峰分布,官方与自媒体的信息发布更易推动舆情事件热度多峰的形成,政府与自媒体的介入可有效稳定网友情绪并提升网友情绪评分。

基于S-O-R理论的新型公共阅读空间用户流失行为分析——来自大众点评网用户评论

文章以大众点评网站中新型公共阅读空间的评论数据为对象,以S-O-R模型为理论基础,利用Python爬取其“中评”与“差评”的评论数据,运用内容分析法归纳得出新型公共阅读空间用户流失行为的主要因素,并构建新型公共阅读空间用户流失行为模型。在此基础上,提出提高新型公共阅读空间服务效能的相关建议,为提高新型阅读空间的服务质量,降低用户流失率提供参考。

农业节水灌溉REITs项目IRR测算研究

通过农业节水灌溉特许经营项目REITs案例研究发现,基础设施特许经营项目存在价值漏损时,可采用修正的B-S期权模型进行估值,可分配现金流用于分红的比例越高,投资收益越高,但项目的看涨期权价值越低。在项目高溢价转让的情况下,银行贷款比例越高、偿还时间越短,投资内部收益率(IRR)及投资收益可能越低;收益波动越大,看涨期权价值越大,但IRR可能会下降。采用B-S期权定价模型丰富了现有经营权类公募REITs资产估值方法,具有推广应用价值。对公募REITs产品在不同贷款比例、还款期限以及分红条件下确定合理投资收益,具有实践指导作用。

健康中国背景下“G-U-S”公益性体育服务模式的构建与实施

基于“健康中国”时代背景,对政府购买服务、高校提供服务和社会大众享受服务的“G-U-S”公益性体育服务模式构建的理论基础、主体框架及运行机制进行阐释,并以青少年体育服务为案例进行具体实施和效果检验。结果表明:“G-U-S”模式成效显著,服务对象满意度高,不仅能够达到提高其体育运动成绩,还能够促进体育兴趣培养和体育锻炼参与,具有校内和其他社会体育培训机构所不具备的优势。模式发展策略包括“G-U-S”的稳定发展有赖于高校资源共享的良性循环、高效运行离不开政府有效的组织监管、高质量服务必须坚持以服务对象需求为导向。

Performance Evaluation of Public Bus Transportation by Using DEA Models and Shannon’s Entropy:An Example From a Company in a Large City of China

The purpose of this paper is to assess the operational efficiency of a public bus transportation via a case study from a company in a large city of China by using data envelopment analysis(DEA)model and Shannon’s entropy.This company operates 37 main routes on the backbone roads.Thus,it plays a significant role in public transportation in the city.According to bus industry norms,an efficiency evaluation index system is constructed from the perspective of both company operations and passenger demands.For passenger satisfaction,passenger waiting time and passenger-crowding degree are considered,and they are undesirable indicators.To describe such indicators,a superefficient DEA model is constructed.With this model,by using actual data,efficiency is evaluated for each bus route.Results show that the DEA model with Shannon’s entropy being combined achieves more reasonable results.Also,sensitivity analysis is presented.Therefore,the results are meaningful for the company to improve its operations and management.

How the African Public Views China＇s Aid to Africa

As a vital part of China's foreign relations,China's aid to Africa has scored great achievements.Based on data from the Afrobarometer Survey in 2010 and data from the database of China's aid to Africa in 2000-2010 co-created by the US Center for Global Development and AidData,this paper dissects the macro-and micro-level determinants of the African public's perception of the effectiveness of aid from China through an empirical analysis.As descriptive statistics reveal,the African public has a highly positive view of aid from China despite country differences.According to our further analysis of a multilevel model,aid recipients with higher levels of democracy and economic development have a more favorable view of aid from China,while the size and sector of aid from China are not correlated with public favorability.At the micro-level,age,gender,education,race and media consumption are positively correlated with the public perception of aid.In conclusion,China must refocus its future aid programs on livelihood and welfare that directly benefit local people,rather than simply increasing the amount of aid.In delivering its commitments to Africa,China must also attach importance to public communication and "telling the China story " in its international affairs to improve its national image and gain more recognition by the African people.

