Thermodynamics of scalar-tensor theory with non-minimally derivative coupling

With the usual definitions for the entropy and the temperature associated with the apparent horizon, we show that the unified first law on the apparent horizon is equivalent to the Friedmann equation for the scalar--tensor theory with non-minimally derivative coupling. The second law of thermodynamics on the apparent horizon is also satisfied. The results support a deep and fundamental connection between gravitation, thermodynamics, and quantum theory.Comment: 12 pages, no figure, minor correction

China's policy experimentation on long-term care insurance: Implications for access

China's population is aging rapidly, while the traditional long-term care (LTC) system that heavily relies on families is eroding. In response, China has embarked on a journey of policy experimentation for long-term care insurance (LTCI) since 2016, launching LTCI pilots in 15 pioneer cities. These pilots have a great diversity in participation, eligibility, and provision. This paper estimates the prevalence of LTC needs and analyzes the impact of the LTCI pilots on access. Although substantial progress has been achieved, the overall coverage of LTCI is still relatively small, and a large proportion of vulnerable people needing LTC seem to be left behind because of the strict eligibility criteria. This analysis suggests that future policy experimentation on LTCI reform in China needs to address the following pressing policy issues: expanding the coverage of LTCI; narrowing rural-urban disparities in access; improving access for vulnerable subpopulations; and reducing the heavy reliance on institutional care

Metal adsorption by quasi cellulose xanthogenates derived from aquatic and terrestrial plant materials

The FTIR spectra, SEM-EDXA and copper adsorption capacities of the raw plant materials, alkali treated straws and cellulose xanthogenate derivatives of Eichhornia crassipes shoot, rape straw and corn stalk were investigated. FTIR spectra indicated that of the three plant materials, the aquatic biomass of Eichhornia crassipes shoot contained more O-H and C=O groups which accounted for the higher Cu²⁺ adsorption capacities of the raw and alkali treated plant material. SEM-EDXA indicated the incorporation of sulphur and magnesium in the cellulose xanthogenate. The Cu²⁺ adsorption capacities of the xanthogenates increased with their magnesium and sulphur contents. However more copper was adsorbed than that can be explained by exchange of copper with magnesium. Precipitation may contribute to the enhanced uptake of copper by the cellulose xanthogenate

Economic evaluation of bailing capsules for patients with diabetic nephropathy in China

Background: Diabetic nephropathy is a major microvascular complication and the main cause of end-stage renal disease in diabetic patients. The therapeutic effects of Bailing capsules for diabetic nephropathy have already been demonstrated; however, the cost-effectiveness of Bailing capsules remains controversial. This study aimed to evaluate the cost-effectiveness of Bailing capsules combined with Western medicine compared with Western medicine alone in diabetic nephropathy from a Chinese healthcare system perspective.Methods: A Markov model was established to simulate the disease process of patients over a 20-year period. Clinical efficacy data were obtained from a meta-analysis, and transition probability was estimated based on microsimulation. Direct costs and utility values were collected from the Chinese Drug Bidding Database (https://www.shuju.menet.com.cn) and published literature. The incremental cost-effectiveness ratio (ICER) was measured, and one-way and probabilistic sensitivity analyses were performed to observe model stability.Results: A total of 34 randomized controlled trials involving 3,444 patients with diabetic nephropathy were selected for the meta-analysis. Compared to Western medicine alone, the addition of Bailing capsules resulted in an increase of 0.39 quality-adjusted life-years (QALYs) and additional costs of Chinese Yuan (CNY) 24,721, yielding an ICER of CNY 63,001 per QALY gained. The ICER was lower than the threshold of willingness-to-pay of CNY 80,976 (The GDP per Capita in China). The reliability and stability of the results were confirmed by the sensitivity analysis.Conclusion: We found that Bailing capsules may be a cost-effective treatment choice for patients with diabetic nephropathy in the Chinese population

Tunable Supramolecular Ag+-Host Interactions in Pillar[n]arene[m]quinones and Ensuing Specific Binding to 1-Alkynes

We developed an improved, robust synthesis of a series of pillar[6]arenes with a varying number (0-3) of quinone moieties in the ring. This easy-to-control variation yielded a gradually less electron-rich cavity in going from zero to three quinone units, as shown from the strength of host-guest interactions with silver ions. Such macrocycle-Ag2 complexes themselves were shown to display an unprecedented, sharp distinction between terminal alkynes, which strongly bound to such complexes, and internal alkynes, internal alkenes and terminal alkenes, which do hardly bind