简介：HealthcarefraudisanincreasinglylargeproblemintheUnitedStatesforpatients,taxpayers,andthegovernment,withtheNationalHealthcareAnti-FraudAssociation(NHCAA)estimatingthecoststobemorethantensofbillionseachyear(NHCAA,2018).Toaddressthisissue,governmentagenciesandinsurerscanutilizedataanalyticstodetectandpreventhealthcarefraud.TheAmericanSeniorCommunities(ASC)caseisarecentexampleofacomplexhealthcarefraudschemecommittedbyseveralhighrankingofficersinvolvingkickbacks,fictitiousvendors,andmoneylaunderingthroughshellcompanies.Theindictmentdetailshow$16millionwasstolenisparticularlygiventhepopulationcaredforbyASC—theelderly,individualswithdisabilities,lowincomeadults,pregnantwomenandchildren.Thiscasedemonstratesseveralwayshealthcarefraudcanbeperpetrated,highlightstheroleoftheauditor,andintroducesstudentstotheimportanceofemployingdataanalyticstopreventanddetectfraud.

简介：这份报纸联合队和数据包封分析(DEA)的理论设计机制最佳地在公共保健分配资源。在它的统治下面的一个法令的权威和公共医院作为一个队，其成员寻求在公共保健是公众的分享的机构的限制下面高效地操作被解释好。单个公共医院利用DEA最大化自己发薪，到对方公众医院的发薪不从外部效果掉落并且从而减去的队条件的题目由保健的公共供应创造了。产生team-DEA答案，它被显示是两个一个别地有效并且team-satisficing平衡并且以一个会聚的算法可计算出来，然后能被权威使用在公共保健决定资源的最佳的分配。一个盒子基于中国数据被介绍说明team-DEA模型准备好了的operationalization和计算。

简介：Inrecentyears,withthedevelopmentofsocietyinChina,studentshavebeenaffectedbysomenon-mainstreamculturesduringtheirgrowth,causingtheweaknessofmorality,andthegradualdegradationofhonesty.Thosephenomenaimposeseriousimpactsonthegrowthanddevelopmentofchildren.Thestudyinvestigatedthestatusofelementaryschoolstudentcreditthroughquestionnairesurvey.Basedontheresult,thecausesoftheproblemwereanalyzedfromdifferentperspectives,andthena“three-in-one”educationconceptwasproposed.Thecooperationamongfamily,school,andsocietywasstressedtoachievethecomprehensivepromotionofthemoralityandresponsibilityofprimaryschoolstudents.

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简介：Animprovedenergydemandforecastingmodelisbuiltbasedontheautoregressivedistributedlag(ARDL)boundstestingapproachandanadaptivegeneticalgorithm(AGA)toobtaincredibleenergydemandforecastingresults.TheARDLboundsanalysisisfirstemployedtoselecttheappropriateinputvariablesoftheenergydemandmodel.Aftertheexistenceofacointegrationrelationshipinthemodelisconfirmed,theAGAisthenemployedtooptimizethecoefficientsofbothlinearandquadraticformswithgrossdomesticproduct,economicstructure,urbanization,andtechnologicalprogressastheinputvariables.Onthebasisofhistoricalannualdatafrom1985to2015,thesimulationresultsindicatethattheproposedmodelhasgreateraccuracyandreliabilitythanconventionaloptimizationmethods.ThepredictedresultsoftheproposedmodelalsodemonstratethatChinawilldemandapproximately4.9,5.6,and6.1billionstandardtonsofcoalequivalentin2020,2025,and2030,respectively.

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简介：TheProgramofCocinasComunitariasinthestateofOaxaca,Mexicobenefitschildrenaged6to12whoattendprimaryeducationschoolsinlow-incomemunicipalities.Itishopedthatthisfoodassistanceprogramwillallowchildrentolearnbetteranddeveloplearningskills.Inthisway,asignificantreductioninthegradefailureratesanddropoutratesisexpected,whichwillbereflectedinahighergraduationefficiencyrates.Infact,thecontributionofthisworkconsistsofamethodologyfortheanalysisoftheimpactofthefoodsubsidyontheacademicperformanceoflow-incomeprimaryeducationstudents.Inthissense,amultivariatemodelwasconstructedtoanalyzetheinterrelationshipsbetweengradefailure,dropout,graduationefficiencyrates,foodsubsidy,andthesocio-demographiccharacteristicsofthepopulationthatattendsprimaryeducation.TheMexicangovernmentexpectsfromthisprogramthatthemorelow-incomechildrencompleteprimaryeducation,themorelikelythatahighernumberofadolescentswillcompletehighschooleducation.Thisschemeisveryimportantforthecountry’shalfpopulationlivinginpovertyandespeciallyinOaxacaStatewhichisoneofpooreststates.

简介：Extragonadalprimaryyolksactumoroftheintestinaltractoriginisexceedinglyrare.Throughamultipledisciplinaryteam,thediagnosisandtreatmentofprimaryintestinalyolksactumorwerefurtherdefined.Wereport2suchcaseswithdetailedhistologicandimmunohistochemicalanalysis.Thetwopatientswerea7-year-oldgirlanda29-year-oldwoman.Bothofthempreoperativelyhadanelevatedserumalphafetoprotein(AFP)level(≥1,210ng/mL).Thetumorsarelocatedintheintestineandimagingexaminationindicatedtherectumastheprimarysite.Grosslythemasswasgrey-whiteandcrisptexture.Microscopicexaminationfeaturedreticular,microcystic,macrocystic,papillary,solid,andsomeglandularpatterns.Immunohistochemically,tumorcellsofbothcaseswerepositiveforSALL4,AFP,pan-cytokeratin(AE1/AE3),andglypican-3.Simultaneously,astainforEMA,OCT4,CD30,HCG,vimentinandCK20werenegativeinall2neoplasms.Thefeaturesofmorphology,immunohistochemistry,laboratoryexaminationsandimagingstudiesconsistofthediagnosisofprimaryyolksactumoroftheintestine.

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简介：BackgroundThepresenceofachronictotalocclusion(CTO)inanon-infarct-relatedarterymightbeassociatedwithaworseprognosisinlongtermbenefitforST-segmentelevationmyocardialinfarction(STEIMI)patients.Butitstillremaincontroversial.MethodsAll383STEMIpatientsunderwentpercutaneousintervention(PCI)fromJan2015toJan2017inourcenterwereenrolledinthisprospectivestudy.Baselinecharacteristics,medicalhistory,biochemicalfindings,echocardiographicandangiographicparameters,proceduresperformedandcomplicationswererecorded.FactorsrelatedtoworseoutcomeCTOinSTEMIpatientswereanalyzedbythecoxlogisticregressionanalysisforthehazardrate(HR).ResultsInatotalof383patientsenrolledinthisstudy,85caseshadCTOinatleast1coronaryartery.Themeanfollow-upwas352days.1-yearmortalityandMACEratesinpatientswithCTOwere18.8%and11.8%,respectively.Majoradversecardiacevents(MACE)duringfollow-upweresignificantlyhigherinpatientswithCTO(HR=2.88;95%CI,1.82-4.77;P<0.001).ThemultivariateanalysisshowedasignificantassociationbetweenCTOandMACE(HR=2.1195%CI,1.27-3.88;P=0.014).ConclusionChronictotalocclusionisassociatedwithhigherriskofcomorbiditiesandhighermortality,andservesasanindependentpredictorofMACE.

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