Transcatheter aortic valve implantation (TAVR) has emerged as an alternative, rapidly evolving treatment option for patients with se- vere aortic stenosis and high surgical risk. Stroke is a devastating complication...Transcatheter aortic valve implantation (TAVR) has emerged as an alternative, rapidly evolving treatment option for patients with se- vere aortic stenosis and high surgical risk. Stroke is a devastating complication being confined mainly in the periprocedural and 30-day pe- riod following TAVR, with a lower and relatively constant frequency thereafter. Early stroke is mainly due to debris embolization during the procedure, whereas later events are associated with patient specific factors. Despite the fact that the rate of clinical stroke has been constantly decreasing compared to initial TAVR experience, modern neuro-imaging with MRI suggests that new ischemic lesions post-TAVR are almost universal. The impact of the latter is largely unknown. However, they seem to correlate with a reduction in neurocognitive function. Because TAVR is set to expand its indication to lower surgical-risk patients, stroke prophylaxis during and after TAVR becomes of paramount importance. Based on clinical and pathophysiological evidence, three lines of research are actively employed towards this direction: improvement in valve and delivery system technology with an aim to reduce manipulations and contact with the calcified aortic arch and native valve, antithrombotic therapy, and embolic protection devices. Careful patient selection, design of the procedure, and tailored antithrombotic strategies respecting the bleeding risks of this fragile population constitute the main defense against stroke following TAVR.展开更多
Selection of materials,as an area of design research,has been under considerable interest over the years.Materials selection is one of the most important activities in the product development process.Inappropriate dec...Selection of materials,as an area of design research,has been under considerable interest over the years.Materials selection is one of the most important activities in the product development process.Inappropriate decision of materials can cause the product to be reproduced or remanufactured.To avoid this circumstance,one of the useful tools that can be employed in determining the most appropriate material is analytical hierarchy process(AHP).To illustrate the application of AHP,six different types of composite materials were considered.The most appropriate one for suitability of use in manufacturing automotive bumper beam was determined by considering eight main selection factors and 12 sub-factors.The AHP analysis reveals that the glass fibre epoxy is the most appropriate material because it has the highest value(25.7%,mass fraction) compared with other materials.The final material is obtained by performing six different scenarios of the sensitivity analysis.It is proved that glass fibre epoxy is the most optimum decision.展开更多
With the accelerating process of population aging in our country, the physical function of the elderly will decline, the possibility of suffering from acute and chronic diseases will increase, and the occurrence of di...With the accelerating process of population aging in our country, the physical function of the elderly will decline, the possibility of suffering from acute and chronic diseases will increase, and the occurrence of disability will become more common and normal. The potential demand for elderly care is rapidly increasing. With the growth, the care of the disabled elderly has become increasingly acute. At the same time, due to the intensification of family miniaturization and population migration, the traditional family-based long-term care has been difficult to sustain. How to incorporate long-term care into our social security system as soon as possible has become the focus of the whole society. The thesis through the combination of public policy simulation methods and the research data, the long-term care insurance system implemented at the beginning of 2018 in Shanghai is a policy blueprint. It uses statistical software SPSS, MATLAB, etc. to achieve data collation, analysis and prediction, and at the same time integrates the pilot of the long-term care insurance system. The implementation of policies in cities such as Qingdao and Nantong has been simulated. Finally, on the basis of simulation results, suggestions have been made for the future development of China's long-term care insurance system.展开更多
China is the only one country in the world with more than one hundred million people who aged over 60. With the dramatically increasing of population aging speed, the traditional endowment pattern with the element of ...China is the only one country in the world with more than one hundred million people who aged over 60. With the dramatically increasing of population aging speed, the traditional endowment pattern with the element of family model has a weakening trend and does not satisfy the demand of urban elderly diversified and multi-level pension. Thus, pensions that occupy at home are becoming the best choice of the urban pension mode in China. The paper will describe the meaning, situation and prospects of the home endowment and demonstrate the significance of developing the home endowment project in China. Additionally, the paper will discuss the future endowment model from the aspects of the government organization, scientific planning and functional shifts.展开更多