NTRU_SSS:Anew Method Signcryption Post Quantum Cryptography Based on Shamir’s Secret Sharing

With the advent of quantum computing,numerous efforts have been made to standardize post-quantum cryptosystems with the intention of(eventually)replacing Elliptic Curve Cryptography(ECC)and Rivets-Shamir-Adelman(RSA).A modified version of the traditional N-Th Degree Truncated Polynomial Ring(NTRU)cryptosystem called NTRU Prime has been developed to reduce the attack surface.In this paper,the Signcryption scheme was proposed,and it is most efficient than others since it reduces the complexity and runs the time of the code execution,and at the same time,provides a better security degree since it ensures the integrity of the sent message,confidentiality of the data,forward secrecy when using refreshed parameters for each session.Unforgeability to prevent the man-in-the-middle attack from being active or passive,and non-repudiation when the sender can’t deny the recently sent message.This study aims to create a novel NTRU cryptography algorithm system that takes advantage of the security features of curve fitting operations and the valuable characteristics of chaotic systems.The proposed algorithm combines the(NTRU Prime)and Shamir’s Secret Sharing(SSS)features to improve the security of the NTRU encryption and key generation stages that rely on robust polynomial generation.Based on experimental results and a comparison of the time required for crucial exchange between NTRU-SSS and the original NTRU,this study shows a rise in complexity with a decrease in execution time in the case when compared to the original NTRU.It’s encouraging to see signs that the suggested changes to the NTRU work to increase accuracy and efficiency.

Public＇s knowledge of the differences between ophthalmologists and optometrists：a critical issue in eye care service utilisation

AIM：To assess the public＇s knowledge of the differences between ophthalmologists and optometrists and identify the factors associated with knowledge.METHODS：The study was a population-based random survey of adults aged 18 years or older conducted in Enugu,south eastern Nigeria,between March and June,2011.Data on respondents＇ socio-demographics,clinical profile,and knowledge of the differences between ophthalmologists and optometrists were collected using a 28-item questionnaire.Data were analysed using descriptive and analytical statistics.Values of P〈0.05 were considered statistically significant.RESULTS：The respondents（P=394） comprised 198 males and 196 females（sex ratio =1.01：1）,aged 18-70（30.9 ±10.8） years.The majority of respondents were single（57.4%）,possessed secondary education（96.9%）,employed（65.2%） and had no health insurance（77.4%）.Their clinical profile showed previous eye exam 54.1%,spectacle wear 41.6%and contact lens wear 5.6%.In the multivariate analysis,participants＇ good knowledge of the differences between ophthalmologists and optometrists was significantly associated with educational status（OR：0.32,95%CI：0.23-0.44,P〈0.0001,β =-0.988）,employment status（OR：1.8,95%CI：1.45-2.25,P〈0.0001,β=0.124）and previous eye examination（OR：1.63,95%CI：1.29-2.07,P〈0.0001,β =0.549）.CONCLUSION：Participants＇ socio-demographic and clinical characteristics are important predictors of good knowledge.The findings may have implications for all stakeholders in eye care delivery.There is need for knowledge enhancement,by the government and eye care providers,through population-based eye health literacy campaigns.

Development of China's Public Health as an Essential Element of Human Rights

September 2017 Contents Preface Ensuring People’s Right to Health Based on China’s Conditions Continuous Improvement of Health Environment and Conditions Public Health Service Capability Improving Steadily Great Improvement in the Quality of Medical and Health Services Improvement of the National Medical Security System

