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作者：王剑威大连理工大学

学位级别：硕士

随着保险市场经营主体迅速增加以及经济全球化和保险国际化带来的冲击，保险行业的竞争正在向更广的领域和更深的层次演变。为改善服务质量、提高市场竞争力，保险企业迫切地需要提高企业内部的科学决策能力，增强在市场经营等方面的正... 详细信息

随着保险市场经营主体迅速增加以及经济全球化和保险国际化带来的冲击，保险行业的竞争正在向更广的领域和更深的层次演变。为改善服务质量、提高市场竞争力，保险企业迫切地需要提高企业内部的科学决策能力，增强在市场经营等方面的正确判断能力，必须充分利用已经积累的大量的业务数据，构建统计分析系统，挖掘其中蕴涵的信息，快速加以提取、制定市场策略，对市场做出及时灵活的反应，使企业在信息时代的市场竞争中立于不败之地。\n 数据仓库技术和J2EE技术为保险统计分析信息系统提供了良好的技术支持，跳出了传统的联机事务处理(OLTP)机制和C/S开发模式所带来的局限和不便，是数据处理的发展方向，并在各个行业都得到了广泛的应用。\n 本文首先系统地介绍了数据仓库技术、数据分析技术，从工程的角度从原理上对数据仓库的体系结构、数据源的分析、数据仓库的建模技术等构建数据仓库相关技术进行了阐述。然后，针对平安人寿大连分公司原有统计分析信息系统的情况进行了分析，找出其中存在的问题，并结合数据仓库技术和J2EE技术有针对性地提出了相应的技术方案。最后，根据平安人寿大连分公司统计分析的具体需求介绍了基于J2EE技术的多层体系结构平安人寿大连分公司统计分析信息系统的体系结构设计，并重点介绍了该结构中企业信息系统层(即数据仓库)结构体系的实施，主要包括：数据指标和纬度的定义、数据抽取和数据加载的设计和实现等。另外，也介绍了WEB层的系统实现。\n 通过对数据仓库技术和J2EE技术的应用，进一步探索了保险公司信息化建设的模式和方向，为今后保险公司信息化建设和决策支持工作积累了大量宝贵的经验。

关键词：保险统计分析数据仓库平安人寿信息化决策支持

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浅析因素分析法在社会保险基金统计中的应用

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天津社会保险 2009年第2期 21-22页

作者：徐静姝天津市社保保税区分中心

社会保险基金管理是社保经办工作的核心,而充分发挥统计职能,建立高效的统计预测机制则是基金管理的重要内容。统计预测机制的建立,有赖于充分完备的信息系统统计数据的支持。

关键词：统计职能社保经办因素分析法保险费征缴保险统计分析预测机制基金支付参保人社会保险经办

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浅析社会保险统计工作存在问题及所采取的对策

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内蒙古煤炭经济 1997年第6期 64-67页

作者：杨敏英内蒙古煤管局

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Y市2016年城镇退休职工基本医疗保险利用分析

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中华医院管理杂志 2019年第5期35卷 426-430页

作者：白雪方鹏骞唐昌敏华中科技大学同济医学院护理学院武汉430030 华中科技大学同济医学院武汉430030 湖北中医药大学管理学院武汉430065

目的探讨城镇职工基本医疗保险参保人中退休人员对该保险的利用情况以及年龄因素对医疗费用的影响程度。方法使用Y市2016年265426条≥60岁退休人员医疗服务利用数据,采用描述性统计和方差分析进行分析。结果随着年龄的增长,退休人员对... 详细信息

目的探讨城镇职工基本医疗保险参保人中退休人员对该保险的利用情况以及年龄因素对医疗费用的影响程度。方法使用Y市2016年265426条≥60岁退休人员医疗服务利用数据,采用描述性统计和方差分析进行分析。结果随着年龄的增长,退休人员对住院服务的利用率逐渐升高,对慢性病门诊的利用逐渐减少,服务利用次数占比随年龄增长而减少。从总数上来看,医疗费用消耗主要集中在60~70岁年龄段,人群医疗总费用随年龄增长而递减。不同年龄组的人均医疗总费用存在差异,且年龄越大均数越大。结论慢性疾病发病率升高等疾病谱的变化给医疗服务体系提出新的挑战;老龄化将对医疗保障体系持续增压,急需建立以老龄人群为中心的卫生保健体系,建立完善的医疗保障体系。