The segmentation of the social protection system in China renders the system not only inequitable but inefficient.Those employed in the public sector,particularly civil servants,are"overprotected",while workers in t...The segmentation of the social protection system in China renders the system not only inequitable but inefficient.Those employed in the public sector,particularly civil servants,are"overprotected",while workers in the non-public sector,especially farmers and rural migrant workers,are"under-protected".The segmented pension system impedes labor mobility while increasing administrative costs.Policies aimed at developing the new rural cooperative medical system and new rural old-age insurance scheme,as well as policies aimed at encouraging migrant workers to participate in urban social insurance programs,help improve the equity of social protection.Howere,competition between different local governments to win the "welfae crown" and the heavy brden placed on local finance caused by welface overspending has been hurting the sustainability of social protection programs.The following measures are suggested to address these problems;First,cease using social insurance coverage as an indicator of work performance for government officials;second,enhance the responsibility of the central government in social expenditure while increasing public transfers to less-developed regions in order to improve social assistance and merit goods provision;third,integrate or reorganized various sgements into one entity under each insurance program,with the purpose of eventually eliminating the segmentation problem in China's social protection system.展开更多
The Universal Declaration of Human Rights refers to the human right to health and well-being including medical care, but for the majority of people whom are not covered by health insurance this is better said than don...The Universal Declaration of Human Rights refers to the human right to health and well-being including medical care, but for the majority of people whom are not covered by health insurance this is better said than done. Ensuring the access of all citizens to the needed medical care requires the provision of health insurance coverage to a population pool and gradually expanding the pool to the whole nation. The ethical perspective of pooling resources across various groups of people with different levels of income and different health risks associated with age, genetics, and lifestyle, may raise the issue of individual autonomy versus social solidarity. Governmental, social, private, and community-based healthcare coverage have been used in different countries with varying details in the sources of funding, pooling of contributions, and the purchase of the covered healthcare services; these models have had varying levels of success depending on not only the availability of funds, but also on the political commitment of the state and the social solidarity and cultural attitude of the population towards universal healthcare. Therefore, universal healthcare requires not only a certain level of economic development, but also a strong sense of solidarity among the people as well as a political commitment in their government. I argue that the statement regarding the right to health, well-being, and medical care needs to be rethought, and instead universal access to essential healthcare should be regarded as a basic human right.展开更多
The sustainable development of the endowment insurance fund is the most basic fulcrum to the healthy development of the pension insurance system.The sustainable development of Chinese endowment insurance fund, we must...The sustainable development of the endowment insurance fund is the most basic fulcrum to the healthy development of the pension insurance system.The sustainable development of Chinese endowment insurance fund, we must adhere to the "wide coverage, basic, multi-level, The basic principle of sustainable ". In order to achieve the security of endowment insurance fund, sustainable development should be adopted .The countermeasures are: firstly, the implementation of sustainable legal raising mode; secondly, to determine the reasonable payment level, expanding .Large endowment insurance coverage;thirdly, to implement the State Administration by main market managementPrivate management and sustainable.展开更多
The function of the unemployment insurance funds arc: ensuring the basic life and stabling employment, preventing unemployment and promoting employment, on the one hand, it guarantee basic livings of the unemploycd, ...The function of the unemployment insurance funds arc: ensuring the basic life and stabling employment, preventing unemployment and promoting employment, on the one hand, it guarantee basic livings of the unemploycd, in order to reduce the impact on the individual and society. On the other hand, it also has a function of stabling employment, preventing unemployment and promoting unemployed again obtain employment. In recent years, however, the unemployment insurance fund revenue has been greater than its expenditure, balance funds become more and more, it not only faces a risk of depreciation, also will cause the waste of funds. Therefore, improve the utilization rate of the uncmployment insurance fund itself and expand the function of the unemployment insurance fund, realize the sustainable development of unemployment insurance funds is great significance.展开更多