Actual Status of Healthy Lifestyle Habits of Public Health Nurses in Japan

Background: The public health nurse should make efforts to keep his/her own mental and physical health good, which is the professional responsibility. However, a variety of challenging issues have been pointed out with regard to well-being of healthcare professionals. Public health nurses are likely to face some difficulties in their habits of leading healthy lifestyles. The purpose of this study was to identify how Japanese public health nurses actually live their healthy lives. Methods: This study covered 1725 public health nurses in the Chugoku/Shikoku Region. We conducted an anonymous self-completed questionnaire survey. As basic attributes, the following 6 categories were set. The health practice indices used in this research consisted of the 7 practices of Breslow’s Health Practice Index (B-HPI), the Morimoto’s 8 practices, and 6 practices related to lifestyle habits that have been developed independently by the authors of this research (Health Lifestyle Index (HLI)), that is, 16 practices in total. The study plan was approved by the Ethics Committee of Okayama University. Results: We analyzed the 960 (55.7%) valid responses. This survey has demonstrated that the healthy life-style practices of public health nurses are generally good. However, there were some practices such as eating between meals, having little physical activity, and not having a good rest/sleep, that need to be improved. None of the assessment tools correlated with the length of experience. Conclusions: This survey has clarified that the healthy lifestyle practices of public health nurses did not correlated with their length of experience, indicating that the healthy lifestyle practices are not intensified by the accumulated career experience as public health nurses.

Study on the Influence of Farmer Social Capital on Cooperative Supply Willingness of Agricultural Disaster Reduction Public Goods——Based on the Investigation on 515 Farmers

Based on social capital theory,related factors of three dimensions( structure dimension,cognition dimension and relation dimension) of farmer social capital are taken as independent variables,and famer's willingness to cooperatively supply agricultural disaster reduction public goods is taken as dependent variable. Taking 515 farmers in 27 villages of Hubei Province as investigation objects,the influence of farmer social capital on cooperative supply willingness of agricultural disaster reduction public goods is explored by Logistic regression model. Research results show that social solidarity,common value concept,social trust and reciprocal content have positive impact on farmer's willingness of cooperative supply,while annual household income,number of agricultural disaster reduction public goods and social network have negative impact on farmer's willingness of cooperative supply.

China's Electronic Publications Growing

China had 1,442 officially approvedelectronic publications by the end of 1998.The current number of electronic publishersin China is 64,and there are more than1,000 relatively big producers.In 1997,China produced 1025 sets

“COST OF GROWTH”:REGIONAL PUBLIC GOODS AND CHINA'S NEIGHBORHOOD DIPLOMACY

China is a growing power.It is an important integral part for realizing the Two Centenary Goals and the Chinese Dream to be upgraded from a regional power to a world power. To this end,the neighborhood is of primary importance and the neighborhood diplomacy consists of an impor-

China's Public Diplomacy since the 18^(th) CPC National Congress

It is pointed out for the first time at the 18thCPC National Congress on November 8,2012 that"public diplomacy and cultural exchanges should be pushed forward",signifying integration of public diplomacy into China’s national strategy.Over the past year,China’s public diplomacy has made remarkable progress in institution-building,

An Analysis of Japanese Economy and Labor Market From Disparities by Gender and Employment Types of Lifetime and Annual Income,Public Pension Benefit and Redistribution

The purpose of this study is the maintenance of Japan’s economy by labor economics and public finance.I analyze(1)considering differences by gender and employment type by labor economics of applied microeconomics,and also(2)considering income,tax and social insurance obligations,and public pension benefits by public finance.1.In Japan,a regular employee has more men than women,and an irregular employee has more women than men.2.Japan’s current significant economic issues are rapidly decreasing population and other.3.All people from 20 years old pay the public pension insurance every month,and all people about from 70 years old can receive public pension benefit every month.4.The average lifespan is 100 years old,and a woman is higher than a man.Using individual data from the Japan’s Ministry of Internal Affairs and Communications'"National Survey of Income and Expenditure",I conducted an analysis on both an annual and lifetime basis of male and female workers from their 20s to 60s who are regular or irregular employees in the labor market.Furthermore,I studied men and women in from their 70s to 100 years old who receive public pension benefits.