关键词：保险统计分析基本医疗保险老年人人口老龄化医疗费用

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Prognostic significance of Gleason score 3+4 versus Gleason score 4+3 tumor at radical prostatectomy

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UROLOGY 2000年第5期56卷 823-827页

作者： Chan, TY Partin, AW Walsh, PC Epstein, JI Johns Hopkins Univ Sch Med James Buchanan Brady Urol Inst Johns Hopkins HospDept Pathol Baltimore MD 21287 USA Johns Hopkins Univ Sch Med James Buchanan Brady Urol Inst Johns Hopkins HospDept Urol Baltimore MD 21287 USA

Objectives. To determine the clinical significance of Gleason score 3+4 versus 4+3 on radical prostatectomy. Methods. Of 2390 men who underwent radical prostatectomy by a single surgeon, 570 had Gleason score 7 tumors without lymph node metastasis, seminal vesicle invasion, or tertiary Gleason pattern 5. Patients were evaluated for biochemical recurrence (prostate-specific antigen progression) and distant metastases. Results. Eighty percent of patients had Gleason score 3+4, 20% had 4+3. The rate of established extraprostatic extension at radical prostatectomy for Gleason score 3+4 and 4+3 tumors was 38.2% and 52.7%, respectively (P = 0.008). With a mean follow-up of 4.6 years for men without progression, Gleason score 4+3 tumors had an increased risk of progression independent of stage and margin status (P <0.0001). The 5-year actuarial risk of progression was 15% and 40% for Gleason score 3+4 and 4+3 tumors, respectively The mean time to progression was 4.4 years for Gleason score 3+4 tumors and 3.2 years for Gleason score 4+3 tumors. We stratified the patients into four prognostic groups on the basis of organ-confined status, margin status, and Gleason score (3+4 Versus 4+3). The 5-year actuarial risk of progression was 10%, 35%, 45%, and 61%, with 10-year progression rates of 29%, 42%, 69%, and 84%, for the four groups. 3.9% of patients with Gleason score 3+4 and 10.5% with Gleason score 4+3 tumors developed metastatic disease within a mean of 5.7 and 5.6 years, respectively. A Gleason score of 4+3 Versus 3+4 was predictive of metastatic disease (P = 0.002) but not local recurrence. Conclusions. Gleason score 7 tumors are heterogeneous in their biologic behavior. The differences in prognosis for patients with Gleason scores 3+4 and 4+3 tumors at radical prostatectomy are significant. Although the assessment of the percentage of pattern 4 at radical prostatectomy is not likely to be reproducible, the distinction between Gleason score 3+4 and 4+3 should be easier

关键词：保险统计分析疾病恶化无病生存随访研究淋巴转移多元分析肿瘤侵润肿瘤复发局部/病理学肿瘤分期预后前列腺特异抗原/血液前列腺切除术前列腺肿瘤/诊断前列腺肿瘤/病理学前列腺肿瘤/治疗危险性评估成年人老年人人类男(雄)性中年人

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The clinicopathological significance of p21 and p53 expression in esophageal squamous cell carcinoma: An analysis of 153 patients

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AMERICAN JOURNAL OF GASTROENTEROLOGY 1999年第8期94卷 2060-2068页

作者： Lam, KY Law, S Tin, L Tung, PHM Wong, J Univ Hong Kong Dept Pathol Hong Kong Peoples R China Univ Hong Kong Dept Surg Hong Kong Peoples R China

OBJECTIVE: The p21 gene is thought to play a central role in tumor suppression. The aim of this study was to examine the clinicopathological role of p21 and p53 in esophageal squamous cell carcinomas. METHODS: The expression of p21 and p53 proteins in 153 Chinese patients (131 men, 22 women) with resected esophageal squamous cell carcinomas was investigated by the immunohistochemical method. Correlation between p21 and p53 expression and clinicopathological features was examined. RESULTS: The expression of p21 and p53 was detected in 70% and 64% of the tumors, respectively. The staining of p21 and p53 was also found in squamous carcinoma in situ, dysplasia, and nontumor epithelium. p21 expression was often weak in the suprabasal cells and found in better differentiated tumors. There was no significant correlation between the expression of p21 and the abnormal accumulation of p53. The prognosis of the patients depended on the size, stage, and p21 expression of the lesion. In stage III lesions with tumor diameter less than or equal to 7.5 cm (n = 93), patients with loss of p21 expression had better survival. The survival rates of patients were worse if they had expression of both p21 and p53. CONCLUSIONS: Thus, p21 and p53 had prognostic value for esophageal squamous cell carcinomas. Loss of p21 expression was shown without p53 alternations, indicating that other mechanisms are also involved in turning off the gene. The pattern of p21 and p53 expression predicts an aggressive clinical course of esophageal squamous cell carcinomas. (Am J Gastroenterol 1999;94:2060-2068. (C) 1999 by Am. Coll. of Gastroenterology).