IntroductionThe association between pulmonary interstitial fibrosis and the development of bronchogenic carcinoma in a patient with scleroderma has been reported rarely. It is hypothesized that intense epithelial prol...IntroductionThe association between pulmonary interstitial fibrosis and the development of bronchogenic carcinoma in a patient with scleroderma has been reported rarely. It is hypothesized that intense epithelial proliferation that is accompanied by the .brotic process increases the occurrence of carcinomatous changes. We report the case of a pa-tient who presented with 3-year history of Raynaud's phenomenon, gradual tightening of the skin which was ignored by the patient and her family members, and a 2-week history of severe respiratory dis-tress with left shoulder and upper back pain followed by the develop-ment of paraparesis. After a series of examinations, the patient was diagnosed with scleroderma and simultaneously with bronchogenic carcinoma and multiple distant metastases.展开更多
With the aging problem increasing seriously, how to make older people live with dignity is no longer a personal problem, a family problem, but gradually becomes a hot topic of the society. When institutional care is d...With the aging problem increasing seriously, how to make older people live with dignity is no longer a personal problem, a family problem, but gradually becomes a hot topic of the society. When institutional care is difficult to meet the pension needs, home care and community care are becoming the choices of the elderly. Based on the way of mutual aid pension, eonarnunity members began to enter our lives. With the "time bank" setting up and the development in China, China's pension system has been further improved. In the late 1990s, some cities in China began to try the pension community service pilot which was a supportive, low cost, high efficiency "time bank" aged This paper will present the development, the necessity and feasibility of "time bank", and analyze the problems and find strategies to solve the problems, so as to maintain the sustainable development of"time bank" in our country.展开更多
The current China's social security fund adopts the operation mode of "combination of social pooling and individual accounts".With the increase of the social security fund, the settlement of these problems is very ...The current China's social security fund adopts the operation mode of "combination of social pooling and individual accounts".With the increase of the social security fund, the settlement of these problems is very important. In this paper, the analysis based on the problems of China's basic old-age insurance in the current system mode operation, the "nominal account system characteristics and operation of overseas advantages and disadvantages on were described in detail, and points out that the" nominal account "made for a new old-age insurance system mode is conducive to resolving the problems existing in the operation of social security fund, so as to promote the foundation of sustainable development.展开更多
City migrant workers, as one part of the city's development, economic development and other aspects of urban to make a great contribution, but the delay with the local residents do not enjoy the same level of medical...City migrant workers, as one part of the city's development, economic development and other aspects of urban to make a great contribution, but the delay with the local residents do not enjoy the same level of medical care treatment is always blocked in outside the city's health care system, have less relevant departments, there is no practical system introduced regulations and policies, these things tell us to pay attention to the people, and the introduction of appropriate medical insurance of migrant workers possibly things, and timely medical security system of such groups and the local people medical protection for long support. Make medical insurance system can cities try it's best to help foreign workers Medicare, Medicare for the development of China has made a modest contribution.展开更多
This paper analyzes and explains the causes of the "empty account" of our country's basic pension personal account based on the specific economic conditions and social backgrounds of each period in China. Explained...This paper analyzes and explains the causes of the "empty account" of our country's basic pension personal account based on the specific economic conditions and social backgrounds of each period in China. Explained that the "empty account" phenomenon of pension insurance is not universally believed to be caused by "high accumulation and low consumption"economic development policies.The author puts forward two ideas for "filling up the air" in the individual pension account: 1. Ensure that the basic pension maintains its value.2. Accelerate the construction of individual pension accounts.展开更多
Shanghai went into the ranks of the aging society in 1979, as the first area which entered into the aging society in China. Along with the arrival of the ageing, the nursing problems of the old man and disabled elderl...Shanghai went into the ranks of the aging society in 1979, as the first area which entered into the aging society in China. Along with the arrival of the ageing, the nursing problems of the old man and disabled elderly become the important factors which affect social development. The establishment of the legal system, System integration to realize resource optimal allocation, Division of multilevel optimization services provide new pattern can make it happen.展开更多