关键词：保险统计分析 CDC2-CDC28激酶类癌鳞状细胞/死亡率癌鳞状细胞/病理学细胞周期蛋白依赖激酶2 周期素依赖激酶抑制剂p21 细胞周期蛋白质依赖激酶类/拮抗剂和抑制剂细胞周期蛋白质依赖激酶类/遗传学细胞周期蛋白类/遗传学食管肿瘤/遗传学食管肿瘤/死亡率食管肿瘤/病理学食管/病理学基因表达调控肿瘤/生理学基因肿瘤抑制/遗传学香港免疫酶技术肿瘤分期蛋白质丝氨酸苏氨酸激酶/拮抗剂和抑制剂蛋白质丝氨酸苏氨酸激酶/遗传学存活率肿瘤抑制蛋白质p53/遗传学成年人老年人老年人 80以上女(雌)性人类男(雄)性中年人

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HEALTH-CARE FINANCING - HOW MUCH REFORM IS NEEDED

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ISSUES IN SCIENCE AND TECHNOLOGY 1992年第3期8卷 42-49页

作者： OKEEFFE, JE AMER PSYCHOL ASSOC WASHINGTONDC USA

The call for the reform of the US health care system is discussed. Most of the proposals offered thus far will not guarantee access to affordable, comprehensive care for everyone.

关键词：保险统计分析综合保健/经济学费用分担残疾人经济竞争卫生政策/经济学卫生服务易得程度/经济学保险选择偏倚保险健康/经济学保险健康/立法和法学美国

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Reinterventions after repair of common arterial trunk in neonates and young infants

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JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY 2000年第5期35卷 1317-1322页

作者： McElhinney, DB Rajasinghe, HA Mora, BN Reddy, VM Silverman, NH Hanley, FL Univ Calif San Francisco Div Cardiothorac Surg San Francisco CA 94143 USA Univ Calif San Francisco Dept Pediat Cardiol San Francisco CA 94143 USA

OBJECTIVES To determine rates of reintervention after repair of common arterial trunk in the neonatal and early infant periods. BACKGROUND With improving success in the early treatment of common arterial trunk, the need for reinterventional procedures in older children, adolescents and adults will become an increasingly widespread concern in the treatment of these patients. METHODS We reviewed our experience with 159 infants younger than four months of age who underwent complete primary repair of common arterial trunk at our institution from 1975 to 1998, with a focus on postoperative reinterventions. RESULTS Of 128 early survivors, 40 underwent early reinterventions for persistent mediastinal bleeding or other reasons. During a median follow-up of 98 months (range, 2 to 235 months), 121 reinterventions were performed in 81 patients. Actuarial freedom from reintervention was 50% at four years, and freedom from a second reintervention was 75% at 11 years. A total of 92 conduit reinterventions were performed in 75 patients, with a single reintervention in 61 patients, 2 reinterventions in 11 patients and 3 reinterventions in 3 patients. Freedom from a first conduit reintervention was 45% at five years. The only independent variable predictive of a longer time to first conduit replacement was use of an allograft conduit at the original repair (p = 0.05), despite the significantly younger age of patients receiving an allograft conduit (p ( 0.001). Reintervention on the truncal valve was performed on 22 occasions in 19 patients, including 21 valve replacements in 18 patients and repair in 1, with a freedom from truncal valve reintervention of 83% at 10 years. Surgical (n = 29) or balloon (n = 12) reintervention for pulmonary artery stenosis was performed 41 times in 32 patients. Closure of a residual ventricular septal defect was required in 13 patients, all of whom underwent closure originally with a continuous suture technique. Eight of 16 late deaths were related to r