One effective and proven tool for managing risk is insurance. At the same time, insurers, reinsurers, insurance, and reinsurance brokers in search of the relevant value of their services in the eyes of insured and lon...One effective and proven tool for managing risk is insurance. At the same time, insurers, reinsurers, insurance, and reinsurance brokers in search of the relevant value of their services in the eyes of insured and long-term benefits are increasingly paying attention to the possibilities of nanotechnology. On one hand, insurers see unlimited possibilities of nanotechnology in preventive and repressive activity in relation to losses. The obstacle in this case, for high-tech companies, is stiff competition from companies which are not innovation leaders, but with the necessary influence and power at the international and national market. On the other hand, understanding the reasons for the application of nanotechnology in the conflict prevention activities of the insurer allows him to develop and implement a more flexible strategy for sustainable development of the business.展开更多
文摘Transcatheter aortic valve implantation (TAVR) has emerged as an alternative, rapidly evolving treatment option for patients with se- vere aortic stenosis and high surgical risk. Stroke is a devastating complication being confined mainly in the periprocedural and 30-day pe- riod following TAVR, with a lower and relatively constant frequency thereafter. Early stroke is mainly due to debris embolization during the procedure, whereas later events are associated with patient specific factors. Despite the fact that the rate of clinical stroke has been constantly decreasing compared to initial TAVR experience, modern neuro-imaging with MRI suggests that new ischemic lesions post-TAVR are almost universal. The impact of the latter is largely unknown. However, they seem to correlate with a reduction in neurocognitive function. Because TAVR is set to expand its indication to lower surgical-risk patients, stroke prophylaxis during and after TAVR becomes of paramount importance. Based on clinical and pathophysiological evidence, three lines of research are actively employed towards this direction: improvement in valve and delivery system technology with an aim to reduce manipulations and contact with the calcified aortic arch and native valve, antithrombotic therapy, and embolic protection devices. Careful patient selection, design of the procedure, and tailored antithrombotic strategies respecting the bleeding risks of this fragile population constitute the main defense against stroke following TAVR.
基金the financial support through Research University Grant Scheme 2007 (RUG 2007) with vote number 91045
文摘Selection of materials,as an area of design research,has been under considerable interest over the years.Materials selection is one of the most important activities in the product development process.Inappropriate decision of materials can cause the product to be reproduced or remanufactured.To avoid this circumstance,one of the useful tools that can be employed in determining the most appropriate material is analytical hierarchy process(AHP).To illustrate the application of AHP,six different types of composite materials were considered.The most appropriate one for suitability of use in manufacturing automotive bumper beam was determined by considering eight main selection factors and 12 sub-factors.The AHP analysis reveals that the glass fibre epoxy is the most appropriate material because it has the highest value(25.7%,mass fraction) compared with other materials.The final material is obtained by performing six different scenarios of the sensitivity analysis.It is proved that glass fibre epoxy is the most optimum decision.
文摘With the accelerating process of population aging in our country, the physical function of the elderly will decline, the possibility of suffering from acute and chronic diseases will increase, and the occurrence of disability will become more common and normal. The potential demand for elderly care is rapidly increasing. With the growth, the care of the disabled elderly has become increasingly acute. At the same time, due to the intensification of family miniaturization and population migration, the traditional family-based long-term care has been difficult to sustain. How to incorporate long-term care into our social security system as soon as possible has become the focus of the whole society. The thesis through the combination of public policy simulation methods and the research data, the long-term care insurance system implemented at the beginning of 2018 in Shanghai is a policy blueprint. It uses statistical software SPSS, MATLAB, etc. to achieve data collation, analysis and prediction, and at the same time integrates the pilot of the long-term care insurance system. The implementation of policies in cities such as Qingdao and Nantong has been simulated. Finally, on the basis of simulation results, suggestions have been made for the future development of China's long-term care insurance system.
文摘China is the only one country in the world with more than one hundred million people who aged over 60. With the dramatically increasing of population aging speed, the traditional endowment pattern with the element of family model has a weakening trend and does not satisfy the demand of urban elderly diversified and multi-level pension. Thus, pensions that occupy at home are becoming the best choice of the urban pension mode in China. The paper will describe the meaning, situation and prospects of the home endowment and demonstrate the significance of developing the home endowment project in China. Additionally, the paper will discuss the future endowment model from the aspects of the government organization, scientific planning and functional shifts.
文摘The segmentation of the social protection system in China renders the system not only inequitable but inefficient.Those employed in the public sector,particularly civil servants,are"overprotected",while workers in the non-public sector,especially farmers and rural migrant workers,are"under-protected".The segmented pension system impedes labor mobility while increasing administrative costs.Policies aimed at developing the new rural cooperative medical system and new rural old-age insurance scheme,as well as policies aimed at encouraging migrant workers to participate in urban social insurance programs,help improve the equity of social protection.Howere,competition between different local governments to win the "welfae crown" and the heavy brden placed on local finance caused by welface overspending has been hurting the sustainability of social protection programs.The following measures are suggested to address these problems;First,cease using social insurance coverage as an indicator of work performance for government officials;second,enhance the responsibility of the central government in social expenditure while increasing public transfers to less-developed regions in order to improve social assistance and merit goods provision;third,integrate or reorganized various sgements into one entity under each insurance program,with the purpose of eventually eliminating the segmentation problem in China's social protection system.
文摘The Universal Declaration of Human Rights refers to the human right to health and well-being including medical care, but for the majority of people whom are not covered by health insurance this is better said than done. Ensuring the access of all citizens to the needed medical care requires the provision of health insurance coverage to a population pool and gradually expanding the pool to the whole nation. The ethical perspective of pooling resources across various groups of people with different levels of income and different health risks associated with age, genetics, and lifestyle, may raise the issue of individual autonomy versus social solidarity. Governmental, social, private, and community-based healthcare coverage have been used in different countries with varying details in the sources of funding, pooling of contributions, and the purchase of the covered healthcare services; these models have had varying levels of success depending on not only the availability of funds, but also on the political commitment of the state and the social solidarity and cultural attitude of the population towards universal healthcare. Therefore, universal healthcare requires not only a certain level of economic development, but also a strong sense of solidarity among the people as well as a political commitment in their government. I argue that the statement regarding the right to health, well-being, and medical care needs to be rethought, and instead universal access to essential healthcare should be regarded as a basic human right.
文摘The sustainable development of the endowment insurance fund is the most basic fulcrum to the healthy development of the pension insurance system.The sustainable development of Chinese endowment insurance fund, we must adhere to the "wide coverage, basic, multi-level, The basic principle of sustainable ". In order to achieve the security of endowment insurance fund, sustainable development should be adopted .The countermeasures are: firstly, the implementation of sustainable legal raising mode; secondly, to determine the reasonable payment level, expanding .Large endowment insurance coverage;thirdly, to implement the State Administration by main market managementPrivate management and sustainable.
文摘The function of the unemployment insurance funds arc: ensuring the basic life and stabling employment, preventing unemployment and promoting employment, on the one hand, it guarantee basic livings of the unemploycd, in order to reduce the impact on the individual and society. On the other hand, it also has a function of stabling employment, preventing unemployment and promoting unemployed again obtain employment. In recent years, however, the unemployment insurance fund revenue has been greater than its expenditure, balance funds become more and more, it not only faces a risk of depreciation, also will cause the waste of funds. Therefore, improve the utilization rate of the uncmployment insurance fund itself and expand the function of the unemployment insurance fund, realize the sustainable development of unemployment insurance funds is great significance.