关键词：保险统计分析年龄因素横断面研究无病生存随访研究试验预期值预后比例危险度模型再手术/方法再手术/死亡率再手术/统计学和数值数据再手术/发展趋势危险因素缝合技术时间因素移植异种移植同种治疗结果动脉干续存性/外科学青少年成年人儿童人类婴儿婴儿新生

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Human herpesvirus 8 seropositivity and risk of Kaposi's sarcoma and other acquired immunodeficiency syndrome-related diseases

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JOURNAL OF THE NATIONAL CANCER INSTITUTE 1999年第17期91卷 1468-1474页

作者： Rezza, G Andreoni, M Dorrucci, M Pezzotti, P Monini, P Zerboni, R Salassa, B Colangeli, V Sarmati, L Nicastri, E Barbanera, M Pristerà, R Aiuti, F Ortona, L Ensoli, B Ist Super Sanita Ctr Operat AIDS Epidemiol & Biostat Lab I-00161 Rome Italy Ist Super Sanita Virol Lab I-00161 Rome Italy Univ Roma Tor Vergata Dept Infect Dis Rome Italy Univ Milan Sexually Transmitted Dis Clin I-20122 Milan Italy Osped Amedeo di Savoia Div Infect Dis Turin Italy Univ Bologna Infect Dis Clin I-40126 Bologna Italy Osped Riuniti Bergamo Div Infect Dis Livorno Italy Osped Reg Div Infect Dis Bolzano Italy Univ Roma La Sapienza Rome Italy Univ Cattolica Sacro Cuore I-00168 Rome Italy

Background: The incidence of Kaposi's sarcoma (KS) is increased severalfold in individuals infected with human immunodeficiency virus-1 (HIV). Human herpesvirus 8 (HHVS) has also been implicated in KS. We investigated several factors that may determine the onset of KS, particularly HHVS infection in individuals after becoming seropositive for HIV. Methods: We studied 366 individuals belonging to different HIV-exposure categories (i.e., homosexual activity, intravenous drug use, and heterosexual contact) for whom a negative HIV serologic test and then a positive HIV serologic test were available within a 2-year period. HHV8 antibody testing was performed by use of an immunofluorescence assay on the first serum sample available after the first positive HIV test. Actuarial rates of progression of KS and of other acquired immunodeficiency syndrome (AIDS)-defining diseases were estimated by use of time-to-event statistical methods. All statistical tests were two-sided. Results: Twenty-one of the 366 study participants developed AIDS-related KS, and 83 developed AIDS without KS. One hundred forty (38.3%) participants had detectable anti-HHV8 antibodies. The actuarial progression rate to KS among persons co-infected with HIV/HHV8 was nearly 30% by 10 years after HIV seroconversion. Increasing HHV8 antibody titers increased the risk of developing KS (for seronegative versus highest titer [1 :125 serum dilution], adjusted relative hazard [RH] = 51.82;95% confidence interval [CI] = 6.08-441.33) but not of other AIDS-defining diseases (adjusted RH = 1.14;95% CI = 0.72-1.80). HHV8-seropositive homosexual men compared with HHV8-seropositive participants from other HIV-exposure categories showed an increased risk of KS that approached statistical significance (adjusted RH = 6.93;95% CI = 0.88-54.84). Conclusions: Approximately one third of individuals coinfected with HIV/HHV8 developed KS within 10 years after HIV seroconversion. Progression to KS increased with time after HIV se

关键词：艾滋病相关机会致病菌感染/病毒学保险统计分析抗体病毒/血液 CD4淋巴细胞计数疾病恶化 HIV感染/并发症疱疹病毒科感染/并发症疱疹病毒4型人/免疫学疱疹病毒8型人/免疫学意大利危险肉瘤卡波西/病毒学青少年成年人老年人女(雌)性人类男(雄)性中年人

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SUDDEN CARDIAC DEATH PREVENTION - ANTIARRHYTHMIC DRUGS AND THE IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR

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JOURNAL OF INTERVENTIONAL CARDIOLOGY 1995年第1期8卷 9-15页

作者： DOMANSKI, MJ ClinicalTrialsBranch NationalHeartLungandBloodInstituteBethesdaMaryland20892USA.

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