文摘IntroductionThe association between pulmonary interstitial fibrosis and the development of bronchogenic carcinoma in a patient with scleroderma has been reported rarely. It is hypothesized that intense epithelial proliferation that is accompanied by the .brotic process increases the occurrence of carcinomatous changes. We report the case of a pa-tient who presented with 3-year history of Raynaud's phenomenon, gradual tightening of the skin which was ignored by the patient and her family members, and a 2-week history of severe respiratory dis-tress with left shoulder and upper back pain followed by the develop-ment of paraparesis. After a series of examinations, the patient was diagnosed with scleroderma and simultaneously with bronchogenic carcinoma and multiple distant metastases.
文摘With the aging problem increasing seriously, how to make older people live with dignity is no longer a personal problem, a family problem, but gradually becomes a hot topic of the society. When institutional care is difficult to meet the pension needs, home care and community care are becoming the choices of the elderly. Based on the way of mutual aid pension, eonarnunity members began to enter our lives. With the "time bank" setting up and the development in China, China's pension system has been further improved. In the late 1990s, some cities in China began to try the pension community service pilot which was a supportive, low cost, high efficiency "time bank" aged This paper will present the development, the necessity and feasibility of "time bank", and analyze the problems and find strategies to solve the problems, so as to maintain the sustainable development of"time bank" in our country.
文摘The current China's social security fund adopts the operation mode of "combination of social pooling and individual accounts".With the increase of the social security fund, the settlement of these problems is very important. In this paper, the analysis based on the problems of China's basic old-age insurance in the current system mode operation, the "nominal account system characteristics and operation of overseas advantages and disadvantages on were described in detail, and points out that the" nominal account "made for a new old-age insurance system mode is conducive to resolving the problems existing in the operation of social security fund, so as to promote the foundation of sustainable development.
文摘City migrant workers, as one part of the city's development, economic development and other aspects of urban to make a great contribution, but the delay with the local residents do not enjoy the same level of medical care treatment is always blocked in outside the city's health care system, have less relevant departments, there is no practical system introduced regulations and policies, these things tell us to pay attention to the people, and the introduction of appropriate medical insurance of migrant workers possibly things, and timely medical security system of such groups and the local people medical protection for long support. Make medical insurance system can cities try it's best to help foreign workers Medicare, Medicare for the development of China has made a modest contribution.
文摘This paper analyzes and explains the causes of the "empty account" of our country's basic pension personal account based on the specific economic conditions and social backgrounds of each period in China. Explained that the "empty account" phenomenon of pension insurance is not universally believed to be caused by "high accumulation and low consumption"economic development policies.The author puts forward two ideas for "filling up the air" in the individual pension account: 1. Ensure that the basic pension maintains its value.2. Accelerate the construction of individual pension accounts.
文摘Shanghai went into the ranks of the aging society in 1979, as the first area which entered into the aging society in China. Along with the arrival of the ageing, the nursing problems of the old man and disabled elderly become the important factors which affect social development. The establishment of the legal system, System integration to realize resource optimal allocation, Division of multilevel optimization services provide new pattern can make it happen.
文摘One effective and proven tool for managing risk is insurance. At the same time, insurers, reinsurers, insurance, and reinsurance brokers in search of the relevant value of their services in the eyes of insured and long-term benefits are increasingly paying attention to the possibilities of nanotechnology. On one hand, insurers see unlimited possibilities of nanotechnology in preventive and repressive activity in relation to losses. The obstacle in this case, for high-tech companies, is stiff competition from companies which are not innovation leaders, but with the necessary influence and power at the international and national market. On the other hand, understanding the reasons for the application of nanotechnology in the conflict prevention activities of the insurer allows him to develop and implement a more flexible strategy for sustainable development of the business.